NURSING NUR 254 Exam 4 Study Material Exam
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Where is the largest growth of nursing jobs predicted to
be? - Answer-Out of hospital settings:
-Ambulatory care (physician or nurse offices/clinics, and
free-standing emergency and surgical centers)
-Extended care (senior centers, nursing homes, rehab
facilities, hospice and pallitive care)
-Community health nursing (health department,
community health centers, schools, summer camps, and
home health care).
Why do we define nursing? - Answer--Clearly and
precisely outlines who nurses are and what nurses do
-Helps set parameters on nursing practice
-Distinguishes nursing more clearly as a unique profession
-Guides policy at local, state, & national levels
Helps guide curricula and research agendas
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What did Florence Nightingales definition of nursing
include? - Answer--Made reference to the environment as
it relates to care of the patient
-Referenced the importance of nutrition (diet) in the care of
the patient
What are "state nurse practice acts"? - Answer--Contains
the legal definition of nursing
in a particular state
-Regulated by the state legislature
-Drafted by state nurses associations, boards of nursing,
and legislators
-Nurses must remain familiar with their respective state's
nurse practice act
What is professional socialization? Formal vs. informal? -
Answer--Learning to think like a nurse.
-Learning to behave like a professional
-Learning new roles
-Formal= coarse work and clinical work (direct teaching)
-Informal= observing a nurse in clinical practice (indirect)
5 steps of the nursing process? - Answer-Assessment
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Analysis/problem identification= can be thought of as
diagnosing.
Planning= specifying patient outcomes and related nursing
interventions
Implementation= carrying out plan of care
Evaluation= measuring the extent to which the patient
carrie dout outcomes
Typical age, gender and ethnicity of nurses? - Answer--
Woman (only 11% are men).
-Caucasian (only 19% are an ethnic minority)
-1/3 of nurses are >50 years old
What is "entry into practice"? - Answer-Level of education
needed to become a professional nurse. This is still under
debate.
3 ways to become a RN? - Answer--BSN= Push toward
moving nursing education to higher education so that
nursing could be more qualified for recognition as a
profession, with opportunities for leadership,
administration and teaching in public health.
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-ADN= Originally proposed as a solution to the nursing
shortage. Is a step in the progression to BSN.
-Diploma= 1st type of nursing education program in the
U.S. 3-year hospital based program. More hands on, skill
and service oriented than higher education programs.
3 Models of socialization? - Answer--Cohen & Hinshaw:
they identified 4 stages related to beginning nursing
students.....basic student socialization model (unilateral
dependence, negative/interdependence,
dependence/mutuality, interdependence)
-Bandura: he described a type of socialization, "modeling",
which is useful when learning any new behavior
-Benner: she identified five stages nurses pass through in
the transition from novice to expert
Patricia Benner's 5 stages? - Answer--Included in her book
"from novice to expert".
1) novice stage= when student first enrolls in nursing
school...they are dependent on rules...limited practical
skills