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Transition to RN
Final prep
481
Nursing
Undergraduate 1
04/13/2017

Additional Nursing Flashcards

 


 

Cards

Term
Factors affecting HC delivery
Definition

 

- increasing # of elderly - advances in knowledge and tech - inc emphasis on women's health - uneven distribution of health svs - access to HC - HC to the homeless and poor - demographic changes

Term
primary, secondary, and tertiary
Definition

 

1) health promotion and illness prevention 2) dx and TXT 3) rehab

Term
Intentional torts nurses can be held liable for
Definition

 

Assault and battery, false imprisonment, invasion of privacy, and defamation

Term
Unprofessional conduct
Definition

 

Includes incompetence or gross negligence, conviction for practicing w/o a license, falsification of client records, and illegally obtaining, using, or possessing controlled substances

Term
Three preventative levels: primary, secondary, tertiary
Definition

 

Neuman suggests that nursing interventions focus on maintaining system stability. These interventions are carried out on....

Term
Integrated Delivery System (IDS)
Definition

 

Such a system incorporates acute care svs, home health care, extended and skilled care facilities, and outpt svs

Term
Malpractice
Definition
"Professional negligence", that is, negligence that occurred while the person was performing as a pro
Term
Roy's Adaptation Model
Definition
- Each person is a feedback loop that operates on stimuli, control processes, and output
- adaptive responses promote integrated health
People respond to needs (stimuli) in one of four modes:
- physiologic
- self-concept
- role function
- interdependence
Term
The Nursing Process and Health Promo
Assessment
Definition
- H&P
- physical fitness
- lifestyle
- spiritual health
- social support system
- health risk
- health beliefs
- life stress
Term
The 5 steps to resolve an ethical dilemma
Definition
- ID and clarify the ethical problem
- gather factual data
- ID and evaluate options
- make a decision
- act and access
Term
The Nursing Process and Health Promo
Planning
Definition
- ID health goals and related behv-change options
- ID behv or health outcomes
- devp a behv-change plan
- reiterate benefits of change
- address enviro and interpersonal facilitators and barriers to change
- determine a time frame for implementation
- commit to behv-change goals
- explore available resources
Term
Decision Making
Definition
- ID the purpose
- set the criteria
- weigh the criteria
- seek alternatives
- examine alternatives
- project
- implement
- evaluate the outcome
Term
How to enhance HC adherence
Definition
- ID the reasons for nonadherence
- demonstrate caring
- use pos reinforcement to encourage healthy behv
- use aids to reinforce teaching
- establish a therapeutic relationship of freedom, mutual understanding, and mutual responsibility with the ct and support persons
Term
external standards
Definition
- Nurse Practice Act - Professional Orgs - Nursing Specialty-practice orgs - Fed orgs and guidelines
Term
Tertiary prevention
Definition
- Preventing long-term disability
– Restoring functional capacity
Term
NLN Spirit of Inquiry
Definition
- RNs must access, understand, evaluate, and disseminate a rapidly expanding body of nursing and other health-related info
- RNs must be able to recognize commonalities and inconsistencies regarding the value of the profession
- RNs must be able to recognize the values of the organization that employ them
- RNs must be able to recognize needs of the pts for whom they advocate
- RNs must be able to recognize even the popular culture that exerts pressure on the public's ability to make safe choices
Term
Nursing and Politics
Definition
- The practice of professional nursing is managed by the legislative process of each state
- The legal boundaries of nursing are managed by the legislative process of each state
- The legal boundaries of nursing are
contained in the state’s Nurse Practice Act
- Decisions about nursing are made in state and federal legislatures.
Term
Behv-Specific Cognitions and Affect
Perceived barriers to action
Definition
- a person's perception about available time, inconvenience, expense, and difficulty performing the activity may act as barriers
Term
Behv-Specific Cognitions and Affect
Interpersonal influences
Definition
- a person's perception concerning the behvs, beliefs, or attitudes of others
Term
Narrative charting
Definition
- a traditional part of the source oriented record
- consists of written notes that include routine care, normal findings, and ct probs
Term
methods of conflict resolution
Definition
- accommodation
- avoidance
- competition
- compromise
Term
Stages of change Contemplation
Definition
- acknowledges having a prob
- researches causes and possible solns
- not ready to commit to action
Term
Stages of health behv change
Contemplation
Definition
- acknowledges having a prob, seriously considers changing a specific behv, actively gathers info, and verbalizes plans to change the behv in the near future
Term
5 types of nursing dx
Definition
- actual
- risk
- wellness
- possible
- syndrome
Term
Health Promotion Topics Elders
Definition
- adequate sleep
- alcohol abuse
- oral health
- drug mgmt
- exercise
- foot health
- health screening recommendations
- hearing aids
- immunizations
- med instruction
- mental health
- nutrition
- physical fitness
- preventative health svcs
- safety precautions
- smoking
- wt control
Term
Essential nursing values
Definition
- altruism
- autonomy
- human dignity
- integrity
- social justice
Term
Some of the IOM's Report of Nursing recommendations
Definition
- an RN is to work to the fullest extent of his education and training
- RNs should partner with health care providers and hc pros
- RNs should achieve higher levels of education and training through seamless educational progression
Term
Stages of change Relapse or recycle
Definition
- an opportunity to learn from the experience and renew efforts to change
Term
Dr's orders that must be questioned:
Definition
- an order a ct questions
- if the ct's condition has changed
- verbal orders to avoid miscommunication
- illegal, unclear, or imcomplete
Term
3 Steps of the Dx process
Definition
- analyze data
- id health probs, risks, and strengths
- formulating dx stmts
Term
Behv-Specific Cognitions and Affect
Perceived benefits of action
Definition
- anticipated benefits or outcomes affect the person's plans to participate actions
Term
2 nurse responsibilities in delegating and assigning
Definition
- appropriate delegation of duties, that is, giving people duties within their scope of practice
- adequate supervision of personnel to whom work is delegated or assigned
Term
The Joint Commission's actions on lateral violence
Definition
- based on concerns about safety and quality
- disruptive behaviors increase the risk of errors, contribute to poor pt satisfaction and preventable adverse outcomes
- increase cost and loss of qualified staff
Term
Neuman's Systems Model
Definition

- based on the indv's relationship to stress, the reaction to it, and reconstitution (the state of adaptation to stressors) factors that are dynamic in nature.

Hint: It's not Roy

Term
Tertiary prevention
Definition
- begins after an illness, when a defect or disability is fixed, stabilized, or determined to be irreversible
- its focus is to help rehab indvs and restore them to an optimim level of functioning within the constraints of the disability
Term
To be a ct advocate, you must know about the meds....
Definition
- being administered
- why the ct is receiving the med
- the dosage range
- possible adverse effects
- toxicity levels
- contraindications
Term
Internal variables influencing health
Definition
- biologic
- psychologic
- cognitive
Term
Peplau's Interpersonal Relations Model
Definition
- central to her theory is the use of a therapeutic relationship between the nurse and the client
Term
What creates ethical problems
Definition
- changes in society
- advances in tech
- conflicts within nursing itself
- a nurse's conflicting loyalties and obligations
Term
Models that have been adapted to explain health
Definition
- clinical
- role performance
- adaptive
- eudemonistic
- Leavell and Clark's agent-host-enviro
- Dunn's high-level wellness grid
- Travis' illness-wellness continuum
Term
Guideline for dealing with resistance to change
Definition
- communicate with those who are resisting
- clarify info and provide accurate info
- be open to revisions but clear about what must remain
- present the neg consequences of resistance
- emphasize the pos consequences of the change
- keep resisters in contact with supporters
- maintain a climate of trust
- divert attention by creating a different "disturbance"
- follow the politics of change
Term
Health Promotion Topics Adolesc
Definition
- communicating with the teen
- hormonal changes
- nutrition
- exercise and rest
- peer group influences
- self-concept and body image
- sexuality
- safety promo and accident prevention
Term
Reasons for ct records
Definition
- communication
- planning ct care
- auditing health agencies
- research
- edu
- reimbursement
- legal documentation
- HC analysis
Term
3 Steps of the Dx process
Analyze data
Definition
- compare data against standards (id sig cues)
- cluster cues (generate tentative hypoth)
- id gaps and inconsistencies
Term
Kardex
Definition
- concise method of organizing and recording data about a ct, making info quickly accessible to all HC pros
Term
Stages of change Termination
Definition
- copes w/o fear of relapse. A stage of change
Term
Skills and competencies of nurse mgrs
Definition
- critical thinking
- communicating
- managing resources
- enhancing employee performance
- building and managing teams
Term
Factors that must be considered when setting priorities
Definition
- ct's health values and beliefs
- ct's priorities
- resources available to the nurse and ct
- urgency of the health problem
- medical txt plan
Term
Components of nursing orders
Definition
- date
- action verb
- content area
- time element
- signature
Term
Guidelines for writing nursing care plans
Definition
- date and sign
- use category headings
- use standardized medical or English symbols and key words rather than complete sentences to communicate your ideas
- be specific
- refer to procedure books or other sources of info rather than including all the steps on a written plan
- tailor the plan to the unique characteristics of the ct by ensuring that the ct's choices are included
- ensure that the nursing plan incorporates preventative and health maintenance aspects as well as restorative ones
- ensure that the plan contains interventions for ongoing assessments of the ct
- include collaborative and coordination activities in the plan
- include plans for the ct's discharge and home care needs
Term
An RNs scope of practice pertaining to research includes:
Definition
- demonstrating the value and relevance of research in nursing
- assisting with ID problem areas in nursing
- assisting in collection of data within an established structured format
Term
Stages of change Precontemplation
Definition
- denial - feelings hopelessness. A stage of change
Term
Stages of health behv change
Precontemplation
Definition
- denies having a prob, views others as having a prob, and, therefore wants others to change their behv
Term
NANDA definition of wellness dx
Definition
- describes human responses to levels of wellness in an indv, family, or community that have a readiness for enhancement
Term
Nursing discharge/referral summary
Definition
- description of ct status
- resolved health probs
- unresolved continuing health probs
- txts to continues
- meds
- restrictions
- ADLs
- comfort level
- support networks
- ct edu provided
- discharge destination
Term
The knowledge that Nurses need in order to develop competencies for the future:
Definition
- determinants of a healthy community
- an accessible, cost-effective, integrated HC system
Term
To practice in community-based HC systems, nurses need knowledge and competencies such as:
Definition

nurses need knowledge and competencies such as:

