Foundations: Module 1 - Evolution of Nursing
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Questions and Answers

Which communication style might hinder effective communication among interprofessional teams?

  • Supportive
  • Passive-aggressive (correct)
  • Assertive
  • Collaborative

    • What is one primary goal of the Joint Commission's 2023 Patient Safety Goals?

  • Identify patients correctly (correct)
  • Increase the number of staff on duty
  • Enhance patient comfort
  • Establish more medical protocols

    • What aspect of communication is emphasized by the ISBAR method?

  • Therapeutic communication
  • Patient engagement
  • Conflict resolution
  • Patient handoff (correct)

    • Which of the following is classified as a 'Never Event' in healthcare?

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

    Which professional role is primarily responsible for administering medications safely?

    <p>Nurse Practitioners</p> Signup and view all the answers

    What defines a profession in the context of nursing?

    <p>It must adhere to ethical standards and be recognized for special knowledge.</p> Signup and view all the answers

    According to the ANA's definition from 2015, which aspect is NOT included in the definition of nursing?

    <p>Providing purely medical interventions.</p> Signup and view all the answers

    Which of the following statements best reflects the individualized nature of nursing practice?

    <p>Nurses form partnerships with healthcare consumers to tailor care.</p> Signup and view all the answers

    What is one significant benefit of defining nursing for the public?

    <p>It distinguishes nursing from other healthcare professions.</p> Signup and view all the answers

    Who among the following was NOT mentioned as an influential person in the evolution of nursing?

    <p>Sigmund Freud</p> Signup and view all the answers

    How does the professional work environment relate to the role of a registered nurse?

    <p>A strong link exists between the environment and quality of care.</p> Signup and view all the answers

    What role does advocacy play in nursing according to the ANA?

    <p>Advocacy is integral in caring for individuals and communities.</p> Signup and view all the answers

    Which of the following options is a critical component in the nursing process as described by the ANA?

    <p>Using research and education to inform practice.</p> Signup and view all the answers

    What is the first step in the nursing process?

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

    Which of the following ethical principles in nursing emphasizes truthfulness?

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

    In a problem-focused nursing diagnosis, what follows 'related to'?

    <p>Related factors</p> Signup and view all the answers

    During which step of the nursing process does the nurse evaluate whether the goals were accomplished?

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

    Which ethical principle requires nurses to do no harm?

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

    What does the 'I' in ADPIE stand for?

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

    Which of the following best describes 'Risk Focused' nursing diagnoses?

    <p>Potential health issues based on risk factors</p> Signup and view all the answers

    What does the term 'beneficence' refer to in nursing ethics?

    <p>Promoting good and preventing harm</p> Signup and view all the answers

    When should the nursing diagnosis be created in the nursing process?

    <p>Once assessment is completed</p> Signup and view all the answers

    Which of the following is a characteristic of an objective assessment?

    <p>Vital signs taken from the patient</p> Signup and view all the answers

    What is a critical aspect of clinical judgment in nursing?

    <p>Generating solutions and taking actions</p> Signup and view all the answers

    Which quality is NOT typically associated with effective nursing practice?

    <p>Indifference toward patient needs</p> Signup and view all the answers

    What level of nursing education involves a 3-year hospital-based program?

    <p>Diploma program</p> Signup and view all the answers

    How did Clara Barton, Lillian Wald, and Lavinia Dock demonstrate the importance of 'caring' in nursing?

    <p>Through initiatives that focused on compassionate patient care.</p> Signup and view all the answers

    In which role does a nurse serve as a communicator?

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

    What was a significant outcome of Florence Nightingale's contributions to nursing?

    <p>Improved care leading to better soldier outcomes.</p> Signup and view all the answers

    Which ethical principle relates to providing care that benefits the patient?

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

    Which of the following is a responsibility of state nursing boards?

    <p>Defining the scope of practice for professional nursing.</p> Signup and view all the answers

    What describes the RN to BSN program?

    <p>An educational pathway for nurses with an associate degree</p> Signup and view all the answers

    How are nursing organizations like the NLN and ANA primarily focused?

