TEST 1 - UNIT A - EF - NURSING FOUNDATIONS Flashcards
(216 cards)
1
Q
Health literacy encompasses
A
clients’ knowledge of their health and their ability to take action to maintain and improve their health
2
Q
Nursing competencies include
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advocacy, change management, communication, and collaboration.
3
Q
advanced practice registered nurses (APRN)
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A nurse who has earned educational degrees and nursing specialties and certifications beyond the MSN level.
4
Q
advocacy
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Speaking up for clients’ needs when the clients are unable to speak for themselves, and supporting clients to make choices for their own health.
5
Q
Defending the rights, interests, and safety of someone who is vulnerable.
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The act of defending the interests, rights, and safety of those who cannot do it for themselves.
6
Q
American Nurses Association
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A widely respected organization that supports nurses health and wellness, fosters high standards, promotes environments that are safe, ensures ethical behavior, and advocates for nurses and the public regarding health care issues.
7
Q
change agent
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A nurse who brings innovation for improvement through knowledge, critical thinking, objectivity, and practice.
8
Q
change management
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The goal of nurse managers who help to bring about change with a goal to constantly improve the staff workflow and the client outcomes.
9
Q
Code of Ethics for Nurses
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Developed by the ANA, this document outlines rules for nurses about client privacy, nursing conduct, and nursing behaviors to protect clients and the profession.
10
Q
collaboration
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Working together with the interprofessional team to address the various aspects of the client s health. The interprofessional team consists of professionals from multiple disciplines (e.g., physical, occupational and speech therapy, health providers, dietitians, respiratory therapists) who coordinate care, make plans, and set goals for the best client outcome.
11
Q
evidence-based practice
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The process of using evidence from credible scientific research to guide nursing interventions and clinical judgment.
12
Q
Nursing: Scope and Standards of Practice, a document that provides a f
A
ramework for all nurses and clarifies what nursing involves and the responsibilities of the nurse as a professional.
13
Q
The scope of practice describes the following.
A
What the nurse does
What the nurse’s responsibilities are
Where and when client care is to be performed
Why and how client care is achieved
14
Q
SELF DETERMINATION
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RESPONSIBILITY OF EACH INDIVIDUAL TO ACT PROFESSIONALY WITHIN THEIR ROLE AS A NURSE
15
Q
POLICIES AND PROCEDURES
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GOVERINING RULES / REGULATIONS ESTABLISHED BY INSTITUTIONS / ORGANIZATIONS WHICH EDIRECT NURSING PRACTICE
16
Q
NURSE PRACTICE ACT
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RULES / REGULATION WHICH ARE DETERMINED BY EACH STATE TO GUIDE DELIVERY OF NURSING CARE TO CLIENTS
17
Q
SCOPE AND STANDARDS OF PRACTICE
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EXPLANATORY STATEMENTS THAT DESCRBIE COMPETEN LEVEL OF NURSING CARE AND PROFESSIONALISM
18
Q
Code of Ethics
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INTERPRETIVE STATEMENTS THAT ADDRESS VALUES / CLIENT OBLIGATIONS / IDEALS OF NURSING PROGESSION
19
Q
A Nurse Practice Act
A
is a legal and regulatory body that is created by, and applicable in, each individual state. It establishes common definitions, rules, and regulations to guide the practice of a licensed nurse and thereby promote quality of care and safety when caring for a client.
20
Q
The ANA’sScope of Nursing Practiceprovides the nurse with
A
a clear definition of the complex and dynamic role of the nurse and the expectations of the nurse in that role. The ANA’sStandards of Nursing Practiceare explanatory statements that describe a competent level of care and professionalism that all nurses should achieve.
21
Q
Code of Ethics for Nursesassists a nurse w/
A
ethical decision making, by incorporating the nurse’s value system, duty, obligation to the client, and call to uphold professional ideals.
22
Q
A nurse is obligated to practice not only within state rules and regulations, but also by following
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specific policies and procedures within the direction of the facility where the nurse is working.
23
Q
A nurse through acquired knowledge, skills, and critical thinking determines the
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appropriate nursing response based on the scope and standard of practice, rules, laws, regulations, and facility policies and procedures.
24
Q
Based on this self-determination and nursing identity, each individual nurseis responsible for
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his or her own practice—for making these decisions and acting professionally within the role as a nurse.
25
Interwoven throughout all levels of these regulations, laws, standards, and facility policies and procedures are principles of
quality, evidence-based practice, and safety, which are critical elements of every decision and action a nurse takes in practice.
26
Nightingale
DOCUMENTATION
HAND HYGIENE
EVIDENCE BASED PRACTICE
DATA COLLECTION
STARTED NURSING SCHOOLS
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Barton
served in the battlefields/ bringing necessary supplies / comfort / food to wounded
created center to locate missing soldiers
started the American Red Cross.
FORMALIZED NURSING EDUCATION
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DIX
not a nurse, but rather a teacher
volunteered to care for soldiers during the Civil War
appointed Superintendent of Army Nurses for the Union Army
pushed for formal training for nurses.
mental health AWARENESS
indigenous rights
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Ildaura Murillo-Rohde
doctorate in nursing in the 1970s
founded the National Association of Hispanic Nurses (NAHA).
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Eddie Bernice Johnson
faced segregation as a student,
CREATED OPPORTUNITIES FOR MINORS
U.S. Congress, as a representative from Texas
introduced the STEM (science, technology, engineering, and mathematics) - provide grant awards to minority students.
31
LPN: .
A licensed practical nurse (LPN) or licensed vocational nurse (LVN) degree can be obtained in one year
32
RN:
A registered nurse (RN) degree can be achieved in two to four years, depending on which of the following educational programs is chosen:
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THREE WAYS TO GET AN RN DEGREE
Diploma nurse: Hospital-based, non-degree
ADN: Associate degree in nursing
BSN: Bachelor’s degree in nursing
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Patricia Benner (1982) has described the
transition from novice to expert.
35
LPNs and LVNs practice nursing under the supervision of
an RN.
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Each nursing degree has different lengths of study and difficulty, but all candidates for degrees are required to take the same
National Council Licensure Examination (NCLEX)
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Upon passing the licensure exam, nurses are expected to follow the
Nurse Practice Act for the state in which they practice.
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One advanced degree option FOR RNS IS is the
(Dcotorate of Nursing) DNP degree.
PhD
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DNP:
Doctor of nursing practice—a clinical practice degree
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PhD:
Doctor of philosophy in nursing—a research-based degree
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DNP degree recommended by American Association of Colleges of Nursing to become the
next step for APRNs (Advanced practice nurses)
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Three roles of APRN's
nurse practitioners, nurse anesthetists, clinical nurse specialists.
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APRN was designed to be the terminal degree instead of
MSN
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Benners firve stages
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
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Novice
nursing students / new nurses - no previous experience.
cannot yet draw on own judgment.
struggles to decide which tasks most relevant in real-life situations.
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Advanced Beginner
recognize patterns / recurrent situations.
focus is on remembering / following rules / guidelines
needs clinical support to set priorities
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Competent
able to prioritize tasks by drawing on past experiences.
may not function w/ same speed / ease as proficient nurses
recognize patterns in clinical situations more quickly / accurately than advanced beginners
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Proficient
able to understand bigger picture / desired outcome of situations - facilitates improved decision making.
able to respond to changing situations / modify plans in face of different events.
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Expert
extensive experience / knowledge
can handle complex client conditions.
have self-confidence / trust their intuitive sense
knows what needs to be done / able to perform it well.
50
Roles a nurse may assume
care provider
case manager
researcher
educator
leader
manager
change agent
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A nurse is most often identified as a
care provider
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Nursing focuses on care of the whole person this includes
physical, mental, emotional, and spiritual health
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nurse has a unique role as an
advocate for the client.
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Nurses must be able to provide professional empathy to all clients, regardless of their
race, illness, socioeconomic status, ethnicity, religion, and level of education.
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A critical part of caring for the whole person is practicing what type of care
culturally competent care.
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practicing culturally competent care.
being senstive to individual cultural preferences, also referred to as
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Increased number of health problems (also known as comorbidities) may lead to
fragmentation of the care services clients receive.
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nurse works as a case manager by
by communicating w/ appropriate interprofessional team members to create a plan of care that will meet the needs of the whole client, including the need for interdisciplinary services, as well as coordinating the client’s educational needs as they relate to the disease process, medications, and discharge instructions.
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interdisciplinary services
physical therapy occupational therapy, enterostomal therapy, home health nursing, speech therapy
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nurse works as a researcher
practice - nurses utilize research to provide evidence-based care.
Formal role of reasearcher - develops nursing knowledge by conducting research and publishing the results
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evidence-based practice
delivery of care (e.g., procedures, assessments, interventions) that is supported by scientific research showing its factual accuracy and effectiveness.
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An EX of evidenced based practice
A nurse searches the recent research literature to revise a nursing procedure.
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Nurses keep informed on evidence-based practice by
reading scholarly resources to find the most valid and current information about new medications, procedures, or technology.
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Nurse works as an educator by
educating clients
teaching new nurses / staff
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Educating clients serves to
increase their knowledge, which empowers them to employ appropriate self-care management skills and to make informed care decisions, and can improve the client’s quality of life.
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In addition to teaching clients, nurses are also resonsible for helping to teaching
student nurses and serving as preceptors for newly hired nurses.
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The preceptor helps the newly hired nurse to
transition to a new role (from student nurse to staff nurse, or from staff nurse at another facility/unit to the current position).
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Preceptor (5) things they do
provides clinically appropriate experiences
assists w/ development of new nursing skills / knowledge
readily available resource for new staff member
role model
gives feedback on progress.
69
CNE
Clinical Nurse Educator
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Clinical Nurse Educator (CNE) primarilty responsible for
providing education to the nurses who work in the facility
71
Nurse as a manager is formally responsible for
team of nurses and have a significant impact on their team’s job satisfaction.
72
Nurse as a manager has overall responsibilities for
the assigned clinical area(s), including managing the staff and ensuring the quality of care being delivered.
73
Nurse managers help problem-solve for
staff, clients, and agencies.
74
Some of other itemts nurse managers handles
Managing supply and equipment availability
maintaining budgets
creating goals / objectives for the unit
75
Nurse leaders at the executive level are responsible for
seeing that the Nurse Practice Act and the Standards of Care are being followed in the clinical setting, thereby enforcing safety for all clients and staff
76
Nurse as a Change Agent
ecognize the need for and take steps to make a change; to do so
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Nurse change agents are required to be both
credible and reliable.
78
A nurse who is a change agent has the power to
facilitate change and the responsibility to assist others in making the transition.
79
Change agents know that change typically triggers
stress and resistance, so they help other nurses see that the change is for the better and is based on research. T
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the change agent’s goal is to change
attitudes, values, or norms related to the relationship between the nurse, client, and organizational system.
81
Nursing competencies
knowledge, attitudes, values, skills that nurses are expected to know to provide safe care.
82
advocacy
one of the pillars of nursing
83
as client advocates,
nurses support, protect, and promote the rights, health, and safety of the client(nvolves giving the client a voice).
84
exs client advocacy
A client can voice to the nurse who is preparing the client for a surgical procedure that they do not want to have the surgery. The nurse needs to act as the client’s advocate by immediately contacting the surgeon so the client, surgeon, and nurse can discuss the client’s concerns.
Another example of client advocacy can be seen when a nurse becomes aware of a potential safety or privacy issue (e.g., malfunctioning equipment, a peer who is talking about a client in the elevator) and corrects or reports this concern.
85
Advocacy also applies to championing nursing interests directly with
decision and policy makers.
86
Nurses can be involved in this process by becoming active in
facility committees (e.g., staffing, quality improvement); local, state, or national nursing associations; or other nonprofit organizations that impact the health of clients who have an illness (e.g., mental health, cancer, substance use disorder, Crohn’s disease).
87
An example of advocacy at a local level might be
the nurse who is a member of a local nonprofit organization focusing on suicide prevention.
88
Effective change managers work on four levels to achieve these objectives:
believe in and support staff ideas,
have short-term and long-term shared unit goals,
respect the rules and culture of the unit or facility,
anticipate the need for change by being proactive.
89
Institute of Medicine has identified what constitutes an effective workplace for nurses—
enough staff and resources, managers who are approachable and offer support, teamwork and collaboration with staff, a voice for change, and the ability to advance in their career
90
Communication in nursing is the one truly personal way that nurses can convey
trust, empathy, understanding, cultural consideration, and interest—all without even speaking a word.
91
Nurses can achieve effective communication by
beginning with intentional listening, showing compassion, and demonstrating respect for the individual client.
92
calm, nonverbal presence through
listening and presenting a physical posture of openness and calmness.
93
Verbal communication is addressed through
acknowledging cultural considerations; displaying awareness of any difficulties of speech, hearing, or language; and recognizing the need for a translator.
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Effective communication among health care professionals is called
interprofessional communication.
95
Client outcomes improve when an
interprofessional team communicates effectively about the plan of care, implements the plan, problem solves, evaluates the care, and makes necessary adjustments as a team.
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Collaboration in health care refers to
the respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members so as to provide quality professional care.
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Ex of collaboration
client who reports difficulty walking will need nurses, a physical therapist, and perhaps an occupational therapist to successfully plan and manage his or her care. If interprofessional collaboration is lacking, care may become fragmented and may even lead to untoward client outcomes.
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To ensure effective collaboration, the ANA recommends
recognizing the strengths and expertise of each team member, identifying the resources available to the nurse and the client, respecting the input of each team member, identifying clear roles and responsibilities of the nurse, and involving the client as appropriate to establish cooperation and success in achieving goals.
99
Nursing practice is regulated at
the state and national levels, as well as through partnerships with various nursing organizations that provide standards of care for nursing practice.
100
Some of the agencies that form the framework of the nursing profession are summarized in the following sections.
National Academy of Medicine
National Student Nurses Association
American Nurses Association
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Professional organizations provide the foundation for
regulation of nursing practice as well as pathways for becoming certified in specialty nursing areas.
102
Professional certification in specialty areas is
offered to nurses based on their expertise in their individual area of practice.
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credential is the title
listed after the nurse’s name, which recognizes the specialized knowledge and experience that the nurse has obtained through education and in a specialty practice.
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The National Academy of Medicine
nonprofit private business that
provides objective data intended to improve the health of society.
utilizes a global multiprofessional partnership to address crises.
emphasizes a scientific, evidence-based approach to issues that affect the world, working collaboratively to discover solutions to health problems.
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National Student Nurses Association
nonprofit organization created for nursing students to
provide an introduction to professional development through national conventions, networking, and career development activities.
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National Student Nurses Association mission
prepare nursing students, across all program levels, for initial licensure, and to educate students about standards of nursing practice and professionalism.
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The NSNA’s Code of Ethics identifies six core values important to the development of nursing students
Advocacy
leaderhsip
professionalism
care
diversity
quality education
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Advocacy:
An activity or process to work on behalf of self and/or others to raise awareness of a concern and to promote solution to the issue.
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Leadership and autonomy:
A process of social influence that promotes innovative problem solving to move an autonomous, independent organization forward by providing a clear vision, maximizing the efforts of others, respecting each individual, and working in collaboration with other appropriate resources.
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Professionalism:
Characteristics that describe an individual striving to maintain the highest standards for his or her chosen path—honesty, integrity, responsibility and conducting oneself with responsibility, integrity, accountability, and excellence.
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Care:
A feeling of exhibiting concern and empathy for others while showing or having compassion for others.
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Diversity:
Differences that can be along the dimensions of race, ethnicity, gender, sexual orientation, socioeconomic status, age, physical abilities, religious beliefs, political beliefs, nationality, or other ideologies.
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Quality education:
An act or process of imparting or acquiring general knowledge, developing the powers of reasoning and judgment, and generally preparing oneself or others intellectually for a profession.
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American Nurses Association
enhance the nursing profession by encouraging elevated standards of nursing practice, promoting a work environment that is secure and ethical, improving the health and well-being of nurses, and being a voice for health care issues that impact health care workers and the community.
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ANA provides nurses with a voice at the national level through
lobbying for major issues in nursing, including changes in the health care system, broadening the role of registered nurses and advanced practice nurses, speaking on the importance of safe nurse staffing, providing whistleblower protection, and improving safety in the workplace.
116
American Nurses Association provides standards / guidelines that promote nursing practice, clearly outlining values / priorities for nurses through the following:
Code of Ethics for Nurses,
Nursing: Scope and Standards of Practice,
ANA position statements,
Principles for Nursing Practice.
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Code of Ethics for Nurses:
Outlines behaviors and practices that nurses should abide by to provide responsible and ethical care
118
Ex's of ethics
maintaining human dignity, and protecting clients’ rights to privacy and confidentiality.
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Nursing: Scope and Standards of Practice: The Nursing Scope and Standards of Practice identify
art and science of nursing
The art of nursing requires the nurse to maintain client dignity, provide competent client care, and collaborate with other health care providers
the science of nursing encompasses the evidence-based practices that guide policies, practice, and the use of the nursing process as a critical thinking framework.
“where, when, why, and how nursing occurs and the actions that all registered nurses are expected to perform competently”.
120
ANA position statements:
Provided by ANA when issues arise that are important to the health care industry and nurses need recommendations for the course of action, explanation, or justification.
121
Principles for Nursing Practice:
Provides guidance to nurses on issues such as pay, staffing, and use of social media in an effort to help enhance professional practice.
122
ANA initiated a program called Healthy Nurse, Healthy Nation (HNHN) to promote
healthy lifestyles for nurses and improve the health of the United States’ nearly 4 million nurses. HNHN identifies five health initiatives related to changes in lifestyles to improve health.
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Healthy Nurse, Healthy Nation (HNHN) includes (5)
Increase physical activity
Improve quality of life
Obtain adequate rest
Improve nutrition and healthy eating
Increase nurses’ safety in both their professional and personal lives
124
Collaboration in health care occurs when
health professionals involved in the client’s care communicate, create plans, and work together to achieve client goals
125
WHO established five strategies to address health promotion that remain relevant today.
Establish health policies that support healthy lifestyles.
Provide education to empower personal health skills.
Build a culture of support.
Build strong community actions, resources, and support.
Build a holistic health care system.
126
ANA’s Code of Ethics for Nurses states that all nurses have the duty to
protect their clients and also to advocate for the impaired nurse to receive treatment.
127
failure to report SUD does what
not only enables the impaired nurse but also continues to place clients at risk. Early identification of the nurse who has SUD is therefore critical for all involved.
128
General indicators that a nurse may have SUD include
disheveled appearance, mood swings, and isolation (not going to lunch or taking breaks with other nurses).
129
If alcohol is the substance the nurse is using, signs may include
an excessive use of chewing gum or mouth mints to hide the odor of alcohol, increased incidence of arriving late for a shift, or being absent.
130
nurse who is abusing opioid medications
rarely will call off from work, because doing so would cut off access to the medication.
Opid diversion will increase as the problem worsens
131
Health literacy is the capacity to
obtain, communicate, and understand basic health information and services so as to make appropriate health decisions.
132
Nurses can empower clients to improve their health literacy by
carefully listening to their clients, understanding and accepting their concerns, and providing them with clear and correct information and resources.
133
The Nurse Practice Act for each state outlines care that focuses on
client safety and the competence of a nurse when working with clients.
134
Evidence-based practice is one way nurses can continue
their quest for understanding and knowledge in the present, as well as establish a pattern of lifelong learning.
135
1. A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other
ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply)
advocate
- collaborator
- change manager
- health promotor
- nurse educator
- health promotor
- nurse educator
136
2. A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses?
(select all that apply).
- nursing blogs or opinions
- online continuing education journal articles
- nursing skill refresher opportunities
- continuing education presentations
- participating in healthcare research
- online continuing education journal articles
- nursing skill refresher opportunities
- continuing education presentations
- participating in healthcare research
137
3. A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by the American Nurses Association (ANA)? (select all that apply).
- providing a definition of nursing
- lobbying for whistle blower protection
- providing objective data to improve the health of society
- providing all RN's w/ competency expectations
- providing the nursing magazine imprint
- providing a definition of nursing
- lobbying for whistle blower protection
- providing all RN's w/ competency expectations
138
4. A nurse is discussing culturally competent care w/ another nurse. Which of the following statements should the nurse include?
-"use a medical interpreter for a client who does not speak the same language"
- "provide the client w/ information in print only so they can have it as a resource"
- "provide standard educational materials to all clients for continuity"
- "limit communication with the client if there is a language barrier"
use a medical interpreter for a client who does not speak the same language
139
5. A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience?
- advanced beginner
- proficient
-competent
- novice
competent
140
6. A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy?
- client states they want to improve their current knowledge about their health
- client asks for information that will help them improve their eating habits
- client states they understand their health care information and treatment
- client requests a meeting w/ nurse, physical therapist and provier
client states they understand their health care information and treatment
141
7. A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People Initiative?
- program for health care practitioners to get healthy
- social media platform for nurses
- set of objectives for improving the health of Americans
- rehabilitation program for clients who have substance use disorders
set of objectives for improving the health of Americans
142
8. A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic?
- continue to evaluate to determine if the use of opioids improves on its own - educate nurses and other health care personnel about naloxone
- keep the issue private to avoid embarrassment
- reduce efforts to explore alternative pain management practices until the opioid epidemic is over
educate nurses and other health care personnel about naloxone
143
9. A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media?
- posting a comment on social media about facility staffing shortage
- reviewing the use of a fitness application w/ a client
- accepting a social media friend request from a client
- sharing client information w/ a coworker in a private social media message
reviewing the use of a fitness application w/ a client
144
10. A nurse is reviewing historical nursing data & how it has impacted nursing care. The nurse should identify that which of the following nurse pioneers is credited w/ first using evidence based practice in caring for clients?
- Clara Barton
- Dorthea Dix
- Eddie Bernice Johnson
- Florence Nightingale
Florence Nightingale
145
11. A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report?
- American Nurses Association
- National Academy of Medicine
- State Board of Nursing
- American Association of Colleges of Nursing
National Academy of Medicine
146
12. A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role?
- coordinating & overseeing the care the client is receiving
- helping to develop nursing knowledge for clinical interventions
- providing knowledgeable & compassionate care to promote health & address illness
- instructing the client on specialized topics such as diabetes care
coordinating & overseeing the care the client is receiving
147
13. A nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice?
- American Nurses Association (ANA)
- American Academy of Nursing
- National StudentNurses Association (NSNA)
- National Academy of Medicine
American Nurses Association (ANA)
148
14. A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following?
- serving as an advocate for the client
- violating the code of ethics for nurses
- participating in the Healthy People 2030
- demonstrating collaboration
violating the code of ethics for nurses
149
15. A nurse is talking w/ a client who arrived at the clinic over an hour ago and states, "doesn't anyone care that I am sick? Why do I have to wait so long?" The nurse listens to the needs of the client. In which of the following roles is the nurse performing?
- educator
- case manager
- advocate
- leader
advocate
150
16. A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse's actions when they begin working?
- American Nurses Association (ANA) code of ethics for nurses with interpretive statements
- state nurse practice act
- national student nurses association (NSNA)
- national league for nursing
state nurse practice act
151
17. A nurse who completed their shift realized they forgot to take a client's vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Associations Code of Ethics for nurses w/ interpretive statements?
- take the clients vital signs now & document them as being completed 8 hr earlier
- document vital signs that are the same as those obtained
- make reminder note to be more diligent next day
- report this omission to charge nurse and the nurse on the next shift
report this omission to charge nurse and the nurse on the next shift
152
18. A nursing student expresses a desire to become more involved w/ the nursing profession on a national level. Which of the following organizations should the student join? .
- National League for Nursing
- National Student Nurses' Association
- National Academy of Medicine
- International Council of Nurses
National Student
Nurses' Association
153
19. A nurse is caring for a client who reports experiencing chills ad not well. The nurse informs the client that they will need to have their temp taken to monitor the manifestations. Which of the following terms describes that the nurse's action is grounded in research?
- evidence based practice
- competencies
- lifelong learing
- change agent
evidence based practice
154
20. A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include?
- American Nurses Associations The code of ethics
-National Academy of Medicine
- American Academy of Nursing
- National Student Nurses Association
American Nurses Associations The code of ethics
155
The ANA (American Nurses Association) is an organization responsible for
establishing a set of nursing standards that are contained within The Nursing Scope and Standards of Practice. This document provides a clear definition of what nursing involves and the responsibilities of the nurse as a professional.
156
The Nursing Scope and Standards of Practice. This document provides a clear definition of what
nursing involves and the responsibilities of the nurse as a professional.
157
The American Academy of Nursing is an organization whose goals include
advocating for local, state, and national health care reform.
158
The NSNA (National Student Nurses Association) supports nursing students by providing
scholarships, leadership opportunities, and networking among other nursing professionals.
159
The National Academy of Medicine is a
non-profit private business that provides objective data to improve the overall health of society.
160
Promoting the use and administration techniques of overdose-reversing medications is one of the
five priority strategies for the opioid epidemic. Naloxone is a medication that is promoted because it is widely available and can be administered by laypersons with minimal training.
161
The nurse in the advanced beginner stage requires
the support of more advanced nurses to set priorities for optimal delivery of client care.
162
The nurse in the proficient stage can understand the
desired outcomes of a situation and can respond to changing situations. This nurse has already developed the ability to prioritize tasks.
163
The nurse in the competent stage is able to
prioritize tasks by drawing on past experience. The competent nurse does not prioritize as quickly as a proficient nurse, but they do have mastery in multiple areas.
164
The nurse in the novice stage is a
nursing student or a new nurse who does not have previous experience, so they are not able to draw on their own judgement.
165
The ANA Code of Ethics for Nurses with Interpretive Statements guides
all nurses regarding professionalism, regardless of where they live. It demonstrates the ability to provide quality care responsibly and ethically. Code of Ethics for Nurses with Interpretive Statements also outlines behaviors and practices nurses should abide by.
166
Upon licensure, a nurse will follow the
Nurse Practice Act for the state in which they choose to practice.
167
Nurse Practice Act states the
This document states the rules and regulations surrounding the practice of nursing set forth by each state's board of nursing.
168
The NSNA (National Student Nurses Association) was created for nursing students and provides a platform for
students to gather information, connect with other students, and learn about scholarship and leadership opportunities.
169
The National League for Nursing is a governing organization that
sets standards and monitors and regulates nursing practice and nursing education that applies to all nurses.
170
The NLN (National League for Nursing) does not set standards for
This organization does not provide standards for each individual state.
171
An educator
supplies information for someone that has a desire or need to learn that information.
172
A case manager coordinates the
interprofessional team to work toward achieving mutual goals for the client. In this role, the nurse works with the client, their family, and the health care team, usually when a client needs a variety of services.
173
A client advocate acts on
behalf of the needs of the client. In this example, the nurse is voicing the concerns for the client when their needs are not being met.
174
A leader takes the
initiative to act for a group of people to coordinate efforts for a common goal.
175
A case manager is an RN who
coordinates and oversees client care, working with their family and the health care team, usually when clients need a variety of services.
176
The nurse researcher
plans and implements research studies involving the collection and analysis of data which may involve trials of a new procedure, medication, or diagnostic test.
177
Ex of a nurse researcher
helping to devleop nursing knowledge for clinical interventions
178
Providing a definition of nursing is correct is done by which organization
The ANA defined nursing through The Nursing Scope and Standards of Practice, which provides a clear definition of what nursing involves and the responsibilities of the professional nurse.
179
Lobbying for whistle blower protection is correct is done by which organization.
The ANA provides support to registered nurses through lobbying for major issues including whistle blower protection and improving safety in the workplace.
180
Providing objective data to improve the health of society done by which organization.
National Academy of Medicine to provide objective data to improve the health of society.
181
Providing all registered nurses with competency expectations is done by which organization
the ANA provides the nursing profession with The Nursing Scope and Standards of Practice, which defines the actions RNs are expected to perform competently.
182
Providing the nursing magazine Imprint is provided by w hich organization.
NSNA produces the nursing magazine Imprint for nursing students to keep current on trends and issues.
183
Clara Barton is credited w/
the founding of the American Red Cross, as well as a center for locating missing soldiers.
184
Dorthea Dix is credited with
advocating for mental health reform and indigenous rights.
185
Eddie Bernice Johnson is credited with
being the first registered nurse elected to Congress as a Texas state senator.
186
Florence Nightingale is credited with
first using evidence-based practice. She collected data and was able to connect the unclean conditions to wound infections during the Crimean War. She reported that overall cleanliness and handwashing reduced the infection rates.
187
Posting a client's picture on the internet is a violation of
the client's right to privacy, which is included in the code of ethics for nurses. Provision 3 of the American Nurses Association Code of Ethics for Nurses with Interpretive Statements states that the nurse should promote, advocate for, and protect the rights, health, and safety of the client.
188
The National Academy of Medicine works collaboratively with other organizations to find the answers to
global health problems; however, the
189
National Academy of Medicine did not develop the Healthy People campaign. The Healthy People campaign was developed by
the U.S. Office of Disease Prevention and Health Promotion.
