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LPN to RN Transitions - E-Book

LPN to RN Transitions - E-Book

Lora Claywell

(2017)

Additional Information

Book Details

Abstract

LPN to RN Transitions, 4th Edition makes it easy for you 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 role transition, cultural competency, delegation, classroom study habits, professional writing, 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!

  • Improved organization gives you a clear vision of what the profession of nursing encompasses and ends with a career-affirming review of the path you must travel to reach the goal of registered nurse.
  • Critical thinking questions give you practice applying the critical-thinking skills you will need on the job.
  • Clear, succinct coverage helps you focus on the issues that an RN must address for a successful practice.
  • FYI boxes encourage you to think about how your day-to-day interactions will change as an RN.
  • Additional illustrations create a more engaging reading experience.
  • Revised table of contents helps you quickly locate information.
  • Casual writing style makes it easier to read the text and gain practical advice.
  • Key Terms and Key Points help you learn vocabulary words central to the topic discussed.
  • Learning objectives in each chapter orient you to the broad range of topics that will be emphasized in the RN curriculum.
  • NEW! Information on Role Transition prepares you to begin working in a clinical practice environment.
  • NEW! Cultural Competency information covers how to work with a diverse set of patients.
  • NEW! Prepare Now to Pass NCLEX® chapter provides strategies to use throughout the ADN curriculum to help you prepare a study plan tailored for success on the NCLEX-RN exam.
  • NEW! Additional case studies demonstrate how the concepts discussed apply to real-life patients and colleagues.
  • NEW! Math and Calculations content streamlined online for quick access.

