320 test 1
Christian period
when did nursing begin to have a normal and more clearly defined role
Florence
who defined nursing as an art and science?
1874, Bellvue Hospital
What year did Linda Richards start keeping records and writing orders? And where?
1820
When was Florence Nightingale born?
C,D,E Both congestive heart failure and abdominal hernia are medical diagnoses; the rest are nursing diagnoses.
Which are approved as nursing diagnoses? Select all that apply. Abdominal Hernia Compromised Family Coping Caregiver Role Strain Congestive Heart Failure Impaired Skin Integrity
assessing, diagnosing, planning, implementing, and evaluating.
5 essential activities involved in the nursing process
D Devising a plan of care is based on the nursing process. This process identifies the client's health care needs and strengths to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes. Nursing standards allow nurses to carry out professional roles, serving as protection for the nurse, the client, and the institution where health care is given. Nurse practice acts are laws established in each state in the United States to regulate the practice of nursing. Nursing orders prescribe the nursing care to be given to assist the client to meet health goals
A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case? Nursing standards Nursing orders Nurse practice acts Nursing process
Interpersonal
A nurse who is able to maintain and establish carry relationship is using what skill?
1882
what year was the red cross established?
Mary Elizabeth Mahoney
America's first African American nurse
What are the first 6 sANA standards
Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Coordination of care, Health Teaching/ Promotion, Evaluation
Florence Nightingale
who came around in the 19th century and changed up nursing?
began the practice of keeping records and writing orders
Contribution of Linda Richards
recommended standards for nursing education
Contriubtion of Louise Schulyer
Mary Agnes Snively
Director of the nursing school at Toronto General Hospital and one of the founders of the Canadian Nurses Association
A,C,E The roles and functions of the nurse are many and include caregiver, communicator, teacher, counselor, leader, researcher, and advocate. Acting as financier and statistician are not the roles of the nurse.
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. Counselor Financier Teacher Statistician Communicator
D Florence Nightingale's concept of apprenticeship involved training student nurses in a hospital setting. Completing clinical hours is an example of this. Passing the NCLEX exam is required to work as an RN. Participating in a paid internship is outside of the student nurse training supported by the apprenticeship model. Taking an online class at a university is not part of an apprenticeship model.
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? Taking an online class at a university Passing the NCLEX exam Participating in a paid internship Completing clinical hours supervised by a nursing instructor
florence
Founder of modern nursing
Clara Barton
In 1882, who was the nurse that established Red Cross?
Ancient Greek Civilization
In what part of nursing did temples become center of illness treatment?
ancient greek civilization
In what time period did nurses act as midwives
4 competencies of nursing
Interpersonal, Cognitive, Ethics, Technical
first president of ANA
Isabel Hamptom Robb
Animism.
Main idea of nursing early civilizations
technical
Nurse inserting foley cathetor is example of what skill
cognitive, technical, interpersonal, and ethical/legal.
Nurse uses four blended competencies
Florence
Regarded as the founder of modern nursing
Intrapersonal
Self-talk that happens within the individual
Harriet Tubman
She was active in the underground railroad movement as well as a nurse
Forming
Team acquantis and establishes group roles which group process stage are we in
A The American Journal of Nursing was first published in 1900 and was owned, operated, and published by nurses. It continues to provide information that may be of interest to nurses in all nursing specialities, and those who practice general nursing. Nurse Educator is a more recently developed journal which specializes in nursing education and targets nurse eductors. Nursing Research is also a more recently developed nursing journal with a focus on nursing research and targets nurses interested in research. Standards of Clinical Nursing Practice are directives and guidelines that may be published as books available to nurses for purchase and review. It is not a nursing journal.
The first nursing journal owned, operated, and published by nurses was: American Journal of Nursing Nursing Research Nurse Educator Standards of Clinical Nursing Practice
Mary Adelaide Nutting
The first professor of nursing in the world
Lillian Wald
The founder of public health nursing
B The standard of care being exemplified is standard 5b: health teaching and promotion: The RN employs strategies to promote health and a safe environment. Standard 3, which is outcomes identification, involves the registered nurse identifying expected outcomes for a plan individualized to the health care consumer or the situation. Standard 12 is education, in which the registered nurse seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Standard 4 is planning, in which the registered nurse develops a plan that prescribes strategies and alternatives to attain expected, measurable outcomes.
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? The RN promotes a safe environment. The RN develops a plan of care. The RN educates about preventing falls. Th RN identifies client outcomes.
