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FOUNDATIONAL CONCEPTS & THE NURSING PROCESS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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FOUNDATIONAL CONCEPTS & THE NURSING PROCESS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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FOUNDATIONAL CONCEPTS & THENURSING PROCESS QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
nursing attributes & roles - ANSWER professional identity, clinical judgment (this isn't always black and
white), interdisciplinary relationships
care competencies - ANSWER need to use evidence-based practice -what is appropriate evidence, what
makes something valid, is it peer reviewed?
attributes & resources - ANSWER making sure there you have a functional ability to do your job
Professional Identity - ANSWER Start by reflecting on ourselves, how do we see ourselves and how we
work with people, why do we do what we do?
Historical Perspectives of mental health include.. - ANSWER past treatment and provisions to this care,
the community mental health act in the 1960s, "decade of the brain" in the 1990s, integration of care &
interdisciplinary planning
decade of the brain" in the 1990s - ANSWER research on areas of the brain that were
hypoactive/hyperactive peaked, mental health has physiological changes, scientific studies performed,
psychopharmacoloy became more popular
Medical Model of Disability on Psychiatry - ANSWER focuses on curing or altering the clinical picture (the
body is a machine that needs to be fixed to conform to normative values); the medical profession/MD is
seen as central in minimizing the patient's disabilities & allowing for a more normal life
Recovery Model of Psychiatric Care - ANSWER social model of disability and identifies systemic barriers,
negative attitudes, isolation and exclusion by society as main contributory factors in disabling people;
shifts focus from illness to one of rehab and recovery; emerged as a result of deinstitutionalization; goal
is empowerment to maximize abilities, holistic interventions to assist in recovery, recovery is evidenced
by work/community/social life/relationships/reduction of symptoms
, Medical vs. Recovery Model - ANSWER healthcare used to focus on the medical model (medical team
was making decisions), the newer lense uses the recovery model which helps to empower the patient
and uses a more holistic approach that focuses not on curing the patient but on rehab and recovery
Trauma-Informed Care - ANSWER trauma is almost universal in mental health patients; integrates effects
of trauma into clinical programming (using "what has happened to you" vs. "what is wrong with you");
avoidance of new trauma in treatment (restraints, coercion); collaborative therapeutic relationships bw
the provider and the patient (empowerment, culture of respect)
Patient-Centered (mental health) Care - ANSWER the QSEN, HMD/IOM, and ANA support patient
centered care as best practice; sources of patient centered care are literature, care models/theories,
neurobiology of psychiatric disorders & meds, other professional demainds
Quality & Safety Education for Nurses (QSEN) - ANSWER national initiative toward patient safety and
quality; goal is to equip nurses with knowledge, skills, and attitudes (KSAs) to improve quality and safety
of their health care systems
QSEN standards - ANSWER patient-centered care, teamwork & collaboration, evidence-based practice,
quality improvement, safety, informatics
Goal of nursing -as provided through nursing history - ANSWER to assist clients in the highest level of
functioning in the community
Holistic Model - ANSWER includes the body, mind, and spirit; nurses practice from a holistic perspective;
important to consider the patients thought process
Nursing Leader: Hildegard Peplau (1909-1999) - ANSWER considered the "mother of psychiatric nursing";
believed in the science and art of nursing; Peplau started the first nursing masters program for
psychiatrics; introduced concepts such as advanced practice nursing, standards of professional nursing &
credentialing, theory of interpersonal relations
Mental Health - ANSWER successful performance of mental functions, resulting in the ability to engage
in productive activities, enjoy fulfilling relationships, & change or cope with adversity; none of us will be
100% mentally healthy all the time
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