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LPN to RN Transitions - E-Book

LPN to RN Transitions - E-Book

Lora Claywell

(2014)

Additional Information

Book Details

Abstract

LPN to RN Transitions, 3rd Edition makes it easy for to take the next step in your nursing career with all of the essential information you need to pursue your RN degree and practice as a registered nurse. This new edition includes practical information on classroom study habits, professional writing, knowledge and skills acquisition, and more. Plus, newly-revised chapters provide the latest information for one complete, indispensable resource to help you succeed in everything from the classroom to clinical practice!

  • Clear, succinct coverage focuses your attention on the issues that an RN must address for a successful practice.
  • Critical thinking questions gives you practice applying the critical-thinking skills you will need on the job.
  • FYI boxes encourage you to think about how your day-to-day interactions will change as an RN.
  • Key terms at the beginning of each chapter help you master vocabulary words central to the topic discussed.
  • Learning objectives in each chapter touch on the broad range of topics that will be emphasized in the RN curriculum.
  • NEW! Passing NCLEX chapter provides strategies to help you succeed on the NCLEX-RN exam.
  • Case studies in each chapter demonstrate how the concepts discussed apply to real-life patients and colleagues.
  • Summary content presented in a bulleted-list format offers a quick chapter-review for test preparation.
  • Two-color text creates a more engaging reading experience.
  • Revised table of contents helps you quickly locate information.
  • Improved organization in each chapter gives you a clear picture of what the profession of nursing encompasses and ends with a career-affirming review of the path you must travel to become a registered nurse.
  • Casual writing style makes it easier to read the text and gain practical advice.

