Podcast
Questions and Answers
Which ethical principle emphasizes the importance of making informed choices in healthcare?
Which ethical principle emphasizes the importance of making informed choices in healthcare?
What should a nurse avoid to maintain effective therapeutic communication?
What should a nurse avoid to maintain effective therapeutic communication?
During which phase of the nurse-client relationship is the plan of care developed?
During which phase of the nurse-client relationship is the plan of care developed?
Which of the following components is NOT included in a cultural assessment?
Which of the following components is NOT included in a cultural assessment?
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What does HIPAA primarily safeguard in the healthcare context?
What does HIPAA primarily safeguard in the healthcare context?
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Who is credited with establishing modern nursing?
Who is credited with establishing modern nursing?
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What is the main focus of the Nightingale Training School for Nurses?
What is the main focus of the Nightingale Training School for Nurses?
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Which of the following is NOT one of the five guidelines for delegation?
Which of the following is NOT one of the five guidelines for delegation?
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What is an example of objective data in the nursing assessment process?
What is an example of objective data in the nursing assessment process?
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Which nursing figure is associated with founding the American Red Cross?
Which nursing figure is associated with founding the American Red Cross?
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In the scope of practice, which document should be referenced to determine specific nursing duties?
In the scope of practice, which document should be referenced to determine specific nursing duties?
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What characterizes the nursing process?
What characterizes the nursing process?
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Which of the following components is NOT an element in a malpractice case?
Which of the following components is NOT an element in a malpractice case?
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Study Notes
Key Figures in Nursing History
- Florence Nightingale: Established modern nursing, emphasized sanitation, and opened the Nightingale Training School for Nurses in 1860.
- Clara Barton: Founded the American Red Cross and provided care to soldiers during the Civil War.
- Mary Seacole: Provided care during the Crimean War, focusing on holistic care.
- Lillian Wald: Founder of public health nursing in the U.S., establishing the Henry Street Settlement.
- Dorothea Dix: Advocated for the mentally ill, improving conditions in asylums and hospitals.
Scope of Practice and Delegation
- Determining Scope of Practice: Refer to the Nurse Practice Act (state-specific), facility policies, professional nursing organizations (e.g., ANA), and the ANA's Scope and Standards of Practice. Resources include state boards of nursing websites and employer policy manuals.
- Five Guidelines for Delegation: Consider the "right" task, circumstances, person, directions, and supervision.
The Nursing Process
- Characteristics: The nursing process is patient-centered, dynamic, organized, and evidence-based.
- Steps: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
Assessment
- Data Types: Subjective (patient-reported symptoms) and Objective (observable signs).
- Sources: Primary (patient), and secondary (family, medical records, other providers).
Nursing Diagnosis
- Identifies patient responses to health conditions or life processes.
Planning
- Goal Setting: Use SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound)
- Interventions: Choose evidence-based actions aligned with goals.
Implementation
- Performing interventions as planned.
Evaluation
- Assess goal achievement, and modify the care plan if needed.
Legal and Ethical Considerations
- Categories of Laws: Criminal, Civil, Administrative, Common, and Statutory.
- Malpractice Case Elements: Duty, Breach of Duty, Causation, and Damages.
- Ethics: Guided by codes of ethics (e.g., ANA Code of Ethics). Ethical dilemmas arise from conflicting moral principles.
Patient Rights
- Crucial rights include: Information, refusal of treatment, privacy, confidentiality, respectful care, decision-making, and access to records.
Ethical Principles
- Key ethical principles include Autonomy, Beneficence, Non-maleficence, Justice, Fidelity, and Veracity.
Health vs. Wellness
- Health: A state of physical, mental, and social well-being.
- Wellness: An active process of pursuing health and well-being.
Cultural Considerations
- Transcultural Nursing: Involves awareness, knowledge, sensitivity, and competence.
- Cultural Assessment: Includes language, beliefs, values, family structure, health practices.
Nurse-Client Relationship
- Nurse Responsibilities: Advocacy, confidentiality, and education.
- Patient Responsibilities: Communication of needs, following care plans, accurate information provision.
- Phases: Orientation, Working, Termination.
Therapeutic Communication
- Techniques: Active listening, open-ended questions, and empathy.
- Avoid: Giving advice, interrupting, and expressing personal opinions.
Charting and Documentation
- Types: Narrative, SOAP (Subjective, Objective, Assessment, Plan), PIE (Problem, Intervention, Evaluation), and focus charting.
- SOAP Note: A specific charting format using subjective, objective, assessment, and plan components.
- SBAR: A communication tool (Situation, Background, Assessment, Recommendation)
- HIPAA: Protects patient privacy and information security. Nurse responsibilities include safeguarding information, accessing only necessary data, and educating others about privacy protocols.
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Description
Explore the pivotal figures who shaped nursing, from Florence Nightingale to Lillian Wald. Understand their contributions and the evolution of nursing practices, including scope of practice and delegation in modern nursing. This quiz highlights historical and practical knowledge essential for nursing professionals.
