Exam1

Question 1

the central focus of all definitions of nursing

Answer 1

patient

Question 2

exam for licensing of nurses in the United States

Answer 2

NCLEX-RN/PN

Question 3

the process by which an educational program is evaluated and then recognized as having met certain pre-determined standards of education

Answer 3

Accreditation

Question 4

a legal document that permits a person to offer the public skills and knowledge after meeting specific requirements

Answer 4

License

Question 5

refers to the ways in which professional competence is ensured and maintained

Answer 5

credentialing

Question 6

the process by which a person is granted recognition by having met certain criteria established by a non-governmental association

Answer 6

Certification

Question 7

the process of exchanging information and then generating and transmitting the meaning between two or more individuals

Answer 7

communication

Question 8

the person who initiates the conversation

Answer 8

source/encoder

Question 9

the actual product of a source

Answer 9

message

Question 10

how the message is sent; spoken, sight, touch

Answer 10

channel

Question 11

person who translates or interprets the message

Answer 11

receiver/decoder

Question 12

evidence from the receiver that the message was understood

Answer 12

feedback

Question 13

the exchange of information that is spoken and written in words

Answer 13

verbal communication

Question 14

self talk that happens within the individual

Answer 14

intrapersonal communication

Question 15

between two or more people with a goal to exchange messages

Answer 15

interpersonal

Question 16

communication in small groups

Answer 16

group communication

Question 17

members of the healthcare team who interact with the patient; physician, nurse, nutritionist, rehab members, social work, hospital clergy

Answer 17

interdisciplinary communication

Question 18

rude, intimidating, and undesirable behavior directed at another person

Answer 18

incivility

Question 19

anger and aggressive behavior between nurses or nurse-to-nurse hostility

Answer 19

horizontal violence

Question 20

set of principles that reflect the primary goals, values, and obligations of the profession

Answer 20

Code of Ethics

Question 21

the nurse’s best legal safeguard

Answer 21

Competent practice

Question 22

Who was Catherine McCauley

Answer 22

• “Dedicated to the education of women in an environment that calls forth potential and fosters leadership.”
o Catherine was a Sister of Mercy who founded CSM

Question 23

5 BSN Curriculum strands for College of Saint Mary Nursing Students- how could these be portrayed in a nursing example?

Answer 23

Professional role- 
leadership-
communication-
patient-centered care-
safety

Question 24

defined nursing as both an art and a science, differentiated nursing from medicine, identified personal needs of a patient and role of the nurse, established standards for hospital management, stressed the need for CEU’s for nurses, maintained accurate records/beginning of nursing research

Answer 24

Florence Nightingale

Question 25

Established the Red Cross in the United States in 1882

Answer 25

Clara Barton

Question 26

Crusader for the reform of the treatment of mentally ill

Answer 26

Dorothea Dix

Question 27

Founder of public health nursing

Answer 27

Lillian Wald

Question 28

First president of what we now call the American Nurses Association

Answer 28

Isabel Hampton Robb

Question 29

Nursing leader and women’s rights activist, instrumental in Constitutional amendment giving women right to vote

Answer 29

Lavinia Lloyd Dock

Question 30

What are the characteristics of a profession?

Answer 30

* Practice in a wide variety of settings * Develop a specific body of knowledge * Conduct and publish nursing research- ongoing * Code of ethics * Professional organization that sets standards * Use nursing knowledge as a base for nursing evidence-based practice

Question 31

What are the Aims of Nursing?

Answer 31

Promote Health, prevent illness, restore health, facilitate coping with disability or death

Question 32

done by analyzing, identifying and maximizing each patient’s own individual strengths as components of preventing illness, restoring health, and facilitating coping with disability or death

Answer 32

promoting health

Question 33

done by teaching and by personal example such as health assessments and educational programs in the area (expecting mothers, smoking cessation)

Answer 33

Preventing illness

Question 34

Referring questions and abnormal findings to other healthcare providers, perform assessments that detect an illness, provide direct care, plan, teach and carry out rehab for illnesses

Answer 34

Restore health

Question 35

active in hospice programs which assist patients and their families in multiple settings in preparing for death and in living as comfortably as possible until death occurs

Answer 35

facilitating coping with disability or death

Question 36

How do nurses meet the Aims of Nursing?

Answer 36

* Cognitive skills- knowledge, critical thinking skills, nursing process (assessment, diagnosis, plan, implement, evaluate) * Technical skills- manipulate equipment skillfully, trouble shoot * Interpersonal skills- establish caring relationships, communicate with medical team * Ethical/legal skills- conduct themselves in manner consistent with their moral and professional role responsibilities

Question 37

• Established in 1970, it is a nonprofit organization that works outside of the government to provide unbiased and authoritative advice to public

Answer 37

The Institute of Medicine

Question 38

What is the goal of IOM?

Answer 38

• To help public, government, educational institutions make informed health decisions by studying major issues, providing research, and facilitating discussions on key issues

Question 39

Graduate Nursing Education-what professions require a Master’s degree?

Answer 39

clinical nure specialists, nurse mid wives and nurse practitioners

Question 40

What is the Mutual Recognition Model of Nursing Licensure?

