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Foundations of nursing practice > Important concepts for N1200 Final > Flashcards

Important concepts for N1200 Final Flashcards

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1
Q

Provincial organization that is not involved in student related practice issues. Not an educatioal body. Required to be a member to practice in Ontario.
Legislative authority to regulate practice.
Responsibility to the public.
Monitors continual pracitce and education requirements.

A

CNO

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2
Q

Provincial organization, publishes BPGs.

A

RNAO

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3
Q

Provincial labour representatives

A

ONA

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4
Q

•National organization; being a member here makes you a member of ICN
We are members since we are students

A

CNA

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5
Q

International nurse organization; white heart symbol; international code of ethics published by them

A

ICN

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6
Q

Necessary to have strenghts of mindset.

A

Self-awarness

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7
Q

engage in introspection/reflection, understand own values, recognize the right of others to make choices consistent with their values

A

self-awareness

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8
Q

What are the different strengths of mindset?

A

Mindfulness, humility, open-mindedness, non judgmental attitude

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9
Q

What are the different strengths of knowledge and knowing?

A

Curiosity, self-reflection

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10
Q

What are the different strengths of relationship?

A

Respect and trust, empathy, compassion and kindness

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11
Q

What are the different strengths of advocacy?

A

Courage, self-efficacy

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12
Q

Courage to do what is right, even in the face of adversity.

A

Moral courage

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13
Q

Courage to be with someone during hard times.

A

Vital courage

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14
Q

Courage to help others even if this places you in danger

A

physical courage

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15
Q

Reflection requires these two.

A

Self-awareness and critical thinkking

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16
Q

the things that really matter to you – influence the way we think, behave and the choices we make

A

values

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17
Q

convictions that a person thinks is true – underpin and guide behaviour and actions

A

beliefs

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18
Q

: judgements comprised of affective, behavioural and cognitive aspects

A

Attitudes

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19
Q

provide care by asking a person about their stories, asking about their culture and confirming, rather than generalizing.

A

cultural sensitivity

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20
Q

ensuring that people feel safe to share their culture without feeling alienated

A

cultural safety

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21
Q

what you can gain/learn, how we express what we know

A

knowledge

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22
Q

– process – way of perceiving and understanding yourself and the world

A

knowing

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23
Q

study of the way of being. Relational quality of being present with another – art of nursing

A

ontology

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24
Q

study of the origins of nursing knowledge, its structure and methods, patterns of knowing, etc.

A

epistemology

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25
Q

What are the components of Carper’s patterns of knowing?

A

empirical, esthetic, personal knowledge, ethics

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26
Q

situations with ambiguity or uncertainty in which the consequences are difficult to predict

A

moral dilemmas

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27
Q

aptitude to acknowledge social and political injustice or inequity, to realize things could be different, and to piece together complex elements of experience and context to change a situation to improve people’s lives

A

emancipatory knowing

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28
Q

condition of openness to other possibilities, interpretations, etc. Suspension of biases and values so that you can learn what the patient is experiencing.

A

unknowing

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29
Q

study of the philosophical ideals of right and wrong behaviour on what you think ought, or ought not, to do

A

ethics

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30
Q

study of ethical issues emerging from advances in biology and medicine.

A

bioethics

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31
Q

doing or promoting good for others

A

Beneficence

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32
Q

avoiding or minimizing harm or hurt onto others

A

non-maleficience

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33
Q

related to concern for equitable distribution of benefits and burdens of society – broad social change necessary to address SDoH

A

Social justice

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34
Q

situates ethical action explicitly in relationship

A

relational ethics

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35
Q

placing the values of one ethnicity over another

A

ethnocentrism

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36
Q

generalizing towards a whole population, from the actions of few – can be on the basis of race, age, gender, etc.

A

stereotyping

37
Q

idea or opinion that is not based on fact, knowledge or experience

A

prejudice

38
Q

when you act on these prejudices = unjust or prejudicial treatment of diferent categoires of people based on race, age, sex, etc.

A

discrimination

39
Q

antagonism directed against someone of a different race based on thoughts of racial superiority

A

racism

40
Q

when you know what should be going on but the institute or facility that you are in makes it impossible for you to do the right thing.

A

moral distress

41
Q

being accountable and responsible for the judgements, decisions and actions you take

A

moral integrity

42
Q

long-lasting powerfully integrated morality integrated into one’s thoughts about themselves – keeps eating at you

A

moral residue

43
Q

unintended injuries or complications that result in death, disbality or longer stays

A

adverse events

44
Q

reporting of malpractice issues in the workplace

A

whistle blowing

45
Q

focus on the illness and lacks appreciation of patient context.

A

DBC

46
Q
  • Regulates scope of practice for 28 health professions
  • List controlled acts for regulated health professionals (13)
  • Allowed self-regulation
  • Procedural code – outlines responsibilities of each of the colleges
A

RHPA - 1991

47
Q

prescribed procedure below dermis or mucous membrane; administering a substance by injection or inhalation, basically putting an instrument or finger in any opening, dispensing a drug (cannot delegate

A

controlled acts

48
Q

Controlled acts for nursing are under what?

