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201 Final

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Question
Answer
Donea Shane   Returning to school syndrome  
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Raymond Wlodowski   Achievement will be stronger if motivation is intrinsic  
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Carol Taylor, et. al.   Cognitive, technical, interpersonal, legal and ethical skills  
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David Berlo   Two-person communication model, feedback-communication  
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Pareto Principle   a Time Management principle  
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Linda Carpenito-Moyet   Development of nursing diagnoses, application and collaborative problems  
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Lois White   the Teaching-Learning process is a planned interaction that promotes behavioral change that is not a result of maturation or coincidence  
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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  
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Benjamin Bloom   Taxonomy of educational objectives, knowledge, comprehension, application, analysis, synthesis, evaluation  
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Stephen Brookfield   Themes of critical thinking  
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David Kolb   Experiential learning, Learning by doing  
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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  
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Eric Erikson   Eight phases of psychosocial development  
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William Bridges   Role transition-endings, neutral zone, beginnings  
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Kurt Lewin   Change theorist-unfreezing, moving, refreezing  
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Elisabeth Kubler-Ross   Process of emotionally accepting change-denial, anger, bargaining, depression, acceptance  
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Three Roles of the AND   Provider of care, Manager of care, Member of the discipline of nursing  
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HGTC ADN-Student Learning Outcomes/Concept Integration Model   Safety, Clinical-decision making, Teamwork and Collaboration, Professional behaviors, Patient-centered care  
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Suzanne Gordon   the invisible nurse  
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Dave Ellis   Learning styles-visual, auditory, kinesthetic  
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Expected Outcomes must be   Reasonable, Specific, Objective, Measurable, Timed  
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Member of the Discipline of Nursing   patient advocate, lifelong learning/professional growth, utilizing nursing research/evidenced-based practice, community service  
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Safe Medication Administration   Right med, Right patient, Right dose, Right route, Right time  
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Resonance   when one part of a system experiences change, the whole system responds  
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Transition   the process of letting go of the way things used to be and then taking hold of the way they subsequently become  
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Change   a situational shift-(getting a new boss, having a child, returning to school)  
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Ascribed Role   a role not chosen  
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Acquired Role   roles a person receives or takes on during a lifetime  
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Evolving role of the RN(LeSorti)   from Task Oriented to Role Oriented  
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Modes of Critical Thinking   problem-solving, reasoning and informal logic, reflection-challenging beliefs-imagining alternatives, metacognition & self-regulation  
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ADPIE   Assessment, Diagnosis, Plan/Desired Outcome, Interventions, Evaluation  
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DECIDE   Define the problem, Explore your alternatives, Consider the consequences, Identify your values, Decide and act, Evaluate the results  
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Critical Thinking is   thinking in a systematic, organized manner  
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Critical Thinking leads to   Competence  
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The Healthcare Focus   provides the basis for selection of independent nursing interventions to achieve outcomes for which the nurse is accountable  
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Medical diagnosis vs Nursing diagnosis   identify disease and organ dysfunctions vs describe the client’s response to actual or potential health problems or conditions  
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Nursing Research, also known as   Evidenced-Based Practice  
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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  
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Score used in PACU   ALDRETE, 7-8  
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The factors of active listening   silence, paralanguage, eye contact, body postures and gestures, appearance, and touch  
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The factors of active listening promote   Nonverbal Communication  
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Verbal Communication is   a lifelong learning skill  
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Clarification, sharing observations, open-ended relevant questions, restating, silence, general leads, and summarization are   Verbal Therapeutic Communication Skills  
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False assurance, giving advice, being moralistic and changing the subject are   Verbal Communication Blocks  
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Social Relationship is   self-serving, minimal problem solving, and sympathetic  
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Therapeutic Relationship is   a collaborative experience, respectful, sincere, patient, confidential, and empathetic  
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Social Relationships vs. Therapeutic Relationships   sympathy/empathy  
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Communication btw colleagues is known as   collaboration  
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Collegial communication involves 3 forms   nonverbal, verbal, and written  
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The ability to accomplish more together than the individual members of the group   synergy  
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How to become a Power Broker   suggest solutions for problems, view self as self-confident w/ high self-esteem, be visionary, become actively involved  
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Assertiveness   learned behavior that includes standing up for one’s rights w/o violating the rights of others  
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Assertive communication fosters   a win/win situation where both parties negotiate for a positive outcome  
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The end results of aggressive behaviors are   angry, hostile, or offended colleagues and coworkers  
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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  
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Mucha’s Manager of Care-second role of the nurse   yourself, time, personnel, material  
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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  
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Time management ^   productivity  
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Efficiency is   the process of doing something right  
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Effectiveness is   doing the right thing right  
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Interruptions, Socialization, Personal disorganization, Meetings, Paperwork, Perfectionism, Procrastination, and Poor communication are   Time Wasters  
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Tension or disharmony btw individuals or groups when there is a diff about ideas, values, or beliefs   Conflict  
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Positive outcomes of conflict include   innovative change, exchange of ideas and a greater understanding of another person’s feelings  
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Types of conflict   Role conflict, Communication conflict, Goal conflict, Personality conflict, Ethical or Value conflict  
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Conflict resolution   Accommodation, Avoidance, Competition, Compromise, and Collaboration  
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Example of Collaboration   win-win  
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Decision Making   process of choosing among alternatives  
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Problem Solving   selecting various alternatives that will solve an issue  
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Decision Making does not necessarily/is not necessarily   solve a problem/result of a problem  
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Documentation is   Legal Accountability  
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Documentation must be   Clear, Concise, Accurate, and Complete  
