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NSG 310 > Final Rev. > Flashcards

Final Rev. Flashcards

1
Q

Why do we learn the history of nursing?

A

To build the foundation of nursing, to learn about past mistakes, evolving as nurses. It gives us identity. Important in evaluating.

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2
Q

Florence Nightingale

A

Environmental theory
-philosophy: health maintenance and restoration
-she was the first practicing epidemiologist
-used data and evaluated it when she did research on diseases
-provided working class women with outside jobs (pupil approach)

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3
Q

Nurses duty

A

to obedience of the doctor (but still be an we advocate)

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4
Q

National League of Nursing and Education

A

focuses on advances for nurses and to give the proper education for a nurse, to improve their training

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5
Q

ANA

A

in charge of licensure!!! Which protects the public
-standards of Nursing, ADOPIE, it is our voice!!!

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6
Q

How does the nurse become registered?

A

By going through acceptable program and pass the NCLEX

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7
Q

The American Red Cross

A

WW1… Clara Barton

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8
Q

NLNE

A

National League for Nursing Education
nursing school instruction will correlate with real experiences

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9
Q

The Cadet Nurse Corp

A

recruited nurses into the army and navy (school got paid for)- Frances Payne Bolton.

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10
Q

Post WW2

A

penicillin was created, Hill Burton Act (better hospitals and health centers)

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11
Q

Nurse Training Act

A

assist people in becoming nurses (scholarships, aid)

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12
Q

Nursing

A

is an Art and Science

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13
Q

Lillian Wald

A

big role in public health- Established role for nursing in the community because the needs of NY residents were limitless. Founded the Henry street settlement house.

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14
Q

Women to be nurse

A

extension of role

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15
Q

Nurse Practice Act

A

governed by each state

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16
Q

Nurses

A

caregivers, researchers, educator, mentor, advocate

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17
Q

compact licensure

A

license in certain states are active in other states (but you need to know each laws in every state you practice in)

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18
Q

Benner Model

A

Novice, Advanced Beginner, Competent, Proficient, Expert

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19
Q

The different types of diplomas

A

-Associates: 2 year program, prepared for secondary care setting, can take the RN NCLEX
-Bachelors: 4 years, can have leadership positions
-Diploma: gain a RN, but no college degree (2-3 years); still take the NCLEX

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19
Q

Which institute pushed people to get a Bachelors?

A

IOM (Institute of Medicine)

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19
Q

LPNs

A

not college based, work in adult homes

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20
Q

standards of Practice and Standards of professional Performance

A

each standard is to be met having its own key indicators of competence and all are to be met.

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20
Q

Which pathway to be a leader?

A

BSN

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21
Q

DNP

A

takes research and incorporate into their practice

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22
Q

PhD

A

research focused!!

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23
Q

a lot of ethical decision making as nurses!

A

when we are confronted with ethical decisions, think through it critically
-be aware of your own morals, values, and ethics

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24
Q

negligence

A

occurs when a person fails to act in a reasonable manner

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25
Q

malpractice

A

occurs when the conduct of a nurse or other professional practices below the established standard and causes harm.

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26
Q

assault

A

is a threat to touch or harm another person without consent

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27
Q

battery

A

is nonconsensual touching, even if the touch is beneficial to the patient

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28
Q

beneficence

A

the ethical principle is the duty to promote good and prevent harm

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29
Q

What is the goal of QSEN?

A

To have patient safety to have a good experience

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30
Q

Just culture

A

to promote accountability

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31
Q

What does SBAR stand for?

A

Situation, Background, Assessment, recommendation

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32
Q

why is SBAR in place?

A

To have proper handoff reports to other nurses and doctors

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33
Q

number 1 error

A

miscommunication is the #1 error and handoffs are the main reason for this

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34
Q

what are some examples of nonverbal communication?

A

Facial expression, touch, crossing arms, posture

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35
Q

cultural consideration

A

different ways of communicating
-avoid every contact, don’t want to be touched, do not want to expose skin

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36
Q

newborns

A

need to be held and swaddle; communicate through crying and smiling

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37
Q

children

A

fear the unknown, try to explain what the procedure is

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38
Q

toddlers

A

be consistent, this is when they gain a lot of trust

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39
Q

school age

A

be honest, give them choices

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40
Q

adolescents

A

need comfort and security but want more freedom! Express that they will be going through changes

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41
Q

adults

A

establish primary relationships, involve goals, transitioning into having your own family

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42
Q

older adult

A

transition into an “empty nest”, realize your no longer needed, grandchildren might come into the picture at this age

