NUR01_ Professional Nursing → Final Exam Study Guide Exam with complete solutions 2024_202, Exams of Nursing

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NUR01: Professional Nursing →

Final Exam Study Guide Exam with

complete solutions 2024/

In the 1970's, this publication established the connection between social issues and the role of the nurse: - ANSWER✓✓-Hospitals, Paternalism, & the Role of the Nurse (Ashley, 1976) What did Isabel Hampton Robb do as the first president of the American Nurses Association? - ANSWER✓✓-Organized the nursing profession at a national level how did the Industrial Revolution affect Health Care? - ANSWER✓✓-It created crowded workplaces that were breeding grounds for disease. how did the 1948 Brown Report on Nursing education change the focus of Nursing education? - ANSWER✓✓-Nursing schools began to view accreditation and standardization as necessary steps for success. how might a Critic of Florence nightingale's nursing image describe a nurse? - ANSWER✓✓-They saw her as the "lady with a lamp" and perceived nurses weren't powerful "uncaring"

what does belonging to a professional nursing association do for the nurse? - ANSWER✓✓-It allows nurses to be nationally/locally active and improve leadership skills. the standards of practice for the American Nurses Association include which of the following? - ANSWER✓✓-Assessment Diagnosis Planning Implementation Evaluation describe how Florence Nightingale influence the nursing profession in the 1850s. - ANSWER✓✓-she organized a school of nursing because she believed nursing education was vital, she developed the profession so it was not seen to contain only subordinate females, and she was religious. Describe the recommendations of the American Association of colleges of Nursing and response to the Health Professions level of diversity in 2004. select all that apply. - ANSWER✓✓-- innovation & excellence in academic nursing

**- advance improvements

• primary advocate for diversity
• authoritative source of knowledge** describe how the definition of nursing has changed over time. What do you think has allow these definitions to change? - ANSWER✓✓- adaptability and changes in the field A knowledge worker uses which of the following when serving as a nurse? - ANSWER✓✓-critical thinking Knowledge workers recognize that change is: - ANSWER✓✓- inevitable Dichotomous thinking limits choices because it means someone is looking at an issue as being: - ANSWER✓✓-seeing situations as either good or bad or black or white

what is the best response to the statement that medicine focuses on curing and nursing on caring? - ANSWER✓✓-This statement describes extremes and leads to conflict How do nurses use critical thinking and Healthcare? - ANSWER✓✓-By applying knowledge, evidence, & care to the nursing process Which of the following is one of the key issues identified by the American Nurses Association related to a nurse's knowledge base? - ANSWER✓✓-leadership which of the following is an example of a routine part of a nurse's work? - ANSWER✓✓-- care for the patient- vital signs- documentation Which nursing role is becoming increasingly prominent? - ANSWER✓✓-Entrepreneur describe the definition of promotion of Health - ANSWER✓✓- assisting people to maintain their health within their abilities; supporting families, population, & communities to maintain a healthy lifestyle describe the definition of Health - ANSWER✓✓-an experience that is often expressed in terms of wellness & illness, & may occur in the presence or absence of injury Which of the following is an accurate characterization of advocacy? - ANSWER✓✓-Quiz 3 (07.10.2020) What are the two main types of public policies? - ANSWER✓✓-- regulatory

- allocative How has the Health Insurance Portability and Accountability Act of 1996 affected the healthcare consumer/patient? - ANSWER✓✓-It addresses the expectation that a person's health information should remain private and protected.

Some patient problematically use emergency services in what way?

• ANSWER✓✓-They use them as a primary care office T/F: Politics can affect public policies. - ANSWER✓✓-true T/F: The US is an excellent example of a country with a universal healthcare system - ANSWER✓✓-false T/F: Politics is the process of influencing the authoritative allocation of abundant resources. - ANSWER✓✓-false Why is the cost of health care rising in the US? - ANSWER✓✓-many factors go into it especially with policy changes After reading the ANA agenda on health care and healthcare reform, what do you think is most important for nurses to do moving forward? - ANSWER✓✓-professional organization speaks for the profession; delineates issues that need to be addressed through policies How can nurses can be vital to the policy arena? - ANSWER✓✓- nurses bring a unique perspective to healthcare policy development from their education, clinical expertise, professional values & ethics, advocacy skills, and experience - understand who holds power and who controls the resources for healthcare services Ethical dilemmas occur when a nurse is: - ANSWER✓✓-when a person is forced to choose between 2 or more alternatives, none of which is ideal Which of the following is an example of Medicaid fraud? - ANSWER✓✓-Paying a kickback to someone who refers your services Which of the following is an example of a nursing-related legal issue? - ANSWER✓✓-Restraining a patient without a physician's order What is the law of private rights? - ANSWER✓✓-civil law

