Intro to Practice

Question 1

legal issues

Answer 1

• standard of care: minus critics for competence proficient, delivery of nursing care
• institutional policies: individualized
• scope of practice: defined by state Nurse practice Act and identify parameters for nursing practice

Question 2

4 elements of Negligence

Answer 2

• there was a duty to provide care
• the duty was breached
• injury occurred
• the breach of duty caused the injury

Question 3

common types of negligence

Answer 3

• comunication
• doctor care
• med error
• neg. assessment
• neg intervention

Question 4

ethical issues

Answer 4

• ethical implications: ethical principles/ moral obligations
• informed consent

Question 5

ethical principles

Answer 5

• autonomy
• justice
• fidelity
• veracity
• beneficence
• nonmalficence
• all come from paternalism

Question 6

autonomy

Answer 6

• freedom to choose or decide to submit treatment offered

- provider should neither influence nor judge the decision

Question 7

justice

Answer 7

• obligation to be fair; treat the patient without malice, bias, or prejudice
• in the workplace, distribute benefits and burdens equitably

Question 8

fidelity

Answer 8

keeping promises

Question 9

veracity

Answer 9

• share relevant, accurate, clear, understandable info

- offer facts, tell the truth

Question 10

beneficence

Answer 10

• maximize the benefits and minimize potential harm

- take active steps to benefit the patient’s welfare

Question 11

nonmalficience

Answer 11

refrain from harming a patient intentionally

Question 12

what situations create a divergence between the rights (autonomy) of a pregnant women and the healthcare rights of her fetus?

Answer 12

• maternal- fetal conflict: focus C/S, treatment for substance abuse, treatment to correct a fetal defect
• abortion
• fetal research” intrauterine fetal surgery (therapeutic vs non therapeutic)
• assisted reproductive technology
• embryonic stem cell Research

Question 13

informed consent

Answer 13

• must be understandable : include risk and benefits, success rate, and alternatives
• must include consequences of receiving no treatment
• patient must be told of right to refuse: does not result in withdrawal of support or care

Question 14

statistical data

Answer 14

• brith rate
• infant mortality rate
• maternal mortality rate

Question 15

things that contribute to infant mortality

Answer 15

• preterm birth
• birth defects
• pregnancy complications for mother: anemia to UTI, diabetes to hypertension, mental health to obesity
• SIDS/SUIDS
• accidental injury

Question 16

Evidence based practice in maternal child nursing

Answer 16

• nursing research: drive our intentions
• clinical pathways: specify essential nursing activities
• nursing care plans: nursing process as organizing framework for care

Question 17

cultural sensitivity/ compentcy

Answer 17

-skills and knowledge need to a appreciate, understand, and work with individual/families from difference cultures

Question 18

what does cultural sensitivity do

Answer 18

• improve patient satisfaction
• enhanes communication
• better pain control
• increase seeking and sharing information
• may decrease overall health care expense

Question 19

impact of religion and spirituality

Answer 19

• diverse meaning fo religion and spirituality

- spiritually sense nursing care in attempt to accommodate family

Question 20

nursing role in childbirth preparation

Answer 20

-helping the childbearing family:
make decision that are part of pregnancy and birth
-seek pre-conceptual counseling
-select a healthcare provider
-find prenatal classes that meet their needs
-make informed choices

Question 21

decision making in pregnancy

Answer 21

• choice of care provider
• type of childbirth preparation
• place of birth
• activities during birth
• method of infant feeding
• choices about care of newborn

Question 22

goals of childbirth education

Answer 22

provide information about

• pregnancy
• childbirth
• coping mechanisms
• choices available for the woman and her support person