Interventions: ANA – Flashcards
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What is the purpose of the social policy statement?
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Nursing's Social Policy Statement expresses the social contract between society and the profession of nursing
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How can RN's use the social poly statement?
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As a framework for understanding professional nursing's relationship with society and its obligation to those who receive professional nursing care
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Why is the social policy statement important?
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creates expectations and outcomes for both the nurse and the patient, protecting the nurse and is legally binding
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What does a social policy statement help to establish?
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helps to establish rust
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Why is it important to create expectations between the nurse and the patient?
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helps to avoid miscommunication
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What is a code of ethics and who has them?
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mark of a profession - all of them have one
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Why is responsible for developing the scone and standards of practice?
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The ANA has assumed responsibilty
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Who do the scope and standard of practice apply to?
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apply to all of the professional nursing practice (from beginning/diploma --> NP (etc))
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What are the scope and standards a template for?
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nursing specialty practice
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Who do the standards of nursing belong to?
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standards belong to the profession
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What type of input is required for the scope and standards?
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Broad input into their development and revision
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What does the scope of practice describe?
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the why, what, where, when, why and how of nursing practice
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What is the depth and breadth of the RN's practice dependent on?
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their experience, education, role and the population that is being served
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What is the definition of nursing?
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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
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What type of relationship is one of the six essential features of professional nursing?
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A caring relationship that facilitates health and healing
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What type of attention should be given as one of the six essential features of professional nursing?
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attention to the range of human experiences and responses to health and illness within the physical and social environments
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What type of integration of data should be done with the six essential features of nursing?
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Integration of the objective WITH knowledge gained from understanding of the patient's subjective experience
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What type of knowledge needs to be applied with the six essential features of nursing?
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apply scientific knowledge of diagnosis and treatment through judgement and critical thinking
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How does the professional nurse advance knowledge according to the six essential features of professional nursing?
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advancement of professional nursing knowledge should be done through scholarly inquiry
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How does the professional nurse promote social justice?
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influence social and public policy to promote social justice
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What is the acronym used to remember the six essential features of professional nursing?
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C. A. I. A. A. I. (caring, attention, integration, application, advancement, influence)
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Besides a profession, what is nursing
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nursing is also a scientific discipline
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What is scholarly inquiry?
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really comes down to research
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What are some ways to promote social justice/
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changing government policy, providing equal care, and advocating for pt even on a community level
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What is included int he knowledge base for nurses?
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nursing science, philosophy and ethics, and the physical, economic, biomedical, behavioral and social sciences
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how do nurses generate/use research and theories?
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those that fit with the nursing values of health and healthcare, as well as relevance to the practice
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What are the different nurse patient relationships?
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1)adaptation to physiological/psychological change 2) relationship between health care system and acess 3) link between the environment and disease prevention 4) social policies and their impact on (ind.-> community) 5) emotions r/t growth and reprod, death, illness, and health 6) physical, emotional, and spiritual discomfort/comfort and pain 7) care and self-care practices 8) meanings ascribed to h/I 9) changes in role status 10) decision making ability
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How many scopes of practice are there?
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There is one scope of practice that begins with the new RN and goes through the advanced level of practice
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What is professional accountability?
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nurses are responsible for practicing in accordance with recognized standards, and quality of the care within their scope of practice
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How do the professional scopes of practice change?
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they are very dynamic -- a flexible boundary that is continually changing through the needs of society
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How the scopes of practice work with other individuals?
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it is collaborative -- recognizing other's expertise and using a referral/consultation process when appropriate
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The scopes of practice are both...
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dynamic and collaborative
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What is specialization in nursing?
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focusing on a part of the whole field of the professional nurse
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Who describes the components of specialty nursing practices and what whole are they are part of?
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the ANA delineates the components of the professional nursing practice essential for each specialty
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Where are specialties available?
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In a variety of different nursing practices
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what job titles are included in the advanced practice registered nurses?
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nurse practitioners, certified registered nurse anesthetists, nurse - midwives, and clinical nurse specialist
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What is an expanded role?
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includes knowledge/skills that authorize role autonomy within areas of practice that overlap traditional medical boundaries
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what may be required by the advanced practice registered nurse?
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master's, doctoral degrees and certifications
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What are some additional advanced roles?
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NURSE: educator, administrator, researcher and policy analyst (require masters/doctorate)
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How are nursing practices self regulated?
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personal accountability for own knowledge base of procession, that involves peer review and continuous performance improvement
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How does the profession regulate nursing practice?
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1) defines - practice base and provides research and development within the base 2) establishes - a system for nursing education 3) establishes - the structure for the delivery of nursing services 4) provides - quality mechanisms 5) standards - derived from scope of professional practice 6) certification - theoretical/practice exams
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What are the legal regulations of nursing practice?
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1) RN is legally accountable for their own action/the actions she delegates to others in provision of pt care (in code of ethics) 2) accountability upheld by licensures and criminal/civil law 3) State nurse practice acts
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What are the state nurse practice acts?
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grant nurses the authority to practice, and socciety that right to sanction nurses who: violate the norms of profession and threaten safety of the public
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What are some current social concerns about the direction of healthcare?
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1) organization, delivery and financing 2) continuing to develop adequate health resources 3) provision of public health through preventive and environmental measures 4) research driven knowledge and technology development 5) health care planning as national policy
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What are the tenets of the nursing practice?
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1) nursing care is individualized 2) care is coordinated through establishing partnerships 3) caring is central to the practice of the R.N. 4) the nursing process is used to plan and provide individualized care to healthcare consumers 5) there is a strong link btwn the professional work environment and the ability to provide quality care with optimal outcomes
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What are the minimal standards of competency designed to do?