Which of the following is an example of a confidentiality breach by a nurse? - ANSWER✓✓-Talking loudly on a mobile phone in a café about a patient T/F: Healthcare organizations are more concerned with morals today than ever before. - ANSWER✓✓-false T/F: Rationing care in the US means that not everyone can have access to care because there is not enough to go around. - ANSWER✓✓-false T/F: The ANA's code of ethics does not support the use of social media. - ANSWER✓✓-false What are the four ethical principles? - ANSWER✓✓-autonomy, beneficence, justice, veracity Define negligence. - ANSWER✓✓-failure to exercise the care toward others that a reasonable or prudent person would have under the same circumstances; an unintentional tort Which of the following has led to an increase in public health concerns? - ANSWER✓✓-Midterm (07.10.2020) Which type of healthcare professional would be most helpful to a stroke patient learning to manage at home? - ANSWER✓✓- occupational T/F: The United States is an excellent example of a country with a universal healthcare system - ANSWER✓✓-false What is the difference between training and education in nursing? - ANSWER✓✓-Education focuses on self-discipline, responsibility, accountability, and self-mastery; training focuses on fixed habits and skills. The largest department in a hospital is: - ANSWER✓✓-nursing department

A department of nurses with a focus on nursing care and support for nursing staff is considered: - ANSWER✓✓-traditional nursing Which government body developed Healthy People 2020? - ANSWER✓✓-United States Department of Health and Human Services What is the goal of Healthy People 2020? - ANSWER✓✓-a society in which all people live long, healthy lives A bureaucratic organization has which of the following? - ANSWER✓✓-- division of labor

**- defined hierarchy

• detailed rules & regulations
• impersonal relationships** What are the goals of WHO? - ANSWER✓✓-To improve equity in health, reduce health risks, promote healthy lifestyles and settings, and respond to the underlying determinants of health. What has caused a decrease in diploma schools of nursing? - ANSWER✓✓-degree programs How is a nursing curriculum different from other types of curricula?
• ANSWER✓✓-It is a continuum and each course is meant to build on the previous one The part of the healthcare service bill that the patient has to pay is called: - ANSWER✓✓-deductible What is one way nursing schools are overcoming the barrier to decreased clinical settings? - ANSWER✓✓-Utilizing simulation experiences to provide opportunities students would get in clinical settings. Using a primary care physician as the entry point in healthcare is an example of what type of continuity of care? - ANSWER✓✓-primary care What does MAP-IT stand for? - ANSWER✓✓-Mobilize

Assess Plan

- Implement Track Safety net hospitals are having serious financial problems because:

• ANSWER✓✓-no insurance coverage & limited resources Which of the following would be considered a practice that meets one of the five core competencies suggested by the Institute of Medicine? - ANSWER✓✓-communication, leadership, professionalism, knowledge, and business skills. A student listening to a lecture and making a connection to something he or she learned in a clinical setting is an example of what? - ANSWER✓✓-application Which of the following patient groups are considered especially vulnerable to health concerns? - ANSWER✓✓-group of persons who are at risk for developing health problems **- access to care
• children
• elderly
• chronic disease
• immigrants
• illegal aliens
• migrant workers
• rural areas
• homeless
• mentally ill
• immunocompromised** Which of the following is one of the main aspects of a nursing program? - ANSWER✓✓-didactic learning or lectures Which of the following can be described as a complex experience that is felt internally and makes people feel a loss or threat of a loss? - ANSWER✓✓-stress

