NURS 104 Final Exam Nursing Concept
competent capable, ability to do tasks
core competencies things every graduate nurse should be able to do
performance examinations testing skills, develops and improves clinical decision making,
confidence, muscle-memory, and competence
clinicals and simulation clinicals
critical thinking pulling information from all parts of your knowledge to solve a problem
nursing process ADPIE, assessment, diagnosis, planning, implementation, evaluation
AACN essentials governs education of nursing
nursing education influences society, economy, culture, politics, ethnicity
practice-based competency outcomesused to set goals, provides a framework for education
sociodemographics factors that define people in a specific group or population, what they have
in common
patient-centered care partnership between nurse and patient
nursing knowledge knowledge of discipline-specific theories, phenomenon, and concepts
nursing theory data that defines and describes past nursing phenomena and concepts, can predict
future nursing trends
3 parts of the nursing theory guides practice/decision making/research, explains phenomena,
helps nurses to describe/explain/predict everyday occurrences
phenomena measurable/observable facts (ex. falls)
concept idea, the "why" (why there are patients falling)
4 nursing metaparadigms person, environment, health, nursing
person metaparadigm patient, humankind, group of people
environment metaparadigm external effects on a person
health metaparadigm physical, social, mental, emotional, spiritual
nursing metaparadigmADPIE, science and art
Florence Nightingale created the modern nursing profession, Environmental Adaptation Theory
Environmental Adaptation Theory ventilation, noise, variety, diet, light, false hope, cleanliness
Dorthea Orem - Self-Care Deficit Model teaches patients to care for themselves
Sister Callista Roy - Adaptation Model patients need to learn and the nurses need to teach
patients how to adapt to environment
Madeliene Leninger - Theory of Cultural Diversity and Universitality ever patient is diverse,
every patient is the same
Patricia Benner's Novice to Expert Theory novice, beginner, competent, proficient, expert
novice needs concrete guidance, seeks affirmation regularly, "tell me what I need to do and I will
do it"
advanced beginner begins making connections, begins applying skills, seeks affirmation,
principles based on experiences start to guide action
, competent practitioner 2-3 years of experience, aware of long-term goals, can focus on
more than one task at a time
proficient practitioner sees big picture, more holistic, understands long term goals, able to
adapt/modify to plans
expert practitioner no longer relies on guidelines to determine actions, experienced, flexible,
highly capable
Agape Nursing Modelnurses should be dedicated to Christ
messages interpreted past experiences, environment, context, preconceptions
nonverbal communication body language, facial expression, eye contact, dress, lifestyle
verbal communicationtalking, listening, tone of voice, inflection, attitude
closed loop communication each verbal communication should be addressed to a specific
person by name, and the receiver repeats the message back to the sender
communication with patients speak in words they understand, don't make promises you can't
keep, remember there's thin walls in hospitals
negative communication asking yes/no questions, blocking (short answers), false assurance,
contradicting messages (foot out door)
passive communication emotionally dishonest, indirect, self-denying, blaming, apologetic
passive aggressive communication emotionally dishonest, indirect, self-denying at first, self-
enhancing at expense of others later
aggressive communication inappropriately honest, direct, expressive, attacking, blaming,
controlling, self-enhancing at expense of others
assertive communication appropriately honest, direct, self-enhancing, expressive, self-
confident, empathetic to emotions of all involved
audience factors gender, generational differences, culture, religion
emotional intelligence understanding and controlling your emotions and understanding other
emotions
conflict caused by information (or withholding) and perception, misunderstandings and
emotions can make conflict worse
5 conflict resolution styles avoidance, accommodation, force, compromise, collaboration
avoidance passive, ignore
accommodation putting aside your own needs
force force them to accommodate to you
compromise both give up a little
collaboration back and forth conversation
active listening paraphrase, reflect, open questioning, acknowledging, summarizing,
framing, and reframing
SBAR communication situation, background, assessment, recommendation
legal absolutes by law, must/will/shall
ethical beliefs about appropriate behavior in societal context, may/should
accountability to assume full and professional responsibility for every action
Nursing Practice Act defines scope and limitations of nursing practice, what a nurse is allowed
to do
negligence failure to act in a reasonable and prudent manner
malpractice negligence by a trained professional
