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CNUR 102 > Midterm > Flashcards

Midterm Flashcards

1
Q

Who is Florence Nightingale

A

Founder of modern day nursing

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2
Q

What did Florence Nightingale do

A

root nursing in foundations of empirical science, new image of nursing as a respectable job, global role in evolution of nursing,

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3
Q

What did Nightingale believe about men in nursing

A

That they had no place in it unless strength is needed

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4
Q

How is nursing relevant to colonization

A

They played a huge role in helping care for those who were diseased

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5
Q

What was the first Nursing University program

A

UBC

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6
Q

Social Forces in Nursing

A

Women’s rights, Civil Rights, sexual pleasure for men, stereotypes

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7
Q

How has Nursing school evolved

A

Went from 1 year of schooling to 4 and more

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8
Q

What are the 2 basis nurses rely on

A

Scientific and human

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9
Q

What are the 3 remaining pillars

A

research, administration, policy

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10
Q

3 steps in nursing research

A

Pose questions, collect data, present results

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11
Q

Boyer Model

A

Discovery, integration, application, teaching, and learning

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12
Q

Nursing Policy

A

regulatory bodies, professionals association, unions, academy practice policy

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13
Q

Nursing Arts and Science 4 fundamental ways of knowing

A

Empirical, personal bias, ethical, aesthetic

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14
Q

Empirical

A

Knowledge of Science

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15
Q

Personal

A

Authentic knowing of personal biases

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16
Q

Ethical

A

What is right and wrong

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17
Q

Aesthetic

A

Enacting with wholeness

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18
Q

Client relationship must have

A

Trust, respect, professional intimacy, empathy, power

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19
Q

Evidence-Based Practice

A

Best evidence from research, clinical expertise, client perception and input

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20
Q

A Nurse is

A

Educator, Advocate, Manager, Care Provider

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21
Q

Benners 5 Stages of expertise

A

Novice, Advanced beginner, competent practicer, proficient, expert

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22
Q

Novice

A

Lack of experience, rules matter, no context cues, Not much of a critical thinker

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23
Q

Advanced Beginner

A

Understands cues, develop guidelines for action, identify relevant aspects of situations

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24
Q

Competent Practicer

A

sees action in relation to long term goals or plans outline important aspects of situation, conscious planning, organized, expectation, modifies plans

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25
Q

The expert

A

does not rely on rules, but intuition, knowing the requirements

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26
Q

5 senses of Nursing Art

A
  1. ability to grasp meaningful client encounters
  2. ability to establish a meaningful connection with client
  3. ability to skillfully perform nursing activities
  4. ability to determine course of action
  5. ability to morally conduct ones practice
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27
Q

Public interest

A

The common good or benefit that applies to the group (client)

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28
Q

Regulation

A

Rules governed to establish behaviour

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29
Q

Self Regulation

A

Putting yourself in the best position to regulate members to keep public safe

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30
Q

Standard of Practice

A

The expectable level of professional behaviour

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31
Q

Scope of Practice

A

Legally authorized things you can do

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32
Q

Regulatory bodies

A

Process of monitoring and setting down rules that must be enforced

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33
Q

Who is Mary Seattle

A

A British nurse who is known for helping the sick and wounded during war

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34
Q

Canadian Council of Registered Nurse Regulators (CCRNR)

A

Representatives from Canada’s 12 provinces that regulate the practices of RN’s

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35
Q

Canadian Nursing Students’ Association (CASN)

A

A national voice for Canadian nursing students

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36
Q

Regulatory Bodies intervene when

A

Practice is no longer safe, competent or ethical

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37
Q

What is the Saskatchewan Regulatory Body called

A

Sask Regulatory body

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38
Q

Characteristics if Self regulation

A

Accountable, specialized body of knowledge, code of ethics, service to the public, self regulation

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39
Q

Does sask health regulate?

A

no it hires

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40
Q

RN Act 1988

A

No one can call themselves a nurse if they are incompetent or unethical

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41
Q

International Council of nursing

A

Represent nursing worldwide, advance nursing profession, promote wellbeing of nurses, and advocate for health in all policies. Main focus on Nurses rather then public.