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Protect the public
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Nursing competency is the shared responsibility of who?
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1) the profession 2) individual nurses 3) professional organizations 4) credentialing, certifying and regulatory agencies 5) employers and other stakeholders
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What is competency?
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The ability to do a job properly and accurately. It is a set of defined behaviors that help to guide employees in identify, evaluating and developing a set of behaviors
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What is informal learning?
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learning from experience and social interaction
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What is formal learning?
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learning from a set standard material that is presented by books, instructors (etc)
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What is reflective learning?
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looking back on culminating experiences and having better knowledge for the future
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What is ability?
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The capacity/incapacity to adequately preform an action to a certain set of standards
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What is judgement?
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the evaluation of evidence in order to make a decision
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What are some concepts that relate to competence?
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Competency, informal learning, formal learning, reflective learning, judgement and ability
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What exactly are the scope and standards of practice?
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They are authoritative statements, that may serve as the context-dependent competencies and standards of care
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What do the standards of practice coincide with?
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the steps of the nursing process
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What are the Standards of Professional Performance?
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relate to how the professional nurse follows the standard of practice, completes the nursing process and manages other nursing practice concerns and issues
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What are the standards of practice?
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the standards of the professional nursing practice are authoritative statements of the duties of the nurse regardless of role, population, or specialty, that they are expected to perform with competence
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What are the competence standards?
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1. assessment 2. diagnosis (with nanda) 3. outcome identification 4. planning 5. implementing (coordinating care, health teaching/promoting, consultation, perscriptive authority/tx) 6. evaluation
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what are the behavioral standards?
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1. ethics 2. education 3. evidenced based practice and research 4. communication 5. quality of practice 6. leadership 7. collaboration 8. professional practice evaluation 9. resource utilization 10. environmental health
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What are the three models of healthy environment design that the ANA supports?
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The American Association of Critical Care nurses, the Magnet Recognition Program, and Institute of Medicine
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What are the components of the AACN model of a healthy work environment design?
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skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition, authentic leadership
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What are the components of the magnet recognition program?
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transformational leadership, structural empowerment, exemplary professional practice, new knowledge innovation and improvements, and empirical quality results
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What are the components of the institute of medicine's healthy work environment?
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transformational leadership and evidenced based management (research on how people work best together), maximizing workforce capability, creating and sustaing a culture of research and safety, workspace design and redesigns that prevents and mitigates erros, and effective use of telecommunications and biomedical device interoperability
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Who are the IOM reports directed at?
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typically universal medical practice, sometimes explicitly nursing
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what is the purpose of an IOM report?
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to provide framework for systematic positive change in healthcare
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What characteristics make nursing an art?
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1. the art of nursing is based on caring and respect for human dignity, 2. the art of nursing embraces spirituality, healing, empathy, mutual respect and compassion, 3. practices are restorative, supportive and promotive in nature
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What things define nursing as a science?
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1. it is based on analytical framework of critical thinking (nursing process) 2. the nursing process is the foundation for clinical decision making and EBP 3. NDNQI
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What is the NDNQI?
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The only national database of EBP (nursing-sensitive indcators) at the nursing unit level
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what are some new trends in nursing?
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Trends: Interprofessional Team Care Coordination of care between systems and settings Monitoring and managing chronicity Promoting wellness and providing preventive health Developing nurse-managed health centers Participating in the " medial home" model for care management Utilizing APRN's to the fullest scope of their practice
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What are some issues within nursing?
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The nursing shortage The aging workforce : staff, leadership, faculty The Nurse of the Future Entry into Practice Lateral Violence
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Why do we have a code of ethics?
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it is a central and necessary mark of a profession
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What is the function of the code of ethics?
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general guide for the profession's members and as a social contract with the public that it serves, and helps to inform nursing and the public of the central values of nursing
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What was the first code of ethics established?
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the first was developed in 1896, and used as a model internationally and nationally within nursing
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What do nurses own to themselves?
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The same dutes are owed to themselves as to others
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Why is the code of ethics modified?
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to guide nurses through the increasing complexity of health care, as more complex nursing roles develop,
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What does the first code of ethics provisions promote the nurse to act on in all professional relationships?
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practices with compassion and respect for the inherent dignity worth and uniqueness of every individual
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What does the first code of ethics provision dictate the nurse is unrestricted by?
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unrestricted by considerations for economic status, personal attributes, or the nature of the health problem
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Who is the nurses primary commitment to?
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the patient (whether it is individual, family, group or community)
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What does the nurse promote and advocate for the patient?
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promotes, advocates and strives to protect the health, safety and rights of the patient
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What actions is the nurse responsible for?
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individual nursing practice, and the proper determination of the delegation of tasks as theyare consitent with nursing obligation
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What is the nurse responsible for in herself?
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the same dutes to self as others -- perserve integrity and safety, maintain competence, and continue personal and professional development
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what is the nurse responsible for with health care actions?
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she must participate in establishing, maintaing and improving healthcare environments in accordance to professional values through personal and collective action
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What must the nurse do to advance the profession?
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contribute to practice, education, administration and knowledge development
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How must hte nurse meet national, international and community efforts to meet health needs?
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Must collaborate with health care professionals and the public
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What is the profession responsible for?
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articulating nursing values, for maintaing the integrity of the pgrofession and its practice, and shaping social policy
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What are interpretive statements/
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serve to further delineate and descrive, at deeper levels, each of the provisions of the code
