Study sets, textbooks, questions
Upgrade to remove ads
Exam 1 NR215
Terms in this set (77)
Nursing as an Art
deliver care with:
-respect for patients dignity and personhood.
Nursing as a Science
practice is based on:
-body of knowledge-
continually changing and new discoveries
Angel of Mercy
strong link between nursing and religious order in ancient Egypt, Greece and Rome.
to the male physician in the dominant role and the female nurse awaiting orders
Charles Dickens depicted nurses as corrupt, harsh, and intoxicated.
20th century. burlesque shows and now is shown in halloween costumes.
Portrayed in uniform providing support at the battlefield and fighting diseases
-First nursing theorist
-First practicing nurse epidemiologist
-made connection between sanitation and cholera (dysentery)
-improved sanitation during the war and reduced mortality rate from 42.7% to 2.2% in just 6 months.
- organized first nursing program "Nightingale Training School for Nurses"
Founder of the American Red Cross, she obtained and administered supplies and care to the Union soldiers during the American Civil War.
First professionally trained African American nurse.
Isabel Hampton Robb
founded American Nurses Association (ANA) and is the original founder of the American Journal of Nursing (AJN)
Lillian Wald and Mary Brewster
opened henry street settlement, which focused on the health needs of poor people who lived in tenements in NYC.
Mary Adelaide Nutting
brought nursing education to the University level
Challenges faced in the nursing profession (7)
-advances in technology and informatics
-high acuity of patients
-end of life nursing education consortium (ELNEC)- aka palliative care.
Is nursing a profession?
ANA Standards of Practice
3. Outcomes Identification
7. Coordination of care
ANA Standards of Practice- behavior
3. evidence-based practice and research
4. quality of practice
8. professional practice evaluation
10. environmental health
ANA Code of Ethics
the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients
Nurse Practice Acts (NPA's)
regulate the scope of nursing practice and protect public health, safety, and welfare
Which phrase best describes the science of nursing?
A. The skilled application of knowledge.
B. The knowledge base for care.
C. Hands on care, such as giving a bath.
D. Respect for each individual patient.
What is the purpose of the ANA's Scope and Standards of Practice?
A. To describe the ethical responsibility of nurses
B. To define the activities that are special and unique to nursing
C. To establish nursing as an independent and free-standing profession
D. To regulate the practice of nursing
What type of authority regulates the practice of nursing?
A. International standards and codes
B. Federal guidelines and regulations
C. State nurse practice acts
D. Institutional policies
provides advanced clinician with strong skills in nursing science and theory, with emphasis on the basic sciences and research-based clinical practice.
- (DSN or DNSC) apply research findings to clinical nursing.
-PhD- Basic research and theory in nursing or other fields
-Doctor of Nursing Practice (DNP)- AACN recommended as the terminal practice degree and required preparation for all APRNs by 2015.
The examination for registered nurse licensure is exactly the same in every state in the United States. The NCLEX exam is best explained by which of the following statements?
A. Guarantees safe nursing care for all patients.
B. Ensures standard nursing care for all patients.
C. Ensures that honest and ethical care is provided.
D. Determines a minimum standard of competency for a registered nurse.
Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
A. Continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education
Initiation of independent nursing interventions without medical orders.
responsible, professionally and legally for the type and quality of your nursing care, need to keep current and competent in nursing and scientific knowledge and technical skills.
protect your patient's human and legal rights and provide assistance in asserting these rights.
explain concepts and facts about health, describe routine care activities, demonstrate procedures, evaluate the patient's progress in learning. Always teach to the patient's level of understanding and include the family as needed.
communication is essential for ALL nursing roles and activities. Quality of communication is critical for meeting the needs of individuals, families, and communities.
as a manager of care you need to establish an environment for collaborative patient-centered care to provide safe, quality care with positive patient outcomes.
What are the Profession responsibilities and Roles of Nursing
Advanced Practice Registered Nurses (APRN
An APRN has a master's degree in nursing; advanced education in pathophysiology, pharmacology, and physical assessment; and certification and expertise in a specialized area of practice.
