Exam (elaborations)
NUR 200 Midterm Questions And Correct Answers Latest Version
- Course
- NUR 200
- Institution
- George Mason University
NUR 200 Midterm Questions And Correct Answers Latest Version
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NUR 200 Midterm Questions And CorrectAnswers Latest Version
What is the difference between vocation and profession? ANS✔✔ Vocational:
LPN, PCNA, CT, associate degree. Trained from vocational perspective;
robotic/rote performance of tasks; drilled/skills or task-oriented; some
education; limited scope of practice. Profession: RN. Rich curriculum in
research, practice and theory leads to evidence based practice. Engages in
critical thinking, looking below the surface; level of knowledge. Able to take
data and make nursing diagnosis. Unique body of knowledge w/group of
persons.
What is the difference between paternalism and professionalism? ANS✔✔
Doctors cure, nurses care. Nursing is subservient role to patriarchal/medical
establishment. Nurses are viewed as trained assistants to highly skilled
professionals. Doctors are viewed as paternalistic: authoritative, pat nurse on
head, rude.
What is evidence-based practice? How do professional nurses use it? ANS✔✔
Evidence based practice is based on research, theory, and practice; theory
and evidence behind what we're doing not just skills. Impact on patient:
critical thinking in nursing diagnosis/care plan.
What is the CSU philosophy of nursing based on? ANS✔✔ Antonovsky stated
that health can never be achieved; always on a continuum to health; never a
fixed point. It is the nurses job to help patients access GRRs and to move
patient along continuum; patient advocate; help patients recognize/use
GRRs. Dual concept: disease prevention and health promotion. Psychosocial
assessment: look at pt's history, stressors (physical and biochemical, lack of
resources) look at patients at where they're at in accessing GRRs. State of
ease vs. disease because eustress (ease) can quickly become distress
(disease). Therapeutic use of self: iinterdisciplinary team. Selye stated that
alarm resistance phases successful resolution or exhaustion. 1. Alarm:
, anxiety Concern. 2. Resist: w/aid of nurse: meet, fight off. 3. Exhaustion:
death (facilitate bedside so patient has no regret).
What is the trifecta of nursing? ANS✔✔ Research, Practice, and Theory
Nursing theorist: Florence Nightingale ANS✔✔ Founder of Western Nursing
during the Crimean War. Also came up with and studied epidemiology which
is the study of influence/prevalence of disease and the environment. Her
environmental theory examined the relationship and positive correlation of
no light, fresh air, access to fresh water, lying in bed in dark, dank
conditions. Her theory manipulated the environment to affect patient
outcome which included opening windows, mobilizing patients etc.
It was revolutionary to take nurses to war during that time period. 13
cannons: ventilation/warmth; bed/bedding; health of houses; light; petty
management; personal cleanliness; noise; variety; chattering hopes and
advises; food; food intake; observation of the sick. Role of nurses: alter or
manage environment (internal or external) to aid health (well-being and well
use of power).
Nursing theorist: Hildegard Peplau ANS✔✔ Theory consisted of nurse-client
interactions/the stages of the nurse-client relationship. Introductory phase-
establish rapport/trust with patients-talk and listen. Working phase- ADPIE,
nursing jobs: pass meds, interventions, charting, pt education,
communication, etc. Termination phase-therapeutic closure- change of shift,
remind of GRR, reminder of education, can even be death.
The roles of nursing: practitioner, advocate, educator (nursing or professor),
change agent, researcher, etc. ANS✔✔ Nurses work together to change at
social level; political lobbying; can be very effective. Research: qualitative or
quantitative, inferential statistics (make assumption about population)
Early history of nursing ANS✔✔ Men played much stronger role in nursing. In
the 1700/1800's: nursing became female role and were considered
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