Fundamentals of Nursing Chapters 1-4 Flashcards
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Questions and Answers

What does the American Nursing Association do?

  • Regulates nursing licenses
  • Provides healthcare services
  • Develops and publishes scope and standards of practice guidelines for nursing (correct)
  • Manages nursing schools
  • What does the Nurse Practice Act (NPA) regulate?

  • The types of medications nurses can administer
  • The scope of nursing practice for the state (correct)
  • The training programs for nurses
  • The hours nurses must work
  • Why is there a nursing shortage?

    Exacerbated by an aging workforce, an aging population in need of care, and fewer nurses being prepared.

    What are the five levels of proficiency when acquiring and developing nursing skills according to Benner?

    <ol> <li>Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert</li> </ol> Signup and view all the answers

    What are the ANA Standards of Nursing Practice?

    <p>Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation</p> Signup and view all the answers

    What does APRN stand for?

    <p>Advanced Practice Registered Nurse</p> Signup and view all the answers

    What is the primary focus of palliative care?

    <p>Providing the best quality of life for patients with life-threatening illnesses through symptom management.</p> Signup and view all the answers

    True or False: Hospitals provide primary care.

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

    What are the components of the nursing process?

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

    What does HCAHPS stand for?

    <p>Hospital Consumer Assessment of Healthcare Providers and Systems</p> Signup and view all the answers

    The _______ model refers to the nursing process.

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

    Match the theorists to their focus:

    <p>Henderson = Principles and practice of nursing Peplau = Interpersonal relationships Nightingale = Patient environment and health restoration Benner = Skills acquisition</p> Signup and view all the answers

    What is Orem's Theory?

    <p>Known as self-care deficit theory which focuses on the patient's self-care needs.</p> Signup and view all the answers

    What is Leininger's Theory?

    <p>To provide culturally specific nursing care.</p> Signup and view all the answers

    What was the purpose of the National Council of State Boards of Nursing?

    <p>It was developed to help guide nursing educators in evaluating student nurses' ability to make clinical judgments.</p> Signup and view all the answers

    How does the relationship between nursing theory and nursing research affect practice?

    <p>It builds the scientific knowledge base of nursing, which is applied to practice.</p> Signup and view all the answers

    Why is theory essential to nursing practice? (Select all that apply)

    <p>Contributes to nursing knowledge</p> Signup and view all the answers

    Which theory should a nurse apply when caring for a patient who recently lost a leg?

    <p>Roy's adaptation theory.</p> Signup and view all the answers

    What are the responsibilities of a public health nurse during a pandemic? (Select all that apply)

    <p>Serve as a liaison between patients and health care services</p> Signup and view all the answers

    What is the primary focus of a community health nurse working with asthma and allergies? (Select all that apply)

    <p>Provide asthma education programs for teachers</p> Signup and view all the answers

    What is the most appropriate outcome for a patient receiving restorative care after hospitalization?

    <p>Patient will be able to walk 200 feet without shortness of breath.</p> Signup and view all the answers

    What describes the characteristics of an integrated health care system?

    <p>The focus is holistic and the system coordinates a continuum of services.</p> Signup and view all the answers

    Which are known evidence-based outcomes from intentional rounding? (Select all that apply)

    <p>Improved patient satisfaction</p> Signup and view all the answers

    What discharge planning action by a nurse has not been addressed correctly?

    <p>Timing of referral</p> Signup and view all the answers

    Which statement indicates that further teaching is needed regarding patients with mental illnesses?

    <p>The majority of patients with mental illness live in long-term settings.</p> Signup and view all the answers

    Study Notes

    American Nursing Association (ANA)

    • Develops and publishes nursing practice guidelines and standards
    • Defines the profession of nursing

    Nurse Practice Act (NPA)

    • Regulates nursing practice within each state
    • Ensures public health, safety, and welfare

    Nursing Shortage Causes

    • Aging workforce contributing to higher demand for care
    • Fewer nurses being trained

    Levels of Nursing Proficiency (Benner)

    • Novice: Beginner with no experience
    • Advanced Beginner: Some observational experience
    • Competent: 2-3 years in the same position, understands care requirements
    • Proficient: Over 2-3 years of experience, able to manage care
    • Expert: Diverse nursing experience

    ANA Standards of Nursing Practice

    • Includes six main components: Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation

    ANA Standards of Professional Performance

    • Encompasses ten areas, including Ethics, Education, Quality of Practice, Communication, Leadership

    Professional Roles and Responsibilities

    • Emphasizes autonomy, accountability, and roles such as Caregiver, Advocate, Educator

    Advanced Practice Registered Nurse (APRN)

    • Most independently functioning nurse role, requiring a master's or DNP degree

    Clinical Nurse Specialist (CNS)

    • An APRN focusing on specialized patient care in specific areas

    Certified Nurse Midwife (CNM)

    • APRN with a master's degree in midwifery, specializing in pregnancy and delivery