A

Nursing act - 1991

49
Q

• Entry to practice, title protection, controlled acts authorized to nursing, QA, professional misconduct regulations

A

Nursing act - 1991

50
Q

What are the 3 places to have liability insurance or protection?

A

Canadian nurse protective society
RNAO
ONA

51
Q

required – testing nurse knowledge about and understanding of laws, practice standards and guidelines

A

jurisprudence

52
Q

easier to change the condition that led to the error than to change the behaviour; ask why something fails, not who caused it to fail

A

systems approach

53
Q

resulted in harm to patient

A

harmful incident

54
Q

incident did not reach the patient, so no harm resulted

A

near miss

55
Q

reached patient, but no discernible harm resulted

A

no harm incident

56
Q

– rules and procedures in place, but violated – e.g. failure to wash hands – related to person

A

routine violation

57
Q

allowing someone unqualified to do a task to same time – related to person

A

optimizing violation

58
Q

important steps are skipped – linked to organizational failure

A

necessary violation

59
Q

What are the phases of the therapeutic NC relationship?

A

Pre-interaction phase
orientation/introductory phase
working phase
closing/termination phase

60
Q

What is the acronym SOLER?

A
  • S – sitting at a comfortable angle and distance
  • O – open posture
  • L – leaning forward, looking interested, listening attentively
  • E – eye contact without staring
  • R – relaxed
61
Q

What are the stages of the interview process?

A

Preparation
intitiation/introduction
exploration/wokring state
termination

62
Q

thinking the medical professional is always correct, takes away person’s ability to make decisions.

A

paternalistic approach

63
Q

empowerment for both nurse and client – talk about willingness to try new things.

A

self efficacy

64
Q

reasoning by novices; slow process based on standardized approaches

A

analytic

65
Q

reasoning based on pattern recognition – pick up patterns form previous experiences

A

intuitive

66
Q

reasoning based on understanding of client’s story – finding out the meaning of the illness for the client taking into account their context, beliefs and values

A

narrative

67
Q

How does Tanner’s CJ model link with the nursing process model?

A

nursing assessment (noticing)  nursing diagnosis (interpreting)  planning  intervention (responding)  evaluation (reflection)

68
Q

What are the fives sides of the house for the situated clinical decision making framework?

A 
Knowing the profession
knowing the self
Knowing the case
knowing the patient
knowing hte person
69
Q

Theory that views person as multi-dimensioanl being – whole is greater than the sum of its parts

A

systems theory

70
Q

Theory of process of growth and maturation that is directional and has an orderly purpose

A

Developmental theories

71
Q

Goal would be finding an intervention technique to promote optimal socialization between nurse and client

A

interactive theory

72
Q

most complex and broad; non-specific and abstract; lacks operational definitions

A

Grand theory

73
Q

– target specific phenomena, limited in scope – deal with concrete concepts that operationally defined, amenable to empirical testing

A

middle range theory

74
Q

Theory that aims to describe a phenomenon

A

descriptive theory

75
Q

Theory used to used to control or manage a desired phenomenon

A

Prescriptive theory

76
Q

Components of nursing paradigm

A

Person, environment, health nursing

77
Q

5 principles of Canada health act (1948)?

A 
Public administration
comprehensiveness
universality
portability
accessibility
78
Q

What is our system called? What does it protect us from?

What is the major limitation?

A
  • Medicare – protects against user fees and extra billing

* Major limitation is that it is only related to hospital care or physician services in the community

79
Q

Who is the Federal minister of health?

Provincial?

A

Ginette Taylor

Dr. Eric Hoskins

80
Q

favoured continuation of medicare system  primary health is the single most important basis for which we should renew healthcare – direction we took

A

Romeno report

81
Q

favoured increasing private sector involvement in healthcare

A

Kirby report

82
Q

What are the five levels of care?

A

Health promotion, disease and injury prevention, diagnosis and treatment, rehabilitation, supportive care

83
Q

Doesn’t require power differentials to be present

A

incivility

84
Q

displaced violence directed against one’s peers rather than adversaries.

A

lateral violence

85
Q

What are the conflict management styles?

A
  • Force – I win, you lose
  • Avoidance – I lose, you lose
  • Compromise – I win some, you win some
  • Accommodation – I lose, you win
  • Collaboration – I win, you win
86
Q

What is OBEFA?

A
  • O – opening statement – indicate there is something you want to discuss
  • B – behaviour – focus on behaviour, not person
  • E – effect or consequence of behaviour
  • F – feelings – how it makes you feel
  • A – action – indicating how you want to work on this together
87
Q

What are the three outcomes of healthy work environments?

A

Patient safety, job satisfaction, nurse retention

88
Q

dominant influences that maintain the status quo.

A

Hegemony

Foundations of nursing practice (1 decks)

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