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Fundamentals of Nursing – The Nursing Process, Theory, Roles, and Human Health Concepts (Comprehensive Study Guide)

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This document is a detailed and structured guide to the foundational concepts of nursing, including the origins and roles of nurses, components of the nursing process, types of knowledge, critical thinking models, and theories of health and illness. It explains nursing's professional standards, Maslow’s hierarchy of needs, types of illness, and health promotion levels (primary, secondary, tertiary). Additionally, it introduces concepts like evidence-based practice, human dimensions of health, and key historical figures in nursing such as Florence Nightingale and Clara Barton. Ideal for nursing students preparing for exams or building a conceptual foundation in nursing theory and care practice.

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June 11, 2025
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Written in
2024/2025
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Fundamentals of Nursing
origination of the word "nurse" ✔✔from the latin word "nutrix" meaning to nourish

Interrelated roles of nurses ✔✔communicator, teacher, counselor, leader, researcher,
advocate, collaborator

coping with disability and death ✔✔nurses use optimal function of maximum strengths and
potentials, refer to community support systems; provide care to families and patients during
end-of-life care, hospice

The Nursing Process ✔✔-one of major guidelines for nursing practice
-helps nurses implement their roles
-integrates art and science of nursing
-allows nurses to use critical thinking and clinical reasoning
-defines the areas of care that are within the domain of nursing

Nurse Practice Acts ✔✔-define legal scope of nursing practice
-create state board of nursing to make and enforce rules and regulation
-define important terms and activities in nursing, including legal requirements and titles for RNs
and LPNs
- established criteria for the education and licensure of nurses

5 vital signs ✔✔respirations, pulse rate, blood pressure, temperature, and pain

Nursing is recognized as profession based on what criteria ✔✔-well defined body specific and
unique knowledge
-strong service orientation
-recognized authority by a professional group (ANA)
-code of ethics
-professional organization that sets standards
-ongoing research
-autonomy and self-regulation

Florence Nightingale ✔✔defined nursing as both an art and science, differentiated nursing
from medicine, created freestanding nursing education, published books; founder of modern
nursing

,Clara Barton ✔✔established red cross; volunteered to care for wounds and feed union soldiers
during civil war; served as supervisor of nurses for the army of James

sources of knowledge ✔✔-traditional ( passed down from generation to generation)
-authoritative- comes from an expert, accepted as truth based on person's perceived expertise
-scientific (obtained through the scientific method-research)

objective ✔✔you can see the object

subjective ✔✔coming from that subject

types of knowledge ✔✔-science (observing, identifying, describing, investigating, and
explaining events and occurences that are perceived in world)
-philosophy (the study of wisdom, fundamental knowledge, and the processes used to develop
and construct on perception on life)
-process (a series of actions, changes, or functions intended to bring about a desired result)

goals of nursing research ✔✔-improve care in clinical setting
-study ppl and nurse process: education, policy development, ethics, nursing history
-develop greater autonomy and strength as a profession
-provide evidence-based nursing practice

deductive reasoning ✔✔examines a general idea and then considers specific actions or ideas

inductive reasoning ✔✔one builds from specific ideas or actions to conclusions about general
ideas

health ✔✔a state of complete physical, mental, and social well-being, not merely the absence
of disease or infirmity

illness ✔✔the unique response of a person to a disease; an abnormal process involving
changed level of functioning

wellness ✔✔an active state of being healthy by living a lifestyle promoting good physical,
mental, and emotional health

nursing theory ✔✔differentiates nursing from other disciplines and activities in that it serves
the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing
care practices

, evidence-based practice (EBP) ✔✔a problem-solving approach to making clinical decisions,
using the best evidence available; blends both science and art of nursing so best outcomes are
achieved; may consist of specific nursing interventions or use guidelines established for the
care of patients

steps in implementing EBP ✔✔Step 1: ask a question about a clinical area of interest or an
intervention
Step 2: collect the most relevant and best evidence
Step 3: Critically appraise the evidence
Step 4: integrate the evidence w/ clinical expertise, patient preferences, and values in making a
decision to change
Step 5: evaluate the practice decision or change

human dimensions that compose the whole person ✔✔physical, intellectual, environmental,
spiritual, sociocultural, and emotional

acute illness ✔✔rapid onset of symptoms and lasts only a short time; examples: cold, diarrhea,
pneumonia, appendicitis

chronic illness ✔✔slow onset, characteristics: permanent change, caused by change in
anatomy, requires special patient education, long period of care or support; examples: heart
disease, diabetes, lung diseases, and arthritis

stages-of-illness behaviors ✔✔Stage 1: experiencing symptoms
Stage 2: assuming the sick role
Stage 3: assuming a dependent role
Stage 4: achieving recovery and rehabilitation

primary health promotion ✔✔directed towards PROMOTING health and PREVENTING the
development of disease processes or injury; example: immunization clinic, family planning
services, accident prevention education

secondary health promotion ✔✔focus on SCREENING for early detection of disease with
prompt diagnosis and treatment of any found; example: assessing children for normal growth
and development and encourage regular medical, dental and vision exams

tertiary health promotion ✔✔after an illness is diagnosed and treated;
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