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85 Cards in this Set
- Front
- Back
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Who is Florence Nightingale?
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Founder of modern nursing. Opened training school in 1860 with concept that nursing was art & science
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What was Florence Nightingale's nickname and why?
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Her nickname was “the Lady with the Lamp” for her lamp at night which became sign of caring, comfort.
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Who is Carla Barton?
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a teacher that worked in congress to pass Geneva convention so Red Cross could operate in peace-time
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What was Carla Barton's nickname?
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"Angle of the Battlefield"
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Who is the Founder of American Red Cross and Army Nurse Corps?
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Carla Barton
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Who is Mary Mahoney?
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First African American trained nurse in US
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What is Mary Mahoney known for?
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breaking barrier so minority nurses could be accepted into nursing school.
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Who is Lillian Wald?
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founder of public health and Henry Street Settlement with Mary Brewster.
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Who addressed issues of poverty and overcrowded, primitive living conditions in inner city tenements where infectious disease became serious problem?
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Lillian Wald
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Who is Lavinia Dock?
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one of nursing’s greatest early leaders, a radical feminist
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Who was appointed first editor on first edition of American Journal of Nursing in October 1900?
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Lavinia Dock
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Who is Linda Richards?
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The first trained nurse in the United States.
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What have been some social changes that have affected nursing
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-The fact that nursing is a female dominated profession ---technological advances -the entry of men into the profession -demographics (population trends) in the nation -the public’s image of nursing -recurring shortages of adequate number of nurses
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What is a philosophy of nursing?
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Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and acting.
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Most philosophies of nursing are built on a foundation of what?
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Beliefs of people, environment, health and nursing
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Why is philosophy important?
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Philosophies serve as blueprints or guides and incorporate each individuals value and belief systems.
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What do Nurse's personal philosophies directly interact with?
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With the philosophies of nursing and they influence professional behaviors.
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What are elements of a philosophy of nursing?
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Most are built on a foundation of beliefs about people, environment, health and nursing. Some foundational concepts are individual philosophies; collective philosophies; philosophy of nursing in a hospital setting and philosophy of a school of nursing.
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What are components of the UTMB SON Philosophy of Nursing?
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UTMB incorporates the four foundational concepts: people, environment, health and nursing and they include nursing education. Concepts central to this philosophy are: Healing and Caring
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What is the importance of theory?
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-Directs nurses toward common goal -leads to improved patient care -provides rational and knowledgeable reasons for nursing actions -gives nurses knowledge base necessary for appropriate actions -helps resolve current nursing issues -prepares nurses to question assumptions and values and serves research, education & practice
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Who are the major theorists?
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Benner, Watson, Leininger, Roy, King, Orem, Henderson, Peplau, Nightingale
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What are some of Nightingale's theories?
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meeting the personal needs of the patient within the environment; including cleanliness, ventilation, temperature, light, diet and noise
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What are some of Peplau's theories?
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Through the nurse-client relationship, the nurse assists the client in developing new behavior patterns.
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What are some of Henderson's theories?
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Fourteen basic needs of client's - physical, psychological, emotional. sociological, spiritual, or developmental - that the nurse functions in a role of substitute for the client, helper to the client, or a partner with the client.
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What are some of Orem's theories?
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Focuses on the client's self-care capacities and the process of designing nursing actions to meet the client's self-care needs.
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What are some of King's theories?
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the patient is a personal system within a social system; the nurse and the patient experience each other and the situation; act and react, and transact. Nursing is process of human interactions as nurses and patients communicate to mutually set goals.
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What are some of Roy's theories?
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humans are biopsychosocial beings existing within an environment. Nursing interventions are required when individuals demonstrate ineffective adaptive responses.
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What are some of Leininger's theories?
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Nurses provide culturally congruent nursing care and the outcome is health and well-being for the client.
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What are some of Watson's theories?
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nursing is concerned with promoting and restoring health, preventing illness, and caring for the sick. Clinical nursing is holistic to promote humanism, health and quality of living.
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What are some of Benner's theories?
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nursing practice within a context of caring and skill development. Caring is a common bond of persons situated in a state of being that is essential to nursing. A systematic description of stages of nursing practice: novice, advanced beginner, competent, proficient and expert.
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What is holistic nursing?
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Takes a whole person approach to nursing addressing both medical and psychosocial concerns. Nourishes the whole person, that is, the body, mind and spirit.
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What are the reasons for using a holistic approach?
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Nursing is a calling and a profession unto itself, and working holistically can be self sustaining. Holistic nursing practices prevent nursing burnout.
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How does this set nursing apart from other professions?
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Holistic nursing is a place for healing of the individual as well as a nurses profession. Holistic nursing offers nurses an opportunity to reconnect with the heart and spirit to bring out their full potential as healing partners.
