Nursing 101 Exam 1

Card Set Information

Nursing 101 Exam 1
2013-08-26 00:11:05
Nursing 101 Chapters 10 11 12 13 14

Nursing 101 Exam Questions
Show Answers:

  1. How has society influenced the history of nursing?
    Early nurses were looked at as criminals. Late 1900 the nurse was looked at as an angel. After WWI many advancements in inflectional control were introduced.
  2. What is meant by the phrase "the scope of nursing"?
    • Healthy Choices (involved c community programs to promote health & wellness
    • Prevent Illness by preventing disease
    • Restore Health (direct care, dx activities, hcp consults)
    • Care of the dying (home, hospice)
  3. What is the purpose of Nurse Practice Act?
    • NPA regulates the practice of a nurse in US and Canada.
    • "To Protect The Public"
  4. Identify the Roles of a nurse.
    Caregiver, Communicator, Teacher, Client Advocate, Counselor, Change Agent, Leader, Manager, Case Manager, Research Consumer, Expand Career Roles
  5. What are professional Boundaries?
    Acting in the best interest of client, respect their dignity. Knowing what to say and how to act with each client
  6. Violations of Personal Boundaries
    excessive personal disclosure, Secrecy, Reversal of roles, Sexual Misconduct, Breach of Trust. Anything that results in client distress
  7. What are some factors that influence nursing?
    • Economics
    • Consumer Demands
    • Family Structure
    • Science/Technology
    • Information/Telecommunication
    • Legislation
    • Demography
  8. What is the purpose of the nursing code of ethics?
    Inform the public of minimum standards. Provide a sign of the profession's commitment to public it serves. Outline the major ethical considerations. Guide the profession is self regulation. Remind nurses of the special responsibility they assume
  9. Define values clarification. Behaviors that may indicate unclear values.
    • ignoring HCP advice
    • Inconsistent communication or behavior
    • Numerous admissions for the same thing
    • confusion or uncertainty about course of action to take
  10. How can the nurse clarify his/her own values?
    Nurse will need to reflect on the values they hold about their personal and professional life.
  11. Know essential nursing values and behaviors.
    • Altruism
    • Autonomy
    • Human Dignity
    • Integrity
    • Social Justice
  12. Altruism
    the concern for the welfare and wellbeing of others.
  13. Autonomy
    • the right of self-determination
    • (the nurse must respect the clients right to make their own decisions about healthcare)
  14. Human Dignity
    the respect for the inherent worth of and uniqueness of individuals and populations (A nurse must respect the values of the clients and colleagues)
  15. Integrity
    acting in accordance with an appropriate code of ethics and accepted standards of practice (honest and care based)
  16. Social Justice
    acting in accordance with fait treatment regardless of economic status, race ethnicity, age, religion, disability or sexual orientation
  17. Know the moral principles associated with nursing and the code of nursing ethics.
    • Autonomy
    • Nonmaleficence
    • Beneficence
    • Justice
    • Fidelity
    • Veracity
    • Accountability
    • Responsibility
  18. Responsibility
    the specific accountability or liability associated with the performance of duties of a practice role
  19. Accountability
    answerable to oneself and others for ones own actions
  20. Veracity
    Telling The Truth
  21. Fidelity
    Faithful to Promise or Agreement
  22. Justice
  23. Beneficence
    Doing Good
  24. Nonmaleficence
    Do No Harm
  25. Autonomy
    One's Own Decision
  26. What is an Advocate?
    Someone who expresses and defends the cause of another
  27. What are advocacy Roles.
    • Inform Client of their rights
    • Support Clients Decision
    • Remain Objective
    • Intervene on clients behalf, often by influencing others
  28. Why do nurses need to practice critical thinking skills?
    Clinically thinking nurses use clinical reasoning and clinical decision making to practice safe and effective nursing. They need CT to be safe, competent, skillful practioners
  29. What are critical thinking skills?
    • Socratic
    • Inductive Reasoning
    • Deductive Reasoning
    • Critical Analysis
  30. Socratic
    technique of questioning to look beneath the surface (questioning oneself)
  31. Inductive Reasoning
    Interpret Facts and form generalizations
  32. Deductive Reasoning
    Use generalized ideas, identify the facts
  33. Critical Analysis
    Question Oneself (Socratic Method)
  34. Identify Critical Thinking Attitudes
    • Self Aware
    • Accepts Holistic Approach
    • Fair and Open minded
    • Intellectual Courage
    • Confident and Resilient(sensitive to diversity)
    • Courageous, flexible improvement oriented
  35. What are ways a nurse problem solves?
    • Trial and Error
    • Intuition
    • Research Process
  36. Be able to identify Attitudes that Foster CT in a professional nurse.
    • Independence
    • Fair-Mindedness
    • Intellectual Humility(aware of limit of knowledge)
    • Intellectual Courage (willing to consider and examine ones own ideas or views)
    • Integrity
    • Perseverance (try and try again)
    • Confidence
    • Curiosity
  37. what is "s" subjective data?
    What a client tells you (symptoms, feelings, perception of personal health)
  38. What is "o" objective Data?
    Data the nurse can measure, see or verify.
  39. What is a primary source of data?
    Data that client gives themselves
  40. What is secondary data?
