Foundations: Module 1 - Evolution of Nursing
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Questions and Answers

What is the primary purpose of the nursing diagnosis in the nursing process?

  • To create a plan based on subjective data
  • To describe patient need or response to health condition (correct)
  • To evaluate the effectiveness of the intervention
  • To monitor the patient's vital signs

    • Which of the following is NOT one of the 7 Ethical Principles in Nursing?

  • Discretion (correct)
  • Fidelity
  • Autonomy
  • Accountability

    • In the nursing process, when should planning occur?

  • After the evaluation step
  • Only after all interventions are completed
  • Before the diagnosis is made
  • Simultaneously with the assessment step (correct)

    • Which type of nursing diagnosis reflects an actual problem identified in the patient?

    <p>Problem-Focused Diagnosis</p> Signup and view all the answers

    What is the correct order of the steps in the nursing process?

    <p>Assessment, Diagnosis, Planning, Intervention, Evaluation</p> Signup and view all the answers

    Which defining characteristic is consistent with a Problem-Focused Diagnosis?

    <p>Ineffective breathing pattern as evidenced by shortness of breath</p> Signup and view all the answers

    What aspect of the nursing process is primarily concerned with determining the success of the interventions?

    <p>Evaluation</p> Signup and view all the answers

    Which of the following describes a characteristic of risk-focused diagnosis?

    <p>Indicates potential problems to be addressed</p> Signup and view all the answers

    What was one of the significant contributions of Florence Nightingale in nursing care?

    <p>Improved care for soldiers</p> Signup and view all the answers

    Which aspect of nursing emphasizes the importance of client-centered care?

    <p>Providing goal-directed care</p> Signup and view all the answers

    How does the National League for Nursing (NLN) contribute to nursing education?

    <p>Maintaining universal standards for education</p> Signup and view all the answers

    What role does the state board play in nursing practice?

    <p>Enforce nursing practice rules</p> Signup and view all the answers

    What competencies do nurses need to ensure safe and effective care?

    <p>Critical thinking, communication, organization, leadership, advocacy, and technical skills</p> Signup and view all the answers

    What was a major focus of caring within the context of nursing as demonstrated by Clara Barton, Lillian Wald, and Lavinia Dock?

    <p>Advocating for community health</p> Signup and view all the answers

    How does ‘caring’ contribute to the overall role of a nurse?

    <p>It enhances patient outcomes and trust</p> Signup and view all the answers

    Which organization is responsible for establishing the scope of professional nursing practice?

    <p>American Nurses Association (ANA)</p> Signup and view all the answers

    Which of the following best describes a profession?

    <p>A recognized body of learning with specific skills</p> Signup and view all the answers

    What is the primary focus of nursing practice according to the ANA?

    <p>Individualized care and partnership with patients</p> Signup and view all the answers

    According to the ANA, nursing involves which of the following actions?

    <p>Prevention of illness and facilitation of healing</p> Signup and view all the answers

    Why is defining nursing important for students?

    <p>It helps them understand their responsibilities</p> Signup and view all the answers

    Which influential person is best known for advancing the profession of nursing?

    <p>Florence Nightingale</p> Signup and view all the answers

    What role does the nursing process play in nursing care?

    <p>To facilitate individualized care planning</p> Signup and view all the answers

    What does the ANA's definition of nursing emphasize about caring?

    <p>Caring is central to the practice of registered nurses</p> Signup and view all the answers

    What is a common public misunderstanding regarding nursing?

    <p>Nurses only follow doctors' orders</p> Signup and view all the answers

    Which communication style is associated with expressing needs directly without aggression?

    <p>Assertive</p> Signup and view all the answers

    What is ISBAR primarily used for in healthcare?

    <p>Effective communication</p> Signup and view all the answers

    Which of the following professionals is classified as unlicensed assistive personnel?

    <p>Home Health Aide</p> Signup and view all the answers

    What factor does NOT typically affect communication in healthcare environments?

