Shared Flashcard Set

Details

Chap 7-8
Professional Nursing
30
Nursing
Not Applicable
03/02/2014

Additional Nursing Flashcards

 


 

Cards

Term
What was the earliest form of nursing education in the US?
Definition
Hospital based diploma program
Term
WHy is there a decline in the number of diploma programs?
Definition
1. Growth of ADN and BSN programs which moved education of nurses into higher education standards.
2. inability of hospitals to continue to finance nursing education
3. Accreditation standards made it difficult for the diploma programs to attract qualified faculty.
4. The increased complexity of health care which requires nurses to have greater academic preparation
Term
True or false: Florence Nightingale believed nursing schools should be financially and administratively separate from the hospitals in which students trained.
Definition
True
Term
Who was Esther Lucille Brown and what was her recommendation?
Definition
Her report - Nursing for the Future more commonly known as the Brown Report.

She recommended that basic schools of nursing be placed in universities and colleges with effort to recruit men and minorities.
Term
What were the ANA's suggestions for nursing education?
Definition
**Baccalaureate education should be minimal for entry into nursing.
1. Education for licensed nurses should take place in institutions of higher learning.
2. Minimum preparation should be in the baccalaureate degree.
3. Education for assistants should consist of short, intensive preservice programs in vocational education institutions, NOT on the job training.
Term
in 1979 the ANA further strengthened their position on the education standards of nurses with 3 additional propositions....
Definition
1. By 1985 the minimum preparation for entry into nursing should be BSN.
2. 2 levels of nursing practice should be identified (professional and technical)
3. There should be increased accessibility to high quality career mobility programs that use flexible approaches for individuals seeking academic degrees in nursing.
Term
In the BSN program, what 2 categories of courses must students complete?
Definition
Liberal arts and Science Courses
Term
Who qualifies to take the NCLEX?
Definition
BSN and ADN students
Term
True or False: ADN is the oldest form of basic preparation for the RN practice.
Definition
False. It is the newest. (Diploma is the oldest)
Term
By who and why was the ADN education system created?
Definition
Created by Dr. Mildred Montag and fueled by the post-WWII community college movement.
Term
Why is ADN programs so popular?
Definition
1. accessability of community colleges.
2. low tuition costs
3. part time and evening study opportunities
4. shorter duration of programs
5. graduate's eligibility to take licensure exam for RNs.
Term
How does External Degree Programs differ from traditional nursing programs?
Definition
Learning is independent and is assessed through highly standardized and validated competency based outcomes assessments.

Students are responsible for arranging their own clinical experiences.
Term
What are Articulated Programs?
Definition
It is a program that facilitates opportunities for nurese to move up the educational ladder. In a fully articulated system, the student spends the first year preparing to be a LVN/LPN and the second year completing the ADN. Then continue to study to attain their BSN. The student is able to leave at any point after a completed "section" and may return when they wish.
Term
Define Accredidation
Definition
a voluntary review process of educational programs by a professional organization (accrediting agency).

Accredited programs adhere to standards that protect the quality of education, public safety, and the profession itself.
Term
Licensure
Definition
required of individuals at the entry point to practice and must be renewed periodically.
Term
Certification
Definition
goes beyond licensure by validating a high level of knowledge and proficiency in a particular practice area.
Term
Continuing education
Definition
non-degree-seeking ways in which nurses maintain expertise during their professional careers. "life long learning"

Each state has a mandatory amount in order for license renewal. (20hrs in IL)
Term
Define critical thinking
Definition
A complex task that requires an understanding of how people think through problems.
Term
Reflective thinking as a nurse using critical thinking is....
Definition
an active process valuable in learning and changing behaviors, perspectives or practices.

Nurse pays attention to their thinking process and ask questions after nurse-patient interaction has ended.
Term
Nursing Process
Definition
a universal intellectual standard by which problems are addressed and solved.
Term
What are methods for collecting patient data?
Definition
1. patient interview (subjective and objective data)
2. Physical exam
3. consultation - discussing patient needs with health care workers and others involved with patient care.
Term
Difference between medical diagnosis and a nursing diagnosis
Definition
Nursing diagnoses address patient problems that the nurse can treat w/in their scope of practice.

Medical diagnosis becomes a platform from which nursing diagnoses are developed.
Term
outcome criteria
Definition
are specific and make the goal measurable. Outcome criteria define the terms under which the goal is said to be met, partially met, or un met.
Term
Short-term goals
Definition
are goals attainable within hours or days
Term
long term goals
Definition
Usually represent major changes or rehabilitation that may take months or years.
Term
Nursing orders
Definition
are actions designed to assist the patient in achieving a stated goal. Every goal has specific nursing orders which may be carried out by a RN or delegated to staff.
Term
Independent interventions
Definition
Nurse's intervention requires no supervision or direction by others.
Term
Dependent intervention
Definition
require instructions, written orders, or supervision of another health professional with prescriptive authority. (eg. administration of meds.)

Nurse must question orders that she feels are incongruent with safe care or are not within accepted standards of care.
Term
Interdependent interventions
Definition
Actions in which the nurse must collaborate or consult with another health professional before carrying out the action.

eg. Nurse implementing orders that have been written by a physician in a protocol.
Term
protocols
Definition
define under what conditions and circumstances a nurse is allowed to treat the patient, as well as what treatments are permissible.

used in situations where the nurse must take immediate action w/o consulting with a physician.
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