- determinants of a healthy community - primary and secondary preventive strategies - health-promotion strategies - collaborative and interdisciplinary teamwork - determinants of an accessible, cost-effective HC system - a decision making process that involves consumers - information mgmt in order to _____

Term
3 Steps of the Dx process
ID Health Probs, Risks, and Strengths
Definition
- determine probs and risks
- determine strengths
Term
Behv-Specific Cognitions and Affect
Situational influences
Definition
- direct and indirect influences on health-promoting behvs and include perceptions of available options
Term
The ingredients of an effective community based HC?
Definition
- easy accessibility
- flexibility
- affordability
- support for family caregivers
Term
Secondary prevention
Definition
- emphasizes early detection of disease, prompt intervention, and health maint for indvs experiencing health probs
- includes prevention of complications and disabilities
Term
Common driving and restraining forces
Restraining forces
Definition
- fear that something of personal value will be lost (eg., threat to job security or self-esteem)
- misunderstanding of the change and its implications
- low tolerance for change related to intellectual or emotional security
- perception that the change will not achieve goals; failure to see the big pic
- lack of time or energy
- perceived loss of freedom to engage in particular behvs
Term
Primary prevention
Definition
- generalized health promotion and specific protection against disease
- it precedes disease or dysfunction and is applied to generally healthy indvs or groups
Term
Internal variables influencing health
Biologic
Definition
- genetic makeup
- sex
- age
- devp level
Term
Flow Sheet
Definition
- graphic record
- fluid balance record
- MAR
- skin assess record
Term
Family Assessment factors
Definition
- health beliefs
- family communication patterns
- family coping mechanisms
- risk for health probs
Term
Adaptive health model
Definition
- health is a creative process
- disease is a failure in adaptation, or maladaption
Term
All components of HC
Definition
- health promotion
- health maint
- health ed and illness prev
- restorative-rehab care
Term
Some of the benefits of the NIC
Definition
- helps demonstrate the impact that nurses have on the HC delivery system
- standardizes and defines the knowledge base for nursing curricula and practice
- facilitates the appropriate selection of a NI
Term
Some of the benefits of the NIC
Definition
- helps demonstrate the impact that nurses have on the HC delivery system
- standardizes and defines the knowledge base for nursing curricula and practice
- facilitates the appropriate selection of a NI
Term
Priority setting for nursing dx
Definition
- high priority: life-threatening probs
- med priority: health-threatening probs, such as acute illness and dec coping ability, because they may result in delayed devp or cause destructive physical or emotional changes
- low priority: a prob that arises from normal devp needs or that requires only minimal nursing support
Term
Factors that influence a person's decision to implement health behvs
Definition
- importance of health to the person
- perceived threat of a disease or severity of the HC probs
- perceived benefits of preventative or therapeutic actions
- inconvenience and unpleasantness involved
- degree of lifestyle change necessary
- cultural ramifications
- cost
Term
The purpose of nursing leadership
Definition
- improving the health status of cts
- inc the effectiveness and level of satisfaction among pro colleagues
- improving the attitudes of citizens and legislators toward the nursing profession and their experiences of it
Term
Community nursing dxs
Definition
- ineffective community coping
- readiness for enhanced community coping
- ineffective community therapeutic regimen mgmt
Term
Health Promotion Topics Infants
Definition
- infant-parent attachment/bonding
- breastfeeding
- sleep patterns
- playful activity to stimulate devp
- immunizations
- safety promo and injury control
Term
Continuity of Care
Definition
- initiate discharge planning for all clients when they are admitted to any HC setting
- involve the client and the client's family or support persons in the planning process
- collaberate with other HC professionals as needed to ensure that biopsychosocial, cultural, and spiritual needs are met
Term
Maintenance
Definition
- integrates new behv into lifestyle. One of the stages of change
Term
Family dxs
Definition
- interrupted family processes
- readiness for enhanced family coping
- disabled family coping
- impaired parenting
- impaired home maint
- caregiver role strain
Term
PIE doc model
Definition
- it groups info into 3 categories: probs, interventions, and eval of nursing care
Term
Role performance health model
Definition
- it's defined in terms of the indv's ability to fulfill societal roles, that is, to perform work
- sickness is the inability to perform work
Term
Stability model theorists
Definition
- king, neuman, roy
Term
Active listening skills
Definition
- know when to speak and when to be silent
- use positive body language
- sensitive to nonverbal communication cues
- praise staff in public, but give constructive criticism in private
Term
An RN should perform the following, that is within their scope of practice, to demonstrate awareness of the value and relevance of research in nursing
Definition
- learn to critically scrutinize the status quo
- read clinical journals regularly but also critically
- seek work environments that promote the use of research findings and EBP
- learn to look for evidence that clearly supports the effectiveness and feasibility of updasting nursing interventions
Term
Internal variables influencing health
Cognitive
Definition
- lifestyle choices
- spiritual and religious beliefs
Term
Examples of nurse's obligations in ethical decisions
Definition
- maximize the ct's well-being
- balance the ct's needs for autonomy with family members' responsibilities for the ct's well-being
- support each family member and enhance the family support and family support system
- carry out hospital policies
- protect other ct's well-being
- protect the nurse's own standard of care
Term
Psychologic
Definition
- mind-body interactions - self-concept are what type of Internal variables influencing health
Term
Stages of change Action- a stage of change
Definition
- modifies behv and surroundings
Term
Things that influence a nurse's ethical decisions
Definition
- moral theories and principles
- levels of cog devp
- personal and pro values
- nursing code of ethics
Term
Philosophies Theorists
Definition
- nightengale, henderson, watson
Term
Focus charting
Definition
- nursing dx - an acute change in the ct's condition - ct's behv - does't include nursing difficulties
Term
Health Promotion Topics Children
Definition
- nutrition
- dental checkups
- rest and exercise
- immunizations
- safety promo and injury control
Term
Relationship of nursing orders to problem status
Definition
- observation orders
- prevention orders
- txt orders
- health promotion orders
Term
Peplau's Interpersonal Relations Model
Resolution
Definition
- old needs and goals are put aside and new ones adopted
Term
The following are necessary for effective discharge planning
Definition
- ongoing assessment of ct needs
- formulation of nursing diagnosis
- plans to meet the ct's and caregiver's needs
Term
Effective Discharge Planning
Definition
- ongoing assessment to obtain comprehensive info about the ct's ongoing needs
- stmts of nursing diagnosis
- plans to ensure the ct's and caregiver's needs are met
Term
Conceptual model/grand theories theorists
Definition
- orem, rogers, roy, king
Term
Growth model theorists
Definition
- orem, watson, peplau, rogers, parse
Term
Clinical model of health
Definition
- people are viewed as physiologic systems with related functions
- health is ID by the absence of S&S of disease or injury
Term
Characteristics of basic needs
Definition
- people meet their own needs relative to their own priorities
- some basic needs can be deferred
- failure to meet needs results in one or more homeostatic imbalances, which can eventually result in illness
- a need can materialize by either external or internal stimuli
- a person who perceives a need can respond in several ways to meet it
- needs are interrelated
Term
Midlevel theorists
Definition
- peplau, leininger, parse, neuman
Term
Behv-Specific Cognitions and Affect
Definition
- perceived benefits of action
- perceived barriers to action
- perceived self-efficacy
- activity-related affect
- interpersonal influences
- situational influences
Term
Major motivational variables that can be modified through NIs
Definition

- perceived benefits of action - perceived barriers to action - perceived self-efficacy - activity-related effect - interpersonal influences - situational influences

Major motivational variables that can be modified through ________?

