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99 Cards in this Set
- Front
- Back
- 3rd side (hint)
What are the four central concepts to nursing theories?
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person
environment health nursing |
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List the sections on maslow's pyramid from top to bottom.
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self actualization
self esteem love & belonging safety & security basic needs |
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According to F. Nightingale, what is the focus of nursing?
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the ENVIRONMENT is the focus, food, light cleanliness. putting the patient in the best possible condition for nature to act. It is the first time we see a division of medicine and nursing. She linked the client's health status with environmental factors and initiated improved hygiene and sanitary conditions.
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What are the characteristics of professional nursing?
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caring (the central and unifying domain for the body of knowledge and practices in nursing. caring behavior shows understanding and respect for another's perceptions, feelings and desires)
commitment (to pledge or promise to do something and follow thru until it is done) accountability (to answer for one's own actions, accountable to self, client, employer, profession and society) |
A professional nurse gets her start in the ACC..
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What are the institute of medicine core competencies?
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1. patient centered care
(includes everthing about patient...respect, values, pain, listening, educating, managing, advocating, wellness, etc) 2. Interdisciplinary teams (cooperate, collaborate, communicate and integrate care in teams to ensure that care is continuous and reliable) 3. Evidence based practice (integrate best research with clinical expertise, participate in learning, research) 4. Quality Improvement (identify hazards, basic safety and design, standardization...) 5. Utilize informatics (communicate, manage knowledge, mitigate error, and support decision making using information technology) |
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What does the Quality Chasm report conclude?
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It concludes that the IOM has 5 core competencies to focus on:
All health professionals should be educated to deliver patient centered care as members of an interdisciplinary team, emphasisng evidence-based practice, quality improvement approaches and informatics. |
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What is the name of the nurse that discusses the levels of experience of a nurse?
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Patricia Benner
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What are the levels of nursing experience that Patricia Benner discusses?
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1. novice (us, until graduation)
2. advanced beginner (has some visual experience) 3. competent (has 2-3 yrs on same unit) 4. proficient (has 3+ years on same unit) 5. Expert (diverse experience with focus on multiple dimensions) |
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What is the central theme of Patricia Brenner's nursing theory?
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that caring is central. Caring creates possibilities for coping, enables possibilities for connecting with and concern for others and allows for the giving and receiving of help.
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What type of system is nursing?
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it is an open system because it deals with the environment
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Who is responsible for the nurse-client relationship theory?
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Hildegard Peplau
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What is the name of the official organization that represents nurses?
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ANA - American Nurses Association
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What is the name of the organization made up of RNs, LPNs, NAs or any individual concerned with nursing education, nursing service and healthcare delivery?
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National League for Nursing (NLN)
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What is the name of the publication for the NLN?
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Nursing Outlook is the name of the publication for the National League for Nursing.
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Look OUT! OUTLOOK! Look out because anyone can be part of the NLN as long as they have $40
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What is the name of the publication for ANS?
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Imprint
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Don't you wish as a STUDENT that you could IMPRINT all of this information into your head?
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Which organization is voluntary?
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NLN, for $40 anyone can join
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Who is considered licensed personnel?
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LPN and RN (because they both sit for the state exam)
CN, NA are not licensed, but certified |
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What is the difference between ethics and morals?
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ethics - branch of philosphy dealing with standards of conduct and moral judgment
morals - standards of right and wrong |
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What is it called when a person has ideas and beliefs that they consider important and feel strongly about?
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values
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What is it called when we talk about right and wrong?
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morals
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What is it called when we talk about how to act and the standards around it?
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ethics
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What is an act of ommission?
What is an act of commission? |
omission -didn't do something for patient
commission- did do something that a normal nurse wouldn't do |
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Who wrote the Standards of Professional Performance?
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ANA (American Nurses Association)
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What are the Nursing Practice Acts?
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in each state
regulate the licensure and practice of nursing North carolina Nurse Practice Act |
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List the professional responsibilities and roles of the nurse:
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1. autonomy and accountability
2. caregiver 3. advocate 4. communicator (central to all roles nurse plays) 5. educator 6. career development (life long commitment to learning) 7. manager (manage healthcare team) AC AC EC M - like a little cheer! What are the roles and responsibilities of a nurse? AC AC EC M!!! |
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The code of ethics that RNs follow defines the ___________ by which nurses' provide __________ to their clients.
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The code of ethics defines the principles by which nurses' provide care to their clients
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Founder of modern nursing
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Flo Nighty
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The integration of best research evidence with clinical expertise and patient values.
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Evidence based practice
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The nursing process (assessment, diagnosis, outcome id and planning, implementation and evaluation) are listed in this publication.
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ANA Standards of Clinical Practice
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What are the five basic principles of health care ethics?
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autonomy - client is in charge
beneficience - do good nonmaleficence - don't be bad justice - fairness (organ transplant example) fidelity - keep promises |
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What are some things that a nurse does to show caring?
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providing presence
touch listening knowing the client spiritual caring family care |
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What are the steps to process an ethical dilemma?
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1 - Is this an ethical dilemma? If scientific data does not resolve question, then it is.
2 - Gather info, all pertinent info 3 - Examine own values on the issue 4 - Verbalize problem 5 - Consider possible courses of action 6 - negotiation outcome 7 - evaluate the action |
Get Ethics Very Clear Nurse Eugene Gather Examine Verbalize Consider Negotiate Evaluate |
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First nursing theorist
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Florence Nightingale
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Founder of American Red Cross
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Clara Barton
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First African American nurse
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Mary Elizabeth Mahoney
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Mildred Montag
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Established the first Associate Degree Nursing Program
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What did the Health Care Reform of 1994 do?
