concepts of professional nursing quiz #1 (nursing in today's environment)

This law makes up two laws and is an incremental but progressive change to the way that Americans access and pay for their health care since it affords nurses a considerable opportunity to act as full partners with other health professionals and to "lead in the improvement and redesign of the health care system and its practice environment"
Click the card to flip 👆
1 / 57
Terms in this set (57)
This law makes up two laws and is an incremental but progressive change to the way that Americans access and pay for their health care since it affords nurses a considerable opportunity to act as full partners with other health professionals and to "lead in the improvement and redesign of the health care system and its practice environment"
affordable care act (ACA)
what two laws make up the ACA (affordable care act)?
- The Patient Protection and Affordable Care Act (PL 111-148)
- The Health Care and Education Affordability Reconciliation Act (PL 111-152).
in 2008 the national sample survey of registered nurses (NSSRN) data showed what percentage of nurses younger than 50 years old were employed in nursing either full- or part-time and fewer than half of the nurses older than 65 were working in nursing?
90%
A significant percentage of nurses held two nursing positions. Among those working full-time in nursing, (what percentage) had a second nursing position; (what percentage) of those working part-time in nursing held a second nursing position (U.S. Department of Health and Human Services, 2010).
1. 12% full-time
2. 14% part-time
In 2013 around how many people held licenses as RNs and about how many nurses were working?
- 4 million
- ~2.8 million
in the 2000s the RN workforce grew by how much in %?
24.1%
today nurses are a lot younger than before but in the past nurses were averaged to be around how many years old?
50 years old (or around 46 years old)
In the past, what percent of the nursing population were men?
7%
According to the American Association of colleges of nurses, diversity is currently a priority in the nursing workforce however in the past there was not much diversity in America so which race dominated the general population?
white or non-hispanic nurses
what percentage of nursing students in entry-level BSN programs were from underrepresented backgrounds?
30.1%
what practice setting do the majority of nurses work in?hospitalswhat four other main settings do nurses work in?1. ambulatory care 2. public and community health 3. home health 4. extended care facilitieswhat other practice setting is an example that was mentioned in class that shows the expanded opportunities of the nursing profession?working as a nurse for appleWhat four types of nurses are included in advanced practice nurses (APNs)?1. nurse practitioners (NPs) 2. clinical nurse specialists (CNSs) 3. certified nurse-midwives (CNMs) 4. certified registered nurse anesthetists (CRNAs)what are these three things described as... - direct patient care - Research, teaching undergraduate and graduate students, and managing companies - Advanced education, such as master's and doctoral degrees, are prepared to become researchers, educators, and administrators.roles of a nursewhat practice setting.... - Offers comprehensive specialty services, such as cancer centers, maternal-fetal medicine services, and heart centers. - Usually associated with university medical schools and have a complex array of providers. - 1000 or more beds and has a huge nursing workforce - "Level 1 Trauma Centers" offer highly specialized surgical and supportive care for the most severely injured patients. - Associated with medical schools or universitiesnursing in hospitalsWithin the last 150 years: Nursing practice shifted from informal home and community settings to where?hospitalsIn what practice setting are the nursing roles: - Identify very sick patients - Help stabilize patients - Prepare for transport needed at for support?community-based hospitalswhat practice setting is usually for the less severely ill and has highly unstable patients transported to a larger hospital or a medical center.community-based hospitalsIn what practice setting includes: - Medical or surgical conditions - Pediatric units, women and newborns - Severe trauma or burns - Specialty "units" - operating suites or emergency departments, intensive care units (e.g., cardiac, neurology, medical), and step-down or progressive care units - Generalist and specialist certificationhospitalswhat are the educational credentials needed to work in a hospital as a nurse?ranges from an associates degrees/diplomas to a doctoral degreeentry level positions require what type of licensure to be a nurse?registered nurse licensurewhat degree is needed to advance on the clinical ladder or to assume management positions?at least a bachelor's degreewhat refers to nursing care that is based on the best available research evidence, clinical expertise, and patient preference? (actual research that supports the way that nurses do things)evidence-based practice (EBP)what type of nurses assume 24-hour accountability and are often required to have a master's degree?nurse managersin what practice setting do direct patient care nurses, manager nurses, clinical ladder nurses and clinical nurse specialist (ex: oncology clinical specialist) work in?hospitalsPatients on surgical units with more what type of nurses had fewer complications than patients on units with fewer nurses like these? (level of education)BSN-prepared nurseswhat level of education did nurses have that resulted in compared nurse and patient satisfaction, hospital environments, quality of care, and patient safety across 12 European countries and the United States?BSN-prepared nurseswhat are the four benefits to nursing in the hospital setting?1. flexible scheduling 2. salary 3. robust nursing staff 4. good customer servicewhat two things initiated by professional nurse managers resulted in improving quality and safety of care?good working environment and better staffingwhat practice setting is described as: - Care settings - Government and private agencies - Home health and cost-effectiveness - Knowledge and skills of the home health nurse - American Nurses Credentialing Center (ANCC) - implementing health programs - individuals with chronic diseases in home - community leadersnursing in communitieswhat practice setting involves: - Nurses work in tandem with physicians, NPs, and their patients - Nursing knowledge and skills Communication skills - Employer preference of education, responsibilities, and work hours - Teaching patients - Taking vitals - Good communication skills are needed - Get to know patients and families very wellmedical officeswhat practice setting do occupational and environmental health nurses provide basic health care services, health education, screenings, and