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N110 > N110 Week 3 > Flashcards

N110 Week 3 Flashcards

1
Q

compassion fatigue

A

feeling stretched, overwhelmed, frustrated, unappreciated, and resentful

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2
Q

What are 6 guidelines to develop and maintain work-life balance?

A
  1. Take personal responsibility for your health
  2. Identify and decrease stressors in your personal and professional life
  3. Set realistic goals and expectations for yourself
  4. Give yourself permission to relax
  5. Be a person of encouragement to yourself
  6. Challenge yourself intellectually. Try to learn something new everyday
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3
Q

Critical Thinking

A

a process by which the thinker improves the quality of his or her thinking by skillfully taking charge of the structures inherent in thinking and imposing intellectual standards upon them

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4
Q

Name 5 characteristics of Critical Thinking

A
  1. Raises questions and problem and formulates them clearly and precisely
  2. Gather and assesses relevant information
  3. Arrives at conclusion and solutions that are well-reasoned and tests them against relevant standards
  4. Is open-minded and recognizes alternative ways of seeing things
  5. Communicates effectively with others as solution to complex problems are formulated
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5
Q

Reflective Thinking

A

paying attention to own thinking processes after the nurse-patient interaction has ended

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6
Q

Ethics

A

viewed as systems of valued behavior & beliefs, serve purpose of governing conduct

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7
Q

nurses are guided by the ethical principles of ____, _____ and _____ to guide their actions

A

autonomy, beneficence, and justice

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8
Q

What is Nursing’s Professional Responsibilities?

A 
Accountability
Trust
Advocacy
Social Policy Statement (ANA)
Code of Ethics (ANA )
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9
Q

What are the 9 provisions of nursing code of ethics?

A
  1. practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual
  2. primary commitment is to the patient
  3. promotes, advocates for, and strives to protect the health, safety, and rights of the patient
  4. responsible and accountable for individual nursing practice
  5. same duties to self as to others
  6. participates in establishing, maintaining, and improving health care environments
  7. advancement of the profession
  8. collaborates with other health professionals
  9. maintaining the integrity of the profession
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10
Q

What is Nursing’s Social Policy Statement?

A

nursing’s responsibilities and the social contract between society and the profession

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11
Q

Values

A

Attitudes, ideals, or beliefs that an individual holds true and gives meaning to one’s life (are highly subjective)

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12
Q

Discomfort

A

when choices & decisions conflict with a person’s values

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13
Q

Values clarification

A

method for discovering one’s values and the importance of these values.

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14
Q
  1. Identify individual values of patients or others - ask
  2. use reflection to restate the value (either verbalized or assessed) and make it explicit
  3. identify value conflicts or conflicts between values and actions
A

Steps in value clarification communication;

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15
Q
  1. Established rules of conduct to be used in situations where decision about right and wrong must be made
  2. Often learned and internalized
  3. Typically in accordance with group’s norms, customs, traditions
  4. Guide actions of individuals or social group
A

Morals

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16
Q

Moral reasoning

A

a process in which maturation occurs over time as persons become more abstract in thinking and understanding of the world

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17
Q

_________ is how a person learns to handle moral dilemmas from childhood to adulthood

A

Moral development

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18
Q

What are the 6 ethical principles?

A 
Autonomy
Beneficence
Nonmaleficence
Justice
Fidelity
Veracity
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19
Q
  1. Individual can choose those actions and goals that fulfill their life plans
  2. “Do good”
  3. “Do no Harm”
  4. The duty to treat all fairly, distributing risks and benefits equally. Fairness based on perspective of least advantaged.
  5. faithfulness. Honoring one’s promises
  6. telling the truth. Not lying.
A
  1. Autonomy
  2. Beneficence
  3. Nonmaleficence
  4. Justice
  5. Fidelity
  6. Veracity
20
Q

_____ is when someone believes that they know what is best for another person who is competent to make their own autonomous decisions.

A

Paternalism

21
Q

What are the 6 steps in the Ethical Decision Making Model?

A
  1. Clarify the ethical dilemma
  2. Gather additional information
  3. Identify options
  4. Make a Decision
  5. Act
  6. Evaluate
22
Q

5 steps of nursing process (similar to 6 steps of ethical decision making model)

A 
Assess
Analyze/ Diagnosis
Plan
Implement
Evaluate
23
Q

National Organizations such as:
-American Nurses Association (ANA)
-National Council of State Boards of Nursing (NCSBN)
create standards of care that???

