NURS 142 MIDTERM EXAM NEWEST 2024 ACTUAL EXAM TEST BANK 180 QUESTIONS AND CORRECT DETAILED, Exams of Nursing

Download NURS 142 MIDTERM EXAM NEWEST 2024 ACTUAL EXAM TEST BANK 180 QUESTIONS AND CORRECT DETAILED and more Exams Nursing in PDF only on Docsity! NURS 142 MIDTERM EXAM NEWEST 2024 ACTUAL EXAM TEST BANK 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A Which of the following is NOT an accurate statement regarding the rights of nurses in their work environments? (a) Nurses have the right to freely and openly advocate for themselves without fear of retribution (b) Nurses have the right to a work environment that supports and facilitates ethical practice (c) Nurses have the right to work in unsafe environments when necessary for patient care (d) Nurses have the right to fair compensation for their work - ...ANSWER...(c) Nurses have the right to work in unsafe environments when necessary for patient care Which of the following reflect how nurses can contribute to the profession? (a) Through research and scholarly inquiry (b) Through developing, maintaining, and implementing practice standards (c) Through nursing and health policy development (d) Nurses can contribute to the profession in all of these ways - ...ANSWER...(d) Nurses can contribute to the profession in all of these ways Which of the following is an example of how principles of social justice can be integrated into nursing practice? (a) Focusing on bedside nursing rather than public health concerns (b) Supporting a curriculum that addresses health disparities and discrimination (c) Avoiding politics and social policy issues to remain neutral in the workplace (d) Reform the profession only when necessary to support traditional dogmatic practices - ...ANSWER...(b) Supporting a curriculum that addresses health disparities and discrimination The Kaplan Module on "How to Study-- Orientation: Find out what study skills workshops are available to you" covers which topics? Check ALL that apply. - Nursing School Success Workshops - Kaplan's Prep Talks for Mental Strength Training - The Dosage and Calculations Workshop - How to take advantage of these valuable resources. - How to complete Focused Review Tests - ...ANSWER...Nursing School Success Workshops The Dosage and Calculations Workshop How to take advantage of these valuable resources The Standards of Practice describe a competent level of nursing care guiding professional thinking and activities as demonstrated by the analytical, critical-thinking model/framework known as: ~clinical decision-making ~the nursing process ~coordination of care ....ANSWER...assessment, diagnosis, outcomes identification, planning, implementation, and evaluation After completion of the BSN (Baccalaureate of Science in Nursing) degree, NURS 142 students will be educationally prepared for competent practice at the entry level and will be qualified by national examination for RN licensure. What is the name of that national examination? ~National Council Licensure Examination for Registered Nurses, known as NCLEX-RN ~Licensure, Accreditation, Certification, and Education Examination, known as LACE-RN ~American Association of Colleges of Nursing Examination, known as AACN-RN ~American Nurses Credentialing Center Examination, known as ANCC-RN ~National League or Nursing Examination, known as NLN-RN - ....ANSWER...National Council Licensure Examination for Registered Nurses, known as NCLEX- RN Which of these does NOT accurately reflect one of the 9 code of ethics provisions? ~the nurse collaborates with other health professionals only when necessary to prevent patient harm ~the nurse's primary commitment is to the patient, whether an individual, family, group, community, or population ~the nurse promotes, advocates for, and protects the rights, health, and safety of the patient ~the nurse practices with compassion and respect for the inherent dignity and worth of every person - ....ANSWER...the nurse collaborates with other health professionals only when necessary to prevent patient harm XXX Which of the following is a question related to the ethical principle of patient autonomy? ~what is the likelihood of success of treatment? ~will the proposed treatment benefit the patient and avoid harm? ~is the person competent and capable of making decisions? ~are there family or provider biases that might influence treatment options? - ....ANSWER...is the person competent and capable of making decisions? (D selected during quiz) ALL BUT WHICH OF THE FOLLOWING are true statements about the Standards of Professional Nursing Practice: ~they are clear that specific conditions and clinical circumstances do not affect the application of the standards at a given time (e.g., during a natural disaster) ~they are subject to change with the dynamics of the nursing profession, as new patterns of professional practice are developed and accepted by the nursing profession and the public ~they are authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to perform competently ~they may be utilized as evidence of the standard of care, with the understanding that application of the standards is context