Table of Contents

Section Title Page Action Price
Front Cover Cover
CONTENTS ES1
LPN to RN TRANSITIONS\r i
LPN to RN TRANSITIONS iii
Copyright iv
REVIEWERS v
PREFACE vi
ACKNOWLEDGMENTS vii
CONTENTS viii
1 - Essential Skills to BeginYour Transition 1
1 - HONORING YOUR PAST, PLANNING YOUR FUTURE 1
UNDERSTANDING TRANSITION 2
LEARNING AS AN ADULT 2
WHERE IT ALL BEGINS 3
REVIEWING THE PAST 4
EXAMINING WHERE YOU ARE NOW 7
SETTING YOUR GOALS 7
Prioritizing 8
Change Theory 9
LIFELONG LEARNING 11
KEY POINTS 11
REFERENCES 12
2 - ASSESSING YOURSELF AND DESIGNING SUCCESS 13
GIFTS AND BARRIERS 14
LEARNING STYLE 16
SELF-DIRECTEDNESS 19
ASSUMING AN INTERNAL LOCUS OF CONTROL 20
POSITIVE SELF-TALK 21
ELIMINATION OF SELF-DEFEATING BEHAVIORS 22
Pessimism 22
Nit-Picking 22
Worrying 23
Perfectionism 23
Blaming 23
MANAGING THE WORK OF SUCCESS 23
Decision Making 23
Planning 24
Commitment 24
Time Management 25
Assessment 25
Setting Goals and Prioritizing 26
Time Wasters 27
MANAGING YOUR HEALTH 28
Stress and Stress Reduction 28
Stress 29
Stress Reduction 30
KEY POINTS 32
REFERENCES 34
3 - STUDY HABITS AND TEST-TAKING SKILLS 36
GENERAL FACE-TO-FACE CLASSROOM BEHAVIOR 36
EFFECTIVE LISTENING 37
Before Class 37
During Class 37
Immediately After Class 37
EFFECTIVE NOTE-TAKING 38
Before Class 38
During Class 38
After Class 38
SUCCESS IN AN ONLINE CLASS 39
EFFECTIVE READING 40
Maintaining Concentration 40
Identifying Main Ideas 40
Learning at the Vocational Level vs Higher Education 41
Relating Details to a Main Idea 41
Highlighting Appropriately 41
Improving Reading Speed 42
Skimming and Scanning 43
IMPROVING YOUR STUDY SKILLS 43
Step 1: Survey 43
Step 2: Question 43
Step 3: Read 43
Step 4: Recite 43
Step 5: Review 44
More Study Strategies 44
FINDING THE BALANCE 45
TEST-TAKING SKILLS 45
Structured-Response Questions 45
Multiple Choice/Multiple Response 46
Question Stem 46
Question Options 47
True-False 47
Matching and Ordered Response Questions 47
Restricted-Response Questions 48
Essay Questions 48
Universal Advice for Optimal Test Performance 48
KEY POINTS 50
REFERENCE 51
2 - The Profession and Disciplineof Registered Nursing 52
4 - DISTINGUISHING THE RN ROLE FROM THE LPN/LVN ROLE 52
PROFESSIONAL ROLE SOCIALIZATION 53
ROLE ELEMENTS 56
DIFFERENCES BETWEEN LPN/LVN AND RN ROLES 59
Level of Independence/Autonomy in the Role 59
Educational Level 59
Critical Thinking 60
Assessment Skills 61
Care Planning 62
Legal and Leadership Responsibilities 62
Intravenous Therapy 63
Communication Skills 63
Patient Teaching Skills 63
EDUCATIONAL PREPARATION 64
Diploma in Nursing 65
Associate’s Degree in Nursing 65
Baccalaureate Degree in Nursing 66
Master’s Degree in Nursing 66
Doctoral Degrees in Nursing 66
Accreditation 67
Specialty Nursing Certification 67
Professional Nursing Organizations 68
SCOPE OF PRACTICE 68
Licensed Practical Nursing 69
Registered Nursing 69
Provider of Care 70
Manager of Care 70
Member of the Profession 70
KEY POINTS 71
REFERENCES 72
5 - USING NURSING THEORY TO GUIDE PROFESSIONAL PRACTICE 74
BACKGROUND 75
THEORIES IN SUPPORT OF NURSING 76
Developmental, or Physiological, Theories 77
Systems Theory 77
Role Theory 77
Adaptation Theory 78
NURSING PHILOSOPHIES 78
Florence Nightingale: Philosophy of Nursing 78
Virginia Henderson: Definition of Nursing 79
Jean Watson: Philosophy of Science and Caring 79
Patricia Benner: From Novice to Expert 80
NURSING THEORIES 81
Hildegard E. Peplau: Theory of Interpersonal Relations 81
Ida Jean Orlando: Nursing Process Theory 81
Nola J. Pender: Health Promotion Model 82
Madeleine Leininger: Culture Care Theory of Diversity and Universality 82
