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NUR174 UNIT 1
| Question | Answer |
|---|---|
| First African American nurse in the USA | Mary Mahoney |
| Activist for nursing reform in the late 1800's Established 12-hour shift and meal break for Nurses. Worked for licensure examinations and nursing registration | Isabel Hampton Robb |
| All Nurses are responsible for knowing their own ______________ | Scope of practice |
| Every State has a nurse practice _____________ or a _________________ nurse's action | Act; law governing |
| Its your responsibility to know the content of the nurse practice act in your state regarding your scope of practice and to follow it faithfully | Safety |
| Areas Nurses work in | Medical office Home Health Long term care |
| Activist for better mental health care | Dorothea Dix |
| Critical care area Nurses work in | Pediatrics Medical-surgical Maternity |
| Define the scope of practice | The limitation and allowances of nursing practice |
| Nurses are viewed as | being caring honest responsible organized |
| Nurse sees the patients for there | comfort and spiritual needs |
| Nurses must prioritize | Care |
| Which quality and safety education for nurses (KSA) focuses on treating the patient's family | Patient-centered care |
| A situation in which a decision must be made between two opposing alternatives | Ethical dilemma |
| Personal belief about something worth | Values |
| The values that influence a person's decisions and behavior | Ethics |
| The patients _______________ is the nurse primary concern | Welfare |
| Patient's rights | Respect, dignity, honesty, compassion |
| The nurse stands up for what is in the patient's best interest Nurse stands up for the patients that cannot stand up for their self Nurse demonstrates empathy in the pt care | Nurse being an Advocate |
| Used in terminal stage of a disease Written by the health care provider | DNAR order |
| Focus on pt and their rights Family members may request them serve the health care facility by developing policies and procedures for handling ethical issues | Ethics Committees |
| Nurses must understand the state and federal laws, rules and regulations that govern nursing practices Laws and ethics define the boundaries in which nurses may work and still be protected | Legal Issues on Nursing |
| To desert or forsake a patient in your charge; to leave a patient in your charge without appropriate nursing replacement' wrongful termination of care | Abandonment of patient |
| A written statement indication a patients wishes regarding future medical care in the event the patient becomes unable to voice his or her decisions; it may give consent for certain aspects of care as well as refusal of specific care | Advance Directive |
| To challenge the decision of a court to a higher court, where the decision will be either conformed or reversed | Appeal |
| To purposely threaten physical harm to an individual | Assault |
| To touch an individual without consent | Battery |
| The individual or personal rights guaranteed by federal law, such as the constitution and Bill of Rights | Civil Law |
| The legal qualification to make ones own decision | Competency |
| To give permission for, to agree to; the consent generally must be written | Consent |
| Drugs Regulated by laws; drugs that have potential for abuse such as narcotics | Controlled substances |
| laws that protect the public or society | criminal laws |
| Money awarded to a plaintiff upon proving injury by the defendant | Damages |
| The one accused of breaking criminal or civil law | Defendant |
| Legal written designation making another person responsible for one's medical decision | Durable medical power of attorney |
| Legal consideration of one younger than age 18 years as an adult because he or she lives alone and is self-supporting, has joined the military, is married, or is a parent | Emancipation Minor |
| One's responsibility for his or her own actions, such as acts of negligence | Liability |
| False written statements about another that are made publicly known, with intent to harm | Libel |
| Injury, loss, or damage to a patient because of failure to provide a reasonable standard or care or demonstrate a reasonable level of skill | Malpractice |
| Failure to provide certain care that another person of the same education and locale would generally provide under the same circumstances | Negligence |
| The one accusing another of criminal or civil law violation | Plaintiff |
| A written law | Statute |
| A violation of a civil law: involves a wrong against an individual or his or her property | Tort |
| When constitutional rights are protected ( Bill of Rights) | Constitutional Law |
| Federal, State, and local laws (Nurse Practice Acts) | Statutory Law |
| Written in response to court cases | Case or Judicial Law |
| Protect the public as a whole | Criminal Law |
| Involve an individual's personal rights | Civil Law |
| Provides confidential maintenance of protected health information Privacy Rule 1996 Establishes national standards designed to protect health information Security Rule Protects HER | HIPAA |
| Health Insurance Portability and Accountability Act of 1996 | HIPAA |
| Stimulated the adoption of the EHR and established penalties for those healthcare providers not using an EHR by 2015 | Health Information Technology for Economic and Clinical Health Act 2009 (HITECH) |
| Requires healthcare businesses to notify individuals in writing when private health information is known to have been accessed without authorization | The Breach Notification Rule |
| State agency designed to administer and enforce the NPA | Board on Nursing |
| Each state has an NPA that defines the scope of nursing within its state | Nurse Practice Acts (NPA) |
