Term
| Cognitive Skills rely on what? |
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Definition
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Term
| Technical Skills refer to knowledge of: |
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Definition
machines, processes, etc.
refer to those actions and duties nurses perform specific to the profession, such as calculating drug dosages, medication administration, nasogastric tube insertion and urinary catheterization.
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Term
| Interpersonal Skills rely on: |
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Definition
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Term
| Examples of Ethical and Legal Skills |
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Definition
“If you see it, your responsible to act accordingly”
“keeping personal info personal”
“doing the right thing”
Holding one's self accountable for safe and quality practice
holding one’s self accountable for safe & quality practice
. holding one’s self accountable for safe & quality practic
“If you see it, your responsible to act accordingly” & “keeping personal info personal” “doing the right thing”
e
. holding one’s self accountable for safe & quality practice
. holding one’s self accountable for safe & quality practice |
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Term
| Florence Nightingale's known to have founded: |
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Definition
Modern day nursing.
Florence Nightingale – followed wars. Did so because that’s where the trauma and disease was. |
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Term
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Definition
Nursing encompasses autonomous and collaborative care of clients. That care can extend to familis and communities. |
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Term
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Definition
Promotion of health
Prevention of illness
Care of ill, disabled, and dying people
Advocacy for clients |
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Term
| Roles of a Nurse Include: |
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Definition
Promoting Health
Preventing Illness
Restoring Health
Facilitating Coping w/ disability and death
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Term
| What makes nursing a Profession? |
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Definition
Well-defined body of specific and unique knowledge
Strong service orientation
Recognized authority by a professional group
Has a code of ethics
Professional organization that sets standards
Ongoing research
Autonomy - Taking initiative |
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Term
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Definition
Physiological Needs
Oxygen, water, food, temperature, elimination, sexuality, physical, activity, and rest |
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Term
Maslows Hierarchy
Level 2 |
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Definition
Safety and Security
Nurses protect from harm by:
Washing their hands, using sterile technique, using equipment properly, administering medications properly, etc.
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Term
Maslows Hierarchy
Level 3 |
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Definition
Love and Belonging
Understanding, acceptance, giving & receiving love, a feeling of belonging to family, friends, peers, community
How can nurses bolster love & belonging needs?
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Term
Maslows Hierarchy
Level 4 |
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Definition
Self-Esteem Needs
Factors that effect one’s self-esteem include role changes such as a new job, or a change in personal relationship.
Positive self-esteem fosters one’s confidence and independence.
How can nurses bolster client self-esteem?
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Term
Maslows Hierarchy
Level 5 |
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Definition
Self-Actualiztion Needs
This highest level involves individuals reaching full potential through development of their unique abilities, i.e.
Acceptance of self
Focus on issues other than one’s self
Ability to be objective
Nurses can focus on client strengths rather than problems.
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Term
The Nursing Process
5 Steps |
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Definition
Assessment
Nursing Diagnosis (es)
Planning
Implementation
Evaluation |
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Term
Nurse Theprist: Dorothea Orem
Describe her theory |
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Definition
Self-Care Deficit Nursing Theory
The client should do everything for themselves that they can and the nurse should help by doing what the client cannot do. |
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Term
Nurse Theorist Sr Callista Roy
Describe her theory |
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Definition
Roy Adaptation Theory
Adapting nursing care to specific client need
i.e. If a client cannot hear, teach the client to "sign." |
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Term
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Definition
| Systemaitc study of right and wrong conduct in situations that involve issues of values and morals |
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Term
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Definition
| Being Responsible for one's actions and accepting the consequences of one's behavior |
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Term
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Definition
The state of being responsible, which is able to answer for one's conduct and obligations. Being liable when called on to answer |
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Term
| Distinguish between Legal and Moral Obligations |
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Definition
Legal - Those that have become formal statements under the law
i.e. safe care
Moral - Those based on moral or ethical principles but not enforceable under the law
i.e. stopping to help an accident victim |
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Term
| What affects moral decisions? |
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Definition
Values
Reflected in how we think, behave,feel, and choose. |
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Term
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Definition
| Is a concern for the welfare of others |
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Term
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Definition
The right to self-delermination
(respecting the patients right to make decisions about their healthcare.) |
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Term
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Definition
| Respecting the worth and uniqueness of individuals and populations |
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Term
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Definition
| Acting in accordance with a code of ethics and accepted standards of practice |
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Term
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Definition
Upholding moral, leagal, and humanisitic principles. |
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Term
Which of the following values involves acting in accordance with an appropriate code of ethics and accepted standards of practice?