    <p>Surgical procedures</p> Signup and view all the answers

    Which of the following best describes a 'never event' in healthcare?

    <p>A serious and preventable medical mistake</p> Signup and view all the answers

    Which communication method is most important for transferring patient care effectively?

    <p>Active Listening</p> Signup and view all the answers

    Which of the following is not one of the 2023 Patient Safety Goals?

    <p>Enhance patient meals</p> Signup and view all the answers

    What is the first physiological need that must be met according to Maslow's hierarchy?

    <p>Physiological needs</p> Signup and view all the answers

    What is the primary process involved in clinical judgment?

    <p>Recognizing and analyzing cues</p> Signup and view all the answers

    Which of the following is NOT one of the important qualities for nurses?

    <p>Technical expertise in IT</p> Signup and view all the answers

    Which degree programs lead to entry into nursing practice?

    <p>Diploma and BSN programs</p> Signup and view all the answers

    Which stage is NOT part of Patricia Benner's nursing theory model?

    <p>Intermediary</p> Signup and view all the answers

    What is a primary role of nurses within healthcare settings?

    <p>Client advocate</p> Signup and view all the answers

    What ethical principle refers to the duty to do no harm?

    <p>No Maleficence</p> Signup and view all the answers

    Which organization predominantly focuses on the continuous education of nurses?

    <p>The Nursing and Midwifery Council</p> Signup and view all the answers

    Which type of healthcare facility is characterized as offering long-term care?

    <p>Extended Care Facilities</p> Signup and view all the answers

    In nursing, what type of thinking is involved in generating solutions and evaluating outcomes?

    <p>Reflective thinking</p> Signup and view all the answers

    Which of the following best describes the role of a nurse leader or manager?

    <p>Guiding and managing teams in healthcare settings</p> Signup and view all the answers

    Study Notes

    Foundations: Module 1 - Evolution of Nursing

    • Nursing is a professional field that has been standardized, with ethical standards, special knowledge, and skills widely recognized.
    • A body of learning stems from research, education, and rigorous training, enabling professionals to apply their skills for the benefit of others.
    • The American Nurses Association (ANA) defines nursing as the diagnosis and treatment of human responses to actual and potential health problems. (1980)
    • Nursing practice is individualized, involving partnerships and caring, as central to the registered nurse (RN) role. (2010)
    • Nursing involves the protection, promotion, and optimization of health, preventing illness and injury, alleviating suffering, and advocating for individuals, families, groups, communities, and populations. (2015)

    Why Define Nursing?

    • Defining nursing helps the public understand its value.
    • Defining nursing helps differentiate nursing activities from those of medicine.
    • Defining nursing helps students understand expectations of them.

    Influential Persons in the Evolution of Nursing

    • Florence Nightingale
    • Dorothea Dix
    • Clara Barton
    • Lillian Wald
    • Mary Brewster
    • Edward Lyon
    • Lavinia Dock
    • Mary Mahoney

    Safe, Effective Nursing Care

    • Many individuals, like Clara Barton, Lillian Wald, and Lavinia Dock, contributed immensely to advancing nursing.
    • "Caring" remains essential to the nurse's role.
    • Importance of understanding how "caring" was demonstrated by influential nurses discussed.
    • Florence Nightingale’s contributions significantly improved patient outcomes through her focus on effective care of soldiers.

    Nursing Organizations

    • The American Nurses Association (ANA) is the official US organization for nurses.
    • The National League for Nursing (NLN) establishes universal standards for nursing education.
    • Nurse Practice Acts (state-specific) govern the practice of registered nurses (RNs).

    Nursing Today

    • Nurses are both competent and caring professionals.
    • Complex healthcare delivery requires critical thinking, communication, organization, leadership, advocacy, and technical skills to guarantee safe and effective patient care.

    Thinking Skills

    • Clinical judgment is a process of recognizing, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes related to patient care.
    • Critical thinking is a reflective process of collecting and analyzing information and considering possible actions.
    • Problem-solving involves finding satisfactory solutions to identified issues.

