Nursing 102- exam 1
66. What is nursing informatics?
A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom, in nursing practice
6. Who was Linda Richards?
Americas "first trained nurse" she was a graduate of the new england hospital program and spent most of her career moving from hospital to hospital in a continual improvement campaign. she created the first individual patient record
22. If we define nurses by describing tasks, what are we talking about
Describing nurses by what they do, not what they know
a. What is basic research?
Designed to broaden the base of knowledge rather than solve an immediate problem
b. What is applied research?
Designed to find a solution to a practical problem
g. Dietician
Dieticians work with patients to help resolve dietary and nutritional needs. Nurses work with dieticians as patient dietary needs are identified and implemented
15. What role should each nurse take to improve the image of nursing in the community
Do not let interprofessional or intraprofessional competition and antagonism from the past drive the present and future, integrate their work to provide the best care, acknowledge that they share a common goal: quality patient care, recognize interdependence, share responsibility and accountability for patient care outcomes, recognize that collegial relationships are safe, and handle conflict in a positive manner
43. What do we mean by "safety net hospitals"? Are they in a financial crisis? If so, what contributes to the crisis?
Hospitals that serve populations who have limited or no resources to pay for services Yes. Needing hospital care but not having the resources to pay for it
64. How are quotations that are more than 40 words incorporated into the text?
Long: display in a double spaced block, indented five spaces from the left, with no quotation marks
39. Describe a bureaucratic organization
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 an open door policy. There is limited access to management for staff to have input regarding decision making
7. What three individuals started the Jefferson Street Mission?
Mary Brewster, Lavinia Dock, and Lillian Wald
61. What is the highest level of evidence to base nursing practice? What is a meta-analysis?
Meta-analysis The statistical procedure for combining data from multiple studies
45. Does the U.S. have a universal healthcare system of coverage for all individuals?
No
Should newspapers and magazine articles in the popular press be used?
No
60. When evaluating information and literature for writing nursing papers and making clinical decisions? Are blogs and informal internet sources permissible?
No, they are not scholarly
52. What is patient advocacy? What is the role of the nurse with patient advocacy?
Respecting patient rights and the nurse ensuring that the patient has the education to understand treatment and care needs It requires leadership skills. Nurses participate in and support actions that emphasize patient advocacy
68. What is documentation? The format and content of documentation of care should include what?
Serves as record of the patient's care; paper or electronic information pertaining to the patient's health, medical history, medications, lifestyle, height, weight, allergies Changes must have date and time and added as a note from who made what change
63. How are quotations that are less than 40 words incorporated into the text?
Short: incorporate into the text and enclose with double quotation marks ("")
4. What is the International Honor Society for Nursing
Sigma Theta Tau
12. Was organized religion and/or military establishments linked with care of the sick?
Yes
53. What is health literacy? What does it include?
The degree to which individuals have the capacity to obtain, process, and understand basic information and services needed to make appropriate decisions regarding their health Reading, writing, and arithmetic skills; listening and speaking abilities; and conceptual knowledge
8. What did the Jefferson Street Mission later become named?
The henry street settlement
23. What do we mean by nurses being knowledge workers? What do they understand about change?
The knowledge worker focuses on acquiring, analyzing, synthesizing, and applying evidence to guide practice decisions (LIFELONG LEARNING), the medical field/ nursing is always changing.
51. What is clinical reasoning? Clinical judgment?
The nurse's ability to assess patient's problems or needs and analyze data to accurately identify and form problems within the context of individual patient's environment The process in which nurses come to understand the problems, issues or concerns of clients/patients, to attend to salient information, and to respond in concerned and involved
20. What is "reality shock"?
a shock reaction that occurs when an individual that has been educated with one view of nursing and encounters a different view of nursing in the practice setting
32. What is collaboration?
all people involved are listened too and decisions are developed together.
