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Cans Exam 1 Questions Nursing's Pathway to Professionalism by Lucie Kelly - Correct Answer-8 characteristics: 1. Vital to humanity and welfare of society 2. Special body of knowledge enlarges over time 3. Services involve intellectual activities 4. Education in institution of higher learning 5. Practitioners relatively independent 6. Motivated by service and importance of work 7. Code of ethics to guide practice 8. Organization support high practice standards Miller's Wheel of Professionalism 1985 - Correct Answer-Foundation and 8 spokes: 1. Competence and continuing education 2. Adherence to code of ethics 3. Participation in professional organizations 4. Publication and communication 5. Orientation toward community services 6. Theory and research development and utilization 7. Self-regulation and autonomy Accountability - Correct Answer-The hallmark of nursing practice. ANA's 2004 Nursing: Scope and Standard of Practice - Correct Answer-Includes collegiality as one of nine standards of professional performance. Essence of collegiality includes: - Correct Answer-1. Supportive and healthy work environments 2. Cooperation 3. Recognition of interdependence among members of the nursing profession External barriers to Professionalism - Correct Answer-1. conflicts with medicine have arisen as nurses are able to provide services that were formerly part of medical practice by physicians 2. The legal scope of nursing practice must be protected through lobbying and legislation. 3. Nurses must strive for cooperation with other medical disciplines. Internal Barriers to Professionalism - Correct Answer-1. Nursing's power and influence is fragmented by dissension, including difference in educational levels and proliferation of organizations that compete for nurses' membership. 2. Nursing's roots in altruism - when a nurse feels guilty for expecting good pay for work. Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) Nightingale's Definition of Nursing - Correct Answer-1. Contains many concepts that remain contemporary 2. Includes importance of observational skills, unique body of knowledge, understanding that patient must be put in best condition possible that nature allows. 3. Also includes concepts about the impact of the patients' immediate environment, nutrition, hygiene, comfort 4. Nursing schools should be affiliated with a teaching hospital 5.Students should be selected to create a diverse student body Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) Early twentieth-century definitions of Nursing - Correct Answer-1.Many were basic and spare. 2.Virginia Henderson's definitions represented the emergence of contemporary nursing. Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) Post WWII - definition of nursing - Correct Answer-WWII helped advance technologies available for nursing, influencing nursing and requiring changed definitions. Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) Peplau's definition of nursing - Correct Answer-Defined nursing in interpersonal terms, reinforcing the idea of the patient as an active collaborator in his or her care Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) Orem's definition - Correct Answer-Orem's definition hinges on the belief that nurses should do for a person only those things the person cannot do without assistance, emphasizing patient's active role. Example: Assisting a disoriented patient with a bath Evolution of Definitions of Nursing (Nightingale, Early 20th Century, Post- WWII, Peplau, Orem, & Henderson) International Council of Nurses (ICN) adopted Henderson's definition 1960 - Correct Answer-This definition has been widely accepted in the United States and worldwide Many believe it remains the most comprehensive and appropriate definition of nursing in existence The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery ( or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible. American Nurses Association (ANA) definition of nursing - Correct Answer-"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations."

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