LVN Ch 1,2 and 4 – Flashcards

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Dorothea Dix
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pioneer crusader for elevation of standards of care for the mentally ill
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clara barton
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developed the american red cross in 1881
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mary ann ball
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championed the rights and comforts of soldiers; organized diet kitchens, laundries and ambulance service
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linda richards
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credited with the development of our present day documentation system
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isabel hampton robb
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organized the first graded system of theory and practice in school of nursing
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lavinia dock
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responsible, with robb, for the organization of the american society of superintendents of training schools which evolved into the national league for nursing education
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mary eliza mahoney
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worked for acceptance of african-americans in the nursing profession
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lillian wald
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responsible for the development of public health nursing in unted states through the funding of henry street settlement in new york city
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mary adelaide nutting
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developed curriculum concepts and guidelines for student nurses
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mary breckenridge
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pioneer in nurse midwifery
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National league for nursing
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established educational standards and criteria and is involved in the voluntary accreditation of nursing programs.
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Purpose of the National Association for practical nurse education and service and the national federation of licensed practical nurses
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Set standards for practical/vocational nursing programs. Promote and protect practical/vocational nursing. Educate and inform the general public about practical/vocational nursing.
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roles and responsibilities of the practical or vocational nurse in today's health care system
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-to provide specific services to patients under the direct supervision of a licensed physician, dentist, or registered nurse; -assists individuals, sick or well, in the performance of those activities contributing to health, to their recovery, and to gain independence as rapidly as possible or to have a peaceful death. -educated to be a responsible member of a health care team, performing basic therapeutic, rehabilitative, and preventive care to assigned patients. -continuing to provide care in all types of settings, with the majority employed in long-term care settings.
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state board of nursing
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the duties and responsibilities of the LPN/LVN is determined by the...
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NCLEX-PN
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is the National Council Licensing Examination for Practical Nurses. NLN stands for the National League of Nurses. NCLEX-RN is the National Council Licensing Examination for Registered Nursing. NAPNES stands for the National Association for Practical Nurse Education and Service.
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NFLPN
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is the National Federation of Licensed Practical Nurses and membership is limited to LVNs and LPNs.
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N A P N E S
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is the National Association for Practical Nurse Education and Service and sets standards for PN education.
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NLN is the National League of Nursing
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sets the standard of accreditation for nursing education programs.
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ANA is the American Nurses Association
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all nurses are eligible for membership.
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The health care system
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is the complete network of agencies, facilities, and all providers of health care in a specified geographic area. It's goal is to Achieve optimal levels of health care for a defined population through adequate and appropriate health care services.
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Maslow
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identified the basic human needs and shaped them into a hierarchy to demonstrate that some needs are more basic than others. This hierarchy helps the nurse to prioritize the patient's individual needs according to their value system. Basic human needs do not only fall within the health care system.
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Patient's Bill of Rights
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sets forth the expectation or rights the patient has in receiving health care. Developed by the american hospital association in 1972 to promote the understanding of their rights and responsibilities as consumers of health care.
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nurse practice act
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The scope of practice for nurses is determined by the __________ in the individual state in which the nurse is practicing.
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Holistic
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is an all-inclusive approach to health care. This health care approach is not considered supernatural or unethical.
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Assessment
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is a component of the nursing process and an aspect of holistic care, but is not considered an approach to health care.
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Florence Nightingale
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"lady of the lamp" made rounds through the wards late at night, she would carry a lamp to light her way through the rows of beds of the injured and sick.
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Barton
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is known for the development of the American Red Cross in 1881. Wald is responsible for the development of public health nursing.
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Dix
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is known for her crusade for elevation of standards of care for the mentally ill.
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The Ballard School
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was the first school of practical nursing conducted under the auspices of the Young Women's Christian Association.
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Thompson Practical Nursing School
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began in 1907 in Vermont.
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Household Nursing Association School of Attendant Nursing
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nursing school that began in 1918 in Boston.
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Shepard-Gill School of Practical Nursing
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was previously named the Household Nursing Association School.
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Harm
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is the term for injury to a person or the person's property that gives rise to a basis for a legal action against the person who caused the damage.
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Assault
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is an intentional threat to cause bodily harm to another. It does not have to include actual bodily contact. Malpractice is the failure to meet a legal duty that results in harm to another.
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Negligence
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is the commission of an act or omission of an act that a reasonably prudent person would have done in a similar situation, leading to harm of another person.
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The interstate compact
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is a legal agreement that allows the multistate practice of nursing. ANA is involved in developing standards of care for nursing practice. The employing institution may further limit the scope of practice for an LPN/LVN, but it is for that institution only.
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Assault
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is an intentional threat to cause bodily harm to another.
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Negligence
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is the commission or omission of an act that a reasonably prudent person would have done in a similar situation that leads to harm of another person.
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Slander
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is malicious or untrue spoken words about another person or property.
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The patient has the right to accept or reject the proposed care
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only after understanding fully what is being proposed; that is, the benefits of the treatment, the risks involved, any alternative treatments, and the consequences of refusing the treatment or procedure. Failure to secure informed consent may result in civil liability for battery.
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Civil battery
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is the unlawful touching of a person; intent to harm is not necessary. The RN on duty, physician, and/or administration cannot override a patients refusal of a procedure.
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informed consent
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An LPN/LVN working at a long-term care center receives a physician's order on a resident requesting a Foley catheter insertion. The nurse explains and educates the resident regarding the new order. Following a thorough explanation of the procedure, including the risks and benefits, the resident refuses the Foley catheter insertion. What must the LPN/LVN secure before following through with this order?