Term
Common driving and restraining forces
Driving forces
Definition
- perception that change is challenging
- economic gain
- perception that the change will improve the situation
- visualization of the future impact of change
- potential for self-growth, recognition, achievement, and improved relationships
Term
Responses to both sensory deprivation and overload
Definition
- perceptual changes (mild distortions or hallucinations)
- cognitive changes (dec concentration and problem-solving ability)
- affective changes (apathy, anxiety, anger, depression, and rapid mood swings)
Term
Nurses preparing their ct's to go home need to assess the following parameters:
Definition
- personal and health data
- ability to perform ADLs
- any physical, cognitive, or other functional limitations
- caregiver's responses and abilities
- adequacy of financial resources
- community supports
- hazards or barriers in the home
- the need for home health care
Term
Info included in the narrative nurse's notes
Definition
- pertinent assess of the ct
- specific nursing care
- ct's complaints
- how the ct is coping
Term
8 subsystems for community assessment proposed by Anderson and McFarlane
Definition
- phys enviro
- ed
- safety and transportation
- politics and govt
- health and social svcs
- comm
- economics
- recreation
Term
External variables influencing health
Definition
- physical
- enviro
- standards of living
- family and cultural beliefs
- social support networks
Term
Stages of health behv change
Definition
- precontemplation stage
- contemplation stage
- preparation stage
- action stage
- maint stage
- termination stage
Term
The Agency for Healthcare Research and Quality (AHRQ) QIs
Definition
- prevention info
- inpatient info
- pt safety info
- pediatric info
Term
Systems Theories
Definition
- provides a way of examining interrelationships and deriving principles
- the interrelatedness of all parts of a system is the basis for nursing's holistic view of the ct
- boundaries regulate the input from other systems that interact with the family system; they also regulate output from the family system to the community or to society
Term
The Nursing Process and Health Promo
Implementing
Definition
- providing and facilitating support
- indv counseling sessions
- phone counseling
- group support
- facilitating social support
- providing health ed
- enhancing behv change
- modeling
Term
Behv-Specific Cognitions and Affect
Perceived self-efficacy
Definition
- refers to the conviction that a person can successfully carry out the behvs necessary to achieve a desired outcome
Term
The purpose of the Standards of Clinical Nursing Practice
Definition
- reflect the values and priorities of the nursing profession
- provide direction for professional nursing practice
- provide a framework for the evaluation of nursing practice
- define the profession's accountability to the public and the client outcomes for which nurses are responsible
Term
Five Rights of Delegation
Definition
- right task
- right circumstance
- right person
- right directions and communications
- right supervision and evaluation
Term
Maslow's hierarchy
Definition
- self actualization
- self esteem
- love and belonging
- safety
- physiologic (survival)
Term
Developing Critical-Thinking Attitudes and Skills
Definition
- self-assessment
- tolerating dissonance and ambiguity
- seeking situations where good thinking is practiced
- creating envs that support critical thinking
Term
Orem's Genl Theory of Nursing
Definition
- self-care: those activities an indv performs independently throughout life to be healthy
- self-care agency: the person's ability to perform self-care activities
- self-care requisites: measures or actions taken to provide self-care
Term
4 main characteristics of homeostatic mechanisms
Definition
- self-regulating
- compensatory
- tend to be regulated by negative feedback systems
- may require several feedback mechanisms to correct only one physiologic imbalance
Term
Kalish's stimulation needs level
Definition
- sex
- activity
- exploration
- manipulation
- novelty
Term
Henderson's definition of nursing
Definition
- she saw the nurse concerned with the healthy and the sick
- nurses interact with clients even when recovery may not be feasible
- she mentioned the teaching and advocacy roles of the nurse
- she conceptualized the nurse's role as assisting sick or healthy indvs to gain indp in meeting 14 fundamental needs
Term
King's Goal Attainment Theory
Definition
- shows the relationship of operational systems, interpersonal systems, and social systems
- a transaction process model: nurses purposefully interact and mutually set, explore, and agree to means to achieve goals
Term
The AACN's six standards for establishing and sustaining healthy work environments
Definition
- skilled communication
- true collaboration
- effective decision making
- appropriate staffing
- meaningful recognition
- authentic leadership
Term
4 National League for Nursing (NLN) Competencies for the Associate Degree Graduate
Definition
- spirit of inquiry
- professional ID
- human flourishing
- nursing judgement
Term
Nursing theories fall into two paradigms
Definition
- stability model = reflects prevailing understandings in medicine and the HC system
- growth model = reflects emerging understandings in transpersonal psy
Term
How can a nurse provide continuity of care?
Definition
- start discharge planning upon admission
- involve the ct and family members in planning
- collaborate with other pros to ensure all need are met
Term
4 important values in nursing
Definition
- strong commitment to service
- belief in the dignity and worth of each person
- commitment to education
- professional autonomy
Term
Components of goals/desired outcomes
Definition
- subject
- verb
- conditions/modifiers
- criterion of desired performance
Term
Suchman - 5 stages of illness
Definition
- symptom experience
- assumption of the sick role
- medical care contact
- dependent ct role
- recovery or rehab
Term
Watson's Human Caring Theory
Definition
- systematically using the scientific method
- promoting interpersonal teaching-learning
- providing a supportive, protective, or corrective mental, physical, sociocultural, and spiritual enviro
- assisting with the gratification of human needs
- allowing for existential-phenomenologic forces
Term
Stages of health behv change
Action stage
Definition
- takes action
Term
Nightengale's Environmental Theory
Definition
- the act of utilizing the enviro of the pt to assist him in his recovery. Health has 5 enviro factors:
- pure or fresh air
- pure water
- efficient drainage
- cleanliness
- light, especially direct sunlight
Term
Peplau's Interpersonal Relations Model
Orientation
Definition
- the client seeks help
- the nurse assists the ct to understand the prob and the extent of the need for help
Term
Peplau's Interpersonal Relations Model
Identification
Definition
- the ct assumes a posture of dependence, interdependence, or independence in relation to the nurse
- the nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the ct's situation
Term
Peplau's Interpersonal Relations Model Exploitation
Definition
- the ct derives full value from what the nurse offers through the relationship
Term
Maintenance
Definition
- the person integrates newly adopted behv patterns into his lifestyle. A Stages of health behv change
Term
Roger's Science of Unitary Human Beings
Definition
- the person is an irreducible whole, the whole being greater than the sum of its parts
- humans are dynamic energy fields in continuous exchange with envir fields, both of which are infinite
- nurses focus on the person's wholeness, seek to promote symphonic interaction between the two energy fields....
- noncontact therapeutic touch
Term
Preparation
Definition
- the person undertakes cogn and behv activities that prepare him for change. A Stage of health behv change
Term
Behv-Specific Cognitions and Affect
Activity-related affect
Definition
- the subjective feelings that occur before, during, and following an activity can influence repeating it
Term
Grief
Definition
- the total response to the emotional experience related to loss
- it's manifested in thoughts, feelings, and behvs associated with overwhelming distress or sorrow
Term
Stages of health behv change
Termination stage
Definition
- the ultimate goal where the person has complete confidence that the prob is no longer a temptation or threat
Term
3 Steps of the Dx process
Formulating Dx Stmts
Collaberative probs
Definition
- they begin with the dx label, Potential Complication (PC)
- include both the possible complication that the nurse is monitoring and the disease or txt that's present to produce it
Term
Cts at risk of sensory overload
Definition
- those in pain
- those in ICUs
- those with intrusive and uncomfortable monitoring or txt equip
- those with disturbances of the nervous system
Term
Orem's Genl Theory of Nursing
Definition
- three related concepts: self-care, self-care deficit, and nursing systems
- self-care theory is based on 4 concepts: self-care, self-care agency, self-care requisites, and therapeutic self-care demand
Term
3 Steps of the Dx process
Formulating Dx Stmts
Steps to minimize dx error
Definition
- verify
- build a good knowledge base and acquire clinical experience
- have a working knowledge of what is normal
- consult resources
- base dx on patterns--that is, on behv over time--rather than on an isolated incident
- improve critical thinking skills
Term
Guidelines for writing goals/desired outcomes
Definition
- write goals and outcomes in terms of ct responses, not nurse activities
- be sure they are realistic for ct
- ensure that the goals and desired outcomes are compatible with the therapies of other pros
- make sure that each goal is derived from only one nursing dx
- use observable, measurable terms for outcomes
- make sure you have ct buy-in
Term
3 Steps of the Dx process
Formulating Dx Stmts
Variations of basic formats
Definition
- writing unknown etiology when the defining characteristics are present but the nurse doesn't know the cause or contributing factors
- using the phrase, complex factors when there are too many etiologic factors or when they are too complex to state in a brief phrase
- using the word possible to describe either the prob or the etiology
- using, secondary to, to divide the etiology into two parts, thereby making the stmt more descriptive and useful
- adding a second part to the genl response or NANDA label to make it more precise
Term
Roy
Definition
-Her book defines adaptation
as a process of responding
positively to environmental
changes.
Term
Orem
Definition
-Her self-care theory is based
on her belief that health is
everyone's individual
responsibility.
Term
NIC taxonomy domains
Definition
1. physiological: basic
2. physiological: complex
3. behavioral
4. safety
5. family
6. health-system
7. community
Term
Watson's Human Caring Theory
Definition
10 carative factors:
- forming a humanistic-altruistic system of values
- instilling faith and hope
- cultivating sensitivity to one's self and others
- developing a healthy-trust (human care) relationship
- promoting and accepting the expression of pos and neg feelings
Term
Orem's Genl Theory of Nursing
Definition
3 Types of nursing systems
- wholly compensatory systems
- partly comp sys
- supportive-educative systems
Term
Sensory overload
Definition
3 contributing factors
- inc quality or quantity of internal stimuli
- " external stimuli
- inability to disregard stimuli selectively, perhaps as a result of nervous system disturbances or meds
Term
3 Steps of the Dx process
Formulating Dx Stmts
Definition
3 part Dx Stmt:
- 1. problem -- related to -- 2. etiology -- as manifested by -- 3. S&S
Term
Orem's Genl Theory of Nursing
Definition
5 Methods of helping
- acting or doing for
- guiding
- teaching
- supporting
- providing an enviro that promotes the person's abilities to meet current and future demands
Term
EBP
Definition
? emphasizes improving quality of care for individuals while improving health care outcomes
Term
nursing theories
Definition
? provides the underlying conceptual support that promotes consistent support
Term
Health promotion model (HPM)
Definition
A competence or approach-oriented health model that depicts the multidimensional nature of persons interacting with their interpersonal and physical enviros as they pursue health. It is not a person's theory
Term
Pt-focused care
Definition
A delivery model that brings all svs and care providers to the clients
Term
Eudemonistic health model
Definition

A health model whereby:

- health is seen as a condition of actualization or realization of a person's potential - a comprehensive view of health - illness is a condition that prevents actualization

Term
Foreseeability
Definition
A link must exist between the nurse's act and the injury suffered
Term
AHA
Definition
A nonprofit national organization of individuals, institutions, and organizations engaged in direct patient care. The association works to promote the improvement of health care services
Term
When assigned to provide care for several patients, which patient would the RN assess first?
Definition
A patient with a new onset of confusion indicates a change in mental status and this patient is the priority. A change in mental status could be indicative of a neurologic deficit, electrolyte imbalance, a hormonal imbalance, or a variety of other conditions. The RN needs to further assess the situation.
Term
, according to the Watson Model of Human Caring?
Definition

A patient's inability to integrate life experiences and the failure to achieve full potential or inner harmony.