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Emphasized cost containment
Access to health care and health promotion |
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This document has two goals, to increase quality and years of healthy living and second to eliminate health disparities.
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Healthy People 2010
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What did the Nurse Reinvestment Act do?
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Authorized federal spending for scholarship, loans and grants. Has not been fully funded yet.
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What is the importance of the Institute of Medicine's Health Professions Education: a bridge to quality?
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identified 5 core competencies for the health practicioner to meet society's future health needs
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NCBON mandates what in 2006?
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The inclusion of the five IOM core competencies into all nursing programs in NC
(wish it was to include cinnaBONs into nursing school...mmmmm) |
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What body regulates the practice of RNs?
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North Carolina Board of Nursing
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What is special about our board of nursing in NC?
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it has elected people
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What is the purpose of the North Carolina Board of Nursing?
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To protect the public by ensuring the provision of safe nursing care to the people of North Carolina through the regulation of nursing practice.
It oversees the nurse practice act |
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Purposeful misrepresentation of self. It is an intentional tort.
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Fraud
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A violation of another's rights for which the law allows an action to recover damages or specific property or both.
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Injury
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A sum of money awarded to one person because another person has disregarded his or her rights as established by law.
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Damages
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Verbal false statements.
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Slander
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Negligence committed by a professional such as a nurse.
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Malpractice
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Intentional alteration or invention of any information on the client record.
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Falsification of records
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Unjustifiable detention without a legal warrant.
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False Imprisonment
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The act of willfully ending life.
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Euthanasia
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Give two examples of euthanasia.
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withholding life support
administering a lethal dose of a drug **Both are acts of willfully ending life. |
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Acts performed or omitted that an ordinary prudent health care professional would or would not have done.
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Reasonable care
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A civil wrong committed against a person or property.
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Tort
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Written false statements.
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Libel (an intentional tort)
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Unlawful threatening or an attempt with force or violence to inflict physical injury.
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Assault
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What is not required for a charge of assault?
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an actual physical contact
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Any intentional touching without client consent.
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Battery
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An offense against society
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crime
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Premature termination of the professional treatment relationship by the health care provider without adequate notice or the client's consent.
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Abandonment
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A person's agreement to allow something to happen based on a full disclosure of facts.
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Informed consent
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Publication (written or oral) of false statements that result in damage to a person's reputation.
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Defamation of character
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Unwanted intrustion of a client's private affairs.
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Invasion of Privacy
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Denotes legal responsibility to pay damages when the four elements of malpractice are proven.
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Liability (go back and re read the definition.)
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Conduct that falls below the standard of care.
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Negligence
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The act of doing something that a reasonable and prudent nurse would not do.
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negligence (notice it is the opposide of reasonable care)
*an act of commission is negligence |
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List some general allegations against nurses that are common.
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-med errors
-failure to ensure safety -failure to monitor and report -improper treatment -failure to folow agency protocols and procedures |
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How do you document?
(list adjectives describing proper documentation) |
factual
accurate complete current organized legible FACCOL (faculty will teach you to document) |
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List the steps for malpractice to be claimed
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1. Nurse has relationship with client
2. Nurse did not observe standard of care that is expected in the situation 3. Client sustains harm, injury or damage 4. Harm must be direct result of nurse's failure to meet standard. Nurse should have known such failure could result in harm |
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Laws for nursing are what type of law?
If harm is done to a patient, what type of law is it resolved from? |
civil
civil |
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When is negligence considered criminal law?
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when it is gross negligence with intent, then it is criminal
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What is the source of constitutional law?
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supreme court
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What is the source of common law?
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court decisions
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What is the source of legislative law?
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federal, state or other legislative bodies
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What is the source of statutes?
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federal, state or other legislative bodies (us senate)
statutes are legislative laws |
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What is the type of law that deals with relationships between private parties?
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civil law
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What is the type of law that deals with relationships between private parties?
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civil law
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What is the type of law that deals with relationships between private parties?
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civil law
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What is the type of law that deals with safety and public welfare?
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criminal law
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What is the type of law that deals with the government and individuals ?
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public law
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What type of law includes contract law and torts?
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private (civil) law
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What type of law does malpractice fall under?
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tort law
(which is civil law) ***aka private law |
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List some unintentional torts:
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negligence
gross negligence malpractice |
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What are some intentional torts?
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assault
battery informed consent |
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Evidence based practice includes the use of:
- - - - - |
-research study data
-qi data -evaluation data -consensus of experts -nurse's clinical experience, practice trends, and client preferences |
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If you are doing research, you have to make sure you do the following three things:
1 2 3 |
1) get CONSENT
2) provide CONFIDENTIALITY 3) ANONYMITY |
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What three things did healthcare reform change/emphasize?
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cost contaiment
access to health care health promotion |
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Two main goals of Healthy People 2010
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increase qualtity and years of healthy living
eliminate health disparities |
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What is the signifigance of Dorothea Dix in nursing?
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female nurse of union army, she organized hospitals, appointed nurses and oversaw and regulated supplies for the troops
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General systems theory states that we are an _____________.
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open system
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Maslow's theory is considered this type of non-nursing theory.
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Human need theory
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What is the goal of nursing?
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health
(it is one of the four components of nursing theory) |
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When you think Patricia Benner, think theory based on ____________.
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caring
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Who wrote the Standards of Care?
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ANA
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This describes and defines the legal boundaries of nursing practice within each state.
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Nursing Practice Act
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Four major principles of the ANA code of ethics:
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Accountability
Responsibility Confidentiality Veracity |
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Basic principles of healthcare ethics:
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Autonomy
Beneficence Nonmaleficence Justice Fidelity |
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Informed consent implies three things. list them.
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-consent was voluntary
-client was of legal age -client has enough info to make an informed decision |
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