Nursing 102 Exam 1
Who was Linda Richards?
Americas first trained nurse. She also created the first individual patient record and helped with process improvement
What are some barriers to effective listening?
Anxiety and stress, interruptions, fatigue, anger, confusing, lack of self-esteem, over work, hunger
What are the steps in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
What are the characteristics of a profession? What's Nursing's Social Policy Statement?
Autonomy, Responsibility, and Accountability
Registered Nurse roles
Backbones or acute care. Many different departments, some are management positions, some have directed care
What is the highest level of evidence to base nursing practice? What is Meta-Analysis?
Cochrane Systematic review
What are the three C's a knowledge workers uses when serving as a nurse?
Collaboration, Coordination, Critical thinking
What was the first war that Nightingale was involved in?
Crimean War (1854-1856)
What are annual limits?
Defined max amount that patient would have to pay and they would no longer have to contribute to paying the bill
What is Applied Research?
Designed to find a solution to a practical problem
How are quotations that are more than 40 words incorporated into text?
Displayed a double spaced block, indented five space from the left, with no quotation marks
What are some elements of effective teams? Effective team leaders?
Effective teams: communication, responsible to participate actively timely, solve conflicts Effective team leaders: collaborate, coordinate, delegate, provide feedback, resolve conflict and develop a plan
How are quotations that are less than 40 words incorporate into the text?
Enclosed with double quotation marks and period after quotation marks
Remember that employing evidence-based practice requires use of research findings but also what/who else?
Evidence based medicine, thorough patient history and assessment, including the patient and their values/preferences
What is the Sullivan Commission Report? Are there disparities in the healthcare professions' workforce?
Examines disparities in healthcare. Yes, found that in some instances there is inequality between minorities and non-minorities discrimination at the patient provider level
What makes simulation an effective method for developing clinical competency in nursing
Helps increase confidence and decrease risks. this sim lab is a safe environment for practicing and making nursing decisions but with faculty guidance and support
What did the Jefferson Street Mission later become named?
Henry Street Settlement
What do we mean by "safety net hospitals"? Are they in financial crisis?
Hospitals that serve populations with limited or no resources to pay for the services. Yes, because most of their patients have inadequate or no reimbursement
What does describing a hospitals structure refer to?
How the organization is configured
What does describing a hospitals process refer to?
How the organizations function and how the work gets done
How does informatics impact care? Should nurses be more involved?
Lead to safe, quality care. Nurses need to take active role with the information and coordination of care
What three individuals started the Jefferson Street Mission?
Lillian Wald, Mary Brester, Livinia Dock
What is active listening?
Listener repeats what they hear to the speaker
Are data from sites such as World Health Organization, Governmental websites and professional organizations websites good sources of facts and data?
NO
Does the US have an universal healthcare system of coverage for all individuals?
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
What is the NCSBN?
National Council of State Boards Nursing
What is patient advocacy? What is a nurses role with it?
Respecting patient rights and the patient. Ensuring that the education to understand treatment and care needs
What are the five rights of nursing delegation?
Right task, Right cirumstances, Right person, Right direction/communication, Right supervision
What is the international Honor Society for nursing?
Sigma Theta Tau
Dietician roles
Work with patients to help resolve dietary nutritional needs
What is Coordination?
Working to see that the pieces and activates fit together and flow as they should to meet desired patient outcome
What is Collaboration?
Working together to accomplish a common goal. Decisions are developed together for a win/win solution
Do disparities in the healthcare profession's workforce contribute to health disparities outcome?
YES
What is Competency?
The behavior and performance 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 Clinical Reasoning?
The nurse ability to assess patient problems or needs and analyze days to accurately identify and frame problems withing the context of the individual patients environment
Was organized religion and/or military establishment linked with care of the sick?
Yes, especially during the crusade times and the medieval era when health was strongly believed to be influenced by religion
If we define nurses by describing tasks, what are we talking about?
What nurses "do", give meds, follow doctors orders, promoting health and preventing illness and injury
What is Coinsurance?
When patient pays share of payment
What is "reality shock"?
When someone has been educated with one view of nursing encounters with a different view of nursing in the practical setting
What is an insurance copayment?
fixed amount patient may be required to pay per service
What is memorization?
learning becomes a continuum, understanding is more important than memorizing and involves application of learning
What is application?
making connections between what you learned in lecture and what you learned in clinical
Respiratory Therapists roles
provide care to patients who have respiratory problems, go to the patients bedside or work solely in intensive care. They respond the codes when the patient experiences cardiac or respiratory arrest.
