Fundamentals of Nursing Chapters 1-4 Flashcards

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?

Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation Signup and view all the answers

What does APRN stand for?

Advanced Practice Registered Nurse Signup and view all the answers

What is the primary focus of palliative care?

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

True or False: Hospitals provide primary care.

False Signup and view all the answers

What are the components of the nursing process?

Assessment, Diagnosis, Planning, Implementation, Evaluation Signup and view all the answers

What does HCAHPS stand for?

Hospital Consumer Assessment of Healthcare Providers and Systems Signup and view all the answers

The _______ model refers to the nursing process.

critical thinking Signup and view all the answers

Match the theorists to their focus:

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

What is Orem's Theory?

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

What is Leininger's Theory?

To provide culturally specific nursing care. Signup and view all the answers

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

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

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

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

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

Contributes to nursing knowledge Signup and view all the answers

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

Roy's adaptation theory. Signup and view all the answers

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

Serve as a liaison between patients and health care services 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)

Provide asthma education programs for teachers Signup and view all the answers

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

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

What describes the characteristics of an integrated health care system?

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

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

Improved patient satisfaction Signup and view all the answers

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

Timing of referral Signup and view all the answers

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

The majority of patients with mental illness live in long-term settings. 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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Description

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!