Nurs. 102 exam 1

What is critical thinking?

- Critical thinking is used by nurses as they apply knowledge, evidence, and caring to the nursing process and become competent. - Critical thinking is purposeful, informed, outcome focused thinking that requires careful identification of key problems, issues and risks.

Clara Barton?

- Founder of the US Red Cross and Civil War Nurse - She organized a program for locating men missing in action. - became the foundation of the american red cross until 1904

What is a meta-analysis?

Author takes the results of several similar studies (that they may or may not have participated in. Author uses advanced statistical methods to combine data from several prior research studies to determine the overall effectiveness of a particular intervention or medication.

What are the characteristics of a profession?

Autonomy, responsibility, and accountability

What is the highest level of evidence to base nursing practice?

Cochrane systematic review

What is collaboration?

Collaboration means that all people involved are listened to and that decisions are developed together for a win/win solution. it's the cooperative effort that focuses on a win-win strategy. working together to accomplish a main goal

What is coordination?

Coordination is working to see that the pieces/activities fit together and flow as they should and helps to meet desired patient outcomes. Has an interconnectedness with collaboration. The nurse acts as an "anchor" for the patient. The patient can turn to the nurse in a trusting relationship for support and knowledge of their plan of care - Textbook definition: Proactive methods to optimize health outcomes.

How are quotations that are more than 40 words incorporated into the text?

Display in a double spaced block, indented five spaces from the left, with no quotation marks.

What do we mean by high touch vs high tech?

Don't let technology get in the way of caring for your patient - don't let it become a barrier or you are just a technologist.. Not the nurse who recognizes the patient as a person. high touch is charting on the computer, high tech and high touch is the caring aspect with patients.

What is HIPAA? How does HIPAA relate to patient privacy?

Health insurance portability and Accountability act of 1996. Focuses on info and confidentiality HIPPA requires that only necessary info be shared among providers including insurers. Patient has right to access medical records.

What did the Jefferson Street Mission later become named?

Henry Street Settlement

What three individuals started the Jefferson Street Mission?

Lillian Wad, Mary Brewster and Lavinia Dock

what is Memorization? and how does it relate to student learning?

Memorizing things, only commits to short term memory, relates to student learning because its short term memory, but its repetitive

What is the NCSBN?

National Council of State Boards of Nursing

Did Ignaz Semmelweis receive rightful recognition from his colleagues?

No

Should newspapers and magazine articles in the popular press be used?

No

When evaluating information and literature for writing nursing papers and making clinical decisions are blogs and informal internet sources permissible?

No

63. The NCSBN has set boundaries in the nurse-patient relationship. Whose responsibility is it to delineate and maintain boundaries between the nurse and patient relationship? What are some red flags regarding professional communication with a patient?

Nurses responsibility Self disclosure of ones own personal information to a patient, secretive behavior between a nurse and patient, super nurse behavior, special treatment by the nurse, selective communication, "you and me against the world" thinking, and failure to protect the patient.

What is patient advocacy? What is the role of the nurse with patient advocacy?

Respecting patient rights and the patient and ensuring that the patient has the education to understand treatment and care needs. They support patient and family education, patient satisfaction and the complaint process, and efforts to improve care, and they support and ask for patient participation in healthcare decision making. the nurse does not judge the patient's decision, even thought he nurse may disagree with that decision.

what roles to the following healthcare professionals have

Respiratory therapist - provides care to patients with repository problems Registered nurse - work in medical records, quality improvement, infusion therapy, case management, radiology and ambulatory care. Occupational therapist - provide service for patients with rehabilitation needs. stoke, automobile accident. Dietician - helps resolve dietary and nutritional needs.

What is documentation? what does it include?

Serves as a record for the patients care, provides data for reimbursement and qaullity improvement and staff performance, and it support interpretational teamwork. includes: accurate, consistent and relevant info.

What is the International Honor Society for Nursing?

Sigma theta tau

Are data from sites such as World Health Organization, Governmental websites and professional organization's Websites good sources of facts and data?

Yes

Was organized religion and/or military establishments linked with care of the sick?

Yes

Does the U.S. have a universal healthcare system of coverage for all individuals?

The US does not have universal health coverage. The US is one of the few industrialized nations with no universal coverage for its citizens.The federal government is the largest consumer of health care

What is health literacy?

The ability to understand and use health information. includes: reading, writing, and arithmetic skills; listening and speaking abilities; and conceptual knowledge

what are Copayments?

The fixed amount the patient may be equired to pay per service, can vary among insuence policies.

