exam #2 edapt

when performing a cultural assessment consider these 6 things

-health belief and practices -faith based influences or special rituals -language and communication -parenting styles and family roles -sources of support beyond the family -dietary practices

the steps in the nursing process are

1) Assessment 2) Diagnosis or Analysis 3) Planning and Outcome Identification 4) Implementation 5) Evaluation

ANA Nursing Standards of Practice

1- assessment 2-diagnosis 3-outcomes identification 4-planning 5a- coordination of care 5b-health teaching and health promotion 6-evaluation 7-ethics 8-advocacy 9-respectful and equitable practice 10-communication 11-collaboration 12-leadership 13-education 14-scholarly inquiry 15-quality of practice 16- professional practice evaluation 17-resource stewardship 18-environmental health

Components of Critical Thinking in Nursing

1. knowledge base 2. experience 3. competence 4. attitude 5. standards

the nightingale pledge was developed

1893

the first formal nursing code of ethics was adopted

1950

the code of ethics included 17 provisions

1960

interpretative statements were added to each provision

1968

More than blank of nursing errors result from poor clinical decision-making and blank of those errors involve novice nurses. Only about blank of employers believe they are hiring novice nurses who are effectively prepared to make clinical judgments on the first day of practice.​

65% 50% 20%

what establishes and provides authority to the state board of nursing? a.) national council of state boards of nursing b.) state government c.) local community government d.) constitution of the United States

b.) state government

what is the relationship between family and health? a.) family has little influence on health beliefs b.) strong influence health practices c.) all family members hold the same health beliefs d.) all families place a high value on health

b.) strong influence health practices

which example is the best example of family hardiness? a.) the family dreads change, viewing it as a threat b.) the family is sure they can successfully manage a grandparents stroke c.) the family history includes a predisposition to high cholesterol d.) the young adult in the family members marries and moves out the home

b.) the family is sure they can successfully manage a grandparents stroke

ADPIE

Assessment Diagnosis Planning Implementation Evaluation

provision 7

the nurse in all roles and setting advances the profession through research and scholarly inquiry professional standards development, and the generation of both nursing and health policy.

provision 5

the nurse owes the same duties to self as others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence and continue personal and professional growth.

Which part of Provision 9 addresses our need as nurses to have a united voice in our shared values?​ A.)Integrity of the profession​ B.)Social justice in nursing and health policy​ C.)Articulation and assertion of values D.)Integrating social justice​

C.)Articulation and assertion of values

clinical decision making

Choosing the options for the best patient outcomes based on clients condition and problems

provision 1

the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person

provision 3

the nurse promotes, advocate for, and protect the rights, health, and safety of of the patient

provision 6

the nurse, through individual and collective effort, establishes, maintains and improves the ethical environment of the work setting and conditions of employment that are conductive to safe, quality healthcare.

provision 2

the nurses primary commitment is to the patient, whether an individual family, group, community, or population.

provision 9

the profession of nursing, collectively through its professional organizations must articulate nursing values, maintain the integrity of the profession and integrate principles of social justice into nursing and health policy.

The scope of nursing practice describes

the who, what,where,when, why and how associated with nursing practice and roles

a nurse displaying fidelity shows that they are what? a.) remaining faithful to the policies and rules set forth by their institution b.) protecting their patients from harm c.) fairly providing resources that are available d.) taking positive action to help others

a.) remaining faithful to the policies and rules set forth by their institution

the nurse has become aware of missing narcotics in the client care area. Which ethical principle obligates the nurse to report the missing medications? a.) responsibility b.) advocacy c.) confidentiality d.) accountability

a.) responsibility

include when an outcome should be met

time-based

Clinical interference

Process of drawing conclusions from related pieces of evidence and previous experience

what are some of the nursing's core professional values? (SATA) a.) responsibility b.) confidentiality c.) independence d.) competition e.) advocacy g.) accountability

a.) responsibility b.) confidentiality e.) advocacy g.) accountability

a common type of hearing loss that affects learning

Sensorineural

communicating through an interpreter

Speak in the first person ("I" statements), not the third person ("tell her," "he said"). Speak directly to the client, not the interpreter. Speak in short sentences and then wait for the interpreter to convey them. Do not use jargon, acronyms, or jokes. Do not interrupt the interpreter. Ask the client for feedback and clarification at regular intervals. Be observant of the client's nonverbal and verbal behaviors. ​ Afterwards, thank both the client and the interpreter.​

