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ANA defined nursing in 1980 as "................" |
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"The diagnosis and treatment of human responses to actual potential health problems." |
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CNA defined nursing in 1987 as "......................" |
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"a dynamic, caring, helping relationship in which the nurse assists the client to acheive and obtain optimal health." |
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These two definitions include nursing in relationship to........ |
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the client and the environment |
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She recruited nurses for the Crimean War, set up sanitary practices regularly (hand washing and clothes washing), and reduced the mortality rate from 42% to 2% |
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W/ Lavinia Dock, founded the American Society of Superintendents of Training Schools for Nursesof the U.S and Canada (precursor for the National League of Nursing).....2 Women? |
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Isabel Hampton Robb and Mary Adelaide Nutting |
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1st African American nurse in the U.S. |
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The founder of public health nursing |
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Died in 1901 after volunteering in experiments for curing yellow fever |
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In charge of army nursing, set up Army Nurse Corps (Est. in 1918) |
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First head of Army Nursing Corps |
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Organization that had a program of medical education outside the U.S. Also grants were made by the organization in fields such as nursing. |
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The Rockefeller Foundation |
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Schools founded by Lavainia Dock, Isabel Hampton Robb, and Mary Adelaide Nutting |
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Hospital training schools |
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Nurse who was influential in the suffrage movement. Eventually helping to pass the 19th Amendment |
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Time period where nurses moved from the hospital to the home (visiting nurses) |
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Time period where congress passed the Lanham Act to fund nursing education and there was a real shortage of nurses |
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Time period with Mash Units, a whole team approach that included nurses and physicians |
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Woman who established an Associate program for nursing |
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Time period where a bill was created to allow male nurses in the military |
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A medicare payments system to hospitals and physicians that establishes fees according to diagnosis |
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Diagnostic related groups (DRG) |
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A group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrolles |
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Health maintenance groups (HMO) |
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Maintain quality care at a low cost |
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These programs are generall 10 months to 1 year in length. The training is in basic nursing techniques. They practice under the supervision of an RN. but are not RN's themselves. The scope of practice and advancement is limited |
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Licensed Practical Nurse (LPN) |
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Program begun by FLorence Nightingale. Most are hospital based, 2 to 3 years in length, and may be affiliated with colleges |
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2 year degree program offered in community colleges. The programs include basic science theory and clinical practice. |
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program began in 1919 at the U. of Minnesota. There programs are located in the university and require 4 years of study. They provide a greater scope of practice, more autonomy, responsiblity, and oppurtunity for career advancement. |
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Degree programs located in the university and prepare nurses with specialized knowledge to assume advanc roles in practice, education, administration, and research |
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Degree programs offer specialized preparation in the university for teaching at the university level, administration at the level of vice-president and president, and for conducting nursing research |
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Nurses provde care for 3 types of clients |
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individuals, families, and communities |
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The practice of nursing focuses on 4 areas: |
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Promoting health and wellness, Prevention of illness, restoration of health, and consolation of the dying |
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Nursing practice area -for maintaing or enhancing health and "quality of life" , -to change or motivate patients to act - for both healthy and ill clients - to maximize personal potential - to enhance healthy life styles -improving nutrition and |
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Promoting health and wellness |
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Nursing practice area -includes passive strategies (ie; fluoridation of drinking water, vitamin D in milk) - includes active strategies (ie; weight reduction programs, immunization clinics) -protects patients from potential threats to health - motivat |
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Nursing Practice Area - direct care (meds and baths) - diagnostic testing and assessments (meansuing BP & examining feces) - consultation (problems) -teaching and learning (exercise) -rehabilitation |
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Nursing practice area -pain management - apporpriate facility -being present |
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level of preventative care where: activities are directed at decreasing the probablilityof a specific illness or dysfunction (ie; prenatal education,nutrition classes, immunizations) |
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level of preventative care where: activities are directed at decreasing the severity of complications or worsening conditions and enabling the client to return to normal health at the earliest point (ie. assessing the rish for complications) |
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level of preventative care where: there are activities that minimize the effects of disease or disability, prevent complications, and deterioration (ie. rehabilitation) |
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Scope of Nursing Practice -C -C -P -A -T -H |
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-Curative aspects -Coordinating -Protective aspects (protecting the patient) -Advocating -Treating -Holistic aspects (look at as a whole) |
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Five steps of the nursing process as defined by the ANA: -C -I -P -I -E |
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1. Collecting data (assessment) 2. Interpreting data (diagnosis) 3. Planning 4. Implementing 5. Evaluating Interventions |
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collects comprehensive data pertinent to the patients health or situation |
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Collecting data (assessment) |
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analyzes the assessment data to determine the diagnosis or issues |
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Interpreting data (diagnosis) |
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develops a plan that prescribes strategies and alternatives to attain expected outcomes |
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implements the identified plan |
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a role that has traditionally included those activities that assist the client both physically and psychologically |
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one who chooses what to do in a sp. situation or problem |
