Exam 3 Flashcards
1
Q
These are the foundation for nurses’ professional identity
A
Professional values
2
Q
-strong beliefs/something important held by individuals
-serve as a framework for making decisions
A
Values
3
Q
-families
-organizations/institutions
-individual experiences
-peers
A
Values Formation
4
Q
-Process to determine your own set of values and prioritize those important to you, to assess and evaluate those values
-choosing one’s own beliefs and behaviors
-prizing one’s beliefs and behaviors
-acting on one’s beliefs
A
Values Clarification
5
Q
-Standards for action that are generally accepted by the group as a whole
-Expected of its practicing members
-socialized into it novices
A
Professional Values
6
Q
concern for the welfare and well-being of others
A
altruism
7
Q
right to self-determination
A
autonomy
8
Q
respect for the inherent worth and uniqueness of individuals and populations
A
human dignity
9
Q
acting in accordance with accepted standards of practice; truth-telling
A
integrity
10
Q
upholding moral, legal, and humanistic principles; assuring equal treatment and equal access
A
social justice
11
Q
two or more values with the same priority occur at the same time forcing reprioritization/decision-making
A
values conflict
12
Q
true or false: we care for ourselves so we can continue to care for others
A
true
13
Q
-emotional self-care
-physical body techniques that activate the parasympathetic nervous system
-mental self-care
-positive psychology
-emotional responses
-spiritual connection
A
methods of self-care
14
Q
two words-refers to provider actions
A
health care
15
Q
one word-is a system
A
Healthcare
16
Q
-private health insurance/private payers
-you choose provider
-common in US
A
Type I system
17
Q
-national health insurance
-system uses tax dollars to pay for health services (one large insurance policy for all)
A
Type II system
18
Q
-national health insurance
-public management
A
Type III system
19
Q
-socialized health insurance
-focus is on keeping people healthy
-healthcare is perceived as an essential service
A
Type IV system
20
Q
-distinguished by what is done with money leftover
-determines why, and how decisions are made
A
For-profit and non-for-profit distinctions
21
Q
Where do the majority of RNs work?
A
hospitals
22
Q
-how the organization is configured
-vertical, horizontal, matrix
A
structure
23
Q
-how the organization functions
-vision, mission, goals
-policies and procedures
A
process
24
Q
health promotion and preventative care immunizations
A
primary care
25
-emergency and acute care
-diagnosis and treatment
secondary care
26
-rehabilitative services
-long term care
-hospice
tertiary care
27
-treat and prevent contagious disease
-child health
-obstetrical and pregnancy care
-detection and treatment of terrorist acts, particularly bioterrorism
Public health
28
-screenings
-stress management
-adolescent pregnancy
-drug abuse
-management of students with chronic disabilities
School-based
29
goal is to maintain the health of workers in the workplace to increase productivity
occupational health clinics
30
-traditional provider of healthcare services
-still provide the majority of nurses with employment
hospitals
31
-goal is to provide care in a home-like atmosphere and have programs that are based on the needs and abilities of the clients
-assistance with activities of daily living
-higher-level skilled nursing care, such as tube feedings and catheter management
Long-term care facilities
32
-goal is to restore health and function to an optimum level
-clients are admitted after recuperating from the acute stage of an injury or illness
Rehabilitation Centers
33
nurses manage the phones, supply answers to health-related questions, and advise callers on how to handle non-urgent health situations
Telehealth
34
uses the computer to access any number of sites that provide healthcare information
E-health
35
-fundraising in support of cutting-edge research
-public education
-help individuals secure special equipment
-political action
Volunteer Health Agencies
36
required facilities providing services to Medicare clients to be reimbursed using a fixed-rate system and included monetary incentives to reduce the length of hospital stays
Prospective Payment Systems (PPS)
37
participants pay a flat rate, usually through their employer, to belong to a managed care organization (MCO) for a specified period of time
Capitated payment systems
38
to provide affordable health care to US citizens who before its passage were unable to pay for or obtain health insurance
Primary goal of health-care reform
39
an infrastructure for organizing and providing care to patients and their families
Patient Care delivery system
40
-nurse/patient relationship and decision-making
-work allocation and/or patient assignments
-communication between members of healthcare team
-management of the environment of care
Four elements of care delivery systems
41
-establish a therapeutic relationship between nurses and patients and their families during their episode of care
-accomplish essential nursing interventions
-maximize collaborative multidisciplinary practice
Purpose of Patient-Centered Care
42
honest expression of your rights, needs and feelings in a way that does not interfere with someone else's rights needs and feelings (the ideal)
Assertiveness
43
-allow others to violate your rights
-indirect
-relies on the hope that another person can read your mind
-helps avoid conflict for the moment
-encourages unspoken resentment that weakens relationships
Nonassertive/Passive/Submissive
44
-disregard other's rights
-standing up for what you want regardless of the rights and feelings of others
-hostile
-combative
Aggressiveness
45
-object to behavior that infringes on your rights
-be brief and to the point
-do not apologize for asserting rights
-be assertive with your body, voice, eyes, and facial expressions
Guidelines for assertiveness
46
-having good manners and being polite
-respecting others
-based on recognizing that all human beings are important
-protection from discrimination
Civility
47
any type of speech or behavior that disrupts the harmony of the home, work, or education environment
Incivility
48
can be viewed as a continuum of impolite behaviors
Incivility
