Test 3 NMNC 1110 Flashcards
Who established the Red Cross?
Clara Barton
Enduring ideas about what a person considers desirable or has worth in life is known as?
Values
“Nurses used to be known as doctor’s handmaidens.” This is known as?
Stereotype
Value system is
Consistent values that are organized hierarchically into a belief system.
Organized hierarchy.
Culturally based.
Individuals values are consistent with their behaviors OR when values are not consistent with choices available
Value Conflict.
e.g. when taking care of someone you don’t respect
What do you do to help patients with value conflict?
Provide information so people can make informed decisions.
What is the goal of a values clarification tool?
Allows individuals to clarify and prioritize their values.
What should you do when you need to use an interpreter?
Use short sentences; keep it simple.
Ensure he/she is compatible with your patient.
Ensure he/she is certified.
When someone is having a conflict with their beliefs, what should you do?
Help them with their health beliefs.
These serve as a foundation for an individual’s belief system.
First order beliefs. People seldom question their first order belief.
Substance abuse
Listen for signs of denial
Matter-of-fact approach
Do not confront
Assess: how much/how often/last time they drank/what they drank, triggers…
What 5 activities demonstrate care?
(1) Advocating for vulnerable
(2) Active listening
(3) Therapeutic touch
(4) Valuing all individuals
(5) Attempting to relieve pain
Scope of nursing practice is determined by
State boards of nursing
Who writes social policy?
ANA
The 4 components of professional identity
(1) Accountability, (2) Advocacy, (3) Autonomy, (4) Competence
Tanner Evidence-Based Practice (4 things)
Notices, interprets, responds, reflects in action
What could you suggest to a patient with a new diagnosis (like a diabetic)?
Use a diary for diet/nutrition
What should you do when a patient says they can’t take medicine because of the side effects?
Talk to the provider to change medicine
When do you initiate an education plan?
On admission
Second-guessing is…?
Characteristic of learning and growing
Developed over time
More we learn, more knowledge and expertise
Decision-making
Looking at how things may have been done differently is called what?
Reflection
Critical thinking character includes:
Honesty and confidence
When might we report HIV?
If it’s relevant; otherwise it’s gossip.
Know what to delegate to UAP.
No teaching or assessing
Verifying that the information or data collected are “factual, accurate, and complete.”
Validation
Nurses use this skill to understand and explain the meaning of data.
Interpretation
The feeling that you know something without specific evidence.
Intuition
Logical thinking that is usually aimed at finding answers, providing explanations, and forming conclusions.
Reasoning
Investigating plans of action on the basis of examination of subjective and objective data.
Analysis
An inclination or tendency to favoritism or partiality. May be related to a preconceived notion or prejudice.
Bias. Avoid it!
Beliefs that are taken for granted and assumed to be true. These can be unjustified or justified, depending on whether there are good reasons for them. These can lead to safety issues in the clinical setting.
Erroneous assumption
Errors in thinking and decision-making can result from intentionally overlooking alternatives suggested by others.
Closed-minded thinking
Uses specific facts or details to make conclusions and generalizations; it proceeds from specific to general.
Inductive reasoning
Involves generating facts or details from a major theory, generalization, or premise; it goes from general to specific.
Deductive reasoning
When a patient is initially admitted, analyze these 4 things:
(1) Psychomotor status, (2) emotional needs, (3) spiritual needs, (4) ensure coordination of patient care
The ability to apply higher-order cognitive skills (conceptualization, analysis, evaluation) and the disposition to be deliberate about thinking (being open-minded or intellectually honest) that lead to action that is logical and appropriate
Critical thinking
Intellectual acts that involve a conclusion being made based on something. Drawing valid conclusions.
Inference
Patients are well-informed so they can make informed choices. Clear understanding of what will happen.
Predictability of care