A concept of illness according to a specific model

Term
a characteristic of a profession?
Definition
A profession should develop and enforce its own code of ethics.
Term
Case mgmt
Definition
A range of models for integrating HC svcs for indvs or groups
Term
Fabiola
Definition
A wealthy Roman matron-viewed by some as the patron saint of nursing. She used her position and wealth to establish hospitals for the sick
Term
Critical Pathway
Definition
An interdisciplinary plan or tool that specifies interdisciplinary assessments, interventions, txts, and outcomes for health-related conditions across a time line
Term
Nurse Malpractice
Definition

An unintentional tort, can be established when the following criteria are met:

- the nurse owed a duty to the ct

- the nurse failed to carry out that duty according to standards

- foreseeability of harm

- causation, where the ct's injury was caused by the nurse's failure to follow the standard

- the ct was injured

Term
Five Key Elements of Evidence-Based
Practice
Definition
Ask a clinical question.
 Acquire the evidence.
 Appraise the evidence.
 Apply the evidence.
 Assess the outcomes.
Term
According to the American Nurses Association (ANA), what are the appropriate research competencies for the associate degree nursing (ADN) graduate?
Definition
Assists in identifying problem areas in nursing practice.
Assists with collection of data within an established, structured format.
Demonstrates awareness of the value or relevance of research in nursing
Term
3 Steps of the Dx process
Formulating Dx Stmts
Definition
Basic 2 part stmts
- prob: stmt of the ct's responses (NANDA label)
- etiology: factors contributing to or probable causes of the responses
The two part are joined by the words, "related to"
Term
What is a skilled nursing facility (SNF)?
Definition
Both a nursing home that provides skilled care in nursing and a long term care facility
Term
Leininger's Cultural Care Diversity and Universality Theory
Definition
Care is the essence of nursing and the dominant, distinctive, and unifying feature of nursing
- Sunrise model
Three intervention modes:
- culture care preservation and maintenance
- culture care accommodation, negotiation, or both
- culture care restructuring and repatterning
Term
Informational technology
Definition
Computers
 Store
 Organize
 Retrieve
 Communicate
Term
Teleological theory
Definition
Consequence- based theories: look to the consequences of an action in judging whether it's right or wrong
Term
Knowledge technology
Definition
Decision support systems mimic inductive and
deductive reasoning that humans would
perform if they had time.
Term
Which are incorporated in the guidelines under The Joint Commission's "Leadership" standard that deal with lateral violence?
Definition
  • Define behaviors that are considered disruptive in a code of conduct.
  • Implement a process for managing individuals who are displaying disruptive behaviors.
  • Require staff to demonstrate interpersonal skills and interprofessionalism in the credentialing process
Term
Apply the Evidence
Definition
Depending on your organization, you need to
apply the new evidence or propose a practice
change to the appropriate body.
Term
Gross Negligence
Definition
Extreme lack of knowledge, skill, or decision-making that the nurse clearly should have known would put others at risk for harm
Term
Basic Nursing Care Errors Resulting in Malpractice
Assessment Errors:
Definition
Failing to:
- assess whether a ct is unsteady on his feet
- recognize the sig of certain info (labs, vitals)
- monitor cts who are using equip
Term
Basic Nursing Care Errors Resulting in Malpractice
Planning Errors
Definition
Failing to:
- be aware of the cts meds and knowing whether drowsiness or impaired judgment are potential adverse effects
- bring questionable orders or protocols to the attention of the dr and the supervisor
- give discharge instructions that the ct understands
Term
Basic Nursing Care Errors Resulting in Malpractice
Intervention Errors
Definition
Failing to:
- document all nursing interventions
- understand the meds being administered
- always monitor the ct as the condition warrants and as ordered
- document the frequency of ct monitoring and ct status
- promptly bring distressing symptoms and changes in ct status to the attention of the dr
- document the time and content of all phone conversations with the dr
Term
reason of state board of nursing would revoke a nursing license
Definition
Failure to renew a nursing license while continuing to practice nursing
Use of illegal drugs while providing patient care
Demonstration of negligence in the practice of nursing
Term
Neuman's Systems Model
Definition
Flexible line of defense
Normal line of defense
Lines of resistance
Basic structure energy resources
Term
Florence Nightingale is referred as the first nurse researcher, drawing conclusions that today would be termed evidence-based nursing research.
Definition

 

Which reform did Florence Nightingale contribute to nursing practice?

 