Table of Contents

Section Title Page Action Price
Front cover Cover
LPN to RN transitions third edition iii
Copyright page iv
Consultants and reviewers v
Preface vi
Acknowledgments vii
Table of contents ix
1 Success in the classroom 1
1 Honoring your past, planning your future 1
Objectives 1
Key terms 1
Overview 2
Where it all begins 2
Reviewing the past 2
Examining where you are now 5
Setting your goals 6
Prioritizing 7
Change theory 8
Key points 9
Critical thinking questions 10
References 10
2 Managing time and designing success 11
Objectives 11
Key terms 11
Overview 12
Gifts and barriers 12
Learning style 14
Personality traits and learning 15
Self-directedness 17
Assuming an internal locus of control 19
Positive self-talk 20
Elimination of self-defeating behaviors 21
Pessimism 21
Nit-picking 21
Worrying 21
Perfectionism 22
Blaming 22
Managing the work of success 22
Decision making 22
Planning 22
Commitment 23
Time management 24
Assessment 24
Setting goals and prioritizing 24
Time wasters 25
Managing your health 27
Stress and stress reduction 28
Stress 28
Stress reduction 29
Key points 31
Critical thinking questions 31
Web resources 32
References 33
3 Classroom study habits that work 34
Objectives 34
Key terms 34
Overview 34
General face-to-face classroom behavior 34
Effective listening 35
Before class 35
During class 35
Immediately after class 35
Effective note-taking 36
Before class 36
During class 36
After class 36
Effective reading 37
Maintaining concentration 37
Identifying main ideas 37
Relating details to a main idea 38
Highlighting appropriately 38
Improving reading speed 38
Skimming and scanning 39
Improving your study skills 40
Step 1: Survey 40
Step 2: Question 40
Step 3: Read 40
Step 4: Recite 40
Step 5: Review 40
More study strategies 41
Finding the balance 42
Test-taking skills 42
Structured-response questions 42
Multiple-choice 42
Question stem 42
Question options 43
True-false 44
Matching 44
Restricted-response questions 44
Essay questions 44
Universal advice for optimal test performance 45
Key points 45
Critical thinking questions 46
Web resources 47
References 47
4 Basic math review: Preparing for medication calculations 48
Objectives 48
Key terms 48
Overview 48
Preparing for calculations: Basic math review 49
Fractions 49
Reducing fractions 49
Improper fractions and mixed numbers 50
Lowest common denominator 50
Adding fractions 51
Subtracting fractions 51
Multiplying fractions 51
Dividing fractions 52
Ratio and proportion 52
Conversions of units of measurement 53
Metric system 53
Household measurements 54
Apothecary measurements 54
Methods of dosage calculations 56
Ratio and proportion method 56
Formula method 56
Dimensional analysis (factor labeling) method 57
Basic dosage calculations using dimensional analysis 58
Format to set up the IV rate problem using da: 62
Example of calculations 62
Advanced steps to calculate dosages using dimensional analysis 62
Example of complex IV rate calculations 63
Example of verifying a pediatric medication order 65
Key points 66
Critical thinking questions 67
Web resources 67
5 Passing the NCLEX-RN 68
Objectives 68
Key terms 68
Overview 68
Evolution of the NCLEX-RN® exam 68
Cat 69
NCLEX test plan 70
NCLEX-RN® style test items 72
Evidence-based strategies for testing success 75
Katts framework 75
The five c’s 77
Key points 77
Critical thinking questions 78
Web resources 78
References 78
2 The profession and discipline of registered nursing 79
6 Distinguishing the rn role from the lpn/lvn role 79
Objectives 79
Key terms 79
Overview 80
Professional role socialization 80
Role elements 82
Differences between lpn/lvn and rn roles 85
Educational level 85
Critical thinking 86
Assessment skills 87
Care planning 88
Legal responsibilities 88
Intravenous therapy 88
Communication skills 89
Patient teaching skills 89
Educational preparation 90
Diploma in nursing 90
Associate’s degree in nursing 91
Baccalaureate degree in nursing 91
Master’s degree in nursing 91
Doctoral degrees in nursing 92
Accreditation 92
Specialty nursing certification 92
Professional nursing organizations 93
Scope of practice 93
Licensed practical nursing 94
Registered nursing 95
Provider of care 95
Manager of care 95
Member of the profession 95
Key points 96
Critical thinking questions 97
Web resources 97
References 98
7 The nurses, ideas, and forces that define the profession 99
Objectives 99
Key terms 99
Overview 99
Historical foundations 101
Religious 101
Social 102
Political 104
Nursing today: Factors influencing practice 106
Aging population 106
Emphasis on health maintenance and disease prevention 107
Outcomes-oriented patient-centered care 107
Cost containment 107
Consider the following questions: 108
Quality improvement 108
Key points 110
Critical thinking questions 111
Web resources 112
References 112
8 Upholding legal and ethical principles 113
Objectives 113
Key terms 113
Overview 114
Issues in law 114
Sources of law 114
Legal principles 115
Confidentiality and the right to privacy 115
Patient rights 115
Informed consent 115
Assault and battery 116