dependent - ....ANSWER...they are clear that specific conditions and clinical circumstances do not affect the application of the standards at a given time (e.g., during a natural disaster) Which one of the following defines Code of Ethics (COE) Provision 1? ~the nurse promotes, advocates for, and protects the rights, health, and safety of the patient ~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 ~the nurse's primary commitment is to the patient, whether an individual, family, group, community, or population ~the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person - ....ANSWER...the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person Which one of the following defines Code of Ethics (COE) Provision 2? ~the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person ~the nurse promotes, advocates for, and protects the rights, health, and safety of the patient ~respect for human dignity & primacy of the patient's interests ~relationships with patients & conflict of interest for nurses - ....ANSWER...relationships with colleagues and others & collaboration Is the following description of ethical theories TRUE or FALSE: Nursing draws from many ethical theories, including: Kant's Moral Imperative, Critical Theories, Virtue Ethics, Ethic of Caring - ....ANSWER...true Which of the following best describes how the two books Scope and Standards of Practice and Code of Ethics for Nurses with Interpretive Statements are essential professional resources that collectively guide nursing practice? Both are used... ~in caring for patients only ~in hospital roles and settings only ~in all roles and settings ~in outpatient roles and settings only - ....ANSWER...in all roles and settings Which of the following is NOT a component of Provision 3? ~protection of human participation in research ~relationships with colleagues and others ~performance standards and review mechanisms ~professional responsibility in promoting a culture of safety - ....ANSWER...relationships with colleagues and others Which of the following is an example of advocacy? ~participation in nursing research studies ~reporting ethically questionable research parties to oversight bodies ~building interdisciplinary relationships with colleagues ~disclosing protected health information (PHI) to anyone who asks for it - ....ANSWER...reporting ethically questionable research parties to oversight bodies Provisions 7-9 focus on the expanded duties of the nurse and the nursing profession in advancing nursing and health care nationally and globally. ALL BUT WHICH ONE is a code of ethics for Provisions 7-9? ~Nursings Social Policy Statement (NSPS) is a document that articulates the parameters of the relationship between the profession of nursing and society ~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 ~the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities ~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 poli - ....ANSWER...Nursings Social Policy Statement (NSPS) is a document that articulates the parameters of the relationship between the profession of nursing and society *although this is a true statement, this is not a provision in the COE. it is a document of its own Provision 5 states then nurse owes the same duties to self as to others and includes ALL BUT WHICH ONE OF the Interpretive Statements? ~preservation of wholeness of character ~preservation of integrity ~promotion of personal health, safety, and well-being ~continuation of patient growth - ....ANSWER...continuation of patient growth *not included in provision 5, but continuation of PERSONAL growth is Provision 6 states the nurse, through individual and collective effort, establishes, maintains, and improves the ethical movement of the work settings and conditions of employments that are conducive to safe, quality health care. ALL BUT WHICH OF THE FOLLOWING are Interpretive Statements of this Provision? ~the environment and ethical obligation ~the environment and moral virtue ~continuation of professional growth in the environment ~responsibility for the healthcare environment - ....ANSWER...continuation of professional growth in the environment *could be considered part of provision 5 (self-care) ~nurses have the right to fair compensation for their work - ....ANSWER...nurses have the right to work in an unsafe environment when necessary for patient care Which of the following reflects how nurses can contribute to the profession? ~through research and scholarly inquiry ~through developing, maintaining, and implementing practice standards ~through nursing and health policy development ~nurses can contribute to the profession in all of these ways - ....ANSWER...nurses can contribute to the profession in all of these ways *all concepts of provision 7 Which of the following is an example of how principles of social justice can be integrated into nursing practice? ~focusing on bedside nursing rather than public health concerns ~supporting a curriculum that addresses health disparities and discrimination ~avoiding policies and social policy issues to remain neutral in the workplace ~reform the profession only when