Nursing Exam I Review - Chapter 1

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Questions and Answers

Which of the following is NOT a core value in nursing?

  • Dignity
  • Autonomy
  • Integrity
  • Empathy (correct)
  • Altruism
  • Social Justice

What is the primary function of the American Nursing Association (ANA)?

Develops, revises, and maintains the scope of practice statement and standards that apply to the practice of all professional nurses.

Human dignity is tied to a person's race, class, or age.

False (B)

What does autonomy in nursing refer to?

<p>The ability to work independently (C)</p> Signup and view all the answers

Which of the following is considered a primary care setting?

<p>Family practitioner (A)</p> Signup and view all the answers

What is meant by "population wellness" in the context of healthcare?

<p>Shifting the focus from managing illness to managing the health of a community and environment, emphasizing preventative care and health promotion.</p> Signup and view all the answers

Which of the following is NOT considered a trend in nursing?

<p>Increased emphasis on traditional, time-tested nursing practices (A)</p> Signup and view all the answers

What is the primary function of professional nursing organizations?

<p>They address the issues of concern to those practicing in the profession.</p> Signup and view all the answers

What are the different levels of prevention in healthcare?

<p>Primary prevention focuses on preventing disease before it happens, secondary prevention aims to stop the spread of disease after it occurs, and tertiary prevention minimizes the long-term effects of a disease or disability.</p> Signup and view all the answers

Risk factors can only be categorized as either modifiable or nonmodifiable.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a stage of change according to the Transtheoretical Model of Change?

<p>Transformation (C)</p> Signup and view all the answers

What are the primary variables influencing health and health beliefs and practices?

<p>Internal variables encompass factors like age, developmental stage, intellectual background, perception of functioning, and emotional factors. External variables include social determinants of health, family role and practices, and cultural influences.</p> Signup and view all the answers

Which of the following is NOT a component of the Health Belief Model?

<p>Social support (A)</p> Signup and view all the answers

The Health Promotion Model emphasizes that health is solely defined by the absence of disease.

<p>False (B)</p> Signup and view all the answers

What is Maslow's Hierarchy of Needs used for?

<p>To understand the interrelationships of human needs.</p> Signup and view all the answers

Which of the following is NOT a component of the Holistic Health Model?

<p>Financial (F)</p> Signup and view all the answers

What is the central concept of cultural competence?

<p>It involves being culturally sensitive, culturally appropriate, and culturally competent to meet the multifaceted health care needs of each individual, family, and community.</p> Signup and view all the answers

Which of the following is an example of a modifiable risk factor?

<p>Smoking (C)</p> Signup and view all the answers

What is the core of clinical decision-making and patient-centered care?

<p>Knowing (D)</p> Signup and view all the answers

Cultural competence is only relevant when providing healthcare to individuals from different cultural backgrounds.

<p>False (B)</p> Signup and view all the answers

What is the significance of the LEARN model for interacting with patients?

<p>The LEARN model provides a framework for effective communication and collaboration with patients, emphasizing active listening, explaining concepts clearly, acknowledging the patient's perspective, recommending appropriate solutions, and negotiating a mutually acceptable plan of care.</p> Signup and view all the answers

Flashcards

Nursing Process

The process of collecting, analyzing, and using data to make informed decisions about patient care. It involves assessment, diagnosis, outcome identification, planning, implementation, and evaluation.

Autonomy in Nursing

Refers to the ability of a nurse to make independent nursing judgments and interventions without a physician's order.

Code of Ethics for Nurses

A set of ethical principles that guide nurses in their practice. It emphasizes values like honesty, fairness, and patient advocacy.

Human Dignity

A philosophy that emphasizes the value and worth of every individual, regardless of their background, beliefs, or circumstances.

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Culturally Congruent Care

The ability to provide care that is relevant to a patient's cultural beliefs, practices, and values.

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Transpersonal Caring (Watson)

The conscious intention of a nurse to interact with patients and promote healing through caring actions.

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Evidence-Based Practice (EBP)

The process of incorporating the best available research evidence, patient values, and clinical expertise to make decisions about patient care.

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PICOT format

A framework for asking well-defined, searchable questions that guide EBP research.

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Scientific Method

An organized method for conducting research, minimizing bias and aiming for generalizable results.

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Quantitative Research

Research that focuses on collecting and analyzing numerical data, often using statistical methods.

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Qualitative Research

Research that explores complex phenomena through in-depth interviews, observations, and analysis of texts.

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Healthy People

A set of national health objectives aimed at improving health outcomes and preventing disease. Updated every 10 years.

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Health Promotion Model

A model that explains health as a positive, dynamic state, not just the absence of disease. It considers individual characteristics, behavior, and the environment.

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Health Belief Model

A model that explains health behaviors based on individuals' perceptions of susceptibility, seriousness, and benefits of taking action.

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Definition of Health (WHO)

A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.

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Illness

A state where physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired.

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Disease

A malfunction of biological or psychological processes.

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Risk Factor

Any factor that increases the vulnerability of an individual or group to illness or injury.

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Primary Prevention

A set of strategies aimed at reducing the incidence of disease before it occurs.

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Secondary Prevention

A set of strategies aimed at stopping the spread of disease after it occurs.

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Tertiary Prevention

A set of strategies aimed at minimizing the effects of long-term disease or disability.

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Family Care

The process of understanding and responding to the needs of a patient's family.