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informed consent doctrine
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is a person's agreement to allow a particular treatment based on full disclosure of the facts needed to make an intelligent decision.
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Patient's Bill of Rights
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is a list of rights of the patient that includes the right of an informed consent.
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Accountability and confidentiality
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are the responsibilities of the nurse as part of the care to be given to the patient.
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Justice
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in nursing means that nurses must allocate time among all the assigned patients to meet their needs.
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Autonomy
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refers to personal freedom of choice, a right to be independent and make decisions freely.
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Nonmaleficence
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means to do no harm.
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Beneficence
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means doing what is good.
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The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
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came into effect on April 14, 2003, to safeguard a person's health information. It sets rules and limits on who can look at and receive health information.
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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
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is an organization that accredits health care facilities.
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The Patient Self-Determination Act
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requires that institutions maintain written policies and procedures regarding advance directives, the right to accept or refuse treatment, and the right to participate fully in health care-related decisions.
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Patient's Bill of Rights
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is the list of things that patients have the right to do or refuse to do.
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State laws
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vary on the legalities of the various forms of advance directives, so the nurse needs to know the applicable state laws.
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accreditation
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is a higher standard that signifies that the accrediting organization has judged that a program has met its pre established criteria
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approved program
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one that satisfies the minimum standards et by the state agency respomsible for over seeing educational programs
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articulation
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allows nursing program to plan their curricula collaboratively; to lessen duplication of learning experiences and support a process of progressive build up
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certification
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process in which an individual or institution, agency or educational program is evaluated and recognized as meeting certain predetermined standards
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health
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the area along wellness-illness continuum that the patient occupies
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healthcare system
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consists of a network of agencies, facilities and providers involved with healthcare within a specified geographic area
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holistic
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a care that requires professionals from differing areas come together to provide comprehensive care
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holistic healthcare
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an all inclusive approach to health care, a system of comprehensive or total patient care that considers the physical, emotional, social, economic and spiritual needs of a person
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illness
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an abnormal process in which aspects of the social, emotional or intellectual condition and function of a person are diminished or impaired
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licensure
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the granting of permission by the overseeing authority to engage in a practice or activity that would otherwise be illegal; a criterion for entry to professional practice
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patient
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the individual who receives care
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pesthouses
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the term of what hospitals were called in the early 19th century
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portfolio
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an organized account of an individual's education and professional accomplishment
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wellness
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a dynamic state of health in which an individual progresses toward a higher level of functioning, achieving an optimal balance between internal and external environment
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laws
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prescribes how a person should act in society
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criminal law
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involves public offenses; issues offensive to the society; its purpose is to punish for the crime and deter and prevent further crimes
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civil law
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involves offenses that is against an individual; violating a person's right; its purpose is to make the aggrieved person whole again, to restore them to where they were
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statutory law and common law
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two ways laws are established
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statutory law
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laws that are developed by the federal, state and local governments
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common law
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laws that are developed in response to a specific legal questions brought before the court
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standards of care
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the legal test is what a prudent nurse of similar education and experience would have done under similar circumstances
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scope of nursing practice
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each licensed nurse must be familiar with its scope of practice to which he/she can and cannot do while providing nursing care
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nurse practice acts
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defines and limit the scope of nursing practice within each state; title 22 labor code in the state of California
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interstate compact
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allows multistate practice of nursing
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malpractice
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professional negligence; omission or commission of an act charged for failing to meet the standards of care
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elements that must be present in determining malpractice
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1. duty exists - nurse patient relationship 2. breach of duty 3. harm occurs 4. proximate cause
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child abuse prevention treatment act of 1973
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an act made to report child abuse mandatory
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how to avoid a lawsuit
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-provide compassionate, competent nursing care; - "good samaritan law" encourages assistance in emergencies occurring outside of the medical facility by providing protection against liability; and - proper documentation
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ethics
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values that influence a person's behavior, feelings and beliefs about what is right and wrong
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customs
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habits, ways of acting, influenced by religious teachings
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values
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personal beliefs; learned through experience, observation and reasoning
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values clarification
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the process of self evaluation that helps a person gain insight into individually held values
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ethical dilemmas
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situations that do not have a clear right or wrong answer ( identify the problem, assess the situation completely and consider any ethical principles that may apply).
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code of ethics
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way to regulate the actions of nurses and gives guidelines for ethical behavior
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ethical issues
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- practitioner assisted suicide - right to refuse treatment - living will - do not resuscitate orders - refusal to treat
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National League of Nursing
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established educational standards and criteria and is involved in the voluntary accreditation of nursing programs
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National council of state boards of nursing
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determines the content areas of the NCLEX-PN
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Four major concepts that are the basis of nursing theories and models
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nurse, patient, health and environment
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Nightingale nurses
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improved patient care and advance practice of nursing through good hygiene, sanitation, patient observation, accurate record keeping, nutritional improvement and the introduction and use of new equipments.
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therapeutic communication technique
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*non verbal*: active listening, maintaining silence,minimal encouragement by nodding, touch and conveying acceptance (also involves verbal technique); *verbal*: closed questioning, open ended questioning, restating, paraphrasing, clarifying, reflecting, stating observations, offering information and summarizing
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factors that affect communication
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posturing and positioning, space and territorial, environment, level of trust, language barrier, culture, age and gender, physiologic factors, and psychosocial factors.
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responses that block communication
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false reassurance, giving advice or personal opinions, false assumptions, approval or disapproval, automatic responses, defensiveness, arguing, asking for explanations, and changing the subject.
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nursing process
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assessment, diagnosis, expected outcome and planning, implementation and evaluation.
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communication in special situation
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patients with ventilator dependence, patients with aphasia,and unresponsive patients
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