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NUR 202 EXAM 1 questions with correct answers
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what |is |nursing? |- |Nursing |is |the |protection, |promotion, |and |optimization |of |health |and |abilities, | prevention |of |illness |and |injury, |alleviation |of |suffering |through |the |diagnosis |and |treatment |of | human |response, |and |advocacy |in |the |care |of |individuals, |families, |communities, |and |populations. patient |centered |care |- |includes |families |and/or |communities professionalism |- |-administer |quality |care | -be |responsible |and |accountable Health |care |advocacy |groups |- |Robert |Wood |Johnson |Foundation |(RWJF) |Future |of |Nursing: |Campaign |for |Action Institute |of |Medicine |(IOM) |publication |on |The |Future |of |Nursing requirements |of |nursing |- |-current |knowledge |and |practice |standards -insightful |and |compassionate |approach -critical |thinking |(built |by |experiences) Benner's |stages |of |nursing |proficiency |- |novice, |advanced |beginner, |competent, |proficient, |expert novice |- |beginning |nursing |student |or |any |nurse |entering |a |situation |with |no |previous |level |of | experience advanced |beginner |- |A |nurse |who |has |had |some |level |of |experience |with |the |situation. |This | experience |may |only |be |observational |in |nature, |but |the |nurse |is |able |to |identify |meaningful |aspects | or |principles |of |nursing |care. competent |- |-same |clinical |position |for |2-3 |years | -understands |organization |and |specific |area |of |care proficient |- |-more |than |2-3 |years |of |experience |in |the |same |clinical |position -able |to |asses |an |entire |situation |and |can |readily |transfer |knowledge expert |- |-diverse |experience |who |has |intuitive |grasp |of |an |existing |or |potential |clinical |problem Nursing: |Scope |and |Standards |of |Practice |- |1960: |Documentation |began Standards |of |Practice Standards |of |Professional |Performance
goal |of |nursing |- |To |improve |the |health |and |well-being |of |all |individuals, |communities, |and | populations |through |the |significant |and |visible |contributions |of |registered |nursing |using |standards- based |practice 6 |standards |of |practice |- |Assessment Diagnosis Outcomes |identification Planning Implementation Evaluation assessment |- |the |collection |of |data |about |an |individual's |health |state diagnosis |- |analyzes |assessment |data |to |determine |issue Outcome |Identification |- |Identify |expected |outcomes, |individualize |to |the |person, |culturally | appropriate, |realistic |and |measurable, |include |a |timeline Planning |- |develop |a |plan |that |prescribes |strategies |and |alternatives |to |attain |expected |outcomes implementation |- |implement |identified |plan Evaluation |- |evaluates |progress |toward |attainment |of |outcomes Standards |of |Professional |Performance |- |ethics, |education, |evidence-based |practice |and |research, | quality |of |practice, |communication, |leadership, |collaboration, |professional |practice |evaluation, | resources, |environmental |health code |of |ethics |- |-the |philosophical |ideals |of |right |and |wrong |that |define |the |principles |you |will |use |to | provide |care |to |your |patients -important |to |incorporate |your |own |values |and |ethics |into |your |practice professional |roles |- |Autonomy |and |Accountability Caregiver Advocate Educator Communicator Manager autonomy |- |-essential |element |of |professional |nursing -involves |initiation |of |independent |function |through |the |healing |process accountability |- |responsible |professionally |and |legally
Mary |Mahoney |- |First |professionally |trained |African |American |nurse Lillian |Wald |and |Mary |Brewster |- |Opened |the |Henry |Street |Settlement, |focusing |on |the |health |needs | of |the |poor 20th |century |nursing |- |-movement |towards |scientific, |research-based |practice |and |defined |body |of | knowledge | -1906: |Mary |Adelaide |Nutting, |first |nursing |professor |at |Columbia |Teacher's |College |(moved |nursing | into |university) -Army |and |Navy |Corps |established -1920's: |nursing |specialization |began 21st |Century |nursing |- |-changes |in |curriculum -advances |in |technology |and |informatics -new |programs |address |current |health |concerns | -leadership |role |in |developing |standards |and |policies Contemporary |influences |- |-Importance |of |nurses' |self-care -Changes |in |society |lead |to |changes |in |nursing: |-Affordable |Care |Act |(ACA) |-Rising |health |care |costs |-Demographic |changes |-Medically |underserved factors |influencing |nursing |- |-technology -consumerism -health |promotion -effects |of |women's |and |human |rights |movements Trends |in |Nursing |- |Evidence-based |practice Quality |and |Safety |Education |for |Nurses |(QSEN) Impact |of |emerging |technologies Genomics Public |perception |of |nursing Impact |of |nursing |on |politics |and |health |policy
QSEN |- |addresses |the |challenge |to |prepare |nurses |with |the |competencies |needed |to |continuously | improve |the |quality |of |care |in |their |work |environments impact |of |emerging |technologies |- |-non-invasive -more |accurate -electronic |health |record/ |telehealth Professional |Registered |Nurse |Education |- |- | 2 |year |associates |degree
clinical |judgement |- |an |interpretation |or |conclusion |about |a |patient's |needs, |concerns, |or |health | problems, |and/or |the |decision |to |take |action |(or |not), |use |or |modify |standard |approaches, |or | improvise |new |ones |as |deemed |appropriate |by |the |patient's |response Four |components |of |clinical |judgement |- |Noticing Interpreting Responding Reflecting noticing |- |-context: |knowledge |of |the |particular |patient |and |his |or |her |patterns |of |responses -background: |experience |with |other |similar |patient |situations | -relationship -expectations: |vision |of |excellent |practice |and |values |r/t |the |situation responding |- |reaching |an |interpretation |of |the |data |in |the |situation |that |suggests |an |appropriate | nursing |action reflecting |- |-reflection |in |action: |nurse's |ability |to |judge |how |the |patient |is |responding |to |the |nursing | intervention, |and |to |adjust |the |intervention |based |on |that |assessment -reflection |on |action: |deciding |what |was |learned |from |this |clinical |situation critical |thinking |vs |clinical |judgement: |clinical |thinking |- |-involves |the |application |of |knowledge |and | experience |to |identify |patient |problems |and |to |direct |clinical |judgements |and |actions |that |result |in | positive |patient |outcomes characteristics |of |clinical |thinking |- |-independence |of |thought -intellectual |curiosity -courage -humility -empathy -integrity -perseverance -fair-mindedness critical |thinking |vs |clinical |judgement: |clinical |judgement |- |-involves |clinical |situations |that |are | undetermined, |ambiguous, |involving |value |conflicts -complex |process |-recognizes |important |aspects |of |an |undefined |clinical |situation
|-interpret |their |meanings | |-respond |appropriately factors |affecting |clinical |judgment |- |-context |of |the |situation -culture |of |the |nursing |unit -experience -intuition |and |perception promoting |reflective |self |evaluation |and |improvment |- |-reflection |in |action -reflection |on |action -reflection |on |practice -reflection |on |knowledge clinical |grasp |- |-making |qualitative |distinctions -engaging |in |detective |work |and |clinical |problem |solving -recognizing |changing |clinical |relevance -developing |clinical |knowledge |in |specific |patients |populations clinical |forethought |- |pervasive |habit |of |thought |and |action |in |nursing |practice -four |habits |