27. What is competency?
an expected, demonstrable behavior
14. What are the characteristics of a profession?
autonomy, responsibility and accountability
30. What is delegation?
giving another staff member the responsibility and authority to complete a task or activity
38. What does describing a hospitals process refer to?
how the organization functions
37. What does describing a hospital's structure refer to?
how the organization is configured,
5. Who was Dorthea Dix?
improved conditions for the mentally ill and was a union superintendent of Female Nurses in Civil War (
16. What is active listening? didactic learning? Application? Memorization? and how does it relate to student learning?
listener repeat what they hear to the speaker—re-stating or paraphrasing what they have heard in their own words, to verify what they have heard and confirm understanding of both parties. Theory content is the classroom or content-focused experiences Making connections between what you actively listen to in lecture and what you learn in a clinical setting Learning becomes a continuum, understanding is more important than memorizing and involves application of learning Each student's learning styles are different no one placed in only one category: Kolb's styles and Rassool and Rawaf learning styles
9. Who was Mary Mahoney? Adelaid Nutting? Clara Barton
mary mahoney was the first professional black nurse in america. adelaide nutting was the first professor of nursing clara barton was the founder of the US red cross and civil war nurse, she organized a program for locating missing meant in action.
13. Who was Margaret Sanger?
practiced nursing until 1912, when she left the profession in order to devote her life to educating women about birth control- specifically unwanted pregnancies to reduce the number of abortions
21. What are the key roles of nurses
provider of care, educator, counselor, manager, researcher, collaborator, change agent, entrepreneur, patient advocate and leader.
33. What are some elements of effective teams? Effective team leaders?
effective teams value openness and collaboration. Leader's roles, handoffs, time-outs before surgery, SBAR, team STEPPS, checklists, formal team meetings, and meeting setting and new technology
18. What makes simulation an effective method for developing clinical competency in nursing?
experiences just like real settings.
31. What are the "five rights" of nursing delegation?
task, circumstance, person, direction/ communication, supervision
48. Would access to care be improved with a patient-centered care model?
yes
Are data from sites such as World Health Organization, Governmental websites and professional organization's Websites good sources of facts and data?
yes
29. Describe the interprofessional team and the main advantage of using interprofessional teams as it relates to fragmented care
. Small group who work together on a regular basis to provide the best care possible to discrete subpopulation including patients
56. What are the steps in the nursing process?
1) Assessment 2) Diagnosis 3) Planning 4) Implementation 5) Evaluation
49. What is the Sullivan Commission report? Are there disparities in the healthcare professions' workforce?
49. What is the Sullivan Commission report? Are there disparities in the healthcare professions' workforce? It examined disparities in health care from a different perspective and stated that we need more diversity in the health care field Yes
47. What is patient-centered care?
? Identify, respect, and care about patients' differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including focus on population health
55. 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?
? The nurse exchanging gifts, thinking the nurse can only provide care for the patient, dating the patient, talking to the patient about personal issues
10. Who was Ignaz Semmelweis?
A doctor working in the OB ward of Vienna General Hospital in Austria in 1847. He noticed that nearly 20% of the women under his care in "Division I" of the hospital died shortly after childbirth. He traced this back to him and his colleagues not washing their hands after performing autopsies.
3. What organization represents all RNs in the United States?
American Nurses Association. (ANA)
35. What are some barriers to effective coordination?
Failure of team members to understand roles and responsibilities of other team member, lack of 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
46. What is Medicaid? Who funds Medicaid? What is Medicare? Who funds Medicare?
Federal and state program for certain low-income people, children, blind, disabled and those who receive federally assisted income maintenance programs The state government is the largest insurer Federal health insurance program for people aged 65 and older; disabilities; end-stage renal disease
42. What is a hospitalist? Are advanced practice nurses being used as hospitalists?
Generalist who coordinates the patient's care, serving as the primary provider while the patient is in the hospital Yes, in some hospitals
