Concepts in Nursing Exam 1
AACN - ANS-The national voice for baccalaureate and graduate-degree nursing education,
serves the public interest by providing standards and resources, and by fostering innovation
to advance professional nursing education, research and practice.
\ANA - ANS-The ANA's purpose is to improve standards of health and the availability of
health care to foster high standards for nursing, to improve the professional development
and general and economic welfare of nurses.
\Biocultural History - ANS-• Note skin color, body structure
• Nutritional preferences and deficiencies
• Family history of disease
• Know key genetic diseases for specific groups
\Building a Nurse Patient Relationship - ANS-1. Patients value the effective dimension of
nursing care.
• Therapeutic presence
• Recognizing an individual as unique
• Keeping a close and attentive eye on the situation
2. Providing presence (communicating caring)-The conscious intention to be present for
another in a helpful and healing way, based on the unique needs of the patient, and the
characteristics of the care giver
\Caring Beliefs and Cultural Healers - ANS-• Ask what types of healing practices the patient
engages in (patients may be hesitant to share)
• Ask if there are care providers used that are culturally specific
• What customs and beliefs surround transitions in life
• How much does the patient and family want to know about their disease
• What are beliefs about pain and suffering
\Center for Nursing Advocacy - ANS-Seeks to increase public understanding of the role
nurses play in health care, balanced media portrayal of nurses and increased use of nurses
as resources for media portrayals.
\Civil War to Early 20th Century - ANS-The American Civil War was the impetus that put
nursing on a fast track to becoming a profession
Nursing education moves into U.S. universities.
1903-North Carolina becomes the first state to require a licensure exam.
Community health nursing began
Hospital based nursing care began
\Clara Barton - ANS-Established the American Red Cross, is known as the "American
Florence Nightingale." (Pre American Civil War)
\Communications Patterns - ANS-• Identify communication patterns and forms (verbal,
non-verbal, including eye contact, space and touch)
• Identify meaning of gestures
• Ask how the patient would like to be addressed
• What is the Primary and/or secondary language?
• Is it appropriate to share thoughts and feelings?
• Use of Interpreters
, \Continuing Health Care - ANS-Long-term or chronic care. Includes hospice, adult day care,
and in-home respite care.
\Culture and Life Transitions: Childbirth - ANS-• Experiences of birth have cultural
implications (technology)
• Participation of men in the experience is culturally prescribed
• Traditional care givers
\Culture and Life Transitions: Grief and Loss - ANS-• Traditions are meaningful in all cultures
• Emotional distress over the loss of a child may be less devastating in some cultures with
high infant mortalities
• Time of great spiritual and religious expression
• Grief is expressed differently based on culture
• Specific cultural attitudes towards organ donation, cremation, time of burial are present
\Culture and Life Transitions: Newborn - ANS-• Breastfeeding
• Traditional care givers
• Naming
• Considered vulnerable in all cultures
\Culture and Life Transitions: Postpartum - ANS-• All cultures consider this a vulnerable time
for women
• Special foods may be consumed based on return of balance
• Culture will determine return of sexual relations
\Culture and Life Transitions: Pregnancy - ANS-• Vulnerable time in all cultures
• Embedded in cultural context
• Illicit cultural responses from future parents and surrounding persons
• Wish for health pregnancy is universal
• Special diets/practices based on culture
• Traditional fears may involve: bad luck, spirits, witchcraft
• Cravings and PICA may be accepted and encouraged
\Current Status of Nursing: Barriers - ANS-The lack of acknowledgement the nursing has a
unique set of knowledge that in some manner is not entirely objective, observable and
analytical. Nursing knowledge is based on the human response to what is happening to the
patient and encompasses the biophysical as well as psychosocial realms. It is holism, the
mind, body, and spirit that make up the human-being.
Gender stereotyping
Lack of clarity on what it means to call oneself a nurse
Appearance (changing norms on nursing dress)
Health care organizations controlling nursing
Health care colleagues such as those in medicine consider nursing an "occupation", not a
profession.
\Current Status of Nursing: Characteristics - ANS-Knowledge-based on education and
practice, the "Science of Nursing in all its complexity.
Mission-our shared goals, what those we care for can expect from us.
Education-our formal preparation
Social Contract-what we promise society, what society expects from us.
Autonomy-our independent capacity to make decisions for our patients within the confines of
our scope of practice.
Accountability-ownership of our decision-making.
\Current Status of Nursing: Values - ANS-Respect for human dignity.