Four core roles of APRN
-Clinical Nurse Specialist= CNS
-Certified Nurse Practitioner= CNP
- Certified Nurse Midwife= CNM
-Certified RN anesthetist= CRNA
is an APRN who is an expert clinician in a specialized area of practice.
is a APRN who provides health care to a group of patients usually in an out-patient, ambulatory care, or community-based setting.
provide care for patients with complex problems and a more holistic approach than physicians.
is an APRN educated in midwifery and certified by the American College of Nurse-Midwives. Provides independent care for normal pregnancy, labor and delivery and the newborn.
is an APRN with advanced education in a nurse anesthesia accredited program. Provide surgical anesthesia under the guidance and supervision of an anesthesiologist.
works primarily in schools of nursing, staff development departments of health care agencies and patient education departments.
manages patient care and the delivery of specific nursing services within a health care agency
investigates problems to improve nursing care and further define and expand the scope of nursing practice
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply)]
B. Autonomy & Accountability
C. Patient Advocate
D. Health Promotion
Advance practice nurses generally function in what capacity?
A. Function independently
B. Function as unit directors
C. Function in acute care settings
D. Function in the university setting
A nurse is caring for a patient with terminal lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse discusses the patient's wishes with the family. The nurse is acting in what role for the patient?
D. Case manager
Nursing Professional Organizations
are concerned with current issues in nursing and healthcare, and influence healthcare policy and legislation.
what are the benefits of joining an organization?
your opinion will be voiced
they provide continual education
International Council of Nurses (ICN)
-founded in 1899
-was the first international organization of professional women.
The organization maintains:
-High standards of nursing service
-High standards of nursing education
Professional organizations in the United States
ANA- American Nurses Association
NLN- National League for Nursing
AACN- American Association of Colleges in Nursing
NSNA- National Student Nurses'Association
-Professional organization for RNs
-Founded in the late 1800s
-State nurses' association (ONA)-individual nurses belong
-Primary mission- public education, clinical nursing standards, lobbying federal and state lawmakers to advance the profession of nursing.
-Addresses ethics, public policy, and the economic and general welfare of nurses.
NLN (National League for Nursing)
-Open to all people interested in nursing (nurses, non-nurses, & agencies.)
-Established in 1952.
-Objective to foster the development and improvement of all nursing services and nursing education.
-Conducts testing services.
-Primary source of research data about nursing education.
-Provides voluntary accreditation for educational programs in nursing.
AACN (American Association of Colleges of Nursing)
-National voice for baccalaureate and higher degree nursing education programs.
-Goal establishing quality educational standards, influencing the nursing profession to improve healthcare, promote public support of baccalaureate and graduate education, research, and nursing practice.
-National accreditation for collegiate nursing programs through the AACN by the Commission on Collegiate Nursing Education (CCNE)
NSNA (national student nurses association)
-Established in 1952, with the assistance of the ANA & NLN.
-National organization for students enrolled in nursing education programs.
-Students practice self-governance, advocate for student & patient rights, take collective, responsible action on social & political issues.
US Specialty Practice & Special Interest Nursing Organizations
American Academy of Nurse Practitioners
American Assembly for Men in Nursing
American Association of Nurse Attorneys
Hospice Nurses Association
Sigma Theta Tau International
Transcultural Nursing Society
Which nursing organization was the first international organization of professional women?
Quality and Safety Education for Nurses (QSEN)
Aim is to prepare nurses to continuously improve the quality of care in their work environments.
Teamwork and Collaboration
each targets Knowledge, Skills, and Attitudes (KSAs)
-The study of all the genes in a person and interactions of these genes with one another and with the person's environment.
-Allows health care providers to determine how genomic changes contribute to the patient conditions and influence treatment decisions.
the ability to influence or persuade an individual holding a government office to exert the power of that office to affect a desired outcome.
Health Care Reform
Big emphasis on health promotion, disease prevention, and illness management.
More people living with chronic diseases.
More people want to receive community and outpatient care.
Medically Underserved and its contributions
-contributes: lack of transportation, and lack of health insurance
-part of the working poor
- mentally ill
National Priorities Partnership
-Patient & Family Engagement-Providing patient-centered, effective care.