What is clinical reasoning? What is clinical judgement?

The nurse's the ability to assess patient problems or needs and analyze data to accurately identify and frame problems within the context of the individual patient's environment. The process by which nurses come to understand the problems, issues and concerns of patients, to attend to salient information, and to respond to patient problems in concerned and involved ways. It includes both conseous decision making and intuitive response.

What is a hospitalist? Are advanced practice nurses being used as hospitalists?

Usually doctor of medicine, generalist who coordinates the patient care serving as the primary care provider as the patient is in the hospital. - yes

What role should each nurse take to improve the image of nursing in the community?

Visibility - -Nurses should speak up to advocate for their role in the community -They should be independent but also recognize interdependence -They should share responsibility and handle conflict in a positive way

If we define nurses by describing tasks, what are we talking about?

What they do- (give meds, follow doctors orders, promoting health, preventing illness and injury).

What is active listening?

When you concentrate/comprehend, respond and retain what is being taught.

What makes simulation an effective method for developing clinical competency in nursing?

You will be expected to have the same professional behaviors in the simulation lab that you will with direct patient contact.

What is "reality shock"?

a shock reaction that occurs when an individual who has been educated in a nursing education system with one view of nursing encounters a different view of nursing in the practice setting.

What are the key roles of nurses?

a. Provider of Care b. Educator c. Counselor d. Manager e. Researcher f. Collaborator g. Change Agent (Intrapreneur) h. Entrepreneur i. Patient Advocate j. Leader k. Terminology related to roles l. Status m. Role transition n. Identity

What are the five core competencies identified by the IOM?

a. provide patient centered care b. work with interdisciplinary/interprofessional teams c. employ evidence based-practice d. apply quality improvement e. utilize informatics

What are some barriers to effective listening?

anxiety and stress, interruptions, too many tasks to do, fatigue and hunger, lack of self-esteem, anger, reaction from the past, and confusing message

what is annual limits?

are the defined maximum amount that the enrollee would have to pay and then they will no longer have to contribute to the bill and is usually in a calendar or benefit year.

51. What is Medicaid? Who funds it?

federal and state program for certain low-income people, children, blind, disabled and those who receive federally assisted income maintenance programs. federal state funds it

What is Medicare? Who funds it?

federal health insurance program for people aged 65 and older; disabilities; end-stage renal disease; 41 million beneficiaries and is growing federal funded

What are some elements of effective teams?

good communication, responsible to participate actively, timely, solve conflicts.

Describe a bureaucratic organization

have a top down structure - management at a higher level and more removed from the staff level (management and staff are separate); many rules and regulations; impersonal - top management doesn't have a open door policy. There is limited access to management for staff to have input regarding decision making.

What is basic research?

is designed to broaden the base of knowledge rather than solve an immediate problem. The results from basic research may be used to develop applied research and theory.

What is applied research?

is designed to find a solution to a practical problem. Most nurses are involved with applied research; it has a direct clinical application.

How does informatics impact care? Should nurses be more involved?

lead to safe, quality care yes

what is Application?

make a connection between what you actively listen to in lecture with what you learn in a clinical setting.

What is the Sullivan Commission report? Are there disparities in the healthcare professions' workforce?

examined disparities in health care and concluded that a key contributor to the growing healthcare disparity problem is the disparities in the nation's health professional workforce. - Yes, "racial or ethnic differences in the quality of healthcare that aren't due to access-related factors or clinical needs/preferences/intervention"

What is competency?

the new skills that nurses need to function in today's healthcare environment. Competency is the behavior that a student is expected to demonstrate. (an expected measurable level for nursing performance that integrates knowledge, skills, abilities, and judgments based on established scientific knowledge and expectations for nursing practice)

what is the main advantage of using interprofessional teams as it relates to fragmented care

working together for a common purpose to improve patient outcomes.To reduce fragmentation of care which drives up the cost of care and decreases quality of care.

55. Would access to care be improved with a patient-centered care model?

yes

Do disparities in the healthcare professions' workforce contribute to health disparities outcomes?

yes

Adelaid Nutting?

- Leader in nursing education. - Advocated for university education for nurses. - Was in the first class of the Johns Hopkins Hospital Training School for Nurses. - became worlds first professor of nursing.

Who was Dorthea Dix?

- Pioneer with improving conditions for the mentally ill in the lower east side of New York. - She was also Union Superintendent of Female Nurses in US Civil War 1861 - 1865 to supervise the volunteer nurses.

