Definitions
Allows a nurse the legal privilege to practice nursing in a state
Licensure
Set of values, beliefs, and traditions handed down from generation to generation
Culture
Founder of modern nursing, believed that nursing care, to a large extent, involved manipulating the patient's environment.
Florence Nightingale
The nurse is assigned to a client who believes that wearing a copper bracelet will relieve arthritic pain. In providing care for the client, it is most important for the nurse to:
a. Encourage the client to use anti-inflammatory medication
b. Inform the client that copper bracelets have no proven medical value
c. Address the pathophysiology associated with arthritis with the client
d. Respect the beliefs associated with the copper bracelet by the client
D. Respect the beliefs associated with the copper bracelet by the client
Ensures safe & healthful working conditions, intended to reduce work-related injuries
OSHA
The formal identification of professionals who meet predetermined standards of professional skill or competence
Credentialing
The loss of cultural characteristics that make minority groups different due to living within a dominant group
Cultural Assimilation
form of prejudice in which the elderly are stereotyped
Ageism
A female nurse is to care for the male client who is an Iraqi immigrant. Which approach demonstrates culturally sensitive care?
a. Ask that the client inform the nurse when wishing to pray
b. Ask interview questions but avoid eye contact with the client
c. Ask the client if he would prefer to be cared for by a male nurse
d. Ask the client to identify any cultural preferences while hospitalized
D. Ask the client to identify any cultural preferences while hospitalized
Legal basis for nursing practice written by a state legislature and is called
Nurse Practice Act
Being recognized as being competent in a certain area, due to having met certain predetermined qualifications.
Certification
When one assumes that all members of a culture or ethnic group act alike
Stereotyping
What are the priority settings frameworks?
ABC's:Airway, Breathing, Circulation
Maslow's Hierarchy of Needs
Nursing Process
Least Restrictive to Most Restrictive & Least Invasive to Most Invasive
Survival Potential: Emergent, Urgent, Nonurgent, Expectant
Acute v. Chronic, Urgent v. Nonurgent, Unstable v. Stable
Which factor is unique to malpractice when comparing negligence & malpractice?
a. The action did not meet the standard of care
b. The inappropriate care is an act of commission
c. There is harm to the patient as a result of the care
d. There is a contractual relationship between the nurse & the patient
D. There is a contractual relationship between the nurse & the patient
A student nurse is about to graduate from an accredited nursing program. The student nurse understands that an action UNRELATED to the Nurse Practice Act is:
a. Setting guidelines for nurses' salaries
b. Establishing reciprocity for licensure between states
c. Determining minimum requirements for nursing education
d. Maintaining a list of nurses who can legally practice in the state
A. Setting guidelines for nurses' salaries
Rationale: Unions & Representatives where they work decide on their salary
To Promote Health, Prevent Illness, Restore Health & Facilitate Coping
AIMS of Nursing
The group within the culture that has the authority to control the value system and determine the rewards of the system
Dominant Group
Describe Maslow's Hierarchy of Needs
1. Physiological
2. Safety & Security
3. Love & Belonging
4. Self Esteem
5. Self Actualization
1. Termination Phase
2. Working Phase
3. Pre-interaction Phase
4. Conclusion of relationship
5. Orientation Phase
3. Pre-Interaction Phase
5. Orientation Phase
2. Working Phase
1. Termination Phase
4. Conclusion of relationship
A. Respect the client's wishes & indicate them on POC
B. Notify the client's HCP & have the client share the decision with the family
C. Withhold the Tx & clarify other Tx that the client wishes to withhold
D. Decide what to do based on the client's condition when additional treatment is needed
B
Altruism v. Autonomy
Altruism: concern for the welfare & wellbeing of others
Autonomy: the patient has the right to self-determination
The idea that one's own ideas, practices, and beliefs are best, are superior, or are the most preferred to those of others
Ethnocentrism
Erikson's Stages of Development
Birth-18 months: Trust v. Mistrust
18 months-3 years: Autonomy vs. Shame & Doubt
3 years-5 years: Initiative vs. Guilt
6 years-12 years: ______________
12 years-20 years: Identity vs. Role Confusion
18 years-25 years: ___________________
25 years-65 years: Generativity vs. Stagnation
65 years-death: ______________________
6-12: Industry vs. Inferiority
18-25: Intimacy vs. Isolation
65-death: Integrity vs. Despair
While collecting information from the 16yo who is in the first trimester of pregnancy, nurse learns that the client drinks 4-6 alcoholic beverages, 3-4x a week. Based on the client's current developmental stage, what should be the nurse's INITIAL focus of care?
A. Establish a trusting relationship with the client
B. Educate the client about the risk for developing fetal alcohol syndrome
C. Inform the client about the personal health risks, of continuing w/ excessive drinking
D. Seek clarification about her home life & the friends with whom she spends time
A. Establish a trusting relationship with the client
Professional organization that establishes standards of practice, encourages research & represents nursing for legislative actions
American Nurses Association