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NCM 101 (LEC)

EXAM WEEK

TermDefinition
Ethical Principles: Autonomy Beneficence Nonmaleficence Justice Fidelity Veracity Utilitarianism
Autonomy A patient’s right to self-determination. The duty to respect a patient’s thoughts and actions as to what he or she thinks is best for herself or himself.
Beneficence To do what is “good” for the patient.
Nonmaleficence To do no harm to the patient.
Justice To be fair and impartial to the patient.
Fidelity The duty to be faithful to the patient.
Veracity To be truthful to the patient.
Utilitarianism The duty to perform the greatest good for the greatest number of people.
Republic Act No. 9173 Know your state’s Nurse Practice Act and practice within that scope.
Informed Consent The voluntary agreement of a person to undergo or be subjected to a procedure or other bodily intervention based on his understanding of the relevant consequences of receiving a particular treatment. Such permissions must be in writing.
Data Privacy Act (Republic Act 10173) The National Privacy Commission protects individual personal information and upholds the right to privacy by regulating the processing of personal information.
Interview Phases Preintroductory Introductory Working Summary and Closing
Preintroductory The nurse reviews the medical record before meeting with the client.
Introductory Develop trust and rapport to promote full disclosure of information.
Working The nurse and client collaborate to identify the client’s problems and goals.
Summary and Closing The nurse summarizes the information obtained and validates the problems and goals with the client. The nurse identifies and discusses possible plans to resolve the problem with the client.
Types of Communication: Non-verbal Verbal
Verbal: Open-ended question Close-ended question Laundry List Rephrasing
Open-ended question To elicit the client’s feelings and perceptions, typically begin with the words “how” or “what”. “How have you been feeling lately?” “How does this make you feel?”.
Close-ended question To obtain facts and to focus on specific information, typically begin with the words “when” or “did”. “When did your headache start?” “How many times did you throw up?”.
Laundry List To obtain specific answers and reduces the likelihood of the client perceiving or providing an expected answer. “Is the pain severe, dull, sharp, or mild?” “Does the pain occur more every year, day, month, or hour?”
Rephrasing To clarify information the client has started, it also enables you and the client to reflect on what was said. For example, Mr. Santos tells you that he has been really tired and nauseated for 2 months and that he is scared.
Healthcare Team Two or more healthcare professionals working in a coordinated, complementary, and agreed-upon manner to provide quality, cost-effective, evidence-based care to a patient.
Team-Based Approach Delivery model where patient care needs are addressed as coordinated efforts among multiple healthcare providers and across settings of care.
Roles of the Nurse and other members of the health Team: Acute Care Nurse Ambulatory Care Nurses Critical Care Outreach Nurses Home Health Nurses Public Health Nurses School Nurses Hospice Nurses
Acute Care Nurses Performs a focused assessment and then incorporates assessment findings with a multidisciplinary team to develop a comprehensive plan of care.
Ambulatory Care Nurses Assess and screen clients to determine the need for physician referrals.
Critical Care Outreach Nurses Need enhanced assessment skills to safely assess critically ill clients who are outside the structured intensive care environment.
Home Health Nurses Make independent nursing diagnoses and referrals for collaborative problems as needed.
Public Health Nurses Assess the needs of communities.
School Nurses Monitors the growth and health of children.
Hospice Nurses Assess the needs of terminally ill clients and their families.
Core Values Are the fundamental beliefs of a person or organization. These guiding principles dictate behavior and can help people understand the difference between right and wrong.
Core Values: Caring Integrity Diversity Empathy Communication Teaching Critical Thinking Psychomotor Skills Ethical and Legal Consideration Professionalism
Caring Promoting health, healing, and hope in response to the human condition.
Integrity Respecting the dignity and moral wholeness of every person without conditions or limitation.
Diversity Affirming the uniqueness of and differences among, persons, ideas, values, and ethnicities.
Empathy Is the nurse's ability to understand, be aware of, be sensitive to , and vicariously experience the feelings, thoughts and experiences of the patient and their family.
Communication The exchange of thoughts, messages, or information is of vital importance to the nursing process.
Teaching One of the most important role of a nurse is to assist patients and their families with receiving information necessary for maintaining a patient's optimal health.
Critical Thinking Nurses constantly involved with making accurate and appropriate clinical decisions.
Psychomotor Skills Fundamentals to nursing is the " laying on of hands" to provide comfort, and the use of specific skills to accomplish client assessment and to provide and evaluate nursing care.
Ethical and Legal Considerations A nurse plans, provides, and evaluates nursing care guided by specific ethical and legal boundaries.
Professionalism Involves the characteristics of a nurse that reflects his or her professional status.
Well-placed Phrases Listen closely to the client during his or her description and use phrases such as “um-hum,” “yes,” or “I agree” to encourage the client to continue.
Inferring Information from what the client tells you and what you observe in the client’s behavior may elicit more data or verify existing data.
Providing information Provide the client with information as questions and concerns arise.
Created by: coffeemanga
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