emergency treatment to employees?in the workplace like google or applewhat practice setting do nurses part take in the knowledge and skills of checking immunizations, checking for diabetes and cholesterol which improves the quality of the work and employees?in the workplace like google or applewhat practice setting includes: - Military nurses having broader responsibilities and scope of practice than do civilian nurses. - A major benefit of military nursing is the opportunity for advanced education. - Travel and change and need for flexibility - 2011: Lieutenant General Patricia Horoho was nominated and confirmed as the Army Surgeon General.peacetime and wartime setting (armed services)what practice setting includes: - RN to student ratios - Requirements including knowledge and skills - Counselling, health curriculum, routine illness, and emergencies - Specific issues: Abuse, school violence, and obesitynursing in schoolswhat type of nursing is a specialized practice of professional nursing that advances the well-being, academic success, life-long achievement, and health of students?school nursingwhat type of care Approach improves the quality of life of patients and their families facing the problem associated with life threatening illness, through prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual? (more chronic diseases and does not necessarily mean that they will die)palliative carewhat type of care is the model for quality compassionate care for people facing a life limiting illness and injury (patients are definitely dying)?hospice carewhat type of care includes: - Available technologies - Underserved population and professional isolation - Requirements - Basic nursing skills - Technology skills - Legal and regulatory issues - Nursing licensure - New legislations - able to diagnose through the phone - sending a picture of symptomsTelehealthwhat type of nursing is described as practice specialty that focuses on the intentional care of the spirit, promotion of an integrative model of health, and prevention and minimization of illness within the context of a faith community?parish nursingin what practice setting includes: - Partnerships among congregations, their pastoral staffs, and health care providers - Faith community nurses serve as members of the ministry staff or clergy of a church or other faith community - Independent practice within the legal scope of practice - Health educators and counselors, advocates, referral agents, and coordinators of volunteer health ministers - Often sponsor health screenings and support groups while integrating the concepts of health and spiritualityin faith communitywhat type of nurses include: - Create a need and provide the services - Autonomy and scope of practice - Financial incentives and intangible rewards - Knowledge and skills - create a need and provide a servicenurse entrepreneurswhat type of nursing is described as the science and practice [integrating] nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide?managing information in nursing (informatics)what act protects and secures the information of patients?2009 American Recovery and Reinvestment Act and the Health Information Technology Actfor what type of nursing are these three things needed: - Basic Computer skills - Informatics knowledge - Information literacymanaging information in nursingwhat type of nursing Allow master's-prepared nurses to oversee and manage care at the point of care in various settings?clinical nurse leaders (CNLs)what type of nurses include: - Not intended to be administrators or managers, but are clinical experts - Controversy and objection from clinical nurse specialistsclinical nurse leaders (CNLs)Nurse educators in accredited schools of nursing offering a bachelor's or higher degree must hold a minimum of what degree?masters degreewhat type of nurses teach in licensed practical nurse/licensed vocational nurse programs, diploma programs, associate-degree programs, bachelor's- and higher-degree programs, and programs preparing nursing assistants?nurse educatorswhat type of nursing is described as: - It applies to an RN who has met advanced educational and clinical practice requirements beyond the 2 to 4 years of basic nursing education - Four categories of APNs: nurse practitioner, clinical nurse specialist, certified nurse-midwife, and certified registered nurse anesthetistadvanced practice nursingwhat type of nursing is described as: - Education: master's degree and post-master's certificates - National certification exams - Doctor of nursing practice recognition and emerging programs - Barriers to practice - Varied levels of practice autonomies among states - Lack of physician understanding of - NP scope of practice - Payer policies - Care settingsnurse practitionerwhat document describes how many times nurse practitioners must consult with each other but is currently not in effect in Illinois due to independent practice taking over?document of collaborative agreementwhat type of nurse is described as: - Work in a variety of settings - Master's or doctoral prepared - Experts in a particular fields - Perform health assessments, make diagnoses, deliver treatment, and develop quality control methods - these nurses work in consultation, research, education, and administration - Direct reimbursement to some of these nurses is possible through Medicare, Medicaid, and military and private insurersclinical nurse specialists (CNSs)what type of nursing is described as: - Education: master's of science in nursing - Licensed, independent health care providers who can prescribe medications in all 50 states, the District of Columbia, and most U.S. territories. - Federal law: these nurses are primary care providers. - these nurses attended 313,846 births in 2012. (11.8% of all spontaneous vaginal births) (American College of Nurse-Midwives, 2015) - these nurses attended births: half the national average rates for cesarean sections and higher rates of successful vaginal births after a previous cesareancertified nurse-midwife (CNMs)what type of nursing is described as: - these nurses administer approximately 30 million anesthetics each year and are the only anesthesia providers in nearly one third of U.S. hospitals (AANA, 2015). - Collaborate with physician anesthesiologists or work independently in various settings (AANA, 2015). - Education: master's and doctoral degrees - Requires: National certification and recertification - "No difference in the quality of care provided by these nurses and their physician counterparts" (AANA, 2015)Certified registered nurse anesthetist (CRNAs)During flu season, a nurse encourages, educates, and administers vaccines to health care workers. These roles best describes... a. community health nurses b. military nurse c. occupational health nurse d. parish nursec. occupational nurse (generally it can fit in any of these categories however)