CNI NURS 100 FINAL REVIEW

What is evaluating?

determining if goals met and outcomes are achieved

example of measurable

I'll take an online class *every week* and will practice with others in class to track my progress.

What are the 3 domains to the concept based approach?

*Individual Domain

*Healthcare Domain

*Nursing Domain

What concepts of the individual domain relate to?

All concepts related to the holistic individual, family and community

What does the Healthcare domain contain?

It contains the Institute of Medicine (IOM)

competencies of evidence-based practice,

informatics, and quality improvement as well as

additional elements essential to nursing

What does KSA stand for?

Knowledge, Skills, Attitude

Knowledge is about

Cognitive

Aware

Processing Information

Concepts and Facts evolve and build a mental

foundation to demonstrate skills and form attitudes

Understanding, application, and evaluations

Skills is about

Transfer of Knowledge

Application of Knowledge

Physically Perform Task

Measured by Competency / Proficiency

Requires Practice

Involves Training

Attitudes is about

Emotions

Feelings

Motivations

Involves Personal Values

Requires Reflection

Adjustments and Trainings

What are the 3 domains of learning?

cognitive, affective, psychomotor

Cognitive domain addresses

mental skills (knowledge)

Affective domain addresses

growth in feelings or emotional areas (attitude

or self)

Psychomotor domain addresses

manual or physical skills (skills)

Define values

attitudes, ideals, or beliefs that an individual

or a group holds and uses to guide behavior

The ANA Position Statement (1994) states

The Code [of Ethics] for

Nurses is non-negotiable and ... each nurse has an

obligation to uphold and adhere to the code of ethics."

What are 6 Ethical principals listed?

autonomy, beneficence, nonmaleficence, the principle of justice, the principle of fidelity, and veracity

Benefit of NANDA

To understand what needs to be done for patients

What are the 2 steps in assessment?

Data collection (Primary/Secondary Sources) and analysis of the data collected

Clinical reasoning is used for what?

used to improve client care and outcomes by utilizing prior

Nursing practice act

defines and controls nursing

Who are the 4 nursing figures?

Florence Nightingale, Mary Seacole, Dorothea L. Dix, and Susie King Taylor

What combination does concept-based learning use?

It uses a combination of Concepts and Exemplars for that concept to guide learning

What does the individual domain address?

-It addresses the biologic, physical, cognitive and psychosocial processes

and their alterations that most frequently bring the individual into contact

(=)with the nursing and health care domains.

-It addresses the impact of that

concept on individuals across the life span

Define Morals

provide standards of behavior that guide the

actions of an individual or social group and are

established rules of conduct to be used in situations

where a decision about right and wrong must be made

Ethics

a term used to reflect what actions an individual

should take and may be "codified," as in the ethical code of a profession.

What are the 3 types of ethics?

metaethics, normative ethics, applied ethics

Normative ethics

focuses on the moral standards that

regulate behaviors

What are some of the theories of ethics?

Deontology, Utilitarianism, Virtue

Ethics, Principalism

Deontology

• from Greek word deon, meaning

"obligation or duty";

• an act was moral if its motives or

intentions were good, regardless of the

outcome.

• Act deontologists determine the right

thing to do by gathering all the facts and

then making a decision.

Utilitarianism

• moral rightness of an action is determined solely by its consequence

•"What makes an action right or wrong is its utility, with useful actions bringing about the greatest good for the greatest number of people"

Virtue Ethics

• emphasizes the character of the decision maker

Principalism

uses key ethical principles

of beneficence,

nonmaleficence, autonomy,

and justice in resolution of

ethical conflicts or dilemmas.

Autonomy

asserts that individuals have the right to determine their own actions and the freedom to make their own decisions.

Beneficence

commonly defined as "the doing of good.

Nonmaleficence

defined as the duty to do no harm

The principle of justice

equals should be treated equally and unequals unequally

The principle of fidelity

refers to faithfulness or honoring one's commitments or promises.

Veracity

is defined as telling the truth, or not lying

code of ethics

requires that nurses work with all patients regardless of their beliefs

a social contract through which the profession informs society of the principles and rules by

which it functions

Shapes professional self-regulation

Serves as guidelines to the members of the

profession

What are the two main component that make up test questions?

The stem (question) and the option (answer choices)

What is does NANDA stand for?

North American Nursing Diagnosis Association (1982)

What is the purpose of NANDA?

To develop standardized terminology (nurses)

Why do people use NANDA?

For nurses to have a common language to communicate

What is the nursing process?

It is a professional nurse's approach to identifying, diagnosing and treating human responses to health and illness

What does ADPIE stand for?

Assessment

Diagnosis

Planning

Implementation

Evaluation

What is assessment?

