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147 Cards in this Set
- Front
- Back
Nightingale's main contribution to nursing during the Crimean War was
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Reducing the death rate by instituting basic hygiene measures
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The Industrial Age changed the direction of the nursing profession by
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improving the economic and health care situations of workers in the industry
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The Magnet hospitals project was important because it
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identified the key elements hospitals could use to improve care and nursing practice
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One of the main goals of the American Nurses Assoc. is to
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support high nursing standards
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Advantages of participating in professional nursing organizations include
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developing leadership knowledge and skills
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The nurse leader who was instrumental in establishing public health nursing was
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Lillian Wald
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Differences in what is taught in associate degree and baccalaureate degree programs include content about
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leadership and management (BSN)
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Prior to 1800s the primary providers of nursing care included
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members of religious orders and prostitutes
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With the advances in science and technology, it is critical that nurses be able to
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use the computer system tp obtain information about patient conditions
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The unionization movement of workers in the USA during the 1940s and 1950s contributed to the development of
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A health care setting that delivered fee-for-service care by insurers of workers
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Evidence based practice refers to health care practices that are based on
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recent reasearch findings
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The nurse responsible for establishing the American Red Cross is
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Clara Barton
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The organization responsible for developing licensure examinations is the
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National Council of State Boards of Nursing
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The honor society of the nursing profession is
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Sigma Theta Tau international
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The nurse with an associate degree is prepared to perform which of the following functions
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direct patient care
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RN completion programs differ from 4 year baccalaureate degree programs because the RN completion programs
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recognize that the RN already has basic patient knowlege and skills
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Which of the following statements is true about the 1965 ANA position paper?
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The recommendations of the paper have not been implemented by the profession
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Which of the following is true about the standards of care?
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Standards of care are based upon the knowledge and skills all professional nurses are expected to have
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A systemic process to evaluate nursing care and determine if the best patient outcomes are being achieved is called
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Quality improvement
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An advantage of peer review as a mechanism of quality improvement is that
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it increases staff participation in the evaluation process
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In the concurrent method of quality improvement, data are collected from?
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current performance
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Evaluation of the structure in a quality improvement program might include review of the
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available equipment and staff resources
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Evaluation of the work process in continuous quality improvement would include review of
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transfer procedures from unit to unit
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What is the main reason to measure the outcome of patient satisfaction in quality improvement programs
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patients are the best qualified to evaluate the care they receive
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Which of the following is true about total quality mgt
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it is proactive and participative mgt style
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A major advantage of total quality mgt is that it
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involves all levels of employees within the organization
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A limitation of chart audits as a mechanism of quality improvement is that
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the documentation may be incomplete
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Which of the following statements is true about the mechanism for quality improvement
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all the methods have limitations, so it is best to use multiple methods
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The organization that accredits hospitals to assure that standards are being met is the
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JCAHO
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An advantage of the observation method as a mechanism of quality improvement is that
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It is reliable in determining that actual care delivered
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Which of the fwg. statements about quality improvement is true?
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Quality improvement is a complex process completed to evaluate all aspects of care
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A common role of the staff nurse in quality improvement may involve
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being a peer reviewer for colleagues
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The main purpose of licensure of registered nurses is to
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protect the safety of the public
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Which of the fwg. is true regarding nurse licensure
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To perform activities with in the scope of nursing practive, a person must have a nursing license
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Credentialing differs from licensure becuase credentialing is
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a voluntary process on the part of the nurse
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Rules for disciplinary action against nurses are provided in the
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nurse practice acts of each state
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Which of the fwg. statements is true about nurse practice acts
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the acts define the scope of nursing practice
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Enforcement of the nurse practice acts is done by
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the state boards of nursing
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Misdemeanors and felonies are a type of
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criminal law
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WHich of the fwg. is a type of civil law
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a law that originated from a written code of laws
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A case in which the nurse is evaluated as to whether he or she was "reasonably prudent" in actions would involve a charge of
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negligence
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What serves as the basis for a charge of negligence against a nurse
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standards of care
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The definition of tort law covers
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a wrongful act a person commits against another person
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Failure to assess the functioning of an intravenous pump delivering meds to a patient would bean
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act of omission
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Nurses may be able to reduce the risk of committing negligent acts by
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avoiding working long shifts without adequate rest or nutrition
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Nurses may reduce the likelihood of errors if they
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listen carefully to patients and attend to their complaints
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malpractice applies to
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all professionals with standards of care
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Good samaritan statutes
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proetect nurses from negligence charges when performing nursing during emergency situations without pay
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When a person writes about another individual that harms that person's reputation and causes otherws to view him or her negatively, it is termed
