Vocational Midterm Study Guide PDF

Vocational Midterm Study Guide 4 things that make a good nursing student? - Actively learn - Receive and participation in evaluation - Theory test - Clinical performance evaluation 4 P’s - Personal attribute - Perseverance - Power - Passion Tradit...

Vocational Midterm Study Guide 4 things that make a good nursing student? - Actively learn - Receive and participation in evaluation - Theory test - Clinical performance evaluation 4 P’s - Personal attribute - Perseverance - Power - Passion Traditionalist – they do not like change, reluctant to use technology, work is an obligation Baby boomers – prefer learning in a relaxed, organized, and respectful atmosphere like group discussions. Gen X- accept diversity, less judgmental, practical, flexible, self- reliant (had boomer parents), multitask, well, used to change, informal, conservatives/traditional. Gen Y (Millennials) – dynamic, confident, straightforward, opinionated, optimistic, sociable, embrace change, multitask, group discussion and are high achieving rule followers. Gen Z- prefer using smartphones, rather text than talk, prefer face to face meetings at work. Seek security, independence, and welcome competition, willing to work hard but expect compensation. Formal education – school Informal education – self-taught (listening to podcasts, reading newspaper) Traditional learner – HS to trade/Program or University Returning learner – return to school at later period in life Active learner – lab; knowledge or skill through eYort Academic services and social support services can facilitate success in practical/vocational program Adult learners may fear – fear of failure (past negative experiences) Stereotype – widely Evidence based practice – using best scientific evidence from research to guide decision making Apprenticeship – learning by doing Three types of Communication (Verbal, Non-Verbal, AYective) Open ended- permit the patient to respond in a way that is meaningful to him or her Close ended – require a specific answer Focused- provide even more definite information One way communication – the sender controls the situation by telling the receiver what to do Two way communication – conversation each person contributes equally Non- therapeutic communication – words, phrases, actions, and tones that make a patient feel uncomfortable Problem solving steps- problem, goal, and evaluate Analysis – detailed examination of the elements or structure of something Knowledge- awareness or understanding especially of a fact, an act or the truth Application – being able to use learned material in new situations. Critical thinking (team meeting)- upbringing and culture, motivation, attitudes influence thinking. Comprehension- the action or capability of understanding something Sexual harassment- unwelcome sexual advances Active listening behaviors – restating, clarifying, reflecting, paraphrasing,minimal encouraging, remaining silent, summarizing, and validating. Avoiding blocks – false reassurance, probing, judging, belitting, giving advice, simple answers. SBAR S- situation (who we are the problem, your unit, c B- background A- Assessment R- recommendation Passive learner – dependency & passivity (EX: teacher talking, you just take notes) Active learner – acquire knowledge and skills. Open up, reach out, and stretch to gain knowledge. (EX: practicing IV, dressing) Responsibilities of learners - Be aware of rules and policies - When problems develop, follow recognized channels of communication - Be prepared in advance - Seek out learning experiences Passive listener- a person who listens without responding; they absorb and process the information being communicated without interrupting or asking questions Autonomy- patient right to make their own decision that’s best for them Fidelity- be true Justice- fair to all Non-maleficence- do no harm (ex: checking the temp of bath/shower water, checking temp of formula before feeding baby) Liable- legally responsible or obligated objective- things you can see subjective- things that the patient telling you Nursing process- diagnosing, implementing, processing, and evaluating. Mary secole- herbalist Document and report if they’re being abusive towards you Euthanasia- practice of ending the life of a patient to limit the patient suYering at their request. Wet nurse- nurse used to breastfeed another person’s child. Open ended question- asking a question and giving them a chance/opportunity to elaborate or tell you more information. Battery- physically touching someone against their will. Assault – screaming and yelling HIPPA- protects health information with privacy and security. Make sure records are protected simplify information. Misdemeanor – least serious charge and can result in a fine or prison sentence of no more than 1 year. (EX: taking 100.00 from a client for an emergency personal need). Felony – serious oYense with penalty usually ranges from more than 1 year. (Ex: nurse injects a client with a lethal drug to hasten death or removes life support before the client is pronounced dead by the physician.) Civil – child custody Criminal- possession of marijuana, assault and battery, giving alcohol to a minor False imprisonment – holding someone against will Intentional tort – intended to cause harm to client Unintentional tort – did not mean to cause harm to client Tort – wrong or injury done to someone that violates his or her rights Slander – verbal untrue or private information Libel – written communication or pictures Aggression- any physical or verbal behavior intended to hurt or destroy Assertiveness- a way of accepting responsibility for oneself by expressing thoughts and feelings directly and honestly. Ethics – a system of moral principles Morals – beliefs about what is fair and what is right or wrong Values – worth assigned to an idea or action Nurses verbal abuse – 54.2% Physical abuse- 29.9% What’s considered a non-therapeutic communication technique? Giving