    <p>Setting universal standards and practices for nursing.</p> Signup and view all the answers

    Which stage of Benner's model refers to a nurse who demonstrates proficient understanding and intuition?

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

    What is the primary focus of critical thinking in nursing?

    <p>Carefully considering options for action</p> Signup and view all the answers

    What critical skills do nurses require to ensure safe and effective patient care?

    <p>A combination of critical thinking, communication, and leadership.</p> Signup and view all the answers

    Which of the following settings is NOT typical for nursing practice?

    <p>Consulting Firms</p> Signup and view all the answers

    Which of the following most accurately describes the essence of nursing as indicated in the content?

    <p>Nursing emphasizes caring, competence, and collaboration.</p> Signup and view all the answers

    Which ethical principle emphasizes the right of patients to make their own decisions?

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

    Why is 'goal-directed client-centered care' essential in nursing?

    <p>It aligns nursing actions with patient goals and needs.</p> Signup and view all the answers

    How did Florence Nightingale's practices influence the nursing profession?

    <p>Established nursing as a reputable and required profession.</p> Signup and view all the answers

    What is a primary function of the Nurse Practice Act?

    <p>Defining the scope and regulations of nursing practice.</p> Signup and view all the answers

    What role do nurses play in the healthcare delivery system according to the provided content?

    <p>They serve as vital advocates for patient safety and care.</p> Signup and view all the answers

    Study Notes

    Foundations: Module 1 - Evolution of Nursing

    • Nursing is a professional field that has been successfully professionalized
    • It includes ethical standards, special knowledge and skills, widely recognized as a body of learning derived from research, education, and training at a high level
    • Professionals are prepared to apply this knowledge and exercise these skills in the interest of others.
    • American Nurses Association (ANA) (1980) defines nursing as the diagnosis and treatment of human responses to actual and potential health problems.
    • ANA (2010) describes nursing practice as individualized, emphasizing partnerships and caring as central to the practice of registered nurses (RNs).
    • RNs utilize the nursing process to provide individualized care to patients.
    • Strong links exist between professional work environments and RNs' ability to provide quality healthcare and achieve optimal outcomes.
    • ANA (2015) defines nursing as the protection, promotion, and optimization of health and abilities; preventing illness and injury, facilitating healing; alleviating suffering; diagnosing and treating human responses, and advocating for the care of individuals, families, groups, communities, and populations.
    • Defining nursing helps the public understand its value, differentiate nursing activities from medicine, and helps students understand expectations.

    Influential Persons in the Evolution of Nursing

    • Florence Nightingale, Dorothea Dix, Clara Barton, Lillian Wald, Mary Brewster, Edward Lyon, Lavinia Dock, and Mary Mahoney were influential figures in the evolution of nursing.

    Safe, Effective Nursing Care

    • Several individuals contributed to the advancement of nursing.
    • Discussions focus on how "caring" continues to be crucial in a nurse's role.
    • Demonstrations of "caring" should be discussed.
    • Florence Nightingale's contributions significantly improved patient outcomes.
    • Relating specific competencies associated with providing goal-directed client-centered care to Nightingale's actions is important.

    Nursing Organizations

    • American Nurses Association (ANA) is the official organization of nurses in the US.
    • National League for Nursing (NLN) sets universal standards for nursing education
    • Each state board is responsible for defining nursing practice, scope of practice for nurses, and approving nursing education programs
    • State boards develop rules and regulations for nurses' practice.

    Nursing Today

    • Nurses are competent and caring professionals.
    • The complexity of healthcare delivery requires nurses to use critical thinking, communication, organization, leadership, advocacy, and technical skills.
    • These abilities help ensure safe and effective care for clients.

    Thinking Skills

    • Clinical judgment is a process that involves recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes.
    • Critical thinking involves collecting and analyzing information and carefully considering options for action.
    • Problem-solving entails considering an issue and seeking a satisfactory solution.

    Important Qualities for Nurses

    • Critical thinking, caring and compassionate, listening skills, patience, emotional stability, physical stamina, detail-oriented, organizational, and speaking skills are important for nurses.