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42
Q

Members if ICN

A

130 national nurses association and 28 million nurses worldwide

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43
Q

Mission of ICN

A

Advance nursing profession and advocate for health and wellbeing of nurses

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44
Q

CRNS Sask Regulatory Body purpose

A

Accountable for ensuring public protection. Sets regulations for Saskatchewan nurses

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45
Q

How many members does CRNS have

A

12 000

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46
Q

CNA (Canadian nurses association)

A

Loads the development of health policy across Canada Represents 13 provinces and territories. The National Voice of nurses.

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47
Q

Who are the members of CNA

A

460 000 RN across Canada

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48
Q

What is the CNRS Practice Standards

A

Clinicians, Professional, Communicators, collaborators, coordinators, leaders, advocators, educators, scholars

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49
Q

Standard of Practice

A

Duty to provide, duty to care, duty to report

50
Q

Skills and abilities to achieve competency

A
  1. cognitive
  2. Behavioural
  3. Communication
  4. Interpersonal
  5. Physical
  6. Sensory Perceptual
  7. Environmental
51
Q

Primary Nursing values

A
  1. provide safe, compassionate, competent and ethical care
  2. Promote health and well being
  3. promote respect decision making
  4. honouring dignity
  5. maintain privacy and confidentiality
  6. promote justice
  7. be accountable
52
Q

Clients right to know

A

Name, role, questions, complain

53
Q

How to be a professional

A

risk and client care, duty to report, professional conduct, fit for practice

54
Q

Only reasons not to give care

A
  1. unreasonable burden (threats)
  2. personal danger
  3. competencies
  4. Conscious objection
55
Q

Duty to report

A

anything we see or do. we are obligated to do this.

56
Q

Negligence claim requirements

A

these things must be proven:
1. defendant must owe the plaintiff a duty of care
2. defendant must breach standard of care
3. Plaintiff must suffer injury or loss
4. Defendant’s conduct must cause injury

57
Q

Examples of breaches of care

A

Failure to communicate, monitor, maintain records, policy, intervene

58
Q

4 elements of consent

A

Voluntary, competent, referable to treatment and provider, informed

59
Q

Essential Aspects of Communication

A

Sender, message, receiver, response, feedback

60
Q

Sender

A

shares roles with the receiver (encode info)

61
Q

Receiver

A

listens, observes, decodes and clarifies

62
Q

Message and channel

A

Several factors as to how to message is received or sent. A channel is the way a message is sent

63
Q

Noise

A

physiological, psychological, environmental/external, somatic all have influences

64
Q

Feedback

A

After the receiver interprets the message was sent and understood

65
Q

5 levels of communication

A

Intrapersonal, transpersonal, interpersonal, small group, public

66
Q

Intrapersonal communication

A

having our own attitude, opinion, values toward another. Thinking things for yourself

67
Q

Transpersonal

A

Spirituality, discussing with patients

68
Q

Interpersonal

A

2 people in communication

69
Q

small group communication

A

good for support exchanging of ideas and information. This is dynamic.

70
Q

Public communication

A

chances of miscommunication are higher

71
Q

Non verbal communication

A

eye contact, gestures, proxemics, intimate space, personal space, public space, Facial expression

72
Q

Conflict Management style

A

nonconfrontal, interpersonal, cooperative or assertive

73
Q

Nonconfrontal conflict

A

Avoids conflict at all costs, 4 responses (Lose-lose)
1. placating: Avoid in fear of rejection
2. Distraction: Attempt to avoid tense stessful situations by using humour
3. computing: emotional detach
4. Physically removing selves, walk away (whatever)

74
Q

Interpersonal conflict

A

Highly aggressive response from family or client

75
Q

Cooperative or Assertiveness

A

Being able to say what you think or believe in an honest, direct way that respected

76
Q

Assertive strategies

A

-control emotions
-self aware
-other orientated
-issue not person
-I language
-focus on shared interest
-monitor nonverbal behaviour
-brainstorm for solutions
-apologize
-present yourself as equal

77
Q

Therapeutic relationship

A

Open ended questions, clarification, probing, paraphrasing, sharing observation, silence

78
Q

Key things to remember when communicating with those who have speaking challenges

A

introduce yourself and what you are doing, actively listen, paraphrase, provide time for them to respond

79
Q

Key things to remember when communicating with those who are dying

A

use normal tone, explain procedures, call by name, therapeutic touch, consider culture

80
Q

Key things to remember when communicating with cognitive disability

A

identify preferred communication style, use aids, a normal tone, gentle questioning, monitor cues, no leader questions