competent capable, ability to do tasks
core competencies things every graduate nurse should be able to do
performance examinations testing skills, develops and improves clinical decision making,
confidence, muscle-memory, and competence
clinicals and simulation clinicals
critical thinking pulling information from all parts of your knowledge to solve a problem
nursing process ADPIE, assessment, diagnosis, planning, implementation, evaluation
AACN essentials governs education of nursing
nursing education influences society, economy, culture, politics, ethnicity
practice-based competency outcomesused to set goals, provides a framework for education
sociodemographics factors that define people in a specific group or population, what they have
in common
patient-centered care partnership between nurse and patient
nursing knowledge knowledge of discipline-specific theories, phenomenon, and concepts
nursing theory data that defines and describes past nursing phenomena and concepts, can predict
future nursing trends
3 parts of the nursing theory guides practice/decision making/research, explains phenomena,
helps nurses to describe/explain/predict everyday occurrences
phenomena measurable/observable facts (ex. falls)
concept idea, the "why" (why there are patients falling)
4 nursing metaparadigms person, environment, health, nursing
person metaparadigm patient, humankind, group of people
environment metaparadigm external effects on a person
health metaparadigm physical, social, mental, emotional, spiritual
nursing metaparadigmADPIE, science and art
Florence Nightingale created the modern nursing profession, Environmental Adaptation Theory
Environmental Adaptation Theory ventilation, noise, variety, diet, light, false hope, cleanliness
Dorthea Orem - Self-Care Deficit Model teaches patients to care for themselves
Sister Callista Roy - Adaptation Model patients need to learn and the nurses need to teach
patients how to adapt to environment
Madeliene Leninger - Theory of Cultural Diversity and Universitality ever patient is diverse,
every patient is the same
Patricia Benner's Novice to Expert Theory novice, beginner, competent, proficient, expert
novice needs concrete guidance, seeks affirmation regularly, "tell me what I need to do and I will
do it"
advanced beginner begins making connections, begins applying skills, seeks affirmation,
principles based on experiences start to guide action
, competent practitioner 2-3 years of experience, aware of long-term goals, can focus on
more than one task at a time
proficient practitioner sees big picture, more holistic, understands long term goals, able to
adapt/modify to plans
expert practitioner no longer relies on guidelines to determine actions, experienced, flexible,
highly capable
Agape Nursing Modelnurses should be dedicated to Christ
messages interpreted past experiences, environment, context, preconceptions
nonverbal communication body language, facial expression, eye contact, dress, lifestyle
verbal communicationtalking, listening, tone of voice, inflection, attitude
closed loop communication each verbal communication should be addressed to a specific
person by name, and the receiver repeats the message back to the sender
communication with patients speak in words they understand, don't make promises you can't
keep, remember there's thin walls in hospitals
negative communication asking yes/no questions, blocking (short answers), false assurance,
contradicting messages (foot out door)
passive communication emotionally dishonest, indirect, self-denying, blaming, apologetic
passive aggressive communication emotionally dishonest, indirect, self-denying at first, self-
enhancing at expense of others later
aggressive communication inappropriately honest, direct, expressive, attacking, blaming,
controlling, self-enhancing at expense of others
assertive communication appropriately honest, direct, self-enhancing, expressive, self-
confident, empathetic to emotions of all involved
audience factors gender, generational differences, culture, religion
emotional intelligence understanding and controlling your emotions and understanding other
emotions
conflict caused by information (or withholding) and perception, misunderstandings and
emotions can make conflict worse
5 conflict resolution styles avoidance, accommodation, force, compromise, collaboration
avoidance passive, ignore
accommodation putting aside your own needs
force force them to accommodate to you
compromise both give up a little
collaboration back and forth conversation
active listening paraphrase, reflect, open questioning, acknowledging, summarizing,
framing, and reframing
SBAR communication situation, background, assessment, recommendation
legal absolutes by law, must/will/shall
ethical beliefs about appropriate behavior in societal context, may/should
accountability to assume full and professional responsibility for every action
Nursing Practice Act defines scope and limitations of nursing practice, what a nurse is allowed
to do
negligence failure to act in a reasonable and prudent manner
malpractice negligence by a trained professional
