NUR 3000 Exam 1
A nurse is discussing culturally competent care with another nurse. Which of the following statements should the nurse include?
"Use a medical interpreter for a client who does not speak the same language."
Nursing Competencies
- Advocacy - Change Management - Communication - Collaboration
Florence Nightingale
-Founder of modern nursing -Data collection -Started nursing schools
ANA Code of Ethics for Nurses
-In all professional relationships, practices with compassion & respect -Primary commitment is to patient, family, group, community -Promotes, advocates, protects health, safety, & rights of patients -Responsible & accountable for his/her own patient care practice -Owes same duty to self...integrity, competence, growth -Participates in improving health care environments -Participates in advancement of profession -Collaborates with other health professionals & public to meet health care needs -Profession of nursing, as represented by associations/members...responsible for values & integrity & shaping social policy
Priority Setting Frameworks
-Maslow's Hierarchy -Airway, Breathing, Circulation (ABC) framework -Safety/Risk reduction -Assessment/Data Collection First -Survival Potential -Least Restrictive/Least Invasive -Acute vs. Chronic/Urgent vs. Nonurgent/Stable vs. Unstable
Nursing Organizations
-National Academy of Medicine (formerly IOM) -American Nursing Association (ANA) -National League for Nursing -International Council of Nursing -National Student Nurses Association (NSNA)
6 QSEN competencies
1. Patient-centered care 2. Teamwork and collaboration 3. Evidence-based practice 4. Quality improvement 5. Safety 6. Informatics
IOM Future of Nursing Report
80% of RNs have BSN by 2020 increase by 100% with doctoral degrees APRNs can practice at full scope interprofessional communication collaboration leadership data in workplace diversity in workplace
professional identity
A nurse's sense of self as influenced by the values, beliefs, and attributes associated with the nursing discipline.
A nurse is talking with a client who arrived at the clinic over an hour ago and states, "Doesn't anyone care that I am sick? Why do I have to wait so long?" The nurse listens to the client and notifies the provider, relaying the needs of the client. In which of the following roles is the nurse performing?
Advocate
ABCDE
Airway Breathing Circulation Disability Exposure
steps to RN nursing process
Assessment Analysis Planning Implementation Evaluation
Novice to Expert Theory
Benner 1. Novice - little knowledge, relies on others 2. Advanced Beginner - competent skills, uses theory and principles; cannot establish priorities 3. Competent Practitioner - thinks analytically, sets goals, multitasks 4. Proficient practitioner - Views patients holistically, long-term goals 5. Expert practitioner - expertise comes naturally
Nursing Roles Include
Care provider Case Manager Researcher Educator Leader Manager Change
Nursing roles within organizations
Caregiver Advocate Change Agent Critical Thinker Educator Leader Counselor Mentor Researcher Care Coordinator
NLN mission
Caring, integrity, diversity, excellence.
Founded the American Red Cross Formalized Nursing Education
Clara Barton
A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience?
Competent
A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role?
Coordinating and overseeing the care the client is receiving
steps to LPN nursing process
Data Collection Planning Implementation Evaluation
Indigenous Rights Mental Health Awareness
Dorthea Dix
US congressional rep. Created opportunities for minorities
Eddie Bernice Johnson
A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic?
Educate nurses and other health care personnel about naloxone.
Survival Potential Framework
Emergent- class I/highest priority/immediate tx: chance for survival urgent/delayed- Class II/ serious and extensive injuries/ do not pose immediate threat to life/ potential for survival even with delayed tx Nonurgent-Class III/ less serious and less extensive/ no threat Expectant- Class IV/ potential survival does not exist even with tx
A nurse is caring for a client who reports experiencing chills and not feeling well. The nurse informs the client that they will need to have their temperature taken to monitor the manifestations. Which of the following terms describes that the nurse's action is grounded in research?
Evidence-based practice
A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence-based practice in caring for clients?