81
Q

Key things to remember when communicating with those who are visually challenged

A

Be sure they have their contacts or glasses at bedside. speed normally

82
Q

Pre orientation

A

review charts, how to best communicate, being nonjudgemental

83
Q

Orientation phase

A

introduce yourself, what you’re doing, how long it will take, ask your preferred name, clarify questions, confidentiality, permission

84
Q

working phase

A

using communication strategies

85
Q

termination

A

transfer, death, explain needs and care plan, be self aware when coping

86
Q

URETY

A

S:sit at angle
U: uncross
R: Relax
E: eye contact
T: touch
Y: your intuition

87
Q

Conscious competence model

A

unconscious incompetence: non-consistent unconscious communication
Conscious incompetency: made aware of failure expectation
unconscious competence: being unaware of the skills you’re using
conscious competence: communicates effectively uses ethical and proper behaviour

88
Q

Reflexivity

A

reflecting on what you have learned

89
Q

values

A

beliefs or attitudes about worth of a person, object, idea or action

90
Q

Moral values

A

truth, integrity, honour, commitment, duty

91
Q

Beliefs

A

What people accept to be true

92
Q

Attitudes

A

mental feeling/position about a person, object, or idea

93
Q

Value set

A

Small group of values someone holds

94
Q

Value System

A

basics of behaviours of how life is lived

95
Q

Professional Values

A

Nursing code of ethics, clients wellbeing, client, choice, privacy, confidential, respect, fairness, truth, commitment

96
Q

clarifying client values

A
  1. list alternative actions
  2. examine possible consequences
  3. examine possible consequences
  4. feel goof about choice
  5. Affirm choice
  6. act on choice
  7. act consistently
97
Q

Moral integrity

A

quality of ones character and integrated virtues including honest and truth

98
Q

Moral dilemma

A

involves ethically conflicting claims

99
Q

Moral Distress

A

person knows what is ethically right but cannot do it because of barriers

100
Q

Moral Residue

A

Emotional responce a nurse carries on from ethical situation. A reflection of ethical decision

101
Q

Agency advocating

A

acting within the agency to advocate for a patient

102
Q

Activism advocacy

A

working for changes in the system making the patient feel supported

103
Q

6 ethical principles

A

Autonomy, nonmaleficence, beneficence, justice, fidelity, veracity,

104
Q

Autonomy

A

Individuals have the right to make their own decisions and we are to respect this

105
Q

Nonmaleficence

A

duty to do no harm

106
Q

Beneficence

A

Obligation to do good

107
Q

Justice

A

fairness to all patients

108
Q

fidelity

A

Faithful to agreement and process

109
Q

veracity

A

telling the truth

110
Q

Ethical responsibility

A

provide safe, compassionate, competent, ethical care, promote health and well being, promote respect informed decision making, honouring dignity, maintain privacy and confidentiality, promote justice, accountability

111
Q

purpose of code of ethics

A

informs public, show professionalism, outlines major ethics, general guidance, self regulation, guidance in decision making

112
Q

LEARN

A

L: listen to others
E: explain perception
A: acknowledge and discuss differences
R: Recommend alternatives
N: Negotiate agreement

113
Q

Fit for practice

A

being sure you are in the right state to give safe, ethical, and competent care. Can be Physical, cognitive, psychological, emotional

114
Q

4 components to fitness of practice

A

Can be Physical, cognitive, psychological, emotional

115
Q

jurisprudence

A

refers to knowledge of the laws, regulations, and standards that relate to nursing practice

116
Q

Burn out

A

an emotional state due to long- term stress, characterized by chronic emotional exhaustion, depleted energy, impaired enthusiasm and motivation to work, diminished work efficiency, adminished sense of personal accomplishment, pessimism, and cynicism

117
Q

Compassion fatigue

A

another result of stress for many people ( particularly those in the humanitarian field) who hears stories of tragedy and loss.

118
Q

Vicarious Trauma

A

Shift in how we view the world and our job because of a traumatic event

119
Q

Common effects of Compassion fatigue

A

helps, hopeless, negative, self doubt, incompetence

120
Q

strategies for stressful situations

A

-breaks
-realistic expectations
-listen and support team
-maintain healthy habbits
-techniques
-relationships
-ask for help

121
Q

Aspects of self care

A

physical, emotional, spiritual, professional, social, finical. psychological

CNUR 102 (2 decks)

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