Nursing 102 WKU Exam 1

what are some barriers to effective listening?

Anxiety and stress, interruptions, fatigue, anger, confusing, lack of self esteem, overwork, hunger

What is application?

Applying the information you learned to real life situations

what are the steps in the nursing process

Assessment Diagnosis Planning Implementation Evaluation

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

Cochrane systematic review

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

Crimean war (1854-1856)

what are some elements of effective teams and team leaders

Effective teams: good communication, responsible to participate actively, timely, solve conflicts. Effective team leader: collaborate, coordinate, delegate, provide feedback, resolve conflict, develop plan

What is the Sullivan Commission report?

Examines disparities in healthcare

What did Jefferson Street Mission later become named

Henry Street Settlement

What do we mean by safety net hospitals? Are they in a financial crisis? What contributes to 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.

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

Lead to safe, quality care. Nurses need to take active role with information and coordination of care.

What is memorization?

Learning something and committing it to memory. being able to retrieve that info at any time.

What three individuals started the Jefferson street mission

Lillian Wald, Mary Brewster, and Lavinia Dock

What is medicaid? funded by? what is medicare? funded by?

Medicaid: provides health coverage to low income. federal and state funded. Medicare: provides health coverage to 65 yrs or older, or disabled. federal funded.

what is the NCSBN

National council of state boards of nursing

does the US have a universal healthcare system of coverage for all individuals

No

Who is Adelaide Nutting

Nurse educator and first professor in nursing

What is the international honor society for nursing?

Sigma Theta Tau

what is collaboration

Working together to accomplish a common goal. Decisions are developed together for a win/win solution.

do disparities in the healthcare professions workforce contribute to health disparities outcome

Yes

what is clinical reasoning

The nurses ability to assess patient problems or needs and analyze data to accurately identify and frame problems within the context of the individual patients environment

are there disparities in the healthcare professions workforce

Yes, found that in some instances there is inequality between minorities and non minorities Discrimination at the patient provider level

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 active listening?

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

what are the characteristics of a profession

autonomy, responsibility, and accountability

what roles doe Registered nurse have

backbones of acute care. work in many different departments/positions

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

helps increase confidence and decrease risks (The sim lab is a safe environment for practicing and making nursing decisions but with faculty guidance and support)

what does describing a hospital's process refer to

how the organization functions and how the work gets done

what does describing a hospital's structure refer to

how the organization is configured

describe a bureaucratic organization

it's a top down vertical structure. the management is removed (higher level), very impersonal (no open door policy)

Dorthea Dix

known for improving conditions for the mentally ill.

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 roles do Respiratory therapist have

provide care to patients who have a variety of respiratory problems, go the patients bedside, or work solely in intensive care. they respond to codes when patients experience cardiac or respiratory arrests

what are the five core competencies identified by the IOM

provide patient-centered care work in interdisciplinary/interprofessional teams employ evidenced based practice apply quality improvement utilize informatics

what roles does occupational therapist have

provide services to patients with rehabilitation needs.

what are the key roles of nurses? (list a few)

provider of care educator counselor manager researcher collaborator change agent entrepreneur patient advocate leader

what is critical thinking

purposeful, informed, outcome focused thinking that requires careful identification of key problems, issues, and risks

how are questions that are more than 40 words incorporated into the text

displayed a double spaced block, indented five spaces from the left, with no quotation marks

how are quotations that are less than 40 words incorporated 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 THIER VALUES/PREFERENCES.

what are some barriers to effective coordination?

failure to understand other team members roles and responsibilities , lack of clear plan of care , limited leadership, overwork, ineffective communication, competition among members

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 delegation

the transfer of responsibility to complete a task from one person to another

What is reality shock?

when someone who has been educated with one view of nursing encounters a different view of nursing in the practical setting

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

women typically did not work outside of the home.

what roles does a dietician have

work with patients to help resolve dietary nutritional needs

what is coordination

working to see that the pieces and activities fit together and flow as they should to meet desired patient outcome.

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

yes (especially during the crusade times and the medieval era when health was strongly believed to be influenced by religion)

Who was Ignaz Semmelweis

A doctor working in the obstetrical ward of Vienna general hospital and tried to institute a strict hand washing policy with chlorinated lime water to reduce the number of deaths due to childbed fever

What is a hospitalists? Are APRNs being used as hospitalists?

A generalist who coordinates the patients care serving as primary care provider while patient is in the hospital. Yes, usually an MD has this job, but some APRNs and CNSs hold this position.

What organization represents all RN in the united states

American Nursing Association (ANA)

What is health literacy? what does it include?

Ability of nurses or providers to to communicate medical terms to patient/family in a way they understand. includes reading, writing, and arithmetic skills, listening and speaking abilities, conceptual knowledge.

what is clinical judgment

Ability to apply, analyze, and synthesize knowledge. includes both conscious decision making and intuitive response

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.

Linda Richards

America's first trained nurse. She also created the first individual patient record and helped with process improvement

Who was Mary Mahoney

First professional black nurse

Who is Clara Barton

Founder of the American Red Cross. She helped POWs reunite with their families and worked to improve hospitals on the battlefield during the Civil War.

What is 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 insurancers. Patient has right to access their medical records.

What are insurance deductibles? Copayments? Coinsurance? Annual limits?

Insurance deductibles: part of bill the patient must pay before the insurer will pay for services. Copayment: Fixed amount patient may be required to pay per service. Coinsurance: when patient pays share of payment. Annual limits: defined max amount that patient would have to pay and then they would no longer have to contribute to paying the bill.

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? red flags?

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 the patient

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

Nurses should speak up to advocate for their role 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 strong healthcare team!

What do we mean by nurses being knowledge workers? What do they understand about change?

Nurses work in knowledge-intense areas. They realize change is inevitable but it is also a good thing. It is an opportunity to learn.

How is nursing curriculum different from other types of curricula?

Nursing is more demanding and complex. The content relies on previous courses and builds on subsequent ones.

what is the main role of the Institutional review Board's in research

Patients rights! reviews research before it is conducted to ensure that the study is conducted ethically

describe interprofessional team and the main advantage of using them 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 of care and decreases the quality.

What do we mean by high touch vs high tech?

Physically taking care of the patient. Do not let technology get in the way of caring for your patient.

what is patient advocacy

Recognizing and Respecting patient rights and values. ensuring that the patient has the education to understand treatment and care needs Whether you agree with decision or not, you still respect the patient

What is documentation? Includes?

Record for patient care. Should be accurate, consistent, and relevant.

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 didactic learning?

classroom or content-focused lecture

a knowledge worker uses ______(3 Cs) when surveying as a nurse

collaboration coordination critical thinking

what is basic research

designed to broaden the base of knowledge rather than solve an immediate problem

what is applied research

designed to find a solution to a practical problem

when evaluating information and literature for writing nursing papers and making clinical decisions... are blogs ad informal internet sources permissible? should newspapers and magazine articles in popular press be used? Are data from sites such as WHO and other government and professional organizations good sources?

no no yes

Did Ignaz Semmelweis receive rightful recognition from his colleagues

no he was largely ignored, rejected, and ridiculed (he was dismissed from the hospital and harassed by the medical community with forced him to move to Budapest)

what is the largest department in a hospital

nursing

what is patient centered care

respect, and care for patient differences, values, preferences, and needs; shared decision making and continuous promotion if disease prevention and wellness

what are the five rights of nursing delegation

right task right circumstance right person right direction/communication right supervision

What are 2 important tools for success in nursing education?

time management and organization (also study skills)

what are the basic elements of APA format

title page abstract body of text reference appendices tables figures