-gathering info about the client's condition

-establish a database about the client's perceived needs, health problems, and responses to these problems.

-reveals related experiences, health practices, goals, values, and expectations about the health care system

What is diagnosis?

identifying the client's problems

What does assessment establish?

a database about the client's perceived needs, health problems, and responses to these problems

What is planning?

setting goals of care and desired outcomes and identify appropriate nursing actions

What is implementation?

performing the nursing actions identified in planning

Example of primary source

patient

Example of secondary source

family, friends, health professionals, medical records, diagnostic testing

Objective data

-fact

refers to measurable aspects of a patient's condition found through diagnostics, test and examination

Subjective data

-opinions

refers to info from a patient's point of view, such as pain levels, feelings, and perceptions

What is a nursing diagnosis?

A clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community

What does a nursing diagnosis provide?

It provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.

What is the difference between a medical dx and nursing dx?

Medical dx= treat or cure

Nursing dx= treat human response to health response

What are the steps in nursing dx?

1. Assess

2. Validate

3. Interpret and analyze the data

4. Look for defining characteristics

What is a risk of nursing diagnosis?

vulnerability of an individual, family, group, etc.

What are the different types of nursing diagnoses?

Actual

Risk

Health

Syndrome

Wellness

How to phrase a risk nursing diagnosis?

Risk for _____________ as evidenced by __________________________

(Risk Factors)

health promotion nursing diagnosis

-A clinical judgment concerning motivation and desire to increase well-being and to actualize human health potential.

-expressed in their readiness to enhance specific health behaviors, such as nutrition and exercise

Wellness Nursing Diagnosis

It is a clinical judgement about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness

How to phrase a health promotion nursing diagnosis?

"Expresses desire to enhance..." in order to make a health-promotion diagnosis.

Syndrome Diagnosis

A clinical judgement concerning a specific cluster of nursing diagnoses that occur together and are best addressed together and through similar interventions

When do you use a wellness nursing diagnosis?

when the client wishes to or has achieved an optimal level of heatlh

When can a nurse use a syndrome diagnosis?

two or more nursing diagnosis must be used to defining characteristics

Nursing plan

plan of action that targets the area of focus or concern identified in the nursing diagnosis with the intention of achieving the desired response or outcome

Establishing expected outcomes (goals)

outlines what the intended outcome of

the intervention is, which in turn explains

the intention of the chosen intervention

short-term goal

an objective behavior or response that you expect

a client to achieve in a short time.

long-term goal

an objective

behavior or response that you expect

a client to achieve over a longer

period.

True or false: Short term goals are usually less than a week

True

True or False: Long-term goals are expected to be achieved over a longer period, usually over several days, weeks, or months

True

SMART Goals

Specific

Measurable

Attainable

Relevant/Realistic

Time

Specific

be specific about what the goal is

Measurable

Goals should have a tangible method to measure if they have been achieved or not

Attainable

Patients should not be set up for failure

Relevant/Realistic

The goal must be relevant to the patient and situation Related to the nursing diagnosis or focus problem

Time

Goals should have specific short-term or long-term frames ex. within 3 days, within 15 min. within 30 days

Time example

within 3 days, within 15 min. within 30 days

Implementation

-the performance of nursing interventions necessary for achieving the goals and expected outcomes of nursing care

-they are any treatment, based on clinical judgement and knowledge, that a nurse performs to enhance patient outcomes

Evaluation

determine if expected outcomes are met not if nursing interventions were completed

Client Education

It provides an appropriate environment-ex. adequate lighting, quiet, free from distractions

Deductive reasoning

going form the conclusion and figuring out the cause

Inductive reasoning

going from the bottom and getting to the top

Purpose of licensing

to protect the public health, safety, and welfare

Executive

authority to administer the nursing practice act

Legislative

authority to adopt rules necessary to implement the act

Judicial

Authority to deny, suspend, or revoke a license or to discipline a licensee or to deny an application for licensure

Malpractice

occurs when a professional fails to act as reasonably prudent professional would have acted under the same circumstances

Professional negligence (malpractice) may occur by

commission and omission

comission

doing something wrong

omission

failing to do thing that should have been done

Confidentiality

the legal and ethical principle of keeping information private about a patient during provision of care

HIPPA

Regulates how health information can be shared with others

What are the 3 P's of mindfulness

1. Pause

2. Become Present

3. Then Proceed

Mindfulness definition

a pause button that allows you to center yourself and quiet the chaos

What does STOP stand for?

Stop

Take a breath

Observe

Proceed

Florence Nightingale

-data collection on morbidity to decrease mortality

Mary Seacole

Expert of cholera