AACN - ANS-The national voice for baccalaureate and graduate-degree nursing education,
serves the public interest by providing standards and resources, and by fostering innovation
to advance professional nursing education, research and practice.
\ANA - ANS-The ANA's purpose is to improve standards of health and the availability of
health care to foster high standards for nursing, to improve the professional development
and general and economic welfare of nurses.
\Biocultural History - ANS-• Note skin color, body structure
• Nutritional preferences and deficiencies
• Family history of disease
• Know key genetic diseases for specific groups
\Building a Nurse Patient Relationship - ANS-1. Patients value the effective dimension of
nursing care.
• Therapeutic presence
• Recognizing an individual as unique
• Keeping a close and attentive eye on the situation
2. Providing presence (communicating caring)-The conscious intention to be present for
another in a helpful and healing way, based on the unique needs of the patient, and the
characteristics of the care giver
\Caring Beliefs and Cultural Healers - ANS-• Ask what types of healing practices the patient
engages in (patients may be hesitant to share)
• Ask if there are care providers used that are culturally specific
• What customs and beliefs surround transitions in life
• How much does the patient and family want to know about their disease
• What are beliefs about pain and suffering
\Center for Nursing Advocacy - ANS-Seeks to increase public understanding of the role
nurses play in health care, balanced media portrayal of nurses and increased use of nurses
as resources for media portrayals.
\Civil War to Early 20th Century - ANS-The American Civil War was the impetus that put
nursing on a fast track to becoming a profession
Nursing education moves into U.S. universities.
1903-North Carolina becomes the first state to require a licensure exam.
Community health nursing began
Hospital based nursing care began
\Clara Barton - ANS-Established the American Red Cross, is known as the "American
Florence Nightingale." (Pre American Civil War)
\Communications Patterns - ANS-• Identify communication patterns and forms (verbal,
non-verbal, including eye contact, space and touch)
• Identify meaning of gestures
• Ask how the patient would like to be addressed
• What is the Primary and/or secondary language?
• Is it appropriate to share thoughts and feelings?
• Use of Interpreters
, \Continuing Health Care - ANS-Long-term or chronic care. Includes hospice, adult day care,
and in-home respite care.
\Culture and Life Transitions: Childbirth - ANS-• Experiences of birth have cultural
implications (technology)
• Participation of men in the experience is culturally prescribed
• Traditional care givers
\Culture and Life Transitions: Grief and Loss - ANS-• Traditions are meaningful in all cultures
• Emotional distress over the loss of a child may be less devastating in some cultures with
high infant mortalities
• Time of great spiritual and religious expression
• Grief is expressed differently based on culture
• Specific cultural attitudes towards organ donation, cremation, time of burial are present
\Culture and Life Transitions: Newborn - ANS-• Breastfeeding
• Traditional care givers
• Naming
• Considered vulnerable in all cultures
\Culture and Life Transitions: Postpartum - ANS-• All cultures consider this a vulnerable time
for women
• Special foods may be consumed based on return of balance
• Culture will determine return of sexual relations
\Culture and Life Transitions: Pregnancy - ANS-• Vulnerable time in all cultures
• Embedded in cultural context
• Illicit cultural responses from future parents and surrounding persons
• Wish for health pregnancy is universal
• Special diets/practices based on culture
• Traditional fears may involve: bad luck, spirits, witchcraft
• Cravings and PICA may be accepted and encouraged
\Current Status of Nursing: Barriers - ANS-The lack of acknowledgement the nursing has a
unique set of knowledge that in some manner is not entirely objective, observable and
analytical. Nursing knowledge is based on the human response to what is happening to the
patient and encompasses the biophysical as well as psychosocial realms. It is holism, the
mind, body, and spirit that make up the human-being.
Gender stereotyping
Lack of clarity on what it means to call oneself a nurse
Appearance (changing norms on nursing dress)
Health care organizations controlling nursing
Health care colleagues such as those in medicine consider nursing an "occupation", not a
profession.
\Current Status of Nursing: Characteristics - ANS-Knowledge-based on education and
practice, the "Science of Nursing in all its complexity.
Mission-our shared goals, what those we care for can expect from us.
Education-our formal preparation
Social Contract-what we promise society, what society expects from us.
Autonomy-our independent capacity to make decisions for our patients within the confines of
our scope of practice.
Accountability-ownership of our decision-making.
\Current Status of Nursing: Values - ANS-Respect for human dignity.