A. Altruism
B. Autonomy
C. Human dignity
D. Integrity
E. Social justice
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Definition
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Term
| What does a professional code of ethics provide? |
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Definition
| A framework for making ethical decisions and setting forth professional expectations |
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Term
| Is the nurses code of ethics negotiable? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Information is to be kept private |
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Term
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Definition
| To be faithful to one's agreements and responsibilities |
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Term
| Institutional Ethics Committee |
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Definition
A committee that works thorugh ethical issues in practice
Our ethical integrity is sometimes challenged b/c what we believe should be done is not being done. Esp: end of life and beginning of life issues. Nurses bring an importance voice to ethics committees and can and should make ethics consults if needed.
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Term
Primary functions of Ethic Committee
3 |
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Definition
Policy Developement
Education
Consultation |
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Term
Nurse's relationship to ethics committee
What do nurses bring to the ethics committee? |
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Definition
Nurses are there around the clock and know whats going on with the patient and can improve the quality of ethical decisions made in the health care setting
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Term
| 5 Steps of the Nursing Process |
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Definition
Assess the situation (gather data)
Diagnose (identiy) the ethical problem
Plan
Implement your decision
Evaluate your decision |
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Term
Nurse Practice Act
What is its purpose? |
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Definition
nDefines the authority of the board of nursing
nDefines nursing and scope of practice
nIdentifies types of licenses and titles
nStates the requirements for licensure
nProtects titles
nIdentifies the grounds for disciplinary action
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Term
The state nurse practice act is the most important law affecting nursing practice.
A. True
B. False
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Definition
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Term
Nurse Practice Acts
Who makes them and what do they do? |
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Definition
Each state legally defines and describes te scope of nursing practice. They protect the nurse's professional capacity and legally controll nursing practice through licensing. |
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Term
When is it acceptable to go above and beyond your states nurse practice acts when caring for a patient?
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Definition
Nurses are expected to care for pt’s within the defined practice limits. And going beyond that is a violation
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Term
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Definition
| The degree of care that a reasonably prudent person should excercise under the same or similar circumstances. |
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Term
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Definition
Reprimand: "slap on the wriste
Suspension: License suspended for a period of time
Revocation: Removal of License |
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Term
Tort Law
What is a tort and what is tort law? |
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Definition
Tort - A civil worng committed against a person or a persons property
Tort Law - An area of civil law that encompasses negligence, personal injury, and medical malpractice claims. |
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Term
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Definition
Unintentional
Intentional
Quasi-Intentional |
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Term
Intentional Torts
Examples: |
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Definition
Assault
Battery
Defamation of character
Fraud
Invasion of Privacy
False Imprisonment |
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Term
| Example of Unintentional Torts |
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Definition
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Term
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Definition
| Failure to act as "reasonable man" would do in similar circumstances |
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Term
| Malpractice is a result of/ mat include: |
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Definition
Misconduct
Negligence
Failure to properly perform duties according to professional standards of care |
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Term
Failure to assess and diagnose – observing and interpreting symptoms
Ex. Failure to identify and ensure client safety especially falls
Failure to perform admission assessment
Failure to make ongoing assessments
Failure to listen to and act on patient’s complaints
All are examples of what? |
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Definition
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Term
| 5 Steps to PREVENT MALPRACTICE |
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Definition
Self Awareness
Adapting proposed assignments
Following policies and procedures
Changing policies and procedures
Documentation |
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Term
| Personal, Employer, and Supervisory are examples of what? |
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Definition
| Liability - Any legally enforceable obligation |
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Term
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Definition
| An agreement by the client to accept a course of treatment or a procedure after complete information, including facts and risks, has been provided. |
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Term
| Ethical Nursing involves advocating for clients by doing what? |
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Definition
| answering questions, arranging for more information, and/or accommodating the need for time to adjust to the implications of the information |
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Term
| An assent is an agreement made with whom and what does it mean? |
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Definition
| Made with children or adolescents and means that they have been informed about what is going to happen during treatment |
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Term
| Once a consent form is signed, the burden of proof falls to who in legal action against a hospital or nurse |
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Definition
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Term
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Definition
| US Department of Health and Human Services |
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Term
| When in doubt, question what/who? |
