Nurs 200 - chapter questions
the factors behind the need for standardized nursing documentation include which of the following
- facilitate aggregation of nursing data, and support fata analysis - enhance communication among nurses - improve representation regarding nursing contributions
first doctoral nursing program in Canada was established in
1991
the first provincially approved doctoral program in nursing was established in
1991
what nursing or health informatics communities are available to nurses
CNIA, IMIA-SIGNI
Canada has undertaken an effort to reduce wait time, reduce duplication of tests, and support coordination of care through which agency
Canada infoway
Canada has undertaken an effort to reduce wait times, reduce duplication of tests, and support coordination of care through which agency
Canada infoway
CNIA
Canadian nursing informatics association
the founder of modern nursing
Florence nightingale
identify which of the following standardized nursing terminology is being used in canada
ICNP
the watershed document that marked the shift from a lifestyle to a socioeconomic approach to health was the
Ottawa charter
select which of the following privacy legislation influences nursing practice in canada
PIPEDA and the privacy act
the lalonde report is significant in that it was the first to emphasize
a behavioral approach to health
theorist Evelyn Adam articulated the essence of nursing as
a helping process
changes that occurred in the health care system over the last few decades that have contributed to the recognition of NI include
a recognition among nurses that specific nursing data must be documented consistently in order to create high quality health data, support evidence-informed decision making, and represent nursing contributions
systems theorists considered the human being to be
a whole and component parts
in a quasi-experimental research design, subjects are assigned to
an experimental group
according to Kuhn, scientific advances happen when creative individuals
approach a problem in a new way
nurse practitioners in canada
are licensed under nursing legislation in jurisdictions
nurses agree to be advocates for their patients. practice of advocacy calls for the nurse to
asses the patients point of view and prepare to articulate this point of view
including patients in decision making regarding their care and respecting their choices of treatment demonstrate the principle of
autonomy
cultural awareness involves an indepth self examination of ones
background, recognizing biases and prejudices
a nurse uses an institutions procedure manual to confirm how to change a patients nasogastric tubing. the level of critical thinking the nurse is using is
basic critical thinking
treating a patient without his or her consent is considered
battery
the belief that health is primarily an individual responsibility is most congruent with the _____ approach to health
behavioral
vaccination may cause temporary discomfort, but the benefits of the protection from disease, both for the individual and for society, outweigh the patients discomfort. this involves the principle of
beneficence
an adult day support program is an example of an
community agency
nursing has a code of ethics that professional registered nurses follow, which
defines the principles of nursing care
culturally safe care is the process of
delivering care that is based on knowledge of the patients
ethnocentrism is the root of
delivering care that is based on knowledge of the patients cultural heritage, beliefs and attitudes
in observing a new mother breastfeeding her baby, the public health nurse observes that the baby is fussy and is not sucking effectively. the nurse reviews the baby's record and finds that he has lost a considerable amount of weight since birth. the nurse conducts an assessment and notes that the baby has poor skin turgor. the mother reports that he urinates infrequently and sleeps only for very short periods of time between feedings. the nurse concludes that the baby is dehydrated and is at risk of becoming malnourished. the is an example of
diagnostic reasoning
when a person acts on his and her prejudices
discrimination occurs
socialization into ones primary culture during childhood is
enculturation
which trend is most critical in the future health human resources plan
ensuring ethical recruitment and retention
if the research question leads to the study of behavior within a specific culture, the design chosen is
ethnography
a patient had hip surgery 24 hours ago. the nurse refers to the written plan of care, noting that the patient has a device collecting wound drainage. the physician is to be notifies when the accumulation in the device exceeds 100 mL for the day. when the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currently in the device. the is an example of
evaluation
the nurse restrains a patient without the patients permission and without a physicians order, the nurse may be guilty of
false imprisonment
the McGill model
focuses on health rather than on illness or treatment
ethical dilemmas often arise over a conflict of opinion. once the nurse has determined that the dilemma is ethical, a critical first step in negotiating the difference of opinion is to
gather all relevant info regarding the dilemma
procedures for obtaining informed consent do not include
giving the names of other participants in the study
a nurse organizes a blood pressure screening program as a ______ strategy
health promotion
which one of the following statements does not accurately characterize health promotion
health promotion strategies focus primarily on helping people develop healthy behaviors
the main question confronting early nursing theorists was about
how to organize and make sense of general nursing knowledge and apply this knowledge to an individual clinical case
the most influential health determinant is
income and social status
health promotion activities are aimed at
increasing the level of well-being
the prevailing value orientation in western society is
individualism and self reliance in achieving and maintaining health
the nurse sits down to talk with her patient, who lost her sister two weeks ago, the patient reports that she us unable to sleep, feels very fatigued during the day and is having trouble at work. the nurse asks her clarify the type of trouble, and the patient explains that she cannot concentrate or even solve simple problems. the nurse records the results of her assessment, describing the patients problem as ineffective coping. this conclusion reflects the nurses use of
inference
disparities in health outcomes between rich and poor patients illustrate
influence of socioeconomic factors in morbidity and mortality
when is it acceptable for a nurse to post info about a patient on a social networking site