B There are 12 Standards of Practice: assessment, diagnosis, outcomes identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, and education. The standard exemplified by the nurse is 5a, implementation via coordination of care in which the RN coordinates care delivery. Standard 5b is health teaching and health promotion in which the registered nurse employs strategies to promote health and a safe environment. Standard 3 is outcomes identification, in which the registered nurse identifies expected outcomes for a plan individualized to the health care consumer or the situation. Standard 2, diagnosis, is when the registered nurse analyzes the assessment data to determine the actual or potential diagnoses, problems, and issues. Standard 1 is assessment, in which the registered nurse collects pertinent data and information relative to the health care consumer's health or the situation.
The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse? The RN identifies outcomes. The RN coordinates care delivery. The RN analyzes client data. The RN collects client data.
D Enrolling in a smoking cessation class is an example of illness prevention. It will prevent conditions such as asthma and COPD. A hospice evaluation is for someone who is terminally ill. Hypertension is already a disease entity. An ambulance for injury does not denote illness prevention.
The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept? "I will take my medication for hypertension every day." "My family will call hospice for an evaluation." "If I am injured, I will call an ambulance." "It is important to enroll in a smoking cessation class."
Performing
The team works in an open and testing atmosphere where flexibility is the key
A,B,D,E
What are the best examples of the role of the nurse as a communicator? Select all that apply. Discussing laboratory values with a client Telling a client their blood pressure Telling a friend about something that happened to a client that day Informing the physical therapist that the client's therapy was discontinued Calling a physician about a client's blood pressure
education and broadened role
What did nursing focus on during WWII?
Good spirits equals good health
What is animism?
B Nurses promote health by identifying, analyzing, and maximizing each client's own individual strengths as components of preventing illness, restoring health, and facilitating coping with disability or death. Emphasizing the client's strengths to encourage weight loss is the most effective way to promote this client's health. Informing the client that the client must lose weight would not help the client use his or her strengths to accomplish the goal. Low-sodium diets can prevent heart disease. Taking the pulse daily would not prevent heart disease.
What is the best nursing intervention to promote health in a client at risk for heart disease? Instructing the client to adhere to a high-sodium diet Emphasizing a client's strengths to encourage weight loss Taking the client's pulse rate daily Informing the client that the client must lose weight
C LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers and by health care providers such as physicians. LPNs/LVNs differ from RNs in two areas: educational preparation and scope of practice. LPNs always practice under the supervision of an RN. LPNs have a scope of practice and the workload is not directed by the RN. RNs are not permitted to prescribe medications. Nurse practitioners may prescribe medications.
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? The RN directs the workload of an LPN/LVN. The LPN/LVN can only work in a long-term care facility. The LPN/LVN should work under the supervision of an RN. The RN is permitted to prescribed medications.
ANA
Which professional organization established the scope of practice
Norming
Which stage of group development deals with cohesion and set standards?
Adjourning
Which stage of the group process deals with independence and summarizing?
Benner
You are a nurse manager on a medical floor, which theorist would you identify with a new nurse
low pay, long hours, poor rep
how was nursing in 16th century?
how do nurses promote health?
identifying, analyzing and maximizing each patient's own strengths as components of preventing illness, restoring health and facilitating coping with disability or death
Christian period
in what period did nurses begin to have a formal and more clearly defined role in society?
early civilization
in what time period did nurses and doctors have separate roles
established red cross
major contribution of clara barton
promoting, maintaining, and restoring health.
major goals of health care are
cared for sick people in the home, served as midwives
nurse role during greek civilization
A person's health includes: (3)
physical, emotional, mental
How do we prevent illness?
teaching
supervisor of nurses during civil war
what else did clara barton do besides red cross
Crimean War and request by British to organize nursing care for military
what gave florence nightingale her opportunity to change shit up?
reefrom of the treatment of mentally ill
what was dorothy dix responsible for?
Jane Adams
Who won a nobel peace prize
D Nurses gain legal rights to practice nursing in another state by applying to that state's board of nursing and receiving reciprocal licensure. The nurse does not need to retake the licensure exam. The nursing licenses are not transferable.
A nurse is considering relocating to another state to practice nursing. Which is the mostappropriate action by the nurse to ensure ability to practice in the new state? No action is needed by the nurse. asking the current state to transfer the license taking the new state's licensing exam applying for a reciprocal license in the new state
A A licensed practical or vocational nursing program will allow the student to earn a technical certificate in 1 year and sit for the state board of nursing examination to be licensed as an LPN or LVN. This would allow employment that will allow the graduate to provide client care and to assist professional nurses with routine technical procedures as desired. An associate program will take 2 years and a baccalaureate program will take 4 years; additionally these prepare new nurses to work in a more independent role than this person is seeking. There are very few diploma programs remaining in the U.S., and these programs typically take 3 years to complete.