necessary to support traditional dogmatic practices - ....ANSWER...supporting a curriculum that addresses health disparities and discrimination What is nursing - ...ANSWER...the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations The scope of nursing provides the - ...ANSWER...who, what, where, when, why, and how Healthcare consumers - ...ANSWER...patients, persons, clients, families, groups, communities or populations who are the focus of attention and to whom the RN is providing services RNs - ...ANSWER...individuals who are educationally prepared and licensed by state common wealth, territory, government, or regulatory body to practice as a registered nurse. What are synonyms for RN? - ...ANSWER...Nurse and professional nurse Graduate-level prepared RNs - ...ANSWER...prepared at the masters or doctoral education level Advanced Practice Registered Nurse (APRN) - ...ANSWER...completed an accelerated graduate-level education program preparing them for the 4 recognized APRN roles. What are the four APRN recognized roles? - ...ANSWER...certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, or certified nurse practitioner The Standards of Practice describe a competent level of nursing care guiding professional thinking and activities as demonstrated by the analytical, critical-thinking model/framework known as: (a)Clinical decision-making (b)The scientific method (c)Coordination of care (d)The nursing process - ...ANSWER...(d) The nursing process Which of the following is NOT a foundational principle of cultural humility? (a) Developing mutually beneficial and non- paternalistic clinical and advocacy partnerships with communities (b) Nurturing a lifelong commitment to self-reflection, self-evaluation, and self-critique (c) Focusing on individual-level processes to promote organizational-level changes (d) Redressing power imbalances in the person- clinician, educator-student, colleague-colleague, and academic center-community dynamic - ...ANSWER...(c) Focusing on individual-level processes to promote organizational-level changes The Scope of Nursing Practice describes the "who," "what," "where," "when," "why," and "how" of nursing practice. The "who" of nursing practice includes all EXCEPT which of the following? (a) Advanced practice registered nurses (APRN) (b) Registered nurses (RN) (c) Graduate-level prepared registered nurses (a) The nurse collaborates with other health professionals only when necessary to prevent patient harm (b) The nurse practices with compassion and respect for the inherent dignity and worth of every person (c) The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population (d) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient - ...ANSWER...(a) The nurse collaborates with other health professionals only when necessary to prevent patient harm Which of the following is a question related to the ethical principle of patient autonomy? (a) What is the likelihood of success of treatment? (b) Is the person competent and capable of making decisions? (c) Are there family or provider biases that might influence treatment decisions? (d) Will the proposed treatment benefit the patient and avoid harm? - ...ANSWER...(b) Is the person competent and capable of making decisions? ALL BUT WHICH ONE OF THE FOLLOWING are true statements about the Standards of Professional Nursing Practice: (a) They may be utilized as evidence of the standard of care, with the understanding that application of the standards is context dependent. (b) They are clear that specific conditions and clinical circumstances do not affect the application of the standards at a given time (e.g., during a natural disaster). (c) They are authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to perform competently. (d) They are subject to change with the dynamics of the nursing profession, as new patterns of professional practice are developed and accepted by the nursing profession and the public. - ...ANSWER...(b) They are clear that specific conditions and clinical circumstances do not affect the application of the standards at a given time (e.g., during a natural disaster) Which one of the following defines Code of Ethics (COE) Provision 1? (a) The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population. (b) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. (c) 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. (d) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. - ...ANSWER...(d) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person Which one of the following defines Code of Ethics (COE) Provision 2? (a) The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population. (b) 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. (c) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. (d) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. - ...ANSWER...(a) The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population Which one of the following defines Code of Ethics (COE) Provision 3? (a) The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population. (b) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. (c) 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. (d) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. - ...ANSWER...