Nur 222

Nur222 Final Exam with correct answer Seventh Sense-Awareness of an Awareness - Correct Answer-The seventh sense enables aspects of mind—thoughts, feelings, intentions, attitudes, concepts, images, beliefs, hopes,dreams—of oneself or others to be brought into the focus of attention. This capacity to perceive the mind can be called "mindsight" and enables us to gain deep insight and empathy. Sixth Sense-Awareness of Internal Bodily Sensations - Correct Answer--Our sixth sense includes sensations in our limbs, our body's motion, the tension or relaxation of our muscles, the state of our internal milieu,including our organs such as the lungs, heart, and intestines 8senses - Correct Answer-5 Outer senses(Perceive outside world):Visual System/Auditory System/Olfactory System/Gustatory System/Somatosensory System 3"Inner Senses":Awareness of Internal:Bodily Sensations/Awareness of an Awareness/Relational Sensing Sense - Correct Answer--Five traditional senses; sight, hearing, smell, taste, and touch (noun) -Perceiving something, become aware of something, and recognizing something for what it is (verb) -Knowing and understanding the environment & knowing and understanding ourselves -As nurses we make sense of information (data/observations..) and we base our clinical decisions on our understanding of the situation. Attunement - Correct Answer-Sensing another person's internal state as well as one's own. It is about being open to another's needs and wants. -Paying attention to both potent and subtle cues and interpreting them as signals emanating from the person's internal states. -Noticing and discerning what information is important, what needs immediate attention, and being able to respond accordingly -Making a connection by uncovering a person's essence. -The act of taking in information, appraising it, and interpreting it. -Being open to, sensing, and monitoring one's own internal state and bodily sensations, either consciously or intuitively Professional Learning :Nurses need to develop the ability to "grasp" situations for sound clinical reasoning Via - Correct Answer-Observation,Attunement to sounds, smells, touch, observation,Listening to their patient and families stories Discriminating and identifying salience from observations Grasp-understanding:Understanding the nature/meaning of the situation you are observing Professional Learning:Nurses need to train/retrain senses - Correct Answer--Fulfillment of professional obligation and social contract. -Specialized training/knowledge -Knowledge based on:Technical expertise Nursing science: biological & social sciences, humanities, medical science -Clinical reasoning and ethical comportment Student Nurse:Has life experience, has knowledge, skills, strengths - Correct Answer-Professional learning:Involves retraining and re-forming that builds on the person's existing knowledge, skills, capabilities, strengths... that will be used in a new context (health care) and for a new purpose (caring for people & families) -Retraining of sensory system Apprenticeship and Formation:"Being formed through meaningful experiences and transactions - Correct Answer--Occurs over time: a process of BECOMING -Experiential Learning: theory and practice -Situated Learning -Gained by nursing patients and families -Situated and contextualized coaching from teachers, preceptors, instructors, peers. -Uniqueness of person/family -Patient-focused care Benner et al：Formation: - Correct Answer--Term used to describe the learning and educational experiences involved in learning to nurse -Involves training and retraining the senses as well as reforming social engagement and social involvement skills (Benner et al., 2010) -Clinical conversation vs Social Conversations -Develops over time -learning, experience.. In the process of becoming a nurse, one must learn new roles, assume new responsibilities, and revise one's own identity so that it includes "nurse" (Benner, 2011 Three Professional Apprenticeships involved in becoming a nurse： - Correct Answer-Knowledge Base,Skilled Know How,Clinical Reasoning & Ethical Comportment Benner et al. (2010) Educating Nurses - Correct Answer-Benner et al. (2010) Educating Nurses Apprenticeship:"to capture the experiential learning that requires interaction with a community of practice, situated coaching by teachers, and demonstration of aspects of complex practice that is not easily translated" (Benner et al.,2010, p. 24). Experiential learning :learning that is gained while nursing,Combines theory & practice,Clinical instructor provides students with leaning opportunities Situated learning: learning that is gained in a specific context & with a specific patient.Being aware of the context/uniqueness of the person and situation.Clinical Instructor coaches student (points things out, asks questions, encourages reflection....) Eight Sense -Relational Sensing - Correct Answer-1)The eight sense relational sense represents our sense of relationship, our connection, with some being.uPerceiving non verbal emotional signals 2)Feel of "belonging" and have membership with others. 3) relationships, prayer, meditation, and perhaps even membership in group social behaviors, such as religious rituals or even athletics Retraining the Eight senses - Correct Answer-1)involves learning to interpret information by altering how the nurse perceives the situation through a new lens: a professional lens and aSBN lens. 2)Theoretical Knowledge & experiences in clinical setting 3)Each experience & interaction trainning & retraining senses - Correct Answer-1)Individuals (nursing students/nurses) can be taught/learn to select sensory inputs that are salient (important) in a particular contextand interpret(make sense of) sensory information in light of new knowledge. 2)Reflecting on what your learnt & discussing what you learnt with others will help you learn and retrain your senses. ISoN nursing practices& 8 senses - Correct Answer-assessment, nursing analysis, interventions, outcomes &follow up Use of the 8 Senses in Clinical Practice:from Deficits to SBN - Correct Answer-1)Only Deficit-focus:Identify danger/Identify risks/Identify priorities requiring urgent attention 2)Adding a SBC lens, allows:A more holistic view of the situation/A more objective view of dangers and deficits in the context of the person's strengths, environment and unique situationCopyrighted In Clinical Practice -We experience the world - Correct Answer-1)Physically-via the 5 senses:Within seconds, we assess the physical environment through what's visible and observable 2)Experientially-how we "feel" an experience:The subjective experience (e.g., when entering a patient room) -Based on cues such as: body language, eye contact, facial expressions, etc. -We draw conclusions and make judgements regarding a patient's mood, physical condition and emotional wellbeing -Much of our experiential interpretation is informed by past personal and professional experiences -These two experiences happen rapidly