N111 Exam 1 – Flashcards

A multi-step program that begins with entry-level staff nurse positions. As a nurse gains experience, participates in CE, demonstrates clinical competence, pursues formal education, and becomes certified, he/she is eligible to move up the ladder.

Population growth, aging populating, retirees from nursing

Six features: 1. Provision of a caring relationship that facilitates health and healing. 2.Attention to the range of human experiences and responses to health and illness within the physical and social environments. 3. Integration of objective data with knowledge gained from an appreciation of the patient or group's subjective experience. 4. Application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking. 5. Advancement of professional nursing knowledge through scholarly inquiry. 6. Influence on social and public policy to promote social justice. (Black, ch. 6) Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. (NursingWorld.org)

Historically the media has presented nurses as angelic, uneducated, relatively low-skilled, and highly deferential to physicians. News coverage rarely mentions nurses (<4%). TV series present nurses as assistants, flippant, flighty, sexy, or in affairs. This leads to inaccurate public view.

Encompasses areas formerly known as public health nursing and home health nursing. Also work in physician's offices, hospice, respite/day care/assisted living, schools, rehabilitation, and businesses. Focus on improving the overall health of communities by planning and implementing health programs in areas like health maintenance, disease prevention, nutrition, and child care.

Identify a need and create a service to meet that need. Operate health-related businesses.

Media, appearance (uniform, no caps, name badge only) & grooming, language (professional), education (70% have less than BNS, voted least educated)

Traditionally women, low pay, less professionalism, having men would improve image

A person's regular work or profession; job or principal activity

A calling, vocation, or form of employment that provides a needed service to society and possesses characteristics of expertise, autonomy, long academic preparation, commitment, and responsibility. Usually evolved from occupations that developed more specialized education pathways and publicly legitimized status.

Service/altruism, specialized knowledge through research, specialized education, autonomy, code of ethics, high intellectual level of functioning

Sociologist, reformer of medical education, list of criteria for professions: 1. Intellectual 2. Individual responsibility 3. Body of knowledge developed through research 4. Practical and theoretical 5. Highly specialized education 6. Strong organization of members 7. Altruism and public interest

Speak for the interests of the profession. Expresses interests through lobbying at state and federal levels.

1. Professional organizations 2. Values public service 3. Belief in self-regualtion 4. Commitment beyond economic incentives 5. Sense of autonomy

1. Specialized, well-defined, organized body of knowledge 2. Knowledge increases to improve education and practice 3. Knowledge is applied to human service and social welfare 4. Autonomous 5. Education in higher institution 6. Service is more important than personal gain

1. Services vital to humanity and societal welfare 2. Body of knowledge through research 3. Intellectual, critical thinking, individual responsibility 4. Educated in institutions of higher learning 5. Autonomous 6. Motivated by altruism and work is important component of lives 7. Code of ethics 8. Professional organizations

"wheel of professionalism", center is education in an university, 8 spokes: theory, community service, continuing ed, research, autonomy, prof. org., publication, code of ethics

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planned socialization, proceeds in an orderly, building-block fashion, new info is based on previous info: lectures, clinical, assignments

occurs incidentally, unplanned, requires spending time with nurses in work settings: hearing and observing others, absorbing the culture of nursing

Nurse-patient ratio legislation; recognize that schools can not provide enough info to be comfortable on their first day as nurses, obtain as much practical experience outside of school, preceptorships, talking it out with other students/nurses, professional mentor, care for yourself first, balance between work and personal life

Describes the feeling of powerlessness and ineffectiveness experienced by new graduates; caused by absence of positive reinforcement, lack of frequent communication, lack of support/faculty availability, gap between ideas in school and work, inability to implement desired nursing care because of heavy case load/time constraints

Process of acquiring the knowledge, skills, and sense of identity characteristic of the profession; process through which novice practitioners are merged into the profession; referred to as occupational identity; begins as a student nurse and continues through practice

Plan how to accomplish responsibilities, set specific goals and dates for accomplishing tasks, "to do" list and prioritize it, plan time in schedule for unexpected problems, ask others for help, take advantage of breaks, work distraction-free, turn down requests that interfere with tasks, avoid unproductive socializing during workday, calendar of important dates and carry it

External: values, beliefs, & behaviors of significant people in the profession Internal: personal feelings, values, beliefs

Basic and obvious moral truths that guide deliberation and action; presuppose a basic respect for persons as respect is a human right

Social contract through which the profession informs society of the principles and rules by which it functions. American Nurses Association. Compassion, respect, autonomy, beneficence, non maleficence, justice, fidelity, veracity

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Clarify the ethical dilemma, gather additional data, identify options (most have multiple solutions, brainstorm with others, consider every possible alternative that you can come up with), make a decision, act, evaluate

a complex situation involving a conflict between moral imperatives

Provide nurses with a powerful means of determining pt needs, interpreting physician orders, and intervening appropiately

Use references, use the nursing process, assess systematically, set priorities systematically, refuse to act without knowledge, use resources wisely, know standards of care, know technology and equipment, give patient-centered care

Actual problem r/t cause AEB symptoms or signs Potential problem r/t cause

identifies the problems the pt is experiencing as a result of how the pt is reacting to the disease process/treatment

Physiological, psychological, sociocultural, developmental, spiritual, environmental Subjective= pt says Objective= observed and/or measured Primary Source= pt Secondary source= family, physical exam Tertiary source= records

Inquisitive, self-informed, analytic/confident in own reasoning, open-minded, flexible, fair minded, honest about personal biases, prudent/exercises sound judgment, willing to revise judgment when new evidence warrants, clear about issues, orderly in complex matters/ organized approach to problems, diligent in seeking info

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Interventions that require a physicians order

Interventions that the nurse can initiate and perform

Interventions that require the collaboration of members of the healthcare team

use quotation marks around phrases to search the whole phrase, connect words with "and" to search for both, "or" to search either term, "not" to not include a term in your search, apply filters,

Ask a librarian with online assistance, call the reference desk/circulation desk/IRT/ARC, use research guides on the library homepage, or go to the library during hours

.edu, .gov are more reliable than .org, .com because they are biased

Nursingworld.org is a website for the American Nurses Association. The purpose of the website is to inform nurses about the ANA as well as educate them on a variety of topics related to the field such as ethics, health, and policies. The tabs on the top of the page are broad topics and then you can click on sub-topics on the side of the page once you've chosen a broad topic. This makes it very easy to navigate. The home page also lets you know the top viewed pages on their site. Also on the very top of the site, there is a list of different people in the nursing field such as "nursing managers" or "staff nurses" that you may click on and it will take you to information relative to that group of people. I also found this information the most interesting because it has a wide variety of things to read that are all useful to nurses. You can also view important documents such as the Code of Ethics.

The purpose of nursingworld.com is to provide news from around the world related to nursing. However, nursingworld.com has very little information on it. It seems like it'd be easy to use, but many of the tabs take you to a blank page or one that says "coming soon". On the side of the home page you can click on title of different news articles and it takes you to a different site to read the article, but if you click on the tab on the top of the page that reads "news feed" nothing is shown.

The purpose of rn.ca.gov is to provide information to prospective nurses about obtaining their licensure. Rn.ca.gov is the most confusing site of the three. There are so many tabs and links on this site that I can see where it'd be difficult to decide where to go for information on a particular subject. However, the information it has is very useful when looking at legal aspects of nursing and obtaining your license. There are also a lot of statistics on this site.

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