(d) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient (d) in hospital roles and settings only - ...ANSWER...(b) in all roles and settings Which of the following is NOT a component of Provision 3? (a) Professional responsibility in promoting a culture of safety (b) Relationships with colleagues and others (c) Protection of human participation in research (d) Performance standards and review mechanisms - ...ANSWER...(b) Relationships with colleagues and others Which of the following is an example of advocacy? (a) Reporting ethically questionable research practices to oversight bodies (b) Disclosing protected health information (PHI) to anyone who asks for it (c) Building interdisciplinary relationships with colleagues (d) Participation in nursing research studies - ...ANSWER...(a) Reporting ethically questionable research practices to oversight bodies Provisions 7-9 focus on the expanded duties of the nurse and the nursing profession in advancing nursing and health care nationally and globally. ALL BUT WHICH ONE is a code of ethics for Provisions 7-9? (a) Nursing's Social Policy Statement (NSPS) is a document that articulates the parameters of the relationship between the profession of nursing and society. (b) 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. (c) The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. (d) 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 an - ...ANSWER...(a) Nursing's Social Policy Statement (NSPS) is a document that articulates the parameters of the relationship between the profession of nursing and society Provision 5 states the nurse owes the same duties to self as to others and includes ALL BUT WHICH ONE OF the Interpretative Statements? (a) Preservation of Wholeness of Character (b) Preservation of Integrity (c) Promotion of Personal Health, Safety and Well- Being (d) Continuation of Patient Growth - ...ANSWER...(d) Continuation of Patient Growth Provision 6 states the nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work settings and conditions of employment that are conducive to safe, quality health care. ALL BUT WHICH OF THE FOLLOWING are Interpretive Statements of this Provision? (a) The Environment and Ethical Obligation (b) The Environment and Moral Virtue (c) Continuation of Professional Growth in the Environment (d) Responsibility for the Healthcare Environment - ...ANSWER...(c) Continuation of Professional Growth in the Environment Provision 7 states that the nurse, in all roles and settings, advances the profession through ALL BUT WHICH ONE of the following Interpretive Statements? (a) Contributions Through Nursing and Health Policy Development (b) Contributions Through Developing, Maintaining, and Implementing Professional Practice Standards (c) Contributions Through Scholarly Activity Only by Advanced Practice, Doctorally Prepared Nurses (d) Contributions Through Research and Scholarly Inquiry - ...ANSWER...(c) Contributions through scholarly activity only by advanced practice, doctorally prepared nurses Provision 8 states ways the nurse collaborates with other health professionals and the public by ALL BUT WHICH ONE OF THE FOLLOWING Interpretive Statements? (a) Collaboration for Health, Human Rights, and Health Diplomacy (b) Health Is a Universal Privilege for Those who have Private Insurance Standard 2 of Practice Diagnosis: - ...ANSWER...RN analyzes assessment data to determine actual problem Standard 3 Practice Outcomes Identification: - ...ANSWER...RN identifies expected outcomes for a plan individualized to the healthcare consumer Standard 4 Practice Planning: - ...ANSWER...RN develops a plan that prescribes strategies to attain expected, measurable outcomes Standard 5 Practice implementation: - ...ANSWER...RN implements the identified plan Standard 5A Practice Coordination of Care: - ...ANSWER...RN coordinates care delivery Standard 5B Practice Health Teaching and Health Promotion: - ...ANSWER...RN employs strategies to promote health/safe environment. Standard 6 Practice Evaluation: - ...ANSWER...RN evaluates progress toward attainment of goals Standards of Professional Performance - ...ANSWER...competent level of behavior in the professional role How many standards of professional performance are there? - ...ANSWER...Eleven Standard 7 of Professional Performance Ethics: - ...ANSWER...RN practices ethically Standard 8 of Professional Performance Culturally Congruent Practice: - ...ANSWER...RN practices in a manner that is congruent with cultural diversity and inclusion principles Standard 9 of Professional Performance Communication: - ...ANSWER...RN communicates effectively Standard 10 of Professional Performance Collaboration: - ...ANSWER...RN collaborates with healthcare consumer Standard 11 of Professional Performance Leadership: - ...ANSWER...RN leads within professional practice setting Standard 12 of Professional Performance Education: - ...ANSWER...RN seeks knowledge/competence reflects current nursing practice and promotes futuristic thinking Standard 13 of Professional