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39 Cards in this Set
- Front
- Back
Nurses
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Social policy
Responds to needs of clients Respond and adapt to challenges |
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Florence Nightingale
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First nursing theory. Clean up equals better patient outcome.
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Who brought forth awareness of cultural diversity in nursing
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Mary Mahoney
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Nursing practice
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Occurs in multiple care settings
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Nursing Code of Ethics
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Defines the principles by which nurses' provide care to their clients
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Consumer Needs
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diff care to diff cultures
most of healthcare changes are based on consumer requests |
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Evidence-based practice
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don't just believe what you hear
A problem-solving approach to clinical practice based on best practices |
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Standards of Practice
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1. Assessment
2. Diagnosis 3. Outcomes identification 4. Planning 5. Implementation 6. Evaluation |
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An 18-year-old woman is in the emergency department with fever and cough. The physician asks the nurse to measure vital signs, auscultate lung sounds, listen to heart sounds, determine the level of comfort, and collect blood and sputum samples for analysis. The nurse is performing what aspect of practice?
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Assessing
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The examination for the registered nurse (RN) licensure
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Provides a minimum standard of knowledge
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Clinical decision maker
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A nurse who uses critical thinking in the decision-making process to provide effective quality care to individuals
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The licensure and practice of nursing is regulated by:
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The Nursing Practice Act
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National League for Nursing
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was created to address concerns of members in the nursing profession
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Contemporary Nursing
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Autonomy and accountability
Advocacy Provision of bedside care Health promotion and illness prevention |
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Professional Roles
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caregiver
advocate manager educator communicator |
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Preventative and Primary
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Stresses health promotion
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Secondary and Tertiary
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diagnoses and treats diseases
hospitals subacute care rural hospitals ICUs |
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Restorative/Rehabilitation
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helps pt regain maximal function possible
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Continuing
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for people who are disabled, terminal disesase, etc
within institutional settings or in home |
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Home Care
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coordination of services and equipment for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliative care, and rehabilitation
focuses on client and family independence |
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Nursing Centers or Facilities
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24-hour intermediate care
regulated by standards |
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Assisted Living
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long term care setting w a home environment and greater resident autonomy
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Respite
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short term relief for persons providing home care to an ill, disabled, or frail older adult
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Adult Day Care
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services for those in need of daily physical rehab, counseling for emotional, drug, alcohol addiction
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Hospice
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<6 months to live
family-centered care allows clients to live and remain at home focuses on comfort, independence, and dignity provides support during terminal phase and time of death |
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Theory
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explains a phenomenon
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Case Management
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multidisciplinary care model used to move clients efficiently from admission to discharge
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Nursing's paradigm includes:
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The person, health, environment/situation, and nursing
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prescriptive theories
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reflect practice and address specific phenomena.
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Each science has a domain, which is the perspective of the discipline. This domain:
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Describes the subject, central concepts, values and beliefs, phenomena of interest, and central problems of the discipline
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A theory is a set of concepts, definitions, relationships, and assumptions or propositions to explain a phenomenon. The purposes of the components of a theory are to:
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Describe, explain, predict, and/or prescribe interrelationships among the concepts that define the phenomenon
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The type of theory that tests the validity and predictability of nursing interventions is:
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A prescriptive theory
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Mishel's theory of uncertainty in illness focuses on the experience of clients with cancer who live with continual uncertainty. The theory provides a basis for nurses to assist clients in appraising and adapting to the uncertainty and illness response and can be described as:
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A middle-range theory
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The nursing paradigm identifies four linkages of interest to the nursing profession. These four linkages are:
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The person, health, environment/situation, and nursing
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An open system:
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Interacts with the environment by exchanging information
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The nursing theory that emphasizes the delivery of nursing care for the whole person to meet the physical, emotional, intellectual, social, and spiritual needs of the client and family is:
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Abdellah's theory
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A nurse hears a colleague tell a student nurse that it is best not to touch the clients unless performing a procedure or an assessment. Why is this not the best practice?
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Touch forms a connection between nurse and client.
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A client is fearful of upcoming surgery and a possible cancer diagnosis. The client has discussed a love of the Bible with the nurse, who then recommends a favorite Bible verse. The nurse is reprimanded and told that there is no place in nursing for spiritual caring. Which of the following would be an appropriate response?
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"Spiritual, mind, and body connections can affect health."
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Family members make the following comments about the nursing care being received. Which one should be investigated further?
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"The night nurse tells us to wait and ask the doctor the questions we have."
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