question

Code of Ethics

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It functions as a general guide for the profession's members and as a social contract with the public it serves

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Code of Ethics

answer

It reflects the fundamental values of nurses as individuals and as members of a professional group

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Code of Ethics

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It guides ethical decision making

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Social Policy Statement

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It describes the essence of the profession by discussing nursing as a profession that is both valued within a society and uniquely accountable to that society

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Social Policy Statement

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It conceptualizes the framework of nursing practice

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Social Policy Statement

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It provides direction to nursing educators, administrators, and researchers

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Scope and Standards of Practice

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It outlines the expectations of the professional role of the registered nurse

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Negligence

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The failure to act as a reasonably prudent person would act in the same circumstances

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Factors that can put a nurse's license in jeopardy

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Negligence, malpractice, improper delegation, assault and battery, breaching confidentiality

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Factors for valid informed consent

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(1) Consent must be given voluntarily (2) Consent must be given by an individual with the capacity and competence to understand (3) The patient must be given enough information to be the ultimate decision maker

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What does HIPAA stand for?

answer

Health Insurance Portability and Accountability Act

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HIPAA

answer

First federal privacy standard governing protection of patient's medical records

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HIPAA

answer

Ensures privacy and confidentiality

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HIPAA

answer

Patients are able to see and obtain copies of their own medical records and request corrections

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HIPAA

answer

Providers must give patients written notice of information practices and their rights

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HIPAA

answer

Limitations are placed on what information can be shared, as well as when it can be shared, and with whom

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Nurse-Patient Relationship

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The intrapersonal connection between nurse and patient

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Orientation phase of the Nurse-Patient Relationship

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(1) Trust begins to develop (2) Patient needs are recognized

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Working phase of the Nurse-Patient Relationship

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(1) Nurse and patient work together on tasks outlined in the previous phase (2) Trust is built through active listening

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Termination phase of the Nurse-Patient Relationship

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(1) End nurse-patient relationship in a therapeutic manner (2) Teach home self-care (3) Plan patient's discharge

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Spirituality

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Inner strength related to a belief in and a sense of connectedness to a higher power

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Nursing interventions related to spirtuality or spiritual distress

answer

Be present to the patient, active listening (encourage the client to talk about what's important to them, ask open-ended questions), touch, pray or sacred reading

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Holistic nursing

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Caring for the entire person including their spiritual, mental, and physical health (mind, body, and spirit)

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Theory

answer

A group of related concepts, definitions, and statements that describe a certain view of phenomena (observable occurances) from which to describe, explain, or predict outcomes

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Benner Stage of Nursing Proficiency- Novice

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Has little background and limited practical skills, relies on rules and expectations of others for direction

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Benner Stage of Nursing Proficiency- Advanced beginner

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Has marginally competent skills, uses theory and principals much of the time, experiences difficulty establishing priorities

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Benner Stage of Nursing Proficiency- Competent practitioner

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Feels competent and organized, plans and sets goals, thinks abstractly and analytically, coordinates several tasks simultaneously

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Benner Stage of Nursing Proficiency- Proficient practitoner

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Views patient holistically, recognizes subtle changes, sets priorities with ease, focuses on long term goals

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Benner Stage of Nursing Proficiency- Expert Practioner

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Preforms fluidly, grasps' patients needs automatically, responses are integrated, expertise comes naturally

question

Characteristics of BSN education

answer

Learns the nursing perspective in a nursing model or theory-based cirriculum or courses

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Characteristics of a BSN nurse

answer

Uses models, theorys, and middle-range theories to guide nursing practice

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Licensure

answer

State regulation of the practice of nursing

question

Licensure

answer

Required at the entry point of practice and must be renewed periodically

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Licensure

answer

Legal designation assures public safety by assessing basic and continued competence

question

Certification

answer

Validates of a higher level of knowledge in a particular area of practice

question

Certification

answer

Voluntary and pursued by individual nurses

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Certification

answer

A credential that has professional, but not legal status

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Formal socialization

answer

The process by which individuals learn a new role by the direct instruction of others

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Formal socialization

answer

Classroom lectures, laboratory experiences taught by faculty

question

Informal socialization

answer

The process by which individuals learn a new role by observing how others behave

question

Informal socialization

answer

Clinical experiences, hearing nurses discuss patient care, participating in a student nurse association

question

Internal causes of nursing shortage

answer

Long hours, wage issues, increased responsibility for unlicensed workers, significant responsibility with little authority

question

External causes of nursing shortage

answer

Changes in demand for nursing services, the increasing age of the American population, greater degree of illness in hospitalized patients, public perceptions of nursing as a profession, ever-widening career options for women

question

Florence Nightingale

answer

Founder of modern day nursing

question

Dorthea Dix

answer

Union superintendent for women nurses, champion in mental health

question

Clara Barton

answer

Founded American Red Cross

question

Isabel Hampton Robb

answer

Founded American Nurses Association

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Lillian Wald

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Established Henry Street Settlement

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Jessie Sleet Scales and Elizabeth Tyler

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Started Stillman House

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Florence Nightingale's nursing philosophy

answer

Environmental philosophy

question

Educational routes to becoming a registered nurse

answer

Associate degree, diploma, Baccalaureate

question

Metaparadigm of Nursing

answer

Patient, environment, health, nursing

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What does NCLEX stand for?