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libel
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if a patient has given his or her informed consent, it means he or she has
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recieved sufficient information to make a decision about treatment options
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a nurse's signature on the informed consent for treamtne form indicates
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the nurse saw the patient sign the consent form
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the primary purpose of documentation is to
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assist in implementing the patients plan of care
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nurses participate in the risk management proces by
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collecting data from incident reports
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if a person wants to complete a legal document to identify his or her desire for treatment, especially life supportive therapies in the future, he or she will complete an
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advance directive
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a criminal law that occurs when a person is fearful of being touched in a harmful way is
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assault
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the comprehensive drug abuse prevention and control act of 1970 served to
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control handling of narcotics and other regulated medicines by providers
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Invasion of privacy is which type of offenxse
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intentianl tort
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When working with unlicensed assistive personnel, the professional nuse should
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provide clear directions about tasks to be completed
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The organization created by the federal government in response to the consumer health movement is the
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agency for health care policy and research
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a principle that underlies decisions about informed consent and advance directives is the principle of
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self determination
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when a nurse acts on the behalf of a petien she is acting in the role of
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advocate
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ethics is a branch of philosophy that deals with
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what should or ought to be
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the document that guides the professional nurses ethical practice is the
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american nurses association's code for nurses
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the obligation that professionals have to be truthful is
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veracity
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the obligation that health care professinals do not harm and do good for paitens is
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beneficence
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a limitation of the utilitarian theory or ethical decision making is that
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it may not be applicable to all health care situations because of the definition of happiness
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when ethical decisions are made based on the deontological theory, __ are used to guide the decision making process
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moral rules and principles
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the function of a hospital ethics committee typically includes
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reviewing cases that require ethical decisions
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when nurses must decide to report unethical conduct, they need to know that
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the rights of both people involved must be protectded
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examples of ethical issues in health care that nurses may deal with include
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DNR orders
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an ethical dilemma occurs when
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a choice has to be made between two alternatives that are not completely positive
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a decision in which the obligations of nurses and physicians are in conflict would be an example of
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a normative decision
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which of the fwg. are attributes of a profession
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there must be an organized body of knowledge
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autonomy as an attribute of a profession refers to the
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control members have over the practice
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nursing science and research
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increase the likelihood that nursing will be considered a profession
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Which of the fwg. is an example of a nurse functioning autonomously
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a nurse gives a post-op pt a back massage to enhance pain relief from opioids
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an example of an autonomous intervention is the nurse
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educating pts about smoking cessation
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which of the fwg is true about the education requirements of a profession
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education should occur in higher education institutions
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a requirement to be a preceptor is
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experience in the area of nursing the preceptor will teach
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a primary reason preceptor programs have been developed is to
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improve socialization of new graduates into nursing
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a benefit of a preceptor program to the new graduate who participates is that
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it provides a source of support for the new graduate
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coaching is a method nurses can use to
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teach patients to self administer insulin
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which of the fwg is the best example of a mentoring relationship
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the professor and the nursing student form a close working relationship while the student completes the baccalaureate and masters program
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for the professional RN who has not worked in nursing for ten years and wants to return to nursing, programs to help his or her socialization into the current practice setting may be found by
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contacting the state's nurse's association
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why is theory so important to the practice of nursing
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theory can guide nursing practice
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Which of the fwg is true about nursing theories
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they are abstract ideas about phenomena's in nursing
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to describe, explain, predict, or control nursing phenomena is the goal of
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nursing theory
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to be useful in nursing practice a theory should be
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tested and supported by research
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the type of theory that is testable through research is termeda
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midrange theory
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when working with a patient who is angry and needs assistance coping, the nurse could use which of the fwg. theories
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Lazarus's Model
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the nurses theorist who developed a theory about self care deficits is
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dorothea orem
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Hildegard Peplau is best known for her theory that describes
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therapuetic communication skills
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to work with a person to promote health, the nurse could use which of the fwg theroies
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Pender's Helath Promotion Model
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When working with a patient who is undergoing a cardiac catherization procedure, the nurse could reduce patient anxiety by using
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Johnson's self regulation theory
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When working with a pt with a pressure ulcer, to promote wound healing, the nurse could use which of the fwg. theories
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a physiologic rationale of wound healing
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physiologic rationale are appropriate to use as a basis for practice when the pt problem
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requires a physiological base for solving the problem
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an efficient delivery model in which care is delivered based on each provider doing a specific set of tasks
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fuctional nursing