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What is an Administrative Law?
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result when the legislative branch of government delegates authority to governmental agencies to create laws that meet the intent of a statue. (rules and regulations passed by BON.)
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What are Statutory Laws?
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laws that are established through formal legislative processes. Every time the U.S. Congress or state legislature passes legislation, the body of statutory law expands
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What are Common Laws?
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decisional or judge made law. Every time a judge makes a legal decision, the body of common law expands.
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What are Case Laws?
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They are composed of decisions rendered in court cases by appeals courts.
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What are Civil Laws?
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They recognize and enforce the rights of individuals, such as disputes over legal rights or duties of individuals in relation to one another. (sometimes an event and be both civil & criminal)
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What are Criminal Laws?
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involves public concerns regarding an individual’s unlawful behavior that threatens society, such as murder or possession of illegal substances. (Filed when you have done something considered harmful to society as a whole)
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What are Torts?
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Civil actions: plaintiff files lawsuit for compensation for damages suffered from perceived wrong; Unintentional Torts: incidents or accidents (most common malpractice); Intentional torts: deliberate acts
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What is the function of BON?
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Establishes standards of practice & regulate practice; Interprets NPA & Rules & Regulations to nurses and the public; Investigates possible violations of NPA; disciplines violators through legal action; license qualified applicants to practice nursing – RN, LVN, APN; Grants licensure to nurses from other states; recommends to legislature appropriate changes in NPA; establishes standards for nursing education and approves nursing education programs; provides consultation to nursing education programs; provides advice and counsel to faculty, staff of health agencies utilizing nurses, and to nurses to improve professional service.
It can adopt rules that clarify general provisions of the nurse practice act, but it does not have the authority to enlarge the law. Some state boards of nursing have the authority to enforce minimum criteria for nursing education programs. |
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What is the purpose of BON?
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To protect and promote the welfare of the people of Texas and ensures that licensed nurses are competent to practice safely.
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What is licensure?
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The process by which an agency of government grants permission to qualified persons to engage in a given profession or occupation
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What is mandatory licensure?
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requires profession to be licenses and
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What is permissive licensure?
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protects use of title granted but does not prohibit person from practicing if they do not use the title.
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How is licensure different from certificate?
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Licensure is done nationally and certificate is done only through the state.
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What are requirements for licensure?
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To practice nursing you must have a license; you may not use the titles of RN, LVN, APN if you have not met the requirements of the BON and been granted a license to practice; you may not wear jewelry or other insignias with RN or LVN on it unless you are licensed.
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What is nurse compact?
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Mutual recognition model of licensure; allows you to be licensed in one state and practice in other compact states; states must enact legislation to authorize Nurse License Compact; Nurse must reside in State
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What were the first states to implement the nurse compact?
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Utah, Texas & Wisconsin
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What are the continuing education requirements for nurses?
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You are required to have 20 hours of continuing education every two years; You will be asked on license renewal if you have done required CE; BON randomly audits nurses for verification
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What constitutes good professional character?
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“Good people do not lie” Values are attitudes, ideals, or beliefs that one holds and uses to guide behavior. Be civil, be ethical, be honest, be the best, be consistent, be a communicator, be accountable, be collaborative, be forgiving, be current, be involved, be a model, be responsible for self, be prepared. Moral principals of our interaction with other people; commitment to standards.
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What is considered unprofessional character?
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Threatening the patient; breaking confidentiality of patients information
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What is malpractice? In what situations could nurses be sued for malpractice?
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Failure to follow standards of care; failure to use equipment in a responsible manner; failure to communicate; failure to document; failure to assess and monitor; failure to act as a patient advocate.
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What is a BSN Nurse expected to do?
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assesses the need for information and designs comprehensive teaching plans individualized for the focal client. They also manage comprehensive nursing care for focal clients
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What are the roles of the Provider of Care?
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Demonstrate knowledge of the importance and meanings of health and illness for patient in providing nursing care. Also to Apply health care technologies to maximize optimal outcomes for patients; participate in research that focuses on the efficacy and effectiveness of nursing interventions
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What are the roles of Director/Manager/Coordinator of Care?
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coordinate and manage care to meet the special needs of vulnerable populations, including the frail elderly, in order to maximize independence and quality of life
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What are the roles of the members of profession?
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incorporate professional nursing standards and accountability into practice; advocate for professional standards of practice using organizational and political processes
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What is a client advocate and how does a nurse advocate for clients?
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Patient advocates know how to cut through the levels of bureaucracy and red tape of health care organizations and will stand up for the patient’s rights, advocating his or her best interests at all times
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What is ethics?
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The study of the moral principles of our interaction with other people
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What is moral distress?