    Entry Into Practice

    • Entry into nursing practice has five levels of education namely Diploma, BSN, RN to BSN, Master's, and Doctorate.
    • Continuing Education is a professional strategy used to maintain knowledge.

    Nursing Education

    • Patricia Benner's theory outlines five stages of nursing development (Novice, Advance Beginner, Competence, Proficient, and Expert)
    • Nursing education includes diploma programs (3-year hospital-based and 2-year community college associate degree programs), and baccalaureate degree programs (8 semesters at colleges and universities).
    • RN to BSN programs allow nurses with associate degrees to achieve BSN degrees.

    Roles of the Nurse

    • Nurses act as direct care providers and communicators, educators and counselors, advocates, use critical and detailed thinking, are caring and compassionate, change agents, leaders and managers, case managers, research consumers, team players, knowledgeable, and listeners.
    • Nurse's roles cover various locations of healthcare, including hospitals, skilled and custodial care facilities, ambulatory care centers, home healthcare agencies, community/public health centers, and independent living facilities.

    Ethical Principles and Responsibilities of a Nurse

    • Basic ethical principles include advocacy, responsibility, accountability, confidentiality, autonomy, beneficence, fidelity, justice, non-maleficence, and veracity.
    • Ethical dilemmas involve the complex interplay of morality and science, examining the boundaries of right and wrong.

    The 6 Functions of Clinical Judgment

    • Recognize cues, analyze cues, prioritize hypotheses, generate solutions, take actions, evaluate outcomes.

    The Nursing Process: ADPIE

    • Assessment data (subjective and objective), diagnosis (primary problem), planning (goals), intervention (teaching/goals), evaluation (goal achievement).
    • Nursing process steps are not always performed in strict order, and can evolve dynamically during patient care, with plans both written and internal.

    Types of Nursing Diagnoses

    • Problem-focused diagnoses relate to (related factors) as evidenced by (defining characteristics).
    • Risk diagnoses describe potential issues (risk factors)
    • Health promotion diagnoses relate to factors influencing health promotion and/or maintenance.
    • Syndrome diagnoses relate to complex patterns of health data.

    Nursing Delegation Notes

    • 5 rights of delegation include task, circumstance, person, direction, and supervision.
    • Unlicensed Assistive Personnel (UAPs) and Licensed Practical Nurses (LPNs) often perform basic routine tasks under the oversight and accountability of registered nurses (RNs)

    Interprofessional Teams

    • Interprofessional teams include physicians, nurse practitioners, physician assistants, registered nurses, licensed practical nurses, unlicensed assistive personnel, pharmacists, therapists, technologists, dieticians, social workers, spiritual care providers, and alternative care providers.

    Therapeutic Communication

    • Verbal communication (between nurses, patients, and interprofessional teams).
    • Nonverbal communication (facial expressions, body language).
    • Factors impacting communication (age, environment, gender, communication style).

    Communicate Using ISBAR

    • Situation (patient's details and concerns), Background (patient's history), Assessment (clinical impression, concerns, vital signs, early warnings), Recommendations.

    Safety in Healthcare

    • Factors affecting safety include communication, patient identification, medication use, infection prevention, suicide risk mitigation, and surgical error mitigation.
    • Never events (serious reportable events) are largely preventable.
    • Ensuring staff communication and safe alarm usage are crucial aspects of patient safety.

    Maslow's Hierarchy of Needs

    • Maslow's Hierarchy prioritizes physiological (basic needs), safety, love/belonging, esteem, and self-actualization needs.
    • Holistic View considers physiological balance, safety, love and belonging, self-esteem, self-actualization, together with holistic perspective of the whole person to plan care for a patient's needs.

    1-Minute Paper

    • Reflection on learning through a quick, focused writing activity.
    • Reflecting on and summarizing key takeaways from a course or learning session.

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    Foundations: Module 1 - Evolution of Nursing PDF

    Description

    Explore the evolution of nursing in this quiz, which covers the professionalization of nursing, ethical standards, and the nursing process as defined by the American Nurses Association. Understand the importance of individual care, partnerships, and quality healthcare outcomes in nursing practice.

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