Negligence and malpractice 117
Failure to rescue 118
Documentation 120
Mandatory reporting 121
Nursing ethics 121
Autonomy 122
Veracity 122
Fidelity 122
Beneficence 122
Nonmaleficence 122
Confidentiality 123
Justice 123
Ethics and culture 123
Ethical dilemmas 123
Bioethics 124
Ethics committees 125
Ethical theories 125
Deontology 125
Utilitarianism 126
Virtue ethics 126
The ethic of care 126
Your professional commitment 126
Ethical decision making 127
Key points 128
Critical thinking questions 129
Web resources 130
References 130
9 Care and safety standards, competence, and nurse accountability 132
Objectives 132
Key terms 132
Overview 132
Classification of nursing skill level 133
Educational and professional standards 134
Quality and safety education for nurses 134
Professional accountability 135
Personal accountability 136
Professional practice standards and standards of care 137
Managing care aberrances 139
Occurrence reports 139
Root-cause analysis 139
Involving management in decision making 140
Patient and family complaints 141
Chain of command 141
Quality of care measurement 141
Key points 142
Critical thinking questions 142
Web resources 143
References 143
3 The RN as provider of care 144
10 Using nursing theory to guide professional practice 144
Objectives 144
Key terms 144
Overview 145
Background 145
Theories in support of nursing 146
Developmental, or physiological, theories 146
Systems theory 147
Role theory 147
Adaptation theory 147
Nursing philosophies 148
Florence nightingale: Philosophy of nursing 148
Virginia henderson: Definition of nursing 148
Jean watson: Philosophy of science and caring 149
Patricia benner: From novice to expert 149
Nursing theories 150
Hildegard E. peplau: Theory of interpersonal relations 150
Ida jean orlando: Nursing process theory 151
Nola j. pender: Health promotion model 151
Madeleine leininger: Culture care theory of diversity and universality 151
Margaret A. newman: Theory of health as expanding consciousness 152
Nursing models 153
Dorothy E. johnson: Behavioral systems model 153
Imogene M. king: Theory of goal attainment 153
Myra E. levine: Conservation model 154
Betty neuman: Healthcare systems model 154
Dorothea E. orem: Theory of self-care deficit 155
Sister callista roy: Roy adaptation model 156
Other theorists 156
Key points 157
Critical thinking questions 158
Web resources 158
References 158
11 Providing patient-centered care through the nursing process 160
Objectives 160
Key terms 160
Overview 161
Historical perspective 162
Nursing process 162
Assessment 163
Data collection methods 164
Organization of data collection 165
Validating assessment data 165
Diagnosis 166
Prioritizing 167
Outcome identification 168
Planning 169
Implementation 171
Evaluation 171
Key points 172
Critical thinking questions 172
Web resources 173
References 173
12 Critical and diagnostic thinking for better clinical judgment 174
Objectives 174
Key terms 174
Overview 174
Definition of critical thinking 175
Purpose of critical thinking 175
Need for critical thinking 176
Types of reasoning embedded in critical thinking 176
Reasoned thought 176
Clinical judgment 176
Related thinking skills 177
Diagnostic thinking 177
Cultivated thinking 177
Deductive reasoning 178
Inductive reasoning 178
Elements of reasoning and critical thought 179
Purpose 179
Question at issue 179
Point of view 179
Available information 179
Concepts 179
Assumptions 180
Implications and consequences 180
Inferences 180
Structure of critical thought 180
Attributes of the critical thinker 181
Curiosity 182
Diligent pursuit of evidence and information 182
Rational thought 182
Reflection 182
Creativity 182
Intuitive thought 183
Fostering critical thought 183
Key points 184
Critical thinking questions 184
Web resources 184
References 184
13 Practicing evidence-based decision making 186
Objectives 186
Key terms 186
Overview 187
What is evidence-based practice? 187
Defining evidence-based practice 188
Defining attributes of evidence-based practice 189
Putting evidence-based practice to work 189
Getting started 190
Step 1: Construct a relevant, answerable question from an identified clinical concern case 190
Background questions. 190
Foreground questions. 190
Pico. 190
Clinical question categories. 191
Step 2. search the literature for the best external evidence 192
Medline. 192
Healthstar. 192
The cochrane library. 192
National guideline clearinghouse. 192
Agency for healthcare research and quality. 192
Evaluating the strength of a study. 193
Limitations of evidence-based practice 195
The evidence 195
The individual 195
The health care system 195
Nursing 195
Apparent gaps in research utilization 196
Research, both simple and necessary 196
Components and process in a research study 196
Concepts 196
Variables 197
Types of variables 197
Defining variables 199
Literature search 200
Research process 200
Making predictions 200
Defining the research study 201
Defining the population 201
Selecting a sample 201
Making a data collection plan 202
Checking reliability and validity 202
Collecting data 203