| Has authority to: License Nurses Take disciplinary measures against nurses who fail to follow the NPA Regulate the practice of nursing as well as nursing education | Board of Nursing |
| Protects public health, safety, and welfare Licensure through NCLEX | National Council of State Boards of Nursing (NCSBN) |
| Provides legal protection to the voluntary caregiver at sites of accidents and emergencies It serves to protect a citizen, nurse, or other health-care provider from liability if they choose to stop | The Good Samaritan Law |
| It does not apply to staff in health-care facilities or to individuals who are employed as emergency response workers | The Good Samaritan Law |
| Outbreaks of disease or illnesses Child Abuse Abuse of disabled individuals Elder Abuse | Statutes |
| When a nurse actions fails to meet professional standard of care and injuries a patient | Malpractice |
| When a nurse does something that reasonably prudent person would not do or fails to do something that a reasonably prudent person would do | Negligence |
| Restraint Devices | False Imprisonment |
| What is the most common area of civil law that affects nurses | Tort |
| A Health record kept on patients who enter the health-care system. Example Epic Platform Provides data Communication amoung workers Sources of information about patients | Patient Health Record |
| A voluntary agreement made by well-advised mentally competent patient to be treated by a health care provider or insitution | Informed Consent |
| Written documents that provide guidelines for making medical decisions in the event a person becomes incapacitated and unable to make wishes known | Advance Directive |
| Completed in the event of an unusual occurrence or an accident | incident Report |
| What is the name for the written documents that provide guidelines for making medical decisions in the event a person becomes incapacitated | Advance Directive |
| Being Accountable Establishing Professional Boundaries | Professional Responsibilities |
| Five Rights to Delegation | Right Task Right Circumstance Right Person Right directions and communication Right supervisor and evaluation |
| Activities that cannot be delegated | Judgment Critical Decision Making Care for a unstable pt unless it is within your scope of practice |
| Performing as a nurse successfully and efficiently Comes with practice and experience | Achieving Competence |
| Helps Maintain, improve , expand and enhance their knowledge Nursing is dynamic and ever-changing | Continuing Your Education |
| Causes changes in a persons functioning whether it be physical, mental, spiritual, or emotional | Illness |
| Attain Eliminate Create Promote Engage | Goals of Healthy People 2030 |
| The ability of individuals to understand basic health information and to use it to make good decisions about their health | Health Literacy |
| Acute Chronic | Types of Illnesses |
| Strikes Suddenly Lasts for Limited time Example Lower right pain, flu, ear infection, MI, Bacterial Infection | Acute Illnesses |
| 6 months or longer Intensifying or improving symptoms Periods of remission Periods of exacerbations Examples: Cancer, Heart failure, Diabetes | Chronic Illnesses |
| What is an example of an acute illness? | Appendicitis |
| When people don't feel good | Prodromal |
| When observable symptoms develop | Symptomatic |
| When people seek help from a medical practitioner | Seeking Help |
| When a person relies on others for diagnosis and treatment | Dependency |
| When a person regains independence and has regained health | Recovery |
| Alarm Phase Resistance Phase Exhaustion Phase General Phase | Hans Selye's Theory of Stress and Illness |
| Contributes to the development of an illness or disease | Physiological Psychological Genetic Elements Environmental Elements |
| Lifestyle and nutrition | Modifiable |
| Heredity, Age, and Sex assigned at birth | Nonmodifiable |
| Identified as a nonspecific response of the body to any demand made to it | Stress |
| The ability to positively adjust to change that occur in an individual's world | Adaptation |
| The categorization of a group of people by a distinctive trait such as the line of genealogy or ancestry, race, or nationality | Ethnicity |
| They way of life that distinguishes a particular group of people from other groups The whole of the learned behaviors of individuals within a specific group | Culture |
| The nurse makes a commitment to consider the cultural background of each patient and to provide appropriate care specific to that individual | Cultural competence |
| Music is an example of a persons | Culture |
| Genealogy Ancestry Race Nationality | Ethnicity |
| Beliefs Values Symbols Art Morals Laws Customs Attitudes Communications Traditions | Culture |
| Care that crosses cultural boundaries or combines the elements of more than one culture Madeline Leininger | Transcultural Nursing |
| The difference between groups of people in a certain geographical area | Cultural Diversity |
| Ethnic Groups Races Language Spoken Religions | Types of Cultural Diversities |
| The knowledge of various cultural beliefs and values | Cultural Awarness |
| Incorporate patient specific cultural beliefs into nursing care Recognize and respect accepted patterns of communication | Cultural Sensitivity |
| Aware of cultural differences Become familiar with relevant aspects of patients culture Nurse must strive to understand | Cultural competence |
| Scientifically Based Beliefs, Biomedical Naturalistically or Holistically Based Beliefs Religiously Based Beliefs Folk Healing | How culture Affects Health Care |
| Economics Education geography Language Stereotyping Prejudice and discrimination Misunderstanding | Barriers to Health Care |
| A determination or judgment about a person or group based on irrational suspicion or hatred of a particular group, race, sexual orientation, or religion is known as | Prejudice |