SMART goals

Specific, Measurable, Attainable, Relevant, Time- based

accountibility

to be answerable to oneself and others for one's own choices. decisions and actions as measured against a standard such as that established by the code of ethics for nurses with interpretive statements

Ask Me 3 Questions

What is my main problem? What do I need to do? Why is it important for me to do this?

clinical judgement

a conclusion about a clients need or health problems and the decision to take or avoid action

reflection

a part of the critical thinking process that involves purposefully reviewing a situation to discover its meaning

Which of the following are domains of learning? Select all that apply. ​ a.)Psychomotor​ b.) Remember​ c.) Analyze​ d.) Affective​ e.) Create​ f.) Cognitive​

a. psychomotor d. affective f. cognitive

sterotypes can be generalisations which are positive and negative a.) TRUE b.) FALSE

a.) TRUE

Which statement best describes the analyzing cues phase of the clinical judgment process? Select all that apply. ​ a.) The nurse considers cues in context with the client's condition.​ b.) The nurse identifies assessment findings in the client chart. c.) The nurse must implement appropriate nursing actions.​ d.) The nurse must interpret the relevant data and consider all possibilities to determine what is occurring.​ e.) The nurse determines which cues support the current situation. ​

a.) The nurse considers cues in context with the client's condition.​ e.) The nurse determines which cues support the current situation. ​

A healthcare professional is using an interpreter to communicate with a client. Which actions are appropriate when working with an interpreter? Select all that apply. ​ a.) Use short sentences and pause periodically for clarification. ​ b.) Interrupt the interpreter if you forget to add something important.​ c.) Avoid medical terminology and jargon. ​ d.) Talk directly to the interpreter when providing information. ​ e.) After the encounter, thank the interpreter and client. ​

a.) Use short sentences and pause periodically for clarification. ​b.) Avoid medical terminology and jargon. ​ e.) After the encounter, thank the interpreter and client. ​

which organization is responsible for nursing's scope and standards of practice? a.) american nurses association b.) international council of nurses c.) american association of colleges of nursing d.) american nurses credentialing center

a.) american nurses association

what are common barriers to patients learning? a.) anxiety b.) language c.) presence of pain d.) weight

a.) anxiety b.) language c.) presence of pain

social determinants of health: a.) are non-medical factors that influence health outcomes b.) only have negative impacts on health c.) are the medical factors that influences health outcomes d.) only impact those living in low socio-economic countries

a.) are non-medical factors that influence health outcomes

which are standards of nursing practice? SATA a.) assessment b.) collaboration c.) communication d.) quality of practice e.) diagnosis f.) evaluation g.) advocacy h.) implementation

a.) assessment e.) diagnosis f.) evaluation h.) implementation

which of the following terms expresses the ethical principle of doing good for the patient or others? a.) beneficence b.) confidentiality c.) veracity d.) non-maleficence

a.) beneficence

which situations are threatening to families? (SATA) a.) caring for elderly family members b.) homelessness c.) poverty d.) mortgages

a.) caring for elderly family members b.) homelessness c.) poverty

what information is found in any given practice act? SATA a.) composition of the board of nursing b.) grounds for disciplinary action c.) possible consequences of practice violations d.) scope of nursing practice e.) program requirements for accreditation

a.) composition of the board of nursing b.) grounds for disciplinary action c.) possible consequences of practice violations d.) scope of nursing practice e.) program requirements for accreditation