Term
- Locus of control model
- Rosenstock's and Becker's health belief models
Definition
Health belief and behv models used to predict if a person gives a shit about his health
Term
Primary care (PC)
Definition
IOM definition: the provision of integrated, accessible HC services by clinicians who are accountable for addressing a large majority of personal HC services, developing a sustained partnership with pts, and practicing in the context of family and community
Term
Goal Attainment Theory
Definition
Imogene King - believes the RN can provide care in groups to attain a common goal
Term
According to research, which characteristics set magnet-designated hospitals apart from other hospitals?
Definition
Improved patient safety and quality care
Decreased mortality rates
Increased patient satisfaction
Term
Assess the Outcomes
Definition
Informatics plays an important role in the
measurement of daily practices and the
synthesizing of data into reports.
Term
4. Applying Critical Thinking to Nursing Practice
Parallels of Elements of Thought and the Nursing Process
Definition
Information – Assessing
Purpose of Thinking – Goal Setting
Question at Issue - Diagnosing
Points of View Diagnosing
Interpretations and Inference - Diagnosing
(conclusions and recommendations)
Assumptions - Diagnosing
(presuppositions)
Concepts (theories, - Diagnosing, Planning
laws, principles, models)
Implications and Consequences – Planning, Implementation
Interpretation and Inference - Evaluating
Term
An RN is collaborating with a patient's health care provider, physical therapist, and occupational therapist to develop a plan of care. This is an example of which Institute of Medicine (IOM) competency?
Definition
Interdisciplinary teamwork
Term
Nursing standards: 2 categories
Definition
Internal and external standards
Term
Parse's Human Becoming Theory
Definition
It emphasizes how indvs choose and bear responsibility for patterns of personal health
- the ct, not the nurse, is the authority figure and decision maker
The nurse's role is:
- illuminating meaning
- synchronizing rhythms
- mobilizing transcendence
Term
A purpose of nursing theory when applied to practice
Definition
It helps to establish criteria to measure the quality of nursing care
Term
What is the purpose of implementing the Roy Adaptation Model in clinical nursing practice?
Definition
It offers a multistep process to assist the patient to adjust to and reach the highest level of functioning.
Term
Unresolved conflicts
Definition
It often result in generalized distrust among staff members, as well as gossiping and rumor spreading, backstabbing and lack of cooperation, isolation of certain staff members, and division and polarization of the staff.
Term
Which theorist can be defined as: "The immediate desirable outcome of nursing care is enhanced comfort."
Definition
Katherine Kolcaba
Term
Aggregate living
Definition
Large collections of people may act as groups, with some degree of common purpose, but they may also act as non-organized collectivities, or aggregates
Term
Which action by an RN demonstrates using the cognitive skill of analysis?
Definition
Making informed decisions based on data not assumptions
This is the cognitive skill of analysis: using information appropriately as a basis for decisions and actions.
Term
Needs theory
Definition
Maslow
Term
The 1965 ______amendments (Title 18) to the Social Security Act provided a national and state health ins program for adults over 65
Definition
Medicare
Term
Negligence
Definition
Misconduct or practice that is below the standard expected of an ordinary, reasonable, and prudent person
Term
RNs have the capacity to promote healthy habits using which methods?
Definition
Modeling wellness and prevention
Practicing self-care as a life-long habit
Choosing behaviors that balance stress
Choosing behaviors that reduce stress
Term
common cause of RNs leaving a job or even the profession.
Definition
Moral distress by RNs feeling they are unable to provide adequate or safe care
Term
The Nursing Process and Health Promo
DX
Definition
NANDA wellness dx
Term
Which are characteristics of a blame-free, just culture?
Definition
Nursing cultures need to make quality and safety a priority rather than focusing on what went wrong and blaming someone for the error.
- Errors should not be covered up but identified and addressed.
- Errors should be used as opportunity to learn and improve the system.
- Staff must be held accountable for at-risk or reckless actions but at the same time be prepared to handle human error occurrences.
- Analyzing an event can positively impact the future quality of care and safety.
Term
Neuman's Systems Model
Definition
Nursing interventions are carried out on three preventative levels: primary, secondary, tertiary
Term
Watson's Human Caring Theory
Definition
Nursing interventions are referred to as carative factors
- the core of nursing has 10 factors
Term
What is a prospective payment system?
Definition
One in which the reimbursement amount for care to be provided is set ahead of time
Term
Acquire the Evidence
Definition
Only through computerized technologies can
we search the literature in an efficient
manner.
Term
Self Care Model
Definition
Orem - nursing is based on the belief that health care is each individual's own responsibility
Term
Ask a Clinical Question
PICO determines the nature of the question.
Definition
PICO
 Population
 Intervention
 Comparison
 Outcome
Term
Neuman's Systems Model
Definition
Primary prevention: focuses on protecting the normal line of defense and strengthening the flexible line
Secondary prevention: focuses on strengthening internal lines of resistance, reducing the reaction, and inc resistance factors
Tertiary prevention:focuses on readaptation and stability and protects reconstitution or return to wellness following txt
Term
The scope of nursing practice
Definition
Promoting health and wellness, preventing illness, restoring health, and care of the dying
Term
personal and pro values
Definition
Provides the foundation for nursing practice and guide the nurse's interactions with patients, colleagues, and the public?
Term
What is a function of the state nurse practice acts?
Definition
Providing a guideline for public policy
Term
A nurse educator is providing an in-service safety training to RNs to decrease falls and resulting injuries on nursing units. This is an example of which Institute of Medicine (IOM) competency?
Definition
Quality improvement
Term
Who is the only interprofessional team member who can provide discharge teaching to a pt
Definition
RN
Term
Which activity demonstrates fiscal responsibility by an RN?
Definition
RNs have to be able to provide high-quality, safe, and responsible care to patients. Prevention of hospital-acquired infection is being quality-and fiscally-responsible by decreasing costs associated with health care acquired infections.
Term
Caring theories
Definition
Relationship-based theories stress courage, generosity, commitment, and the need to nurture and maintain relationships
Term
Human becoming
Definition
Rosemary Parse – emphasizes how individuals choose and bear responsibility for patterns of personal health
Term
Persons w/ disabilities or those whop are blind may be eligble for special pmts called
Definition
SSI
Term
Cardiac output
Definition
SVxHR
Term
Orem's Genl Theory of Nurs
Definition
Self-care requisites:
- universal
- developmental
- health deviation
Therapeutic Self-care Demand: refers to actions necessary to maintain health and well-being
Term
Which was Lillian Wald's contribution to public health nursing?
Definition
She organized nurses to make home visits focusing on children's health.
Term
A nurse practitioner who manages his own practice offers his clients the option of contacting him via e-mail between visits. This allows his clients to request prescription renewals and educational materials and to ask nonemergent questions about their conditions. At times, this is convenient for both the clients and himself. Additionally, he should tell his clients that they:
Definition
Should wait up to 24 hours for a response from him. The nurse manager should demonstrate proficient awareness of legal and ethical issues related to client data, information, and confidentiality. (Business Skills Competency, AONE)
Term
Independent Practice Associations (IPA)
Definition
Similar to HMOs or PPOs except that cts pay a fixed prospective pmt to the ______, and it pays the provider
Term
PPAs
Definition
Similar to PPOs, except the ______can be contracted with indv HC providers
Term
Adaptation Model
Definition
Sister Calista Roy - Incorporating the use of nursing diagnosis into care is an example
Term
Which theorist views the goal of nursing as the promotion of adaptive responses?
Definition
Sister Callista Ray
Term
Social change
Definition
Social process whereby the values, attitudes, or institutions of society, such as education, family, religion, and industry become modified. It includes both the natural process and action programs initiated by members of the community
Term
An RN implements a fall risk protocol for a patient who has been experiencing dizziness and weakness. Which competency does this RN's action demonstrate?
Definition
Spirit of inquiry is curiosity; it is not the primary competency called on when implementing a protocol. 2) Human flourishing involves helping people achieve fulfillment and self-actualization. Implementing a fall risk protocol does not directly demonstrate this competency. *3) This is an example of good clinical judgment; the determination of essential nursing care for safe patient outcomes. 4) Professional identity is associated with the RN's place in the profession; implementing a protocol is not a direct reflection of professional identity.
Term
Adaptation model
Definition
Sr Callista Roy – the process and outcome whereby the thinking and feeling person uses conscious awareness and choice to create human and environmental integration
Term
Documentation for the Nursing process
Definition
Step Doc Forms
-assessment - initial assessment form, various flow sheets
-nursing dx - nursing care plan, critical pathway, progress notes, problem list
-planning - nursing care plan, critical pathway
-implementing - progress notes, flow sheets
-evaluating - progress notes
Term
What is the ANA Position Paper of 1965?
Definition
The ANA thought that the improvement of nursing practice depended on education. The following are four major
positions on educational preparations:
Term
Which is an example of the RN engaging in critical thinking in the clinical setting?
Definition
The RN encourages a post-operative patient with an elevated temperature to take deep breaths and cough
Critical thinking incorporates multiple facets of knowledge while prioritizing care
Term
case mgr
Definition
The ___ ____role is to ensure that cts receive fiscally sound, appropriate care in the best setting
Term
What purpose does the American Nurses Association (ANA) Code of Ethics serve in representing the behaviors and beliefs underlying the foundation of nursing practice?
Definition
The code provides a basis for ethical analysis and decision making and establishes the ethical standard for the profession.
It is a statement of moral obligations required of RNs.
Term
Neuman's Systems Model
Definition
The ct is an open system consisting of a basic structure or central core of energy resources- physiologic, psychologic, sociocultural, developmental, and spiritual surrounded by two concentric boundaries referred to as lines of resistance
Term
Roy's belief about nursing
Definition
The goal of nursing is to
understand the patient's
environment and thus promote
adaptation by managing the
stimuli within that
environment.
Term
pt teaching
Definition
The most important nursing competency to address the goals of Healthy People 2020 in preventing disease and improving health
Term
Peplau's Interpersonal Relations Model
Definition
The nurse-client relationship evolves in 4 phases:
- orientation
- ID
- exploitation
- resolution
Term
internal standards
Definition
The nurses job description, education and expertise as well as indv institutional policies and procedures
Term
Faye Abdellah
Definition
The nursing Theorist whose work focused on 21 nursing problems was:
Term
Orem's belief about nursing
Definition
The nursing profession
should emphasize patient
education and be oriented
toward enhancing the patient's
ability to use deliberate selfcare
actions
Term
NLN
Definition
The organization that accredits schools of nursing is:
Term
Roy's Adaptation Model
Definition
The process and outcome whereby the thinking and feeling person uses conscious awareness and choice to create human and enviro integration
Term
Socialization to professional nursing practice
Definition
The process whereby the values and norms of the profession are internalized into the nurse's behv and self-concept. The nurse acquires the knowledge, skill, and attitudes characteristic of the profession
Term
HC costs
Definition
The rise of prospective payment systems can be largely attributed to which of the following?
Term
standards of care
Definition
The skills and learning commonly possessed by members of a profession
Term
DRGs
Definition
The system that that has categories that establish pretxt diagnosis billing categories
Term
Breach of Duty
Definition
There must be a standard of care that's expected in the specific situation but that the nurse did not observe
Term
Which elements must be present in order for a patient to make a claim of professional negligence against an RN?
Definition
There were actual damages resulting from professional actions.
*3) A failure to act which caused damages is considered negligence.
*4) Within a professional relationship there is a duty owed to the patient by the RN assigned to the care.
*5) Damage or injury must result from the RN's action for negligence to be claimed.
Term
articulated programs
Definition
This type of program allows graduates to move from one level of nursing education to another with minimum loss of credit:
Term
Problem Solving – there are various approaches to it:
Definition
Trial and error
Intuition – the understanding or learning of things w/o the conscious use of reasoning
Research process and scientific/modified scientific method
Term
teach the pt more effectively
Definition
Understanding common cultural differences and issues will also help the RN to?
Term
Use of the scientific method
Definition

Which characteristic of a profession does a nurse exemplify when the nurse systematically gathers and analyzes data?

 