and simultaneously inform our clinical reasoning and judgement (mostly unconscious) training and retraining your senses: differs depending on ur practice domain - Correct Answer-1)All nurses need to develop their senses for practice in the basic clinical domains of nursing practice (e.g. providing comfort, safeguarding and ensuring patient safety, alleviate suffering, managing symptoms, etc) 2)Specialized knowledge and skills must be developed depending on the domain of practice, e.g., Acute and Critical Care, Neonatal Nursing, Operating Room Nursing, Community Health Nursing, etc. (Retraining senses) Every Sense is Used for 2 Purpose - Correct Answer-1)Assessment:We use our sensory systems to gather salient(important) information 2)Therapeutic intervention or Approaches: How we use our sensory systems to attend to different stimuli in the outer world (e.g., to stabilize health, meet needs or facilitate healing) as well as our own inner world -To distinguish and determine what is relevant in order to better understand the patient's situation -To organize the information gathered in order to arrive at a clinical judgement, make a clinical decision and to take a Strength of Mindset Required to Retrain Senses - Correct Answer-Three mental processes can help you to develop an awareness and get in touch with your thoughts and feelings. 1)Inner Openness: involves being receptive, suspending judgement and expectations. Be open to opportunities. Learn to embrace uncertainty, and tune in to what is happening in your mind, without trying to control what you want to happen. Experience the situation as it actually is, and not what you would like it to be. 2)Objectivity: Allows you to identify with patients, and be a witness to their suffering, without feeling overwhelmed. Objectivity helps you to select and sort information. 3)Observation:you witness and record patient experiences and suffering. This puts you in a better position to help patients work through their experience and make meaning of it. Experiences that Help to Re-train the Senses - Correct Answer-Exposure to novel experiences Benefiting (Learning) from mistakes and obstacles Practice and experience Integrate into our Practice "Awareness (environment) & Self Awareness - Correct Answer-Observing & Noticing Attending to your bodily sensation perceptions thoughts feelings Acting/responding with awareness self regulation Skills that can we can learn and develop Other Ways of Learning - Correct Answer-Simulation Ta l k i n g a b o u t p r a c t i c e a n d e x p e r i e n c e s w i t h supervisors, peers and colleagues. Observe, model and imitate Learn by teaching others Rehearse and consider "what-if" situations nursing research - Correct Answer-In 1970 the National Commission for the Study of Nursing and Nursing Education reported: Nursing holds the responsibility for generating its' own body of knowledge, and that the advancement of nursing practice requires nursing research. As a professional discipline we have an obligation to generate nursing knowledge which will define and guide our practice. Nursing knowledge is the foundation for practice, research and education. Nursing identifies itself as a professional discipline with a scientific body of knowledge unique to its profession Nurses & Research - Correct Answer-Research Informs Nursing Practice Nursing Research & Research from other Disciplines Common Types of Research Common Types of Research - Correct Answer-Qualitative Research:The investigation of phenomena through a collection of narrative materials -Understanding the human condition -lived experiences... -Data that is analysed and presented is non-numerical and involves techniques such as interviews and observations Quantitative Research :The study of phenomena that involves precise measurement and quantification -Data that is analyzed and presented is statistical, mathematical --Mixed Methods :Combination of both EBNP: evidence based nursing practice - Correct Answer-Improved patient care, improved patient outcomes Critically Appraising Studies - Correct Answer-Determine if studies relevant, valid, reliable, and applicable to the clinical question CRAAP testCopyrighted Before changing practice. - Correct Answer-Team o f n u r s e s w a n t t o i m p l e m e n t a n e a r l y mobility program for patients on ventilators. Before beginning such a marked change in clinical practice, the team reviewed and critically appraises the literature. Health care - Correct Answer-Health care in Canada is complex, diffuse and decentralized arrangement of actors and services. Although we sometimes speak of the Canadian Healthcare system, there is no single, national health system. Rather, there are 14 single-payer, universal, and public systems." medicare - Correct Answer-Medicare1947: Father of Medicare: Tommy Douglas in Saskatchewan1966: Lester B. Pearson's government expanded this policy to universal health care with the Medical Care Act: Canada health Act - Correct Answer--1984 -Monique Bégin and P-E Trudeau CNA helped amend language as to who are 'health care professionals' -Federal funding would continue so long as provinces met certain criteria Public administration - Correct Answer-1) health care is defined as the responsibility of territorial/provincial governments. 2)Health care systems are subject to regular public audits of how they are administrated. 3) health care services must be administrated and operate on a non profit basis by a public authority. Comprehensiveness - Correct Answer-specific provincial/territorial health care insurance plans must cover all insured health services provided by hospitals, physicians,or dental surgeons performing" necessary procedures" in hospitals University - Correct Answer--All residents of the provinces and territories are entitled to the insured health services provided for by their plans. -Discrimination in terms of the health status of a patient, age,race or nonmembership in a group is not permitted -Health care services should be administered on uniform terms and conditions Portability - Correct Answer-Residents who are temporally out of their home province or territory must continue to be covered (also applies to individuals who are required to endure a waiting period in a new province or territory of residence) Accessbility - Correct Answer--No patient can be discriminated against in terms of receiving health care services based on their age, lifestyle or present health status or condition. -Health care must be administered on uniform terms and conditions for all insured individuals. -Resonable compensation shall be to physicians, dentists, and hospital for health services rendered. health care - Correct Answer-"Because protective, preventive, and health promotionservices were not required to meet the five criteria of medicare, they were not subject to the conditions of the act. (...) Each province, territory, and region determines what services are covered and to what extend. The result has been va