Jared begins to recognize that he may have implicit bias against those from other cultures. What is the first step Jared should take toward cultural competence? ​ a.)Cultural awareness b.) Cultural knowledge​ c.) Cultural skill​ d.) Cultural desire​

a.) cultural awareness

culturally competent care starts with which attribute? a.) cultural awareness b.) communication skills c.) accountability d.) respect for culture

a.) cultural awareness

what are the domains of social determinants of health? (SATA) a.) education access and quality b.) healthcare access and quality c.) economic stability d.) neighborhood and built environment e.) social and community context f.) genetic predisposition

a.) education access and quality b.) healthcare access and quality c.) economic stability d.) neighborhood and built environment e.) social and community context

what is effective learning? a.) emotions/feelings b.) physical/hands on c.) knowledge/intellectual d.) teach back

a.) emotions/feelings

what are the major responsibilities of the state board of nursing (BON) SATA a.) evaluate new graduate licensure applications b.) take disciplinary action against nursing licenses c.) publish a code of ethics for professional nursing practice d.) renew registered nurse licenses e.) issue license to new graduates and nurses relocating to the state

a.) evaluate new graduate licensure applications b.) take disciplinary action against nursing licenses d.) renew registered nurse licenses e.) issue license to new graduates and nurses relocating to the state

which statements correctly describe the evaluation phase of the nursing process? SATA a.) evaluation involves the use of assessment skills b.) evaluation requires the collection of objective and subjective data c.) evaluation is a continuous process d.) evaluation occurs immediately after planning phase of the nursing process e.) evaluation is only necessary if the clients conditions decline

a.) evaluation involves the use of assessment skills b.) evaluation requires the collection of objective and subjective data c.) evaluation is a continuous process

which of the following best describes a family that displays hardiness? a.) family who views change as a positive and growth producing b.) a family whose children know what task is expected of them each week c.) a family who knows how to avoid all expected and unexpected stressors d.) a family whose members know what weekly tasks are and gets them done

a.) family who views change as a positive and growth producing

a nurse receives a medication prescription that seems incorrect based on the client's diagnosis and contacts the provider for clarification. The nurse understands that this action is an example of which ethical principal? a.) nonmaleficence b.) fidelity c.) justice d.) autonomy

a.) nonmaleficence

which actions demonstrate family resiliency? SATA a.) one parent resuming full time work when spouse loses a job b.) arguing about ways to deal with sibling rivalry c.) the parents developing hobbies when the children leave home d.) ignoring a child's mental health problems

a.) one parent resuming full time work when spouse loses a job b.) arguing about ways to deal with sibling rivalry

what type of care do family caregivers provide to elderly family members? (SATA) a.) physical b.) financial c.) emotional d.) recreational

a.) physical c.) emotional

which part of provision 1 addresses lateral violence, nurse bullying and inactivity? a.) relationship with colleagues and others b.) relationship with clients c.) right to self-determination d.) respect for human dignity

a.) relationship with colleagues and others.

what is the purpose of the national council of state boards of nursing (NCSBN)? SATA a.) support nursing regulators in protection of the public b.) issue license to nurses c.) develop and administer the nursing licensure exam d.) collaboration of all state boards of nursing e.) oversee individual nursing practice

a.) support nursing regulators in protection of the public c.) develop and administer the nursing licensure exam d.) collaboration of all state boards of nursing

cognitive domain involves? a.) thinking level b.) the doing level c.) the acting level d.) the eating level

a.) thinking level

why do nurses need a license? a.) to protect the public b.) legitimize the profession c.) to have a central database of care providers d.) to collect fees to state funding

a.) to protect the public

the definition of family a.) what the client states b.) relatives living together c.) husband and wife d.) individuals legally bond

