Exam 2 Flashcards
Professionalism relates to the treatment of ________, ________, and _______.
Patients, families, and coworkers.
Laws established in each state in the United States to regulate the practice of nursing are known as?
The nurse practice acts.
What are the essential activities involved in the nursing process?
Assessing, diagnosing, planning, implementing, and evaluating.
______ allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where health care is provided.
Standards
Values are formed during a lifetime involving influences from the ____, _____, and ____.
Environment, family, and culture.
____ is the concern in welfare and well-being of others.
Altruism
How would you utilize altruism in a professional manner?
By making sure you understand other cultures and beliefs that maybe don’t align with your own.
Autonomy is the right to self ______.
Determination
______ ______ is reflected when the nurse values and respects all patients and colleagues.
Human dignity
____ is doing what’s right, even when no one is looking.
Integrity
upholding moral, legal, and humanistic principles is _____ _____.
Social justice
The systematic study of principles of right and wrong conduct, virtue, and vice.
Ethics
What is nursing ethics?
A formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make and evaluate judgments.
What are the five key principles in a principle-based approach?
Autonomy, nonmaleficence, beneficence, justice, and fidelity.
____ respects the rights of patients or their surrogates to make health care decisions.
Autonomy
Nonmaleficence avoids causing _____.
Harm
______ benefits the patient, and balance benefits against risks and harms.
Beneficence
What are the steps of making ethical decisions?
- Assess the situation
- Diagnose (identify) the ethical problem
- Plan (identify and weigh alternatives)
- Implement your decision.
- Evaluate your decision
When does moral distress occur?
When you know the right thing to do, but either personal or institutional factors make it difficult to follow the correct course of action.
Is the developed capacity to respond well to morally distressing experiences and to emerge strong.
Moral resilience
Moral injury occurs when there has been
A betrayal of what is right, by someone who holds legitimate authority or by oneself in a high-stakes situation.
Is reasoning both inside and outside the clinical setting.
Critical thinking
What is clinical reasoning and decision-making?
The process you use to think about patient problems in the clinical setting.
Refers to the result of critical thinking, clinical reasoning, and decision-making.
Clinical judgment
What will you be doing during the assessing phase in the nursing process?
Detecting/noticing cues (signs, symptoms, risks)
In the nursing process, what is done during the diagnosing phase?
- Analyzing, synthesizing, and interpreting data.
- Creating a list of suspected problems, weighing the probability of one problem against another that’s closely related.
Explain what happens in the planning phase of the nursing process.
You will be responding, predicting complications, anticipating consequences, considering actions, setting priorities, and decision making.
This sounds like which phase of the nursing process. Responding taking actions, monitoring responses, reflecting, and making adjustments.
Implementing phase
Reflecting and repeating ADPIE as indicated is which phase in the nursing process?
Evaluating
Critical thinking in nursing is guided by……
Standards, policies, ethics codes, and laws.
Critical thinking in nursing is based on principles on the…..
Nursing process, problem-solving, and the scientific method.
Critical thinking in nurses focuses on….
Safety and quality, constantly reevaluating, self-correcting, and striving to improve personal, professional, and system policies.
Critical thinking in nursing calls for strategies that make the most of human potential and…
Compensate for problems created by human nature.
Which type of assessment would you perform shortly after the patient is admitted or at the beginning of a shift to get a baseline?
Initial
Which assessment has a certain timeframe it has to be done by?
Initial assessment
What is a focused assessment?
Gathering data on a specific problem.
Which assessment is done when something sudden has happened to the patient?
Emergency assessment
Explain a time-lapsed assessment.
It compares the patient’s current state to their initial assessment baseline.
What happens in the the diagnosing step?
The nurse interprets and analyzes data gathered from the nursing assessment.
A nurse should recognize _____ and _______ risks and address these immediatly.
Safety and infection
A nurse should identify ______ responses and promoting _____ function, independence, and quality of life.
Human; optimum
A nurse should anticipate ______ _____ and taking steps to prevent them.
Possible complications
What is the nurses focus in the diagnosis/problem identification phase?
To identify actual and potential health problems and needs.
In the diagnosis/problem identification phase you promote, manage, _______, and ______.
Predict and prevent.
Are my data accurate and complete? Do the objective data support the subjective data? How do I know that this information is reliable? These are all examples of questions to facilitate……
Critical thinking.
These are apart of which nursing process phase?
- Establish the database.
- Continuously update the database.
- Validate data.
- Communicate data.
Assessing
- Interpret and analyze patient data.
- Identify patient strengths and health problems.
- Formulate and validate nursing problems.
- Develop prioritized list of problems.
These are explaining which nursing process phase?
Diagnosing actual or potential health problems and needs.
During the ______ phase of the nursing process you are establishing priorities, writing outcomes and developing an evaluative strategy, selecting nursing intervention, and communicating plan of nursing care.
Planning
Carrying out the care of plan, continuing data collection, modifying the plan of care as needed, and documenting care is explaining the ______ phase of the nursing process.
Implementing
In the _____ phase of the nursing process you are measuring how well the patient has achieved desired outcomes, identifying factors that contribute to the patients success or failure, and modifying the plan of care if indicated.
Evaluating
What are the eight phases in clinical reasoning?
Look, collect, process, decide, plan, act, evaluate, and reflect.
What are three questions that might be helpful to “think like a nurse”
- What did you observe?
- What do you make of what you saw?
- What course of action will you take?
What are the steps for the scientific problem-solving?
Problem identification, data collection, hypothesis formulation, plan of action, hypothesis testing, interpretation of results, and evaluation.
Deductive reasoning relies on applying widely accepted knowledge and principles to a model or a combination of models to solve a problem. This is known as _____ ______.
Backward reasoning
Inductive reasoning requires observing, and then drawing conclusions this is referred to as…….
Forward reasoning
_____ ______ processes require the ability to recognize patterns and connections and form hypotheses and theories.
Inductive reasoning
What are the four core elements in Tanners Clinical Judgment Model?
Noticing, interpreting, responding, reflecting.
Is performed by the nurse with the admission nursing history and the physical assessment.
Initial planning