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Professional Nursing > Quiz 2 > Flashcards

Quiz 2 Flashcards

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1
Q

Morals

A

Personal standards of Right & Wrong

Can change with age

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2
Q

Values

A

Freely chosen beliefs/attitudes
Acquired over a long period of time - subconsciously
Can change with life situations
Bases for behavior

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3
Q

Value Conflicts

A

Pre-formed values & beliefs = care may be compromised

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4
Q

Ethics

A

Moral Standards of a group (Ex: nurses)

Principles that determine what ought & not ought to be done.

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5
Q

6 Ethical Principles for Nursing

A
  1. Autonomy - right to make own decision (women’s right)
  2. Nonmaleficence - Doing no Harm
  3. Beneficence - Doing Good
  4. Justice - Fairness & treating people equally
    (fetus’s right)
  5. Fidelity - Faithful to agreements & responsibility
  6. Veracity - Telling the truth
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6
Q

2 Types of Ethics in Nursing & Medicine

A

Bioethics - applied to life, death & dilemmas in between (Justice is the primary bioethical principle)

Nursing Ethics - ethical issues with nursing practice only

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7
Q

Ethical Theories

A

Utilitarianism - greatest good for the greatest #

Deontology - Doing the right thing no matter the outcome

Pragmatism - Intent is good = act is moral

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8
Q

Types of Ethical Problems

A

Decision-focused: difficulty in deciding what to do

Action-focused: difficulty implementing/making decisions (knows whats right but can’t carry it out)

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9
Q

Ethical Reasoning

A

is rational thinking.

Should not be based on emotions, intuition, or fixed policies.

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10
Q

Complimentary & Alternative Healing Methods

CAM

A

-Not conventional medicine
-Focuses on *Healing Philosophies *Practices * Products
Ex: *Acupuncture *Biofeedback *Chiropractic Medicine *Hypnotherapy *Dietary Supplements/Herbs *Imagery *Magnets *Massage *Meditation *Prayer/Faith *Tai Chi/Yoga

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11
Q

Center for American Nurses

CAN

A

Focus is on the individual nurse rather than the workplace.

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12
Q

Magnet Recognition

A
  • Recognizes hospitals w/ excellent nursing recruitment & high retention rates (BSN)
  • Magnet Hospitals - Seen as gold standard
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13
Q

HIPAA

A

Health Insurance Portability & Accountability Act

*Federal Law

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14
Q

Telehealth

A

Use of telecommunications technology to assess, Dx, & Tx pt at distance.

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15
Q

Vocera

A

Voice Communication System

like a pager

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16
Q

Nursing Process

A
  • Framework of care = improve quality of care
  • Easier to communicate among peers
  • Used in clinical rotations (clinical prep & care plans)
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17
Q

Nursing Process is a Cycle

A

Critical Thinking
Problem Solving (Eliminates Trail & Error approach)
Decision Making
**Always Be Evaluating!

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18
Q

Nursing Process vs. Medical Process

A

Nursing: Broad & Holistic
Assesses mind/body/spirit
Aims to maximize peoples abilities
Teaches functioning & independence

Medical:
Assesses organs & systems
Aims to keep them functioning
Teaches Tx of disease

19
Q

3 Functions/Characteristics of the

Nursing Process

A

Planning Guide: anticipate events & initiate actions
Patient Centered: focus on pt not Dx
Goal Directed: move towards health or peaceful death

20
Q

5 Stages of the Nursing Process

A 
ADPIE
Assessment
Diagnosis
Plan
Implementation
Evaluate
21
Q

ADPIE:

A

A 
Assessment
Collecting & organizing data
1. observe & interview
2. physical exam
3. start nurse/pt relationship
Organize data & compare it to pt's norm
Pt have too much, too little, at risk for...
(concept map made)
22
Q

ADPIE:

D

A

Diagnosis (nursing)

  • A statement or conclusion about the pt’s condition that carries common meanings for nurses
  • Identifying pt’s strengths & weaknesses
  • May change daily
  • Prioritize according to Maslow’s Hierarchy of Needs
23
Q

ADPIE:

P

A 
Plan
* Determine immediate priorities
* Establish expected outcomes/results
* Determine Interventions
* Write an individualized plan care/goal
(goal=short or long term, must be measurable/realistic/relevant)
24
Q

ADPIE:

I

A

Implementation
Carrying out plan of action
(Assess pt’s current status before acting, report & record)

25
Q

ADPIE:

E

A

Evaluate
(Determining if plan was effective)
* Re-examine = go through ADPI

26
Q

Concept Map

A

A diagram showing the relationships among concepts.

Graphical tool for organizing & representing knoweldge

27
Q

Concept Care Map

A

Your ideas about patients problems & treatments are the ‘concepts’ that you will diagram

28
Q

Concept Maps used to…

A
  • Organize pt data
  • Analyze relationships in the data
  • Establish priorities
  • Build on previous knowledge
  • Identify what you do not understand
  • Enable you to take a holistic view of the pt’s situation
29
Q

Types of Nursing Dx

A
  1. Actual = (Tx)

2. Potential (at risk for) = (preventative)

30
Q

Parts of a Nursing Diagnosis

A

P.E.S.

  1. Problem - weakness/difficulty breathing
  2. Etiology - related to / what is causing the problem
  3. Signs & Symptoms - or supporting evidence
31
Q

5 Rights of Delegation

A
  1. Right Task
  2. To the right person
  3. In the right situation
  4. With the right communication
  5. Performing the right evaluation
32
Q

Don’t Delegate When…

A
  1. Pt is not stable
  2. Complex assessment, thinking, & judgement required
  3. Outcome of task is unpredictable
  4. Increase risk of harm
  5. Problem solving & creativity are required
33
Q

Critical - Thinking

A

Critical: Careful analysis of a problem
Thinking: Action of the mind o produce thought

34
Q

Thinking vs. Critical Thinking

A
  • Thinking can be ‘mindless’

- Critical Thinking is controlled & purposeful (looking for the bigger picture / assumes maturity)

35
Q

Reflective Thinking

A

The kind of thought that turns a subject over in the mind & gives it serious & consecutive consideration

36
Q

Thought Chain

A

The process of moving methodically from one thought to another while remaining open to multiple possibilities

37
Q

4 Teaching phases necessary for developing Critical Thinking

A
  1. Concept Formation
  2. Interpretation of Data
  3. Application of Principles
  4. Interpretation of Feeling, Attitudes & Values
38
Q

Concept Formation

A

Identify known data
Determine common characteristics
Prioritize Data

39
Q

Interpretation of Data

A

Differentiate between pieces of information
Determine cause & effect
Extract meaning from what was observed

40
Q

Application of Principles

A

Avoid ‘why’ questions & ask ‘what factors’ to help avoid the trap of drawing premature conclusions

41
Q

Interpretation of Feelings, Attitudes & Values

A
  • Involves principles of interpersonal problem-solving & analysis of values
  • Determines attitudes & perceptions developed through one’s life experiences
42
Q

Covey’s 7 Habits of Highly Effective People

A
  1. Be Proactive
  2. Begin with the End in mind
  3. Put First things First
  4. Think Win-Win
  5. Seek 1st to Understand, Then to be Understood
  6. Synergize
  7. Stay up to Date with research
43
Q

Purpose of Evidence Based Practice

A

To describe, explain, predict, & control phenomena & to provide information for future use in practice or for expansion of the knowledge base

Professional Nursing (3 decks)

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