NUR 211 FUNDAMENTALS EXAM 1 STUDY
GUIDE VERSION 2
Define
Nursing practice acts
- Determine professional liability insurance rates
- Info. is not included when a reportable event is documented in the
medical record: that an incident report was NOT submitted
- Define legal scope of nursing practice
- Create a state board of nursing to make and enforce rules and regulations
- Define important terms and activities in nursing, including legal
requirements & titles for RNs & LPNs
- Establish criteria for the education and licensure of nurses
American Nurse Association:
- The knowledge base for nursing practices includes diagnosis, interventions,
& evaluation of outcomes from an established plan of care
The World Health Organization (WHO):
- Defines health as a “state of complete physical, mental & social well-being
& not merely the absence of disease or infirmity”
- Pubic health is measured by morbidity (how frequently a disease occurs) &
by mortality (# of deaths resulting from disease)
QSEN Quality & Safety Education for Nurses
- Patient centered care- we revolve around patient!
- Teamwork and collaboration
- Quality improvement
- Safety
- EBP- handwashing
- Informatics – research, analytics
Disease:
, - Medical term referring to pathologic changes in the structure or function of
the body or mind;
Illness:
- The response to the disease; an abnormal process where the persons level of
functioning is changed from previous level
4 stages of illness behaviors: ( each stage is different as everyone has different
view of illness)
1. Experiencing symptoms- short/long term
2. Assuming the sick role- person self- diagnoses sickness; independent; home
remedies/rest
3. Assuming a dependent role- seeks care/receives med from doc
4. Achieving recovery and rehabilitation- sent home from hospital, meds done,
back to health
**In order to achieve #4 you DON’T have to receive a dependent role!! **
Health:
- A state of complete physical, mental, and social well-being, note merely he
absence of disease (mind/body/spirit)
Wellness:
- “the quality or state of being healthy in body and ind, esp. as the result of
deliberate effort”
- “an approach to healthcare that emphasizes preventing illness & prolonging
life, as opposed to emphasizing treating diseases” wellness
nursing/preventing
- Textbook defines as “ active state of being healthy” – well in body & mind.
Several dimensions of Wellness: (AKA human Dimensions)
- Physical: maintaining a healthy quality of life w/o excessive stress & fatigue
& recognizing the importance of adopting healthful habits (diet/exercise)
(age/race/gender)
- Emotional: understanding yourself & being able to cope with life
challenges; also means that you can express your feelings with others. (how
mind affects body/stress)
, - Sociocultural: relating to and forming positive relationships with others &
identifying & understanding the impact your cultural values & identity have
on your decisions/actions. (lifestyle/family/culture)
- Intellectual: being open to new ideas, experiences, and learning
opportunities; many don’t reach this stage. (education/natural cognitive
ability)
- Spiritual: having peace and harmony in your life and being in congruence
with your values and actions. (beliefs/values)
- Environmental: taking responsibility for making a positive contribution to
the world; improving air quality, water, land. (houses, sanitation, pollution)
Nursing process steps in order
- Assessment- collecting, validating, & communicating patient data;
- Diagnosis- analyzing patient data to identify patient strengths & problems
- Planning- specifying patient outcomes & related nursing interventions (with
diagnosis will plan)
- Implementation/intervention- ACTION; carrying out the plan of care
- Evaluation- measuring extent to which patient achieved outcomes
The Nursing Process is so much more than just those 5 steps!
- Systematic: part of an ORDERED sequence of activities
- Dynamic: great interaction and overlapping among the 5 steps; why we can
go from eval. Back to assessment
- Interpersonal: human being is always at the heart of nursing
- Outcome oriented: nurses, patients and interprofessional team work
together to identify outcomes
- Universally applicable: the nursing process is a framework for all nursing
activities
Nursing Process= Nursing Science
- Through the nursing process you are a scientist’s
- Trial & error problem solving
- Scientific problem solving- what we do based off labs etc.
