Week 1 Concepts:
1. Apply the concept of accountability as it relates to the role of the
registered professional nurse.
● Accountability: taking ownership
○ Answerable
● Responsibility for tasks & care
● Competence: having the skills necessary to perform one's job appropriately
& safely
○ Let your nurse supervisor know if you do not feel as though you
are competent for a specific job
● Nursing: the act of utilizing the environment of the patient to assist him in
his recovery; Florence Nightingale
● Nursing: is the protection, promotion, and optimization of health and ability,
prevention of illness and injury, alleviation of suffering through diagnosis, and
treatment of human response and advocacy in care of individual, families,
communities & populations; Virginia Henderson
○ Responsible for the way you care for your patient
● Altruism: concern for wellbeing of others
● Autonomy: patient’s right to choose, refuse, etc
● Human Dignity: inherit worth & uniqueness of individuals & populations
● Integrity: appropriate behavior
● Social Justice: fairness
2. Discuss the variety of roles that a registered professional nurse may perform.
● Peds
● Maternity
● Psych
● Med-Surg
● ICU, NICU
● Emergency Depart.
● Geriatrics
● Registered Nurse: reports to charge nurse
● Charge Nurse: in charge of a ward in a hospital; reports to supervisor
● Nurse Supervisor: in charge of charge nurses; reports to manager
● Nurse Manager: in charge to everyone below
● Executive
3. Examine the skill of assessment as performed by a registered professional nurse.
● Assessment: includes physical exam, health history, social history
○ Vitals:
○ Temperature: 98.7f, fever is over 101f
○ Heart rate: count for a full minute
■ Apical: 60-90bpm for adults
■ Infants: 120-160bpm
■ Toddlers: 90-140
, ■ Prek: 80-110
■ School age: 75-100
○ Blood Pressure: less than 120/80 for adults
■ Hypertension: 139/89
■ Don’t take on side of mastectomy, dialysis access, or blood clot
■ 10-15 mins after assessing client, sitting, feet on the ground
○ Respiratory Rate: 16-20 breaths per minute
■ Babies: 30-60 breaths per minute
○ Pulse Ox: 95%-100%, less than 80%=hypoxia
○ Pain:
■ Objective: measureable, scales
■ Subjective: non measurable, can only be told by client or family
■ Patient is primary source of info, anyone else is secondary source
○ Pupils: 1-2mm is normal
■ Round & brisk is normal
■ Fixed=dead
● Diagnosis: not a medical diagnosis, actual, risk, wellness, health promotion, &
syndrome
○ Diagnostic label(coping), etiology(environment),
defining characteristics(anger)
● Planning: SMART
○ Specific, measureable(pain,temp,bp), appropriate(depends on
the person), realistic, time frame
● Implementation: performing nursing care based on the planning in place
○ Meds, wound care, assisting the patient, education
● Evaluation: reviewing interventions, adjustments made as needed
● The nursing process is a continuum
4. Compare different stages of growth and development in clients across
the lifespan.
● Development: increase in function with progressing of skills & thinking
● 5 major components of growth & development:
○ Psychosocial: development of personality
○ Cognitive: way people think, reason & use language
○ Moral: values
○ Spiritual: religion
○ Biophysical: biosystem from cell to organ
● Erikson
○ Infants(Birth-1year)
■ Trust vs Mistrust
■ Basic trust & sense of security vs lack of trust & sense of fear
■ Ex: breastfeeding
, ○ Early Childhood(18 months-3 years)
■ Autonomy vs Shame & Doubt
■ Independence & self control vs dependence
■ Ex: Toilet training & parallel play
○ Late Childhood(3-5 years)
■ Initiative vs Guilt
■ Self Guidance/self discipline vs insecurity regarding leadership
■ Ex: Discovery & Confidence, personalities develop
○ School Age(6-12 years)
■ Industry vs Inferiority
■ Your place in the world vs incompetence/low self esteem
■ Ex: Making friends
○ Adolescence(12-20 years)
■ Identity vs Role Confusion
■ Social Alienation substance abuse, antisocial personality disorder
■ Ex: Peer Pressure
○ Young Adults(18-25 years)
■ Intimacy vs Isolation
■ Relationships vs Fear of Commitment
○ Adulthood(25-65 years)
■ Generativity vs Stagnation
■ Career, family vs only worrying about yourself, no progression
○ Maturity(65-death)
■ Integrity vs Despair
■ Peace of all with what was done, contentment vs regret, bitterness
● Piaget
○ Sensorimotor(Birth to 2 years)
■ Coordination with motor response
○ Preoperational(2-7 years)
■ Symbolic thinking, imagination, intuition
○ Concrete Operational(7-11 years)
■ Solve concrete problems/understand left & right
○ Formal Operational(11-15 years)
■ Rational thinking
■ Reasoning is deductive & futuristic
○ Primary Abilities:
■ Assimilation: encounter & react to situations with mechanisms
■ Accomodation: problem solving
■ Adaptation: coping behavior
5. Recognize communication factors that relate to the provision of healthcare
and the role of the registered professional nurse.