69. What is HIPAA? How does HIPAA relate to patient privacy?
Health Insurance Portability and Accountability Act of 1996: law that amended the internal revenue code of 1986 to improve portability and continuity of healthcare information and ensure privacy of patient information Health information cannot be openly shared with anyone not even family unless patient has specifically communicated that it is acceptable. Carrying patient info outside HCO is prohibited, taking pictures in a clinical setting is a violation
24. What is critical thinking?
Includes attitudes, intellectual skills, interpersonal skills, and technical skills
34. What is coordination?
Interconnectedness with collaboration and nurse as "anchor" to patient
e. Occupational therapist
Occupational therapists are not present in every hospital, but they provide important services for patients with rehabilitation needs because of impaired functioning, such as patients who have had a stroke or patients who have experienced a serious automobile accident. Another type of therapist who might be used, especially for patients who have had a stroke, is a speech-language pathologist. These types of therapists are found commonly in rehabilitation services but can be provided in all types of settings, such as in hospitals, in long-term care facilities, and in home care
65. What are the 5 elements of the APA Title page?
Page number, running head for publication, title of the manuscript, byline or the author's name, and institutional affiliation
44. What are insurance deductibles? Copayments? Coinsurance? Annual limits?
Part of the bill that the patient must pay before the insurer will pay the bill for the services The fixed amount that a patient may be required to pay per service The payment for each service is paid by insurance Enrollees have a defined amount that they would have to pay, after that amount is paid, the patient is 100% covered for care
57. Remember that employing evidence-based practice requires use of research findings but also what/who else?
Practice include what the research shows, having clinical expertise, getting a thorough patient history and assessment (remember patient-centered), including patient values and preferences
28. What are the five core competencies identified by the IOM?
Provide patient-centered care. Work with interdisciplinary/interprofessional teams. Employ evidence-based practice. Apply quality improvement Utilize informatics
67. How does informatics impact care? Should nurses be more involved?
Technology may not always reduce error but can increase it. True when technology fails to take into account end users, increase staff time, replicates an already bad process or implemented with insufficient training Need to assume an active role in the development of HIT for patient care and not wait to be asked to participate
58. What is the main role of the Institutional Review Board's (IRB) in research?
The IRB is a committee that reviews research before it is conducted to ensure that the study is conducted ethically. There are certain vulnerable populations that include babies, children, pregnant women, mentally ill, and prisoners. Research studies involving human subjects must be approved by an institutional review board (IRB)
During Florence Nightingale's time, women typically were involved in what type of work or activity?
They did not work outside of the home
26. What do we mean by high touch vs high tech?
caring about the patient first hand instead of being worried about the technical aspects of medicine
25. A knowledge worker uses C_____________, C_______________, and C____________ thinking when serving as a nurse
coordination, collaboration and critical thinking
What was the first war that Florence Nightingale was involved in?
crimean war
54. What is the NCSBN?
national council of state boards of nursing
11. Did Ignaz Semmelweis receive rightful recognition from his colleagues?
no
c. Registered nurse
nurse Nurses are the backbone of any acute care hospital. They work in a great variety of positions and departments, not just the nursing department. Nurses also work in medical records, quality improvement, infusion therapy, case management, staff development, radiology, and ambulatory care, among other departments. Some nurses are in management positions and do not provide direct care
40. What is the largest department in a hospital?
nursing
17. How is nursing curriculum different from other types of curricula?
nursing courses demand more content building, understanding vs memorizing, application of information, practicum component, and clinical preceptors
a. Respiratory therapist
therapist Provide care to patients who have a variety of respiratory problems. They are trained to provide specific types of treatments, such as oxygen therapy, inhalation therapy, intermittent positive-pressure ventilators, and artificial mechanical ventilators. Respiratory therapists go to the patient's bedside for these treatments, and some respiratory therapists may be assigned to work solely in intensive care units, where there is great need for these treatments. Respiratory therapists are also part of the team that responds to codes when patients experience cardiac or respiratory arrests
19. What are two important tools for success in nursing education?
time management and organization.
62. What are basic elements of APA format?
title page, headers, writing style, in text citations, quotations, and reference page,