Margaret A. Newman: Theory of Health as Expanding Consciousness 83
NURSING MODELS 84
Dorothy E. Johnson: Behavioral Systems Model 84
Imogene M. King: Theory of Goal Attainment 84
MYRA E. LEVINE: CONSERVATION MODEL 85
Betty Neuman: Healthcare Systems Model 85
Dorothea E. Orem: Theory of Self-Care Deficit 86
Sister Callista Roy: Roy Adaptation Model 86
OTHER THEORISTS 87
KEY POINTS 88
REFERENCES 89
6 - PROVIDING PATIENT-CENTERED CARE THROUGH THE NURSING PROCESS 91
HISTORICAL PERSPECTIVE 93
NURSING PROCESS 93
Assessment 94
Data Collection Methods 95
Organization of Data Collection 96
Validating Assessment Data 96
Diagnosis 97
Prioritizing 98
Outcome Identification/Planning 99
Planning 100
Implementation 102
Evaluation 102
CONCEPT MAPPING 103
Developing a Concept Map 103
KEY POINTS 105
REFERENCES 107
7 - CRITICAL AND DIAGNOSTIC THINKING FOR BETTER CLINICAL JUDGMENT 108
DEFINITION OF CRITICAL THINKING 109
PURPOSE OF CRITICAL THINKING 109
Need for Critical Thinking 109
TYPES OF REASONING EMBEDDED IN CRITICAL THINKING 110
Reasoned Thought 110
Clinical Judgment 110
RELATED THINKING SKILLS 111
Diagnostic Thinking 111
Cultivated Thinking 111
Deductive Reasoning 111
Inductive Reasoning 112
ELEMENTS OF REASONING AND CRITICAL THOUGHT 112
Purpose 113
Question at Issue 113
Point of View 113
Available Information 113
Concepts 113
Assumptions 113
Implications and Consequences 114
Inferences 114
STRUCTURE OF CRITICAL THOUGHT 114
ATTRIBUTES OF THE CRITICAL THINKER 114
Curiosity 115
Diligent Pursuit of Evidence and Information 116
Rational Thought 116
Reflection 116
Creativity 116
Intuitive Thought 116
FOSTERING CRITICAL THOUGHT 117
KEY POINTS 118
REFERENCES 119
3 - The RN as a Provider of Care 120
8 - PRACTICING EVIDENCE-BASED DECISION MAKING 120
WHAT IS EVIDENCE-BASED PRACTICE? 122
DEFINING EVIDENCE-BASED PRACTICE 122
DEFINING ATTRIBUTES OF EVIDENCE-BASED PRACTICE 123
PUTTING EVIDENCE-BASED PRACTICE TO WORK 123
Getting Started 123
Step 1: Construct a Relevant, Answerable Question from an Identified Clinical Concern Case 124
Background questions. Background questions seek general knowledge about a disease or disease process, and foreground questions a... 124
Foreground questions. Foreground questions have four key components: patient- or problem-centered focus on knowledge about manag... 124
PICO. PICO is an acronym used to describe a format of the four elements required to formulate a good clinical question (P, patie... 124
Clinical question categories. The clinical question will fall into various categories that are classified according to use. Reme... 125
Step 2: Search the Literature for the Best External Evidence 126
MEDLINE. MEDLINE is the largest biomedical research literature database (over 10 million references) for general information. ME... 126
HealthStar. HealthStar indexes published literature on health sciences, technology, administration, and research. Its focus is o... 126
The Cochrane Library. The Cochrane Library is an electronic library designed to help make informed health care decisions. The pr... 126
National Guideline Clearinghouse. The National Guideline Clearinghouse provides evidence-based clinical guidelines. The Clearing... 126
Agency for Healthcare Research and Quality. The AHRQ has contributed to evidence-based practice by the establishment of 12 Evide... 127
Evaluating the strength of a study. Both the experienced RN and the new graduate lack a thorough understanding of the research p... 127
LIMITATIONS OF EVIDENCE-BASED PRACTICE 129
The Evidence 129
The Individual 129
The Health Care System 129
Nursing 129
