N110 QUIZ 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

N110 QUIZ 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ Safe, Effective, Nursing Care -client centered care -goal directed Early nurses Barton - Red Cross Dicks - superintendent US army nurses Dock - started NLN, feminist social acitivist Wald/Brewster - public health nursing, worked w/ poor immigrants Mary Mahoney - first African-American nurse, founded NACG which merged with ANA Clinical judgement requires a strong, solid knowledge base. Involves process that consists of analyzing and assessing, developed by using ADPIE (nursing process). Using judgement to determine action in a situation Critical thinking reflective thinking involving collecting info, analyzing its adequacy and accuracy and then considers options for achieving desired outcome. Important to have an open mind with no pre-conceived notions. Problem solving process of considering an issue to find a positive outcome. Nursing process (ADPIE) is a step in problem solving. ICN addresses issues that effect nurses globally ICN definition of nursing: 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 peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. Important Qualities for Nurses Critical-Thinking Skills Required Action: Monitor the client, note changes, and take actions to ensure safe and effective care Caring and Compassion Required Action: Show kindness, concern, and sincerity that convey to clients that you care about their well-being. Detail Oriented Required Action: Pay attention to details to prevent and identify potentially harmful errors in care. Organizational Skills Required Action: Prioritize and meet the needs of the most critical clients first. Speaking Skills Required Action: Communicate correct and pertinent information to clients and members of the healthcare team. Listening Skills Required Action: Listen to clients' concerns and feedback from the interprofessional healthcare team. Patience Required Action: In stressful situations in the work environment, think clearly and take the correct actions. Competence Required Action: Obtain the knowledge and skills to ensure safe, quality client outcomes. Emotional Stability Required Action: Develop the ability to cope with human suffering, emergencies, and other stresses. Physical Stamina Required Action: Perform physical tasks and endure long hours walking and standing. Socialization informal education gained from direct experience, observation, peers. Begins when starting educational program. Benner's Model Novice: little clinical experience, following rules, very task-oriented rather than whole environment Advanced beginner: most new grads, able to focus on more aspects of situation and apply more facts. Can distinguish abnormal findings but not detail their significance Competent: 2-3 years experience. Able to handle client load, complexity, and prioritizing situation while providing compassionate care. Proficient: quickly assesses all aspects of situations and assigns meaning to available information. able to forecast outcomes and coordinate services and needs Expert: able to see what needs to be achieved and how to do it, they trust and use intuition w/ deep understanding of situation. Highly competent in skills and able to teach and assist others. Nurse Practice Acts each state has own, compiliation of laws governing nursing that empowers state boards and colleges to regulate and oversee nursing practice Standards of Practice "describe a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process" As a student nurse, you will use the ANA standards to better define your nursing practice. Practicing nurses use the standards to judge their own performance, develop an improvement plan, and understand employers' expectations. Employers may incorporate the standards into annual employee evaluation tools. Professional organizations use the standards to educate the public about nursing, to plan for continuing education programs for nurses, and to guide their efforts at lobbying and other advocacy activities for nurses. Other professionals read the standards of practice to examine the boundaries between nursing and their professions. Purposes of Nursing Care provide care to promote health, prevent illness, health restoration, end of life care Primary, secondary, tertiary care Primary: prevention, teaching before problem occurs Secondary: early diagnosis and treatment of illness/disease/injury usually performed at outpatient clinics, offices, surgical centers Tertiary: care for dying, LTC, rehabilitation centers Holistic nursing Treating the whole person, not just completing tasks the way a mechanistic nurse would. Framingham Studies first nurse research study, it was established to investigate CAD Jean Watson caring theorist. 10 processes of caring holistic nursing care, honoring personhood, transpersonal caring moments, personal preference, comfort, listening, spiritual care, caring for family, cultural competence theory helps us find meaning in our experiences, organizes our thinking around an idea. An organized set of related ideas and concepts. components of a theory assumptions: ideas we take for granted phenomenon: things we can observe and experience in reality concepts: mental image of phenomena definitions: statement of a meaning of a term or phenomena statements or propositions: describe links and interactions among theoretical concepts of a theory. Statements as whole make up a theory. deductive general to specific inductive specific to general Benner's theory concepts Any nurse theory should address: person, environment, health, nursing actions These concepts together represent phenomenon Caring as it relates to the person, environment, health, and nursing. The person and the nurse. Transpersonal caring moments that exist between the nurse and person (patient). The environment as another way to show caring. For example, she described how keeping the patient's surroundings clean, colorful, or quiet or including whatever promotes health for the person is caring behavior. All of the caring behaviors (see Box 4-1) listed in Watson's theory focus on improving the health of the person. Observing nursing situations within the framework of the four components of nursing theory will help you understand the importance of each. This is very important because the finished puzzle reflects excellent (full-spectrum) nursing care. Paradigm