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43
Q

guidelines for instructing an interview

A

open-ended questions, avoid giving advice, observe nonverbal cues… focus on the client

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44
Q

culturally competent

A

-understand your own culture and get to know your patients culture
-have SELF-AWARENESS

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45
Q

health disparities

A

difference among populations

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46
Q

there might be barriers when educating a patient

A

know their language (have a certified interpreter), reading level (especially with how to take medications),

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47
Q

Hispanic/ Latino community

A

family is a strong value!! Predominantly Roman Catholic

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48
Q

African American

A

caring for one’s own, women are the backbone

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49
Q

Asian American

A

multigenerational households, family puts a lot of pressure on the younger generations, stoic about pain, use of remedies

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50
Q

Native Americans

A

religion/spirituality is important, respect is highly valued, use of remedies

51
Q

barriers

A

cognitive issues, language, visual and hearing impairment

52
Q

what is the biggest barrier to communication?

A

NOISE

53
Q

visual impairment

A

large font, glasses, stand in front of them, let them know you are coming

54
Q

hearing impairment

A

make sure hearing aids are in and working, do not yell at the patient

55
Q

physical impairment

A

give respect, do not touch their wheelchairs or any type of assistive devices

56
Q

what is the goal of crisis intervention response

A

to get them back to a pre-crisis state

57
Q

if a patient has macular degeneration

A

stand to the side

58
Q

five stages of grief

A

denial, anger, bargaining, depression, and acceptance

59
Q

describe the four phases of a community response to a crisis

A

heroic, honeymoon, disillusionment, then reconstruction

60
Q

how should your environment look

A

Well- lit room, good ventilation, appropriate furniture, private, quiet, comfortable temperature

61
Q

shaping

A

each them a few things at a time, it takes time

62
Q

modeling

A

teach them all at once, being active

63
Q

contract method

A

verbally say you are going to do something

64
Q

client hospital record

A

electronic medical record

65
Q

How will the nurse use nursing theory and the nursing process in practice?

A

Help direct what a nurse does

66
Q

Historically nursing has been a predominately female-oriented profession. Why?

A

Extension of their homemaker role

67
Q

What was the first formal nursing education program in the United States?

A

Diploma Program

68
Q

Name duties of the diploma, A.D.N, and BSN?

A

A.D.N: RN duties, but can’t be leaders BSN: leadership

69
Q

Benner’s levels of proficiency!!!

A

Novice, Advance beginner, competent, proficient, expert

70
Q

Who should be reading and applying the Nursing Policy Statement?

A

Every nurse, nursing administrators, nursing faculty, nursing students

71
Q

What programs are designed to prepare graduates for the highest level of clinical nursing practice?

A

DNP

72
Q

What is the purpose of certification by specialty nursing organizations?

A

To endorse the demonstrated knowledge base and clinical practice behaviors associated with the higher quality of a specialized area

73
Q

What is the Nursing Social Policy Statement?

A

Statement is about the many ways that nursing helps others. It is about the relationship-the- social contract between the nurse and the patient

74
Q

What are the basic three major types of nurses education programs?

A

BSN, A.D.N., diploma

75
Q

Watson contributed to the nursing profession with the

A

oncept of caring

76
Q

What does a DNP do?

A

Applies new knowledge and research to practice

77
Q

What is the name of the practice doctoral program?

A

DNP

78
Q

Who published the Code of Ethics for Nurses?

A

ANA

79
Q

What was the result of the Nurse Training Act?

A

Provided federal funding for nursing education to increase nurse populrecords on sanitation and the connection with cholera and dysentery?

80
Q

Clara Barton

A

founded the An Red Cross

81
Q

What is the goal of theoretical knowledge?

A

To stimulate thinking about different concepts, theories help explain why nurses do it

82
Q

What is the purpose of the publication, Nursing Scope and Standards of Practice?

A

ANA) guide nurses in America application of their professional skills and responsibilities

83
Q

A preschooler is having difficulty with communication. How should the nurse address this

A

Play!

84
Q

What is important for the nurse to know when communicating with the Hispanic culture?

A

Family values

85
Q

What techniques are utilized for clarification in therapeutic communication?

A

Restatement, reflection, paraphrasing, summarization

86
Q

What does SBAR stand for? Why is the SBAR utilized in healthcare

A

situation, background, assessment, recommendation. For communication and to decrease errors made.

87
Q

When is it okay to disclose personal information?

A

Only for the client’s best interest

88
Q

What is an ameliorable adverse event?

A

Events that, while not preventable, could have been less harmful if care had been different

89
Q

Name a strategy a nurse could use to assess the cognitive level of an adolescent.

