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Intro to ADN Quiz 1
Intro to ADN quiz 1
| Question | Answer |
|---|---|
| What is the ANA's definition of nursing? (Also Hondros definition of health) | "The diagnosis and treatment of human responses to actual and potential health problems" |
| What is Hondros definition of nursing? | nursing is art and science that provides a human service. It integrates biological principles, hehavioral sciences, technological theories, research and caring to assist individuals and families to reach their maximum health potential. |
| What is nursing metaparadigm? | It consists of the original components outlined by florence nightingale: Nursing, Human Beings, Health and Environment. Basis for all nursing theories/philosophies |
| What is Hondros definition of environment? | the clients internal and external systems/conditions at home etc. |
| Of the 2 developmental and psychological theories, who developed the Theory of the hierarchy of needs? | Maslow |
| Of the 2 developmental and psychological theories, who developed the Theory of psychosocial development? | Erikson |
| Why is Florence Nightingale important to nursing? | she made nursing a profession with standards |
| What did Florence Nightingale say about a nurse's function? | she described the nurse's function as one that puts the patient in the best condition for nature (God) to act upon him or her. Made improvements in environment: light, cleanliness, ventilation, warmth, diet, and noise. |
| What was the basis for Virginia Henderson's Theory (1966)? | she was similar to maslow and focused on the basic needs of the patient to be healthy. She added psychosocial and holistic concepts. |
| What was the basis for Jean Watson's theories (1979)? | She was the Caring theorist; she encourage nurse use 10 carative values:"the philosophy of science and caring" |
| What was the basis for Patricia Benner's theories? | "From novice to expert? nursing knowledge accrues over time |
| What was the basis for Ida Jean Orlando's theories? | "Nursing process theory" she stressed and autonomous nursing practice that uses nursing process to care for patients. |
| What is the basis for Medeline Leninger's theories? | She was the CULTURE theorist. "Culture care theory of diversity and universality" "Transcultural nursing" |
| What was the basis of Margaret A. Newman's theory? | "Theory of health as expanding consciousness" expanding consciousness helps you grow. |
| What was the basis for Dorothy E. Johnson's theory? | "Behavior systems model" assess environment and develop interventions |
| What is the basis of Imogene M. King's theory? | "Theory of goal attainment" she focused on the goal part of nursing process |
| What was the basis for Betty Neuman's theory? | "Healthcare systems model" Guides nursing practice at the three levels of prevention:primary, secondary, tertiary. |
| What is the primary level of prevention? | prevent illness (safe drinking water, vaccines, seatbelt laws, sunscreen, nutritious diet |
| What is the secondary level of prevention? | prevent complications. Health screenings, early detection and diagnosis, TB test, breast and testicular exams |
| What is the tertiary level of prevention? | restoring patient to normalcy or health. Treatment for illness or disease, rehab. |
| What was the basis for Dorthea Orem's theory? | "Theory of self care deficit" when you lose the ability to care for yourself, it is the nurse's role to assist you in caring for yourself |
| What was the basis for Sister Calista Roy's theory? | "Roy adaptation model" goal of nursing is to promote adaptive responses |
| What is the basis for Florence Nightingale's theory? | Environment Theorist, focused on the environment and presented the concepts of light, cleanliness, ventilation, warmth, diet and noise. |
| What is the definition of health? | Optimal body and mental functioning. Aslo defined as a state of complete physical, mental and social wellbeing, not merely the absence of disease or infirmity. |
| What is evidence based practice? | using a problem solving approach to nursing practice, involving conscientious use of current best evidence in making decisions about patient care. (Per Kristi - we can standardize healthcare based on what works) |
| What are the four steps to evidence based practice? | 1. convert information need to an answerable question 2. Find the best evidence 3. Appraise search results for validity and usefulness 4. Apply the findings to your clinical practice and evaluate your professional performance, |
| What is critical thinking? | Self directed thinking that is focused on what to believe or do in a specific situation. (Per Kristi, this is what I'm going to do and this is why.) |
| What are the 5 nursing roles? | 1. caregiver 2. educator 3. advocate 4. leader/manager 5. researcher |
| What is a critical pathway? | multidisciplinary healthcare plan developed for specific diagnosis, usually those that are high volume, high risk and high cost (like a flow chart/choose your own adventure book) |
| What are some factors affecting health? | genes, cognitive ability, education, race, ethnicity, culture, age, gender, developmental level, lifestyle, environment, socioeconomic level, geographic area |
| What is the definition of disease? | alterations in structure and or function of the body |
| What is the definition of illness? | response to disease |
| What is informatics? | ability to use electronic charting to manage healthcare inprovements |
| Evidence based practice used PICO, what does this mean? | what about the POPULATION, what about the INTERVENTION, what about the COMPARISON, what about the OUTCOME |