Performance Evidence-based practice and research: - ...ANSWER...RN integrates evidence and research findings Standard 14 of Professional Performance Quality of Practice: - ...ANSWER...RN contributes to quality nursing practice Standard 15 of Professional Performance Professional Practice Evaluation: - ...ANSWER...RN evaluates one's own and other's nursing practice Standard 16 of Professional Performance Resource Utlization: - ...ANSWER...RN utlizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe and effective Standard 17 of Professional Performance Environmental Health: - ...ANSWER...RN practices in an environmentally safe/healthy manner The who of nursing? - ...ANSWER...Registered Nurse (RN) and Advanced Practice Registered Nurses The what of nursing? - ...ANSWER...Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; facilitation of healing; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the Health and illness are human experiences. The presence of illness does not preclude health, nor does optimal health preclude illness. The relationship between the nurse and patient occurs within context of the values and beliefs of the patient and nurse Public policy and the healthcare delivery system influence the health and well-being of society and professional nursing Individual responsibility and interprofessional involvement are essential Art of Nursing - ...ANSWER...based on caring and respect for human dignity. It embraces spirituality, healing, empathy, manual respect, and compassion. Healing - ...ANSWER...fostered by helping, listening, mentoring, coaching, teaching, exploring, being present, supporting, touching, intuition, service, cultural competence, tolerance, acceptance, nurturing, mutually caring, and conflict resolution. Caring is - ...ANSWER...Grounded in ethics, beginning with respect for the autonomy of the care recipient Grounded, as a science, in nursing, but is not limited to nursing An attribute that may be taught, modeled, learned, and mastered Capable of being measured and analyzed scientifically The subject of study within caring science institutes/academics worldwide Central to relationships that lead to effective healing, cure, and/or actualization of human potential. When Does Nursing Occurs - ...ANSWER...whenever there is a need for nursing knowledge, wisdom, caring, leadership, practice, or education. The term whenever encompasses anytime, anywhere, with anyone. When nursing is practiced, it is holistic and the nurse: - ...ANSWER...Partners with the individual/family/group/community/population Considers norms and values, health and illness perspectives and practices, customs, behaviors, and beliefs of the healthcare consumer Arrives at healthcare decisions that are contextualized by how the individual/family/ community/ population perceives health, the nature of the body, and its relationship to mind, emotion, energy, spirit, or environment. The Where of Nursing Practice - ...ANSWER...Nursing occurs in any environment where there is a healthcare consumer In need of care, information, or advocacy. Nursing has been transforming to virtual due to the number of technological advances we have come to Advocacy - ...ANSWER...the act or process of pleading for, supporting, recommending a cause or course of action. It occurs at the individual, interpersonal, organization and community, and policy levels. Individual level of advocacy - ...ANSWER...nurse engages in informing healthcare consumers so they can consider actions, interventions, or choices in light of their own personal beliefs, attitudes, and knowledge to achieve the desired outcome. Interpersonal level of advocacy - ...ANSWER...the nurse empowers healthcare consumers by providing emotional support, attainment of resources, and necessary help through interactions with families and significant others in their social support network. Organization and community level of advocacy - ...ANSWER...the nurse support cultural transformation of organizations, communities, or populations when present. Policy level of advocacy - ...ANSWER...nurse translates the consumer voice into policy and legislation that address such issues as control of healthcare access, regulation of health care, protection of the healthcare consumer, and environmental justice. The ANA (American Nurse Association) defines a healthy nurse as - ...ANSWER...One who actively focuses on creating and maintaining a balance and synergy of physical, emotional, social, spiritual, personal, and professional well-being. The Five Healthy Nurse constructs - ...ANSWER...Calling for care Priority to self-care Authentic Leadership The Expert Panel identified four interprofessional collaborative practice domains - ...ANSWER...Values/Ethics for Interprofessional Practice Interprofessional Teamwork and Team-based practice Interprofessional Communication Practice Roles Responsibilities for Collaborative Practice Culturally congruent practice - ...ANSWER...he application of evidence-based nursing that is in agreement with the preferred cultural values, beliefs, worldview, and practices of the healthcare consumer and other stakeholders. ASKED - ...ANSWER...Awareness Skill Knowledge Encounters Desire Peak: Self Determination - ...ANSWER...exercising judgments based on integration of content, decisions, and actions from the three lower tiers. Institutional Policies and Procedures - ...ANSWER...occurs through the established policies, procedures, and governing statements that influence and direct nursing practice and its environment. Nurse Practice and Rules and Regulations - ...ANSWER...legislative and regulatory authorities govern through nurse practice acts, statue, code, and regulation administrated by state boards of nursing and exemplified by licensure status. Foundation: Nursing's Professional Scope of Practice, Standards of Practice, Code of Ethics, and Speciality Certification - ...ANSWER...Scope of practice guides nursing practice in all roles and settings. Speciality certification provides additional verification and validation of competence for a focused body of knowledge and associated skill sets of practice. The Code of Ethics for Nurses with Interpretive Statements - ...ANSWER...serves as the ethical framework in nursing regardless of practice setting or role and provides guidance for the future. The Code of Ethics for Nurses - ...ANSWER...It is foundational to nursing theory, practice, and praxis in its expression of the values, virtues, and obligations that shape, guide, and inform nursing as a profession. It establishes the ethical standard for the profession and provides a guide for nurses to use in ethical analysis and decision-making. How many provisions are in the code of ethics for nursing - ...ANSWER...nine The Code of Ethics for Nurses Provision One Treat Others Equally - ...ANSWER...The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. The Code of Ethics for Nurses Provision Two Grandma/Patient focus - ...ANSWER...The nurses' primary commitment is to the patient, whether an individual, family, group, community, or population. The Code of Ethics for Nurses Provision Three Patient Empowerment/Feminism - ...ANSWER...The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. The Code of Ethics for Nurses Provision Four Nurse Takes Initiative - ...ANSWER...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. The Code of Ethics for Nurses Provision Five Awareness/something I'm not - ...ANSWER...The nurse owes the same duties to self as others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. The Code of Ethics for Nurses Provision Six Don't Kill the Patients - ...ANSWER...The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conductive to safe, quality health care. institutional/social scarcity of resources, potential legal issues, public safety issues) Ethical principalism - ...ANSWER...These principles are general guidelines for the formulation of more specific rules." These principles and their subsidiary rules give rise to specific points of analysis. Four phases of caring - ...ANSWER...caring about, taking care of, care giving, care receiving Four moral elements - ...ANSWER...attentiveness, responsibility, competence, (patient)responsiveness. Morality - ...ANSWER...refer to what would be called personal values, character, or conduct of individuals or groups within communities and societies. Ethics - ...ANSWER...refers to the formal study of that morality from a wide range of perspectives including semantic logical, analytic, epistemological, and normative. The study of ethics is often called - ...ANSWER...moral philosophy or moral theology Ethics is divided into - ...ANSWER...metaethics, normative ethics, and applied ethics. Metaethics - ...ANSWER...domain that studies the nature of ethics and moral reasoning. Is there always an element of self-interest in moral behavior? Why be good? NormativeEthics - ...ANSWER...addresses the questions of the ought, the four fundamental terms of which are right and wrong (human action), good and evil (human behavior) Applied ethics - ...ANSWER...wrestles with questions or right, wrong, good, and evil in a specific realm of human action, such as nursing, business, or law. What Is Ethics? - ...ANSWER...A specialized area of philosophy dating back to ancient Greece and earlier. A systematic study of what is right and good measured against principles, virtues and core values of a profession. What informs today's ethics? - ...ANSWER...Concepts of Hippocrates Why Ethics in Nursing? - ...ANSWER...Serve vulnerable persons Promise to protect patients Impact patient well-being Depend on public trust Have a moral relationship with patients that gives rise to ethical obligations An ethical code is an identifying feature of a profession to - ...ANSWER...Facilitate professional self-regulation and accountability Describe obligations of client-professional and colleague-to-colleague relationships Serve as a guide for analysis, decision and action ANA's Code of Ethics for Nurses with Interpretive Statements ("the Code") - ...ANSWER...