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Nurs 1050 > Midterm Review > Flashcards

Midterm Review Flashcards

1
Q

The 5 W’s of Conscious Inquiry

A 
What are you relating to
Who are you relating to
Why are you relating
When are you relating
Where are you relating
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2
Q

Categories of Strength Based Care (MKRA)

A

Strength of mindset
Strength of knowledge and knowing
Strength of relationship
Strength of advocacy

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3
Q

5 C’s of Relational Capacities

A 
Compassionate
Curious
Committed
Competent 
Corresponding
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4
Q

Marie Rollet Herbert

A

Wife of physician from France, found starvation, sickness, and threats of attack, sought advice on remedies and cures in treating the ill, educated indigenous children

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5
Q

Jeanne Mance

A

Founded the first hospital in Canada (hotel dieu in Montreal)

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6
Q

Marquerite d’Youville

A

Moved nursing care out of the Christian sanctuary and into the community
Founder of the grey nuns (first group of visiting nurses in Canada)
Fought for rights of the poor
Provided nursing care for all without consideration of race or class

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7
Q

Florence Nightingale

A

Founder of modern day nursing
Lady of the lamp
Wealthy upper class upbringing
Educated as a nurse in Germany worked in England and France with nuns
Worked in a London street hospital
British Crimean war camp across the Black Sea in 1853
Saw unsanitary conditions and decreased death count by 2/3 by improving sanitation, hygiene, and nutrition
Saved thousands of lives by promoting comfort, cleanliness, ventilation, sanitary conditions (while collecting data)
Made nursing a viable profession with education
Started the first nursing school in London in 1860

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8
Q

Florence nightingales characteristics of a good nurse

A 
Sobriety 
Altruism
Loyalty 
Self sacrifice 
Deeply rooted in Christianity
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9
Q

Nursing education in Canada

1890’s

A

Decrease in number of doctors/nurses/hospitals thus lady Aberdeen formed VON so visiting nurses could reach underserved areas

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10
Q

1919

A

First university nursing program at UBC (all training still provided by hospital) all stemmed from the WWI pandemic and post war health conditions

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11
Q

1924

A

CNA requirements for nurses to be registered. Nursing became a regulated profession, improved education and standards. RN

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12
Q

1959

A

First masters in nursing program at western u

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13
Q

1960’s

A

Expansion of university programs in Canada; UofT integrated program into university vs hospital based

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14
Q

1991

A

First doctoral program at U of Alberta. There are now 17 PhD nursing programs in Canada

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15
Q

Kathryn Hopkins Kavanagh

A

Emphasized that the history of nursing has evolved in relation to the social and cultural ethos of varied times and circumstances. Perhaps more than any other occupation, nursing has been shaped by social conceptions of women and their place in society.

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16
Q

Societal Forces and Nursing

A

Women’s rights
Objectified view
Male stereotypes
Public image

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17
Q

Social determinants of health

A

There is more to health than the absence of disease

Highlights health promoting actions

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18
Q

Self concept

A

Sum of ones beliefs about oneself with develops overtime and is influenced by interactions with surroundings

Temporal aspect - it is dynamic and constantly developing
Spatial aspect - influenced by context/location/surroundings

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19
Q

Microsystem

A

Family
School
Peers
Neighborhood

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20
Q

Mesosystem

A

Interaction of systems

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21
Q

Exosystem

A 
Religion 
Media
Education
Medicine
Community
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22
Q

Macrosystem

A

Culture
Politics
Economy
Social conditions

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23
Q

Chronosystem

A

Historical time

Changes: personal, social

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24
Q

Encouragement

A

Develops confidence
Feeling of control over ones life
How we see ourself in relation to others
Belonging, competence, positive self concept, self worth

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25
Q

Discouragement

A 
Repeated failures 
-frustration 
-anger
-fear
-depression
Feeling of helplessness 
Loss of motivation and confidence 
Low self concept
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26
Q

Illness and self concept

A

Anxiety, depression, stress, trauma reactions, changes in body image, changes in role performance

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27
Q

Beliefs

A

Convictions that we generally hold to be true usually without proof or evidence

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28
Q

Values

A

Strong personal beliefs about the worth of a given idea, attitude, custom, or object
Influence behaviour
Right vs wrong
Evolve as we age

29
Q

Morals

A 
Internal personal understanding of how we believe we ought to act
Personal opinions on right vs wrong
Action oriented 
Moral integrity 
-steadfastness
-moral autonomy 
-fidelity 
-moral seamlessness
30
Q

Moral distress

A

We know the right thing to do but the system structures or personal limitations make it impossible

31
Q

Ethics

A

External societal organization of right and wrong (this can vary for people, professions and organizations)
How we should behave
CNA code of ethics

32
Q

Ethical dilemma

A

When there are two or more equally compelling reasons for and against a course of action.
Choosing one course of action means letting the other one go.

