Nursing 1200 Flashcards

1
Q

What are the responsibilities of the CNO?

A

College of Nurses of Ontario - a regulatory body

  • legislative authority to regulate nursing practice
  • responsibility to the public to ensure practice is safe, competent and ethical
  • professional conduct is monitored
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2
Q

What are the responsibilities of RNAO?

A

Professional association of nursing that outline best practice guidelines and standards of care

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3
Q

What are the 4 essential nurse qualities that fall under strengths of mindset?

A

Mindfulness, humility, open-mindedness, non-judgemental attitude

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4
Q

What are the qualities that fall under Strengths of Knowledge and Knowing?

A

Curiosity and Self Reflection

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5
Q

What qualities fall under Strengths of relationships?

A

Respect & Trust, empathy, compassion & kindness

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6
Q

What qualities fall under strengths of advocacy?

A

Courage and self-efficacy

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7
Q

what are Carper’s 4 ways of knowing?

A

Empiricial, aesthetic, personal, ethical

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8
Q

What are the 3 Ethical principles of CNA?

A

Responsibility, Accountability, and advocacy

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9
Q

What is beneficence?

A

doing or prompting good for others, all valid treatments are considered and rated

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10
Q

what is nonmaleficence?

A

the principle of not intentionally inflicting harm on someone, balance of benefits outweighs the risks, the act is not intrinsically wrong
- inflicting the least possible harm to reach a beneficial outcome

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11
Q

what is an ethical paradox?

A

a decision making problem between 2 moral imperatives (a strongly felt principle that compels one to act)

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12
Q

what is moral residue?

A

long last effects of moral distress, can be quite damaging to the individual

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13
Q

what are the 2 pieces of legislation that define what the public can expect from a nurse?

A
  1. Regulated Health Professions act

2. Nursing Act

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14
Q

What is a harmful event?

A

an unintended outcome of care that may be prevented with evidence informed practices. Harm reflects the patient experience

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15
Q

What are the 3 categories of unsafe events?

A

Harmful incident, near miss, no harm incident

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16
Q

what are the 5 components of a therapeutic relationship according to CNO?

A

Trust, respect, professional intimacy, empathy, power

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17
Q

What is eustress?

A

stress that protects health, a positive adaptation to stressors

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18
Q

What is paternalism?

A

the restriction of autonomy by someone in a position of authority
it is assumed that the welfare of the patient / their best interest is primarily identified by the health care professional
it is justified in certain contexts ex. children or intoxicated individuals

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19
Q

what is presencing?

A

Being with and attending to another individual. A state of being our authentic selves

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20
Q

What are the 3 levels of critical thinking in nursing?

A

Level 1 - Basic
Level 2 - Complex
Level 3 - Commitment

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21
Q

What are 2 ways of developing critical thinking?

A

Reflective journal writing and concept mapping

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22
Q

What are the 5 components of the Situated Clinical Decision Making Framework?

A
Knowing the profession
Knowing the self
Knowing the case
Knowing the patient
Knowing the person
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23
Q

What are the 5 steps of the nursing process?

A
  1. Assessment
  2. Diagnosis
  3. Planning
  4. Intervention
  5. Evaluation
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24
Q

What are the 4 elements of Fawcett’s Nursing Metaparadigm?

A

Person, Health, Environment, and Nursing

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25
Q

What is the Hospital Insurance and Diagnostic Services Act (1961)?

A

a prepaid medical and hospital insurance
50% cost sharing
only for hospital care

26
Q

what is healthy public policy?

A

public policies which have an impact on individual or population health

27
Q

what is hegemony?

A

refers to the dominant influences that result in maintenance of the “Status quo”

28
Q

What is lateral violence?

A

Anger that should be directed at an oppressor is directed at a peer. the most common explanation is power or ineffective leadership. ex) gossip, witholding information, intimidation

29
Q

what is a “force” conflict management style?

A

“I win, you lose”

impose your solution on others, sometimes it is warranted ex. in an emergency

30
Q

what is an authoritarian leadership style?

A

leader makes decisions without input from the team, doesnt consider valuable suggestions from team members, potentially demoralizes team, leader controls subordinates

31
Q

what is a democratic leadership style?

A

leader treat subordinates as fully capable, expects team members to contribute to the decision making, encourages team input, brings about higher satisfaction and productivity

32
Q

what is an authentic leadership style?