advice Informed consent- when the patient actively consents to care. Spoken/written consent Implied consent- when a person consent to something by his or her actions. What do you have to report? Communicate disease, vaccine, criminal acts, equipment, related injuries, clear and present danger, client mistreat, professional misconduct, abuse/neglect of client, incompetence, legal competence, drug and alcohol impairment. Privacy laws – we must report communicable diseases, rape, any equipment that causes harm to patient. Team building- encouraging politeness, cooperation, respect, and trust. What to do if student nurse gets hit by a patient? Make sure they are in a safe situation, let the clinical instructor know What to do if Jehovah witness refused blood transfusions? Document and notify the RN What to do if patient tells you their committing suicide as soon as their discharged? Report Thinking in a critical manner - Look for evidence in other sources - Involve all disciplines - Know that patient may have multiple complex problems Critical thinking concepts - Be tolerant of other opinions - Ask questions Critical thinking process - Purposeful informed, outcome, focused thinking, driven by patient community needs - Based on principles of nursing process and scientific methods - Using knowledge, intuition, skill and experience guided by professionals Note taking- don’t try to capture every spoken word. Active listen for main ideas, develop own symbols Nurses were originally trained to work where? In the home in 1892 Barriers to learning- level of reading, math, language If a patient has a DNR who should know? Everyone who is involved in the patient care External distractions – lightning, background noise, or phone (Facebook, IG, etc.) Internal distractions – personal thoughts Method of studying leads to comprehension Best professional social media – LinkedIn Castrophic War – when medicine and nursing progress What was Florence nightingale’s most contribution? - Hand hygiene - Holistic medicine - Decrease in death rate of Crimean war - First nursing school in London- moral character in nurses Dorthia dix – champions mental health, founded over 30 hospitals for mentally ill, helped recent nurses for the union army during civil war Maslow’s Hierarchy Needs- self-actualization, esteem, love/belonging, safety, physiological Patient’s Bill of Rights- to be treated as human beings, to participate in decisions regarding care, to be treated with dignity and compassion, to refuse treatment except communicable disease. Self in regards to Maslow- challenging projects opportunities for innovation and creativity learning Esteem in regards to Maslow- important projects recognition from others Social belonging in regards to Maslow- acceptance part of a group identification with a successful team Safety & Security in regards to Maslow- physical safety, economic security, freedom from threats  Physiological needs in regards to Maslow- physical survival, hunger, thirst, oxygen Ombudsman- patient advocate to assist patient and family to make hospital comfortable and stress free Case management(RN) – assist with dietary planning, patient’s needs and resources to those needs, community services, rental equipment, discharge planning, starts at admission, continuity of care Legal issues of nursing practice- responsible for maintain established standards of nursing care, encounters with situations involving legal responsibilities, avoiding violations of other important laws that are specific to healthcare. Licensing laws- protect the public from unqualified workers and establish standards for the profession Nurse practice acts- explain the duties and functions that the various levels of nurses can perform. RN/LPN- LPN may collect data, not triage establish goals or care plans; under supervision may administer medication; gather measurements, signs and symptoms, may not function without the supervision of an RN Nurses Code of Ethics- accountability, patient advocate, maintaining and developing standards of practice, advance education Smith Hughes act of 1917- providing money for developing additional schools of practical nursing Mary secole- nurse from Jamaica, uses knowledge and herbs, natural plant medicines to treat cholera, yellow fever, malaria, and diarrhea. Famous pupil – Florence nightingale( worked in crimean war (1853-1865) w/ 38 other nurses, established first school of nursing in England 1860 Florence Nightingale’s influence on nursing training – improved ventilation, sanitation, and nutrition. Her group of 38 nurses lowered the death rate from 60% to 1%. Virginia Henderson – help client gain independence in meeting this needs as quickly as possible Clara Barton – served in the civil war & founded the American red cross Linda Richards- the first trained nurse in the US Lilian wald- founder of the henry street settlement Mary Mahoney- first black nurse midwife Mary Adelaine Nutting- pioneer in nursing education First school of nursing founder- Lutheran in 1836 (kaiserwerth, Germany) Culture – a person is not born into knowing about their culture, it is learned. HIPPA was created in 2003 Ruminative thinking – person who keeps making a mistake, continually blame themselves for the accident DiYerent types of thinking: random, habitual, remnant, directed Ethical responsibilities: client advocacy, liability, safety, or system based Refusing care to a patient can cause what – you to lose your license Active euthanasia – killing patient with lethal dose Passive euthanasia – intentionally letting patient die by withholding life support Legally competent factors: - Over 8 years old - Pregnant or married - Emancipated minor How to introduce self to patient 1. Knock on door 2. Assess preliminary data including nonverbal communication cues from the patient 3. Address the client with appropriate title 4. Give your name 5. Identify yourself as a student nurse from south college 6. State the purpose for being in the room