a.) what the client states

what is ethical dilemma? a.) when two or more applicable standard conflicts with one another b.) whenever good reasons for mutually exclusive alternatives can be cited c.) when having to choose between right and wrong d.)when two or more applicable standards do not conflict with one another

a.) when two or more applicable standard conflicts with another

When educating a patient on diabetes type 2, what are important factors to consider related to their health literacy? Select all that apply. a.)Level of education completed​ b.) Last visit date​ c.) Socioeconomic status​ d.) Primary language spoken​ e.) Age​ f.) Health insurance carrier​

a.)Level of education completed​ c.) Socioeconomic status​ d.) Primary language spoken​ e.) Age​

According to the video on health literacy (Blue Cross Blue Shield of Michigan, 2021), what are the consequences of low health literacy? Select all that apply. a.)Poor self-care b.) Increased emergency room visits​ c.)Increased incidence of chronic conditions​ d.) Decreased medical costs​ e.) Decreased hospital admissions​

a.)Poor self-care b.) Increased emergency room visits​ c.)Increased incidence of chronic conditions​

provision 1-3

address direct client care and describe the most fundamental values and commitments of the nurse

responsibility

an obligation to perform required professional activities at a level commensurate with one's education and in compliance with applicable laws and standards; the opportunity or ability to act independently and make decisions without authorizations refers to the blameworthiness or praiseworthiness that one bears for one's conduct or the performance of duties. It is often expressed as liability for one's action and may be apportioned in degree based on circumstances.

diagnostic reasoning

analytical process for determining a patient's health problems

nervousness of fear

apprehension

outcomes

are measurable changes that must be achieved by the client to reach the goals

the six standards of practice:

assessment, diagnosis, outcomes identification, planning, implementation, and elevation

work with the client to set an outcome that the client agrees to meet

attainable

how many total standards are presented in the scope and standards of practice ? a.) 6 b.) 18 c.) 12 d.) 10

b.) 18

The nurse uses findings and determines that that client's primary need is readiness for enhanced health management in what phase(s) of the clinical judgment measurement model? Select all that apply. a.) Recognize Cues b.) Analyze Cues c.) Generate Solutions d.) Evaluate Outcomes e.) Prioritize Hypothesis f.) Take Action

b.) Analyze Cues e.) Prioritize Hypothesis

What factor may result in an increased likelihood of developing an acute or chronic health problem?​ a.)Availability of affordable childcare options​ b.) Limited access to healthcare clinics providing prevention services​ c.) Affordable housing program in the community​ d.) Safe public transportation to the local grocery store

b.) Limited access to healthcare clinics providing prevention services​

A client recently purchased a home in an older neighborhood where lead paint was used. The client has two young children. The client decides to take the children to a local community clinic's lead screening program. Which Healthy People 2030 domain to mitigate social determinants of health is this clinic addressing?​ a.)Social and community context​ b.) Neighborhood and built environment c.) Education access and quality d.) Economic stability​

b.) Neighborhood and built environment

Which statement describes elements to consider when prioritizing hypotheses? Select all that apply. ​ a.) Chronic problems are never the priority.​ b.) Priority setting establishes the order in which nursing interventions should occur. ​ c.) Recognizing and analyzing symptoms helps the nurse prioritize interventions. ​ d.) Prioritizing involves interpreting the relevant data to determine what is happening. ​ e.) Psychological problems should be prioritized over physiological concerns. ​

b.) Priority setting establishes the order in which nursing interventions should occur. ​ c.) Recognizing and analyzing symptoms helps the nurse prioritize interventions. ​ d.) Prioritizing involves interpreting the relevant data to determine what is happening. ​

