Week One

48 flashcardsby Taylor
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1
How is nursing defined according to the ANA?
1. Protecting, promoting, and advancing clients' health
2. Averting illness and injuries through health promotion
3. Using the nursing process to facilitate clients' recovery from illness or injury
4. Minimizing or eliminating clients' suffering
5. Advocating for the care and health of the client, family, or community
2
What is the Nurse Practice Act?
A legal and regulatory body that is created by, and applicable in, each individual state. It establishes common definitions, rules, and regulations to guide the practice of a licensed nurse and thereby promote quality of care and safety when caring for a client
3
What is the ANA's Scope of Nursing Practice?
Provides the nurse with the clear definition of the complex and dynamic role of the nurse and the expectations of the nurse in that role
4
What are the ANA's Standards of Nursing Practice?
Explanatory statements that describe a competent level of care and professionalism that all nurses should achieve
5
What is the Code of Ethics for Nurses?
Developed by the ANA, this document outlines rules for nurses about client privacy, nursing conduct, and nursing behaviors to protect clients and the profession
6
What is evidence-based practice?
The process of using evidence from credible scientific research to guide nursing interventions and clinical judgement
7
What are the five stages of the novice-to-expert model for nursing competence?
1. Novice
2. Advanced beginner
3. Competent
4. Proficient
5. Expert
8
What does stage one of the novice-to-expert model for nursing competence entail?
Covers nursing students and new nurses who have no previous experience. Novices cannot yet draw on their own judgment. The novice struggles to decide which tasks are most relevant in real-life situations
9
What does stage two of the novice-to-expert model for nursing competence entail?
-Advanced beginner
Has been involved in enough real-world situations to be able to recognize patterns and recurrent situations. A problem at this stage is that the focus is on remembering and following the rules and guidelines that have been tought. The advanced beginner needs clinical support to set priorities so that clients receive the care they need.
10
What does the third stage of the novice-to-expert model for nursing competence entail?
-Competent
The competent nurse isable to prioritize tasks by drawing on past experiences. These nurses may not function with the same speed or ease of change as proficient nurses, but they have mastery in multiple areas. Competent nurses recognize patterns in clinical situations more quickly and accurately than advanced beginners can.
11
What does the fourth stage of the novice-to-expert model for nursing competence entail?
-Proficient
The proficient nurse is able to understand the bigger picture or the desired outcome of situations, which facilitates improved decision making. Proficient nurses are able to respond to changing situations and modify plans in the face of different events
12
What does the fifth stage of the novice-to-expert model for nursing competence entail?
-Expert
Has extensive experience and knowledge to draw from when responding to complex client conditions. At this stage, nurses have self-confidence and trust their intuitive sense of a situation. Expert nurses know what needs to be done and are able to perform it well
13
What are the responsibilities of an executive nurse leader?
Responsible for seeing that the Nurse Practice Act and the Standards of Care are being followed in the clinical setting, thereby enforcing safety for all clients and staff
14
What is a change agent?
A nurse who brings innovation for improvement through knowledge, critical thinking, objectivity, and practice
15
What is change management?
The goal of nurse managers who help to bring about change with a goal to constantly improve the staff workflow and the client outcomes
16
What does collaboration in health care refer to?
The respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members so as to provide quality professional care
17
What is the National Academy of Medicine?
A nonprofit, private business that provides objective data intended to improve the health of society. It emphasizes a scientific, evidence-based approach to issues that affect the world, working collaboratively to discover solutions to health problems
18
What is the National Student Nurses Association?
A nonprofic organization created for nursing students to provide an introduction to professional development through national conventions, networking, and career development activities
19
What is the Natioinal League for Nursing (NLN)?
An organization that aims to promote excellence in nursing education to effectively build a strong and diverse nursing workforce that will advance the health of the national and global community
20
What is health promotion?
The World Health Organization (WHO) defines health promotion as a way to empower people to control and improve their physical and mental health
21
What is health literacy?
The capacity to obtain, communicate, and understand basic health information and services so as to make appropriate health decisions
22
What is the Code of Ethics?
A document developed by the ANA that outlines rules for nurses about client privacy, nursing conduct, and nursing behaviors to protect clients and the profession
23
What are nursing practice standards for the licenced practical/vocational nurse?
