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Nutting NHC
Nutting Nursing and Healthcare 1
| Question | Answer |
|---|---|
| Data Collection | (1) Discovering what roles you fill in your daily life, and (2) Collecting data on how you actually spend your time. |
| Delegate | Decidig which of your activities are most important and which are priorities and making them first or even giving them to someone else to do. |
| Effectiveness | ...involves setting priorities among the tasks and doing the the best way possible. |
| Efficiency | ...helps with getting things done as quickly as possible. |
| Evaluation | Determining how well your plan is working and how you ae progressing toward meeting your short-term goal. |
| Habit | Learned behavior |
| Implementation | Where plans become action |
| Long-term goal | Future goal ...takes time to achieve |
| Minitask | A reduction to a series of smaller tasks to finish those unpleasant, difficult and time-consuming tasks. |
| Planning | The blueprint for action. |
| Priorities | Things that need to be done ahead of others. |
| Procrastination | Putting off (Someone else does it or nobody cared) |
| Short-term goal | A goal that has been broken down from a long ter goal or a more manageable goal. |
| Support system | The people in your life that make up "Your Team" |
| Long Term Care (LTC) | Costodial care. Care over a long period of time. |
| Seven basic needs. | 1. Food 2. Air 3. Water 4. Temperature 5. Elimination 6. Rest 7. Pain |
| Analysis (a-NAL-l-sFs, p. 83) | Analysis means to be able to break down complex information into its basic parts, and relate those parts to the whole picture. |
| Application (AP-lf-KA-shun, p. 83 | Application means being able to use learned material in new situation. |
| Attitude (p. 80) | Attitude influences thinking. Critical thinkers are humble and recognize that they do not have all the answers and may be influenced by their beliefs and values. |
| Capability (KA-pa-BIL-F-te, p. 82) | Capability in nursing is essential. You must have nursing knowledge and skills to do the work of nursing and know how to access the resources. |
| Cognitive levels (KOG-nF-tfv, p. 82) | the national licensing examination for practical/vocational nurses, includes items that require various levels of thinking to answer a test item. These various levels are called cognitive levels. |
| Comprehension (KOM-pre-HEN-shun, p. 82) | Comprehension refers to the ability to very basically understand information, recall it and identify examples of that information |
| Critical thinking (p. 76) | Entails purposeful, informed, outcomefocused (results-oriented) thinking that requires careful identification of the problems, issues, and risks involved. |
| Directed (or focused) thinking (p. 77) | Directed (or focused) thinking: Purposeful and outcome oriented. |
| Knowledge (p. 82) | Knowledge refers to the ability to recall and repeat information you have memorized. Memorizing is not the same as understanding a concept. Knowledge is the lowest level of learning. |
| Problem-oriented thinking (p. 77) | problem-oriented thinking: Focus on a particular problem to find a solution (e.g., planning your school, work, and home schedule). |
| Reflective thinking (re-FLEK-tFv, p. 84) | The ability to read with understanding is t cornerstone of critical thinking. |
| Data collection (p. 109) | "Data Collection is a systematic gathering and review of information about the patient, which is communicated to appropriate members of the health team |
| Dependent role (de-PEN-dent, p. 108 | Initially, nursing did not yet see itself as having something unique to contribute to patient care that was separate and additional to its dependent role to physicians. |
| Desired patient outcome (p. 115) | ncouraging the patient to do certain activities, such as self-feeding. |
| Evaluation (e-VAL-u-A-shun, p. 109) | Evaluation compares the actual outcomes of nursing care to the expected outcomes, which are then communicated to members of the health care team. |
| Goals (p. 109) | Planning involves assisting the RN in the development of nursing diagnosis, goals, and interventions for a patient's plan of care and maintaining patient safety. |
| Implementation (I-ple-men-TA-shun, p. 109) | Implementation is the provision of required nursing care to accomplish established patient goals. |
| Independent role ([N-de-PEN-dent, p.109) | The LPN/LVN acts in a more independent role when participating in the data collection and implementation phases of the nursing process. |
| Interdependent (IN-ter-de-PEN-dent, p. 109) | Both RNs and LPN/LVNS share an interdependent relationship with other health team members. |
| NANDA-I (p. 109) | North American Nursing Diagnosis Association International (NANDA-I). NANDA-I was developed as a standardized language that would provide a common language for nurses to communicate with each other. |
| NIC (p. 119) | Nursing Interventions Classification (NIC) |
| NOC (p. 119) | Nursing Outcomes Classification (NOC). |
| Nursing diagnosis (Dl-ag-NO-sFs, p. 109) | Nursing diagnosis is a summary, in nursing terms, of actual problems or potential problems that nurses can respond to. |
| Nursing process (p. 107) | An orderly way of developing a plan of care for the individual patient. RN is responsible for developing the nursing diagnosis. |
