Collaborative practice

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71 Terms

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WatSon's theory of human caring

emphasizes the central role of compassion and a nurturing relationship between the caregiver and the patient, prioritizing the holistic well-being of the individual by addressing their physical, mental, social, and spiritual needs through a caring approach that goes beyond just medical treatment

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Florence Nightingale

Nurses today complete a nursing education program, and practice nursing that identifies the personal needs of the patient and the role of the nurse in meeting those needs. Which nursing pioneer is MOST instrumental in this birth of modern nursing?

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What is the primary purpose of defining the scope of practice for nurses? 

to ensure uniformity, safety, and quality in patient care.

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Justice

The nursing code of ethics is guided by five main ethical principles, one of which is ________, which emphasizes the obligation to do no harm intentionally to patients.

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American nurse's association

Which organization is primarily responsible for defining the scope of nursing practice in the United States?

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Virginia Henderson

Who's nursing theory identified unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible?

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American association of collages of nursing

The organization primarily responsible for establishing the core competencies for nursing education is the ________.

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Quality and Safety Education for Nurses (QSEN)

A framework for nursing education and practice, emphasizing the integration of quality and safety principles into nursing education and clinical care. It is not a set of formal nursing standards of practice like those established by regulatory bodies or professional organizations, it has influenced nursing education and practice standards by promoting key competencies essential for delivering safe and high-quality patient care.

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Standards of Practice

Comprehensive guidelines that articulate the expectations and ethical conduct required of nurses in their professional roles that serve as a foundational framework, ensuring uniformity, quality, and safety in patient care.

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Code of Ethics

A comprehensive set of principles that guide nursing professionals in determining what is right or wrong in a given situation. They provide a framework for appropriate decision-making and behavior, helping to ensure that actions align with moral values and standards.

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State board of nursing ( BON S)

are responsible for licensing nurses and establishing the scope of practice within their jurisdiction.

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As nurses apply their ________ knowledge to real-life situations, this knowledge transforms into ________, which represents the practical, hands-on learning that occurs during direct patient care.

Theoretica; experimental

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Specialty certification

__________ involves meeting established criteria: often a combination of education, clinical experience, and successful completion of a certification exam. It is a valuable means of demonstrating expertise and dedication to a particular area of nursing, not only validating a nurse’s proficiency in a specialized area but also contributes to their overall career development.

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In-service education

Often these programs address the evolving nature of health care, licensure renewal prerequisites, or other specific needs of the nursing staff. They cover a spectrum of topics, including clinical updates, patient safety measures, quality improvement, and regulatory compliance.

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Orem’s Self-Care Deficit Nursing Theory

This nursing theory is a conceptual framework developed to guide nursing practice by focusing on the individual’s ability to perform self-care activities. The core premise is that individuals have the capacity for self-care, and nursing interventions are required when individuals are unable to meet their own self-care needs. The theory identifies three related components: self-care, self-care deficit, and nursing systems. The theory proposes that nursing care should be designed to supplement or substitute for an individual’s self-care abilities, aiming to promote independence and prevent or alleviate self-care deficits.

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Peplau’s Theory of Interpersonal Relations

A landmark framework in nursing that focuses on the relationship (communication, empathy, and mutual understanding) between the nurse and the patient as a therapeutic process. It emphasized the importance of understanding the dynamics of the nurse-patient relationship in promoting positive health outcomes. The theory consists of four phases: orientation, identification, exploitation, and resolution. The theory encourages active listening and a deep understanding of patients’ experiences, emotions, and perspectives, proving invaluable to mental health nursing. It fosters collaboration in treatment planning and promotes a nonjudgmental and empathetic attitude, contributing to reducing the stigma associated with mental health conditions.

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Henderson’s Nursing Need Theory

A foundational framework in nursing that delineates the essence and responsibilities of nursing practice. The theory focuses on the role of the nurse in assisting individuals to achieve and maintain health, or to achieve a peaceful death when health is no longer possible. The theory identifies fourteen basic needs that individuals require assistance with during times of illness. These needs encompass physiological, psychological, social, and spiritual dimensions. It emphasizes the holistic nature of nursing care and the promotion of patient independence.

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Roy’s Adaptation Model

A theory that focuses on the idea of adaptation as the goal of nursing care. This model is based on the belief that individuals are in constant interaction with their environment and that adaptation is a fundamental process for promoting health and well-being. It identifies four key adaptive modes: physiological, self-concept, role function, and interdependence. It proposes that individuals strive for adaptation; when faced with stimuli or stressors, they use adaptive responses to maintain balance and achieve a state of well-being. Nursing, in this context, is viewed as a science and practice that helps individuals adapt to changes in their physiological and psychosocial environment. Nurses assess the adaptive capabilities of individuals and provide interventions to support their adaptation processes. It provides a holistic perspective on the individual as an adaptive system, considering both the biological and psychosocial aspects of health.