Pns are expected to adhere to the values, ideals, duties, and obligations outlined in the Nursing Practice Standards established by the National Association for Licensed Practical Nurses (NALPN).
-The NALPN states, the PN "shall recognize and have a commitment to meet the ethical and moral obligations of the practice of nursing".
24
What do provisions 1-3 of the Code refer to?
The fundamental values of the nursing profession and the nurse's commitment to those that they care for
25
What do provisions 4-6 of the Code refer to?
The duty and loyalty that the nurse is expected to show to their clients and themselves
26
What do provisions 7-9 of the Code refer to?
The duty and loyalty the nurse is expected to show beyond direct client encounters and to the nursing profession as a whole
27
What ethical principles have a direct effect on nursing practice?
-Autonomy
-Beneficience
-Nonmaleficence
-Veracity
-Fidelity
-Justice
28
What is the ethical principle of autonomy?
Refers to the nurse's obligation to respect the client's right to make their own decisions regarding their health care, including the right to refuse care
*Unless the client's decision is harmful to others, the nurse has an obligation to respect and advocate for the client's wishes
29
What is the ethical principle of beneficence?
Refers to the nurse's obligation to minimize harm and practice in a way that benefits the client
-Also means going above what is required
30
What is the ethical principle of nonmaleficence?
Refers to the nurse's obligation to do no harm
31
What is the ethical principle of veracity?
Refers to the nurse's obligation to provide truthful and accurate information to the client.
32
What is the ethical principle of fidelity?
Refers to the nurse's obligation to demonstrate loyalty, to keep promises, and to uphold commitments
33
What is the ethical principle of justice?
Refers to the nurse's obligation to provide treatment, care, and resource allocation that is impartial, fair, and equitable to all clients regardless of age, sex, race, or economic status
34
What are the five core values of all nurses?
-Altruism
-Human dignity
-Integrity
-Autonomy
-Social justice
35
What is altruism?
The selfless concern and actions for the benefit of someone else. To do something, or take action, for the sake of benefiting someone else
36
What is human dignity?
Implies that each individual, regardless of race, religion, gender, sexual orientation, culture, ethnicity, socioeconomic status, or any of our characteristics or personal preferences, has intrinsic value and should be respected and treated equally. (All human beings are equal)
37
What is integrity?
When a nurse demonstrates honesty, even when circumstances challenge the nurse's character, and it can be difficult to sustain.
-The quality of being honest and having strong moral principles
38
What is the emergency medical treatment and labor act (EMTALA)?
A law that ensures that all individuals, regardless of their insurance or financial status, have equal access to emergency medical care
39
What is the Health Insurance Portability and Accountability Act of 1996 (HIPAA)?
The Health Insurance Portability and Accountability Act, also known as the Privacy Act, is legislation to protect insurance coverage and private information of clients. Its purpose is to protect client privacy and personal health information for security breaches, particularly electronic data. It was established by the federal government with the goal of making health care more efficient.
40
What is the difference between privacy and confidentiality?
-Physical seclusion, protection of personal information and identity, and the ability to make autonomous decisions all refer to privacy
-Not disclosing personal information without the person's permission is referred to as confidentiality
41
What is a tort?
An act or omission that causes legally cognizable harm to persons or property
42
What is implied consent?
Agreement by the client to the administration of care as demonstrated by the client's actions rather than by formal verbal or written consent
43
What are advance directives?
A written statement of a person's wishes regarding medical treatment
44
What are Good Samaritan laws?
Provides for protection from claims of negligence for those who provide care without expectation of payment
45
What is whistleblowing?
Reporting private information about an organization's wrongdoing or illegal activity
46
What is a sentinel event?
An occurrence that resulted in the permanent disability, temporary severe injury, or the death of the client
-An adverse event that should never occur
47
What is just culture?
Described in the ANA Code of Ethics with Interpretive Statements as an atmosphere of nurses maintaining accountability for themselves and each other within the profession, following the guidelines of the Code and ANA standards of practice
48
What are the five rights of delegation?
-Right task
-Right circumstance
-Right person
-Right directions and communications
-Right supervision and evaluation
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