What does describing a hospitals process refer to

- Process refers to how the organization functions "how the work gets done". - Includes the vision and mission of the organization; goals and objectives describe how to reach the vision and mission. - Processes also include the policies and procedures, communication systems, and how the decision-making gets done. - Process also includes the delegation process, implementation of coordination (teams), and evaluation methods (quality improvement).

Who was Ignaz Semmelweis?

- Was focused on research on child bed fever in relation to hand washing in Austria.

Who was Linda Richards?

- created the first written reporting system, charting and maintaining individual patient records. - Graduate of the New England Hospital Program - Americas "first trained" nurse - crated first individual patient record

What are some barriers to effective coordination?

- failure of team members to understand roles and responsibilities of other team members - lack of a clear interprofessional plan of care - limited leadership, overwork ineffective communication - lack of inclusion of others in the care process, and competition among team members to control decisions.

How is nursing curriculum different from other types of curriculum?

- it is demanding and complex. You can be successful if you understand and accept the challenges. - Nursing courses demand more - content relies on previous courses and builds on subsequent ones. Learning becomes a continuum

Who was Mary Mahoney?

- the first professional black nurse in America. Mahoney changed the face of nursing. - Black students were accepted to the school as long as they met the requirements. - as a professionally trained nurse, she was noted for her expert care of the sick.

What are the "five rights" of nursing delegation?

1) Right task - the task must be one that can be delegated 2) Right circumstance - making sure other factors are considered such as available resources and the setting 3) Right person - having the best person to delegate the task to 4) Right direction/communication - making sure the task is explained clearly and understood 5) Right supervision - having appropriate oversight for the task

What are the steps in the nursing process?

1) assignment 2) diagnosis 3) planning 4) implementation 5) evaluation

What are the 5 elements of the APA Title page?

1. Page number 2. Running head for publication 3. Title of the manuscript 4. Byline or the author's name 5. Institutional affiliation

Who was Margaret Sanger?

Advocates for birth control, founded planned parenthood, advocate for women's rights.

What organization represents all RNs in the United States?

American Nurses Association (ANA)

what is patient centered care

Identification of, respect and care for patient differences, values, preferences and needs;reliefe of pain, coordination of care, clear communication with and education of the patient, shared decision making and continuous promotion of disease prevention and wellness. - exemplified by making the patient the center of care.

How are quotations that are less than 40 words incorporated into the text?

Incorporate into the text and enclose with double quotation marks (" ").

what do knowledge workers understand about change?

Knowledge workers realize that change is inevitable in healthcare - rapidly changing & complex!

What is the largest department in a hospital?

Nursing department

What are two important tools for success in nursing education?

Organization and time management

What are insurance deductibles?

Part of the bill the patient must pay before the insurer will pay the bill for the services.

Remember that employing evidence-based practice requires use of research findings but also what/who else?

Patient, values and preferences

What does describing a hospital's structure refer to?

Structure refers to how the organization is configured.

What was the first war that Florence Nightingale was involved in?

The Crimean War

What is the main role of the Institutional Review Board's (IRB) in research?

The IRBs focus on participant rights. The IRB is charged with the responsibility of ensuring that a research subject's rights are protected and that the study is planned in an effective manner that meets scientific standards, particularly theory and informed consent. The IRB is a committee that reviews research before it is conducted to ensure that the study is conducted ethically.

What is nursing informatics?

The specialty that integrates nursing science, computer science and information science to manage and communicate data, information, knowledge and wisdom in the nursing practice.

During Florence Nightingale's time, women typically were involved in what type of work or activity? To

To be a wife and a mother, women did not work outside their home and maintained a monitored social existence.

what is didactic learning?

classroom or content focused lecture

A knowledge workers uses

collaboration, coordination, and Critical thinking when serving as a nurse

What is the NCLEX?

national licensure exam

What do we mean by nurses being knowledge workers?

nurses are in knowledge-intense working areas such as healthcare organizations.

Describe the interprofessional team

refers to people with distinct disciplinary training working together for a common purse, as they make different, complementary contributions to patient-focused-care" (doctors, PTs, nurses, case managers, OT)

What do we mean by "safety net hospitals"? Are they in a financial crisis? If so, what contributes to the crisis?

these are public hospitals that serve the populations who have limited or no resources to pay for services. These hospitals face serious financial problems because most of their patients have inadequate or no reimbursement.

What are basic elements of APA format?

title page abstract body of text reference appendices tables figures

What is delegation?

transferring responsibility for a task to another person

what is coinsurance?

when patient pays share of payment