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Culture

A learned and shared set of beliefs, values, norms, and traditions that guide a group's thinking, decisions, and actions.

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Stereotype

A belief or assumption about a particular group of people that is often based on stereotypes and generalizations.

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Unconscious Bias

A belief or attitude towards a particular group that is unconscious and can be harmful.

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Cultural Competence

The ability to work with patients from different cultures, understanding their beliefs and values, and providing appropriate care.

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Intersectionality

A model that describes the complexities of people's identities and how their experiences overlap.

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Core Measures

A set of evidence-based standards of care that help health care institutions improve performance and reduce costs.

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Campinha-Bacote Model of Cultural Competence

A model for achieving cultural competence by focusing on cultural awareness, knowledge, skills, encounters, and desire.

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Being With

Being emotionally present with the patient, conveying empathy and understanding.

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Touch

A component of caring that involves touching the patient to provide comfort, support, and connection.

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Listening

A component of caring that involves actively listening to the patient's concerns and perspectives without judgment.

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Study Notes

Nursing Exam I Review - Chapter 1

  • Nurses work together to care for individuals, optimizing patient and familial health and well-being
  • Core values include dignity, integrity, autonomy, altruism, and social justice
  • The ANA (American Nursing Association) develops, revises, and maintains the scope of practice statement and standards for all professional nurses
  • Human dignity recognizes the inherent value of all people, regardless of race, class, or age. Respect for each individual is essential.
  • Integrity involves honesty and fairness. Nurses should possess high moral principles
  • Autonomy includes nurses being able to put their skills into practice, work independently, and make professional decisions with self-determination
  • Altruism involves empathy for patients, other nurses, and healthcare providers. This includes the ability to speak up for their needs
  • Social Justice encompasses equal rights for all, including the right to good health and equal opportunity to obtain it.

Nursing Exam I Review - Chapter 2

  • Health care associations (MCOs, PPOs, Medicare, Medicaid, SCHIP, ACA) have distinct functions and roles in healthcare.
  • Population wellness involves shifting from managing illnesses to promoting the health of communities and environments.
  • Primary care focuses on improving health outcomes and includes health promotion programs.
  • Secondary care addresses acute care situations, and Tertiary care involves more specialization, such as hospital care.

Nursing Exam I Review - Chapter 5

  • Evidence-based practice combines a nurse's knowledge and patient data with current research to provide optimal healthcare.
  • Quality and safety are essential factors in healthcare.
  • Technology influences the accuracy, non-invasive assessment, and management of knowledge in health practices.
  • Genomes and their knowledge is important for influencing health outcomes and improved use of technology with better health outcomes.

Nursing Exam I Review - Chapter 6

  • Outcomes research helps make informed decisions based on evidence.
  • Healthy People 2030 aims for long, healthy lives by identifying health priorities.
  • Health is a comprehensive state of physical, mental, and social well-being, not merely the absence of disease.
  • Models, like the Health Belief model or the Health Promotion model, explain complex concepts related to health.

Nursing Exam I Review - Chapter 7

  • AONE defines caring and knowledge as the core competencies in nursing, highlighting their connection to patient experience.
  • Various theoretical views, such as Leininger's, Watson's, and Swanson's, explore caring as a key element of nursing practice.
  • Common themes across caring theories highlight the relationship-centered nature of caring, the recognition of the absence of caring, the importance of enabling, and the patient perspective.

Nursing Exam I Review - Chapter 9

  • Culture shapes individual thinking, decisions, and actions within healthcare. 
  • Unconscious biases, stereotypes, and health disparities are crucial factors in healthcare.
  • Culturally congruent care focuses on respecting patient values, beliefs, and practices.
  • Cultural competence is vital for sensitive, appropriate, and effective care.
  • World views, including both insider and outsider perspectives, provide frameworks for understanding diverse cultural contexts.

Nursing Exam I Review - Chapter 10, 11

  • Disease is characterized by malfunctioning biological or psychological processes.
  • Illness emphasizes the individual and family's reactions to disease, impacted by cultural factors.
  • Cultural skills involve collecting patient histories, assessing health literacy, using culturally appropriate assessments, employing teach-back methods, and working with interpreters.
  • Cultural encounters and desires promote a broad spectrum of responses to patients' beliefs and values.
  • The LEARN model provides a patient-centered approach involving listening, explaining, acknowledging, recommending, and negotiating.

Nursing Exam I Review - Chapter 13-16

  • Illness encompasses a range of states, from short-term, acute conditions to persistent, chronic illnesses.
  • Illness behavior involves how individuals monitor, define, and interpret their symptoms.
  • Variables influencing health practices and beliefs include internal factors like developmental stage, intellectual background, perceptions of functioning, and emotional factors.
  • External factors include spiritual/belief systems, social determinants, and external factors.
  • The importance of self-care for nurses in dealing with patients' needs.
  • Understanding the scientific method and research methodology, minimizing bias and using scientific rigor.

Nursing Exam I Review - Chapter 17,18

  • Risk factors encompass those that are nonmodifiable (like age, gender, genetics) and modifiable (like lifestyle choices).
  • Risk factors, both internal and external, contribute to health inequities.
  • The stages of change- The Transtheoretical Model of Change helps assess patients' readiness and motivation for behavior change.
  • Nurses should recognize and work to mitigate these, to deliver high-quality, personalized care.

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