A

leader can prove their legitimacy by nurturing sincere relationships with subordinates and giving importance to their input, encourages employees to be open
- brings about greater job satisfaction, higher productivity and performance from employees

33
Q

what is a relationship oriented leadership style?

A

leadership focused on the wellbeing of the subordinates, they will have loyal workers but they may become too understanding. productivity could decrease

34
Q

what is an ‘accommodation’ conflict management style

A

“you win, i lose”

smooths over a conflict by neglecting ones own concern due to fear of harmful relationships or a need to be liked

35
Q

what is primary care?

A

the first point of contact ex. dr’s office

36
Q

what is secondary care?

A

medical care provided by a specialist or facility upon referral by a primary care physician

37
Q

what is medicare?

A

Canada’s publicly funded health care system

38
Q

what is ONA and what do they do?

A

Ontario Nurses’ Association - a union

- support professionalism through public perception, advocacy campaigns, member respresentation

39
Q

what is moral distress?

A

occurs when one knows the right thing to do but institutional constraints make it impossible to follow that course of action

40
Q

what is whistle blowing?

A

something wrong has happened and it is identified and reported, there can be a lot of fallout

41
Q

what is emancipatory knowing?

A

the process by which a theory is enacted

theory into practice

42
Q

After which war did health education become a priority?

A

WWII, shift from hospital training model to academia

43
Q

what is CNA?

A

Canadian Nurses Association, provide national standards and code of ethics
represent nurses on a national scale

44
Q

what are the antecedents of patient advocacy?

A

macrosocial - health disparity, poverty, cultural differences, racism, difficulty accessing care
microsocial - patient vulnerability ex. patient is unconscious or has a mental illness and is unable to protect their own rights or make informed decisions

45
Q

what is self-efficacy?

A

the person’s belief that he can perform a behaviour that will produce a desired outcome. “I can do it”, feeling empowered

46
Q

What is outlined in the Regulated Health Professions Act?

A
  • Regulates the scope of practice for 28 health professions
  • Lists controlled acts regulates to certain professions
  • Protect and serve the public interests
47
Q

What is the nursing act and what are it’s components?

A

Outlines scope of practice for RNs and RPNs
Components: Entry to Practice, Title Protection, Controlled acts, quality assurance and professional misconduct regulations

48
Q

What kind of events are we required to report in writing within 30 days to Health Canada?

A
  1. Adverse Reactions

2. Medical Device Incidents

49
Q

What is jurisprudence?

A

The philosophy of laws and the legal system
An exam taken through CNO that assesses an applicant’s understanding of regulations, by-laws, practice standards and guidelines in Ontario

50
Q

what is nursing epistemology?

A

the study of the origins of nursing knowledge, its structure and methods, the patterns of knowing of its members

  • a “how to” of knowledge development
  • what is the knowledge most important to the discipline
51
Q

what is ontology?

A

the nature of reality, the study of what is true, study of a way of being present with another

52
Q

what is unknowing?

A

being open to other possibilities, suspending our biases in order to understand what the patient is experiencing, being fully present, understand the world view of the patient

53
Q

what is ICN?

A

International Council of Nurses

54
Q

What is the Health Professions Regulatory Advisory Council?

A

an independent advisory body that advice the Minister of Health and Long Term Care on issues related to Health Care Providers in Ontario

55
Q

what is moral integrity?

A

being accountable and responsible for one’s judgement, strong sense of self, act in ways consistent with what they understand as the right thing

56
Q

what is a laissez-faire leadership style?

A

“non-leadership”, the leader provides advice, support and timelines with low level of involvement, lacks focus or time management resulting in high job satisfaction and risk of low productivity

57
Q

What are the 4 phases of a discharge plan?

A

Patient Assessment
Develop a Plan
Prepare Patient/Family
Follow up/materials

58
Q

What did Nightingale believe to be the most important factor supporting healing?

A

the environment

59
Q

what is the Canadian Health and Social Transfer?

A

The Federal government allocates funds to provinces via this transfer for health care

60
Q

According to Roach what is at the core of nursing practice?

A

caring

61
Q

What is a standardized formal care plan and give an example of when it might be useful

A

A care plan that specifies care for groups of clients with common needs. Usually preplanned guides for essential nursing care. Ensure thats certain acceptable standards of care are provided. Ex) used for clients who experience an MI

62
Q

What are Nightingale’s 5 essential components of a healthy environment?

A

pure air, pure water, efficient drainage, cleanliness/sanitation, and light