33
Q

Types of ethics

A

Nursing ethics - protect the public and inform nursing practice (CNA CNO)
Bioethics - healthcare and research
Feminist ethics - gender inequities and power

34
Q

Ethical theories

A

Consequentialism
Deontological
Principlism

35
Q

Consequentialism

A

Utilitarian theories - outcome based, greatest good for the greatest number, end justifies the means

36
Q

Deontological

A

Duty

Right or wrong is determined by the nature of the act itself (less regard foe the results, actions are guided by morals)

37
Q

Principlism

A

Respect for autonomy
Beneficence
Non maleficence
Justice

38
Q

Health Care Consent Act (HCCA)

A

Sets our explicit rules on when consent is required for treatment or admission to a care facility and who can give the consent when the client is incapable of doing so

39
Q

Informed consent information must include

A

What - nature of the treatment
Why - expected benefits of the treatment
What if’s/then what - risks and side effects
What else - alternative course of action, consequences of not having treatment

40
Q

Working through ethical scenarios

A

Assessment
Plan
Implement
Evaluate

41
Q

Self regulation

A

Some professions are granted the right to regulate their own members (rather than the government) we call this a self regulated profession
This is granted when a profession shows they can put the interests of the public ahead of their own professional interests
When self regulated each profession has a regulatory body (CNO)
CNO determines eligibility to practice, scope of practice, standards of practice and follows up on issues and concerns

42
Q

CNO

A

Regulatory body
Protects public
Controls activities
Renews RN license

43
Q

CNA

A

national and global voice for the nursing profession in Canada
Code of ethics

44
Q

RNAO

A 
Professional association 
Assists in political action at the provincial level
Best practice guidelines 
Learning/career advancement
Legal assistance program
45
Q

CNO - 7 components necessary for nursing practice

A 
Cognitive 
Communication
Interpersonal 
Behavioural 
Psychomotor 
Sensory
Environment
46
Q

The nursing act

A 
Establishes the mandate of the CNO and defines scope of practice
Regulates:
- registration 
- scope of practice
- controlled acts
- quality assurance 
- professional misconduct
47
Q

Entry to practice requirements

A

Successfully meet nursing education requirements
Provide evidence of nursing practice
Successfully complete national registration (NCLEX)
Successfully complete jurisprudence exam
Proficient in English or French
Provide proof of citizenship, permanent residency

48
Q

CNO professional standards

A 
Accountability
Continuing competence 
Ethics
Knowledge
Knowledge application
Leadership
Relationships
49
Q

Stages of the Nursing Process

A 
assessment
nursing diagnosis
planning
implementation 
evaluation
50
Q

4 types of assessment

A
  • initial - first meeting the patient, assessment of presenting problems
  • focused - details about presenting concern to validate data/info
  • time lapsed - ongoing; re evaluate patient status, better? worse? same?
  • emergency - airway, breathing, circulation
51
Q

assessment

A

ongoing process involving critical thinking and data collection (objective and subjective)

52
Q

source of data

A

client, family and significant other, health care team, medical records

53
Q

ways to collect data

A
  • interview
  • physical assessment
  • form completion (intake form)
  • chart review
  • diagnostic and lab results
54
Q

nursing diagnosis

A

employ clinical judgements to formulate nursing diagnosis
Purpose: to prioritize, plan, and implement patient care
Involves: analyzing data, identifying health problems/risks/strengths and formation of a diagnostic statement

55
Q

components of the nursing diagnosis

A

1) the problem: includes the focus of the diagnosis (eg. gas exchange) and the qualifier (eg. impaired)
2) ethology (cause/risk) (“as related to”)
3) defining characteristics (subjective/objective data supporting diagnosis) (“as evidenced by”)

56
Q

actual nursing diagnosis

A

_____ related to _____ as evidenced by _____

57
Q

risk for nursing diagnosis

A

risk for _____ as evidenced by ______

58
Q

wellness nursing diagnosis

A

readiness for ______ as evidenced by ______

59
Q

types of nursing diagnosis

A
  • actual problem focused nursing diagnosis
  • risk nursing diagnosis
  • syndrome diagnosis
  • health promotion/wellness nursing diagnosis
  • possible nursing diagnosis
60
Q

planning

A

prioritizing problems and diagnosis

formulation of goals and outcomes - care plans

61
Q

3 types of planning

A
  • initial - immediate (upon admission)
  • ongoing - continuous (expect to change based on reassessment)
  • discharge - help with discharge planning, from your care, from hospital, etc.
62
Q

classification of priorities

A

high - threat to life, risk of harm/danger
intermediate - less urgent (knowledge deficit)
low - future, long term

63
Q

types of goals

A
  • client goal - reflects clients highest possible wellness level and independence of function
  • immediate (short term) goal - outcome expected within hours to a week
  • intermediate goal - expected within weeks
  • long term goal - expected in days, weeks, or months

(note: goals must be SMART)

64
Q

care plans

A

outline the care provided and are holistic, they include:

  • nursing diagnosis
  • nursing interventions
  • patient focused outcome
65
Q

implementation

A
  • provision of nursing care (intervention is carried out)
  • constant evaluation of how intervention is being tolerated and its effectiveness
  • multiple interventions for one goal
66
Q

types of interventions

A

nurse initiated
physician initiated
collaborative

67
Q

selection of interventions

A

1) characteristics of nursing diagnosis
2) goals and expected outcomes
3) evidence base for interventions
4) feasibility of the intervention
5) acceptability to the client
6) nurse competency

68
Q

evaluation

A

evaluation of the interventions

assess the client and compare before and after

69
Q

evaluation process

A

1) identify and evaluate criteria and standards
2) collect evaluative data
3) interpret and summarize findings
4) document findings and clinical judgements
5) terminate, continue, or revise the care plan

Nurs 1050 (2 decks)

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