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acts to protect the client, represents the client's needs and wishes to other healthcare professionals (info to physician), exercise their rights and helps them speak up for theirselves |
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helping a client to recognizeand cope with stressful psychologic or social problems, to develop improved interpersonal relationships, and promote personal growth |
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identify client problems and then communicate these verbally or in writing to other members of the health team. Must be able to communicate clearly and accurately in order for a client's health care needs to be met |
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-helps clients learn about their health and the health care procedures they need to restore or maintain their health -assesses the client's learning needs and readiness to learn , sets specific learning goals, in conjunction w/ the client, enacts teachin |
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want patients to change behavior, change in a system (clinical care) |
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influences others to work together to accomplish a specific goal |
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use to improve client care |
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manages the nursing care of individuals, families, and communities -delegates nursing activities to ancillary workers and other nurses, and supervises and evaluates their performance |
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usually has a baccalaureate degree and works at educational institutions or in hospital staff education |
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has an advanced degree or specialty training in a specific area of preactice. The nurse provides client care, educates others, consults, and conducts research. -hospital |
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Clinical Nurse Specialist |
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has graduated from a nurse practitioner program in such areas as adult care, pediactric care, family care, school nursing, or gerontology |
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has completed a midwifery program. The nurse gives prenatal and postnatal care and manages normal deliveries in association with a health care agency -postpartum care |
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has completed an accredited program in anesthesiology. The nurse performs pre-op visits, administers general anesthesics under the supervision of an anesthesiest and does post-op assessments |
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usually has a PHD. The nurse investigates problems to improve nursing care and to expand nursing knowledge. This can be done in teaching hospitals, academic institutions, and institutes of health |
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usually has a minimum of a baccalaureate degree and may have a masters or PHD degree. The nurse manages patient care and the delivery of nursing services. This is usually a management position and may be at the level of a nurse manager, or directer of nur |
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usually has an advanced degree and runs a health related business (ie. education, consulation, research) |
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these are generall directed at diagnosis and treatement of acute or chronic illnesses |
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provide health services for clients in the community or directly in the institution (day care center, drug rehabilitation, assisted living centers, hospitals, schools) |
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usually settings where patients are admitted for extended periods of time |
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provide psychological support, pain control, comfort measures for clients who are terminally ill and support for their families. This may be offered in the hospital, hospice center, or the home with home care agencies. Some organizations offer respite car |
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these are generall directed at diagnosis and treatement of acute or chronic illnesses |
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provide health services for clients in the community or directly in the institution (day care center, drug rehabilitation, assisted living centers, hospitals, schools) |
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are set up at federal, state, and local levels to deal with the health needs of a specific area maybe at a certain time |
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a health maintenance organization, a group health care agency that provides basic and supplemental health maintenance and treatment services to volunteer enrollees. a fee is set regardless of the amount of services provided. Some are for profit and othe |
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patients are more knowledgable and have access to that information, they ask more questions and want more information |
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changing, families w/ 2 parents working, alot more single parent families |
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changing, medical care costs have doubled since 1995, inflation and population growing, drug prices and uninsured people rising |
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makes things more complex |
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increasing, can and can't do, control nursing licensing, issues such as abortion |
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the study of populations, more and more people (elderly) , language, homlessness |
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Canadians believe free health care is a basic right |
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Nursing profession Human rights |
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Women and thier influence in competing to be as equal with men in society |
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over 2 million nurses in the U.S. |
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Nursing theory is used to direct links between..... (3 components) |
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theory, education research, and practice |
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Three levels of theories are..... |
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a philosophy of nursing, a conceptual framework, and a midlevel theory |
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an early effort to define phenomena and serve as the basis for further theoretical development |
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had a theory about what would help soldiers from dying -looking at fresh air, pure water, efficient drainage, cleanliness, light (Vitamin D) |
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a group of related ideas, statments or concepts (ie. Freud's id, ego, and superego) (Orem,Rogers, Roy, and King developed conceptual frameworks) |
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persons are more than the sum of their parts -energy field, connecting with a patient, can disconnect as well, constantly interacting with the environment |
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Rogers Science of Unitary Human Beings |
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focuses on the exploration of one concept such as pain or hardiness (Peplau,Leninger, Parse, and Neuman) |
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-looked at stress and individual's reaction to stress, central core of energy sources -client is an open system -central core of energy -line of resistance -normal line of defense -flexible line of defense |
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NLN establishes the criteria for accreditation of nursing schools ans conducts the accredition procedure, which is voluntary |
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RN license for practice is granted when a student completes a prescribed course or study from an approved program (by the state board of nursing) and passes the NCLEXRN. NCLEX is administered by each states' board of nursing. It is given all over the US a |
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1) Organizations 1) NLN 2) ANA 3) CNA 4) NSNA 5) ICN 6) Sigma Theta Tau |
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1) National League of Nursing 2) American Nurses Association 3) Canadian Nurses Association 4) National Student Nurses Association 5) International Council of Nurses 6) international honor society |
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