Answer 40

allows a nurse to practice in state of residency and in other states both physically and electronically subject to state’s practice law. Holding a multi-state license

Question 41

What is the Nursing Practice Act?

Answer 41

* NPA was originated to protect the public from unsafe and unlicensed practice. It is composed of a set of state laws that define nursing, set standards for the profession, and regulates nursing practice and education * Maps the boundaries of nursing practice in each state. Defines the legal “scope of nursing practice”

Question 42

What is the ultimate goal of the NPA?

Answer 42

provide quality nursing care by qualified practitioners

Question 43

What is the State Board of Nursing and the boards’ role in regulating nursing practice?

Answer 43

* They protect the public by ensuring standards or practice are met and nurses are competent in their practice * They interpret and enforce the state nurse practice act * Administer nurse licensure-oversee exams to grant licenses, take action against license of nurses who have exhibited unsafe nursing practice, accredit or approve nurse education programs * Investigate complaints concerning nurses’ compliance with the nurse practice law in each state * Holds hearings for license holders * Determines and administers disciplinary actions based on evidence of violations of the law

Question 44

What is the goal of a helping relationship?

Answer 44

o Goal of a helping relationship is increased independence for the patient, greater feelings of worth, and improved health and well-being

Question 45

roles clarified, agreement or contract about relationship established, goals and means of achieving them, patient provided with orientation to the facility, its services and any other information to decrease anxiety

Answer 45

orientation phase

Question 46

nurse works with patient to meet their physical and psychosocial needs, interaction is the essence of this phase

Answer 46

working phase

Question 47

examine with the patient the goals of the helping relationship for indications of their attainment or evidence of progress, emotions arise

Answer 47

termination phase

Question 48

What is the ANA Code of Ethics- why are nurses concerned with this document?

Answer 48

* Statement of the ethical obligations and duties of every individual who enters the nursing profession * The professions’ nonnegotiable ethical standards * The expression of nursing’s own understanding of its commitment to society

Question 49

things you hold internally such as faith, trust, confidence

Answer 49

belief

Question 50

a set of beliefs that give meaning to your life such as integrity and honesty

Answer 50

values

Question 51

an organization of values ranked by importance

Answer 51

value system

Question 52

concern for the welfare and well-being of others

Answer 52

alrtuism

Question 53

the right to self-determination in which you determine your rights to make decisions about health care

Answer 53

autonomy

Question 54

respect for inherent worth and uniqueness of individuals and populations

Answer 54

human dignity

Question 55

acting in accordance with an appropriate code of ethics and accepted standards of practice: honesty

Answer 55

integrity

Question 56

upholding moral, legal and humanistic principles: Assure EQUAL treatment

Answer 56

social justice

Question 57

avoid causing harm

Answer 57

nonmaleficense

Question 58

benefit the patient, always do good

Answer 58

beneficence

Question 59

act and treat all patients fairly

Answer 59

justice

Question 60

keep your promises

Answer 60

fidelity

Question 61

the protection or support of another’s rights…”being an advocate”

Answer 61

advocacy

Question 62

the free will, the right to determine one’s own course of action or fate

Answer 62

self-determination

Question 63

the systematic process of following steps to determine an outcome to an ethical decision, usually used in conjunction with an Ethics committee in a hospital

Answer 63

ethical decision making model

Question 64

standard or rule of conduct established and enforced by the government intended to protect the rights of the public

Answer 64

law

Question 65

four elements must be established to prove that malpractice or negligence has occurred

Answer 65

liability

Question 66

• A situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action

Answer 66

ethical dilemma

Question 67

• Nursing care that is provided or supported by sound, scientific rationale

Answer 67

evidence-based practice

Question 68

art and science of nursing in meeting their needs

Answer 68

caregiver

Question 69

maintaining helping relationships

Answer 69

communicator

Question 70

use of communication skills to asses & inform the patient and the family

Answer 70

teacher/educator

Question 71

solving problems, giving advice and referrals

Answer 71

counselor

Question 72

self-confident practice of nursing when providing care

Answer 72

leader

Question 73

increasing knowledge to improve patient care

Answer 73

researcher

Question 74

protect the patient’s rights, give them autonomy to make their own decision

Answer 74

advocate

Question 75

use of organization, communication to all health team

Answer 75

collaborator

Question 76

What are the characteristics or specifications of APA style?

Answer 76

* Double spaced * 1 inch margins on both sides of the paper * 12 point Times New Roman font * Title page with a running head * APA citations and works cited

Question 77

What is SBAR and how do you put a nursing situation into SBAR format?

Answer 77

* Situation- state clearly/ briefly state the situation * Background- clear, relevant background information regarding the problem * Assessment- What’s going on? * Recommendation: What actions are you asking for from the physician?

Question 78

What is informed consent and what are the nurse’s responsibilities with informed consent?

Answer 78

• Informed consent is needed for any healthcare procedure • The patient must be 18 years (19 in NE) to give consent o Disclosure- inform the patient about the procedure to be completed o Comprehension- correctly repeating the procedure to the patient in his or her own words to confirm consent o Competence- make sure patient understands the information needed to make the decision o Voluntariness- the patient is voluntarily consenting or refusing