| Objective information (6b-JEK-tTv, p. 110) | Objective information Data that can be observed and verified. Data obtained by seeing, hearing, touching, smelling, tasting, measuring, counting, etc. Does not include subjective judgment. |
| Outcome (p. 108) | Outcome Identifies the degree of progress made (or not made) by the patient toward reaching a goal. |
| Planning (p. 109) | Planning Phase 2 of the nursing process for LPN/LVNs. Involves assisting the RN in development of the nursing diagnosis, goals, and interventions for the patient's plan of care and maintaining patient safety. |
| Subjective information (sub-JEK-tiv, p. 110) | Subjective information Information based on a patient's opinion. |
| Autonomy (Aw-TON-6-me, p. 347) | Autonomy Control over personal decisions. |
| Beneficence (be-NEF-T-sens, p. 346) | Beneficence Doing good. |
| Beneficent paternalism (be-NEF-T-sent pa-TUR-nallzum, p. 349) | Beneficent paternalism Health care provider making decisions for the patient based on, "I know what's best for you." Discounts patient autonomy. |
| Ethics (p. 340) | Ethics Rules or principles that govern correct conduct. |
| Fidelity (fT-DEL-T-te, p. 348) | Fidelity In nursing, to be faithful to the charge of acting in the patient's best interest when the capacity to make free choice is no longer available. |
| Justice (p. 349) | Justice Giving patients their due and treating them fairly. |
| Morals (p. 340) | Morals Ethical habits of a person. |
| Nonmaleficence (non-ma-LEF-T-sens, p. 345) | Nonmaleficence First, do no harm. |
| Nursing ethics (p. 341) | Nursing ethics System of principles governing conduct of nurses. |
| Privacy (p. 347) | Privacy Both a legal and ethical issue. Patient's right to choose what is done to his/her body, based on personal beliefs, feelings, and attitude. |
| Values (p. 340) | Values Assigned to an idea or action. Freely chosen and affected by age, experience, and maturity. |
| Accountability (a-kownt-a-BIL-Nte, p. 367) | Accountability Obligation to answer for personal actions. |
| Abandonment (a-BAN-don-ment, p. 381) | Abandonment Leave patient unit without a nurse of equal skill and education assigned to provide care for your assigned patient. |
| Advance directives (p. 375) | Advance directives Written documents to state personal wishes regarding future health care. |
| Assault (a-SOLT, p. 360) | Assault An unjustified attempt or threat to touch someone. |
| Authorized consent (p. 374) | Authorized consent Parents cannot give informed consent for medical care of a child, but can give authorized consent instead. |
| Basic patient situation (p. 354) | Basic patient situation Patient's clinical condition is predictable. Medical and nursing orders are not changing continuously. No complex modifications needed. |
| Battery (p. 360) | Battery Causing acute physical harm to someone. |
| Breach of duty (p. 363) | Breach of duty One of the elements needed to prove negligence. Means that the nurse did not adhere to standards of care. |
| Border recognition agreement (p. 358) | Border recognition agreement Agreement among select states to permit licensed nurses to practice within their states, without additional criteria. |
| Civil action (p. 359) | Civil action (related to individual rights) Involves the relationships between individuals and the violation of those rights. |
| Common law (p. 358) | Common law Judge-made law, which has its origins in the courts. |
| Complex nursing situation (p. 355) | Complex nursing situation Patient's clinical condition is not predictable. Medical and nursing orders are likely to involve continuous changes or complex modifications. |
| Confidentiality (kon-ff-den-she-AL-r-te, p. 368) | Confidentiality Not sharing patient information with anyone not directly involved in care without the patient's permission. |
| Criminal action (p. 359) | Criminal action Involves persons and society as a whole; for example, murder. |
| Damages (p. 363) | Damages One of four elements needed to prove negligence. Means that patient must be able to show the nurse's negligent act injured the patient in some way. |
| Defamation (def-a-MA-shun, p. 360) | Defamation Damage to someone's reputation through false communication or communication without permission. |
| Delegated medical act (p. 355) | Delegated medical act Physician's orders given to an RN, LPN, or LVN by a physician, dentist, or podiatrist, |
| Depositions (dep-6-ZISH-on, p. 363) | Depositions Gathering information under oath. One of the steps in bringing legal action. |
| Direct supervision (p. 355) | Direct supervision Supervisor is continuously present to coordinate, direct, or inspect nursing care. Supervisor is in building. |
| Do-not-resuscitate (DNR) (ri-SUS-T-tat, p. 376) | Do-Not-Resuscitate (DNR) Order written by physician. Patient recovery is beyond hope of recovery. Patient may have signed an advance directive regarding end-of-life care, which clarifies personal wishes. |
| Durable medical power of attorney (p. 375) | Durable medical power of attorney Identifies who will make decisions regarding future care, extent of treatment, and kinds of treatment if the person is unable to make his or her own decisions. Written while the person is mentally competent. |
| Duty (p. 360) | Duty One of four elements needed to prove negligence. Refers to nurse's responsibility to provide care in an acceptable way. As used in the text, responsibilities directly related to nursing licensure & scope of practice. Usually not delegated. |
