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Transition Final

201 Final

Donea Shane Returning to school syndrome
Raymond Wlodowski Achievement will be stronger if motivation is intrinsic
Carol Taylor, et. al. Cognitive, technical, interpersonal, legal and ethical skills
David Berlo Two-person communication model, feedback-communication
Pareto Principle a Time Management principle
Linda Carpenito-Moyet Development of nursing diagnoses, application and collaborative problems
Lois White the Teaching-Learning process is a planned interaction that promotes behavioral change that is not a result of maturation or coincidence
Malcolm Knowles Adult Learning-Learners need to know, Motivation to learn, Orientation to learning and problem solving, Self-directed learning, Prior experiences of the learner, Readiness to learn
Benjamin Bloom Taxonomy of educational objectives, knowledge, comprehension, application, analysis, synthesis, evaluation
Stephen Brookfield Themes of critical thinking
David Kolb Experiential learning, Learning by doing
Patricia Benner Novice to expert nurse, the ability to cluster data intuitively, identify patterns, and thereby exercise clinical judgment in formulating nursing diagnostic statements increases with experience
Eric Erikson Eight phases of psychosocial development
William Bridges Role transition-endings, neutral zone, beginnings
Kurt Lewin Change theorist-unfreezing, moving, refreezing
Elisabeth Kubler-Ross Process of emotionally accepting change-denial, anger, bargaining, depression, acceptance
Three Roles of the AND Provider of care, Manager of care, Member of the discipline of nursing
HGTC ADN-Student Learning Outcomes/Concept Integration Model Safety, Clinical-decision making, Teamwork and Collaboration, Professional behaviors, Patient-centered care
Suzanne Gordon the invisible nurse
Dave Ellis Learning styles-visual, auditory, kinesthetic
Expected Outcomes must be Reasonable, Specific, Objective, Measurable, Timed
Member of the Discipline of Nursing patient advocate, lifelong learning/professional growth, utilizing nursing research/evidenced-based practice, community service
Safe Medication Administration Right med, Right patient, Right dose, Right route, Right time
Resonance when one part of a system experiences change, the whole system responds
Transition the process of letting go of the way things used to be and then taking hold of the way they subsequently become
Change a situational shift-(getting a new boss, having a child, returning to school)
Ascribed Role a role not chosen
Acquired Role roles a person receives or takes on during a lifetime
Evolving role of the RN(LeSorti) from Task Oriented to Role Oriented
Modes of Critical Thinking problem-solving, reasoning and informal logic, reflection-challenging beliefs-imagining alternatives, metacognition & self-regulation
ADPIE Assessment, Diagnosis, Plan/Desired Outcome, Interventions, Evaluation
DECIDE Define the problem, Explore your alternatives, Consider the consequences, Identify your values, Decide and act, Evaluate the results
Critical Thinking is thinking in a systematic, organized manner
Critical Thinking leads to Competence
The Healthcare Focus provides the basis for selection of independent nursing interventions to achieve outcomes for which the nurse is accountable
Medical diagnosis vs Nursing diagnosis identify disease and organ dysfunctions vs describe the client’s response to actual or potential health problems or conditions
Nursing Research, also known as Evidenced-Based Practice
Evidenced-Based Practice is designed to change what nurses have done by tradition and emphasizes decision-making based to the best available evidence and the use of outcome studies to guide decisions, improve quality outcomes
Score used in PACU ALDRETE, 7-8
The factors of active listening silence, paralanguage, eye contact, body postures and gestures, appearance, and touch
The factors of active listening promote Nonverbal Communication
Verbal Communication is a lifelong learning skill
Clarification, sharing observations, open-ended relevant questions, restating, silence, general leads, and summarization are Verbal Therapeutic Communication Skills
False assurance, giving advice, being moralistic and changing the subject are Verbal Communication Blocks
Social Relationship is self-serving, minimal problem solving, and sympathetic
Therapeutic Relationship is a collaborative experience, respectful, sincere, patient, confidential, and empathetic
Social Relationships vs. Therapeutic Relationships sympathy/empathy
Communication btw colleagues is known as collaboration
Collegial communication involves 3 forms nonverbal, verbal, and written
The ability to accomplish more together than the individual members of the group synergy
How to become a Power Broker suggest solutions for problems, view self as self-confident w/ high self-esteem, be visionary, become actively involved
Assertiveness learned behavior that includes standing up for one’s rights w/o violating the rights of others
Assertive communication fosters a win/win situation where both parties negotiate for a positive outcome