Which factors should be considered when choosing appropriate interventions for client care? Select all that apply. a.) Whether the nurse has time to carry out the intervention b.) The assessment data that supports the intervention c.) The appropriateness of the intervention compared to client condition d.) The desired outcome that will be used to judge the effectiveness of the plan e.) The client's values and beliefs regarding the intervention

b.) The assessment data that supports the intervention c.) The appropriateness of the intervention compared to client condition d.) The desired outcome that will be used to judge the effectiveness of the plan e.) The client's values and beliefs regarding the intervention

what is the purpose of the nurse licensure compact (NLC) ? a.) allows for ease in relocation to another state b.) allows nurses to practice in multiple states c.) allows nurses to hold multiple licenses to practice d.) allows nurses to care for clients visiting one state but residing in another

b.) allows nurses to practice in multiple states

which organization is responsible for nursing's code of ethics? a.) international council of nurses b.) american nurses association c.) american nurses credentialing center d.) american association of colleges of nursing

b.) american nurses association

patients right to make own decisions a.) justice b.) veracity c.) autonomy d.) maleficence

b.) autonomy

what is the primary focus of provisions 1 through 3 code of ethics? SATA a.) expanded nursing duties b.) direct client care c.) promotion of safe, quality care d.) global healthcare e.) commitments of the nurse

b.) direct client care e.) commitments of the nurse

when doing a cultural assessment the nurse ask which question? a.) how long have you been in this country b.) do you use special remedies to treat diseases c.) can you tell me about your hospital admissions d.) what is wrong with you?

b.) do you use special remedies to treat diseases

adverse childhood experiences a.) increase likelihood of resilience b.) increases likelihood of health problems in adulthood c.) do not predict childhood outcomes d.) improves likelihood of success in adulthood

b.) increases likelihood of health problems in adulthood

a nurse reports suspicious co-worker behavior to the nurse manager. What ethical principle is the nurse demonstrating a.) justice b.) nonmaleficence c.) fidelity d.) autonomy

b.) nonmaleficence

which example demonstrates the ethical principle of fidelity? a.) nurse places bed alarm on a fall risk patient b.) nurse does not mention clients terminal dx to partner per client's request c.) nurse respects her colleague appears to be chemically impaired while working d.) nurse provides pain medication to a patient in severe pain

b.) nurse does not mention clients terminal dx to partner per client's request

A nurse is experiencing an ethical dilemma with a patient. Which information indicates the nurse has a correct understanding of the primary cause of ethical dilemmas? a. judgemental perceptions of clients b.) presence of conflicting values c.) power inequities d.) poor client communication

b.) presence of conflicting values

Steven Wilcox, a registered nurse, is caring for a client who has been diagnosed with terminal cancer. Both the client and their family are from a culture that considers talking openly about death and dying to be unacceptable. The family has requested the client not be told about the diagnosis as they believe this will bring about death sooner and doing so is disrespectful. Steven believes that lying is a violation of the client's autonomy and a betrayal of trust. ​ What ethical principle is Steven attempting to uphold in this situation? ​ a.) fidelity b.) veracity c.) justice d.) beneficence

b.) veracity

A healthcare professional is practicing cultural competence to improve care. Which step should the professional take first?​ a.) Practice face-to-face interactions​ b.) Learn about the world view of others c.) Assess own biases and attitudes d.) Develop cultural skills

c.) Assess own biases and attitudes

nurses use the nursing process daily when caring for clients. what is the purpose of the nursing process? a.) a subjective nursing approach to providing care b.) a fundamental blueprint of how medical providers care for clients c.) a systemic universal approach to critical thinking in the nursing profession d.) a medical based, decision making model approach to providing care

c.) a systemic universal approach to critical thinking in the nursing profession

a nurse offers pain medication to a client who is experiencing appendicitis. The nurse understands that this aspect of care delivery is an example of which ethical principle? a.) autonomy b.) justice c.) beneficence d.) fidelity

c.) beneficence

which is not one of the 4C's for cultural assessment? a.) call b.) cope c.) cancel d.) concern

c.) cancel

which client is at risk for health care disparity? a.) middle-aged buying first home b.) child with one parent c.) child living with domestic violence d.) older adult with private caregiver

