Quiz 1 Flashcards

This flashcard deck was created using Flashcardlet's card creator (59 cards)

1
Q

Responsibilities of RN

General Functions

A
  • Collects data
  • Analyzes data & determines health care needs
  • Identifies goals
  • Carries out nursing actions
  • Involves pt/families in health promotion & health matenice
  • Evaluates effectiveness of quality of nursing care
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2
Q

Negativies of Nursing

A
  • Multiple levels of nursing

- Definitions are often broad

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3
Q

Scope of Nursing

A
  1. Promoting Health & Wellness
  2. Preventing Illness
  3. Restoring Health
  4. Caring for the dying
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4
Q

Nursing History:

A

Women’s Roles
Religion
War

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5
Q

Nursing History: Religion

A

Christian Values: desire to do good to others

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6
Q

Nursing History: War

A

American Cilvil War: Harriet Tubman & Sojourner Truth emerged

Vietnam: Youngest group of medical personnel to serve

WWI: “spirit of nursing” monument

WWII: shortage of caregivers = Associates Degree

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7
Q

Harriet Tubman

A

Known as the “Moses of her people” for her work in the underground railroad
Civil war - nursed the sick & suffering for her own race

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8
Q

Sojourner Truth

A

Abolitionist
Underground railroad agent
Preacher & women’s rights advocate
Nurse during the Civil War

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9
Q

Walt Whitman & Louisa May Alcott

A

Noted authors - volunteered to give care to injured soldiers in military hospitals

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10
Q

Dorthea Dix

A
  • Union’s superintended of female nurses

- responsible for recruiting & supervising nurses in the army hospital during the civil war

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11
Q

Florence Nightingle

1820-1910

A
  • ‘The Guardian Angel’ or ‘Angel of Mercy’
  • Referred to as the 1st nurse researcher & theorist
  • Improve standards for the care
  • Iinterventions dramatically reduced mortality rates among soldiers
  • Reformed hospitals, produced & implemented public health policies
  • Developed the Nightingale School for Nurses
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12
Q

Clara Barton

1821-1912

A

Helped establish the American Red Cross

School teacher-volunteered during the Civil War

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13
Q

Linda Richards

1841-1930

A

America’s 1st trained nurse
Intraducted written pt record & doctors orders
Initiated uniforms
Credited for her work in psychiatric & industrial nursing

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14
Q

Mary Mahoney

1845-1926

A

1st African American professional nurse

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15
Q

Lillian Wald

1867-1940

A

Founded Public Health Nursing

Provided nursing services, social services, & organized educational & culture actives

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16
Q

Lavinia L. Dock

1858-1956

A

Feminist, political activist, prolific writer
Campaigned for nurses not physicians to control their profession
Protested for women’s rights-resulted the 19th amendment which granted woman the right to vote

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17
Q

Margaret Higgins Sanger

1879-1966

A

Founder of Planned Parenthood
Imprisoned for opening the 1st birth control information clinic in the US
NY public health nurse

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18
Q

Mary Breckinridge

1881-1965

A

Founded the Frontier Nursing Service in Kentucky in 1925

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19
Q

What is a Position

A

Group of tasks assigned to one person

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20
Q

What is a Job

A

Group of positions similar in nature - carried out by one or more persons

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21
Q

What is a Occupation

A

Group of jobs similar in type of work

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22
Q

What is a Profession

A

Type of occupation meeting certain criteria - raise it to a level above occupation

