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IM1 Exam 1 > Professionalism > Flashcards

Professionalism Flashcards

1
Q

florence nightingale was the first practicing _____ who organized

A

epidemiologist, organized school of nursing - Nightingale School of Nursing, St. Thomas Hospital, opened July 9, 1860

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2
Q

florence nightingale implemented what

A

-rounding: made rounds checking on soldiers during the night
-sanitation: most significant immediate improvement - instituted sanitation in the battlefield hospitals during Crimean War

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3
Q

earliest type of formal education

A

hospitals with diploma programs

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4
Q

academic settings for nursing degrees emerged meaning that nursing programs shifted

A

away from hospitals

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5
Q

registered nurse (RN) education

A
  • 2-year associate’s degree
  • 2-year diploma
  • 2-3 years baccalaureate’s degree
    have to do continuing and inservice education
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6
Q

master’s degrees in

A
  • education
  • management
  • advanced practice
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7
Q

doctoral degrees

A

PhD - doctor of nursing philosophy
DNP - doctor of nursing practice
DNS - doctor of nursing science

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8
Q

qualities

A

current knowledge of practice standards
insightful and compassionate approach
critical thinking
organizational and speaking skills
clinical expertise - time and effort
patience and competence
physical stamina

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9
Q

doing

A

strong emphasis on external expectations and tasks
- perform the job

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10
Q

being

A

person and psychology of being a nurse
- kind
- patient
- professional
- compassionate

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11
Q

acting ethically

A

live according to principles
- do the right thing even when no one is looking

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12
Q

flourishing

A

maintain life-long, transformational growth
- component that assists with forming and fostering professional identity

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13
Q

changing identities

A

assimilation of RN role
- identifying as a registered nurse

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14
Q

nursing practice is a science and an art meaning that it is not just ____ ______ __ ______ _____, but _____ _____

A

the performance of specific skills, but administering care

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15
Q

nurses are responsible and accountable to ____

A

self, patients, and peers

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16
Q

the _____ is the center of nursing practice, _____ includes ________

A

patient, which includes individuals, families, and/or communities

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17
Q

why define nursing

A
  • helps the public understand the value of nursing
  • differentiates activities of nursing from those of medicine
  • assists students with understanding what is expected of them
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18
Q

professional nurse definition

A
  • an art, learning to deliver care with compassion, caring and respect for each patient’s dignity and individuality
  • as a science, based on a body of knowledge and evidence-based practice
  • as art and science, meets the highest standards and benefits patients and families
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19
Q

nursing as a calling

A

a strong inner impulse toward a particular course of action specially when accompanied by conviction or divine influence

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20
Q

What is the Texas Board of Nursing’s definition of professional nursing?

A
  • the performance of an act requiring substantial specialized judgment and skill
  • performance is based on knowledge and application of biological, physical and social sciences
  • knowledge is acquired by completion of education in an approved school of professional nursing
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21
Q

functions of Board of Nursing

A
  • regulates the practice of nursing in Texas
  • protects the public from unsafe practices
  • provides approval for nursing education programs
  • issues licenses to nurses - NCLEX, new graduates and license renewals
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22
Q

the knowledge of the group (nurses) must be based on ____ and ____ knowledge. Nurses must complete an ______ format and utilize _____ from nursing and related fields.

A

technical and scientific, educational format, utilize research

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23
Q

what oversees the practice and function of nurses?

A

each state has a regulatory body that uses the Nurse Practice Act (NPA) to oversee it

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24
Q

what is Texas’s regulatory body over nurses?

A

the Board of Nursing (BNE) is a state agency empowered by the Texas Legislature that can amend the NPA

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25
Q

the Nurse Practice Act (NPA) gives _____ __ ______ ____ ______ __ _______ and the enforcement of law to the BNE

A

gives authority to regulate the practice of nursing to the BNE

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26
Q

what are nurses service orientation

A

nurses serve the illness and healthcare needs of clients/patients

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27
Q

nurses were ranked the ____ _____ profession

A

most trusted, most honest and ethical

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28
Q

what is the major goal of nurses

A

to improve the health and well-being of all individuals, communities, and populations
- through the significant and visible contributions of registered nurses
- using standards-based practice

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29
Q

professional nursing orgs 3 overall goals

A
  • address member concerns
  • present educational programs
  • publish journals
30
Q

the ANA’s standards for pro nursing practice are which 2 things

A
  • represent the nursing process (critical thinking)
  • foundation of clinical decision-making for nurses
31
Q

assessment

A

collects comprehensive data pertinent to the patient’s health and/or situation

32
Q

diagnosis

A

analyzes the assessment data to determine the problem

33
Q

outcomes identification

A

identifies expected outcomes for a plan individualized to the patient or situation

34
Q

plannning

A

develops a plan that prescribes strategies and alternatives to attain expected outcomes

35
Q

implementation

A

applies the identified plan
- coordinates care delivery
- uses strategies to promote health and a safe environment

36
Q

evaluation

A

gauges progress toward the attainment of outcomes

37
Q

jobs for the advanced practice registered nurse (APRN)

A

most independently functioning nurse
- clinical nurse specialist
- nurse practitioner
- certified nurse-midwife
- certified registered nurse anesthetist

38
Q

advanced practice registered nurses uses _____ ______ ____ _______

A

prescriptive authority and treatment

39
Q

the ANA says nursing practice is these 5 things

A
  • promoting safe and ethical work environment
  • bolstering the health and wellness of nurses
  • facilitation of healing
  • high standards of nursing practice
  • advocacy in the care of individuals, families, communities and populations
40
Q

the ANA says nursing practice is _____ in the care of individuals, families, communities and populations **