Term
metaparadigm
Definition
Used to describe the most global philosophical or conceptual framework for a profession...
Term
QIs
Definition
Used to focus efforts on potential quality concerns so they me be addressed by further investigation
Term
QIs
Definition
Used to focus efforts on potential quality concerns so they me be addressed by further investigation
Term
Human Caring Model
Definition
Watson - takes into consideration the pt's family and their spiritual beliefs
Term
Nurses strategic action team
Definition
What was organized to provide nurses with a means to mobilize quickly to influence legislative policy?
Term
vertical integration
Definition
When a number of dissimilar healthcare agencies join together to provide complete services along the continuum of care, this union is referred to as a:
Term
NANDA
Definition
Which ANA recognized classification system contains a taxonomy of nursing diagnoses?
Term
Outreach Programs
Definition
Which HC system uses lay HC workers to link with the formal HC system?
Term
The Joint Commission
Definition
Which group establishes standards and surveys all aspects of a healthcare organization, including the physical plant, the entire delivery of care process, and the quality improvement activities that are being done?
Term
Evaluating
Definition
Which nursing process is a continuous process?
Term
Lillian Wald
Definition
Which of the historical leaders of nursing established the Henry Street Settlement to provide nursing service for the poor?
Term
AHRQ
Definition
Which organization developed a framework to optimize team performance across health care delivery systems?
Term
Rogers
Definition
Which theorist believes that a person interacts continuously with the enviro and as a sentient being partakes actively in change?
Term
Faye Abdellah
Definition
Which theorist can be defined as: "Nursing is a service to individuals, families, and society based on art and science that molds the attitudes, intellectual competencies, and technical skills of the individual nurse in the desire and ability to help with the health care needs.."
Term
Hildegard Peplau
Definition
Which theorist can be defined as: "Nursing is viewed as an interpersonal process involving interaction between two or more individuals, which has as its common goal assisting the individual who is sick or in need of health care."
Term
Imogene King
Definition
Which theorist can be defined as: "The focus of nursing is the care of human beings."
Term
Nightengale
Definition
Which theorist can be defined as: "The goal of nursing is to put the patient in best condition for nature to act upon him, primarily by altering the environment."
Term
Devp stage theories
Definition
_____ ______ _______ related to indvs categorize a person's behv or tasks into approximate age ranges or in terms that describe the features of an age group
- each stage is affected by the previous and the following stage
Term
What is the difference between the providers in PHC and PC?
Definition
a PHC provider's role is being a facilitator, consultant, and resource
- a PC provider is an expert, provider, authority, and team leader
Term
Community-based HC (CBHC)
Definition
a PHC system that provides health-related services within the context of people's daily lives
Term
Family
Definition
a basic unit of society
Term
Taxonomy
Definition
a classification system or set of categories arranged on the basis of a single principle or set of principles
Term
Risk nursing dx
Definition
a clinical judgment that a prob doesn't exist, but the presence of risk factors indicates that a prob is likely to devp unless nurses intervene
Term
Tricouncil for Nursing
Definition
a collaborative effort of the:
- ANA
- the National League for Nursing (NLN)
- the American Organization of Nurse Executives (AONE)
- the American Association of Colleges of Nursing (AACN)?
Term
Collaberation
Definition
a collegial working relationship with another HC provider in the provision of patient care
Term
Role overload
Definition
a condition in which there is insufficient time in which to carry out all of the expected role functions
Term
Illness behv
Definition
a coping mechanism, involves ways indvs describe, monitor, and interpret their symptoms, take remedial actions, and use the HC system
Term
Planning care
Definition
a core competency for the registered nurse
Term
Health promotion
Definition
a ct behv directed toward devp well-being and actualizing human health potential
Term
Actual nursing dx
Definition
a ct prob that is present at the time of the nursing assessment
Term
Assignment
Definition
a downward or lateral xfer of both the responsibility and accountability of an activity
Term
Syndrome dx
Definition
a dx that is associated with a cluster of other dxs. There are 6 on the NANDA list
Term
Standardized care plan
Definition
a formal plan that specifies the nursing care for groups of cts with common needs
Term
The National Student Nurses' Associations is:
Definition
a fully independent organization
Term
Variance
Definition
a goal that isn't met, deviations to what is planned on the critical pathway---unexpected occurrences that affect the planned care or the ct's responses to care
Term
Conceptual framework (Conceptual model)
Definition
a group of related ideas, stmts, or concepts
Term
Dunn's High-level wellness grid
Definition
a health axis and an enviro axis intersect, forming 4 quads
1. high-level wellness in a favorable enviro
2. emergent high-level wellness in an unfavorable enviro
3. protected poor health in a favorable enviro
4. poor health in an unfavorable enviro
Term
Health
Definition
a high level of wellness or the fulfillment of one's max potential for physical, psychosocial, and spiritual functioning
Term
Illness
Definition
a highly personal state in which the person's physical, emotional, intellectual, social, devp, or spiritual functioning is thought to be diminished
Term
Cultural deprivation or cultural care deprivation
Definition
a lack of culturally assistive, supportive, or facilitative acts
Term
Collaborative care plan/Critical Pathway
Definition
a multidisciplinary care plan that sequences the care that must be given on each day during the projected length of stay for the specific type of condition
Term
SOAP
Definition
a particular format used in progress notes
- subjective data
- objective data
- assessment
- the plan
Term
Paradigm
Definition
a pattern of shared understandings and assumptions about reality and the world
Term
Clustering cues
Definition
a process of determining the relatedness of facts and determining whether any patterns are present, whether the data represent isolated incidents, and whether the data is sig
Term
Boundary of a system
Definition
a real or imaginary line that differentiates one system from another system or a system from its enviro
Term
System
Definition
a set of interacting identifiable parts or components
Term
Wellness
Definition
a state of well-being. Seven dimensions:
- physical
- social
- emotional
- intellectual
- spiritual
- occupational
- enviro dimensions
Term
Well-being
Definition
a subjective perception of vitality and feeling well, can be described objectively, experienced, and measured, and can be plotted on a continuum
- a state rather than a process
Term
Theory
Definition
a supposition or system of ideas that is proposed to explain a given phenomenon
Term
Nursing Outcomes Classification (NOC)
Definition
a taxonomy for describing ct outcomes that respond to NIs
Term
Nursing Interventions Classification (NIC)
Definition
a taxonomy of NIs
Term
Socratic questioning
Definition
a technique to look beneath the surface, recognize and examine assumptions, and search for inconsistencies
Term
Socratic questioning
Definition
a technique to look beneath the surface, recognize and examine assumptions, and search for inconsistencies
Term
Locus of control
Definition
a theory that nurses can use to determine whether cts are likely to take action regarding health
Term
Source-oriented record
Definition
a trad record, each person or dept makes notations in a separate section or sections of the ct's chart
Term
Formal nursing care plan
Definition
a written guide that organizes info about the ct's care
Term
Acculturation
Definition
ab involuntary process of immigrants adapting to or borrowing traits from another culture
Term
Bradypnea
Definition
abnormally slow respirations
Term
Professional values
Definition
acquired during socialization into nursing from codes of ethics, nursing experiences, teachers and peers
Term
According to Orem, nurses assist people through...
Definition
acting for, guiding, teaching, supporting, and providing an enviro to promote an indv to meet demands
Term
3 Steps of the Dx process
ID Health Probs, Risks, and Strengths
Determine probs and strengths
Definition
after grouping and clustering the data, the nurse and ct together id probs that support tentative actual, risk, and possible dx
- the nurse must determine whether the ct's prob is a nursing dx, a medical dx, or collaborative prob
Term
Throughput
Definition
after the input is absoebed by the system, it's processed in a way useful to the system. This transformation is called________
Term
Agent-Host-Enviro Health model
Definition
agent, host, and enviro factors constantly interact with each other, which makes health ab ever-changing state
Term
A philosophy
Definition
an early effort to define nursing phenomena and serves as the basis for later theoretical formulations
Term
Assimilation
Definition
an indv adopts a new cultural ID
Term
Discussion
Definition
an informal oral consideration of a subject by two or more HC personnel to ID a prob or establish strategies to resolve a prob
Term
Indicator
Definition
an observable pt state, behv, or self-reported perception or eval and is similar to desired outcomes in traditional language
Term
NI
Definition
any txt, based on clinical judgment and knowledge, that a nurse performs to enhance ct outcomes
Term
Independent functions
Definition
areas of HC (functions) that are unique to nursing and separate and distinct from med mgmt
Term
An appropiate way to take a TO
Definition
ask the provider to spell any meds that the nurse isn't familiar with
Term
Many state legislatures have responded to the expanded role of the nurse by...
Definition
broadening the scope of their nurse practice acts. For example, adding the term "nursing diagnosis" to many states' nurse practice acts reflects the legislature's recognition of the expansion of the nurse's role into the statutory realm.
Term
the most common barriers to the implementation of research in practice?
Definition
budget constraints, insufficient authority, and time available to conduct research. It is the most common challenge to completing research in clinical practice.
Term
Health-Illness Continua (grids or graduated scales)
Definition