    Data that comes from family members or medical records
  41. What is the primary reason for interviewing?
    to get information and set a rapport with the client
  42. What types of interviewing techniques can be used to collect data?
    • Directive
    • Nondirective
  43. What type of data is collected with Directive Interviewing?
    highly structured ran by the nurse to get specific information (Triage)
  44. What is nondirective interviewing? What Data is collected?
    Open ended questioning that allows the patient to talk. "Builds Rapport"
  45. Identify sources of client data.
    Medical Records, Physical Exam, Lab reports, Documentation from other HCP
  46. What is a FACT?
    Something known to be true
  47. Inferences
    the nurse's interpretation or conclusion made based on the cues.
  48. Cues
    subjective or objective data that can be directly observed by the nurse (what client says or what nurse can see)
  49. Why does the nurse validate the client's assessment data?
    Ensure data is complete, Obtain any info that was missed, Differentiate between cues and inferences, Avoid jumping to conclusion & focusing on the wrong direction
  50. What are the Phases of the nursing process?
    • Assessing
    • Diagnosing
    • Planning
    • Implementing
    • Evaluating
  51. How does each phase influence the other?
    each phase depends on the accuracy of the other phases
  52. The difference between Nursing process and Medical Process
    • Nursing Dx is the statement of nursing judgments, refers to a condition
    • Medical Dx refers to disease
  53. What are the sources of data collection?
    • Primary-client Secondary-Family, friends, medical records
    • Observation, Assessment, Interviewing,
  54. What is a goal?
    something that the client and hcp work towards
  55. what is the difference between Goals and Desired Outcomes?
    • goals are broad-improve nutritional status
    • desired outcomes more narrow-client to gain 5lbs before April 25
  56. What is the priority setting criteria?
    • client's health
    • clients priorities
    • resources available to the nurse and client
    • urgency of the health problem
    • medical treatment plan
  57. How are goals prioritized?
    • Priority Setting
    • Most important first
  58. When does the evaluation phase occur?
  59. What is the purpose of the evaluation phase?
    To see if the desired outcome was met. Was the potential problem prevented? Does the care plan need revised?
  60. What is conceptual model or conceptual framework?
    • a model that organizes assessment data. A framework for health history to help see problems.
    • ADPIE a systematic way to assess your client
  61. What are the four sources of Law?
    • Constitutional
    • Legislation
    • Administrative
    • Common Law
  62. How do sources of law relate to the Nurse Practice Act?
    NPA originates from Legislation, enforced by administrative law
  63. Where is law created?
  64. Where is the lae enforced
  65. What is the purpose of the Nurse Practice Act?
    NPA is designed to protect the public by defining nursing practice
  66. How are standards of care used?
    • internal and external job standards.
    • internal- job desc, education, expertise, and policies
    • external- NPA, specialty practice organizations, federal guidelines
  67. What are Standards of Care?
    skills and knowledge based by professional members. Protects consumers. Are legal guidelines for nursing practice. Evaluates quality of nursing care
  68. What is informed consent?
    • agreement by a client to accept a course of treatment or procedure.
    • after being proved with complete info regarding benefits and risks
  69. What are the 3 major elements that have to be satisfied before informed consent can be considered legal?
    • Client must give consent of their own free will
    • Client must have mental capacity & be competent to understand
    • Client must be given enough info to make educated decision
  70. Know the nurses responsibility regarding delegation of tasks
    making sure the delegated task is given to a qualified person and making sure task is completed
  71. What is the nurses responsibility regarding abuse/neglect and unprofessional conduct?
    Nurse are mandated to report. they are legally required to report any situation to appropriate authorities
  72. Negligence
    places client in unsafe position, committed when a nurse conducts their practice below standards
  73. Gross Negligence
    Extreme lack of knowledge, skill or decision-making that a nurse should have but did not display
  74. Malpractice
    professional negligence that occurs while a person is performing as a professional.
  75. what are the six elements of malpractice?
    • Duty
    • breach of duty
    • foreseeability
    • causation
    • harm or injury
    • damages
  76. The impaired nurse
    If you now that a nurse is working under the influence of drug alcohol or mental issue you have to report it to protect clients, coworkers and the impaired nurse
  77. The Americans with Disabilities Act
    Prevents discrimination against persons with disability
  78. HIPPA
    • Health Information Privacy laws
    • Laws that prevent people from sharing your personal information
  79. Whistle Blower
    Prevents retaliation to an employee if they report unsafe working conditions
  80. Good Samaritan  Act
    laws designed to protect HCP who provide assistance outside of their workplace.
  81. How can a nurse reduce their chance of liability?
    Provide competent care. Be familiar with various job descriptions, make sure education id adequate for the position