Interpreting the results 203
Communicating the results 203
Research utilization 203
Validating research results 204
Applying research to practice 204
Identifying areas for research 205
Key points 205
Critical thinking questions 206
Web resources 207
References 207
14 Communicating with patients and co-workers 209
Objectives 209
Key terms 209
Overview 210
Communication basics 210
Verbal and nonverbal communication 210
Therapeutic communication 211
Communication facilitators 212
Active listening 212
Communication blockers 212
The nurse-patient relationship 214
Orientation 214
Working 215
Termination 218
Health literacy and cultural competence 220
Health literacy 220
Culture 220
The older adult 221
Collaborative communication 222
Delegation 224
The nurse-physician relationship 228
Documentation as communication 230
Key points 233
Critical thinking questions 234
Web resources 235
References 235
15 Teaching patients and their families 238
Objectives 238
Key terms 238
Overview 238
The patient as a learner 239
Principles of teaching and learning 239
Basic assumptions of learning 240
Basic principles of learning 240
Motivation to learn 241
Barriers to learning 241
Facilitation of learning 241
Adult learners 242
Relating to the learner’s level of understanding 242
Assessment of readiness to learn 244
Understanding stressors 244
Need to include family in the learning process 245
Assess the patient’s current level of knowledge 245
Evaluation of effectiveness of learning 246
Legal implications 246
Demonstration of learning 246
Following up after discharge 247
Basic principles of teaching 247
Characteristics of a teacher 248
Nurse credibility 248
Confidence 248
Clear and effective communication 249
Processes of teaching patients and families 249
Key points 250
Critical thinking questions 250
Web resources 250
References 251
4 The RN as manager of care 252
16 Leading, delegating, and collaborating 252
Objectives 252
Key terms 252
Overview 253
Leaders, managers, and followers 253
Leadership characteristics 254
Defining the leadership role 254
Leadership styles 255
Leadership approaches 255
Transactional leadership 256
Transformational leadership 256
Servant leadership 256
Leading and emotional intelligence 257
Ethics and culture: Central to leadership 257
Ethics and leadership 257
Culture and leadership 258
Delegation 258
Principles of delegation 258
Issues related to delegation 260
Collaborating in providing care 260
Collaboration 260
Accountability 261
Professional advocacy 262
Collaborating and advocating through the medical plan of care 263
Decision making and problem solving 264
Conflict management 265
Sacrifice resolution 266
Competition resolution 267
Win-win resolution 267
Key points 268
Critical thinking questions 268
Web resources 269
References 269
17 Promoting healthful living in the primary care setting 270
Objectives 270
Key terms 270
Overview 270
Theoretical framework 271
Self-care 271
Health promotion model 272
Health promotion principles 273
Health promotion plan of care 273
The RN’s role in health promotion 275
Environmental influences on health promotion 275
Physical 276
Cultural, spiritual, and social 277
Economic 278
Developmental 278
Primary health care systems 280
Global health promotion 280
Self-health promotion 282
Key points 282
Critical thinking questions 282
Web resources 283
References 283
18 Managing care in secondary and tertiary health care 284
Objectives 284
Key terms 284
Overview 284
Theoretical framework 285
Manager of care 286
Environmental influences 287
Spiritual needs and influences 288
Cultural needs and influences 288
Developmental needs and influences 290
Social needs and influences 290
Resource manager 290
Clinical pathways 291
Discharge planning 291
Tertiary care referrals 292
Key points 293
Critical thinking questions 293
Web resources 294
References 294
5 Putting it all together 295
19 Reflecting on your transition 295
Objectives 295
Key terms 295
Overview 295
Assessment 296
Critical reflection 296
Making the diagnosis 299
Planning 299
Implementation 300
Your new tools 301
What’s stopping you? 302
Evaluation 302
Key points 303
Critical thinking questions 303
Web resources 304
References 304
Arranging and accessing support for your professional move e
Objectives e
Key terms e
Overview e
Personal support e
Professional support e
Monetary support e
Academic support e
Learning resource centers e
Faculty e
Libraries e
Textbooks e
Journals e
Computers e
Internet e
Key points e
Critical thinking questions e
Web resources e
References e
Writing professionally e
Objectives e
Key terms e
Overview e
Grammar e
Writing style e
Writing mechanics e
Referencing e
Writing processes e
Information literacy e
Standard one—know e
Standard two—access e
Standard three—evaluate e
Standard four—use e
Standard five—ethics e
Key points e
Critical thinking questions e
Web resources e
References e
Pageburst integrated resources e6
Index 305
A 305
B 306
C 306
D 307
E 308
F 309
G 309
H 309
I 310
J 310
K 311
L 311
M 311
N 312
O 313
P 314
Q 315
R 315
S 316
T 316
U 317
V 317
W 317
Z 317