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Definition
| Physicians order/Physician |
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Term
| What is your #1 protection from legal action? |
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Definition
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Term
| Common locations of pressure ulcers |
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Definition
| Elbow, Inner Knees, Back of Head and ears, Shoulders, Lower back and buttocks, Heels |
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Term
| A shearing force occurs when: |
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Definition
| One layer of tissue slides over another |
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Term
| Risk Factors for Pressure Ulcers |
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Definition
Immobility
Nutrition and Hydration
Moisture
Mental Status
Age
Health Status |
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Term
| Immobility can be seen in a patient which is: |
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Definition
Unconscious
Sedated
Paralysis |
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Term
Protein is necessary for cells to:
Measured by: |
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Definition
Function properly
Albumin Levels |
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Term
| What results for capillaries when a vitamin c deficiency is present? |
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Definition
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Term
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Definition
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Term
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Definition
| Necessary for granulation tissue formation (new tissue formed in wound) |
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Term
| Dehydration interferes with_____ |
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Definition
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Term
| What happens to the skin of a patient when wet or soiled? |
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Definition
| Becomes soft and susceptible to growing bacteria |
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Term
| Dehydration and malnourishment is most common among which type of patient? |
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Definition
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Term
| Can a previous stage 4 pressure ulcer heal into a stage 3? |
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Definition
| No! They can only become healing stage ____. |
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Term
| Non-Blanchable pressure ulcer is a stage _____. |
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Definition
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Term
| Pressure ulcer with only the top two skin layers broken is a stage _____. |
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Definition
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Term
| Treatment of a stage 1 pressure ulcer. |
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Definition
| No massaging, dressings, turn q2h. |
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Term
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Definition
Hydrocolliod - a foamy wafer that provides a moist environment. Helps keep the skin as moist as it would be if the would were not there.
Transparent film - plastic clear bandage.
Too mush or too little moisture and the wound won't heal |
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Term
| Pressure ulcer stage that enters the subcutaneous tissue. |
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Definition
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Term
| Treatment of Stage Three Pressure Ulcer |
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Definition
Wet to Wet or Wet to dry packing
Protyolytic eats decaying tissue |
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Term
| Pressure ulcer stage that enter muscular layer and possibly exposes bone. |
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Definition
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Term
| A Wound that is RED signifies that the wound is: |
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Definition
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Term
| Yellow soft stringy substance in a wound is known as ____ |
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Definition
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Term
| Black Substance in wounds: |
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Definition
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Term
| If you can't see the tissue beneath the slough or black necrotic tissue than the stage to document is: |
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Definition
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Term
| Bumpy healthy tissue in a wound is |
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Definition
| Granulation (requires Zinc) |
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Term
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Definition
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Term
| Normal albumin level (adult) |
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Definition
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Term
| Normal Hemoglobin (adult) male and female |
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Definition
Hgb - Adult male: 13.2 - 17.3
Hgb - Adult female: 11.7 - 15.5 |
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Term
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Definition
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Term
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Definition
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Term
| Braden Scale is a scale that measures: |
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Definition
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Term
| A Low score on the Braden Scale means a greater or decreased risk of getting a pressure ulcer? |
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Definition
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Term
| What is Critical Thinking? |
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Definition
| Critical thinking is the identification and evaluation of evidence to guide decision making. |
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Term
| The ability to think in a systematic and logical manner is known as? |
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Definition
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Term
| 5 Steps of the Nursing Process |
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Definition
Assessment
Nursing Diagnosis (es)
Planning
Implementation
Evaluation |
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Term
| An orderly, logical approach to administering nursing care so that the client’s needs for such care are met comprehensively and effectively is known as? THE _________ _________ |
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Definition
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Term
| True or false : Pneumonia is a nursing diagnoses? |
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Definition
| False. That is a medical Diagnoses. |
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Term
Pain r/t persistent cough aeb complaint.