The end results of aggressive behaviors are angry, hostile, or offended colleagues and coworkers
Delegation is defined as the transfer or responsibility for the performance of an activity from one individual to another, while retaining accountability for the outcome
Mucha’s Manager of Care-second role of the nurse yourself, time, personnel, material
H & P’s Manager of Care-second role of the nurse plan, organize, implement and evaluate care/ organizing time effectively, prioritizing/delegating appropriately/conflict management
Time management ^ productivity
Efficiency is the process of doing something right
Effectiveness is doing the right thing right
Interruptions, Socialization, Personal disorganization, Meetings, Paperwork, Perfectionism, Procrastination, and Poor communication are Time Wasters
Tension or disharmony btw individuals or groups when there is a diff about ideas, values, or beliefs Conflict
Positive outcomes of conflict include innovative change, exchange of ideas and a greater understanding of another person’s feelings
Types of conflict Role conflict, Communication conflict, Goal conflict, Personality conflict, Ethical or Value conflict
Conflict resolution Accommodation, Avoidance, Competition, Compromise, and Collaboration
Example of Collaboration win-win
Decision Making process of choosing among alternatives
Problem Solving selecting various alternatives that will solve an issue
Decision Making does not necessarily/is not necessarily solve a problem/result of a problem
Documentation is Legal Accountability
Documentation must be Clear, Concise, Accurate, and Complete
First and Second leading causes of litigation are falls and skin/wound disruptions
Documentation of Teaching and Learning should include Learning, Teaching, Patient outcomes, Revisions or changes
Standards of Practice provide the means to assess the competency of the nurse members
SofP reasonable person rule assumes that the expected action of a nurse would be held to that of another nurse w/ similar education and experience
SBAR Situation, Background, Assessment, Recommendations
2011 National Patient Safety Goals include identify pts correctly, improve staff communication, use meds safely, prevent infection, and prevent mistakes in surgery
Acute Care life threatening, sudden-severe, advanced life support and equipment, healthcare professionals trained in acute care, may require hospitalization
Chronic Care a long developing disease process, disease or impairment of a year or more, ongoing-rarely cured, home-self-care, may require hospitalization, long-term maintenance
Preoperative NPO, IV, Pre-op assessment, sign consent, pre-op teaching, 2 pt identifiers, med admin, hand hygiene
Postoperative diet, IV, discharge instructions, sign d/c form, daily teaching/learning assessment, 2 pt identifiers, med admin, hand hygiene, UTE prophylaxis
Pre & Post-Op safety, prevention/reduction of problems, improvement in quality of life
SCIP Surgical Care Improvement Project
Prophylactic Antibiotics given w/in 1 hour of surgical incision, selection consistent w/ current guidelines, DC’d w/in 24 hrs of surg end time
Founder of Transcultural Nursing Madeleine Leininger
Leininger says Culture involves learned and transmitted knowledge about values, beliefs, rules of behavior, and lifestyle practices that guide designated groups in their thinking and actions in patterned ways
Transcultural nursing refers to a research-focused practice field that focuses on pt-centered, culturally competent nursing
Transcultural nursing incorporates the care(caring) values, beliefs, and practice of people and groups from a particular culture w/o imposing the nurse’s cultural perspective on the pt
Institutional Policies Promoting TCN flexible regulations pertaining to visitors, providing translation services, training staff to provide care for patients w/ diff cultural values
Culturally Mediated Characteristics space and distance, eye contact, time, touch, observance of holidays/days of worship, diet, biologic variations, complementary and alternative therapies
Acculturation the process by which members of a cultural group adapt to or take on the behaviors of another group
Cultural blindness/Ethnocentric the tendency to view one’s own culture a superior to others
Cultural imposition the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person or ppl from a diff culture
Cultural taboos activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group
Cultural competence effective, individualized care that demonstrates respect for the dignity, personal rights, preferences, beliefs, and practices of the person receiving care, while acknowledging the biases of the caregiver and preventing from interfering w/ care provided
The RN’s best source of information about the particulars of social, cultural, sexual, and spiritual uniqueness is the patient
6 Cultural phenomena of each cultural group communication, space, social organization, time, environmental control, biological variations
Communication words, body language and other cues, such as voice, tone, and loudness. During illness all ages tend to regress, and the regression often involves language skills
Space ppl tend to regard the immediate vicinity as an extension of themselves