can be used to measure a person's perceived level of wellness

Hint: it's not locus of control

Term
Legislation
Definition
changes in legislation about nursing practice, health, and health matters will affect both the public and nursing
Term
How does communication contribute to collaboration?
Definition
collaboration occurs when there is effective communication among the pros and they are committed to understanding each other's roles and meeting ct's needs
Term
Family-centered nursing
Definition
considers the health of the family as a unit
Term
Kardex
Definition
consists of:
- pertinent info about the ct
- meds
- IV fluids
- daily txts and procedures
- dx procedures ordered
- allergies
- how specific ct's needs are to be met
- prob list, stated goals, and NI's
Term
A competent nurse is able to...
Definition
coordinate the complex care demands of a client who is newly admitted and the other clients in the unit
Term
A competent nurse is able to...
Definition
coordinate the complex care demands of a client who is newly admitted and the other clients in the unit
Term
What is the standard of nursing practice?
Definition
coordinating and balancing pt preferences with best available research
Term
Health protection
Definition
ct behv geared toward preventing illness, detecting it early, or maintaining function
Term
Nursing dx
Definition
describes a continuum of health states: deviations from health, presence of risk factors, and areas of enhanced personal growth
Term
Wellness dx
Definition
describes human responses to levels of wellness in an indv, family or community that have a readiness for enhancement
Term
Goals/desired outcomes
Definition
describes in terms of observable ct responses, what the nurse hopes to achieve by implementing the NIs
Term
Standards of care
Definition
describes nursing actions for cts with similar medical conditions rather than indvs, and they describe achievable rather than ideal nursing care
Term
Policies and procedures
Definition
devp to govern the handling of freq occurring situations
Term
Consists of specific job descriptions for nurses according to their education or training
Definition
differentiated practice model
Term
Secondary prevention
Definition
early diagnosis through screening
and preventing complications
Term
Primary HC (PHC)
Definition
essential HC
Term
Governance
Definition
establishment and maintenance of social, political economic standards to control professional practice
Term
Judgments
Definition
evaluation of facts or info that reflect values or other criteria; a type of opinion
Term
Negligence involves...
Definition
failure to use prudent action or to follow the standards of care
Term
Practice discipline
Definition
fields of study in which the central focus is performance of a professional role
Term
Midlevel theories
Definition
What type of theories focus on the exploration of concepts such as pain, self-esteem, learning and hardiness
Term
Structural-functional theory
Definition
focuses on family structure and function
Term
Community health nursing
Definition
focuses on promoting and preserving the health of population groups
Term
The Organization for Associate Degree Nursing
Definition
founded as the voice of associate degree nurses in 1984. It had the most significant impact on the devp of the associate degree in nursing
Term
inductive reasoning
Definition
generalizations are formed from a set of factors or observations
Term
What does Nursing Theory do for nursing?
Definition
gives the framework from which to practice and the necessary basis for nursing activities which are observed
Term
Dysfunctional grief
Definition
grief that may be unresolved or inhibited
Term
conceptual framework
Definition
group of related ideas statements or concepts
Term
Accountable Care Organizations (ACOs)
Definition
groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients
Term
Transactional leader
Definition
has a relationship with followers based on an exchange for some resource valued by the follower
Term
A nurse wants to get legislation passed on seat belts. The nurse should:
Definition
have friends and peers write the legislative representatives
Term
critical analysis
Definition
he application of a set of questions to a particular situation or idea to determine essential info and ideas and discard superfluous info and ideas
Term
Parsons
Definition
he describes 4 aspects of the sick role
Term
Compensatory
Definition
homeostatic mechanisms are ________because they tend to counteract conditions that are abnormal for the person
Term
Components of a NANDA nursing dx
Etiology (related factors and risk factors)
Definition
identifies one or more probable causes of the health prob, gives direction to the required nursing therapy, and enables the nurse to individualize the ct's care
Term
After identifying a problem, the next step in resolving a problem is to?
Definition
identify the circumstances of the incidents where the problem occurred to determine the etiologies or causes (in this case investigating the falls) that have occurred.
Term
Sensory deficit
Definition
impaired reception, perception, or both, of one or more of the senses
Term
Culturally appropriate
Definition
implies that the nurse applies the underlying background knowledge that must be possessed to provide a ct with the best HC
Term
Culturally sensitive
Definition
implies that the nurse possesses some basic knowledge of and constructive attitudes towards the health traditions observed among the diverse cultural groups found in the setting in which they are practicing
Term
Culturally competent
Definition
implies that within the delivered care the nurse understands and attends to the total context of the ct's situation and uses a complex combo of knowledge, attitudes, and skill
Term
Universal intellectual standards
Definition
includes accuracy, precision, and significance
Term
The Lysaught Report (1970), "An Abstract for Action," had the following priorities?
Definition
increase research in both the practice and education of nurses, enhance the educational systems and curricula based on research and increase financial support for nurses and nursing
Term
The trend toward increasing specialization by healthcare providers is primarily due to:
Definition
increased technological growth and expanding knowledge
Term
2. Attitudes that Foster Critical Thinking
Definition
independence of thought
fair-mindedness
insight into egocentricity and sociocentricity
intellectual humility and suspension of judgment
intellectual courage
intellectual integrity – requires that indvs apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others
perseverance
confidence in reason
interest in exploring both thoughts and feelings
how to deal with strong negative emotions:
limit action for a while to avoid hasty conclusions and impulsive decisions
discuss negative feelings with a confidant
expend some of the energy generated by the emotion by, for example, walking or exercising
reflect on the situation and determine whether the emotional response was appropriate
curiosity

3. Standards and Elements of Critical Thinking – Universal Intellectual Standards:
Clarity – what is an example of this?
Accuracy – how can I find out if that is true?
Relevance – how does that help me with this issue?
Logicalness – does that follow from the evidence?
Breadth – do I need to consider another point of view?
Precision – can I be more specific?
Significance – which of these facts is most important?
Completeness – have I missed any important aspects?
Fairness – am I considering the thinking of others?
Depth – what makes this a difficult problem
The Elements of Thought
Points of View – frame of reference, perspective, orientation
Purpose of the Thinking – goal, objective
Question at Issue – problem, issue
Information – data, facts, observations, experiences
Interpretation and Influence – conclusions, solutions
Concepts – theories, definitions, axioms, laws, principles, models
Assumptions – presuppositions, taking for granted
Implications and Consequences
Term
Protocols
Definition
indicates the actions commonly required for a particular group of cts
Term
Negative feedback
Definition
inhibits change in a system
Term
Focus charting
Definition
intended to make the ct and ct concerns and strengths the focus of care
Term
Sensory perception
Definition
involves the conscious organization and translation of the data or stimuli into meaningful info
- occurs at the cerebral cortex
Term
Components of a NANDA nursing dx
Prob (dx label) and definition
Definition
it describes the ct's health probs or response for which nursing therapy is given
- it's clear and concise
- it directs the formation of ct goals and desired outcomes
- they need to be specific
- carries a definition that clarifies its meaning
Term
The advantages of a POMR
Definition
it encourages collaboration and it allows for easier tracking of the status of the ct's prob
Term
Psychologic homeostasis
Definition
it's acquired or learned through the experience of living and interacting with others
Term
Psysiologic homeostasis
Definition
its maintained by coordinated functioning of the following systems:
- autonomic nervous
- endocrine
- respiratory
- cardio
- renal
- GI
Term
Statutory law
Definition
laws enacted by a legislative body
Term
Biomedical health belief
Definition
life and life processes are controlled by physical and biochemical processes that can be manipulated by humans
Term
What is the primary purpose of the National League for Nursing (NLN)?
Definition
maintain and improve the standards of nursing education.
Term
Lillian Wald
Definition
many child health and wellness programs in use today are based on her efforts. Current proposals for health-care reform include her ideas about public health nursing, independent clinics, and health maintenance
Term
American Nurse Credentialing Center (AANC) certification is a
Definition
method of recognizing nurses who have special expertise. Applicants must demonstrate current practice and knowledge beyond that required for licensure as an RN. After submitting evidence of completing all requirements, an RN may take the national examination for a specific certification.
Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient does not reflect...
Definition
modification of the professional role for personal gain.
may give the RN new technical expertise for professional development, but it does not reflect socialization into the primary role of upholding the value of patient-centered care.
Term
RAS
Definition
monitors and regulates incoming stimuli
- it maintains, enhances, or inhibits cortical arousal
Term
3 Steps of the Dx process
Formulating Dx Stmts
Quality of the stmt
Definition
must be:
- accurate
- concise
- descriptive
- specific
- must compare s&s or risk factors to NANDAs
Term
allows for multistate licensure
Definition
mutual recognition model
Term
Community-based nursing (CBN)
Definition
nursing care directed towards specific individuals. It involves nursing care that is not confined to one practice setting
Term
The Brown Report recommended that:
Definition
nursing schools be established independently in universities.
Term
Auscultatory gap
Definition
occurs particularly in HTN pts, is the temporary disappearance of sounds normally heard over the brachial artery when the cuff pressure is high followed by the reappearance of the sounds at a lower level
Term
Cerebral death or higher brain death
Definition
occurs when the higher brain center, the cerebral cortex, is irreversibly destroyed
Term
Compliance
Definition
of the arteries; it's their ability to contract and expand
Term
Possible nursing dx
Definition
one in which evidence about a health prob is incomplete or unclear
Term
Integrated HC system
Definition
one that makes all levels of care available in an integrated form - primary, secondary, and tertiary care
Term
Unitary Human Beings Theory- Rogers
Definition
person is an irreducible whole, dynamic energy field in continuous exchange with the environment
Term
Metaparadigm for nursing
Definition
person, enviro, health, and nursing
Term
Travis's illness-wellness continuum
Definition
premature death ------ high-level wellness
Term
• Primary prevention
Definition
preventing disease
Term
Deontological theories
Definition
principle-based theories emphasizes indv rights, duties, and obligations. The morality of an action is determined not by its consequences, but by whether it's done according to an impartial, objective principle
Term
The primary purpose of International Council of Nurses (ICN) is to:
Definition
provide a medium through which national nurses' associations may share common concerns and interests to promote health of people and care of the sick.
Term
Community nursing centers
Definition
provide primary care to specific populations and are staffed by NPs and community health nurses
Term
State Nurse Practice Act
Definition
provides a framework for the court on which to base decisions when determining whether a nurse has breached a standard of care. Nurse practice acts identify grounds for disciplinary actions such as suspension and revocation of nursing licensure in each state.
Term
deductive reasoning
Definition
reasoning from the general to the specific
Term
Teritary health care services:
Definition
rehabilitate the patient to optimal functioning
Term
Preceptor
Definition
relationships in which the experienced nurse assists the "new" nurse in improving clinical nursing skills and judgment
Term
Major problems associated with the 1965 ANA Position Paper included
Definition
scope of practice
titling of graduates of the different programs
interstate endorsement
Term
A hospital is an example of this type of healthcare:
Definition
secondary
Term
Autonomy
Definition
self-rule and the ability to make independent personal decisions.
Term
Illness behvs
Definition
stage 1 - symptom experiences
stage 2 - assumption of the sick role
stage 3 - medical care contact
stage 4 - dependent client role
stage 5 - recovery or rehab
Term
Isabell Hampton Robb
Definition
started the ANA and worked to organize the profession
Term
Pos feedback
Definition
stimulates change......pos or neg feedback?
Term
The Community-based Care Transitions Program (CCTP)
Definition
tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries. It is not designed as a source of information about ACA regulations
Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient reflects...
Definition
that the RN has been socialized into the values of the profession
Term
Stereognosis
Definition
the ability to perceive and understand an object through touch by its size, shape, and texture
Term
Awareness
Definition
the ability to perceive enviro stimuli and body reactions and to respond appropriately through thought and action
Term
PES format
Definition
the basic three part nursing dx stmt that includes: prob, etiology, and S&S
Term
Concepts
Definition
the building blocks of theories
Term
Defining characteristics
Definition
the cluster of S&S that indicate the presence of a particular dx label
Term
Components of a NANDA nursing dx
Defining characteristics
Definition
the cluster of S&S that indicate the presence of a particular dx label
Term
Continuity of care
Definition
the coordination of HC services by HC providers for clients moving from one HC setting to another and between and among HC professionals
Term
Closed awareness
Definition
the ct is unaware of impending death
Term
Problem-oriented medical record (POMR), or prob oriented record (POR)
Definition
the data are arranged according to the probs the ct has rather than the source of the info. Advantages:
- it encourages collaboration
- the prob list is in the front of the chart alerts caregivers to the ct's needs and makes it easier to track the status of each prob. Four basic components:
- database
- prob list
- plan of care
- progress notes
Term
Algor mortis
Definition
the gradual dec of the body's temp after death
Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient before implementing them shows
Definition
the novice RN is putting the professional value of caring before the personal.
Term
3 Steps of the Dx process
ID Health Probs, Risks, and Strengths
Determining strengths
Definition
the nurse and ct also establish the ct's strengths, resources, and abilities to cope
Term
Nursing dx
Definition
the nurse's clinical judgment about indv, family, or community responses to actual and potential health probs/life processes to provide the basis for selecting nursing interventions to achieve outcomes for which the nurse is accountable
Term
Justice
Definition
the obligation to be fair to all people in the distribution of benefits and burdens.
Term
Nonmaleficence
Definition
the obligation to do no harm - intentionally, unintentionally or by placing a person at risk.
Term
Socialization
Definition
the process of being raised within a culture and acquiring the characteristics of that group
Term
Root cause analysis
Definition
the process of tracking events leading to errors to identify faulty systems and processes.
Term
Diagnostic labels
Definition
the standardized NANDA name for the dx
Term
Chemical thermogenesis
Definition
the stimulation of heat production in the body through inc cellular metabolism
Term
Bereavement
Definition
the subjective response experienced by the surviving loved ones
Term
Conduction
Definition
the xfer of heat from a molecule to another of lower temp
Term
Delegation
Definition
the xfer of responsibility of a task to another while retaining accountability for the outcome
Term
Critical theory
Definition
theories that help elucidate how social structures affect a wide variety of human experiences from art to social practices
Term
How are PHC and PC similar?
Definition
they both strive for universal access to care and support empowerment of the client
Term
Homeostatic mechanisms
Definition
they regulate :
- hormone secretion
- fluid and electrolyte levels
- the functions of body viscera
- metabolic processes that provide energy for the body
Term
Grand theories
Definition
A theory that articulates a broad range of the sig relationships among the concepts of a discipline
Term
Fidelity
Definition
to be faithful to one's agreements or responsibilities
Term
The purpose of family assessment
Definition
to determine the level of:
- family functioning
- clarify family interaction patterns
- ID family weaknesses and strengths
- describe the health status of the family and its members
Term
The Affordable Care Act (ACA) established a Consumer Assistance Program (CAP) in each state
Definition
to help citizens navigate the regulations of the ACA
Term
What is the purpose of the Nurse Training Act?
Definition
to provide money for the expansion of nursing schools. (to support nursing education)
Term
The purpose of the NLN is to:
Definition
unite the interests of nursing with those of the community.
Term
Flow sheet
Definition

