Nursing exam 1B

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spirituality

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50 Terms

1

spirituality

a sense of meaning in life associated with a sense of an inner spirit

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2

spirituality includes

  • sense of transcendent reality

  • strength from inner resources

  • living fully in the present

  • sense of inner knowledge

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3

secular perspective of spirituality

a set of positive values chosen by the individual

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4

religious perspective of spirituality

a set of beliefs that help explain the meaning of life, suffering, health, and illness

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5

spiritual distress

The NANDA recognized the nursing diagnosis of in 1978.

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6

prayer

communicating w/ God or speaking with some type of divine entity

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7

transcultural nursing

culturally sensitive care and respect for clients from all cultural backgrounds

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8

culture

a collective way of thinking that defines a relatively large group from others over generations

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9

diversity

explains the differences between cultures

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10

stereotype

an oversimplified belief, conception, or opinion about another person (or group) based on a limited amount of information

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11

primary characteristics of diversity

  • nationality

  • race

  • gender

  • age

  • religious beliefs

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12

secondary characteristics of diversity

  • socioeconomic status

  • education

  • occupation

  • length of time away from the country of origin

  • gender issues

  • residential status

  • sexual orientation

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13

melting pot

  • acculturation/fit in

  • acculturative stress

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14

salad bowl

  • retain cultural features while learning a new culture

  • multiculturalism

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15

cultural competence

the provision of effective care for clients who belong to diverse cultures based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the culture

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16

primary skills for cultural competence

  • communication: verbal & nonverbal

  • understanding

  • sensitivity: touch, personal space, eye contact

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17

values

ideals or concepts that give meaning to one’s life

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18

morality

personal values

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19

ethical principle

a general guide to basic truth

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20

beneficence

prompting the well-being of others

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nonmaleficence

an intention to avoid harming or injuring others

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22

autonomy

the right to self-govern

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23

justice

patients have a right to fair and impartial treatment

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24

ANA Code of Ethics

  • written list of profession’s values and standards of conduct

  • framework for decision

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25

9 provisions of the ANA Code of Ethics

  1. compassion

  2. commitment

  3. advocacy

  4. authority & accountability

  5. duty to self & others

  6. promote ethical environment

  7. advancement of the profession

  8. professional collaboration

  9. integrity of the profession

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26

5 steps to decision-making in ethics

  1. Recognize there is an issue.

  2. Get the facts.

  3. Consider the choices of action (right vs. wrong).

  4. Make a decision.

  5. Act on decision and reflect on outcome.

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27

ethical dilemma

a situation in which two moral principles conflict with one another

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key concepts in ethical dilemmas

  • veracity: truthfulness

  • standard of best interest: a quality-of-life decision

  • obligations: include legal and moral obligations

  • rights: something owed an individual legally, or by moral and ethical principles

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29

bioethical issues

  • abortion

  • genetic research

  • mandated vaccination

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30

advance directives

  • healthcare workers/facility employees/etc. may NOT witness a living will

  • healthcare providers may NOT be a patients durable power of attorney for healthcare

  • a power of attorney and a durable power of attorney for healthcare are NOT the same

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31

factors affecting communication

  • change

  • stress

  • anger

  • group dynamics

  • competition

  • working environment

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encode

listening, processing, and understanding

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decode

responding to sender by giving feedback

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verbal communication

both the written and spoken word (makes up only about 7% of communication)

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35

nonverbal communication

includes body language, facial expressions, gestures, physical appearance, touch, vocal cues (tone/pauses), and personal space (makes up 93% of communication)

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36

nonassertive communication

  • submissive

  • aggressive

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assertive communication

  • direct

  • respects self & others

  • encourages trust & teamwork

  • accurately expresses the person’s feelings, beliefs, ideas, and opinions

  • encourages others to express their opinions in an open and respectful atmosphere

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38

conflict on the job

a common situation that causes conflict is when nurses feel overlooked or overwhelmed by their assignments

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conflict management

  • strategy 1: ignore the conflict

  • strategy 2: confront the conflict

  • strategy 3: postpone the conflict

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40

types of difficult people

  • in control & responsive

  • in control & unresponsive

  • uncontrolled & responsive

  • uncontrolled & unresponsive

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41

7 principles of communication

  1. information giving is not communicating

  2. the sender is responsible for clarity

  3. use simple and exact language

  4. feedback should be encouraged

  5. the sender must have credibility

  6. acknowledgement of others is essential

  7. direct channels of communication are best

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42

attributes associated with incivility

  • rude

  • disrespectful

  • intimidating

  • undesirable

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bullying

incivility beyond impoliteness

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lateral violence

a deliberate and harmful behavior demonstrated in the workplace by one employee to another

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vertical violence

occurs between individuals at different power levels on the nursing hierarchy

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academic incivility

speech/action disrupting harmony in teaching/learning

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workplace incivility

the threat of violence or actual causing of harm to workers either inside or outside of the workplace

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48

QSEN

Quality and Safety Education for Nurses

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49

politics influence:

  • where children go to school

  • quality of food/water

  • medications'/prescriptions

  • where nurses work

  • what nurses do

  • ability to organize professionally

  • professional status through licensure and certification

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50

nursing skills that translate into political involvement:

  • curiosity

  • strong communication skills

  • listening

  • problem-solving

  • networking skills

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