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What do Ethics Committees do and who are in the Ethics Committees? |
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Ethics Committees educate, make policies, do case review, and consult. People from all different departments of the hospital are in the Ethics committee. Many views |
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Standard or rule of conduct established and enforced by government. Designed to protect the rights of the public. |
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Examples of Law in Nursing are |
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Federal and State institutions, Statutes, Common Law, Administrative Law ( State Board of Nursing). |
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Common Law is evolved from what |
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Interpretation of the Law |
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Process of bringing and trying a lawsuit |
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Person being accused of a crime |
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Government is directly involved. They regulate relationships between individuals and government |
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Civil Law. Regulates Relationships among people |
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Concerns state and federal criminal statutes. Defines criminal actions, ex. Murder, theft. |
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What are the Professional and Legal Regulations of Nursing Practice |
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1. Nurse Practice Acts 2. Standards 3. Credentialing a. Accreditation b. Licensure c. Certification |
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States ________________ is the most important law that affects our practice. It protects the public. |
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_________is developed and implemented by the Nursing Profession and is used as guidelines for peer review. |
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This type of Standard is developed by the Legislature and sets minimum standards for Licensure and is used to determine if license should be revoked or suspended. |
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This is how education programs are evaluated and recognized as having met certain standards |
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This ensures and maintains competence |
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This is a process that the state uses determine candidate met certain minimum requirements |
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This is a process that person who has met criteria is granted recognition and specified practice area |
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What are the Reasons for Suspending or Revoking a License |
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Definition
1. Drug or alcohol abuse 2. Fraud, deceptive practice 3. Criminal Acts 4. Gross or ordinary negligence 5. Physical or mental impairment |
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wrong against a person or his or her property as well as the public. |
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What are two types of Crimes |
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This is punishable by fines or less than one year in prison |
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Punishable by imprisonment of more than one year |
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This is a wrong committed by a person against another person or his or her property |
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What are the tow types of Torts |
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1. Intentional 2. Unintentional |
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Torts are usually settled in what way? |
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Where are torts usually handled? |
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How can gross negligence be tried |
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What are some examples of Intentional torts |
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1. Assault and battery 2. Defamation of character 3. Invasion of privacy 4. Fraud |
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What are examples of Unintentional torts |
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1. Negligence 2. Malpractice |
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Health Information Privacy Act |
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This is threat or attempt to make bodily contact without consent |
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When assault is carried out. Example forcing meds down a patients throat |
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When does a Malpractice Litigation occur |
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Definition
when someone thinks they have been injured due to negligence of a nurse or other healthcare professional. |
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What role does a nurse play in a Malpractice Litigation. |
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Definition
Nurse can be a Defendant, Fact Witness, or Expert Witness |
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Term
What does informed consent entail? |
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Definition
1. Disclosure 2. Comprehension 3. Competence 4. Voluntariness |
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This is the body in decreased state of activity |
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State of Altered Consciousness |
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progression of repeated cycle |
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What are the 2 stages of sleep |
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Definition
1. Non- Rapid Eye Movement 2. Rapid Eye Movement |
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Term
In this stage of sleep pulse,respiratory rate, temp, BP, and metabolic rate are all decreased. |
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In this stage of sleep respiratory rate, blood pressure, pulse, temp, and metabolic rate are all increased. |
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In this stage of sleep 1. light sleep 2. Roused with Ease 3. Moves to Deep Sleep |
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In this stage of sleep 1. Difficult to Rouse 2. Dreaming |
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In what state of sleep is there decreased muscle tone? |
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Cycles through NREM and REM stages of sleep throughout the night |
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How many cycles of sleep should a person do in a course of a night |
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What is important to understand about people and their sleep requirements |
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There are no known parameters |
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What should each person know about their sleep requirements |
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Definition
Each person should know what is required for their well- being |
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Term
How many hours of sleep do infants, children, and adults need for night |
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Definition
infants- 14-20hours children- 10-14 hours Adults- 7-9 hours |
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Term
What are some factors affecting sleep? |
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Definition
1. Development 2. Physical Activity 3. Stress 4. Motivation- Desire to stay Awake 5. Culture 6. Diet 7. Alcohol 8. Caffeine 9. Smoking 10. Environment 11. Lifestyle, Exercise 12. Illness 13. Medications |
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If a child who has asthma took some of their inhaler before bed how will that effect their sleep |
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Definition
The child may have difficulty sleeping as a result of the steroid |
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How is someones NREM going to be affected if they have hypothyroidism |
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Definition
The NREM will be decreased |
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Alergy meds may have what affect on a persons sleep |
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Definition
They may keep a person awake |
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Term
List Sleep Disorders discussed in the powerpoint. |
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Definition
1. Insomnia 2. Hypersomnia 3. Narcolepsy 4. Sleep Apnea 5. Parasomnia 6. Somnambulism 7. Enuresis 8. Sleep Deprivation |
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This is intermittent sleep or early awakening |
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This is excessive sleep ( especially during the day) Someone who has sleep apnea or is excessively obese |
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This is a disorder in which the person falls asleep uncontrollably at any time |
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This is a disorder where there is decreased breathing between snoring. example breath then snore, then no breathing |
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Patterns of wakeful behavior |
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Decreased amount of consistency or quality of sleep |
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When people grind their teeth in there sleep |
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When doing a sleep assessment what are the 3 things that a nurse do or ask the patient to do. |
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The nurse will take a physical assessment. Nurse will ask the patient to keep a sleep diary, and about their sleep history. |
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In a physical assessment of sleep what is the nurse looking for |
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Definition
1. snoring 2. nocturnal myoclonus |
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When observing snoring the nurse is assessing what |
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Definition
if there is any obstruction to airflow |
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When assessing nocturnal myoclonus what is the nurse assessing |
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Definition
The nurse is looking at the energy level and behavior. Does the person jerk one or both legs in their sleep. Overall when the person is awake do they appear sleepy; rubs eyes, yawn etc |
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What exactly is sleep history identifying |
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Definition
it identifies sleep and wakeful patterns and bedtime rituals |
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How does a sleep diary work |
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Definition
the patient will log over a period of time what they do. this will usually be like 7 to 14 days |
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When a nurse diagnosis a patient with sleep pattern disturbance what are some implementations the nurse may make |
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Definition
1. provide restful environment 2. provide bedtime ritual 3. bedtime snack 4. Relieve anxiety, fears 5. provide comfort from pain 6. observe clients normal sleep wake cycle 7. schedule nursing care to prevent disturbance 8. use medications 9. teach about sleep and rest |
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When the nurse is observing the clients normal sleep wake cycle what are they looking for? |
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Does the client want to sleep all day long |
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