Fundamentals Of Nursing Ch 1

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Nurse with a master's degree in nursing, advanced education in pharmacology and physical assessment, and certification and expertise in a specialized area of practice. An APN usually works in a critical, acute, restorative, or community health care agency.

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advanced practice nurse (APN)

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Organization of professional nurses in the United States that focuses on standards of health care, nurses' professional development, and economic and general welfare of nurses.

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American Nurses Association (ANA)

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One who contributes the benefits of medical, social, economic, or environmental resources to a dependent or partially dependent individual.

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caregiver

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Nurse who is educated in midwifery and possesses certification in accordance with criteria of the American College of Midwives.

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certified nurse mid wife (CNM)

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An RN who has received advanced training in an accredited program in anesthesiology.

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certified registered nurse anesthetist (CRNA)

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Role in which the nurse protects the client's human and legal rights and provides assistance in asserting those rights if the need arises.

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client advocate

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Nurse with a master's degree in nursing and expertise in a specific area of practice.

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clinical nurse specialist (CNS)

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The philosophical ideals of right and wrong that define the principles you will use to care for your clients

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Code of ethics

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Formal educational programs designed to further the knowledge, skills, and professional attitudes of practicing nurses.

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continuing education

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Instruction or training provided by an agency or institution to nurses practicing within that agency or institution.

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in-service education

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International organization for professional nurses; the ANA and Canadian Nurses Association (CAN) are members.

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International Council of Nurses (ICN)

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Organization of nurses and laypeople concerned with improving nursing education, nursing service, and the delivery of health care in the United States. The NLN is the official accrediting agency for nursing schools.

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National League for Nursing (NLN)

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Nurse in a management position with an agency who focuses on the delivery of nursing services.

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nurse administrator

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Nurse with advanced training or education who provides primary care for nonemergency clients, usually in an outpatient or community setting.

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nurse practitioner

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Nurse with graduate nursing education who investigates problems related to nursing practice.

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nurse researcher

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Diagnosis and treatment of human responses to actual or potential health problems.

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nursing

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Health care professional who has completed a course of study at an accredited school of professional nursing and has passed an examination administered by a State Board of Nursing or the Canadian Nurses Association Testing Service.

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registered nurse (RN)

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ANA Standards of Nursing Practice

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Assessment
Diagnosis
Outcomes Identification
Planning
Implementation
Evaluation

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ANA Standards of Professional Performance

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Quality of practice
education
professional practice evaluation
collegiality
collaboration
ehtics
research
resourse utilization
leadership

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Define nursing according to the ANA

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The protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations

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How did someone like Florence Nightingale see the role of the nurse in the early 1800?

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The role of nursing as having charge of somebody’s health based on the knowledge of how to put the body in such a state to be free of disease or to recover from disease

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First professionally trained African American nurse

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Mary Mahoney

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Initally founded the Nurses' Associated Alumnae, which later became the ANA

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Isabel Hampton Robb

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Opened the Henry Street settlement, focusing on the health needs of the poor

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Lilian Ward and Mary Brewster

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Founder of the Amercian Red Cross

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Clara Barton

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What are the external forces that have affected nursing practice in the 21st century?

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Demographic changes (rural areas to urban centers, increased life span, higher incidence of chronic, long-term illness, increased incidence of alcoholism and lung cancer); women's health care issues (new specialties); human rights movement (minorities, terminal illness, pregnant women, older adults); medically underserved (poor and on Medicaid, working poor, mentally ill with little to no access to health care); threat of bioterrorism (nuclear, chemical, or biological)

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Identify some of the challenges to our nursing practice today.

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Rising health care costs (challenge is to use health care and client resources wisely); evidence-based practice (a problem-solving approach to clinical practice that uses the best available evidence along with your expertise and client preferences and values in making decisions about care); nursing and biomedical research; nursing shortage (global)

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What are the 5 primary characteristics of a profession?

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a. Requires an extended education of its members, as well as a basic liberal foundation
b. Has a theoretical body of knowledge leading to defined skills, abilities, and norms
c. Provides a specific service
d. Members have autonomy in decision making and practice
e. Has a code of ethics for practice

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Describe nursing's code of ethics.

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the philosophical ideals of right and wrong that define the principles you will use to provide care to your clients

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Master's degree

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emphasizes research based clinical practice

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Doctor of Phylosophy

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emphasizes basic research and theory

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Doctor of Nursing Practice

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a practice doctorate

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What is the purpose of the Nurse Practice Act

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To protect public health, safety, and welfare

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According to Benner, an expert nurse goes through five levels of proficiency. Identify them.

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Novice, advanced beginner, competent, proficient, expert

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Independent nursing interventions that the nurse iniates without medical orders

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autonomy

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protects the client's human and legal rights and provides assistance and asserting those rights

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advocate

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explains, demonstrates, reinforces, and evaluates the clients progress in learning.

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educator

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The factor that best advanced the growth of nursing in the first century was:
1. growth of cities
2. teaching of Christianity
3. better education of nurses
4. Improved conditions for women.

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3

Nursing is a combination of knowledge from the physical sciences, humanities, and social sciences, along with clinical competencies.

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The graduate nurse must pass a licensure examination administered by the:
1. State board of Nursing
2. National League for Nursing
3. Accredited school of nursing
4. American Nurses Association

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2

Candidates are eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) to become registered nurses in the state in which they will practice.

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A group that lobbies at the state and federal levels for the advancement of the nurse's role, economic interest, and health care is the:
1. State Board of Nursing
2. American Nurses Association
3. American Hospital Association
4. National Student Nurses Association

Back 40

2

The purpose of the American Nurses Association (ANA) is to improve the professional development and general welfare of nurses.