A prospective nursing student desires a career that will allow the opportunity to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student? licensed or vocational nursing program baccalaureate of science registered nursing program associate of science registered nursing program diploma nursing program
A The LPN, under the nurse practice act (NPA), is permitted to administer testing for bedside blood glucose. The nurse must recognize the scope of practice of the delegate, and remember that client needs and activities delegated must be matched to skill level. The RN would not delegate administration of blood products, intravenous push medication, or chemotherapy to the LPN, as these tasks are not covered under the LPN's NPA.
A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is mostappropriate for the nurse to delegate to the licensed practical nurse (LPN)? administering bedside blood glucose testing administering intravenous push medication administering blood products administering chemotherapy
A A nurse entrepreneur is primarily concerned with organizing, developing, and managing a clinic or health-related business. Although a nurse entrepreneur may also administer resources, manage personnel, and teach, the primary responsibiity of this role is managing a health-related business. A nurse administrator is primarily concerned with administering resources and managing personnel. A nurse educator is primarily concerned with teaching in a clinical setting.
In the role of entrepreneur, the nurse's primary responsibility is: managing a health-related business. teaching in a clinical setting. adminstering resources. managing personnel involved in client care.
A From the middle of the 18th century to the 19th century, social reforms changed the roles of nurses and of women in general. It was during this time that nursing as we now know it began, based on the beliefs of Florence Nightingale.
In what time period did nursing care as we now know it begin? 18th to 19th century early civilization to 16th century pre-civilization 16th to 17th century
16th century
In what time period of nursing did nursing begin to shift away from religion
7-17 ANA standards are for
Professional performance
Four main aims of nursing
Promote health, restore health, prevent illness, coping with death/disabilities
B he National Advisory Council on Nurse Education and Practice (NACNEP) identifies critical challenges to nursing practice in the 21st century: a growing population of hospitalized clients who are older and more acutely ill, increasing health care costs, and the need to stay current with rapid advances in medical knowledge and technology. Nursing is limitless and, with opportunities for furthering education, there are many various ways nurses can practice. Health costs are rising and there are more citizens needing health care. There is a projected nursing shortage that may be severe and there are no shortages of jobs for nurses.
The new nursing graduate is concerned about some of the critical changes that will be occuring in nursing. What changes does the nurse anticipate will impact nursing care? Rapid growth of nurses and shortage of job opportunities Difficulty for nurses to remain current in a rapidly changing medical and technology environment Limitations that nurses have in the workforce Decrease in health care costs
A Nurses can choose to become certified in a nursing specialty. The American Nurses Credentialing Center (ANCC, 2014) states that certification validates nursing specialty knowledge. Also, it builds confidence in nurses as professionals, demonstrating that they meet nationally recognized standards in the specialty. Certification is a voluntary process to provide professional recognition of the knowledge, skills, and abilities of certified nurses. The American Nurses Association is a professional organization to advance and protect the profession of nursing. It started in 1896 as the Nurses Associated Alumnae and was renamed the American Nurses Association in 1911. The National League for Nursing is a national organization for faculty nurses and leaders in nurse education. The American Association of Colleges of Nursing (AACN) is the national voice for baccalaureate and graduate nursing education.
The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group? American Nurses Credentialing Center (ANCC) American Nurses Association (ANA) American Association of Colleges of Nursing (AACN) National League for Nursing (NLN)
Hildegard peplau
This persons theory is all about interpersonal relationship, who am i?
The patient receiving treatment
What is the central theme in Theoretical Frameworks in Nursing?
D In many states, continuing education is required for an RN to maintain licensure. These are defined as professional development experiences designed to enrich the nurse's contribution to health. Obtainment of an ongoing degree is not necessary to maintain licensure. While hospital in-services may provide continuing education, not all in-services are designed to do so.
What might a nurse need to do to ensure the continuation of his or her nursing license? Obtain a baccalaureate degree. Attend hospital in-services. Obtain a master's degree. Obtain continuing education credits.
19th century
What time period did nursing elevate status of women?
Florence
Who defined nursing as a science and an art?
Nursing Practicing Act
Who established criteria for education and lincensure of nursing?
Nora Livingston
Who established the first 3 year nursing program in America?
Pilgrims
Who needed a lot of health care in the early christian period?
ANA Scope and Standards of Practice standards 1-6 pertain to
pracitce
A The American Nurses Association (ANA) defines nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations" (ANA, 2010). The ANA does not see nursing as dependent upon medicine. The ANA sees one of the roles of the nurse as assisting clients in understanding their health problems. The ANA does not address essential components of professional nursing care with terms such as strength, endurance, and cure.
A nurse educator is discussing the role of nursing based on the American Nurses Association (ANA). Which statement best describes this role? It is the role of nursing to provide a caring relationship that facilitates health and healing. It is the role of the physician, not the nurse, to assist clients in understanding their health problems. The essential components of professional nursing care are strength, endurance, and cure. Nursing is a profession dependent upon the medical community as a whole.