•Conveys shared ethical values, obligations, duties and ideals of nurses individually and collectively •Provides an implied contract with the public •Informs society of the moral values and ideals by which it functions •Informs new professionals of the expected moral behaviors •Guides the profession in self-regulation •Provides a framework for ethical decision-making Is unapologetic, aspirational and nonnegotiable Legacy of the Code - ...ANSWER...Commitment to service is the most precious ideal of the nursing profession. The Code supports ideals of nursing's service. The Code guides all nurses in living out the values and ideals of the profession. The Code is a living, ongoing legacy of core values from Florence Nightingale in 1850 to 2015 and beyond. Aristotle held that there are five essential social virtues - ...ANSWER...courage, compassion, self-love, friendship, and forgiveness Provision 1 (1.1) Provision 1 (1.5) Relationships with Colleagues and Others Trans-professional - ...ANSWER...Licensed colleagues working together on a team across fields of expertise 1.5 Relationships with colleagues and others - ...ANSWER...The nurse creates an ethical environment, a culture of civility and kindness, treating colleagues, coworkers, employees, students, and others with dignity and respect. Cultivate civility, collaboration, and collegiality to ensure: Safe, quality patient care and outcomes Compassionate, transparent, effective health services A hospitable work environment What do provisions one through three address? - ...ANSWER...direct patient care and describe the most fundamental values and commitments of the nurse. Provision 2 (2.1) Primacy of the Patient's Interests - ...ANSWER...•Engagement, trust, intimacy, presence •Based on covenant relationship, existential encounter, response to vulnerability Provision 2 (2.2) Conflict of Interest for Nurses - ...ANSWER...Often care- givers will find that their needs to care for themselves come in conflict with the care that they must give to others. Nurses care for patients and need not agree with or support the value structure of the patient, but work for the patient's health, healing, and well-being, nonetheless. Professional integrity may be damaged if a nurse does not withdraw from a conflict of interest. Provision 2 (2.3) Collaboration - ...ANSWER...Collaboration with others, including the patient to meet patient needs. The focus is on the nurse's commitment to the patient and therefore to collaboration that best serves to meets the care needs of the patient. Provision 2 (2.4) Professional Boundaries - ...ANSWER...Dating and sexually intimate relationships with patients are always prohibited. •Intensely personal work with vulnerable patients may generate emotional attachments •Gifts generally not appropriate •Withdraw from problematic boundary situations with colleagues Provision 3 (3.1) Protection of the rights of privacy and confidentiality - ...ANSWER...Confidentiality and privacy are the top of the list of the patient rights that nurses must protect The nurse, as well as the physician, has a clear obligation to keep secret any information relating to a patient illness which she obtains during the performance of her professional duties unless the patient authorizes her to disclose this information or a competent core ordeals her to reveal it. This obligation is based first, on the ethics of her profession and 2nd, on the law. Policies and practices in an age of technology - ...ANSWER...HIPAA: Adhere to federal and state regulations and confidentiality Facebook: Completely off limits for patient photos or identifying information Caring Bridge: Patients decide, nurses should not engage Electronic Health Records: Only shared with those directly involved in care Provision 3 (3.2) Protection of human participants in research - ...ANSWER...All participants have a right to accept or refuse participation, to be given all the information a person would need to make a decision regarding participation, to withdraw from a study without being subject to reprisal or untoward consequences, and to be protected from risk of harm Voluntary participation of participants (No coercion, deceit) Informed consent documented and the right to withdraw at any point with no untoward consequences Institutional Review Board (IRB) approval of relevant research proposal - ...ANSWER...If the IRB determines that a research protocol is designed for conditions or for a subject population for which parental or guardian authority, accountability, and responsibility - ...ANSWER...Nurses are always accountable for their own actions, maintaining their competence to ensure safe practice. Technological advancements require ongoing learning. Evidence-informed practice mandates continuous learning. Shifting patterns of health care delivery demand orientation to changing lines of authority, communication channels and multisystem policies. APRNs adhere to scope of practice, as state nurse practice acts vary and reform roles periodically. Provision 4 (4.2) Accountability for nursing judgments, decisions, and actions - ...ANSWER...To be accountable, nurses follow a code of ethical conduct that includes such moral principles as Fidelity(loyalty, including keeping promises, honoring agreements, performing competently, etc.), loyalty, veracity,(truth-telling; non- deception) beneficence(doing