NURSING FINAL

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jazzyd271
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188928
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NURSING FINAL
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2012-12-13 00:27:21
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fRESHAMN NURSING STUDENT
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Nursing final
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  1. Who is the founder of Nursing?
    What are her contributions to nursing?
    What was her reform?
    • žFlorence Nightingale
    • Major Contributions:
    •       Establishment of nursing as a distinct profession
    •       Liberaleducation for nurse
    • Major reform on:
    •      How care was delivered
    •      Healthcare in the military
    •      Introduction of standards – prevent spread of disease
  2. Who are the pioneers in nursing?
    žLillian Wald (1867-1940) & Mary Brewster
  3. Who is Clara Barton?
    • žShe organized her own nursing effortsž
    • Did not discriminatež
    • Continued universal care through the American Red Cross
  4. Name of the roles of nursing today?
    • žDirect care providerž
    • Communicatorž
    • Client/family educator
    • žClient advocate
    • žCounselorž
    • Change agent
    • ž
  5. What is the intellectual side to nursing?
    • žClinical Judgment:
    •      Observing and Evaluationž
    • Critical Thinking – is a reflective thinking process that includes:
    •      Collecting of information
    •      Analyzing
    • Problem Solving
  6. What does ICN stand for?
    • International Council of Nurses (1973)
    • “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge”
  7. What does ANA stand for?
    • American Nurses Association
    • “The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations”
  8. What are nurse practice acts?
    žLaws which regulate nursing practice. Each state enacts its own nurse practice act.
  9. What is the purpose of Nursing Care?
    • žHealth Promotionž
    • Illness Preventionž
    • Health Restoration
    • žEnd-of-Life Care
  10. What are the types of Nursing knowledge?
    • žTheoretical knowledge
    • žPractical knowledge
    • žSelf-knowledge
  11. What is the typical nurse process?
    • žAssessment
    • žDiagnosisž
    • Planningž
    • Planning outcomes
    • žPlanning interventions
    • žImplementationž
    • Evaluation
  12. How to talk to a patient?
    • —Sit at same level —
    • Sit leaning slightly forward
    • —Try not to cross your arms or legs but especially your arms—
    • Maintain eye contact
    • Smile to acknowledge the other person—
    • Relax and listen
  13. How do you use YOU effectively? Therapeutic Relationships
    • žRespectž
    • Genuineness
    • žEmpathy
    • žActive listening
    • žTrustž
    • Confidentiality
  14. What is empathy?
    žThe intellectual understanding of the emotional state of another person
  15. What are the nursing roles?
    • žStranger role
    • žResource role
    • žTeaching rolež
    • Counseling role
    • žSurrogate role
    • žActive leadership rolež
    • Technical expert role
  16. What is the stranger role?
    žReceives the client the same way one meets a stranger in other life situations
  17. What is the resource role?
    žAnswers questions
  18. What is the teaching role?
    • žExplains illness and treatment regimensž
    • Gives instructions
  19. What is the counseling role?
    žHelps client understand and integrate the meaning of current life circumstances
  20. What is the surrogate role?
    žHelps client clarify domains of dependence, interdependence, and independence
  21. What are the phases of nurse-patient relationships?
    • •Orientation
    • •Identification
    • •Exploitation
    • •Termination
  22. What is health promotion?
    • Health teaching
    • General
  23. What is 1st prevention? (Primary Prevention)
    • Prevent a specific disease from occuring
    • Immunizations
    • Use of specific nutrients or supplements
    • Protection against safety hazards
    • Food and drug safety
    • Control of environmental hazards
  24. What is second Prevention?
    If already have disease, detect problems early and stops progression