Social organization socialization, enculturation
Time views about punctuality and the use of time are culturally determined, as is the concept of waiting
Environmental control health may be viewed as a balance btw the individual and the environment
Biologic variations direct relation exists btw race & body structure, skin color, other visible phys characteristics, enzymatic/genetic variations, electrocardiographic patterns, susceptibility to disease, nutritional preferences/deficiencies, & psychological characteristics
Mucha’s theory on caring Caring is to nursing as nursing is to caring
Theory of Cultural Care Madeleine Leininger
Theory of Human Caring Jean Watson
Jean Watson-Science of Caring Model caring can be effectively demonstrated & practiced only interpersonally,consists of carative factors, promotes health/growth, responses accept a person, environ offers devlmnt of potential, is more healthogenic than curing, the pract is cntrl to nursing
Mucha’s Theory of Nursing the promotion of health through the five dimensions of life-mental, spiritual, physical, emotional and social for the prevention of illness
Top 10 Caring Behaviors Attentive listening, Comforting, Honesty, Patience, Responsibility, Providing Information, Touch, Sensitivity, Respect, Calling pt by name
Patient Advocacy pleading on one’s behalf or acting in support of another, speaking for the pt or representing the pt’s point of view or not speaking about the pt
Protection of Rights Pt is viewed as a member of a cultural group, a social being, a sexual being, and a spiritual being
Hospice Care Dame Cicely Saunders, you matter b/c you are you. You matter to the last moment of your life, and we will do all we can not only to help you die peacefully, but to live until you die
Palliative Care an approach to care for the seriously ill/ chronic illnesses that do not have a predictable “end stage”
Both palliative care and hospice care recognized as impt bridges btw a medical bias in the direction of cure-oriented tx and the needs of terminally ill pt’s and their families at the end of life
Palliative Care is all about providing good sx management, being able to have difficult conversations, being present, championing quality of life
Never Events Serious Events-28 occurrences on US list of inexcusable outcomes in a healthcare setting
Teaching interactive process wherein one individual shares information w/ another to facilitate learning and thereby promote behavioral changes-White
Learning process by which a person acquires or increases knowledge or changes behavior in a measurable way as a result of an experience-Taylor
Andragogy adult learning-Malcolm Knowles
Pedagogy science of teaching children and adolescents
Teaching-Learning Sequence plan for a series of instructions that builds on previous knowledge and lays groundwork for future learning-from easy to difficult, known to unknown, etc
Cognitive Knowledge
Psychomotor Skill
Affective Values
Documentation must be Clear, Concise, Accurate, Complete
Documentation of learning needs, teaching interventions implemented, pt outcomes achieved or not achieved, revisions or changes in teaching required
Health Promotion those activities that assist ppl in developing resources that maintain or enhance well-being and improve quality of life, it’s up to each person to decide whether to make changes to promote a higher level of wellness
Health Promotion Models Achieving health for all, Health belief model, Health promotion model, Transtheoretical model of change
Statutory Law Mosby-statute enacted by the legislature of any of the states or by the appropriate officers of the districts or possessions-delineates the legal scope of the practice of nursing
3 Major Components of Nursing Practice Act outlines eligibility and requirements for licensure w/in that state, delineates the nursing edu prog content and clinical experience needed for the program to be accredited, designates specific roles for LPN/LVNs and RNs r/t certain nursing tasks
Laws rules for conduct and actions w/in a society
Ethics area of philosophical study that examines values, actions, and choices to determine right and wrong
Statutory Law ex Nurse Practice Act
Civil Law ex a violation of is a tort, malpractice/negligence
Assault any act designed to make a person fearful and produce a reasonable apprehension of harm-doesn’t require touching
Battery any intentional and wrongful physical contact w/ a person that entails injury or offensive touching
Negligence/Malpractice a nurse could be liable for malpractice if the nurse injured a client while performing a procedure differently from the way other nurses would have done it
Purpose for Code of Ethics reflect the values/priorities of the nursing profession,direction for professional nursing practice, framework for the evaluation of nursing practice, define profession’s accountability to the public and client outcomes for which nurses are responsible
Beneficence actively do good
Nonmaleficence do no harm
Autonomy the right to make decisions
Justice fairness to all people
Fidelity faithful to commitments
Veracity truth telling
Created by: neffielewis