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statistics for nursing a practical approach
Fundamentals Of Nursing: Standards And Practices 2nd Edition Sue C. DeLaune, Patricia Kelly Ladner - Solutions
2. Discuss the ethical theories of teleology and deontology.
1. Explain the relationship between ethics and law.
10. A competent, depressed client clearly refuses an enema. The nurse gently turns the client on his side and administers the enema. The client becomes upset and telephones his son; within 30 minutes from the telephone call, the client is transferred to the coronary care unit and is diagnosed with
9. What are the legal responsibilities of nursing students when employed as caregivers?
8. List the actions or omissions by the nurse that constitute unprofessional conduct.
7. Identify common acts of commission and omission that lead to nursing malpractice complaints
6. Discuss the relationship of the reasonable person standard in relation to professional standards of practice.
5. What are the four elements that must be proven by the plaintiff in a malpractice case?
4. Identify the types of intentional torts.
3. List the three essential elements of a legal contract.
2. Which type of law authorizes state boards of nursing to regulate nursing practice?a. Constitutionalb. Administrativec. Criminald. Protective/reporting
1. A nurse practice act is an example of:a. Public lawb. Civil law
Treat all clients and their families with kindness and respect
Delegate client care based on the documented skills of licensed and unlicensed personnel.
Time and document changes in conditions requiring notification of the physician and include the response of the physician.
Use appropriate standards of care.
Promptly report any concern regarding the quality of care, including the lack of resources with which to provide care, to a nursing administration representative.
Maintain clinical competency and acknowledge your limitations. If you do not know how to do something, ask for help.
Acknowledge and document the reason for any omission or deviation from agency policy, procedure, or standard.
Follow the facility’s policies and procedures for administering care and reporting incidents.
Take appropriate actions to meet the client’s nursing needs.
Chart and time your observations immediately, while facts are still fresh in your mind.
Acknowledge unfortunate incidents and express concern about these events without either taking the blame, blaming others, or reacting defensively.
Communicate with your clients by keeping them informed and listening to what they say.
4. Be treated with prudent, reasonable behaviors from other health care providers
3. Expect from the employer compensation for services and provision of a safe environment with the necessary resources to perform the services
2. Receive reasonable and prudent conduct from the client
1. Expect adequate and qualified assistance in providing care
3. Respect the rights and responsibilities of other health care providers, especially in areas that promote the continuity of client care Accompanying these legal responsibilities are the nurse’s rights to:
2. Fulfill the terms of contracted service with the employer
1. Adhere to the employer’s policies and standards unless they are in conflict with federal or state law
9. Describe the legal considerations for nurses involved in client care situations involving abortion, pronouncement of death, do not resuscitate orders, euthanasia, care of the deceased, wills, organ donation, and autopsies.
8. Define the three types of advance directives.
7. Explain the role of the nurse in the informed consent process.
6. Describe the safeguards that nurses can institute to decrease the risk of liability.
5. Identify areas of potential liability in nursing practice and the actions nurses can implement to avoid these problems.
4. List the legal responsibilities of nurses in delivering client care.
3. Explain the actions that constitute unintentional and intentional torts.
2. Describe the sources of civil law and their impact on the nursing profession.
1. Identify the sources of public law and their implications for nursing practice.
7. In what ways do you feel powerful in your life? In what situations do you feel powerless? How can you maximize your power base?
6. Think of a leader. What characteristics or behaviors does this person demonstrate? Select one of the identified behaviors that you will work on developing.
5. What are some ways you can gain competencies after becoming licensed as a registered nurse?
4. Review a copy of your state nurse practice act and related regulations. How is nursing defined? How does the statutory definition compare to the definition of nursing as defined by the ANA? What is the authority for advanced practice nursing? Are advanced practice nurses reflected in the
3. Locate the address and name of the president of the state association for nursing students in your state through your school. Interview the officers of your school association. Why do they belong to the association? What issue(s) has the association addressed in the previous calendar year? How
c. What are the duties of the board?
b. How are the members appointed?
a. What are the qualifications of the board?