A

outline how a prudent practitioner would practice

24
Q
  1. Legislative body in each state _____ and assigns authority to implement law to regulatory agencies and boards
  2. Laws in form of professional practice acts
  3. State Practice Act sets licensing standards for profession
  4. Purpose of licensing is to protect the _____ , safety and welfare
A
  1. sets practice law

4. public health

25
Q

_______ defines the nurse’s scope of practice based on the formal education and level of nurse licensure
______ defines nurse’s role
Hospital rules and job description

A

The Nurse Practice Act

Scope of Practice

26
Q

What are the 4 main objectives of the Statutory Authority of State Nurse Practice Acts?

A
  1. define practice of professional nursing in that State
  2. sets minimum educational qualifications and other requirements for licensure
  3. determines legal titles and abbreviations nurses may use
  4. provides for disciplinary action of licensees for certain causes
27
Q

Who enforces the rules (state practice acts)?

A

State Board of Nursing
Legal System
Hospital Managers

28
Q

________ includes peer assistance to combat substance abuse as voluntary alternative to suspension or revocation of a license
Also have alternative programs for nurses with mental health problems

A

Nursing Disciplinary Diversion Act (ANA, 1990)

29
Q

Malpractice

A

is violation of nurses professional duty to act with reasonable care and in good faith

30
Q

________ does not have to be intentional. Standard of care must be violated.

A

Malpractice

31
Q

_______ is doing something that should not

have been done. ________ is failing to do things that should have been done

A

commission

omission

32
Q

________ is a civil wrong causing injury or harm:a civil wrong (tort) causing injury or harm to another person or to property as the result of doing something or failing to provide a proper or reasonable level of care

A

Negligence

33
Q

________ is the failure to act as a reasonably prudent person would have acted in same circumstance

A

Negligence

34
Q

Standard of care reflects a basic minimum level of prudent care based on the ethical principle of _______.

A

nonmaleficence (do no harm)

35
Q

What are the wo requirements of a malpractice action?

A
  1. The defendant (nurse) has specialized knowledge and skills
  2. The defendant (nurse) causes the plaintiff’s (patient) injury
36
Q

What four elements of a cause of action for negligence must be proved?

A
  1. The professional (nurse) has assumed the duty of care (responsibility of care for patient)
  2. The professional (nurse) breached the duty of care by failing to meet the standard of care
  3. The failure of the professional (nurse) to meet the standard of care was the cause of injury
  4. The injury is proved
37
Q

Describe common malpractice situations.

A

Failure to follow standards of care
Failure to use equipment in responsible manner i.e. client falls, improper performance of treatment
Failure to communicate
Failure to document i.e. medication error
Failure to assess and monitor
Failure to act as a patient advocate

38
Q

For a nurse to be found negligent, _____, ______, _____ and _____ must be proved.

A

duty, breach, causation, and damages

39
Q

A client/provider relationship built on a collaborative path towards health is one way to ______ exposure to malpractice

A

decrease

40
Q

The _________ Encourages patients to consider which life-prolonging treatment options they desire and document their preferences in case they become incapable of participating in the decision making process

A

Patient Self Determination Act

41
Q

advance directive

A

Written instructions recognized by state law that describe preferences in regard to medical intervention

42
Q

What is the basic assumption of the Patient Self Determination Act?

A

-each person has legal and moral rights to informed consent about medical treatments with a focus on the person’s rights to choose (the ethical principle autonomy).

43
Q

What does the PSDA require of acute and long term care facilities that receive Medicare funding?

A

to document whether a person has completed an advance directive

44
Q 
Under the Patient Self-Determination Act a 
Facility must (4)....
A
  1. provide written information to all adult patients about their rights under state law
  2. ensure institutional compliance with state laws on advance directives
  3. provide education for staff and the community on advance directives
  4. document in the medical record whether the patient has an advance directive
45
Q

How can nurses help patients and families understand the PSDA?

A

explain how it can assist them to have end-of-life-care they prefer

46
Q

How are legal problems prevented in nursing practice?

A
  1. Practice in a safe setting
  2. Communicate with other health professionals, patients, and families
  3. Meet the standard of care
  4. Carry and understand professional liability insurance
  5. Promote positive interpersonal relationships

N110 (4 decks)

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