-Population Health- Bring increased focus on wellness and prevention.
-Safety- Eliminating errors whenever and wherever possible.
-Care Coordination- Providing patient-centered, high value care.
-Palliative Care- Providing appropriate and compassionate care for patients experiencing advanced illness.
-Overuse- Reducing waste to achieve effective affordable care.
oriented toward controlling risks for diseases)= Blood pressure and CA screening, immunizations, mental health counseling and crisis prevention, community legislation ex. seat belts, air bags, bike helmets
oriented toward health promotion)= prenatal & well-baby care, nutrition counseling, family planning, exercise classes
oriented to diagnosis & treatment of illness)= emergency care, acute medical-surgical care, radiological procedures for acute problems
oriented to diagnosis & treatment of illness)= Intensive care, subacute care
Restorative Care (help individuals regain maximal functional status and enhance quality of life through promotion of independence and self-care)= Home health care, spinal cord injury programs, sports medicine, cardiovascular & pulmonary rehab, rehab units, extended care facilities
services for disabled, who were never functionally dependent or who suffer a terminal illness)= Nursing center or facilities, assisted living, respite care, adult day care centers, hospice
OBRA 1987Omnibus Budget Reconciliation Act
A law that enacted reforms in nursing facility care and provided the statutory authority for MDS
-The term nursing facility or nursing center replaced nursing home.
-Considered residents temporary or permanent home.
-Provides interdisciplinary approach to nursing care to help residents reach and maintain highest level of function.
-Most highly regulated industries in the US.
-Nursing centers have resident rights and residents are active participants & decision makers in their care.
-Minimum Data Set (MDS) is an extensive assessment tool used for all residents.
-Resident Assessment Protocols consist of delirium, falls, pressure ulcers, & psychotropic drug use.
Issues in HC delivery
1. Nursing Shortage
3.Evidence-based practice: A problem solving approach to clinical practice that involves the conscientious use of current best evidence along with clinical expertise and patient preferences and values in making decisions about patient care.
4. Quality and Safety: Patient Satisfaction- every major health care organization measures certain aspects of patient satisfaction. The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) was developed to collect and report data publically for comparison purposes.
5.Nursing Informatics & Technological Advancements: influences how nurse provide care to patients.
6. Globalization of Health care: The increasing connectedness of the world's economy, culture, and technology is one of the forces reshaping the health care delivery system.
Magnet Recognition Program
has 6 components that are affected by global issues that are challenging nurses today:
Exemplary Professional practice,
Innovations & Improvements,
& Empirical Quality Results.
Which of the following nursing activities is found in a tertiary health care environment?
A. Administering influenza immunizations at the senior independent living facility.
B. Providing well-baby care in the clinic run by the local community health department.
C. Admitting a patient following open heart surgery to the cardiovascular intensive care unit.
D. Working the triage desk in the emergency department.
Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviation of a patient's fear and anxiety?
A. "Let's talk about the concerns that you have about going home."
B. "I'll get the medication prescriptions for you before discharge."
C. "I'll be back in 30 minutes to help you get cleaned up."
D. "I'll make a referral to the home health nurse for you."
Which of the following statements is true regarding Magnet status recognition for a hospital?
A. Nursing is run by a Magnet manager who makes decisions for the nursing units.
B. Nurses in Magnet hospitals make all the decisions on the clinical units.
C. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need.
D. Magnet is a special designation for hospitals that achieve excellence in nursing practice.
Mary Adelaide Nutting
brought nursing education to the UNIVERSITY level
Sets found in the same folder
ATI RN COMPREHENSIVE EXIT EXAM
ATI Fundamentals 1 Quiz
med surg ch40
(april 9 must know) ati
Sets with similar terms
NSG3001 Chapter 1: The Nursing Profession
Chapter 1: Nursing Today
1131 Ch. 1
Other sets by this creator
215 Exam 2
Fundamentals of Nursing NR 245
Other Quizlet sets
Biology - Cycling in Nature
Asthma/COPD Patho Exam 3