c.) child living with domestic violence

which part of provision 7 encourages professional collaboration to promote change? a.) contributions through research and scholarly inquiry b.) this action is not addresses in provision 7 c.) contributions through nursing and health policy development d) contributions through developing, maintaining, and implementing professional practice standards

c.) contributions through nursing and health policy development

" do not. cause pain or suffering" applies to which basic ethical principle? a.) beneficence b.) justice c.) nonmaleficence d.) fidelity

c.) nonmaleficence

where are specific nursing practice rules found? a.) american nurses association b.) schools of nursing c.) state nurse practice acts d.) federal statutes

c.) state nurse practice acts

veracity includes which of the following? a.) compassion and patient advocacy, do good b.) telling the truth c.) keeping promises and commitments d.) keeping patients information private

c.) telling the truth

the ethical principle of justice means a.) do no harm b.) be faithful and committed c.) treat all fairly d.) freedom of choice

c.) treat all fairly

blended family a.) traditional family; two parents and their children b.) includes aunts, uncles, and grandparents c.) two parents and their unrelated children from previous relationships d.) may be seperated, divorced, widowed, or never married

c.) two parents and their unrelated children from previous relationships

How does using a systematic process to plan client education assist the nurse? Select all that apply.​ a.)Provides a guarantee that the client understands the material after teaching​ b.) Makes it harder to document the teaching session once completed c.)Allows the nurse an opportunity to assess the client's health literacy​ d.) Determines what the client already knows about a health topic before teaching​ e.) Identifies targeted information that is individualized for the client​

c.)Allows the nurse an opportunity to assess the client's health literacy​ d.) Determines what the client already knows about a health topic before teaching​ e.) Identifies targeted information that is individualized for the client​

what is an extended family? a.) living with one parent b.) living as a same sex couple c.) living with other family members e.g grandparents aunts d.) living with mom dad and children

c..) living with other family members e.g grandparents aunts

when attempting to resolve ethical issues, nurses should use blank

code of ethics

Ability to assess factors that influence client treatment and care. Acquired through the practice of communication. One example is learning a different language.

cultural awareness

Identifying and understanding one's own background, recognizing biases, prejudices, and assumptions about others. To develop a greater cultural awareness, time needs to be spent in thinking about and discussing various cultural experiences.

cultural desire

Motivation and willingness to learn from others. Be open-minded to learn about cultural differences. Accept learning about others as part of your professional nursing role.

cultural encounter

Interactions to learn about other cultures. Acquired through caring for culturally diverse populations across the lifespan.

cultural knowledge

Develops through exposure to other cultures. This exposure can be through reading, travel, movies, visits to ethnic neighborhoods and restaurants, attending ethnic celebrations, speaking with persons from other cultures, and attending religious events outside your own religious affiliation.

cultural skill

common characteristics of a group of people

culture

the clients older brother ask the nurse to send a picture of the clients broken arm x-ray stating that the image is so "cool" and they want to share it with friends on instagram. What is the best response by the nurse? a.) "please consult with the healthcare provider regarding the request" b.) "yes, but please remove your brothers name from the image before posting" c.) " I will ask the healthcare provider if this is acceptable" d.) " No, protected health information of any kid should not be shared on social media"

d.) " No, protected health information of any kid should not be shared on social media"

A healthcare professional is providing care for a culturally diverse population. Which action indicates the professional is successful in the role of providing culturally competent care?​ a.) Provides care that is the same as the value of the professional healthcare system b.) Provides care that makes the professional the leader in determining what is needed c.) Provides care that is based on meanings generated by predetermined criteria d.) Provides care that fits the client's valued life patterns and set of meanings

d.) Provides care that fits the client's valued life patterns and set of meanings