APPARENT GAPS IN RESEARCH UTILIZATION 130
Research, Both Simple and Necessary 130
COMPONENTS AND PROCESS IN A RESEARCH STUDY 130
Concepts 130
Types of Variables 131
Defining Variables 133
Literature Search 134
RESEARCH PROCESS 134
Making Predictions 134
Defining the Research Study 135
Defining the Population 135
Selecting a Sample 136
Making a Data Collection Plan 136
Checking Reliability and Validity 136
Collecting Data 137
Interpreting the Results 137
Communicating the Results 137
RESEARCH UTILIZATION 137
Validating Research Results 138
Applying Research to Practice 138
Identifying Areas for Research 139
KEY POINTS 140
REFERENCES 142
9 - COMMUNICATING WITH PATIENTS AND CO-WORKERS 143
COMMUNICATION BASICS 144
VERBAL AND NONVERBAL COMMUNICATION 144
Therapeutic Communication 145
Communication Facilitators 146
Active Listening 146
Communication Blockers 146
THE NURSE–PATIENT RELATIONSHIP 147
Orientation 148
Working 149
Termination 153
HEALTH LITERACY AND CULTURAL COMPETENCE 154
Health Literacy 154
Culture 154
The Older Adult 155
COLLABORATIVE COMMUNICATION 156
Delegation 158
The Nurse–Physician Relationship 162
TeamSTEPPS 163
Documentation as Communication 164
KEY POINTS 167
REFERENCES 170
10 - TEACHING PATIENTS AND THEIR FAMILIES 172
THE PATIENT AS A LEARNER 173
PRINCIPLES OF TEACHING AND LEARNING 173
Basic Assumptions of Learning 174
BASIC PRINCIPLES OF LEARNING 174
Motivation to Learn 175
Barriers to Learning 175
Facilitation of Learning 175
Adult Learners 176
Relating to the Learner’s Level of Understanding 176
ASSESSMENT OF READINESS TO LEARN 178
Understanding Stressors 178
Need to Include Family in the Learning Process 179
Assess the Patient’s Current Level of Knowledge 179
EVALUATION OF EFFECTIVENESS OF LEARNING 180
Legal Implications 180
Demonstration of Learning 180
Following Up After Discharge 181
BASIC PRINCIPLES OF TEACHING 181
CHARACTERISTICS OF A TEACHER 182
Nurse Credibility 182
Confidence 182
Clear and Effective Communication 182
PROCESSES OF TEACHING PATIENTS AND FAMILIES 183
Preparing the Environment 183
Teaching Plan 183
Resources 183
Culture and Learning 185
Learning Styles 185
KEY POINTS 186
WEB RESOURCES 186
REFERENCES 187
11 - THE NURSES, IDEAS, AND FORCES THAT DEFINE THE PROFESSION 188
HISTORICAL FOUNDATIONS 190
Religious 190
Social 191
Political 193
NURSING TODAY: FACTORS INFLUENCING PRACTICE 194
Aging Population 194
Emphasis on Health Promotion and Disease Prevention 195
Outcomes-Oriented Patient-Centered Care 196
Cost Containment 196
Consider the Following Questions 196
Quality Improvement 197
KEY POINTS 200
REFERENCES 201
12 - UPHOLDING LEGAL AND ETHICAL PRINCIPLES 203
ISSUES IN LAW 204
SOURCES OF LAW 204
LEGAL PRINCIPLES 205
Confidentiality and the Right to Privacy 205
Patient Rights 205
Informed Consent 206
Assault and Battery 206
NEGLIGENCE AND MALPRACTICE 207
FAILURE TO RESCUE 209
DOCUMENTATION 210
MANDATORY REPORTING 211
LEGAL NURSE CONSULTANT 211
NURSING ETHICS 211
Autonomy 212
Veracity 213
Fidelity 213
Beneficence 213
Nonmaleficence 213
Confidentiality 213
Justice 213
ETHICS AND CULTURE 214
ETHICAL DILEMMAS 214
BIOETHICS 215
ETHICS COMMITTEES 215
ETHICAL THEORIES 216
Deontology 216
Utilitarianism 216
Virtue Ethics 216
The Ethic of Care 217
YOUR PROFESSIONAL COMMITMENT 217
ETHICAL DECISION MAKING 218
KEY POINTS 219
REFERENCES 221
13 - CARE AND SAFETY STANDARDS, COMPETENCE, AND NURSE ACCOUNTABILITY 223
CLASSIFICATION OF NURSING SKILL LEVEL 224
EDUCATIONAL AND PROFESSIONAL STANDARDS 225
Quality and Safety Education for Nurses 225
Professional Accountability 227
Personal Accountability 227
Professional Practice Standards and Standards of Care 228