Describe the 2010 initiative by the American Hospital Association to improve America's health. - ANSWER✓✓-creating a culture of health Which of the following is an example of wraparound services? - ANSWER✓✓-"one-stop shopping"where one patient can go to one place & receive multiple services What is the difference between a for-profit and not-for-profit organization? - ANSWER✓✓-For-profit has a shareholder What is one factor that leads to fewer nurses entering the profession? - ANSWER✓✓-- dissatisfaction

- media portrayl Two very important tools for success in nursing education are: - ANSWER✓✓-time management & organization Which of the following is a systematic investigation designed to develop or contribute to generalizable knowledge? - ANSWER✓✓- Evaluation Research Development Testing What type of research is designed to find a solution to a practical problem? - ANSWER✓✓-applied research What type of research focuses on identifying ways that an organization and its delivery of health care influence quality, cost, and the experience of patients and their families? - ANSWER✓✓- health system research An experimental design includes: - ANSWER✓✓-control group An IRB's role in research is to: - ANSWER✓✓-a committee that reviews research before it is conducted to ensure that the study is conducted ethically All research that involves human subjects: - ANSWER✓✓-must go through the IRB

Which of the following is true about an EBP nursing review? - ANSWER✓✓-Evidence-based practice integrates best research evidence with clinical expertise and patient values for the purpose of improving patient outcomes. PICOT stands for: - ANSWER✓✓-Population Intervention Comparison Outcome Time T/F: IRBs are mandated to review all research that involves human subjects in institutions that receive federal funds. - ANSWER✓✓-true More than 44,000 Americans died in 1999 because of: - ANSWER✓✓- preventable medical errors Which of the following is the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim? - ANSWER✓✓-error Which of the following is a negative patient outcome, such as an unexpected death, serious physical or psychological injury, or serious risk? - ANSWER✓✓-sentinel event Which of the following would guide an institution to move toward a culture of safety? - ANSWER✓✓-strategy of safety The ANA program Handle with Care is aimed at promoting: - ANSWER✓✓-nurses A sudden change in behavior, clenched jaws or fists, making threats, pacing, increased movement, shouting, use of profanity, increased respirations, and staring or pointing might indicate what?

• ANSWER✓✓-signs of escalation According to the Quality Chasm report, providing care based on continuous healing relationships will help to improve: - ANSWER✓✓- quality of safety

What is the major focus of The Joint Commission's accreditation process? - ANSWER✓✓-CQI Nursing-sensitive indicators identified by the ANA are related to: - ANSWER✓✓-healthcare report cards T/F: Benchmarking is an improvement tool whereby a company measures its performance or process against other companies' best practices, determines how those companies achieved their performance levels, and use the information to improve its own performance. - ANSWER✓✓-true What describes the result of bringing various forms of technology into the healthcare marketplace? (p.428) - ANSWER✓✓-"Bringing these types of technologies into the healthcare marketplace will transform the time and place for how care is provided" The clinical information system, how is it generally used? (p.429) - ANSWER✓✓-"HIT applied at the point of clinical care" Define Nursing Informatics (NI) (p.431) - ANSWER✓✓-A speciality that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. Define Interoperability - ANSWER✓✓-"ability of a system to exchange electronic health information with and use electronic health information from other systems without special effort on the part of the user" T/F: If there was a lack of interoperability then there would be no exchange of information. it would be a barrier (p.427) - ANSWER✓✓-true Barcode represents what informatics system that is mostly focused on what? - ANSWER✓✓-identification, inventory, & billing What database updates the systematic review? - ANSWER✓✓- Cochrane database of systematic review

What of review is done with EBP literature? - ANSWER✓✓-Systematic review How many levels of PCC? - ANSWER✓✓- What is an issue from IOM related to disparities in healthcare? - ANSWER✓✓-discrimination what % of adults have difficult understanding health information? - ANSWER✓✓-50% Process: Patient Problem-cultural competency - ANSWER✓✓-clinical reasoning Advantage of team based care? - ANSWER✓✓-decreased fragmentation interprofessional team-based care - ANSWER✓✓-Care delivered by intentionally created, usually relatively small work groups in health care who are recognized by others as well as by themselves as having a collective identity and shared responsibility for a patient or group of patients (e.g., rapid response team, palliative care team, primary care team, and operating room team)