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Roger’s Science of Unitary Human Beings Theory

A nursing theory that diverges from traditional medical models by focusing on the unitary nature of human beings within the universe. The theory posits that individuals are inseparable from their environment and are characterized by irreducible, indivisible energy fields. In this model, human beings are viewed as open, infinite energy fields that interact with the environment in continuous and evolving. The theory emphasizes the concept of “universe-human-environment process,” considering individuals as integral parts of the broader cosmic environment. The unitary human being is seen as a unified field, not reducible to the sum of its parts, and continuously evolving in patterns of organization and complexity. This theory has contributed significantly to the evolution of nursing thought. It has influenced the development of holistic nursing practices, emphasizing a non-reductionist perspective and encouraging nurses to explore innovative ways of understanding and enhancing the well-being of individuals within the broader context of the universe.

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Leininger’s Culture Care Theory

Also known as transcultural nursing theory, a comprehensive framework that emphasizes the importance of cultural competence in nursing care. Developed in the 1950s, the theory posits that culture plays a crucial role in shaping an individual’s health beliefs, practices, and responses to illness. The central tenet of this theory is that culturally congruent care, which aligns with the patient’s cultural values, beliefs, and practices, leads to improved health outcomes. The theory emphasizes the need for nurses to be culturally competent and to provide care that respects and incorporates the cultural context of each patient. It recognizes that individuals from diverse cultural backgrounds may have different health beliefs and practices, which must be taken into account to deliver effective and person-centered care. This theory has had a profound impact on nursing education, research, and practice by promoting cultural sensitivity and competence. It encourages healthcare professionals to recognize and respect cultural diversity, fostering a more inclusive and person-centered approach to care.

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Autonomy

Which principle in the field of nursing ethics acknowledges that patients have the right to maintain control and make their own decisions related to treatment and care?

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Hildegard papleau

Who emphasized the nurse-patient relationship as a therapeutic and collaborative partnership in psychiatric nursing?

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International council of nurses

Holds a pivotal role in shaping and advancing the global nursing profession, providing essential guidance on the scope of practice for nurses. As a worldwide federation of national nursing associations, they serve as a unifying force, representing millions of nurses with a shared mission to elevate the nursing profession and contribute to improved global health.

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Roger's science of unitary human beings

What nursing theory views individuals as open, infinite energy fields that interact with the environment in continuous and evolving patterns?

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First Lady of nursing

Virginia Henderson

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Justice

A nurse advocates for a patient who has been denied a specific treatment by the insurance company. The nurse gathers evidence from recent studies and works with the healthcare team to appeal the decision, ensuring that the patient’s needs and preferences are prioritized in the discussion. Which ethical principle is primarily being applied in this situation?

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Which historical trend significantly influenced the professionalization of nursing in the nineteenth century?

Establish ment of nursing school s

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The art of nursing

The __________ emphasizes the interpersonal and compassionate dimensions of care. It involves the ability to connect with patients on a personal level, provide emotional support, and understand the unique needs and experiences of individuals under care. This aspect of nursing involves effective communication, empathy, and the cultivation of a therapeutic relationship between the nurse and the patient.

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Scope of practice

The _______ refers to the defined limits and parameters within which a professional is authorized to work, make decisions, and provide services. It is a set of regulations, guidelines, and standards that delineate the range of duties, responsibilities, and activities that individuals within a specific profession are educated, trained, and legally permitted to perform. It is established by regulatory bodies, licensing boards, and professional organizations to ensure that professionals operate within their competencies, uphold ethical standards, and provide safe and effective care.

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The joint commission

An independent, not-for-profit, peer-review organization that sets standards for quality care, quality improvement (QI), and patient safety for any organization and workers in the health-care industry. The standards set forth from them ion become the foundation for best practices in the health-care industry, including nursing standards of care. They have  the power to accredit health-care facilities, ensuring their compliance with guidelines set by the Centers for Medicare and Medicaid Services and enabling them to receive federal reimbursement for services.

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Virginia Henderson

Who defined nursing as helping individuals achieve their highest level of independence in activities of daily living

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Bachelors science of nursing

They have a broader education, including a more extensive range of general education courses, and not only clinical skills but also theory, research, leadership, and public health. Their education emphasizes critical thinking, evidence-based practice, and includes components of leadership and management, equipping nurses with a holistic understanding of health care, as well as preparing them for supervisory roles and leadership within healthcare teams. These nurses have an expanded scope of practice, engaging in more complex patient care, decision-making, and coordination of care.

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PhD

A research-focused doctoral degree that emphasizes the generation of new knowledge through rigorous scientific inquiry. These nurses contribute to the development of nursing science through research, scholarly publications, and academic teaching.

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DNP

A practice-focused doctoral degree that emphasizes advanced clinical practice, leadership in healthcare systems, and evidence-based decision-making. These nurses are equipped to lead and innovate in clinical settings, shaping healthcare policy and practice.