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an advantage of team nursing is that
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team members feel supported by each other
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when primary nursing is implemented, the prfessional nurse
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is accountable for the care received by a group of patients
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The delivery model that best emphasized the autonomous role of the nurse is
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primary nursing
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differentiated practice means that
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pt care is delivered based upon the education of the provider
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managed care as a delivery model developed in response to
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cost containment efforts
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the main purpose of a care map and a critical path is to
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achieve safe pt outcomes at a reasonable cost
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in managed care models, when a pt is unable to have a diagnostic test because the preliminary work required for the test was not ordered or administered, it is a
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provider variance
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in managed care models, when a pt is unable to be discharged within a reasonable time due to prolonged pain, it is a
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pt variance
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Who would be knowledgeable and prepared to coordinate the evaluation of the care maps and critical pathways for groups of patients
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the clinical nurse specialist
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a limitation of the managed care delivery model is that
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it is not supported by research as better than other models
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Change that is deliberate and done to make a situation better is called
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planned change
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which of the fwg is true of breakpoint change
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it most stressful of the indiviual and requires a great deal of time and effort to manage
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a nurse should use the rationale model for change when he or she anticipates that
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resistance to change will be low
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a nurse who gives people new information about a change and provides opportunities for feedback about a change is part of the
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moving stage
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which of the fwg is true of the change process
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evaluation of the change should be planned before the change is implemented
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the development of groups of nurses and other providers to review studies to support changes in practice is an example of using ___ to support hange
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research utilization
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nurses use the power of expert knowledge and experience to
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influence the change process and advocate for patients and staff
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nurses as a group have a great deal of power because
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the ANA has an active lobby group
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which of the fwg is true about power
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power like leadership can be learned by nurses
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historically, autonomous practice by nurses has been limited because
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nurses were mostly women and physicians were mostly men
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which of the fwg is true of transformational leaders
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they use shared vision to accomplish goals and objectives
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the style of leadership that has been demosntrated through research satisfaction of staff nurses is
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participatory
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managers are different from leasders because managers have
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specific goals and tasks to accomplish
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managers are different from leaders because managers have
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specific goals and tasks to accomplish
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which of the fwg is true of the laissez-faire leadership style
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it is unfocused
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in the dual factor theory of leadership, leadership is viewed as
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motivational in purpose and involves levels of satisfaction and dissatisfaction
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an important role of a nurse leader is
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to nurture younger nurses
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nurses in the staf role need management skills to
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manage pt care
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nursing management is best defined as
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plannin, organizing, and controlling resources to achieve pt outcomes
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the costs component of a hospital budget includes
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payroll of salaries and benefits
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responibility and accountability for the budget of a community hospital lies with the
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chief executive officer CEO
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a full time equivalent is
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a unit for measuring employee work time
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the component of the budget that includes the actual number of hours worked, the minimum staffing requirements and any additional staff expenses is the
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staffing budget
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the NANDA system is used to
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delineate potential or actual nursing problems that require treatment
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a limitation of the NANDA system is that
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the dxs are untested by research
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which of the fwg is true of the nursing intervention classification NIC system
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the system provides a method for categorizing common nursing interventions
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a benefit of delegatioon is the
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promotion of a sense of teamwork
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which of the fwg statements are true of conflict managemnt
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a collaboration to find a solution acceptable to both sides will have the best outcome
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the most important therapeutic technique of communication is
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listening
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sexual harrassment occurs when
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unwelcome sexual advances are made that can influence a person's empoyment
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if a nurse believes he or she has been a victim of sexual harrassment, he or she should
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follow the institutional policies and procedures for sexual harassment
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the americans with disabilities act ADA
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was passed to eliminate discrimination against people with disabilities
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the agency that oversees complaints related to the americans with Disabilities Act is the
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Equal Employment IOpportunity Commission
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the purpose of the ANA lobbyists is to
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influence federal and state officials to support matters important to nursing
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providing equal basic health care to all americans is the definition of
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universal access
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When a type of health care is restriced and not available to people, it is termed
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rationing
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the federal govt org that is responsible for protecting the health of all americans is the
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Dept of Health and Human Services
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the National Institute for Nursing Research is
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a major source of federal grant funding for nurses and health scientists
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a prepaid health plan in which primary care providers are viewed as gatekeepers to care is
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a health maint. org
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a demographic trend that is influencing health care and will continue to have a major impact on health care is
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an increase in the elderly population
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