● Communication: exchanging information or feelings between 2 people
● Clear to promote safety & communication
1. Apply the concept of accountability as it relates to the role of the
registered professional nurse.
● Accountability: taking ownership
○ Answerable
● Responsibility for tasks & care
● Competence: having the skills necessary to perform one's job appropriately
& safely
○ Let your nurse supervisor know if you do not feel as though you
are competent for a specific job
● Nursing: the act of utilizing the environment of the patient to assist him in
his recovery; Florence Nightingale
● Nursing: is the protection, promotion, and optimization of health and ability,
prevention of illness and injury, alleviation of suffering through diagnosis, and
treatment of human response and advocacy in care of individual, families,
communities & populations; Virginia Henderson
○ Responsible for the way you care for your patient
● Altruism: concern for wellbeing of others
● Autonomy: patient’s right to choose, refuse, etc
● Human Dignity: inherit worth & uniqueness of individuals & populations
● Integrity: appropriate behavior
● Social Justice: fairness
2. Discuss the variety of roles that a registered professional nurse may perform.
● Peds
● Maternity
● Psych
● Med-Surg
● ICU, NICU
● Emergency Depart.
● Geriatrics
● Registered Nurse: reports to charge nurse
● Charge Nurse: in charge of a ward in a hospital; reports to supervisor
● Nurse Supervisor: in charge of charge nurses; reports to manager
● Nurse Manager: in charge to everyone below
● Executive
3. Examine the skill of assessment as performed by a registered professional nurse.
● Assessment: includes physical exam, health history, social history
○ Vitals:
○ Temperature: 98.7f, fever is over 101f
○ Heart rate: count for a full minute
■ Apical: 60-90bpm for adults
■ Infants: 120-160bpm
■ Toddlers: 90-140
, ■ Prek: 80-110
■ School age: 75-100
○ Blood Pressure: less than 120/80 for adults
■ Hypertension: 139/89
■ Don’t take on side of mastectomy, dialysis access, or blood clot
■ 10-15 mins after assessing client, sitting, feet on the ground
○ Respiratory Rate: 16-20 breaths per minute
■ Babies: 30-60 breaths per minute
○ Pulse Ox: 95%-100%, less than 80%=hypoxia
○ Pain:
■ Objective: measureable, scales
■ Subjective: non measurable, can only be told by client or family
■ Patient is primary source of info, anyone else is secondary source
○ Pupils: 1-2mm is normal
■ Round & brisk is normal
■ Fixed=dead
● Diagnosis: not a medical diagnosis, actual, risk, wellness, health promotion, &
syndrome
○ Diagnostic label(coping), etiology(environment),
defining characteristics(anger)
● Planning: SMART
○ Specific, measureable(pain,temp,bp), appropriate(depends on
the person), realistic, time frame
● Implementation: performing nursing care based on the planning in place
○ Meds, wound care, assisting the patient, education
● Evaluation: reviewing interventions, adjustments made as needed
● The nursing process is a continuum
4. Compare different stages of growth and development in clients across
the lifespan.
● Development: increase in function with progressing of skills & thinking
● 5 major components of growth & development:
○ Psychosocial: development of personality
○ Cognitive: way people think, reason & use language
○ Moral: values
○ Spiritual: religion
○ Biophysical: biosystem from cell to organ
● Erikson
○ Infants(Birth-1year)
■ Trust vs Mistrust
■ Basic trust & sense of security vs lack of trust & sense of fear
■ Ex: breastfeeding
, ○ Early Childhood(18 months-3 years)
■ Autonomy vs Shame & Doubt
■ Independence & self control vs dependence
■ Ex: Toilet training & parallel play
○ Late Childhood(3-5 years)
■ Initiative vs Guilt
■ Self Guidance/self discipline vs insecurity regarding leadership
■ Ex: Discovery & Confidence, personalities develop
○ School Age(6-12 years)
■ Industry vs Inferiority
■ Your place in the world vs incompetence/low self esteem
■ Ex: Making friends
○ Adolescence(12-20 years)
■ Identity vs Role Confusion
■ Social Alienation substance abuse, antisocial personality disorder
■ Ex: Peer Pressure
○ Young Adults(18-25 years)
■ Intimacy vs Isolation
■ Relationships vs Fear of Commitment
○ Adulthood(25-65 years)
■ Generativity vs Stagnation
■ Career, family vs only worrying about yourself, no progression
○ Maturity(65-death)
■ Integrity vs Despair
■ Peace of all with what was done, contentment vs regret, bitterness
● Piaget
○ Sensorimotor(Birth to 2 years)
■ Coordination with motor response
○ Preoperational(2-7 years)
■ Symbolic thinking, imagination, intuition
○ Concrete Operational(7-11 years)
■ Solve concrete problems/understand left & right
○ Formal Operational(11-15 years)
■ Rational thinking
■ Reasoning is deductive & futuristic
○ Primary Abilities:
■ Assimilation: encounter & react to situations with mechanisms
■ Accomodation: problem solving
■ Adaptation: coping behavior
5. Recognize communication factors that relate to the provision of healthcare
and the role of the registered professional nurse.
● Communication: exchanging information or feelings between 2 people
● Clear to promote safety & communication