- Intuitive problem solving
- Critical thinking: intuitive, logical or both
4 Types of Nursing Assessments:
GUIDE VERSION 2
Define
Nursing practice acts
- Determine professional liability insurance rates
- Info. is not included when a reportable event is documented in the
medical record: that an incident report was NOT submitted
- Define legal scope of nursing practice
- Create a state board of nursing to make and enforce rules and regulations
- Define important terms and activities in nursing, including legal
requirements & titles for RNs & LPNs
- Establish criteria for the education and licensure of nurses
American Nurse Association:
- The knowledge base for nursing practices includes diagnosis, interventions,
& evaluation of outcomes from an established plan of care
The World Health Organization (WHO):
- Defines health as a “state of complete physical, mental & social well-being
& not merely the absence of disease or infirmity”
- Pubic health is measured by morbidity (how frequently a disease occurs) &
by mortality (# of deaths resulting from disease)
QSEN Quality & Safety Education for Nurses
- Patient centered care- we revolve around patient!
- Teamwork and collaboration
- Quality improvement
- Safety
- EBP- handwashing
- Informatics – research, analytics
Disease:
, - Medical term referring to pathologic changes in the structure or function of
the body or mind;
Illness:
- The response to the disease; an abnormal process where the persons level of
functioning is changed from previous level
4 stages of illness behaviors: ( each stage is different as everyone has different
view of illness)
1. Experiencing symptoms- short/long term
2. Assuming the sick role- person self- diagnoses sickness; independent; home
remedies/rest
3. Assuming a dependent role- seeks care/receives med from doc
4. Achieving recovery and rehabilitation- sent home from hospital, meds done,
back to health
**In order to achieve #4 you DON’T have to receive a dependent role!! **
Health:
- A state of complete physical, mental, and social well-being, note merely he
absence of disease (mind/body/spirit)
Wellness:
- “the quality or state of being healthy in body and ind, esp. as the result of
deliberate effort”
- “an approach to healthcare that emphasizes preventing illness & prolonging
life, as opposed to emphasizing treating diseases” wellness
nursing/preventing
- Textbook defines as “ active state of being healthy” – well in body & mind.
Several dimensions of Wellness: (AKA human Dimensions)
- Physical: maintaining a healthy quality of life w/o excessive stress & fatigue
& recognizing the importance of adopting healthful habits (diet/exercise)
(age/race/gender)
- Emotional: understanding yourself & being able to cope with life
challenges; also means that you can express your feelings with others. (how
mind affects body/stress)
, - Sociocultural: relating to and forming positive relationships with others &
identifying & understanding the impact your cultural values & identity have
on your decisions/actions. (lifestyle/family/culture)
- Intellectual: being open to new ideas, experiences, and learning
opportunities; many don’t reach this stage. (education/natural cognitive
ability)
- Spiritual: having peace and harmony in your life and being in congruence
with your values and actions. (beliefs/values)
- Environmental: taking responsibility for making a positive contribution to
the world; improving air quality, water, land. (houses, sanitation, pollution)
Nursing process steps in order
- Assessment- collecting, validating, & communicating patient data;
- Diagnosis- analyzing patient data to identify patient strengths & problems
- Planning- specifying patient outcomes & related nursing interventions (with
diagnosis will plan)
- Implementation/intervention- ACTION; carrying out the plan of care
- Evaluation- measuring extent to which patient achieved outcomes
The Nursing Process is so much more than just those 5 steps!
- Systematic: part of an ORDERED sequence of activities
- Dynamic: great interaction and overlapping among the 5 steps; why we can
go from eval. Back to assessment
- Interpersonal: human being is always at the heart of nursing
- Outcome oriented: nurses, patients and interprofessional team work
together to identify outcomes
- Universally applicable: the nursing process is a framework for all nursing
activities
Nursing Process= Nursing Science
- Through the nursing process you are a scientist’s
- Trial & error problem solving
- Scientific problem solving- what we do based off labs etc.
- Intuitive problem solving
- Critical thinking: intuitive, logical or both
4 Types of Nursing Assessments:
