Quiz 1

Question 1

Standards of practice

Answer 1

• 2 content areas
  1. Nurses should demonstrate a competency of nurses based on nursing process (assessment, diagnosis, outcomes, ID, planning, implementation and evaluation)
  2. describes the level of competence required in the professional rile, delineating nursing activities in areas of ethics, edu, evidence based practice and research, quality of practice, communication, collegiality, collaboration professional practice eval, resource utilization and environmental health

Question 2

ANA Scope and standards of practice

Answer 2

• 5 tenets
  1. Individualizing care to meet specific needs
  2. Coordinate care by establishing partnerships and shared goals
  3. Concept of caring is central to nursing practice
  4. Using evidence based knowledge
  5. Emphasizes the existence of a strong link between the professional work environment and the ability to provide quality healthcare, optimal outcomes

Question 3

Profession vs. occupation

Answer 3

Profession: An occupation that requires advanced knowledge and skills and grows out of society’s needs for special services
Occupation: Broad terms that describes a field of career interests, a role in society that performed regularly for payment

Question 4

What are ethics?

Answer 4

The study of conduct and character

Question 5

What is a code of ethics?

Answer 5

A guide for the expectations and standards of a profession

Question 6

What are the ethical principles for patient care

Answer 6

Autonomy
Beneficence
Veracity
Fidelity
Justice
Nonmaleficence

Question 7

What is autonomy

Answer 7

Freedom of independence to make own decisions

Question 8

What is Beneficence?

Answer 8

Actions guided by compassion/kindness

Question 9

What is Veracity

Answer 9

telling the truth

Question 10

what is fidelity

Answer 10

keeping promises or commitments

Question 11

What is justice

Answer 11

actions are fair and equitable

Question 12

What is nonmaleficence

Answer 12

commitment todo no harm

Question 13

Unintentional vs. intentional negligence

Answer 13

Negligence is failure to exercise reasonable or ordinary care, doesn’t provide the standard of care
- Failure to use such care as a reasonably prudent and careful person would use under similar circumstances
Intentional: Knowingly disregards a patients safety or deliberately fails to act
Unintentional: Fails to meet the standard of care without malicious intent

Question 14

What are the levels of healthcare?

Answer 14

Preventive level
Primary healthcare
Secondary healthcare
Tertiary healthcare
Restorative healthcare
Continuing healthcare

Question 15

What is preventive healthcare

Answer 15

Focuses on educating and equipping patients to reduce and control risk factors for disease
Example: Focus on stress management and imunizations

Question 16

What is Primary healthcare

Answer 16

Emphasis health promotion and includes prenatal and well-baby care, family planning, nutrition counseling and disease control
Ex: Office or clinic visits

Question 17

Secondary healthcare

Answer 17

Includes the diagnosis and treatment of acute illness and injury
Ex: care in hospital settings, as emergent care centers

Question 18

Tertiary healthcare

Answer 18

Acute care
Involves the provision of specialized highly technical care
Ex: Intensive care, burn centers

Question 19

Restorative health care

Answer 19

Involved intermediate follow up care for restoring health and promoting self-care
Ex: Home health care, rehab centers

Question 20

Continuing healthcare

Answer 20

Addresses long-term or chronic health care needs over a period of time
Ex: end of life care, palliative care, hospice

Question 21

What are the principle of ethics

Answer 21

Advocacy
Responsibility
Accountability
Confidentiality

Question 22

What is Advocacy

Answer 22

support and defend clients’ health, wellness, safety, wishes, and personal rights, including privacy

Question 23

What is Responsiblity

Answer 23

willingness to respect obligations and follow through on promises

Question 24

What is accountablity

Answer 24

ability to answer for one’s own actions

Question 25

What is confiendality

Answer 25

protection of privacy without diminishing access to high quality care

Question 26

What is malpractice

Answer 26

-Improper or unethical conduct of unreasonable lack of skill by a holder of a professional or official position - Breach in the standard of care provided by a nurse that results in harm to the patient

Question 27

What four elements must be present for malpractice

Answer 27

Duty, breach of duty, causation, injury

Question 28

What is delegation

Answer 28

The transfer of responsibility for the performance of an activity from one person to another while retaining accountability for the outcome

Question 29

What are the five rights of delegation

Answer 29

right task, right circumstance, right person, right supervision, right direction and communication

Question 30

Nurse practice Act

Answer 30

- Activities you perform in the delivery of client care cary from state to state - Laws that regulate professional nursing pratice - The laws defining nursing's scope of practice in each state, together with the board of nursing's rules and procedures are the NPA - Serve to protect the health, safety and welfare of general public

Question 31

Who is the founder of nursing and what is their significance

Answer 31

Florence Nightingale Significant because she revolutionized nursing practice, founded the first nursing school, promoted evidence based nursing, and was a patient advocate

Question 32

What can and cant be delegated?

Answer 32

You can have them ambulate a patient, they assume responsibility for the patient however they are in charge of assessing the clients ability to ambulate or evaluate weather or not the activity is effective intervention. That is not within their scope of practice. So I as the nurse am responsible for the outcome of the activity and making sure it is safe

Question 33

What is a professional nurse, practical nurse, nursing assistant

Answer 33

- Professional nurse - Practical nurse: under direction and supervision of an RN or other licenses healthcare professional

Question 34

Types of Insurance

Answer 34

Medicare: - 65 years + - Part A-D A: Insurance for hospital stays, home health, hospice B: Insurance for outpatient and provider services C: Medicare advantage or supplement plan (covers A, B, sometimes D) D: Medication coverage for those eligible and required a monthly premium Medicaid: - Low income patients, federally and state funded, individual states determine eligiblity requirements Private Plans: - Traditional insurance reimburses for services on a fee for service basis State Children's Health Insurance Program: - Coverage for uninsured children up to age 19 at low cost to parents HMO: See only the the doctors in their network PPO: Tight management, doctors are employed by the company, little more flexible

Question 35

Regulatory agencies

Answer 35

oversee and enforce healthcare laws, nursing standards, and patient safety to ensure high-quality care.

Question 36

Defamation of character

Answer 36

False statements made about the nurse, coworkers or patients

Question 37

Invasion of privacy

Answer 37

Violating HIPPA, talking about patients specifically with identification details not in a secure place or with people who are not involved with the patient

Question 38

Types of positioning