Which factors can influence a person's health? Select all that apply. a.) Gun ownership b.) Peer pressure c.) Vehicle registration d.) Socioeconomic status e.) Geographic area of residence f.) Political party membership

d.) Socioeconomic status e.) Geographic area of residence

Kayta has experienced a great deal of acculturation since being in America. This means she? a.) dresses and behaves consistent with her origin country b.) teaches others about her native culture c.) experiences conflict between her origin culture and america d.) adopted certain aspects from the culture of her host country

d.) adopted certain aspects from the culture of her host country

the client tells the nurse they are afraid to speak up regarding a desire to stop chemotherapy treatment and end future care for fear of upsetting family members. Which principles in the nursing code of ethics ensures that the nurse will support the clients decision? a.) responsibility b.) accountability c.) confidentiality d.) advocacy

d.) advocacy

in assessing a patients need abilities and readiness for education you should take into consideration: a. patients family and familys beliefs b.) physical limitations c.) patient primary language d.) all of the above

d.) all of the above

culturally competent care is a.) knowing all aspects of the cultures represented at your work b.) cultural awareness c.) cultural sensitivity d.) giving care based on a clients beliefs attitudes and heritage

d.) giving care based on a clients beliefs attitudes and heritage

which statement best describes alternative family? a.) a single person marries a person with children, they have children together b.) a married couple with children c.) a married couple without children d.) grandparents who are taking care of grandchildren

d.) grandparents who are taking care of grandchildren

Nurses appy clinical judgement daily when caring for clients. What is the purpose of the clinical judgement process? a.) assists the nurse with making referrals other members of the team b.) prepares the client for discharge and home care c.) determines if prescribed medical interventions are appropriate d.) measures the nurses ability to problem solve and make decisions

d.) measure the nurses ability to problem solve and make decisions

an example of family resilience is which one of the following? a.) adult daughter takes over mom's bank account without siblings knowledge b.) arguing among family members c.) a mom refuses to hear a son's opinion d.) one parent resuming full time work when the spouse loses a job

d.) one parent resuming full time work when the spouse loses a job

A healthcare professional is providing health education to an Asian client who is newly diagnosed with diabetes mellitus. The educator notes that the client is nodding yes to everything that is being said. Based on an understanding of cultural attributes in Asian Americans, how should the professional respond? a.) Contact a healthcare provider for further recommendations b.) Write everything down for the client to review later c.) Call the oldest male relative for decision making d.) Prompt further to elicit additional questions or concerns

d.) prompt further to elicit additional questions or concerns

a nurse provides education concerning administration of an injection to a client, what is the best method of evaluation? a.) questions and answers b.) asking the client to describe procedure c.) detailed explanations with clients going through motions d.) return demonstration

d.) return demonstration

define adverse childhood experiences a.) a memory from your childhood involving family b.) stress your experience daily as an adult at work, or in your personal life c.) need coping skills to manage your stress d.) single or multiple traumatic exposures or events experienced in childhood

d.) single or multiple traumatic exposures or events experienced in childhood

a nurse on a surgical unit is caring for a client who had surgery yesterday to repair a broken leg. the client is restless, grimacing and groaning. the client's heart rate and blood pressure are elevated. The nurse notices that the client's pain medication has not yet been administered this morning. what part of this situation should the nurse reflect upon. a.) the client's heart rate and blood pressure elevation b.) the clients discharge plan c.) the clients restlessness and groaning d.) the delay in administration of the pain medication

d.) the delay in administration of the pain medication

the 12 standards of professional performanceL

ethics, advocacy, respectful, and equitable practice, communication, collaboration, leadership, education, scholarly inquiry, quality of practice, professional practice evaluation, resource stewardship and environmental health

social determinants of health (SDOH) represent blank preventable differences that impact health.