    Nurse Practitioner (NP)

    • Delivers comprehensive health care across all ages, emphasizing primary and specialty care

    Certified Registered Nurse Anesthesiologist (CRNA)

    • Specializes in anesthesia administration, often under physician supervision

    Nurse Educator

    • Primarily works in academic and professional training settings

    Nurse Administrator

    • Oversees nursing and healthcare service delivery within organizations

    Nurse Researcher

    • Engages in evidence-based research to enhance nursing practice and knowledge

    Historical Influences on Nursing

    • Florence Nightingale: Established nursing as a profession focusing on health and evidence
    • Harriet Tubman: Pioneer in nursing during the civil war
    • Mary Mahoney: First professionally prepared Black nurse

    Advances in Nursing Science

    • Evidence-based practices lead to reduced healthcare errors and improvements in patient safety

    Role of Professional Nursing Organizations

    • Essential for advocacy, sharing ideas, and maintaining standards in nursing

    Nursing Process

    • Critical thinking framework comprising Assessment, Diagnosis, Planning, Implementation, Evaluation

    Compassion Fatigue

    • Emotional exhaustion affecting caregivers, leading to feelings of stress or numbness

    Burnout

    • State of physical and mental exhaustion caused by overwhelming demands

    National Council of State Boards of Nursing (NCSBN)

    • Nonprofit overseeing nursing regulatory bodies and licensure examinations

    Quality and Safety Education for Nurses (QSEN)

    • Program aimed at equipping nurses with competencies to enhance healthcare systems

    Challenges Facing Nursing

    • Aging demographics, provider shortages, and impending nursing retirements

    Six Levels of Healthcare

    • Practical levels include Preventative, Primary, Secondary, Tertiary, Restorative, Continuing Care

    Discharge Planning

    • Begins upon patient admission

    Factors Affecting Healthcare Access

    • Economic, cultural, educational, and geographical barriers impacting patient care

    Quality Healthcare Indicators (STEEEP)

    • Emphasizes safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness

    Payment for Value

    • Links healthcare reimbursement to quality performance metrics

    Affordable Care Act (ACA)

    • Established minimum health insurance standards and expanded Medicaid eligibility

    Magnet Recognition Program

    • Acknowledges healthcare organizations for excellence in nursing practice

    National Database of Nursing Quality Indicators (NDNQI)

    • Tool for measuring nursing-sensitive outcomes to improve patient care quality

    Public Health vs Community Health Nursing

    • Public health focuses on population health; community health emphasizes direct community engagement and advocacy

    Community-Oriented vs Community-Based Nursing

    • Community-oriented focuses on health promotion and disease prevention, while community-based provides direct care

    Nursing Theories and Practice

    • Theories guide nursing care delivery, contributing to knowledge evolution within the profession

    Types of Nursing Theories

    • Grand theories are broad and abstract; mid-range theories are specific; practice theories are situation-specific

    Theorists and Their Contributions

    • Each theorist, from Nightingale to Rogers, contributed unique perspectives that shaped nursing practice and care models

    Role of Nursing Theory in Research

    • Nursing theory informs research, enhancing the scientific basis of nursing practices

    Nurse’s Role During a Pandemic

    • Educate the public on prevention, liaison between patients and care services, and case investigation

    Community Health Nurse Focus

    • Aim to reduce asthma incidence and improve self-management among patients through education

    Restorative Care Outcomes

    • Should align with patient's recovery goals following acute illness or extended hospitalization### Patient Mobility
    • Ability to walk 200 feet without experiencing shortness of breath indicates stable respiratory function.

    Integrated Health Care System

    • Holistic focus on patient care across various services.
    • Coordination of a continuum of care enhances patient experience.
    • Electronic Health Records (EHR) are utilized for seamless information sharing among healthcare team members.

    Intentional Hourly Rounding Outcomes

    • Evidence-based outcomes include:
      • Improved patient satisfaction and engagement.
      • Reduction in patient falls due to regular monitoring.
      • Decreased use of patient call lights as needs are proactively addressed.

    Discharge Planning for Rehabilitation

    • Important factors in discharge planning include:
      • Patient and family involvement in the referral process is crucial.
      • The timing of making referrals should occur before discharge.
      • Incorporation of specific recommendations from referrals into patient care plans ensures continuity.

    Needs of Patients with Mental Illness

    • Common issues faced by patients with mental illnesses:
      • Many lack a stable, permanent housing situation.
      • Unemployment rates are higher among this population.
      • Patients are at increased risk for abuse; however, most do not reside in long-term care settings.
    • Misconception to address: The prevalence of patients living in long-term settings is overstated.

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    Explore essential concepts from the first four chapters of 'Fundamentals of Nursing' by Potter & Perry through engaging flashcards. This quiz covers the American Nursing Association, Nurse Practice Act, and addresses the nursing shortage. Test your knowledge and reinforce your understanding of nursing fundamentals!

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