190
Although most of the members of the American Academy of Nursing do hold a doctorate degree, it is not a requirement for membership.
TRUE OR FALSE
TRUE
191
The National Student Nurses' Association is an organization created for
undergraduate nursing students to provide them with a voice and introduce them to leadership and networking within nursing practice.
192
The National Academy of Medicine, formerly known as the Institute of Medicine, and the Robert Woods Johnson Foundation published the
IOM Future of Nursing report in 2011
193
IOM Future of Nursing report in 2011, which includes how
nursing education should evolve from 2010 to 2020.
194
Each state has a board of nursing which is responsible for the
Nurse Practice Act governing the education, licensure, regulation, and the scope of practice for nurses within that state.
195
The Nurse Practice Act defines the
rules and regulations governing nursing.
196
Limiting communication with a client is
detrimental to the client's health and to the nurse-client relationship.
197
Learning about a client's personal and culturally sensitive preferences is a first step in
establishing trust and is a part of effective communication for that client.
198
The nurse should provide individualized information to each client that is
culturally and spiritually sensitive.
199
The National League for Nursing is a professional nursing organization that promotes nursing education through
education of nurse faculty, and the promotion of policies and nursing education research. Individual memberships are available to nurse educators, graduate students and nurses who are interested in nursing education. However, it is not an organization for nursing students to join.
200
The National Student Nurses' Association is an organization for
students to join to become involved with initiatives and issues, and to connect with other student nurses across the nation.
201
The National Academy of Medicine works to
develop and integrate scientific, evidence-based approaches to health and is not an organization for nursing students to join.
202
The world's first and most far-reaching nursing organization is the
International Council of Nurses (ICN). Since 1899, this organization for nurses, run by nurses, is committed to the excellence of nursing care and the advancement of the profession globally. However, it is not an organization for nursing students to join.
203
The role of advocate is to
provide a voice for clients who are unable to do so for themselves. This client is asking for health information and does not require an advocate.
204
Collaboration in health care refers to the
respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members. The nurse does not need to collaborate with other team members to provide the client with the requested health information.
205
A change manager is a
nurse manager or leader who has the goal of improving staff workflow and client outcomes through change.
206
The nurse is serving as a health promotor by
providing the client with information about smoking cessation and health improvement. The concept of educating clients to promote health is a priority to support individuals taking care and control of their own physical and mental health.
207
The nurse is serving as a nurse educator by providing
educational information to the client regarding smoking cessation and other health information. Providing information on selected topics such as such as smoking cessation empowers the client and helps the client improve their overall health and quality of life.
208
Healthy People 2030 is a campaign developed by the
U.S. Office of Disease Prevention and Health Promotion. It is science based upon past data providing objectives to improve upon the health of Americans.
209
A nurse should not accept a friend request from a client on social media. Establishing an online relationship with a client can
make it difficult to distinguish between a personal and a professional relationship.
210
A client stating they want to improve their current knowledge about their health status is an example of
This is an example of the client participating in lifelong learning. Nurses also participate in lifelong learning by obtaining continuing education hours and staying abreast of evidence-based practices.
211
a client asking for information that will help them improve their eating habits is an example of
This is an example of the client desiring information about health promotion information. Health promotion is a way that nurses can empower clients to address and improve their health, such as educating themselves about healthy choices, regular exercise, and making dietary changes.
212
the client requesting a meeting w/ the nurse, physcial therapist and provider is an example of what
This is an example of collaborative health care. With collaborative health care, all members of the client's health care team work together to obtain positive outcomes for the client.
213
Health literacy can be described as the
capacity to obtain, communicate, and understand basic health information and services in order to make appropriate health decisions. This client is demonstrating health literacy by being knowledgeable about and understanding their health care information and treatments.
214
Competencies are
nursing skills that require demonstrated proficiency to indicate the nurse can provide safe care.
215
Lifelong learning is a commitment nurses make to demonstrate a
dedication to the profession and toward maintaining licensure as a nurse. It involves continuing education that the nurse can obtain through independent learning, attendance at workshops or seminars, and through the workplace.
216
A change agent is a nursing role in which a
nurse recognizes the need for a change in practice and takes the steps necessary to integrate credible and reliable changes into nursing practice.
