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Established the 1st nursing philosophy based on health maintenince and restoration |
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nurse who brought about major changes in hygene, sanitation, and nursing practice |
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developed the first organized program for training nurses |
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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 |
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wrote "notes on nursing, what it is and what it is not" |
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1st black nurse, brought forth an awareness of cultural diversity and respect for the individual |
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founder of the American Red Cross |
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superintendent of female nurses of union army, organized hospitals, appointed RN's over saw and regulated supplies to the troops |
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ana established the center for ethics and human rights in what century |
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The first professionally trained American nurse |
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created the first system for keeping individual medical records for hospitalized patients |
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Problem solving approach to clinical practice that uses the best available evidence along with expertise, client prefrences, and values in making decisions about care. |
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Requires you to actively pursue the best scientific evidence when making decisions |
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Agency that documents the scope of nursing practice and developing standards of practice |
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Updated the "Nursing: Scope and standards of Practice" |
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The six ANA standards of nursing practice |
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Assess, Diagnos, identify outcome, Planning, Implementaion, Evaluation |
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Philosophical ideas of right and wrong that define the principals you will use to provide care to your clients |
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nurse entering a situation where there is no previous experience is at what level |
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a nurse who has some level of experience with the situation, but maybe only observational in nature is at what level |
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a nurse who has been at the same clinical position for 2-3 yrs is at what level |
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Nurse who is able to anticipate nursing care and establish long range goals is at what level? |
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The nurse who focuses on managing care as opposed to managing and preforming skills is at what level? |
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A nurse with a diverse experience who has an intuitive grasp of an existing of potential clinical problem is at what level? |
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A nurse at this level is able to zero in on a problem and focus on multiple dimensions of the situations |
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A nurse with > 2-3 years of clinical experience |
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changing demographics, level of cleint literacy, advances in technology |
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Three factors used in the ability to deliver client care: |
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Legislative branchs from Congress, state legislature, to city government make what type of laws? |
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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 |
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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. |
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A model or framework for providing care that is centered around the client's emotional and physical needs and concerns |
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Who created the theory of cognitive development, which is now used as a framework for providing care? |
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Piaget's developmental stage theory |
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What theory deals with the nature of knowledge itself and how humans come gradually to acquire it, construct it, and use it. |
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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. |
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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. |
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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. |
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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. |
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Concrete operational stage |
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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 |
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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. |
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Patient Self Determination Act |
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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, |
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Department of Health and Human Services |
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DHHS is a well recognized acronym for what agency? |
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DHHS (Department of Health and Human Services) |
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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. |
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What agency represents almost a quarter of all federal outlays, and it administers more grant dollars than all other federal agencies combined. |
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DHHS (Department of health and human services) |
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What agency oversees the Medicare program, which is the nation’s largest health insurer, handling more than 1 billion claims per year. |
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peer review process for measuring the quality of an organization, its products, and its services according to key benchmarks |
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Primary, secondary and tertiary care |
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Health care delivery can be classified by the what 3 type of services offered |
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duty to the patient, breach of duty, an element of forseeability, a direct causation, harm or injury was inflicted |
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what are the five elements that must exist in order to establish liability in regards to negligence or malpractice |
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As a _____, you help the client regain health and a maximal level of independent function through the healing process |
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As a _____, you protect the clients human and legal rights |
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As a _____, you provide assistance in asserting your clients rights |
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When the nurse finds an interpreter to help the family and client communicate with the medical professionals, he is acting as a: |
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As a ______, you help the client and family set goals and assist them with meeting these goals |
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disintegration and dissolution of a drug is what phase? |
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Adsorption, distribution, metabolism, and excretion of a drug are done in which phase? |
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the fraction of an administered dose of unchanged drug that reaches the systemic circulation |
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physiological effects of drugs on the body are what phase? |
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drug concentration is greatly reduced before reaching the systemic circulation |
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period of time it takes for a drug to decrease within the blood plasma concentration by half |
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test used to evaluate the rate and efficiency of kidney filtration |
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Pt's with CHF or Kidney disease may have what kind of results on thier creatin clearance tests? |
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decreased flow of blood to the kidneys result in decreased function |
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how does CHF effect creatine clearance tests? |
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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. |
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hepatic portal system, liver |
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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 |
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The _____ metabolizes many drugs, sometimes to such an extent that only a small amount of active drug reaches the circulatory system. |
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Name the independent, nonprofit organization that sets the standards for and accredits health care organizations |
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What agency address infection control, client rights, and client treatment |
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Health promotion Illness prevention Health restoration Caring for the dying |
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Every nurse is required to achieve and maintain competencies within what four areas? |
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Nurses are required to achieve and maintain competencies within these four areas: _____ promotion ______ prevention ______ restoration and Caring for the _____ |
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novice, advanced beginner, competent, proficient, Expert |
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Brenner's stages of nursing expertise cosnsist of what 5 stages? |
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Brenner's stages of nursing expertise that is highly proficient and efficient; acts almost intuitively; analytical, timely, and fast-acting in new situations |
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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 |
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Competent, Proficient, Expert |
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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. |
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A. Remembering B. Understanding C. Applying D. Analyzing E. Evaluating F. Creating |
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What are the six levels of thinking? |
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To: promote health prevent illness restore health alleviate suffering |
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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. |
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Assault is only the threat of violence Battery involves the actual touching |
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What is the primary difference between ASSAULT and BATTERY? |
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unwanted/harmful touching |
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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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