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Pain or anguish of a person who unwillingly participates in perceived moral wrongdoing. It can effect workplace environment.
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What is Ethical Theory – Utilitarianism?
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Consequence based theory; look at consequences of action to judge if it is right or wrong. Do the MOST GOOD with the LEAST HARM. (in case of emergencies, worst conditions should be ones to go out of the hospital LAST).
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What is Ethical Theory – Deontology?
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Principle based theory; involves logic and formal processes; emphasize individual rights, duties and obligations. Mortality of action is judged by whether it was done according to impartial, objective principle. Doing ones duty and obligations to others.
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What is Ethical Theory – Virtue Ethics?
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Relationship Based Theory – caring. Stress courage, generosity, honesty, commitment, and need to nurture and maintain relationships. Judge acts according to caring and responsibility
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What is Ethical Principles– Autonomy?
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people have the right to make their own decisions
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What is Ethical Principles – Beneficence?
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doing good; nurses are obliged to do actions that benefit clients.
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What is Ethical Principles – Nonmleficence?
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do no harm; This can be complex; holding the arm of a client who is falling and leaving a bruise
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What is Ethical Principles – Fidelity?
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honoring one’s commitment (ex: I’ll be right back)
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What is Ethical Principles – Veracity?
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telling the truth (whenever possible and patient wants
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What is duty to report?
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The requirement, according to state law, for health professionals to report child abuse, gunshot wounds, certain communicable diseases, and threats toward third parties.
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What is the Nurse’s Duty?
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Nurses should be aware of these requirements and make sure appropriate supervisory person is informed.
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What is peer review?
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The method most journals use to determine whether or not to publish a research report.
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What is Incident Based?
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It’s a process combined with peer review that is used to determine whether a nurse’s actions should be reported to the board.
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What is Safe Harbor?
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A process lay out by Texas Law that protects nurses from employer retaliation and licensure sanction.
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What is the difference between LVN and RN practice?
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LVN’s are differentiated from registered nurses by education and licensure and have a limited scope of practice. Licensed vocational nurses are considered technical workers in nursing. LVN/LPN programs have state approval rather than national accreditation. Practical nursing education for LVN usually lasts 12 months and takes place in a variety of settings: vocational/technical schools, community colleges, and high schools.
RN’s can extend their practice through further education. If RN is asked to perform a given task, those may not be assigned to the LVN. |
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What is the 6 step model for determining the scope of practice?
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NPA and BON Rules and Policies, Valid Order, Nursing Literature and Research, Nurse’s Competence, Standard of Care and Responsibility.
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What is the RN scope of practice?
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Terminology used by the state licensing board for various professions that defines the procedures, actions and processes that are permitted for the licensed individual.
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What is the reason for standards?
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The standards of practice establish a minimum acceptable level of nursing practice in any setting for each level of nursing licensure
Failure to meet these standards may result in action against the nurse's license even if no actual patient injury resulted. |
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Who is responsible for uses complex communications skills with focal clients, collaborates with other health team members and assumes an accountable role in change?
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BSN Nurse
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In this role, nurses sometimes help the patient bend rules when it is in the patient’s best interest and doing so will harm no one else
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Client Advocate
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Who's role is to develop personal goals for professional development and participate in professional organizations?
A) Client Advocate B) BSN Nurse C) Director/Manager/Coordinater D) Member of the Profession |
D) Member of the Profession
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Who's role is it to coordinate the health care of individuals across the lifespan utilizing principles and knowledge of interdisciplinary models of care delivery and case management and to delegate and supervise the nursing care given by others while retaining the accountability for the quality of care given to the patient?
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Director/Manager/Coordinator of Care
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Who's job is it to develop a comprehensive plan of care in collaboration with the patient, serve as the patients advocate, integrate care with other members of the interdisciplinary health care team and evaluate and assess the usefulness in integrating traditional and complementary health care practices?
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Provider of Care
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Who provides direct care based on the nursing process and focused on clients (individuals, families, groups, aggregates and communities in structured and unstructured health care settings) with complex interactions of nursing diagnoses?
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BSN Nurse
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Which of the follow is NOT a Standard of Practice for Nursing?
A) Implement measures to promote a safe environment for clients and others B) Respect the client's right to privacy by protecting confidential information unless required or allowed by law to disclose the information C) Notify the appropriate supervisor when leaving a nursing assignment D) Taking all assignments handed to you |
D) Taking all assignments handed to you
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Nurses can utilize a systematic approach to provide individualized, goal-directed, nursing care by:
A) performing comprehensive nursing assessments regarding the health status of the client B) making nursing diagnoses that serve as the basis for the strategy of care C) developing a plan of care based on the assessment and nursing diagnosis D) implementing nursing care and evaluating the client's responses to nursing interventions E) All of the above |
E) All of the above
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