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Nursing test 1
unit 1-4 profession of nursing, ethical-legal, nursing process, critical thinking
78
Nursing
Undergraduate 3
09/05/2011

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Term
Florence Nightingale
Definition
Established the 1st nursing philosophy based on health maintenince and restoration
Term
Florence Nightingale
Definition
nurse who brought about major changes in hygene, sanitation, and nursing practice
Term
Florence Nightingale
Definition
developed the first organized program for training nurses
Term
nursing as definedby ANA
Definition
the protection, promotion, and optimization of health and abilites, 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
Term
Florence Nightingale
Definition
wrote "notes on nursing, what it is and what it is not"
Term
Mary Mahoney
Definition
1st black nurse, brought forth an awareness of cultural diversity and respect for the individual
Term
Clara Barton
Definition
founder of the American Red Cross
Term
Dorothea Dix
Definition
superintendent of female nurses of union army, organized hospitals, appointed RN's over saw and regulated supplies to the troops
Term
21st
Definition
ana established the center for ethics and human rights in what century
Term
Linda Richards
Definition
The first professionally trained American nurse
Term
Linda Richards
Definition
created the first system for keeping individual medical records for hospitalized patients
Term
Evidence-based practice
Definition
Problem solving approach to clinical practice that uses the best available evidence along with expertise, client prefrences, and values in making decisions about care.
Term
Evidence-based practice
Definition
Requires you to actively pursue the best scientific evidence when making decisions
Term
ANA
Definition
Agency that documents the scope of nursing practice and developing standards of practice
Term
ANA
Definition
Updated the "Nursing: Scope and standards of Practice"
Term
ADIPIE
Definition
The six ANA standards of nursing practice
Term
Assess, Diagnos, identify outcome, Planning, Implementaion, Evaluation
Definition
ADIPIE stands for:
Term
Code of Ethics
Definition
Philosophical ideas of right and wrong that define the principals you will use to provide care to your clients
Term
Novice
Definition
nurse entering a situation where there is no previous experience is at what level
Term
Advanced beginner
Definition
a nurse who has some level of experience with the situation, but maybe only observational in nature is at what level
Term
Competent
Definition
a nurse who has been at the same clinical position for 2-3 yrs is at what level
Term
Competent
Definition
Nurse who is able to anticipate nursing care and establish long range goals is at what level?
Term
Proficient
Definition
The nurse who focuses on managing care as opposed to managing and preforming skills is at what level?
Term
Expert
Definition
A nurse with a diverse experience who has an intuitive grasp of an existing of potential clinical problem is at what level?
Term
Expert
Definition
A nurse at this level is able to zero in on a problem and focus on multiple dimensions of the situations
Term
Profeceint
Definition
A nurse with > 2-3 years of clinical experience
Term
changing demographics, level of cleint literacy, advances in technology
Definition
Three factors used in the ability to deliver client care:
Term
Statutory
Definition
Legislative branchs from Congress, state legislature, to city government make what type of laws?
Term
managed care
Definition
what type of care is intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care
Term
Managed care
Definition
Type of care that consists of a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care.
Term
Client focused care
Definition
A model or framework for providing care that is centered around the client's emotional and physical needs and concerns
Term
Jean Piaget
Definition
Who created the theory of cognitive development, which is now used as a framework for providing care?
Term
Piaget's developmental stage theory
Definition
What theory deals with the nature of knowledge itself and how humans come gradually to acquire it, construct it, and use it.
Term
Assimilation
Definition
one of two processes coined by Jean Piaget, describes how humans perceive and adapt to new information. It is the process of taking one’s environment and new information and fitting it into pre-existing cognitive schemas. It occurs when humans are faced with new or unfamiliar information and refer to previously learned information in order to make sense of it.
Term
Accommodation
Definition
the process of taking one's environment and new information, and altering one's pre-existing schemas in order to fit in the new information.
Term
sensorimotor stage
Definition
the first of the four stages in Piagets theory of cognitive development which "extends from birth to the acquisition of language".[3] "In this stage, infants construct an understanding of the world by coordinating experiences (such as seeing and hearing) with physical, motoric actions.
Term
Preoperational stage
Definition
during this stage of Piagets theory of development During this stage, the child learns to use and to represent objects by images, words, and drawings, the child is able to form stable concepts as well as mental reasoning and magical beliefs.
Term
Concrete operational stage
Definition
the third of four stages of cognitive development in Piaget's theory. This stage, which follows the preoperational stage, occurs between the ages of 7 and 11 years and is characterized by the appropriate use of logic
Term
Formal operational stage
Definition
fourth and final of the periods of cognitive development in Piaget's theory.[7] This stage, commences at around 11 years of age (puberty) and continues into adulthood. In this stage, individuals move beyond concrete experiences and begin to think abstractly, reason logically and draw conclusions from the information available, as well as apply all these processes to hypothetical situations.[7] The abstract quality of the adolescent's thought at the formal operational level is evident in the adolescent's verbal problem solving ability.[7] The logical quality of the adolescent's thought is when children are more likely to solve problems in a trial-and-error fashion.