answer

National Council Licensure Examination

question

NCLEX

answer

Tests critical thinkingand nursing competence in all areas of the nursing process

question

NCLEX

answer

Passing score recieves license to practice nursing

question

What does ANA stand for?

answer

American Nurses Association

question

ANA

answer

Professional organization that addresses ethics, clinical standards, public policy, and economic and general welfare of nurses

question

What does DNP stand for?

answer

Doctor of Nursing Practice

question

DNP

answer

Completed by nurses who wish to practice advanced roles such as, nurse midwife or nurse practitioner

question

Culturally competent care

answer

Services that are respectful of and responsive to the health beliefs and practices and cultural and linguistic needs of a diverse patient population

question

Culturally competent care

answer

Culture may guide the patient's response to health care providers and their interventions

question

Culturally competent care

answer

Unstanding cultural background can facilitate communication and support, establishing an effective nurse-patient relationship

question

Empathy

answer

Awareness of, sensitivity to, and identification with the feelings of another person; an empathetic nurse appreciates a patient's feelings but is not swept along with the feelings

question

Catherine McAuley

answer

Founded the Sisters of Mercy, brought health care to the less fortunate

question

Reality shock

answer

Feelings of powerlessness and ineffectiveness often experienced by new nursing graduates, usually occurs as a result of the transition from the educational setting to the "real world" of nursing in an actual health care setting

question

Delegation

answer

Giving someone the authority to act for another

question

Delegation

answer

Professional nurses may delegate independent nursing activities (as well as medical interventions delegated to them) to other nursing personnel

question

Delegation

answer

The professional nurse is legally liable for nursing acts delegated to others unless the person delegated is also a licensed professional whose scope includes the assigned act

question

Who coined the term "therapeutic use of self"?

answer

Hildegard Peplau

question

Therapeutic use of self

answer

The relationship between the patient and nurse is crucial to nursing care

question

Therapeutic use of self

answer

The nurse assists the patient with developing new, healthier behavioral patterns and develops a greater understanding of the effect of universal stressors on the lives and behaviors of individual patients

question

Steps of the Nursing Process

answer

Assessment, Diagnosis, Outcome identification and planning, Implementation, Evaluation

question

Assessment phase of Nursing Process

answer

Collection, validation, and communication of patient data

question

Diagnosis phase of Nursing Process

answer

Analysis of patient data to identify patient strengths and health problems that independent nursing inteervention can prevent or resolve

question

Outcome identification and planning phase of Nursing Process

answer

Specification of (1) patient outcomes to prevent, reduce, or resolve the problems identified in the nursing diagnosis and (2) related nursing interventions

question

Implementation phase of Nursing Process

answer

Carrying out the plan of care

question

Evaluation phase of Nursing Process

answer

Measuring the extent to which the patient has achieved the outcomes specified in the plan of care; identifying factors that positively or negatively influenced outcome achievement; revising the plan of care if necessary

question

Evidence Based Practice

answer

The use of research and findings as a basis for practice rather than trial and error, intuition, or other traditional methods of problem solving

question

Evidence Based Practice

answer

Use best available research findings to make decions that are most effective and beneficial to patients

question

Evidence Based Practice

answer

Prevents one's practice from deteriorating into a routine based on what has always been done without regard for advancements in care

question

Nursing diagnosis

answer

Rather than focusing on what is wrong with the patient in terms of a disease process (medical diagnosis), a nursing diagnosis identifies the problems a patient is experiencing as a result of the disease process; the human responses to the illness, injury, or threat

question

Nursing diagnosis

answer

Addresses patient problems that nurses can treat within the scope of their practice

question

Barriers to professionalism

answer

(1) Variablity in educational preparation (no other profession allows entryinto practice at lower than baccalaureate level) (2) Gender issues (nursing is percieved as a female dominated career) (3) Historical influences (ties to religous organizations and military)

question

Florence Nightingale philosophy

answer

"What needs to be adjusted in this environment to protect the patient?"

question

Jean Watson philosophy

answer

"How can I create an environment or trust, understanding, and openness so that the patient and I can work together in meeting his needs?" (10 Carative Factors)

question

Virginia Henderson philosophy

answer

"What can I help this patient do that he would do for himself if he could?" (14 Basic Needs)

question

Dorthea Orem philosophy

answer

"What deficits does this patient have in providing his own self-care?"

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Callista Roy philosophy

answer

"How can I modify this patient's environment to faciliate his adaptation?"

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Imogene King philosophy

answer

"What goals can we set together to restore him to health?"

question

Ida Orlando philosophy

answer

"How can I best figure out what my patient needs through my interaction with him?"

question

Madeleine Leninger philosophy

answer

"What are the best ways to provide care to my patient that are culturally congruent?"

question

Hildegard Peplau philosophy

answer

"Within the relationship with my patient, how can I best help him understand his health problems and develop new, healthier behaviors?"

question

Sallie Thompkins

answer

Established private hospital in Richmond Virgina, held military rank in Confederate army (capitain of Calvary, unassigned)

question

Mary Eliza Mahoney

answer

First African American nurse

question

Linda Richards

answer

First trained nurse in the United States

question

Anita M. McGee

answer

Head of Hospital Corps to recruit nurses during Spanish-American War

question

Mary Breckinridge

answer

Nurse and midwife, established Kentucky Committee for Mothers and Babies

question

Julie O. Flikke

answer

First nurse to be promoted to colonel in the U.S. Army

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