it is inappropriate to post info online
in Canada, equitable access to health care means that all citizens have equal access to medically necessary services, many jurisdictions have implemented private magnetic resonance imaging clinics. a discussion about the ethics of this situation would involve predominately the principle of
justice
the nurse asks a patient how she feels about her impending for breast cancer. before the discussion, the nurse reviewed the description in his textbook of loss and grief in addition to therapeutic communication principles. the critical thinking component involved in the nurses review of the literature is
knowledge applicaiton
empirics is described by carper as
knowledge systematically organized into general laws and theories
multiculturalism results when a person
maintains his or her culture and interacts peacefully with people of other cultures
which of the following is not part of the nurses role as patient advocate
making nursing care decisions for the patient
founder of the sisters of charity of montreal, which later became known as the grey nuns
marguerite d'youville
the prevailing values in western society on individual autonomy and self-discrimination
may be in direct conflict with the values of diverse groups
which of the following is not a function of a professional nursing organization
monitoring unregulated care providers
a confused patient falls out of bed because side rails were not used when they were ordered is an example of which type of liability
negligence
it may seem redundant when health care providers, including professional nurses, agree to do no harm to their patients. the point of this agreement is to reassure the public that in all ways, not only will the health care team work to heal patients but they also agree to do this in the least painful and harmful way possible. the principal that describes this agreement is called
nonmaleficence
what should you do if you think the patient does not understand the procedure for which he or she is being asked to give consent
notify the physician or nursing supervisor
the drive for early theorizing about nursing practice was derived from
nursing educators
the practice of nursing is regulated by
nursing practice acts
if a third party requests health info on a patient, the nurse must
obtain a signed release by the patient before releasing the info
global health is a concept that focuses
on issues that directly or indirectly affect health but that can transcend national boundaries
which of the following people are insured under the Canada health act
persons in transit between provinces
providing immunizations against measles is an example of
primary prevention
as the nurse enters a patients nurse room, she observes tat the intravenous line is not infusing at the ordered rate. the nurse checks the flow regulator on the tubing, looks to see whether the patient is lying on the tubing, check the connection between the tubing and the intravenous catheter, and then checks the condition of the site where the intravenous catheter enters the patients skin. she readjusts the flow rate, and the infusion begins at the correct rate. this is an example of
problem solving
public health focuses on
promotion
what are the five levels of health care services
promotive, preventative, curative, rehabilitative, supportive
a theory is a set of assumptions or propositions that is useful because it
provides a systemic view of explaining, predicting, and prescribing phenomena
from a socioenvironmental perspective, the major determinants of health are
psychological risk factors and socioenvironmental risk conditions
the Canada heath act embraces the following five principles
public administration, comprehensiveness, universality. portability, accessibility
subjectivity is the goal of
qualitative research
which research method is quantitative
quasi-experimental research
you are treating a 12 year old boy how to self-administer insulin. after discussing the techniques and demonstrating an injection, you ask him to try it. after two attempts, it is obvious that he does not understand how to prepare the correct dose. you review you approach with the patient carefully and ask a colleague for her suggestions about how to improve your teaching skills. this is an example of
reflection
the philosophy of relational ethics suggests that ethical dilemmas can best be solved by attention to
relationships
a role of nursing union is to
represent nurses in bargaining for new contracts
values clarification plays a major role in
resolving issues of value conflict
if a nurse assesses a patient for pain and then offers a plan to manage the pain, the principle that encourages the nurse to monitor the patients response to the plan is
respect for autonomy
provision of specialized medical services by a physician specialist or a hospital is
secondary care
a sample in a survey design
should be representative of the of population surveyed
the nursing practice acts are an example of
statute law
how can you, as a nurse, enact the e-nursing strategy
support access to technology for all nurses, develop your technology competencies, and participate in advancing ICT and NI
the quantitative research approach is characterized by
systemic procedures that seek to limit error and eliminate bias
the main reason that intersectoral collaboration us a necessary strategy to reach the goal of health for all is
the determinants of health are broad
when the nurse stops to help in an emergency at the scene of an accident, if the injured party files suit the nurses employing institutions insurance does not cover the nurse, the nurse probably be covered by
the good Samaritan laws, which grant immunity from suit of no gross negligence is involved
parses theory relies on
the idea of people engaging in a continuing process of making choices
all of the following statements accurately describe the population health promotion model except
the model focuses primarily on interventions at the societal level
the nurse is obligated to follow a physicians orders unless
the order is in error, violates hospital policy, or would be detrimental to the patient
the nursing process originally involved which four basic steps
the person, environment, health, and nursing
except for Ontario and Quebec, minimum standards for nursing education are set by
the provincial or territorial nursing association
Hildegard Peplau considered the essence of nursing to be
the relationship between the nurse and patient
when a patient is harmed as a result of a nursing students actions or lack of action, the liability is generally held by
the student, the students instructor, the hospital
which is not a cause of canadas increasing health care costs
workplace injuries