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,Erikson's stages of psychosocial development 1. trust vs. mistrust (0-2)
2. autonomy vs. shame and doubt (2-4)
3. initiative vs. guilt - preschool
4. industry vs. inferiority - school age
5. identity vs. role confusion - teen
6. intimacy vs. isolation - early adult
7. generativity vs. stagnation - 30s-40s
8. integrity vs. despair - 55+
Kohlberg's stages of moral development 6 identifiable developmental stages of moral reasoning which form the basis of
ethical behavior, the pre-conventional (level 1) contains the first stage
(obedience and punishment orientation and 2nd stage (self-interest
orientation), the conventional (level 2) contains the 3rd stage (interpersonal
accord and conformity) and 4th stage (authority and social-order maintaining
orientation) the post-conventional (level 3) contains the 5th stage (social
contract orientation) and 6th stage (universal ethical principles)
priority of patients to be seen *acute* takes precedence over chronic
Nursing Process ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
Delegating vs. Assigning delegating- requires follow-through of task (evaluation that done properly; you
still have the responsibility)
assigning- requires no follow up; transfers the authority, accountability &
responsibility to another
RN CANNOT Delegate the Following Tasks: Any part of the NURSING PROCESS:
-Assessments that identify needs and problems which diagnose human
responses.
-Any provision of teaching, health counseling, or referrals to other healthcare
providers.
-tasks that require nursing judgment
*LPN can REINFORCE teaching but the RN does the initial teaching*
prioritization of pts life before limb
acute before chronic
actual before potential
Maslow's Hierarchy
trends vs. transient findings (i.e. temp increasing over hours vs. a sporadic
increase)
emergencies and complications over expected findings
determine priority action based on EBP
autonomy independence
,beneficience Doing good or causing good to be done; kindly action
fidelity to be faithful
to keep promises
justice to be fair to all
Nonmaleficence duty to do no harm
veracity truthfulness, honesty
paternalism Assuming the right to make decisions for another
living will A document that indicates what medical intervention an individual wants if he
or she becomes incapable of expressing those wishes.
(pt has determined these desires ahead of time and medical staff carries them
out)
durable power of attorney for health care A type of advance directive executed by a competent adult that appoints
another individual to make medical treatment decisions on his or her behalf in
the event that the person making the appointment loses decision-making
capacity.
a power of attorney names the person who can make financial or health care
decisions for you if you are incapacitated.
informed consent nurse's role Witness the client's signature on the informed consent form
ensure HCP gave necessary information
client understands (HCP would answer questions)
ensure client is competent to sign
Malpractice Failure by a health professional to meet accepted standards
Mandatory Reporting -abuse: child or elder abuse, domestic violence
-communicable diseases (according to CDC) such as hepatitis and TB
Negligence omission of that which ought to be done
, Nurse Practice Act (NPA) defines the scope and limitations of professional nursing practice
varies from state to state
Internal disaster a disaster in which a healthcare facility itself is in danger or damaged and its
function is impaired
external disaster disasters outside the medical facility
can be man-made or natural made
Mass casualty/disaster triage priority RED
YELLOW
GREEN
BLACK
RED tag Life-threatening & requires immediate attention
Yellow tag Major injury & should be given attention within 30 minutes to 2 hours.
Green tag (Minor)
"walking wounded"
BLACK tag expected and allowed to die
prepare for morgue
bioterrorism agents Category A = highest priority; threat to national security - easily transmittable;
smallpox, anthrax, viral fevers (ebola)
Category B = 2nd highest priority; moderately easy to disseminate; include
typhus fever, ricin, diarrheagenic E coli, West Nile
Category C = 3rd highest; emerging pathogens
American Red Cross not a government agency
but authorized by the government to assist in natural disasters
Culture Beliefs, customs, and traditions of a specific group of people.
CLAS standards Culturally and Linguistically Appropriate Services
infiltration IV fluid leaks into surrounding tissue
it is a fluid that does NOTirritate the tissue