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What are the five essential nursing values identified by the ANA?
Altruism – Concern for the welfare of others; nurses show compassion and advocacy for patients, even when it's inconvenient.
Autonomy – Respecting a patient's right to make their own decisions; includes honoring their choices about care.
Human Dignity – Valuing each person's worth and uniqueness regardless of background or condition.
Integrity – Acting in accordance with a professional code of ethics; being honest, accountable, and trustworthy.
Social Justice – Promoting fair treatment and equal access to care regardless of race, income, gender, or other factors.
Define altruism in nursing and give one example of a related professional behavior.
Definition: Concern for the welfare of others.
Example: Giving full attention to the client when giving care and expressing concern about social issues.
What personal qualities are associated with the nursing value of autonomy?
Respectfulness, trust, objectivity.
Which professional behavior supports social justice in nursing?
Advocating for fair resource allocation and reporting unethical or illegal practices objectively.
What are Benner’s five stages of nursing proficiency?
Novice
Advanced Beginner
Competent
Proficient
Expert
What defines the competent stage in Benner’s model?
2–3 years experience, organized, can plan and manage care efficiently but lacks speed and flexibility of more experienced nurses.
How is nursing both an art and a science?
Art: Compassionate, respectful, and individualized care.
Science: Evidence-based, grounded in clinical expertise and evolving knowledge.
What are signs and symptoms of burnout in nurses?
Fatigue, mood swings, anxiety, depression, poor sleep, poor work quality, headaches.
What are the four phases of reality shock?
Honeymoon
Shock (Rejection)
Recovery
Resolution
What questions should a novice nurse ask during the shock phase?
“What must I do to become the nurse I want to be?”
“How can my nursing contribute to humankind?”
How can new nurses cope with ethical dilemmas?
By clarifying values (self, patients, co-workers) and distinguishing value from fact and opinion.
What skills are essential for novice nurses?
Prioritization
Clinical judgment
Delegation
Organization
Interpersonal skills
How can student nurses develop assertive communication?
Practice saying no respectfully
Express limits without guilt
Stay professional even if others are offended
Seek to repair relationships through honest dialogue
What is the purpose of nurse residency programs?
Extended orientation with preceptors
Improve retention and satisfaction
Include both classroom and clinical components
What do the ANA and ICN provide for nurses?
Definitions of nursing, scope and standards of practice, performance expectations, and code of ethics.
Is workplace violence only physical? What are examples?
No. It also includes verbal abuse, bullying, threats, harassment, or intimidation by patients or staff.
What’s the difference between value, fact, and opinion in ethical dilemmas?
Value: Personal belief about what's important
Fact: Supported by objective evidence
Opinion: View not necessarily based on fact