2. Contact the board of nursing in the state in which your school is located. Request a copy of the nurse practice act and related rules and regulations.Review the nurse practice act to answer the following questions:
1. Contact the state nurses association of the state in which your nursing school is located. Review the bylaws and newsletters for the past year. What types of programs are offered that promote the integrity of the profession?
An individual can be granted the right to practice nursing within a state or territory by licensure through examination or licensure through endorsement.
Licensure gives an individual the right to offer one’s services and receive compensation as a registered nurse.
Nurse practice acts, which vary from state to state, clearly define the role and scope of nursing practice.
Professional standards provide the framework for the development of competency statements.
Professional accountability within nursing is fostered through mechanisms by which nurses obtain the right to practice and are the basis for understanding the responsibility nurses have to the public.
As a profession, nursing is accountable for establishing and maintaining standards that promote safe, effective care.
Accountability is a process that requires individuals to be answerable for their actions. Being accountable means having an obligation (or duty) to act.
The criteria for professional nursing practice include intellectual work, provision of a unique service, an expanding body of knowledge, personal responsibility to the public, an extended period of education that includes theory and practice, autonomy, a common identity shared by members, a sense
Project a positive image, not only in dress and posture, but also in one’s behav
Seek out a mentor or preceptor (membership in professional organizations facilitates this goal).
Develop an extensive network by getting to know people who work in other areas of the organization and becoming involved in professional associations.
Communicate ideas, both verbally and in writing.
Prepare oneself by earning the credentials needed for the particular position that is being sought.
Know what the organization values, not just the concepts written in the mission statement, but also the “unwritten rules” of expected conduct.
Call attention to oneself by volunteering to serve on committees.
Ask the client to state in own words what has been learned about the topic.
Provide feedback immediately to reinforce the learning.
When applicable, demonstrate the skill and ask client to perform a repeat demonstration.
Speak in terms easily understood by the client and family.
Determine client’s learning needs, focusing on the client’s perception of importance.
Communicate a feeling of confidence to the delegatee
Match the task to the delegatee
Determine which tasks can be delegated and to whom
Differentiate aggressive, passive, and assertive behavior in order to communicate appropriately in a given situation
Articulate thoughts in an intelligent, persuasive manner
Listen actively to others
Providing quality review mechanisms such as a code of ethics, standards of practice, structures for peer review, and a system of credentialing
Establishing the structures through which nursing services will be delivered
Establishing a system for nursing education
Providing for research and development of that practice base
Defining its practice base
7. State the actions through which nurses can increase political power.
6. Describe the types of power and their sources.
5. Discuss the characteristics of effective leaders.
4. Explain the relationship between advanced practice nursing and professional accountability.
3. Discuss licensure of professional nurses.
2. Describe the elements of professional accountability.
1. State criteria for professional nursing practice.
7. Find a classmate from a cultural background different from yours. Discuss the person’s:a. Perception of deathb. Family’s rituals when a relative dies
6. What are some subjective indicators that a dying client is experiencing pain? What objective data support the nursing diagnosis of pain?
5. What emotional reactions have you had and frustrations have you faced when caring for dying clients and their families? Have you identified the things that help you maintain your own balance?Do you practice them regularly?
4. What are some of the identifying behaviors that would indicate that the survivors and family have not progressed through the grief process?
3. Does everyone advance through all the stages of grief?
2. Pain and other discomfort symptoms are deterrents to quality of life. Consider how these are interrelated with psychological, spiritual, financial, and social influences. In addition to medication therapy, what other interventions can be used to help control symptoms?
1. When dealing with a family and client versus just the client, how do your interactions and interventions differ? What is one of the most important roles the nurse fulfills?
7. Find a classmate from a cultural background different from yours. Discuss the person’s:a. Perception of deathb. Family’s rituals when a relative dies
6. What are some subjective indicators that a dying client is experiencing pain? What objective data support the nursing diagnosis of pain?
5. What emotional reactions have you had and frustrations have you faced when caring for dying clients and their families? Have you identified the things that help you maintain your own balance?Do you practice them regularly?
4. What are some of the identifying behaviors that would indicate that the survivors and family have not progressed through the grief process?
3. Does everyone advance through all the stages of grief?
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