Nursing Foundations Exam 1 Study Guide

2303 Intro to Nursing Exam 1 Study Guide

• Blueprint Exam 1 N2303: Covers chapters 1-7 of the Foundations of Nursing Practice (4th edition textbook), Healthy People 2020 goals and determinants of health, 6 dimensions of health and wellness, rest and sleep, stress, behavioral change models, self-care, and a review of early historical practices for 100 questions. This includes specific topics like mummification, burial practices, handwashing, quarantine, and safe water. The study also includes topics like the four elements, Greek Olympics, Elizabethan Laws, illness-wellness continuum, and alternative and complementary healing.

• Historical Practices: Early medical treatments and beliefs from ancient Egypt, Native Americans, and biblical times and practices.

• Important Concepts: Homeostasis, the internal regulation toward equilibrium, discussed by Claude Bernard in 1878 and Walter Cannon in 1925. It also includes discussions about the four elements (Empedocles), Greek Olympics, Native American values, Yin and Yang, Elizabethan Poor Laws, and the Travis Illness-Wellness Continuum.

• Scientific Discoveries: Key contributions to medical knowledge and understanding by figures like Anton Van Leeuwenhoek, Edward Jenner, Louis Pasteur, Joseph Lister, Alexander Fleming, and Jonas Salk.

• Notable Nurses: Florence Nightingale, Dorothea Dix, Lillian Wald, Harriet Tubman, Clara Barton, Mary Adele Nutting, Mary Breckinridge, and Mary Seacole are highlighted.

• World Health Organization (WHO): Focus on health promotion, disease prevention, and addressing social determinants of health discussed by the WHO. Healthy People 2020 and 2030 are referenced, focusing on population based interventions and actions to address social determinants and health inequities.

• Health Promotion Goals: Addressing sexual and reproductive health, domestic violence, health promotion goals, include public awareness campaigns, treatment, and protection of victims, including linkage with law enforcement and social services.

• Determinants of Health: The blueprint emphasizes the five key determinants (policy making, social factors, social environment (concentrated poverty, schools, transport, safety, and resources), physical environment (buildings, transportation, and environments), and health services).

• Barriers to Health: The document highlights the barriers to access, like lack of availability, cost, insurance, language barriers, and delays in treatment and preventive services.

• Nursing Diagnoses: The document includes three part statements regarding diagnosis, describing the "problem", "related to", and "as evidenced by" aspects, and 2 part statements relating to risk and wellness. It references NANDA-I diagnostic categories which include actual and potential diagnoses, patient holistic response to the identified cause or problem, and identified cause/pathophysiology and symptoms.

• Nursing Process: The blueprint describes how the nursing process is used in assessing and prioritizing patient needs and designing and implementing nursing interventions. It outlines independent and dependent interventions and includes assessment data, observation, palpation, percussion, auscultation, Subjective Data (patient history, including medications, etc.) and Objective Data, in the prioritization of patient needs, establishing and documenting goals and interventions in the assessment.

• Legal Implications: The document notes legal implications of nursing practice, including malpractice, liability insurance, scope of practice, and whistleblower laws.

• Ethical Practices: The document emphasizes ethical considerations in nursing practice and details ethical frameworks, focusing on principles of beneficence, non-maleficence, justice, and respecting patient autonomy. Topics include confidentiality (HIPAA), and patient self-determination.

• Cultural Sensitivity: Critical for appropriate care, avoidance of biases, cultural imposition, and cultural blindness are also emphasized. Cultural sensitivity skills and definitions are provided including intercultural communication, awareness of cultural variations, and avoidance of stereotyping, including situations where pain or grief expression may vary across cultures.

• Nursing Education: The study guide includes information about educational and practice levels for nurses, including CNA, LVN/LPN, ADN, BSN, DNP, PhD. It touches upon areas including nursing licensure, and continuous education.

• Patient Care: The document includes the areas of patient care, including aspects like health promotion, health maintenance, health restoration and critical thinking and evidence-based practice.

• Nursing Roles and Responsibilities: The document describes the various roles and responsibilities of nurses, including crisis response and disaster preparedness or management. The goal is to cover all aspects and stages of care, beginning with prevention (Mitigation), preparation, responses and recovery strategies to catastrophes or instances of significant patient needs.

• Nursing Process (ADPIE): The document details the use of the nursing process (Assessment, Diagnosis, Planning, Implementation, and Evaluation) in designing and implementing care for patients.

• Ergogenic Aids: The exam covers safe and unsafe ergogenic aids (that enhance performance) and their potential risks and consequences.

• Health Alterations and Symptoms: The document contains information regarding common health issues, as well as symptom management and assessment tools, including the assessment-observation palpation percussion, and auscultation components.

• Sleep-wake balance: The document includes details regarding sleep disorders, including obstructive sleep apnea and hypersomnia. Sleep disorders and physical effects are detailed, including negative effects of sleep deprivation on physical, mental, and psychological functioning.

• Cultural Competence: The document references crucial concepts for understanding cross-cultural factors in the assessment and provision of care.

• Wellness and Self-Care: The importance of wellness and self-care for nurses during stressful or demanding situations are discussed.

This study guide focuses on the material covered in the first exam for the N2303 Intro to Nursing course. It includes chapters 1-7 from the Foundations of Nursing Practice textbook, addressing key health concepts, historical practices, and various health determinants. Prepare for a comprehensive review of early medical treatments and important nursing principles.