NUR 200 Assessment with elaborate
answers
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 dishonest/prostitute/shady figures. Florence
Nightingale changed that stigma and made nursing professional; declared delicate, feminine
profession unsuitable for men. Nursing became a metaphor of white uniform and nurses were single
women who had a divine calling on life to serve. In the 1950's nursing theories explode -take nursing
more seriously, evidence-based practice. In the 1980's HMO health maintenance organization
transformed nursing into prospective payment system vs. previous retrospective service -managed
care.
The state of nursing today: nursing shortage - ANS✅✅Previously nursing was 1 of 3 standard
options for women (teacher or secretary, office work). Nursing shortage due to cost containment,
expansion of field, broader spectrum/new technology.
The state of nursing today: The Affordable Care Act - ANS✅✅AKA "Obama Care". The Affordable
Care Act mandated people to purchase healthcare and contributed to nursing shortage.
The state of nursing today: Search for standardized curriculum - ANS✅✅NCLEX
The state of nursing today: Technology: more complex ethical issues - ANS✅✅EMR's, HIPPA. In the
past patients in med-surg would be in ICU; ICU patients would be dead -technological advancements
have changed this. Rapid advancements of technology create ethical issues. For example when
ventilators came out people questioned if we have the right to keep people alive who would've been
dead? Another example is stem cell research.
answers
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 dishonest/prostitute/shady figures. Florence
Nightingale changed that stigma and made nursing professional; declared delicate, feminine
profession unsuitable for men. Nursing became a metaphor of white uniform and nurses were single
women who had a divine calling on life to serve. In the 1950's nursing theories explode -take nursing
more seriously, evidence-based practice. In the 1980's HMO health maintenance organization
transformed nursing into prospective payment system vs. previous retrospective service -managed
care.
The state of nursing today: nursing shortage - ANS✅✅Previously nursing was 1 of 3 standard
options for women (teacher or secretary, office work). Nursing shortage due to cost containment,
expansion of field, broader spectrum/new technology.
The state of nursing today: The Affordable Care Act - ANS✅✅AKA "Obama Care". The Affordable
Care Act mandated people to purchase healthcare and contributed to nursing shortage.
The state of nursing today: Search for standardized curriculum - ANS✅✅NCLEX
The state of nursing today: Technology: more complex ethical issues - ANS✅✅EMR's, HIPPA. In the
past patients in med-surg would be in ICU; ICU patients would be dead -technological advancements
have changed this. Rapid advancements of technology create ethical issues. For example when
ventilators came out people questioned if we have the right to keep people alive who would've been
dead? Another example is stem cell research.