A Clinical nurse specialists are nurses with an advanced degree who are considered experts in a specialized area of care. They also provide direct care, consultation, and education of clients, families, and staff. Nurse managers do not normally provide direct care. Nurse-midwives specialize in obstetrical care. Physician assistants are not nurses.
A nurse is planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing? Clinical nurse specialist Nurse-midwife Physician assistant Nurse manager
D Nursing students from a community college are most likely students attempting to obtain an associate degree, which is a 2-year program. Therefore, the nurse should plan clinical experiences for students who will most likely graduate at the end of the year, as this is their second yea
A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame? in 1 more year in 3 more years in 2 more years at the end of the year
B Diploma programs are obtained through a hospital program and take 3 years or 36 months. Associate degrees are obtained through a community college and take 2 academic or calendar years. Baccalaureate degrees are obtained through a 4-year degree at a senior college or university.
The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program? "It is obtained by a 4-year program at a university." "It is obtained by a 36-month program at a hospital." "It is obtained by a 36-month program at a community college." "It is obtained through a 2-year program at a university."
D As defined by the World Health Organization, one's health includes physical, social, and mental components and is not merely the absence of disease or infirmity. Health is often a subjective state—a person may be medically diagnosed with an illness, but still consider himself or herself healthy. The client with an amputation is performing activities of daily living, thereby demonstrating healthy behaviors. A client with diabetes who is refusing to take insulin is in denial of the illness. A client in acute emotional distress related to the spouse's death is experiencing a normal pattern but not demonstrating a healthy behavior. A client with depression who will not get out of bed is also experiencing denial as opposed to a healthy behavior and coping.
The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? A client with diabetes who is in denial of the diabetes and refuses to take insulin A client with depression who refuses to get out of bed A client in acute emotional distress due to spouse's death A client with a leg amputation who performs activities of daily living with a prosthesis
Hildegard peplau
The theorist who believes nursing is a therapeutic interpersonal goal-oriented process is
Dorothea Orem
The theorist who believes self-care is a human need , self care deficits require nurses actions;
World War II
What time period was there an emphasis on education and broadened role of nursing?
B A lack of educational standards was one barrier to the development of the nursing profession after the Civil War. Other barriers included a male dominance of health care and the pervading belief that women were dependent on men. The location of nursing schools, a lack of influence from nursing leaders, and independent nursing orders were not barriers to the development of the nursing profession after the Civil War.
What was one barrier to the development of the nursing profession in the United States after the Civil War? hospital-based schools of nursing lack of educational standards independence of nursing orders lack of influence from nursing leaders
A Client-centered care is one of the quality and safety education requirements for nursing competencies (QSEN). The intent of client-centered care is to ensure that care is centered on the client, and not the needs of the nurse. An example of this is the nurse asking the client about personal health goals so that they can be addressed on the client's plan of care. Helping the client ambulate, asking the client what he or she would like from the menu, and drawing a blood sample are examples of client care, but are not client-centered care.
Which is the best example of a client-centered approach to care? The nurse asks the client about health goals. The nurse asks the client what the client would like to order from the menu. The nurse helps a client ambulate. The nurse draws a blood sample from a client.
C The ANA is a professional organization to advance and protect the profession of nursing. The ANA describes the values and social responsibility of nursing, provides a definition and scope of practice for nursing, discusses nursing's knowledge base, and describes the methods by which nursing is regulated within its Nursing's Social Policy Statement (2003). The Joint Commission is a United States-based nonprofit tax-exempt 501 organization that accredits more than 21,000 U.S. health care organizations and programs. The AAN is a professional society representing over 34,000 neurologists and neuroscientists. The ICN is an international federation of nursing organizations that works to ensure quality nursing care for all, sound health policies globally, the advancement of nursing knowledge, and the presence worldwide of a respected nursing profession and a competent and satisfied nursing workforce.
Which nursing group provides a definition and scope of practice for nursing? American Academy of Neurology (AAN) International Council of Nurses (ICN) American Nurses Association (ANA) The Joint Commission
C It is the role of the nurse to encourage health promotion by providing information and referrals; therefore, the nurse should refer the mother for a home care visit, as this will enable the mother to receive all of the breastfeeding help that is needed. Emailing a link for breastfeeding provides information, but not the support that is needed if a mother is having difficulty with breastfeeding. Suggesting bottle feeding and/or going to the emergency room is inappropriate and does not encourage using available resources.
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding? Ask the mother to come to the emergency room. Suggest that the mother bottle feed her infant. Refer the mother for a home care visit. Email the mother a link for breastfeeding.
Dorothea Dix
Who was a pioneering crusader for the reform of the treatment of the mentally ill?
deaconesses
Women were called __ in the early christian period
Margaret Sanger
who opened the first birth control clinic?