| Euthanasia (u-tha-NA-zhe-a, p. 376) | Euthanasia Physician or other person administering lethal dose of medication to end life; illegal in the United States and Canada. |
| Felony (FEL-o-ne, p. 359) | Felony Serious offense, with a penalty that ranges from 1 year in prison to death. |
| General (implied) consent (p. 374) | General (implied) consent By entering a health facility voluntarily, a patient gives permission for treatment with noninvasive procedures. However, a patient may revoke this consent verbally and refuse to be treated. |
| General supervision (p. 355) | General supervision Supervisor regularly coordinates, directs, or inspects nursing care and is within reach either in the building or by phone. |
| Good Samaritan Act (p. 378) | Good Samaritan Act Stipulates that a person who provides emergency care at the scene of an accident is immune from civil liability for actions done in good faith.There is some variation of the law within states. |
| Health Insurance Portability and Accountability Act (HIPAA) (p. 369) | Health Insurance Portability and Accountability Act (HIPAA) Federal law Commonly called the Privacy Act. Steps and conditions for providing patient privacy in health care settings went into effect in 2003. |
| Incident report (p. 379) | Incident report Federally required brief narrative of incident, written by person who witnessed it. Purpose is in-house improvement of care. |
| Informed consent (p. 359) | nformed consent Obtained by physician for invasive procedures after physician has provided patient with facts about effects, side effects, alternative treatments, prognosis, etc. May be revoked verbally anytime, up to time of procedure. |
| Intentional torts (p. 360) | Unintentional torts Nurse did not intend to injure patient. Negligence and malpractice are examples. |
| Interstate endorsement (p. 357) | Interstate endorsement Agreement among states that licensed nurses do not have to repeat NCLEX-PN® examination if they meet criteria for working in the state. |
| Institutional liability (p. 366) | Institutional liability Form of vicarious liability. Health setting sued for negligence of employee. |
| Law (p. 354) | Law Nursing law is based on each state's Nurse Practice Act. |
| Liability (ir-a-BfL-f-te, p. 362) | Liability Legal responsibility of a person to account for wrongful acts by making financial restitution. |
| Libel (Ll-bel, p. 360) | Libel Damage to someone's reputation through written communication or pictures. |
| Living will (p. 375) | Living will Written directive stating personal wishes regarding future health care. Not recognized as a legal document in every state or other countries. |
| Malpractice (professional negligence) (p. 361) | Malpractice (professional negligence) A part of negligence that relates to lack of skill or misconduct by professional persons. |
| Misdemeanor (rms-dr-ME-nor, p. 359) | Misdemeanor Least serious infraction of the law. Can result in a fine or up to 1 year in jail. |
| Multistate licensure (Nurse Licensure Compact) | licensure: mutual recognition model for nursing regulation. |
| Negligence (NEG-lf-jens, p. 361) | Negligence Conduct that falls below the standard of care established by law for the protection of others. |
| Nurse Practice Act (p. 354) | Nurse Practice Act Governs the practice of nursing. Developed by most states and provincial board of nursing. |
| Oregon Death With Dignity Act | The Oregon Death With Dignity Act allows terminally ill Oregonians to end their lives through the voluntary self-administration of lethal medications, expressly prescribed by a physician for that purpose. |
| Patient competency (p. 373) | Patient competency Relates to ability to understand and make decisions. Has both legal and clinical meaning. |
| Personal liability (p. 366) | Personal liability Holds person (nurse) responsible for own actions. |
| Preponderance (prf-P6N-der-ance, p. 360) | Preponderance Evidence that is beyond a reasonable doubt. |
| Physician-assisted suicide (PAS) (p. 376) | Physician-assisted suicide Name tagged onto "Oregon Death with Dignity Law." Physician writes prescription for medication to end life but does not administer it. Patient self-administers lethal medication. |
| Proximate cause (p. 363) | Proximate cause One of four elements needed to prove negligence. Refers to reasonable causeand- effect relationship between omission and commission of nursing act and harm to patient. |
| Slander (p. 361) | Slander Damage to someone's reputation by verbalizing untrue or confidential information. |
| Statutory law (STACH-u-TOR-e, p. 359) | Statutory law Law developed by the legislative branch of state and federal governments. |
| The Joint Commission (TJC) (p. 358) | The Joint Commission (TJC) Sets the standards of care for hospitals and long-term care agencies. Agencies receive accreditation if they elect to be reviewed and meet standards. |
| The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities (p. 368) | This is an ethical, not legal, document for hospitals recommending ways to guarantee patient rights. It is intended as a model for states to develop rights statements. |
| Unintentional torts (p. 361) | Unintentional torts Nurse did not intend to injure patient. Negligence and malpractice are examples. |
| Vicarious liability {vfKAR-e-us, p. 366) | Vicarious liability Responsible for actions of another because of a special relationship with the other. |
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