    • Getting a regular checkup
    • Treatment promptly
    • Cpr
    • Screening
  25. What is third prevention? (Tertiary Prevention)
    • When disease is progressed beyond early stages
    • Rehab
    • Chronic Illness
    • Support groups
  26. What are the determinants of health?
    • Behavior -40%
    • Genetic Predispositon-28%
    • Social Circumstances-15%
    • Medical-10%
    • Enviornment-5%
    • Genetic Disease-2%
  27. What are the Health Promotion models?
    • Pender’s Health Promotion Model
    • Wheels of Wellness
    • Model of Change
    •      contemplation
    •      determination
    •      action
    •      maintenance
  28. What are the atges of Change?
    • 1.Precontemplation
    • 2.Contemplation
    • 3.Preparation
    • 4.Action
    • 5.Maintenance
    • 6.Termination
  29. The definition of Morals
    • Morals
    •    Private, personal, or group standards of right and wrong
    •    Moral behavior in accordance with custom
    •           reflects personal moral beliefs
  30. What is Ethics?
    • Ethics
    •      Systematic study of right and wrong conduct
    •      Formal process for making consistent moral decisions
  31. What is Deontologic?
    Deontologic- emphasize roles that one should fufill like confidentiality
  32. What is Utilitarian?
    Utilitarian- Good for all not just a small group of people
  33. What are the theoretical frameworks in ethics
    Utilitarian- Good for all not just a small group of people

    • Deontologic- emphasize roles that one should fufill
    • like confidentiality
  34. What is Justice?
    • •Justice- be fair   
    • spend equal time with each patient
  35. What is Nonmaleficence?
    •Nonmaleficence- duty to do no harm
  36. What is Beneficence?
    • •Beneficence- doing good    
    • getting meds and reporting child abuse
  37. What are the principle healthcare ethics?
    • •Beneficence- doing good
    •      getting meds and reporting child abuse
    • •Nonmaleficence- duty to do no harm
    • •Respect for autonomy- respect patients decision
    • •Justice- be fair
    •     spend equal time with each patient
  38. What is Confidentiality?
    • •Confidentiality- respecting patients information
    • Not talking about patients
    • Turning off computer before leaving it
  39. What is Privacy?
    • •Privacy- being private    
    • pulling curtain close
  40. What is Fidelity?
    • •Fidelity- being truthful    
    • Saying you will come back when you say you will
  41. What is Veracity?
    •Veracity- tell the truth
  42. What are the Patient-client relationships?
    • •Veracity- tell the truth
    • •Fidelity- being truthful
    •      saying you will come back when you say you will
    • •Privacy- being private
    •      pulling curtain close
    • •Confidentiality
  43. Provision one:
    • The nurse in all professional relationships, practices with      
    •      compassion and respect for the inherent dignity
    •      worth
    •      uniqueness of every individual,
  44. Provision two:
    The nurse’s primary commitment is to the patient, whether an individual, family, group, or community.
  45. Provision three:
    Thenurse promotes, advocates for, and strives to protect the health, safety, andrights of the patient
  46. Povision four:
    The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse obligation to provide optimum patient care.
  47. Provision five:
    The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.
  48. Provision six:
    The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.
  49. Provision seven:
    The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
  50. Provision eigtht
    The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health care needs.
  51. Provision nine
    The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.
  52. Nursing responsibilites in medical administrating
    • •Interpret order
    • •Prepare exact dosage of prescribed drug
    • •Identify the patient
    • •Administer dosage by prescribed route at prescribed time intervals
  53. Sevens parts of drug order
    • •Patient name
    • •Name of drug
    • •Dosage
    • •Route of administration
    • •Frequency, time, and special instructions
    • •Date and time of order
    • •Signature and licensure of person writing the order
  54. Six rights of meciation Administration
    • •Right patient
    • •Right drug
    • •Right amount
    • •Right route
    • •Right time
    • •Right documentation
  55. What are the drug names?
    •Brand, trade, proprietary –Manufacturer’s name for an original drug–Only the original manufacturer of a drug can use this name.

    •Generic–Established name for a drug that can be used by other manufacturers who produce the drug after the original license for the drug expires
  56. Rules of metric notation:
    which is right? .5 or 0.5
    0.5
  57. Measurements:
    tsp-> ml
    T-> tsp
    T-> ml
    oz-> ml
    cup-> oz
    cup->ml
    lb-> oz
    • 1   tsp = 5 mL
    • 1   T = 3 tsp = 15 mL
    • 1   oz = 30 mL
    • 1   cup = 8 oz = 240 mL
    • 1   lb = 16 oz
  58. fl oz-> ml
    1 fl oz= 30 mL
  59. Drug order formula
    • D/H x Q
    • deserved /have x quanity

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