MANAGING CARE ABERRANCES 229
Occurrence Reports 230
Root-Cause Analysis 230
Involving Management in Decision Making 231
PATIENT AND FAMILY COMPLAINTS 231
Chain of Command 232
Quality of Care Measurement 232
KEY POINTS 233
REFERENCES 234
4 - The RN as Manager of Care 236
14 - LEADING, DELEGATING, AND COLLABORATING 236
LEADERS, MANAGERS, AND FOLLOWERS 237
LEADERSHIP CHARACTERISTICS 238
Defining the Leadership Role 238
Leadership Styles 238
Leadership Approaches 239
Transactional Leadership 239
Transformational Leadership 240
Servant Leadership 240
Quantum Leadership 240
LEADING AND EMOTIONAL INTELLIGENCE 242
ETHICS AND CULTURE: CENTRAL TO LEADERSHIP 242
Ethics and Leadership 242
Culture and Leadership 243
DELEGATION 243
Principles of Delegation 243
Issues Related to Delegation 245
COLLABORATING IN PROVIDING CARE 246
Collaboration 246
Accountability 247
Professional Advocacy 247
Collaborating and Advocating Through the Medical Plan of Care 248
DECISION MAKING AND PROBLEM SOLVING 250
CONFLICT MANAGEMENT 251
Sacrifice Resolution 253
Competition Resolution 253
Win-Win Resolution 253
KEY POINTS 253
REFERENCES 257
15 - PROMOTING HEALTHFUL LIVING IN THE PRIMARY CARE SETTING 258
THEORETICAL FRAMEWORK 259
Self-Care 259
Health Promotion Model 260
HEALTH PROMOTION PRINCIPLES 260
Health Promotion Plan of Care 261
The RN’s Role in Health Promotion 261
ENVIRONMENTAL INFLUENCES ON HEALTH PROMOTION 263
Physical 263
Cultural, Spiritual, and Social 264
Economic 265
DEVELOPMENTAL 266
PRIMARY HEALTH CARE SYSTEMS 268
GLOBAL HEALTH PROMOTION 268
COMMUNITY HEALTH PROMOTION 270
SELF-HEALTH PROMOTION 270
KEY POINTS 270
REFERENCES 272
16 - MANAGING CARE IN SECONDARY AND TERTIARY HEALTH CARE 273
THEORETICAL FRAMEWORK 274
MANAGER OF CARE 275
Environmental Influences 275
Spiritual Needs and Influences 276
Cultural Needs and Influences 277
Developmental Needs and Influences 278
Social Needs and Influences 278
RESOURCE MANAGER 279
Clinical Pathways 279
Discharge Planning 280
TERTIARY CARE REFERRALS 280
KEY POINTS 281
REFERENCES 282
5 - Putting It All Together 284
17 - REFLECTING ON YOUR TRANSITION 284
ASSESSMENT 285
CRITICAL REFLECTION 285
MAKING THE DIAGNOSIS 288
PLANNING 288
IMPLEMENTATION 289
Your New Tools 290
What’s Stopping You? 291
EVALUATION 291
KEY POINTS 292
REFERENCES 293
18 - PASSING THE NCLEX-RN® 294
EVOLUTION OF THE NCLEX-RN® EXAM 295
CAT 295
NCLEX TEST PLAN 296
NCLEX-RN® STYLE TEST ITEMS 299
EVIDENCE-BASED STRATEGIES FOR TESTING SUCCESS 301
KATTS FRAMEWORK 302
THE FIVE C’S 303
KEY POINTS 304
WEB RESOURCES 305
REFERENCES 306
1 - BASIC MATH REVIEW: PREPARING FOR MEDICATION CALCULATIONS 307
PREPARING FOR CALCULATIONS: BASIC MATH REVIEW 307
Fractions 307
Reducing Fractions 308
Improper Fractions and Mixed Numbers 308
Lowest Common Denominator 308
Adding Fractions 309
Subtracting Fractions 309
Multiplying Fractions 310
Dividing Fractions 311
RATIO AND PROPORTION 311
Conversions of Units of Measurement 311
Metric System 312
Household Measurements 312
METHODS OF DOSAGE CALCULATIONS 313
Ratio and Proportion Method 313
FORMULA METHOD 314
DIMENSIONAL ANALYSIS (FACTOR LABELING) METHOD 315
BASIC DOSAGE CALCULATIONS USING DIMENSIONAL ANALYSIS 316
FORMAT TO SET UP THE IV RATE PROBLEM USING DA 319
EXAMPLE OF CALCULATIONS 320
ADVANCED STEPS TO CALCULATE DOSAGES USING DIMENSIONAL ANALYSIS 320
EXAMPLE OF COMPLEX IV RATE CALCULATIONS 320
EXAMPLE OF VERIFYING A PEDIATRIC MEDICATION ORDER 322
WEB RESOURCES 324
INDEX 325
A 325
B 326
C 326
D 328
E 328
F 329
G 330
H 330
I 331
J 331
K 331
L 331
M 332
N 333
O 334
P 335
Q 336
R 336
S 337
T 338
U 339
V 339
W 340
Z 340