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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    Description

    This quiz covers essential concepts in nursing from the first three weeks of the course. Topics include nurse roles, professionalism, healthcare systems, patient admission and discharge processes, as well as ethical and legal aspects. Explore health models like the Health Belief Model and Maslow's Hierarchy of Needs to deepen your understanding of patient care.

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