This is an example of a/an __________ |
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Definition
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Term
| During the planning phase of the nursing process, a nurse works with who? |
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Definition
| Other care providers, client, and clients family. |
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Term
| Establishing Priorities occurs in which phase of the nursing process? |
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Definition
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Term
Nursing Diagnoses Outcomes must be
Subjective or Objective? |
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Definition
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Term
| Definition of Critical Thinking: |
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Definition
| The identification and evaluation of evidence to guide decision making. |
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Term
| Here is an example of putting Critical Thinking to use! Flip Card! |
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Definition
| If giving a diuretic the urine will volume will increase and the potassium goes out with the urine. The Heart requires potassium to beat. SOOO it would be smart to add potassium. |
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Term
WHAT IS BEING DESCRIBED???
Is Rational
Involves Conceptualization
Requires Reflection
Involves Creative Thinking
Requires both Basic and Advanced Nursing Knowledge
Is both a Process and an Outcome |
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Definition
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Term
Initial Planning
On-going Planning
Discharge Planning
All of the above comprise which type of planning? |
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Definition
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Term
| When does chart planning begin for a patient? |
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Definition
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Term
| A _____ is the sequence of events in a process that takes the greatest length of time. |
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Definition
Critical Pathway
Could be for illnesses, procedures or conditions |
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Term
| This is an example of a _____.[image] |
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Definition
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Term
_____ is an instructional strategy that requires learners to identify, graphically display and link key concepts |
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Definition
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Term
| _____ is the carrying out of the planning done during the nursing process. |
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Definition
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Term
Nursing Interventions:
Promote_______
Prevent_______
Restore_______
Facilitate______ |
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Definition
Promote health
Prevent illness & disease
Restore Health
Facilitate coping with altering functioning |
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Term
| Any treatment, based on clinical judgment and knowledge, that a nurse performs to enhance client outcomes is known as ________. |
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Definition
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Term
| All nursing action requires ______. |
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Definition
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Term
Just a note:
Everything that your doing, your prioritizing. Getting things in order. |
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Definition
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Term
These skills are all blended to from what type of thinking method?
Cognitive Skills
Technical Skills
Interpersonal Skills
Ethical/Legal Skills |
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Definition
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Term
Main focus of critical Thinking is on which type of skill?
Cognitive Skill
Technical Skill
Interpersonal Skill
Ethical/Legal Skill |
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Definition
Cognitive Skills
Cognitive skills are any mental skills that are used in the process of acquiring knowledge; these skills include reasoning, perception, and intuition |
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Term
| Example of a nursing process. Flip Card. |
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Definition
| Assess- patient is anxious Diagnosis – anxiety related to death in family Nursing Diagnosis “The What” Related to “The Why” As evidenced by “How do you know” Outcome – “Goal” and planning . How can we do this? Needs have Objective Data. Include TIME!!! Implementing- Allow to patient to talk about his problem or possibly teach stress coping techniques Evaluating – Did my implementations/patient meet my outcome |
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Term
| Objective vs. Subjective Data |
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Definition
| Objective Data – Data that can be measured Subjective Data – Data that is opinionated “I’m in pain” |
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Term
These Skills:
Promote dignity and respect
All components of the Helping Relationship
Mutuality |
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Definition
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Term
| Taking responsibility and accountability for your actions falls under which kind of skills? |
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Definition
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Term
Factors Affecting Thinking
Self efficacy - what is it? |
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Definition
| Self Efficacy is knowing that you have the ability to do it. |
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Term
Factors Affecting Thinking
Anxiety - is an uneasy feeling
Intellectual Development - Not sure.
Self Efficacy |
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Definition
| Sorry not sure about the intellectual development. Don't know how this affects thinking. |
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