    Important Qualities for Nurses

    • Critical thinking skills
    • Caring and compassionate
    • Listening skills
    • Patience
    • Competence
    • Emotional stability
    • Physical stamina
    • Detail-oriented
    • Organizational skills
    • Speaking skills

    Entry Into Practice

    • Entry into nursing practice occurs through various levels of education, including diploma, Associate Degree (AD), Baccalaureate (BSN), RN-to-BSN, Master's, and Doctoral programs.
    • Continuing education is crucial for maintaining professional knowledge.

    Nursing Education

    • Many nursing education models exist, such as the 5 stages of the Benner model (Novice, Advanced Beginner, Competence, Proficient, Expert).

    Roles of the Nurse

    • Direct care provider and communicator
    • Client/family educator/counselor
    • Client advocate
    • Critical thinking skills
    • Detail-oriented
    • Caring and compassionate/patient
    • Competence
    • Change agent
    • Leader/manager/case manager
    • Research consumer
    • Team player
    • Knowledgeable
    • Listener

    Ethical Principles and Responsibilities of a Nurse

    • Advocacy
    • Responsibility
    • Accountability
    • Confidentiality
    • Ethical principles: Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, Veracity

    The 7 Ethical Principles in Nursing

    • Accountability
    • Justice
    • Nonmaleficence
    • Autonomy
    • Beneficence
    • Fidelity
    • Veracity

    The 6 Functions of Clinical Judgment

    • Recognize cues
    • Analyze cues
    • Prioritize hypotheses
    • Generate solutions
    • Take action
    • Evaluate outcomes

    The Nursing Process: ADPIE

    • Assessment data (subjective vs. objective)
    • Diagnosis (primary problem)
    • Planning (goals/outcomes)
    • Intervention (teaching/plan)
    • Evaluation (accomplishment of plan)

    Nursing Process Steps in Order (Example)

    • Assessing patient initially
    • Developing a nursing diagnosis
    • Creating a plan for intervention
    • Implementing intervention immediately
    • Monitoring patient and changing plan (as needed)

    Types of Nursing Diagnoses

    • Problem-focused, risk, health promotion, syndrome (e.g., Ineffective Breathing Pattern, Risk for Infection, Readiness for Enhanced Family Coping, Chronic Pain Syndrome)

    Nursing Diagnosis

    • Problem-focused: related to, as evidenced by (defining characteristics)
    • Risk focused: Risk for, as evidenced by (risk factors)

    Nursing Delegation Notes

    • 5 Rights of Delegation (Task, Circumstance, Person, Direction, Supervision)
    • Unlicensed Assistive Personnel (UAP) basic routine tasks
    • Licensed Practical Nurses (LPNs) scope of practice

    Interprofessional Teams

    • Various healthcare professionals work together to meet patient needs.

    Therapeutic Communication

    • Verbal communication between nurses and patients, other nurses, and interprofessional teams
    • Importance of non-verbal communication (facial expressions, body language)
    • Factors affecting communication: age, environment, gender, communication style

    Communicate (ISBAR)

    • Situation (relevant patient facts)
    • Background (medical history)
    • Assessment (current clinical status)
    • Recommendations (action plan)
    • Read-back (confirming information)

    Safety In Healthcare

    • Factors affecting safety in healthcare (e.g., error prevention, infection control, communication)
    • Reportable events (SRE)

    Maslow's Hierarchy of Needs

    • Physiological needs (basic needs)
    • Safety needs
    • Belonging/love needs
    • Esteem needs
    • Self-actualization needs

    1-minute Paper

    • Reflecting on key takeaways.

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    Foundations: Module 1 - Evolution of Nursing PDF

    Description

    This quiz explores the evolution of nursing as a profession, emphasizing its ethical standards, specialized knowledge, and the vital role of registered nurses. Understand how nursing is defined and its importance in healthcare, differentiating it from medical practices. Dive into the key responsibilities and advocacy aspect of nursing in contemporary society.

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