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Masters science of nursing

An advanced graduate degree that provides nurses with a higher level of education and specialization in various areas of nursing practice. Their education varies based on the chosen specialty track, which may include options such as nurse practitioner, nurse educator, nurse administrator, or clinical nurse specialist. The program often integrates advanced coursework in areas such as nursing theory, research methods, health policy, and leadership. Clinical experiences and practicums are common components, allowing students to apply advanced theoretical concepts in real-world healthcare settings.

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Another word for vicarious trauma

Secondary trauma

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HipAA privacy rule

What law protects public health information?

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Name the HIPAA rule violation: 

The nurse is helping the patient fill out a consent to receive blood produces. They have put the patient's personal identification barcode  sticker on the document. The patient fills out the form but gets to the bottom where there are to sign, and then changes their mind. They hand the paper back to the nurse and tell her to just throw it away. The nurse puts it in the trash. 

Data disposal

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Electronic health record

What tool enables nurses to have immediate access to patient information, which helps promote quality decision-making?

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A patient with congestive heart failure is being monitored remotely using a wearable device that tracks vital signs. The system flags an abnormal heart rate and notifies the healthcare provider, who promptly adjusts the patient’s treatment plan to prevent hospitalization. This scenario illustrates the use of ________ to improve patient outcomes

Predictive analytics

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Nursing informatics

What specialty integrates nursing science with information and analytical sciences to use data, information, knowledge, and wisdom to enhance nursing practice?

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Patient education materials that require reading should be written at or below a ________ grade reading comprehension level to ensure understanding.

6th

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Precision health

What term refers to the integration of genomic information to tailor medical care to individual patients?

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Evidence based practice

What process involves making clinical decisions based on the best available evidence from the most up-to-date research?

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Improve care through meaningful use of EHR

What is the primary purpose of the Meaningful Use program?

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Meaningful use

Which component of nursing practice ensures that technology is used purposefully, with the intention of improving health outcomes?

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Coronavirus Aid, Relief, and Economic Security (CARES) Act

Expanded telehealth and other connected health technology capabilities and supported the application of Smart health IT technologies and systems. The act provided federal grants to evaluate and address the risks associated with cyber threats in remote customer

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21st century cares act

Developed to promote and fund the acceleration of research to prevent and cure serious illness, accelerate drug and medical device development, address the opioid crisis, and improve the delivery of mental health services.

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Hitech act

Provides HHS with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health IT, including electronic health records and private and secure electronic health information exchange. Also, help to increase the adoption rate if the EHR.

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Motivational interviewing

What counseling approach is evidence-based and involves discussing feelings and incentives with a patient?

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Return demonstration

You asked your patient to show you that they have the ability to complete a task by performing it back to you. What method are you using to evaluate the patient’s teaching and learning?

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It allows for feedback

How does the interactional model of communication differ from the transmission model?

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Psycho motor

________ is the development of organized patterns of muscular activities guided by signals from the environment.

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Kinethetic

As you work with your patient and show them how to do tasks for self-care, such as checking their blood pressure, they are quick to try to do the tasks themselves and don’t expect your help unless they do something incorrectly. Your patient appears to be a ________ learner.

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Perceptual barrier

What type of internal bias may include personal experiences, beliefs, preferences, and individual triggers that can cause a breakdown in communication?

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Health education

What process is intended to help patients acquire the knowledge and self-efficacy they need to manage their health issues and adapt to new situations?

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Alma’s patient, Candyce, has been in the hospital for several days and is nervous and frustrated because she cannot go home. To help Candyce feel safer and respond more effectively to her care, Alma is trying to establish a relationship with Candyce. Which communication model should Alma use to accomplish this?

Transaction model

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Transactional

Sender and receiver can be sending and receiving simultaneously

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Seminal noise

What type of communication barrier occurs when the sender and receiver of a message have different understandings of the meanings of words, phrases, symbols, or language in general?

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Planning

The nurse uses SMART goals to when helping the patient plan an exercise schedule.

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Focusing

The nurse helps a terminal cancer patient understand the need to make a living will and advanced directives

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Evoking

The nurse encourages the patient to speak in terms of change but understands the patient may be ambivalent for that change.

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Focusing

Engage in communication with active listening, use nonverbal communication, and ask for feedback when necessary.

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Contingency team

This group of the team takes direct care of the patient during a time specific emergent, or specific event:

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Call back

Uses closed-loop communication to ensure that information conveyed by the sender is understood by the receiver as intended.

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Call out

A strategy used to communicate important or critical information that informs all team members simultaneously during emergent situations, helps team members anticipate next steps, and is important to direct responsibility to a specific individual responsible for carrying out the task.

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Hand-off

The transfer of information (along with authority and responsibility) during transitions in care across the continuum that includes an opportunity to ask questions, clarify, and confirm.

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Core team

This group of the team has the closest contact with the patient:

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Situation monitoring

Process of actively scanning assessing situational elements to gain information or understanding, or to maintain awareness to support team functioning

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Mutual support

Ability to anticipate and support team members' needs through accurate knowledge about their responsibilities and workload

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