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First and Second leading causes of litigation are   falls and skin/wound disruptions  
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Documentation of Teaching and Learning should include   Learning, Teaching, Patient outcomes, Revisions or changes  
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Standards of Practice   provide the means to assess the competency of the nurse members  
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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  
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SBAR   Situation, Background, Assessment, Recommendations  
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2011 National Patient Safety Goals include   identify pts correctly, improve staff communication, use meds safely, prevent infection, and prevent mistakes in surgery  
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Acute Care   life threatening, sudden-severe, advanced life support and equipment, healthcare professionals trained in acute care, may require hospitalization  
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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  
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Preoperative   NPO, IV, Pre-op assessment, sign consent, pre-op teaching, 2 pt identifiers, med admin, hand hygiene  
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Postoperative   diet, IV, discharge instructions, sign d/c form, daily teaching/learning assessment, 2 pt identifiers, med admin, hand hygiene, UTE prophylaxis  
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Pre & Post-Op   safety, prevention/reduction of problems, improvement in quality of life  
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SCIP   Surgical Care Improvement Project  
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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  
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Founder of Transcultural Nursing   Madeleine Leininger  
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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  
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Transcultural nursing refers to   a research-focused practice field that focuses on pt-centered, culturally competent nursing  
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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  
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Institutional Policies Promoting TCN   flexible regulations pertaining to visitors, providing translation services, training staff to provide care for patients w/ diff cultural values  
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Culturally Mediated Characteristics   space and distance, eye contact, time, touch, observance of holidays/days of worship, diet, biologic variations, complementary and alternative therapies  
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Acculturation   the process by which members of a cultural group adapt to or take on the behaviors of another group  
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Cultural blindness/Ethnocentric   the tendency to view one’s own culture a superior to others  
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Cultural imposition   the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person or ppl from a diff culture  
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Cultural taboos   activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group  
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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  
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The RN’s best source of information about the particulars of social, cultural, sexual, and spiritual uniqueness is   the patient  
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6 Cultural phenomena of each cultural group   communication, space, social organization, time, environmental control, biological variations  
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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  
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Space   ppl tend to regard the immediate vicinity as an extension of themselves  
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Social organization   socialization, enculturation  
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Time   views about punctuality and the use of time are culturally determined, as is the concept of waiting  
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Environmental control   health may be viewed as a balance btw the individual and the environment  
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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  
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Mucha’s theory on caring   Caring is to nursing as nursing is to caring  
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Theory of Cultural Care   Madeleine Leininger  
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Theory of Human Caring   Jean Watson  
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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  
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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  
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Top 10 Caring Behaviors   Attentive listening, Comforting, Honesty, Patience, Responsibility, Providing Information, Touch, Sensitivity, Respect, Calling pt by name  
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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  
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Protection of Rights   Pt is viewed as a member of a cultural group, a social being, a sexual being, and a spiritual being  
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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  
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Palliative Care   an approach to care for the seriously ill/ chronic illnesses that do not have a predictable “end stage”  
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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  
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Palliative Care is all about   providing good sx management, being able to have difficult conversations, being present, championing quality of life  
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Never Events   Serious Events-28 occurrences on US list of inexcusable outcomes in a healthcare setting  
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Teaching   interactive process wherein one individual shares information w/ another to facilitate learning and thereby promote behavioral changes-White  
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Learning   process by which a person acquires or increases knowledge or changes behavior in a measurable way as a result of an experience-Taylor  
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Andragogy   adult learning-Malcolm Knowles  
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Pedagogy   science of teaching children and adolescents  
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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  
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Cognitive   Knowledge  
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Psychomotor   Skill  
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Affective   Values  
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Documentation must be   Clear, Concise, Accurate, Complete  
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Documentation of   learning needs, teaching interventions implemented, pt outcomes achieved or not achieved, revisions or changes in teaching required  
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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  
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Health Promotion Models   Achieving health for all, Health belief model, Health promotion model, Transtheoretical model of change  
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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  
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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  
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Laws   rules for conduct and actions w/in a society  
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Ethics   area of philosophical study that examines values, actions, and choices to determine right and wrong  
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Statutory Law ex   Nurse Practice Act  
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Civil Law ex   a violation of is a tort, malpractice/negligence  
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Assault   any act designed to make a person fearful and produce a reasonable apprehension of harm-doesn’t require touching  
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Battery   any intentional and wrongful physical contact w/ a person that entails injury or offensive touching  
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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  
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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  
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Beneficence   actively do good  
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Nonmaleficence   do no harm  
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Autonomy   the right to make decisions  
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Justice   fairness to all people  
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Fidelity   faithful to commitments  
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Veracity   truth telling  
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