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23
Q

What is a Professional

A

Belongs to & practices profession

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24
Q

What is Professionalism

A

Demonstration of high-level personal, ethical, & skill characteristics

25
Trait Theroy
When an occupation becomes a profession
26
NCLEX
National Council Licensure Examination Administered in each state Licensure & registration must be renewed regularly in order to maintain valid High-school graduate, Verification of completion of nursing program/school is required, no prior legal convictions
27
NCLEX Mutual Recognition
Some state legislatures have created a regulatory model called mutual recognition that allows for multi-state licensure under one license. States that enter into these recognition agreements are referred to as compact states.
28
Accreditation
In addition to state approval, the National League of Nursing Accrediting Commission provides accreditation for all levels of nursing programs, and the Commission on Collegiate Nursing Education (CCNE) accredits BSN & higher degree programs Accreditation is a voluntary, peer review process.
29
Levels of Nursing | LPN & LVN
Licensed Practical Nurse - LPN Licensed Vocational Nurse - LVN Care for pts under the direction of physicians & RNs Usually 12month program Provides basic bedside care / task oriented Must take NCLEX-PN
30
Levels of Nursing RN
Diploma, Associate degree, & Bachelors program Provides supervision to LPN's & CNA's
31
Levels of Nursing Masters vs Doctorate
Masters (MSN) - nursing experience required - specializes Doctorate (PhD or DNP) - need masters 1st PhD - reasearched based DNP - clinical base
32
Levels of Nursing Advanced Pratice Nurse
Advanced Practice Nurse (APN) Nurse Practitioner Clinical Nurse Specialist Nurse Midwives Nurse Anesthetist Most can Rx medications & many can practice independently.
33
Levels of Nursing Ladder Programs
LPN programs work w/ associate degree programs Comprises 1st yr of an Associates program for RN - if successful in passing the NCLEX-PN, students can work while continuing the RN education
34
Permissive licensure
Law allows anyone to practice as long as they do not claim to hold the RN credential
35
Mandatory licensure
Law forbids anyone to practice the profession without a license. Started after WWII
36
Nurse Practice Act
Set of laws that govern certain aspects of nursing practice. It is needed bc nursing is a health profession that poses a risk to the public if practiced by someone who is unprepared & incompetent. Each state's legislature determines what goes into that state's Practice Act Includes: definition of nursing, scope of practice, licensure requirements, renewal of license, continuing education
37
Nursing Practice Act | 2 Essential Purposes
1. Protect the health & safety of citizens | 2. Protects the RN title
38
Sunset Legislation
Laws that make sure legislation is current & reflects public needs. Allows scope of practice to be updated. Ex: change in requirements for license renewal - added 30 CDU's
39
Levels of Nursing Certification
Recognizes excellence in practice. | 1st to certify advanced practitioners -anesthesia in 1946
40
Temporary Practice Permit
Graduate nurse practices under supervision of RN. No longer then 1 yr. Expires if NCLEX is failed
41
Theory vs Science
Theory: group of related concepts that explain existing phenomena & predicts future events Science: bringing together facts & giving them coherence & integrity
42
Levels of Health Care Services Primary Secondary Tertiary
Primary: Health Promotion & Preventable Care Secondary: Emergency & Acute Care Tertiary: Long term, Rehab & Care of Dying
43
``` Types of Health Care Systems Type I Type II Type III Type IV ```
Type I - Private Health Care Insurance (USA, Medicare, Medicaid) Type II - National Health Insurance (Canada - uses tax dollars) Type III - National Health Service (founded & operated by the government - UK) Type IV - Socialized Health System (Canada, Military, Sport Teams)
44
Themes that Raised Health Care Cost
- Physicians making primary health care decisions - Providing the 'best' possible care - Increased cost for new technology - Fee For Service - Economic incentives to provide as much care as possible bc insurance was paying the bill - Lack of cost consciousness - Medicare expenditures increased
45
When was the first group health care coverage?
1929 | Health coverage for a monthly fee for teachers (BCBS)
46
Medicare
1965- Health care made advalible to millions of Americans Medicare was the single largest payer of hospital changes before 1983 when they changed to DRG -Largest health insurance program in the US -Entitlement program based on age or disability (not on need)
47
Medicare | Part A
Covers inpatient hospital services Skilled nursing facilities (SNFs) Home Health Benefits
48
Medicare | Part B
Covers physician services
49
Medicare | Part D
Provides Rx medication benefits
50
Medicaid
1965 Federal & State health insurance program Intended to improve access to health care for the poor Covers: disabled, low-income households w/children & nursing homes who those w/ low income For most states, Medicaid represents the fastest growing component in the state budget
51
DRGs | Diagnosis related groups
Diagnosis-Related Groups 1983 Medicare moved to limited payment system - Amount pre-established by Dx Expanded roles as nursing administrators
52
RSBRVS | Resource-Based Relative Value Scale
Brought physician reimbursement more in line with skilled required
53
Managed Care
Organization - provides comprehensive, preventative & treatment services to a enrolled person. Has the capacity to dramatically influence who provides & receives care & compensation Coverage my be denied Goal is to minimize payment for inappropriate services
54
Managed Care Organization | MCOs
1. Health Maintenance Organization HMOs 2. Preferred Provider Organization PPOs 3. Point-of-Service Plan POS
55
Uninsured & Underinsured
- Less likely to use preventive care - More likely to be hospitalized for avoidable conditions - Generate uncompensated care & bad debt for health care providers who then increase charges (cost shifting)
56
Cost Shifting
Cased by uninsured | Health care providers increase charges to paying customers due to not getting paid from the uninsured
57
Health Care Resources
Labor - nurses, physicians (education) Capitol - medical facilities & equipment Land - area for hospitals & other facilities Entrepreneurship - skills & risks involved in the business side
58
Allocating Health Care
US - only western industrialized country out of 25 without a national health care system
59
Third Party Payers
Entities other than the pt that assumes responsibility for payment Ex: health insurance companies (most common) Medicare, Medicaid & VA