A

Use the three wishes question

90
Q

What is the major factor that contributes to harmful error?

A

Miscommunication

91
Q

Name some therapeutic communication strategies when communicating with infants and toddlers.

A

Play and getting down on their level.

92
Q

Who released the To Err Is Human report?

A

Institute of Medicine (IOM)

93
Q

What is therapeutic communication?

A

To provide support and information to patients.

94
Q

How should the nurse communicate with a client with dementia?

A

Bring them back to reality, short, simple, and direct explanations

95
Q

What is the QSEN?

A

Quality and safety education for nurses

96
Q

What does touch do to a dementia patient?

A

Touch can calm agitated behaviors, reduce agitation, ease physical discomfort and promote sleep. Touch also can make emotional connections to others, particularly because individuals with Alzheimer’s or dementia have such difficulty with communication.

97
Q

What do you call it if a patient falls out of bed, and they don’t get hurt?

A

Near miss

98
Q

Preventable adverse effect

A

harm to a patient caused by their medical care rather than their underlying medical issue.

99
Q

Negligence

A

occurs when a person fails to act in a reasonable manner

100
Q

Near miss

A

is an unplanned event that did not reach the patient, but which may have resulted in harm if it had

101
Q

An effective teaching strategy for reinforcement is shaping. Describe what shaping is?

A

Shaping refers to the reinforcement of successive approximations to the target behavior

102
Q

What is veracity?

A

Truthful information about client’s condition

103
Q

A client has entered the rage stage. What should the nurse do?

A

Leave and get help

104
Q

What can the nurse use to assist with education for a client who is illiterate?

A

Images and symbols

105
Q

What organization established educational standards requiring health care agencies to provide systematic health education and trained for clients?

A

The Joint Commission

106
Q

What is expressive aphasia?

A

Can understand what is being said but cannot express their thoughts

107
Q

Nurses are kinesthetic learners. What does this mean?

A

Learn best with demonstration and hands on learning.

108
Q

What is anticipatory grief?

A

An emotional response that occurs before the death of a family member

109
Q

How does one assist a blind client with ambulation?

A

Allow the client to take your arm to preserve the client’s autonomy
-if someone who has macular degeneration you go to their side

110
Q

What will assist in educating a four-year-old about an upcoming procedure?

A

Involve parents, allow child to touch and play

111
Q

Describe mild anxiety

A

Heightened state of alertness

112
Q

What is the teach back process?

A

allowing the patient to teach the nurse/doctor to confirm the client’s understanding

113
Q

There is a local community crisis. Describe the heroic phase in responding to this crisis

A

Heroic emergency teams, neighbors, and friends rallying behind the victims to help them

114
Q

A preschooler is having difficulty with communication. How should the nurse address this?

A

With play!

115
Q

A patient is recovering from a head injury with a lowered LOC. What is important to remember regarding verbal communication?

A

Initiate conversation and keep it simple and clear

116
Q

What is the goal of palliative care?

A

improve the quality of life for individuals facing serious illnesses

117
Q

What is the difference between nonverbal and verbal communication?

A

Verbal uses sounds and words while nonverbal is cues and facial expression

118
Q

What is a developmental crises?

A

Occur as individual negotiate developmental stage changes

119
Q

What does avoidance in therapeutic care mean?

A

Ignoring

120
Q

an effective teaching strategy uses empowerment. What does this include?

A

Approaches that allow client to take on their own initiative in care

121
Q

What is the goal of crisis intervention response?

A

To return the client to a pre-crisis level of functioning

122
Q

An effective teaching strategy uses modeling. Describe this strategy

A

Describes learning a behavior by observing another perform it

123
Q

What is a situational crisis?

A

Refers to a stressful live event which exceeds a client’s resources and coping skills

124
Q

You have a client who only speaks Spanish. Who can be utilized as an interpreter to give discharge instructions?

A

A medical licensed interpreter

125
Q

List two de-escalation interventions for mental health emergencies

A

Avoid rushing the patient, slow things down, allow verbal venting within reason, use open non-threatening stance, go to a quiet place, do not indicate you feel threatened or argue with logic of the situation.

126
Q

What does the acronym C.A.R.E. stand for? It is used to assist with conflict situations.

A

Clarify, Articulate, Request, Evaluate

127
Q

Crisis intervention is a

A

time-limited treatment

128
Q

Suicide

A

10 leading cause of death

129
Q

Telehealth (4 types)

A

live video conferencing, asynchronous video, remote patient monitoring, mobile health.

NSG 310 (11 decks)

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