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Nur1009 Exam 1 Guide With Complete Solution

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NUR1009 EXAM 1 GUIDE WITH COMPLETE SOLUTION...

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NUR1009 EXAM 1 GUIDE WITH
COMPLETE SOLUTION

Natural Defense Mechanisms Against Infection-Skin - ANSWER -Shedding of
outer layer of skin cells

-(Action)Removes organisms that adhere to outer layers of skin

Florence Nightingale - ANSWER -First practicing epidemiologist

-Organized first school of nursing

-Improved sanitation in battlefield hospitals in Crimea

-Practices remain a basic part of nursing today

Novice - ANSWER Beginning nursing student or any nurse entering a
situation in which there is no previous level or experience. The learner via a
specific set of rules or procedures, which are usually stepwise and linear.

Advanced Beginner - ANSWER A nurse who has some level of experience
with the situation. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.

Competent - ANSWER A nurse who has been in the same clinical position for
2-3 years. This nurse understands the organization and specific care required
by the type of patients and is a competent practitioner who is able to
anticipate nursing care and establish long-range goals. In this phase the
nurse usually had experience with all types of psychomotor skills required by
this specific group of patients.

,Proficient - ANSWER A nurse with more than 2 to 3 years of experience in the
same clinical position. This nurse perceives a patient's clinical situation as a
whole, is able to assess an entire situation, and can readily transfer
knowledge gained from multiple previous experiences to a situation. This
nurse focuses on managing care as opposed to managing and performing
skills.

Expert - ANSWER A nurse with diverse experience who has an intuitive grasp
of an existing or potential clinical problem. This nurse is able to zero in on
the problem and focus on multiple dimensions of the situation. He or she is
skilled at identifying both patient-centered problems and problems related
to the health care system or perhaps the needs of the novice nurse.

Professional responsibilities of a nurse - ANSWER -Autonomy and
Accountability

-Caregiver

-Advocate

-Educator

-Communicator

-Manager

You are responsible for obtaining and maintaining - ANSWER specific
knowledge and skills for a variety of professional roles and responsibilities.

Autonomy and Accountability - ANSWER - Essential element of a profession

- Initiation of nursing interventions without medical orders

- Accountability through

,- Nursing Audits

- Standards of Practice

- Responsible legally and professionally responsible for the care you give

- With Increased autonomy comes greater accountability and responsibility

Caregiver - ANSWER - Help patients:

Maintain health

Manage disease and symptoms

Attain maximal level of function and independence

Promote healing process

Integrate cultural sensitivity into all patient care experiences

-Provide measures to restore emotional, spiritual, and social well being

-Nurses treat the whole person

Advocate - ANSWER - Protect your patient's human and legal rights

- Provide teaching to help patient make informed decisions

- Defend their rights to make decisions

- Protect patient from dangerous policies or actions

- Can you think of some examples of nurse as advocate?

Educator - ANSWER - Almost every encounter with a patient involves
teaching

- Facts about health and disease process

, - Procedures for self-care (dressings, ostomy care, meds)

- Health Promotion

- Chronic disease management

- Teaching requires assessment of

- Readiness to learn

- Level of education, cultural factors

Communicator - ANSWER - Effective communication central to the
nurse-patient relationship and patient safety

- Essential in all nursing roles and activities

- Communicate with

- Patients and families

- Interdisciplinary team

- Resource people

- The community




Manager - ANSWER - Nurse Manager Role :

- Establish and environment for patient-centered care

- Foster teamwork and collaboration

- Ensure care is high quality, safe, with positive outcomes

- Coordinates activities of members of nursing staff

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