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1. Socialization: a process that involves learning theory and skills and internalizing
an identity appropriate to a specific role. (pg 6)
2. Five levels of proficiency when acquiring and developing nursing skills-
: Novice, Advanced Beginner, Competent, Proficient, and Expert. Differences in
each level reflect changes in three areas of skill performance. In the first area, the
nurse moves from relying on abstract principles to using concrete experiences. The
second area involves a change from seeing situations in parts to seeing them more
conceptually, or as a whole. Finally, in the third area, the nurse is no longer outside
the situation observing but is directly involved. This process takes 5 to 10 years after
graduation.
3. Florence Nightingale's Definition of Nursing: "the act of utilizing the environ-
ment of the patient to assist him in his recovery."
4. ANA's definition of Nursing: "Nursing is the protection, promotion, and opti-
mization 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."
5. Common Themes in Nursing: Holism, caring, teaching, advocacy, and support-
ing, promoting, maintaining, and restoring health are all components of nursing
practice. Nursing care involves creativity, sensitivity, and applications based on
scientific rationales. All of these components are essential to the practice, but nurses
should not limit themselves to these themes.
6. Practical Nursing Programs: 1 year programs that prepare candidates to per-
form technical skills under the supervision of registered nurses (RNs). Students
successfully completing the program requirements may sit for the licensure exam-
ination given by the state board of nursing to become a licensed practical nurse
(LPN) or licensed vocational nurse. LPNs differ from RNs in two areas: educational
preparation and scope of practice.
7. Associate Degree Nursing (ADN) Program: Initially developed in the 1950s in
response to a nursing shortage. Students pursuing this degree attend a community
or junior college for 2 years or more, receiving college credit for all courses and
clinical experiences in nursing. As providers of nursing care, ADNs use the nursing
process to formulate and maintain individualized patient plans of care. They also
teach patients who need information or suport to maintain health.
8. Nurse Practitioner ****: A nurse with advanced education who has graduated
from an NP program. NPs function with more independence and autonomy than
other nurses and are highly skilled at doing nursing assessments, performing
physical examinations, counseling, teaching, and treating health problems.
9. Clinical Nurse Specialist ****: Has advanced experience and expertise in a spe-
cialized area of practice such as gerontology, pediatrics, critical care, or pulmonary
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, Craven CH 1 - Fundamentals of Nursing
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disease. Works in various settings, depending on his or her specialty. Roles include
clinician, educator, manager, consultant, and researcher.
10. Nurse Midwife ****: Has advanced education in nursing and midwifery and, in
the United States, is certified by the American College of Nurse Midwives. These
types of nurses provide independent care for women during normal pregnancy,
labor, and delivery. Nurse midwives also may perform routine Papanicolaou (Pap)
smears and breast examinations and assist patients with family planning.
11. Nurse Anesthetist ****: Provides general anesthesia for patients undergoing
surgery.
12. Nurse Researcher ****: This person is responsible for the continued develop-
ment and refinement of nursing knowledge and practice through the investigation of
nursing problems.
13. Nurse Educator ****: Role can be developed in many settings, including schools
of nursing and hospital staff development departments.
14. ANA's (American Nurses Association) Two Lists of Standards ****: Nurs-
ing's professional organization in the United States. It is important because it sets
the standards of practice for nurses (ANA, 2010) and makes decisions about the
functions, activities, and goals of the nursing profession. The organization is a voice
for nurses because it acts on issues and wishes expressed by its membership. ANA
created the standards of practice: Standards of care and standards of professional
performance.
15. Standards of Care (Nursing Process - 6 items): Assessment, Diagnosis, Out-
come Identification, Planning, Implementation, Evaluation. (Outcome Identification
not mentioned during orientation. Only ADPIE.)
16. Assessment: The RN collects comprehensive data pertinent to the patient's
health or situation.
17. Diagnosis: The RN analyzes the assessment data to determine the diagnoses
or issues.
18. Outcome Identification (not mentioned in orientation): The RN identifies
expected outcomes for a plan individualized to the patient or the situation.
19. Planning: The RN develops a plan that prescribes strategies and alternatives
to attain expected outcomes.
20. Implementation: The RN implements the identified plan. This includes coordi-
nation of care, health teaching and health promotion, consultation, and prescriptive
authority and treatment.
21. Evaluation: The RN evaluates progress toward attainment of outcomes.
22. Standards of Professional Performance (10 items): Ethics, Education, Evi-
dence-Based Practice and Research, Quality of Practice, Communication, Leader-
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