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NUR 2058 Dimensions of Nursing -Final Exam Notes:
Rasmussen College
Affordable Care Act: The law has been written for those of all ages for a positive outcome. //
The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA,
PPACA, or “Obamacare”). The law provides consumers with subsidies (“premium tax credits”)
that lower costs for households with incomes between 100% and 400% of the federal poverty
level.
Aggressive Communication: Sometimes there is only a very fine line separating assertiveness
from aggressive behavior and communication.4 Whereas assertive communication permits
individuals to honestly express their ideas and opinions while respecting the other's rights, ideas,
and opinions, aggressive communication strongly asserts the speaker's legitimate rights and
opinions with little regard or respect for the rights and opinions of others. It easily becomes
a communication blocker. Aggressive communication—used to humiliate, dominate, control, or
embarrass the other person or lower that person's self-esteem—creates an “I win, you lose”
situation. The other person may perceive aggressive behavior or communication as a personal
attack. Aggressive behavior and communication are viewed by some psychologists as a
protective mechanism that compensates for a person's own insecurities, and others view it as a
form of bullying. By demeaning someone else, aggressive behavior allows the person to feel
superior and helps inflate his or her self-esteem.Aggressive communication can take several
different forms, including screaming, sarcasm, rudeness, belittling jokes, and even direct
personal insults. It is an expression of the negative feelings of power, domination, and low self-
,esteem. Although aggressive people may seem outwardly to be in control, in reality they are
merely reacting to the situation to protect their self-esteem.
American Nurses Association: One way that nurses can advocate for changes in health care
policy or law is to join an authoritative professional organization such as the American Nurses
Association // provides nursing with a code of ethics
American with Disabilities Act: grants special confidentiality to nurses who are in treatment for
protected disabilities.
Assault: Assault is a threat to touch or harm another person
Assertive Communication Style: involves interpersonal behaviors that permit people to defend
and maintain their legitimate rights in a respectful manner that does not violate the rights of
others // The preferred style in most settings // Assertive communication is honest and direct and
accurately expresses the person's feelings, beliefs, ideas, and opinions. Respect for self and
others constitutes both the basis for and the result of assertive communication. It encourages trust
and teamwork by communicating to others that they have the right to and are encouraged to
express their opinions in an open and respectful atmosphere. Disagreement and discussion are
considered to be a healthy part of the communication process, and negotiation is the positive
mechanism for problem-solving, learning, and personal growth.
Asymmetrical Information: The use of multiple data sources in economics and business.
Autonomy: State of being self-directed or independent; the ability to make decisions about one's
future. // Best method for a nurse to acknowledge a client’s autonomy = Know and understand
the state’s laws that address living wills
, Battery: Battery is nonconsensual touching, even if the touching is beneficial to the patient
Bullying: A type of uncivil behavior that could reasonably be considered humiliating,
intimidating, threatening or demeaning to an individual or group of individuals. It can occur
anywhere and at times becomes habitual, being repeated over and over.
Case Management: Other titles for this position are care coordinator, care manager, transitional
care coordinator, nurse care coordinator, and client care coordinator. The Case Management
Society of America (CMSA) defines case management as “a collaborative process of assessment,
planning, facilitation and advocacy for options and services to meet an individual's health needs
through communication and available resources to promote quality, cost-effective
outcomes.” Effective collaboration among all members of the health-care team is essential to
meet the needs of clients in today's complex health-care system.
Code of ethics: Written values of a profession that act as guidelines for professional behavior.
Collective Bargaining agreement: collective bargaining agreement establishes a contractual
relationship between the union and the employer
Complementary Medicine: any of a range of medical therapies that fall beyond the scope of
scientific medicine but may be used alongside it in the treatment of disease and ill health.
Examples include acupuncture and osteopathy // An appropriate response from the nurse when
caring for a client using complimentary medicine? Inquire what complimentary practices the
client is using to insure client safety.
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