| What abilities are necessary for critical thinking? | think independently, listen to others and not judge, empathy, look at the big picture, search for answers, creativity, self-confidence |
| What is divergent thinking? | having the ability to weigh the important information |
| What is reasoning? | having the ability to discriminate between facts and guesses |
| What is clarifying? | notes the similarities and differences to sift out unnecessary information |
| What is reflection? | taking time to think about the situation, comparing different situations with similar solutions |
| What is nursing process (ADOPIE) | assessment, diagnosis, outcome identification, planning, implementation, and evaluation |
| Who made the master list of nursing diagnosis? | NANDA (ok to plagerize NANDA..wohoo) |
| What are the three parts of a nursing diagnosis (PES)? | Problem with NANDA label. Etiology/related to, can't be medical diagnosis. Signs and symptoms/as manifested by |
| What is the nursing process/ADOPIE step Outcome Identification? | identify expected outcomes, individualize to the person, must be realistic and measurable and include a time frame. |
| In nursing process, during the planning phase, should the outcome be client centered, time specific and measurable? | yes. |
| What does NOC mean? | Nursing outcome classification |
| What does NIC mean? | Nursing intervention classifications |
| At the end of the evaluation step of nursing process, what three choices does the nurse have | 1. continue the plan 2. revise the plan 3. terminate the plan |
| If you do patient teaching, what two things would tell you the teaching was successful? | a return demonstration and verbal understanding |
| Who was Hildegard E. Peplau? | "Mother of psychiatric nursing" "Theory of interpersonal relations" the goal of nursing should be directed toward reducing dependence and encouraging autonomy |
| In therapeutic communication, what does SOLAR mean? | Squarely face the person, Open your posture, Lean towards the sender, Eye contact maintained, Relax while attending (unhurried) |
| What does HIPPA mean? | Health Insurance Portability and Accountability Act (Federal privacy standard to protect a client's medical information) |
| According to HIPPA, what cannot be disclosed? | any medical, nursing, dietary, therapeutic or social information relative to the patient and included in the medical record. (Can be disclosed upon receipt of written authorization) |
| What must be reported regardless of HIPPA? | child abuse, elder abure, suspected child abuse, gunshot wounds, some communicable diseases, threats towards third parties |
| What are the five rights of delagation? | Right task (can it be delagated), Right situation, Right person, Right communication, Right supervision |
| Who must obtain informed consent? | the provider |
| If you are providing patient teaching to a minor, must the parent be in the room? | yes |
| Must the nurse actively promote the client's rights to autonomy and free choice? | yes |
| What is an advanced medical directive? | the client states prior to receiving health care wishes regarding health care decisions. (Living wills, durable power of attorney,) |
| What is a living will? | It states medical treatment client chooses to refuse in the event client cannot make the decision or is terminal (no CPR) |
| What is a durable power of attorney? | notarized statement appointing someone to manage health care treatment decisionswhen the client is unable |
| What are the 7 principles of ethics? | Autonomy, veracity, role fidelity, beneficence, nonmaleficence, confidentiality, justice |
| What are ethics? | what "should" be done |
| What does autonomy mean? | individuals have the freedom to make their own choices regarding treatment |
| What is veracity? | truth telling |
| What does nonmaleficence mean? | like hippocratic oath, the duty to do no harm |
| What is transcultural nursing? | pioneered by Lenninger: Area of study and practice that focuses on the care, health and illness patterns of individuals with similarities and differences in their cultural beliefs, values and practice. |
| What is the code of ethics for nurses? | it provides a framework for ethical analysis and decision making, is nonnegotiable, and is applicable to all practice settings and a veriety of nursing roles. Developed in 1950. |
| What is the purpose of nursing codes and standards? | guide nursing practice, protect the public, states principles of ethical concern |
| What is negligence? | the failure to do something that a reasonable person, guided by ordinary considerations, would do; or doing something that a reasonable and prudent person would not do. |
| What 4 elements must be present to prove Malpractice? | 1. "duty of care"obligation to conform to standard of care 2. "breech of duty" 3. "injury" actual injury to patient 4. "causation" has to be predictable outcome |
| Can an RN explain a procedure to a patient? | NO they can only reinforce what the Dr./provider of care already explained to the patient |
| Who do standards of care focus on? | the patient |
| Who do standards of practice focus on? | the provider of care |
| What do nurse practice acts do? | They are laws set by each state that govern the scope of nursing practice |
| Kristi said trends in nursing education | Not sure what she means. I think that what Zoriada said about care plans being replaced with evidence based practice is important. Also I think internships that train new nurses from novice to advanced beginner to expert is also an important concept. |
| Know drug calcs | bring a calculator! |
Created by:
Merrill15888
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