A

advocacy

41
Q

ANA’s standards of pro performance - 8 aspects

A

ethics
advocacy
communication
collaboration
leadership
education
evidence-based practice and research
quality of practice

42
Q

International Council of Nurses (ICN) says nursing = advocate meaning they support

A
  • quality nursing care for all
  • sound health politics
  • advancement of nursing knowledge
43
Q

International Council of Nurses (ICN) is a federation meaning they have

A
  • more than 130 national nurses’ associations
  • represents 28 million nurses worldwide
  • operated by nurses
44
Q

novice

A

student or nurse in a new practice field
- inexperienced
- task-oriented
- “learning the rules”

45
Q

advanced beginner

A

new graduate
- focuses more on situation rather than tasks
- works to acquire in-depth experiences

46
Q

competent

A

2-3 years experience
- focuses more on situations rather than tasks
- works to acquire in-depth experience

47
Q

proficient

A

more than 2-3 years experience
- sees the situation as a whole
- performs care faster and more efficiently
- can assist newer nurses

48
Q

expert

A

diverse skills and knowledge, several years experience
- recognizes what is needed before conditions worsen
- well-developed nursing intuition
- determines relevant problems

49
Q

autonomy

A

essential element
initiation of independent** nursing interventions without medical orders

50
Q

accountability

A

professionally and legally answerable** for the type and quality of nursing care provided

51
Q

caregiver

A

assists** patients
- regain health through healing process
- attain max level of functioning
- meet needs (physical, emotional/social, spiritual)

52
Q

advocate

A

protects** the patient’s human and legal rights
- assists the patient to assert those rights when necessary

53
Q

educator

A
  • formal or informal
  • utilizes methods that are the patient’s preferences**
  • incorporates family
54
Q

communicator

A

central to nurse-patient relationship** as well as advocacy
- allows the nurse to identify the needs of their patients
- utilized with patients, families, colleagues, and the community

55
Q

manager

A

provides for collaborative patient-centered care**
- safe, quality, positive patient outcomes
- coordination of unit of facility staff, policy, and budgetary responsibilities

56
Q

expanded career roles

A

nurse educator
nurse administrator
nurse researcher
nurse informaticist
nurse entrepreneur

57
Q

independent practice nurses - advanced practice RNs jobs

A
  • clinical nurse specialist (CNS)
  • certified nurse practitioner (NP, FNP, PNP, WHNP)
  • certified registered nurse anesthetist (CRNA)
  • certified nurse midwife (CNM)
58
Q

APRNs contribution to healthcare - they have better ___

A

patients care for by APRNs show better patient outcomes
- increased patient understanding and cooperation with treatments
- decreased need for hospitalization

59
Q

nursing assistive personnel (NAP, UAP, CNA) can do

A

vital signs
physical care - feeding, hygiene, ambulation
indirect duties - unit secretary duties

60
Q

licensed vocational nurses (LVN) can do

A

vital signs
physical care - feeding, hygiene, ambulation
sterile procedures
medications - dependent on NPA

61
Q

RN specific skills

A

assessment
care planning
implementation of provider’s order
all IV medications / blood administration
patient education

62
Q

RNs _____ delegate certain functions like patient education and other RN specific skills

A

cannot

63
Q

RNs ____ be prepared to perform CNA and LVN skills at any time

A

must

64
Q

code of conduct defintion

A

set of guidelines that influences an employee’s actions in an organization
- policy lays out company’s principles, standards and moral and ethical expectation

65
Q

health care advocacy groups

A

support preparation of a professional workforce in a changing health care system
provides: health promotion, illness prevention, care for complex needs
ex: Institute of Medicine (IOM), Robert Wood Johnson Foundation (RWJF)

66
Q

National League for Nursing (NLN) is the 1st organization to _____ ______ for nursing programs on all levels

A

provide accreditation for nursing programs of all levels
- maintain and improve the standards of nursing education
- foster the development and improvement of hospital, industrial and public health as well as organized nursing services

67
Q

National Student Nurses Association (NSNA) works closely with ANA to ____

A

represent the needs of nursing students
- maintain high standards of education in schools of nursing to assist with career development and preparation for practice

68
Q

what do practice* specialty nursing organizations do + examples

A

represent special interests from a practice* perspective
- provide educational opportunities for members
ex: Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Association of PeriOperative RNs (AORN), Emergency Nurses Association (ENA),

69
Q

what do special interest nursing organizations do + examples

A

addresses the special needs of nurses
- group identification - Nat’l Association of Hispanic Nurses (NAHN), Black Nurses, Men in Nursing
- similar values - Nurses Christian Fellowship (NCF), Nursing Ethics Network (NEN)

70
Q

Magnet recognized

A
  • credential award by American Nurses Credentialing Center (ANCC)
  • measures the strength and quality of nursing
  • magnet culture: empowerment, shared decision-making, accountability
71
Q

magnet culture of excellence - 5 functions

A
  • visionary nursing leadership
  • strong nursing representation at top levels of management
  • building an environment that encourages participation
  • empowering nurses in patient care
  • showing superior patient outcomes
72
Q

2022 trends in nursing

A
  • looming nursing shortage
  • telehealth and technology
  • self care
  • increased specialization
  • increased education
  • assume leadership roles in redesigning care in the US

IM1 Exam 1 (6 decks)

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