uses specific assessment criteria in a particular format, such as human needs or functional health probs.

A type of document

Term
Annie Goodrich
Definition
was an RN educator who focused on nursing theory as well as hands-on practice
Term
The Nurses' Associated Alumnae of the United States and Canada
Definition
was founded in 1896 by Isabel
Hampton Robb to represent the interests of practicing nurses.
Term
3 Steps of the Dx process
Formulating Dx Stmts
One-part stmts
Definition
wellness dx and syndrome nursing dx, consist of a NANDA label only. They tend to become more specific as they are refined, so that NIs can be derived from the label itself
Term
Sensoristasis
Definition
when a person is in optimal arousal
Term
Orem devised three types of nursing systems...
Definition
wholly compensatory, partly comp, and supportive-educative system
Term
Dependent functions
Definition
with regard to med dx, nurses are obligated to carry out dr prescribed therapies and txts that are considered.....
Term
Qualifiers
Definition
words that have been added to some NANDA labels to give addl meaning to the dx stmt
eg: deficient, impaired, decreased, ineffective, compromised
Term
Lavinia Dock
Definition
wrote the first nursing texts on the history of nursing
Term
Restrictive vs Permissive Language
Definition
• Regulations, especially those with the purpose of defining the scope of practice of various health care professionals, can be written with either restrictive or permissive language. Restrictive language restricts the practitioner to performing only the functions and procedures outlined in the regulations. LPN/LVN practice acts are often written with restrictive language. Permissive language allows practitioners to use judgment and make decisions to serve the purpose of performing in their roles. Permissive language is used for the more autonomous practice of the RN
Term
Appraise the Evidence
Definition
 Answer these questions about the evidence
found:
 Is it valid?
 Is it important?
 Is it important to the patient?
Term
Types of Technologies
Definition
 Biomedical
 Informational
 Knowledge
Term
Types of Technologies
Definition
 Biomedical
 Informational
 Knowledge
Term
Biomedical technology
Definition
 Four types of technologies:
 Physiological monitoring
 Diagnostic testing
 Drug administration
 Therapeutic treatments
Term
The primary purpose of the NLN:
Definition
 Be a leader in nursing education
 Commitment to its members
 Be a champion for nurse educators
 Advance the science of nursing education
Term
Therapeutic touch:
Definition
 Classified as an Energy Therapy
 Not classified as massage and bodywork, as there is no real contact
 Not pharmacological, herbal, or based on clinical systems
 Involves hands, but no actual contact, although the RN may tell the pt to assume a relaxed, inner focus
Term
Nurse practice acts evolved as licensure laws were enacted. Their purpose is to:
Definition
 Define nursing
 Stipulate the qualifications to practice nursing
 Outline the methods of obtaining licensure
 License renewal
 Interstate endorsement or reciprocity
 Establish and maintain rules and regs of nursing
 Delineate unlawful acts, misconduct, or disciplinary actions
 Legal scope of practice is defined by govt, not professional orgs
Term
Nurse practice acts evolved as licensure laws were enacted. Their purpose is to:
Definition
 Define nursing
 Stipulate the qualifications to practice nursing
 Outline the methods of obtaining licensure
 License renewal
 Interstate endorsement or reciprocity
 Establish and maintain rules and regs of nursing
 Delineate unlawful acts, misconduct, or disciplinary actions
 Legal scope of practice is defined by govt, not professional orgs
Term
Agency for Healthcare Research and Quality (AHRQ) research focus areas:
Definition
 Efficiency: translating research into practice to increase access and to decrease costs
 Effectiveness: improved health outcomes by using evidence to make informed healthcare decision costs
Term
The SBNs are considered regulatory powers because they provide the SBN with control over nurses according to rule, principle, or law. By legislative act, all SBNs have the power to:
Definition
 Grant licensure
 Approve nursing programs
 Establish standards for nursing schools
 Write specific regs for nurses and nursing practice in gen’l in that state
 They do not:
 develop policies on nursing procedures for a health care facility
 regulate safety in health care settings
Term
The four competencies that the NLN expects of RN graduates
Definition
 Human flourishing
 Nursing judgement
 Professional ID
 Spirit of inquiry
Term
The Quality and Safety Education for Nurses (QSEN) competency on QI deals with:
Definition
 Information mgmt
 Application of pt-care tech
Term
Nurse Navigator
Definition
 Is usually focused on one specialty area
 Works with pts and families on complex health care issues
 Serves as a pt/family advocate to eliminate barriers to and provide guidance on navigating the maze of txt
 After referral from a health care provider, the nurse navigator contacts the pt and develops an individualized plan of care designed to help the pt progress more easily through txt
 The NN is available for help 24/7 and is concerned with providing the pt a sense of empowerment, and helping to alleviate pt anxiety and depression during txt
 The NN may arrange transportation, assist with ins and other forms, provide written summaries of care, give instructions for self-care, and answer questions about side effects of meds
Term
Seven major Nursing responsibilities
Definition
 Modeling and value nursing
 Professional growth
 Standards of nursing practice
 Nursing research
 Professional stewardship and the advancement of nursing
 Pt advocacy
 Legal and ethical practice
Term
The NLN, Council of RN, Educational competencies for graduates of associate degree nursing program
Definition
 Professional behavior
 Communication
 Assessment
 Clinical decision making
 Caring intervention
 Teaching and learning
 Collaboration
 Managing care
Term
IOM Core Competencies
Definition
 Provide pt-centered care
 Work in interdisciplinary teams
 Employ EBP
 Apply QI
 Utilize informatics
Term
The three learning domains:
Definition
 Psychomotor – focuses on manipulative skills
 Cognitive – knowledge is acquired
 Affective – involves values and attitudes
Term
Quality and Safety Education for Nurses (QSEN) competencies that RN students are expected to demonstrate upon graduation
Definition
 Pt-centered care
 QI
 EBP
Term
Quality and Safety Education for Nurses (QSEN) competencies that RN students are expected to demonstrate upon graduation
Definition
 Pt-centered care
 QI
 EBP
Term
The three primary reasons for growth in the nurse coder role are:
Definition
 The coming change from ICD-9 to ICD-10
 Aging of the population
 Increased use of advanced electronic technology
Term
The primary purpose of an Ethics Committee is:
Definition
 To help in the resolution of complex ethical dilemmas
 Provide educational programs on ethical principles for staff members
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