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39 Cards in this Set

  • Front
  • Back
Nurses
Social policy
Responds to needs of clients
Respond and adapt to challenges
Florence Nightingale
First nursing theory. Clean up equals better patient outcome.
Who brought forth awareness of cultural diversity in nursing
Mary Mahoney
Nursing practice
Occurs in multiple care settings
Nursing Code of Ethics
Defines the principles by which nurses' provide care to their clients
Consumer Needs
diff care to diff cultures
most of healthcare changes are based on consumer requests
Evidence-based practice
don't just believe what you hear
A problem-solving approach to clinical practice based on best practices
Standards of Practice
1. Assessment
2. Diagnosis
3. Outcomes identification
4. Planning
5. Implementation
6. Evaluation
An 18-year-old woman is in the emergency department with fever and cough. The physician asks the nurse to measure vital signs, auscultate lung sounds, listen to heart sounds, determine the level of comfort, and collect blood and sputum samples for analysis. The nurse is performing what aspect of practice?
Assessing
The examination for the registered nurse (RN) licensure
Provides a minimum standard of knowledge
Clinical decision maker
A nurse who uses critical thinking in the decision-making process to provide effective quality care to individuals
The licensure and practice of nursing is regulated by:
The Nursing Practice Act
National League for Nursing
was created to address concerns of members in the nursing profession
Contemporary Nursing
Autonomy and accountability
Advocacy
Provision of bedside care
Health promotion and illness prevention
Professional Roles
caregiver
advocate
manager
educator
communicator
Preventative and Primary
Stresses health promotion
Secondary and Tertiary
diagnoses and treats diseases

hospitals
subacute care
rural hospitals
ICUs
Restorative/Rehabilitation
helps pt regain maximal function possible
Continuing
for people who are disabled, terminal disesase, etc

within institutional settings or in home
Home Care
coordination of services and equipment for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliative care, and rehabilitation

focuses on client and family independence
Nursing Centers or Facilities
24-hour intermediate care

regulated by standards
Assisted Living
long term care setting w a home environment and greater resident autonomy
Respite
short term relief for persons providing home care to an ill, disabled, or frail older adult
Adult Day Care
services for those in need of daily physical rehab, counseling for emotional, drug, alcohol addiction
Hospice
<6 months to live
family-centered care
allows clients to live and remain at home
focuses on comfort, independence, and dignity
provides support during terminal phase and time of death
Theory
explains a phenomenon
Case Management
multidisciplinary care model used to move clients efficiently from admission to discharge
Nursing's paradigm includes:
The person, health, environment/situation, and nursing
prescriptive theories
reflect practice and address specific phenomena.
Each science has a domain, which is the perspective of the discipline. This domain:
Describes the subject, central concepts, values and beliefs, phenomena of interest, and central problems of the discipline
A theory is a set of concepts, definitions, relationships, and assumptions or propositions to explain a phenomenon. The purposes of the components of a theory are to:
Describe, explain, predict, and/or prescribe interrelationships among the concepts that define the phenomenon
The type of theory that tests the validity and predictability of nursing interventions is:
A prescriptive theory
Mishel's theory of uncertainty in illness focuses on the experience of clients with cancer who live with continual uncertainty. The theory provides a basis for nurses to assist clients in appraising and adapting to the uncertainty and illness response and can be described as:
A middle-range theory
The nursing paradigm identifies four linkages of interest to the nursing profession. These four linkages are:
The person, health, environment/situation, and nursing
An open system:
Interacts with the environment by exchanging information
The nursing theory that emphasizes the delivery of nursing care for the whole person to meet the physical, emotional, intellectual, social, and spiritual needs of the client and family is:
Abdellah's theory
A nurse hears a colleague tell a student nurse that it is best not to touch the clients unless performing a procedure or an assessment. Why is this not the best practice?
Touch forms a connection between nurse and client.
A client is fearful of upcoming surgery and a possible cancer diagnosis. The client has discussed a love of the Bible with the nurse, who then recommends a favorite Bible verse. The nurse is reprimanded and told that there is no place in nursing for spiritual caring. Which of the following would be an appropriate response?
"Spiritual, mind, and body connections can affect health."
Family members make the following comments about the nursing care being received. Which one should be investigated further?
"The night nurse tells us to wait and ask the doctor the questions we have."