Term
Patient Self Determination Act
Definition
What Act is a federal law requiring health care institutions that receive federal funding to,upon admission, provide client a written copy of: health care decision rights,the facility's policy on advance directives,
Term
Department of Health and Human Services
Definition
DHHS is a well recognized acronym for what agency?
Term
DHHS (Department of Health and Human Services)
Definition
the United States government’s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.
Term
DHHS
Definition
What agency represents almost a quarter of all federal outlays, and it administers more grant dollars than all other federal agencies combined.
Term
DHHS (Department of health and human services)
Definition
What agency oversees the Medicare program, which is the nation’s largest health insurer, handling more than 1 billion claims per year.
Term
Accredidaiton
Definition
peer review process for measuring the quality of an organization, its products, and its services according to key benchmarks
Term
Primary, secondary and tertiary care
Definition
Health care delivery can be classified by the what 3 type of services offered
Term
duty to the patient, breach of duty, an element of forseeability, a direct causation, harm or injury was inflicted
Definition
what are the five elements that must exist in order to establish liability in regards to negligence or malpractice
Term
caregiver
Definition
As a _____, you help the client regain health and a maximal level of independent function through the healing process
Term
client advocate
Definition
As a _____, you protect the clients human and legal rights
Term
Client advocate
Definition
As a _____, you provide assistance in asserting your clients rights
Term
Client advocate
Definition
When the nurse finds an interpreter to help the family and client communicate with the medical professionals, he is acting as a:
Term
client advocate
Definition
As a ______, you help the client and family set goals and assist them with meeting these goals
Term
Pharmaceuic
Definition
disintegration and dissolution of a drug is what phase?
Term
Pharmacokinetics
Definition
Adsorption, distribution, metabolism, and excretion of a drug are done in which phase?
Term
Bioavailability
Definition
the fraction of an administered dose of unchanged drug that reaches the systemic circulation
Term
pharmacodynamics
Definition
physiological effects of drugs on the body are what phase?
Term
1st pass effect
Definition
drug concentration is greatly reduced before reaching the systemic circulation
Term
half-life
Definition
period of time it takes for a drug to decrease within the blood plasma concentration by half
Term
Creatinine Clearance
Definition
test used to evaluate the rate and efficiency of kidney filtration
Term
Decreased
Definition
Pt's with CHF or Kidney disease may have what kind of results on thier creatin clearance tests?
Term
decreased flow of blood to the kidneys result in decreased function
Definition
how does CHF effect creatine clearance tests?
Term
increased, decreased
Definition
When a condition affects the glomeruli, it can decrease the kidneys' ability to clear creatinine and other wastes out of the blood. When this occurs, the blood creatinine level will be ____and the creatinine clearance will be ______ because not as much creatinine is able to be excreted in the urine.
Term
hepatic portal system, liver
Definition
When a drug is absorbed by the digestive system, it enters the ____. It is then carried through the portal vein into the ___ before it reaches the rest of the body
Term
liver
Definition
The _____ metabolizes many drugs, sometimes to such an extent that only a small amount of active drug reaches the circulatory system.
Term
The Joint Commission
Definition
Name the independent, nonprofit organization that sets the standards for and accredits health care organizations
Term
The Joint Commission
Definition
What agency address infection control, client rights, and client treatment
Term
Health promotion
Illness prevention
Health restoration
Caring for the dying
Definition
Every nurse is required to achieve and maintain competencies within what four areas?
Term
Health
Illness
Health
dying
Definition
Nurses are required to achieve and maintain competencies within these four areas:
_____ promotion
______ prevention
______ restoration and
Caring for the _____
Term
novice, advanced beginner, competent, proficient, Expert
Definition
Brenner's stages of nursing expertise cosnsist of what 5 stages?
Term
expert
Definition
Brenner's stages of nursing expertise that is highly proficient and efficient; acts almost intuitively; analytical, timely, and fast-acting in new situations
Term
Proficent
Definition
Brenner's stage of nursing where the RN has 3-5 years; can see the big picture; utilizes a holistic approach; focuses on long-term
Term
Competent, Proficient, Expert
Definition
In Brenner's stages of nursing expertise, the ____ nurse has 2-3 years of experience. The _____ nurse has 3-5 years of exprience, and the ____ RN is highly proficient and efficient.
Term
A. Remembering
B. Understanding
C. Applying
D. Analyzing
E. Evaluating
F. Creating
Definition
What are the six levels of thinking?
Term
To:
promote health
prevent illness
restore health
alleviate suffering
Definition
The International Council of Nurses has a Code of Ethics. The preamble to that code states that "Nurses have four fundamental responsibilities..." Name those four responsibilities.
Term
Assault is only the threat of violence
Battery involves the actual touching
Definition
What is the primary difference between ASSAULT and BATTERY?
Term
assault
Definition
Threatening violence
Term
battery
Definition
unwanted/harmful touching
Term
Informatics
Definition
discipline at the intersection of information science, computer science, and health care. It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine.
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