49
defined as any behavior that could reasonably be considered humiliating, intimidating, threatening, or demeaning to an individual or group of individuals
bullying
50
-to coerce or intimidate another person into doing something that they do not want to do
-to merely humiliate a person or group because of some perceived difference or weakness
Goal of bullying
51
has many of the same characteristics as bullying except that it takes place almost exclusively in the work setting among peers
lateral or horizontal violence
52
any behavior conducted by a superior or supervisor that could reasonably be considered humiliating, threatening, or demeaning to an individual or group of individuals
vertical violence
53
can move in both directions
vertical violence
54
broad term that includes workplace hostility. bullying, lateral violence, horizontal violence, vertical violence, and workplace violence
Workplace (clinical) incivility
55
a state of disharmony
conflict
56
-difference of opinion
-underlying beliefs
-emotions
-conflict of interest
causes of conflict
57
a deeper issue than what appears on the surface
major cause of conflict
58
-ignore the conflict
-confront the conflict
-postpone the conflict
conflict resolution strategies
59
-a win-lose approach that forces the conflict
-an assertive autocratic style used when someone needs to take charge
-Ex. emergency situation with no time to disagree over opinions
Competition
60
-a lose-lose strategy that is sometimes appropriate, such as backing away from a heated argument
-unassertive and uncooperative
-postpones the inevitable
-need to calm down to be more constructive
Avoidance
61
-a lose-win strategy used to preserve relationships
-give in to the other person, neglecting you own needs
Accommodation
62
- a win-win approach to conflict management
-maintain objectives that are agreeable to everyone
Collaboration
63
-a win-lose/lose-win technique
-a give and take style of conflict management
-good way to gain a temporary settlement
Compromise
64
-unpopular decisions must be enforced
-strong belief that you are right
- the outcome is very important
-crisis situation where quick action is needed
Competitive
65
-individuals are overly emotional
-cost of conflict is greater than the benefits/rewards
-agreeing to disagree with someone/something
Avoidant
66
-issue is of real significance
-the outcome affects the future of the organization/individuals
-time allows for creative problem-solving to take place
collaborative
67
-situation is deadlocked
-time is a critical factor
-further conflict on the issue would be very damaging
-necessary to preserve the relationships
compromising
68
-the relationship is more important than the issue
-the other party is trying a new skill
-the other party's need is greater than your own
accommodative
69
the process of give and take between individuals or groups with the goal of reaching an agreement acceptable to both sides
negotiation
70
most statistically significant predictor of quality as perceived by patients, families staff and doctors
teamwork
71
-the ability to function effectively within nursing and inter-professional relationships
-fosters open communication, mutual respect, and shared decision-making
teamwork
72
-clarity
-competent
-confident
-collaboration
-courage to change
The 5 C's that support people's ability to engage in change
73
-two or more individuals working together on a joint venue
-shared planning
-shared decision making
elements of collaboration
74
-diverse members with unique talents
-clear understanding of responsibility authority, accountability
-assure safe, competent and compassionate care is offered to patients
-do no allow conflicts to interfere with work of the team
successful teams in health care
75
-discuss team expectations/challenges regularly
-support growth of team members
-develop own skills in team participation
Team leaders
76
center of the team in health care settings
the patient
77
-trust
-mutual respect
-consistent and visible support
-open and honest communication
characteristic of a healthy team
78
offers new ideas, offers solutions
initiator contributor
79
seeks clarification, looks at facts
information seeker
80
seeks clarification of values, in solution or problem
opinion seeker
81
offer facts or generalizations that are authoritative
information giver
82
states beliefs or opinion to suggestions
opinion giver
83
gives examples, develops meanings, tries to deduce how ideas might work out
elaborator
84
praises, agrees with and accepts others ideas
encourager
85
mediates intra-group scraps, relieves tension
harmonizer
86
operate from within a conflict in which his idea or positions involved. may yield status, admit error, discipline himself, come halfway
compromiser
87
encourages and facilitates participation of others
gatekeeper and expediter
88
expresses standards for group to attempt to achieve in its functioning or applies standards in evaluating the quality of group processes
standard setter or ego ideal
89
keeps record of group processes and contributes these data with proposed interpretations into group's evaluation of its own procedures
group observer and commentator
90
goes along somewhat passively, is friendly audience
follower
91
deflates status of others. expresses disapproval of values, acts, or feelings of others. attacks group of problem, jokes aggressively, shows envy by trying to take credit for others idea
aggressor
92
stubbornly and unreasonably resistant. tries to bring back issue that group intentionally rejected or bypassed
blocker
93
tries to call attention to himself, may boast, report on personal achievements
recognition-seeker
94
uses group to express personal, non-group oriented feelings, insight, ideology, etc
self-confessor
95
displays lack of involvement in groups work. actions may take forms of cynicism, nonchalance, horseplay, or out in left field
playboy
96
an individual would be a ________ of healthcare
microconsumer
97
the united states has the best healthcare outcomes in the world
false
98
what settings goal is to restore health and function to an optimal level
rehabilitation center
99
what level of care is it when a public health nurse administers a flu vaccine
primary
100
what refers to a system
healthcare
