Katherines final portion Flashcards
OCNE competencies
Bases personal and professional actions on a set of shared nursing values
Uses reflection, self-analysis, and self-care to develop insight
Engages in intentional learning
Demonstrates leadership in nursing and health care
Collaborates as part of a health care team
Able to practice within, utilize, and contribute to all health care systems
Practices relationship-centered care
Communicates effectively
Makes sound and clinical judgments
Locates, evaluates, and uses the best avaliable evidence
Division 21
Standards for nursing ciriculum
Division 45
scope of practice
Division 47
Directs nurses in community settings how to delegate nursing care to non-nurses
Maslows hierarchy of needs
psychological > safety > relationships > esteem > self-actualization
How is Maslows law implemented in nursing care
The pt with the most urgent needs is seen first; down to the pt with the least urgent need
EX: hyperglycemic pt to the pt who wants a glass of water
Nursing process steps
Assessment > diagnoses > planning > intervention > evaluation
What comes after the nursing diagnosis is made?
Make a plan of care
How do we prioritize our care if multiple problems are presented?
Uses Maslow’s law as needed
What is the purpose of Maslow’s law?
Determines what is most important for our overall health to the least important
Clinical judgment model steps
Recognize cues
Analyze cues
Prioritize hypothesis
Generate solutions
Take action
Evaluate outcomes
Recognize ques is to what in the nursing process
assessment
Analyze ques is to what in the nursing process
diagnosis
Prioritize hypothesis is to what in the nursing process
diagnosis
Generate solutions is to what in the nursing process
planning
Take action is to what in the nursing process
invtervention
Evaluate outcomes is to what in the nursing process
Evaluation
How to write a measurable expected outcome
Start with the current state of the pt, state what the actions will be, and end with the goal and time frame
EX: The pt currently states the pain level in their foot is at an 8 out of 10, the pt will continue to take the prescribed dose of 3000mg of acetaminophen while intermittent time periods of 20minutes of icing the foot for 2 weeks. At the end of this two-week period, the pt pain level will be at a 3 out of 10. The pt will call HCP if adverse reactions occur and if the pain is not better within a week.
Purpose of the nursing process
systematic problem-solving method licensed nurses use when they provide nursing care. It provides cohesive and effective communication between all HCP
Primary prevention
Prevents onset illness
EX: vaccinations
Secondary prevention
Measures taken to catch an illness early and to keep it from progressing
EX: breast examination
Tertiary Prevention
Aimed at rehabilitation following an illness
Purpose of healthy people 2030
Purpose of 2030 is to set objectives to improve health and well-being over a decade
Health literacy
Ability to comprehend and follow along with health information
Health disparity factors
Employment conditions
social exclusion
public health conditions
gender discrimination
racism
globalization
urbanization
Goals of pt education
Help individuals, families, and communities achieve, through their own actions and initiative, optimal, states of health as well as proving health literacy.
Communication barriers
Anxiety
Attitudes
Differences between nurse and pt
Resistance
Transference and countertransference or distorting
Sensory barriers
Failure to address concerns or needs
when to teach a pt
they must be ready and eager to learn
teaching stratagies
- Lecture
- Discussion
- Demonstration
- Simulation
learning climate
- Bring a sense of preparedness
- Organization
- Anticipate needs
- Positive learning environment
best teaching practice techniques
- Know audience
- Use appropriate language
- Focus on pt wants and needs
- Address appropriately
- Present in logical order
- Give most important information first
- Limit amount of messages
- Highlight important information
- Show what to do rather than just tell it
active listening skills
- Eye contact
- Head nodding
- Asking questions
- Leaning in
- Quite when another person is talking
qualities of therapeutic communication
• Empathy
• Respect
• Genuineness
- Honesty
- Willingness to self-evaluate
• Concreteness
• Confrontation