external factors

Too mentally or physically tired to learn

fatigue

provision 4-6

focus on the ethical environment, the individual nurse's responsibility and accountability in nursing practice, and the promotion of safe, quality healthcare

provision 7-9

focus on the expanded duties of the nurse and the profession in advancing nursing and healthcare nationally and globally

five key areas of social determinants of health:

healthcare access and quality education access and quality social and community context economic stability neighborhood environment

less than optimal health

illness

nursing diagnosis

is a clinical judgement made by a nurse to describe a client's response to health condition that a nurse is licensed and competent to treat. A nursing diagnosis is what you are going to do about the medical diagnosis

clinical judgement

is simply a conclusion about a client's needs or health problems and the decision to take or avoid action. When you apply critical thinking as a professional nurse, the end result is clinical judgement

medical diagnosis

is the identification of a disease condition based on a specific evaluation of physical signs and symptoms, a patient's medical history, and the results of diagnostic tests and procedures.

legal issues reference blank that are typically blank. Ethics is blank than the law and refers to blank and character.

laws concrete broader behavior

Nonmalefiecence

maleficence refers to harm; therefore nonmaleficence means to avoid harm. This means the nurse strive to do good for clients but also to do no harm to clients.

Use a term in an outcome statement that allows for observation as to whether a change takes place

measureable

desire to learn

motivation

deductive reasoning

moves from reviewing general knowledge to the specific pieces of evidence

inductive reasoning

moves from reviewing specific data elements to making a conclusion about the related pieces of evidence

moral distress

often the environment contributes to the problem. discussing the situation with another person may be helpful. working together with a supervisor may best address the factors contributing to moral distress.

Health disparities are blank differences that impact a person's ability to achieve health.

preventable differences

Place the steps of the clinical judgment process in the correct order. ​

recognize cues analyze cues prioritize hypotheses generate solutions take action evaluate outcomes

Justice

refers to fairness and the equitable distribution of resources.In healthcare justice refers to access to care. This often involves discussions about health insurance. hospital locations, and services, and organ transplant

fidelity

refers to faithfulness or the agreement to keep promises

Automomy

refers to freedom from external control. In healthcare, this means we respect the client's decisions. It also means that healthcare institutions respect the autonomy of healthcare professionals.

Beneficence

refers to taking positive to actions to help others. EX. nurse taking time to provide reassurance to a client before a surgical procedure

veracity

refers to telling the truth

set an outcome that the client meet based on physiological, emotional, economic, and sociocultural resources

relevant

the institute of medicine six domains

safe effective patient centered timely efficient equitable

Nurse provides blank based on specific blank of practice and a code of blank

services standards ethics

the american nurses society association code of ethics is contract between nurses and blank, and that contracts is relevant in any situation. The code is blank in any setting

society non- negotiable

be sure that the outcome addresses only one client behavior or response

specific

description: competent level of nursing practice demonstrated by the critical thinking model known as the nursing process number of standards: 6

standards of practice

description: competent level of behavior in the professional role number of standards: 12

standards of professional performance

advocacy

the act or process of supporting a cause or proposal. nurses instinctively advocate for their patients, in their workplaces, and in their communities.

Confidentiality

the non disclosure of patients secrets or information without patient authorization

provision 8

the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities

provision 4

the nurse has authority, accountability, and responsibility for nursing practice, make decisions and takes action consistent with the obligation to provide optimal patient care.

concept map

visual representation of patient problems and interventions that shows their relationships to one another

4 C's

what do you CALL the problem you are having? how do you COPE with the problem? what are your CONCERNS about the problem? what do you think CAUSED the problem?

ethical dilemma

when two opposing but justifiable options are presented, often using the nursing process will identify more options for the nurse. Nurses also use the code of ethics to guide their professional moral compass

ANA Scope and Standards of Nursing Practice

who: all nurses- RN, APN what: nursing practice where: any environment where client needs care when: need for nursing knowledge, care, leadership, practice why: nursing response to achieve positive client outcomes how: professional practice

The new version of the NCLEX-RN® national licensure examination is called blank and will include blank new question types.​

®Next Generation NCLEX® 5