what benefits the patient), nonmaleficence (non-infliction of harm)and respect for the dignity, worth, and self-determination of patients, as well as adhering to the scope and standards of nursing practice. Ethical Virtues of All Health Professionals - ...ANSWER...compassion, discernment, trustworthiness, integrity, conscientiousness values specific to nursing - ...ANSWER...Wisdom, compassion, honesty, patience, altruism, and courage Provision 4 (4.3) Responsibility for nursing judgments, decisions and actions - ...ANSWER...Nurses are responsible for their judgments, decisions, and actions. Responsibility, however, may be shared. Responsibility apportions praise worthiness or blameworthiness (liability) Adhere to Nursing: Scope and Standards of Practice, including APRN scope and standards Maintain standards of practice Participate in peer review, credentialing Engage in committees and other mechanisms to make sound decisions about quality and safety of care Refuse assignments beyond competence Seek consultation when in doubt Provision 4 (4.4) Assignment and delegation of nursing activities or tasks - ...ANSWER...A registered nurse can direct another individual to do something that that person would not normally be allowed to do. Both papers stressed that the nurse retains accountability for the delegation. Nurses may not delegate responsibilities such as assessment and evaluation. They may delegate selected interventions according to state nurse practice acts. COE provision 1 - ....ANSWER...the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person (compassion for all) COE provision 2 - ....ANSWER...the nurse's primary commitment is to the patient, whether an individual, family, group, community, or population (patient is priority) COE provision 3 - ....ANSWER...the nurse promotes, advocates for, and protects the rights, health, and safety of the patient (protects the patient) COE provision 5 - ....ANSWER...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 (self care) COE provision 6 - ....ANSWER...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 (ethical environment) COE provision 7 - ....ANSWER...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 (advancing the profession) COE provision 8 - ....ANSWER...the nurse collaborates with other health professionals and the public to - Review to figure out where you went wrong and where you need to focus your attention next time, e.g., why was the correct answer correct, why did you select the wrong answer, did you misread it, did you not understand the original concept, etc. - Review to figure out what kind of questions were asked, e.g., recall recognition, application- or analysis- level, synthesis and application, etc. - Review the questions you got correct, i.e., how did you study that information, what did you learn that you can use going forward, etc. - ...ANSWER...Review to get more points and improve your grade Sometimes stress can be good? - True - False - ...ANSWER...True Stress may result from the emotional and physical demands that students experience in school? - True - False - ...ANSWER...True The following are possible sources of stress. Indicate all that apply. - Expectations - Environment - Culture - ...ANSWER...Expectations Environment Stress can cause everything from increased heart rate and blood pressure to digestive changes and headaches. - True - False - ...ANSWER...True "Stress tolerant" people engage in all of the following behaviors: - immediately focusing on "solvable" issues. - using an optimistic, explanatory style - taking credit for success, not failure - taking responsibility for one's failure - ...ANSWER...immediately focusing on "solvable" issues using an optimistic, explanatory style taking credit for success, not failure Meditation, time out, massage, exercise, music, journaling, laughter, chewing gum, napping are ALL examples of stress-reducing activities that you can incorporate into your routine. - True - False - ...ANSWER...True All but which one of the following strategies suggested in the Kaplan video are possible in UM NURS 142? - Sit up front - Attend all classes - Take good notes - Read assigned reading before class - ...ANSWER...Sit up front Active listening or learning? Look at the speaker - ...ANSWER...Active listening Active listening or learning? Don't think emotionally - ...ANSWER...Active listening Active listening or learning? Reduce distractions - ...ANSWER...Active listening Active listening or learning? Don't argue mentally - ...ANSWER...Active listening Active listening or learning? Get the main points - ...ANSWER...Active listening Active listening or learning? Responsibility for learning is with listener not speaker - ...ANSWER...Learning by listening Active listening or learning? Anticipate next point - ...ANSWER...Learning by listening Active listening or learning? Identify supporting materials - ...ANSWER...Learning by listening Active listening or learning? Don't waste your time by criticizing the speaker - ...ANSWER...Learning by listening Active listening or learning? Don't fake attention - ...ANSWER...Learning by listening