Nursing Fundamentals: Weeks 1-3 Overview

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Questions and Answers

A patient is hesitant to accept a treatment plan due to cultural beliefs. Which model of care would be MOST appropriate for the nurse to utilize?

  • Health Belief Model
  • Ethics of Care Model
  • Holistic Health Model
  • Transcultural Nursing Model (correct)

Which action demonstrates a nurse fulfilling the role of a patient advocate?

  • Documenting vital signs accurately in the patient's chart.
  • Reporting a potential safety hazard observed on the unit. (correct)
  • Administering medications according to physician orders.
  • Educating a patient on how to manage their diabetes.

A nurse is using the nursing process to care for a patient. After collecting both subjective and objective data, what is the MOST logical NEXT step?

  • Implementing planned nursing interventions.
  • Setting SMART goals for patient care.
  • Formulating a NANDA-I nursing diagnosis. (correct)
  • Evaluating the effectiveness of interventions.

A public health nurse is working to improve vaccination rates in a community. Which level of healthcare is the nurse primarily addressing?

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

A nurse is caring for a patient experiencing anxiety. Applying Peplau's Theory, what should be the nurse's FIRST action?

<p>Establish a trusting relationship. (D)</p> Signup and view all the answers

A nurse is assessing a patient's pain level. Which data type is the patient's description of the pain?

<p>Subjective Data (A)</p> Signup and view all the answers

After implementing a new fall prevention protocol, the nurse analyzes patient incident reports to determine the protocol's effectiveness. Which stage of the nursing process is the nurse performing?

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

A nurse is using the LEARN model to improve communication with a new patient. What does the 'L' in LEARN stand for?

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

A nurse is using the SMART model to create outcome statements for a patient recovering from surgery. Which of the following outcome statements best exemplifies the 'Specific' and 'Measurable' components of the SMART model?

<p>The patient will ambulate 50 feet with the use of a walker by the end of day 3 post-op. (B)</p> Signup and view all the answers

A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and a certified nursing assistant (CNA). Which task is most appropriate for the RN to delegate to the LPN, considering the scope of practice and delegation principles?

<p>Administering an intravenous push medication. (B)</p> Signup and view all the answers

A nurse is caring for a patient who is refusing a blood transfusion due to religious beliefs. Which ethical principle is most directly challenged in this situation?

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

A community health nurse is working with a local immigrant population. Applying the LEARN model, which action demonstrates the 'Acknowledge' step?

<p>Recognizing and respecting the patient's health beliefs and cultural practices. (A)</p> Signup and view all the answers

A nurse is using Maslow's Hierarchy of Needs to prioritize care for a patient admitted to the emergency department. Which patient need should the nurse address first?

<p>The patient is having difficulty breathing and has an oxygen saturation of 88%. (D)</p> Signup and view all the answers

Flashcards

SMART Model

A framework for setting specific, measurable, achievable, relevant, and time-bound outcome statements.

Patient-Centered Interventions

Customizing healthcare strategies to meet individual patient needs and preferences.

Basic Ethical Principles

Fundamental concepts guiding nursing ethics: autonomy, beneficence, nonmaleficence, justice, fidelity.

Critical Thinking Attitudes

Essential traits for effective decision-making in nursing: confidence, fairness, responsibility, integrity.

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ADPIE

The nursing process framework: Assessment, Diagnosis, Planning, Implementation, Evaluation.

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Patient Advocate

A nurse who ensures the rights and safety of patients.

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Evidence-Based Practice (EBP)

A systematic approach to decision-making in nursing, based on research and evidence.

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Nursing Process (ADPIE)

A systematic method comprising Assessment, Diagnosis, Planning, Implementation, and Evaluation in nursing.

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Holistic Health Model

A model that considers the integration of mind, body, and spirit in patient care.

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Maslow’s Hierarchy of Needs

A framework prioritizing human needs from basic (safety) to complex (self-actualization).

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NANDA-I Nursing Diagnosis

Standardized terminology for identifying patient health problems and needs in nursing.

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LEARN Model

A communication framework used by nurses for effective patient interactions: Listen, Empathize, Acknowledge, Recommend, Negotiate.

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Critical Thinking in Nursing

The ability to analyze information, evaluate evidence, and make informed decisions in patient care.

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Study Notes

Week 1 & 2 Topics

  • Nurse Roles: Patient advocate, educator, counselor. Advocating for patient safety, teaching health conditions and wound care, supporting health decisions.

  • Nursing Professionalism: Includes continuing education (certifications, seminars), and evidence-based practice (EBP) - 6 steps.

  • Healthcare System & Theories: Components of integrated healthcare systems. Importance of nursing theories like Peplau’s, and Nightingale’s impact on sanitation. Levels of healthcare (preventive, primary, secondary, tertiary, restorative).

  • Patient Admission & Discharge: Steps involved and role of public health nurses.

  • Ethical & Legal Aspects: Nurse's code of ethics (advocacy, responsibility, accountability, confidentiality). Healthcare regulatory agencies.

Week 3 Topics

  • Health Models: Health Belief Model (individual perception of health risks), Holistic Health Model (mind, body, spirit), Maslow’s Hierarchy of Needs (prioritizing patient needs).

  • Levels of Care: Primary (prevention, health promotion), Secondary (diagnosis, treatment), Tertiary (specialized/chronic disease).

  • Ethics in Nursing: Ethics of care (building trust, respect, relationships), culturally congruent care (transcultural nursing).

  • Nurse-Patient Relationship & Communication: LEARN Model (communication), active listening, therapeutic presence.

Week 4 Topics

  • Nursing Process (ADPIE): Assessment (subjective & objective data), Diagnosis (NANDA-I nursing diagnoses), Planning (SMART goals), Implementation (interventions), Evaluation (progress).

  • Clinical Judgment & Decision-Making: Critical thinking, problem-solving, diagnostic reasoning. Subjective vs. objective data, patient-centered interview order (introduction, chief complaint, history).

  • Critical Thinking Strategies: Reflective practice, stress management.

Week 5 Topics

  • Planning Process & Clinical Judgment: Interrelationship of planning and nursing diagnoses. Critical thinking in nursing care planning, SMART model for outcome statements.

  • Nursing Interventions: Patient-centered interventions, standard nursing interventions, interprofessional collaboration.

  • Communication & Delegation: Effective communication of nursing interventions, delegation principles (CNAs, LPNs).

Additional Key Topics

  • Ethics & Values: Basic ethical principles (autonomy, beneficence, nonmaleficence, justice, fidelity), nursing code of ethics, ethical decision-making process.

  • Analysis & Nursing Diagnoses: Types of nursing diagnoses (problem-focused, risk, health promotion), diagnostic errors.

  • Critical Thinking & Clinical Judgment: Levels of critical thinking (basic, complex, commitment), critical thinking attitudes (confidence, fairness, responsibility, integrity).

  • Community-Based Nursing: Community health models, vulnerable populations (immigrant, homeless, abused), global health influence.

  • Caring in Nursing Practice: Caring theories (Watson, Swanson, Leininger), ethics of care, communication & presence.

Study Tips

  • Review ADPIE.
  • Practice critical thinking.
  • Use mnemonics (LEARN).
  • Revisit ethical dilemmas.
  • Apply Maslow's Hierarchy.

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