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UNIT 1

Terms in this set (27)

What is autonony?
Freedom of choice and responsibility for the choices
What is accountability?
Refers to individuals being answerable for their actions
Does Advance Practice Registered Nurses (APRNs) work independently and what type of degree do they have?
APRNs are the most independently functioning nurse. An APRN has a master's degree or Doctor of Nursing Practice (DNP) degree in nursing.
Describe the nurse as a caregiver
As a care giver you help patient's maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence through the healing process.
Who is the American Nurse Association?
The ANA develops, revises, and maintains the scope of practice statement and standards that apply to the practice of all professional nurses.
What is the Nursing Code of Ethics?
Is a statement of philosophical ideas of right and wrong that define the principles you will use to provide care to your patients.
What is a Patient advocate? Examples of a Patient Advocate?
A patient advocate protects patient's human and legal rights and provides assistance in asserting those rights if the need arises. (EX. Getting an interpreter)

As an advocate you act on behalf of your patient, such as safeguarding their care against errors, suggesting alternatives to care, securing your patient's health care right's, and facilitating personal and cultural differences.
What is continuing education for nurses?
Involves educational programs offered by universities, hospitals, state nurses' associations, professional nursing organizations, and educational and health care institutions.
What is in-service education for nurses?
Instruction or training programs provided by a health care agency or institution.
RN exam?
NCLEX
Your are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation , you have your classmates reads the nursing code of ethics for professional registered nurses. your instructor asks the class why this document is important. Which statement best describes this code?
Defines the principals of right and wrong to provide patient care
A nurse is caring for a patient with end-stage 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 explains the risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse is acting as the patient's:
Advocate
The nurse spends time with the patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
Educator
The examination for RN licensure is the same in every state in the united states, The examination:
Provides the minimal standard of knowledge for an RN in 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.)
1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
5. Lobbyist
1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist
1. Clinical nurse specialist-b. Expert clinician in a specialized area of practice such as adult diabetes care

2. Nurse anesthetist-d. Provides care and services under the supervision of an anesthesiologist

3. Nurse practitioner-c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions

4. Nurse-midwife-a. Provides independent care, including pregnancy and gynecological services
Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform?
Moving from an acute illness to a health promotion, illness prevention model
The nurse manager meets with the registered nursing staff about an increase in UTIs in patients with a foley catheter. The staff works together to review the literature on catheter-associated UTIs. Identifies at-risk patients and establishes new catheter care practices. This is an example of which QSEN competency?
Quality Improvement
A critical care nurse is using a new reserched- based intervention to correctly position patients who are on ventilators to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
Evidence-based practice
The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure injury risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career?
Nurse researcher
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention
3. Tertiary prevention
Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: "Me, exercise? I haven't done that since junior high gym class, and I hated it then!"
A) "That's fine. Exercise is bad for you anyway."
B) "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1 month."
C) "I understand. Can you think of one reason why being more active would be helpful for you?"
D) "I'd like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day."
C) "I understand. Can you think of one reason why being more active would be helpful for you?"
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop when I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I felt happy again." What are the best responses from the nurse manager?
...
A family includes a mother , a stepfather , two teenage biological daughters of the mother , and a biological daughter of the father . The father's daughter just moved home following the loss of her job in another city . The family is converting a study into a bedroom and is in the process of distributing household chores . Nursing as sessment reveals that all members of the family think that their family can adjust to lifestyle changes . This is an example of family : 1. Diversity
2. Durability
3. Resiliency
4. Configuration
3. Resiliency
A mother and her two children are homeless and enter a free health care clinic . Which statements most likely describe the effects of homelessness on this family ? ( Select all that apply . ) 1. The children have stability in their education.
2. The family members may have symptoms of malnutrition , such as anemia .
3. The family is at a low risk for experiencing violence .
4. The children are at higher risk for developing ear infections .
5. All family members may have mental health issues .
2. The family members may have symptoms of malnutrition , such as anemia .
4. The children are at higher risk for developing ear infections .
5. All family members may have mental health issues .
3. A nurse is caring for a 66 - year - old patient who lives alone and is receiving chemotherapy and radiation for a new cancer diagnosis . He is unable to care for himself because of severe pain and fatigue . He moves into his 68 - year - old brother's home so his brother can help care for him . Which assessment findings indicate that this family caregiving situation will be successful ? ( Select all that apply . )
1. Both the patient and his brother attend church together regularly .
2. The brothers are living together and enjoy eating the same foods .
3. Other siblings live in the same city and are willing to help .
4. The patient and his brother have a close network of friends .
5. The patient has obsessive - compulsive disorder and has difficulty throwing away possessions.
1. Both the patient and his brother attend church together regularly .
3. Other siblings live in the same city and are willing to help .
4. The patient and his brother have a close network of friends .
4. A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she enjoys. Which of the following contribute to this family's hardiness? (Select all that apply.)
1. Family meetings
2. Established family roles
3. New neighborhood
4. Willingness to change in time of stress
5. Passive orientation to life
1. Family meetings
2. Established family roles
4. Willingness to change in time of stress
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