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Nursing Intro > Test 1 > Flashcards

Test 1 Flashcards

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1
Q

Art

A

learn to deliver care with compassion, caring, and respect for each patient’s dignity and
individuality

blended with science in nursing

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2
Q

Science

A

nursing practice is based on a body of knowledge and EBP that are continually changing with
new discoveries and innovations

Blended with art in nursing

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3
Q

Nursing Requires

A

Current knowledge and practice standards
Insightful and compassionate approach
Critical thinking

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4
Q

Benner’s stages of nursing proficiency

  • Novice?
  • Advanced beginner?
  • Competent?
  • Proficient?
  • Expert?
A

Novice-Nursing Students with no experience
Advanced beginner- Some experience
Competent- Two or Three years in the same clinical practice
Proficient- More than two to three years of experience in the same clinical position
Expert – Diverse experience, take time and commitment to become an expert!

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5
Q

ANA Six Standards of Practice

A
  • Assessment
  • Diagnosis
  • Outcomes identification
  • Planning
  • Implementation
  • Evaluation
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6
Q

Advanced Practice RN

A

-Most independent nurse
-An APRN has a Master’s or DNP degree in
Nursing
-Approves the life of patient and family

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7
Q

Advanced Practice Nurse- Clinical Nurse Specialist

A

APRN who is an expert clinician in a specialized area

of practice.

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8
Q

Advanced Practice Nurse- Nurse Practitioner

A

APRN who provides comprehensive healthcare to a

group of patients in an inpatient, outpatient, ambulatory care, or community

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9
Q

Advanced Practice Nurse- Certified Nurse Midwife

A

APRN educated in midwifery focusing care on full
range of primary health care services for women from adolescence to
menopause.

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10
Q

Advanced Practice Nurse

A

APRN with advanced education from a nurse
anesthesia- accredited program. Must have 1 yr. of critical care or ER
experience. Work under the guidance of anesthesiologist or a physician with an advanced knowledge in surgical anesthesia.

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11
Q

Other Opportunities in Nursing

A

Nurse Educator
Nurse Administer
Nurse Researcher

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12
Q

Skills needed due to Nursing Shortage

A 
Essential skills include:
• Time management
• Therapeutic communication
• Patient education
• Compassionate implementation of bedside skills
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13
Q

Historical Influences- Florence Nightingale

A
  • The Mother of Modern Nursing
  • First practicing epidemiologist
  • Organized first school of nursing
  • Improved sanitation in battlefield hospitals
  • Known as “lady with the lamp”
  • Practices remain a basic part of nursing today
  • States that patient outcome can be directly related to environment
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14
Q

Clara Barton

A

Founder of Redcross

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15
Q

Historical Influences- Mother Bickerdyke

A

Organized ambulance services, walked battlefield at night looking for wounded soldiers

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16
Q

Historical Influences- Harriet Tubman

A

Prominent female in the Underground Railroad Movement, helped to free slaves

17
Q

Historical Influences- Mary Mahoney

A
  • First professionally trained African American Nurse

* Brought forth awareness of cultural diversity

18
Q

Historical Influences- Lillian Wald and Mary Brewster

A
  • Opened the Henry Street Settlement

* Nurses working in HSS were some of the first to demonstrate autonomy in their practice

19
Q

20th Century Changes

A

20th Century:
• a movement toward developing a scientific, research-based practice and defined body of knowledge
• Nurses assumed advanced practice roles

20
Q

21st Century Changes

A
  • Changes in nursing school curriculum
  • Advances in technology and informatics
  • New programs address current health concerns
21
Q

Contemporary Influences on Nursing

A

Health Care Reform
Rising Healthcare Cost
Demographic Changes
Medically Underserved

22
Q

5 Step Nursing Process (in order)

A 
Asses 
Diagnose
Plan
Implement
Evaluate
23
Q

Two Types of Data

A

Subjective

  • Patient’s verbal descriptions of their health problems
  • Cannot use your 5 senses to measure
  • Pain is subjective!

Objective
-Observations or measurements of a patient’s health status
-Use your 5 senses to perceive or measure
-Verifiable, another person can repeat the observation and get same
result

24
Q

Things to not Document

A

Try not to document subjective descriptions unless the patient stated the words, and it is in quotes.

25
Q

What is a care plan?

A

-Provides direction for individualized care of the client
-
Flows from each patient’s unique assessment and organized by the patients specific
needs

  • Means of communication and organizing actions of constantly changing nursing staff.
    - As needs are met, plan is updated
26
Q

Components of a Care Plan?

A 
 Client database
 Interviewing
 Physical assessment
 Diagnostic Studies
 Must complete a thorough assessment of client and their problems to create a care 
plan
27
Q

Pieces of a Care Plan

A

Diagnoses
Outcome/Goal
Intervention

28
Q

NANDA

A

-North American Nursing Diagnosis Organization
International (NANDA)
-Professional organization of nurses involved in creating
approved, standardized nursing diagnoses
-Nsg. Diagnoses communicate professional judgements nurses
make

29
Q

Where do you find NANDA care plans?

A

Care Plan Books

30
Q

Common NANDA diagnoses

A
  • Acute Pain
  • Activity Intolerance
  • Anxiety
  • Impaired Gas Exchange
  • Impaired skin integrity
  • Impaired physical mobility
  • Decreased cardiac output
  • Deficient fluid volume
31
Q

Prioritizing Diagnoses

A

A, B, Cs are always first
Then Maslows
Risk Diagnoses are not a “priotrity”

32
Q

Classifications of Priorities

A 
High—Emergent, Life threatening
Intermediate—non-life-threatening
Low—Affect patient’s future well-being
           - Risk for
           -Health promotion

After you prioritize diagnoses, then select interventions

33
Q

Change in POC

A

If a patients assessment has changed from shift to shift – nurse needs to change nursing diagnosis

So, if the patient has any changes in their presentation –
-First: Assess
-Then: Determine nursing diagnosis from new assessment and
plan for new goal & interventions (POC)

Nursing Intro (1 decks)

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