What are the five core competencies identified by the IOM?
provide patient-centered care, interdisciplinary/ interprofessional terms, employ evidence based practice, apply quality improvement, utilize informatics
How does active listening, didactic learning, application, and memorization relate to student learning?
each students learning style is different, no one is paced in the same category: Kholbs style, Rassool and Rawaf learning styles
During Florence Nightingale's time, women typically were involved in what type of work/activity?
women typically did not work outside of the home
What is a hospitalist? Are advanced practice nurses being used as hospitalists?
A generalists who coordinates the patients care serving as primary care provider while patient is in the hospital. Yes, usually MD has this job but some APRN's and CNA's hold this position
What organization represents all RN's in the United States?
American Nursing Association (ANA)
What is health literacy? What does it include?
Ability of nurses or providers to communicate medical terms to patient/family in a way they understand. Includes reading, writing, and arithmetic skills, listening and speaking abilities, conceptual knowledge
Who was Margaret Sanger?
Activist of women's health, left nursing to devote her life to educating women about birth control, specifically unwanted pregnancies to reduce the number of abortions. Founded organization that later became planned parenthood.
What are some barriers effective coordination?
Failure to understand other team member roles and responsibilites, lack of clear, limited leadership, overwork, ineffective communication, competition among members
Who was Mary Mahoney, Adelaid Nutting, Clara Barton?
First professional black nurse, first professional nurse, and civil war nurse/founder of Red Cross
What is HIPAA? How does HIPAA relate to patient privacy?
Health Insurance portability and accountability act of 1996. Focuses on issue of information and confidentiality, requires that only necessary information be shared among providers, including insurances. Patient has right to access their medical records
Describe Bureaucratic organization
Its a top down vertical structure. The time management is removed, and very impersonal
Who was Dorthea Dix?
Known for improving conditions for the mentally ill
In the NCSBN, whose responsibility is it to delineate and maintain boundaries between nurse and patient? What are some red flags in professional communication?
Nurses responsibility. Red flags include self disclosure of own personal info to patient, secretive behavior, "super nurse" behavior, special treatment, selective communication, failure to protect to patient
What role should each Nurse take to improve the image of Nursing in the community?
Nurses should speak up to advocate for their ole in the community, they should be independent but also recognize interdependence, and they should share responsibility and accountability and handle conflict in a positive way. Contribute to a strong health care team.
What is the largest department in the hospital?
Nursing
How is nursing curriculum different from other types of curricula? What is the NCLEX-RN?
Nursing is more demanding and complex, the content relies on previous courses and builds subsequent ones
What are the five elements of the APA title page?
Page number, running head for publication, title of the manuscript, byline or authors name, institutional affiliation
What are insurance deductibles?
Part of the bill the patient must pay before insurance kicks in
What is the main role of the institutional Review Board's (IRB) in research?
Patient's rights. Reviews research before it is conducted to ensure that the study is conducted ethically
Describe the interprofessional team and the main advantage of using interprofessional teams as it relates to fragmented care
People with distinct disciplinary training working together for a common purpose, as they make different contributions to patient-focused care. Main goal is to reduce fragmentation of care which drives up cost for and decreases the quality
What do we mean by High Touch vs High Tech?
Physically taking care of a patient, do not let technology get in the way of caring for your patient
What are the key roles of nursing?
Provider of care, educator, counselor, manager, researcher, collaborator, change agent, entrepreneur, patient advocate, leader
What is Medicare?
Provides health care coverage to those 65 years and older or disabled, funded by federal only
What is Medicaid?
Provides health coverage to low income, funded by federal and state
What is critical thinking?
Purposeful, informed, outcome focused thinking that requires careful identification of key problems, issues and risks
What is documentation? The format and content of documentation of care should include what?
Record for patient care, should be accurate, consistent, and relevant
What is patient centered care?
Respect and care for a patients differences, values, preferences and needs. relief or pain, coordination of care, clear communication with and education of the patient, shared decision making and continuous promotion if disease prevention and wellness
What is Nursing Informatics?
Specialty that integrates nursing science, computer science, and information science to manage and communicate data and knowledge in nursing practice
What is Clinical Judgment?
The process by which nurses come to understand the problems, issues, and concerns or patients. To attend a salient information and to respond to client problems in converned and involved ways. Includes both conscious decision making and intuitive response
What is delegation?
The transfer of responsibility to complete a task from one person to another
What are two important tools for success in nursing education program
Time management and organization (also study)
What are basic elements of APA format?
Title page, abstract, body of text, reference, appendicies, table, figures
What is didactic learning?
content-focused experience
What is basic research?
designed to broken the base of knowledge rather than solve an immediate problem
Occupational Therapists roles
not present in every hospital, help with rehabilitation us to impaired functioning, work in hospitals, long-term care, and home health care
What do we mean by nurses being knowledge workers?
nurses work in knowledge intense areas, they realize change is inevitable but is also a good thing and an opportunity to learn