Florence Nightingale
Ildaura Murillo-Rohde
Founded the National Association of Hispanic Nurses
Policies and Procedures
Governing rules and regulations established by institutions and organizations which direct nursing practice
A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply.)
Health Promoter Nurse educator
A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative?
It is a set of objectives for improving the health of Americans.
The National Council of State Boards of Nursing (NCSBN) regulate _______________________
NCLEX - national council licensure exam
accountability in nursing
Obligation to perform work duties
A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses? (Select all that apply)
Online continuing education journals Nursing skill refresher Continuing education presentation Participating in healthcare research
Maslow's hierachy of human needs
Physiologic needs Safety needs Love and belonging needs Self-esteem needs Self-actualization needs
Acute vs chronic framework
acute condition prioritized over chronic
Least restrictive/least invasive
Priority goes to interventions that are least restrictive and least invasive to a client Make sure it won't put the client at risk for harm or injury
A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by The American Nurses Association (ANA)? (Select all that apply.)
Providing a definition of nursing is correct. Lobbying for whistle blower protection is correct. Providing all registered nurses with competency expectations is correct.
A nurse who completed their shift realized they forgot to take a client's vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Association's Code of Ethics for Nurses with Interpretive Statements?
Report this omission to the charge nurse and the nurse on the next shift.
A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media?
Reviewing the use of a fitness application with a client
A nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice?
The American Nurses Association (ANA)
A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include?
The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions.
A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report?
The National Academy of Medicine
A nursing student expresses a desire to become more involved with the nursing profession on a national level. Which of the following organizations should the student join?
The National Student Nurses' Association
professional commitment
The belief and acceptance of the standards and values of the profession of choice; effort to understand standards, and to grow and improve Important bearing on retention and turnover
A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy?
The client states they understand their health care information and treatments,
ANA provision 8
The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
ANA provision 4
The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.
ANA provision 5
The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
ANA Code of Ethics Provision 1
The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
ANA provision 3
The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.
ANA code of ethics provision 2
The nurse's primary commitment is to the patient, whether an individual, family, group, or community.
ANA provision 7
The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy.
ANA provision 6
The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.
ANA provision 9
The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.
Self-determination
The responsibility of each individual to act professionally as a nurse
A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse's actions when they begin working?
The state Nurse Practice Act
Unstable vs Stable
Unstable clients are given priority because they have needs that pose a threat to the clients survival. **client's who's vital signs show that they may become unstable should be considered a higher priority than clients who are stable**
Urgent vs Nonurgent
Urgent needs pose more threat to client Needs become urgent when related to an intervention needed within a specified time When caring for a group of clients, attend to the client with the most urgent need first
A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following?
Violating the code of ethics for nurses.
What can a nurse NOT delegate?
clinical reasoning and judgement
shared governance
collaborative effort to control and improve performance
The standards of professional nursing defines _____________________________________
tasks that all nurses, regardless of role or specialty,
scope and standards of practice
explanatory statements that describe a competent level of nursing care and professionalism
nursing codes of conduct
guidelines that influence certain actions
new grads should exhibit the following nursing competencies
human flourishment nursing judgement professional identity spirit of inquiry
healthy nurse, healthy nation
increase physical activity improve quality of life obtain adequate rest improve nutrition increase safety
code of ethics
interpretive statements that address ideals, values and client obligations of nursing practice
Transactional Leadership
leadership based on an exchange process in which followers are rewarded for good performance and punished for poor performance
responsibility in nursing
legal, moral, ethical commitment to do the right thing
current issues
nursing shortage opioid epidemic social media impaired nursing stress/health
Holistic Assessment includes
physical, mental, social and spiritual needs/health
nursing code of ethics
revolves around higher level concepts, establishing set of principles and influencing judgement of those around
Nurse Practice Act
rules and regulations est. by state boards as to what a nurse can and can not do
Safety/Risk reduction framework
safety risk to client Greatest risk to client Significance of risk compared to other risks
State Nursing Practice Acts (NPA) are
the current laws and regulations governing nursing practice in every state and territory of the united states