Total possible score = 30 points Objectives • Differentiate between the LPN and RN scopes of practice. • Contrast the LPN and RN assessment of the patient’s health status. • Distinguish between the LPN and RN roles on the interdisciplinary team. 1. Identify 4 similarities and 4 differences between the LPN and RN scopes of practice.
Explain the functional differences between a regulatory agency and a professional nursing organization as it pertains to your professional nursing practice. The state board of nursing responsibilities are to insure that the licensee is practicing under his/her scope of practice. They also maintain the responsibility to allow the obtaining, retention or revocation any license. A professional nursing organization such as Washington State Nurses Association is responsible for advocating for nursing in the state of Washington. Discuss two examples of how provisions from a nursing code of ethics Influence your practice.
Student’s Name: Date: Client Initials: Age: 17 months Medical Diagnosis (es): Batten Disease Assessment DataList data that supports the nursing diagnosis | NursingDiagnosis/PriorityName at least two nursing diagnoses stated in NANDA format | Patient Goals & OutcomesList two goals for each diagnosis-one long term & one short term. Outcomes should be measurable. Add timeframe. | Nursing Actions/InterventionsWhat is indicated for the management of this particular diagnosis/client problem? Name at least four interventions for each nursing diagnosis.
What is the Definition of Nursing Practice? Nursing practice is defined as the act of providing care to the patients. In providing care to the patients, the nurses implement a nursing care plan which is based on initial condition of the patient. It is based on a specific nursing theory. Following nursing theory and nursing research side by side is a must for patient care and nursing practice.
Betty Neuman’s theory of wellness has a holistic approach to the patient. The patient’s energy, any potential patient defenses, resistances, and reactions are included in the assessment process. She suggests the patient care and caregiver approach to it by comparing perceptual differences. The nurse makes a diagnosis from information collected during the assessment and sets the goals to match the desired outcomes based on the assessment and the perceived patient need. According to Betty Neuman, the goals have to be stable and suitable.
Ethical and Legal Issues in Nursing The nurse has a unique ability to follow a specific and a general code of ethical decision-making while caring for the most vulnerable of patients. The nurse must navigate public health law, educational law, and his or her institutional policies while keeping his or her own personal beliefs from controlling what is best for the patient. Ethics are “the principles of conduct governing one’s relationships with others-basic beliefs of right and wrong…. Law is the minimum ethic, written down and enforced.” (Ellis& Hartley, 2008, p. 288) The registered professional nurse must use resources to assist her, including the ANA Code of Ethics and the state’s nurse practice act. A final influence in the case of both of these cases, as with case one, Marianne could not make her decisions, as a patient advocate, the code ethics states in provision 1.3, “The nurse respects the dignity and rights of all human beings irrespective of the nature of the health problem.
According to the ANA code of ethics, the RN’s primary commitment is to the patient and to protect the health, safety, and rights of the patient. The RN also collaborates with other health care members to meet the needs of the patient. “The nurse plays a central role in creating an environment of mutual trust and respect among all health care professionals by engaging in an open dialogue and claiming a place in the shared decision making about patient care.” (Lachman, 2009). Therefore, it is important to consider the physician’s belief system, as there are a number of medical professionals who “…refuse to deliver care that runs contrary to their moral or religious beliefs, asserting a ‘right of conscience’ or ‘right of refusal’.” (Stein, 2007). In the second case study regarding the malpractice and negligence of a nurse, the primary obligation according to the ANA code of ethics is to the patient.
These beliefs, values, and practices influence the health promotion and disease prevention in which they seek (Edelman & Mandle, 2010). The assessment of these practices is an essential role nurse’s play in caring for each individual and family. By using the family focused approach the nurse can determine the support and care a family can provide to the patient. The nurse can then assess the family’s potential of obtaining optimal health. The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach.
THERAPEUTIC APPROACHES IN MENTAL HEALTH NURSING CARE. This essay will reflect on my experience whilst on placement. It would show how I engaged, sustained and disengaged from the therapeutic relationship with a service user through the use of appropriate communication and interpersonal skills. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult situations. I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them.
Furthermore, one priority tool will be selected and then applied to the case scenario outlining the nursing interventions required. Positive and negatives aspects of the selected priority tool will be discussed followed by a conclusion summarising the key points of the assignments. Nursing process is an organised problem-solving framework for nursing practice that promotes clinical thinking process enabling nurses to provide individualised care to patients (Hogston, 2011 p3). The NMC (2010) states that nurses should possess the skills to deliver holistic person centred and systematic assessment of physical, emotional, psychological, cultural and spiritual needs, including risk and develops a comprehensive individualised plan of nursing care. The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care.