Podcast
Questions and Answers
Which of the following are considered categories of laws relevant to nursing? (Select all that apply)
Which of the following are considered categories of laws relevant to nursing? (Select all that apply)
Ethical dilemmas often arise from conflicting moral principles.
Ethical dilemmas often arise from conflicting moral principles.
True (A)
What is the primary focus of the ANA Code of Ethics?
What is the primary focus of the ANA Code of Ethics?
Guiding ethical practice
The state of physical, mental, and social well-being is referred to as __________.
The state of physical, mental, and social well-being is referred to as __________.
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Match the following patient rights with their descriptions:
Match the following patient rights with their descriptions:
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Which of the following elements must be established in a malpractice case?
Which of the following elements must be established in a malpractice case?
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Wellness is defined as the absence of illness.
Wellness is defined as the absence of illness.
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List two components that should be considered during a cultural assessment.
List two components that should be considered during a cultural assessment.
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Who is known as the founder of modern nursing?
Who is known as the founder of modern nursing?
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Dorothea Dix was known for her contributions to the American Red Cross.
Dorothea Dix was known for her contributions to the American Red Cross.
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What does the acronym SMART stand for in goal setting?
What does the acronym SMART stand for in goal setting?
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Clara Barton founded the __________.
Clara Barton founded the __________.
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Match the following nursing figures with their contributions:
Match the following nursing figures with their contributions:
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Which of the following is NOT a guideline for delegation?
Which of the following is NOT a guideline for delegation?
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Objective data is information verbalized by the patient.
Objective data is information verbalized by the patient.
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Which document should a nurse refer to determine the scope of practice?
Which document should a nurse refer to determine the scope of practice?
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Study Notes
History of Nursing
- Florence Nightingale: Founder of modern nursing, improved sanitation, and established the Nightingale Training School.
- Clara Barton: Founder of the American Red Cross.
- Mary Seacole: Provided holistic care during the Crimean War.
- Lillian Wald: Pioneer in public health nursing, founded the Henry Street Settlement.
- Dorothea Dix: Advocate for the mentally ill, improved asylum and hospital conditions.
Key Achievements
- Nightingale reduced mortality rates through hygiene.
- Barton organized care for soldiers during the Civil War.
- Wald introduced school nursing and health education.
Scope of Practice & Delegation
- How to know your scope of practice: Refer to Nurse Practice Act (varies by state) and follow institutional policies.
- Resources: Consult professional nursing standards, guidelines, state board of nursing, employer policy manuals, and ANA Scope and Standards of Practice.
- 5 Guidelines for Delegation: Consider task appropriateness, patient stability, delegatee competence, clear instructions, and performance monitoring.
The Nursing Process
- Characteristics: Patient-centered, dynamic, organized, and evidence-based.
- Steps (ADPIE): Assessment, Diagnosis, Planning, Implementation, Evaluation.
Assessment
- Gathering data about the patient's health status.
- Subjective data: Information verbally expressed by the patient. Example: "I feel nauseous."
- Objective data: Observable or measurable data. Example: Blood pressure, temperature.
- Primary sources: Patient.
- Secondary sources: Family, medical records, other healthcare providers.
Planning/Goals
- Setting priorities, goals, and outcomes.
- Use SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound).
- Selecting Nursing Interventions: Evidence-based actions to achieve goals.
Implementation
- Performing interventions.
Evaluation
- Determining if goals were met and revising the care plan if necessary.
Legal and Ethical Considerations
- Laws (6 Categories): Criminal, Civil, Administrative, Common, Statutory, Regulatory.
- Malpractice Case Elements (3): Duty, Breach of Duty, Causation
Ethics
- Codes of Ethics: Guides for ethical practice, such as the ANA Code of Ethics.
- Ethical Dilemmas: Situations with conflicting moral principles.
- Patient Rights (7 Examples): Information, refuse treatment, privacy, confidentiality, respectful care, participate in decision-making, access medical records.
- Ethical Principles (6 Examples): Autonomy, beneficence, non-maleficence, justice, fidelity, veracity.
Health
- Health vs. Wellness: Health is the state of physical, mental, and social well-being; wellness is the active pursuit of activities promoting health.
Cultural Considerations
- Aspects of Transcultural Nursing: Awareness, knowledge, sensitivity, and competency.
- Components of Cultural Assessment: Language, beliefs, values, family structure, and health practices.
- Language Barriers: Use interpreters, visual aids, and clear, simple language.
Nurse-Client Relationship
- Nurse Responsibilities: Advocacy, confidentiality, education, trust.
- Patient Responsibilities: Communicating needs, accurate information, following care plans.
- Phases of the Relationship (3): Orientation, Working, Termination
Therapeutic Communication
- Techniques: Active listening, empathy, open-ended questions, and reflection.
- What to avoid: Giving advice, interrupting, medical jargon, and personal opinions.
Charting & Documentation
- Types of Charting: Narrative, SOAP, PIE, Focus Charting.
- SOAP Note: Subjective, Objective, Assessment, Plan.
- SBAR: Situation, Background, Assessment, Recommendation.
HIPAA & Privacy
- HIPAA: Legislation that ensures patient privacy and confidentiality of medical records.
- Nurse Responsibilities: Safeguard patient information, access necessary data, educate others on privacy protocols.
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Description
Explore the significant figures in nursing history such as Florence Nightingale and Clara Barton, and their contributions to the field. This quiz also covers the vital concepts of nursing scope of practice and delegation guidelines essential for modern nursing.
