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168 Cards in this Set

  • Front
  • Back
Why does the American Nurses Association publish its Standards of Nursing Practice
to provide a framework for the evaluation of nursing practice.
Which is true of mandatory continuing education for licensure?
it is a condition in some states
An Associate Degree Nurse is acting as a preceptor to a nursing student and tells the student to take the patient. In what capacity is she acting?
Manager of patient care.
What is the greatest obstacle to collective bargaining for nurses?
Danger to harm from withholding crucial services.
Which of the following is true for a nurse acting as an expert witness at a trial?
Be brief and direct when questioned.
Which of the following would be an appropriate function for an AND graduate?
Patient care in a long term facility.
What is the fundamental premise of the patient’s bill of rights?
the patient is entitled to make informed decisions about his care.
Spouse of a patient is in the room and has a heated discussion with their mate. After the spouse leaves what may indicate psychological abuse?
All those things are true, I never get anything right
Which of the following is an example of false imprisonment?
preventing a patient from leaving the hospital until a doctor has signed a discharge order.
How has health care funding affected rationing of health care
Rising health care costs have resulted in increased health care rationing.
Which is a health insurance program for those over the age of 65?
Medicare
What is the goal of the American Nurses Association
Promote professionalism in nursing
What is the purpose of JCAHO
to ensure standards of quality care are maintained
What has been the effect of the use of Diagnostic Related Group (DRG
The acuity of hospital care has increased
Which of the flowing would be a function of primary nursing?
Developing a nursing care plan
Which example would constitute patient abandonment
A RN refuses to stay on the unit until a replacement comes for the next shift RN that called in sick
Which of the following is an example of an assertive statement
I feel I have the right to express my opinion
A nurse gives a medication she is unfamiliar with and the patient has a negative side effect, what ANA code of nursing is broken
The nurse maintains competence in nursing
What standards of care apply to an operating room nurse but not to a med-surg nurse
Agency’s policies and procedures.
The Director of Staff Development is looking into developing a new charting method. What should be the first step?
Gather input for the staff who do the charting
Which ethical principle holds that no harm should come to your patient
Nonmaleficence
Which research activity can an AND participate in
Implementing nursing care based on the research findings.
Access to a broad range of preventive and treatment services represents
a benefit of a HMO
Nightingale's main contribution to nursing during the Crimean War was
Reducing the death rate by instituting basic hygiene measures
The Industrial Age changed the direction of the nursing profession by
improving the economic and health-care situations of workers in industry
The Magnet hospitals project was important because it
identified the key elements hospitals could use to improve care and nursing practice
One of the main goals of the American Nurses Associations to
support high nursing standards
Advantages of participating in professional nursing organizations include?
developing leadership knowledge and skills
The nurse leader who was instrumental in establishing public health nursing was?
* Lillian Wald
. Differences in what is taught in associate degree and baccalaureate degree programs include content about?
leadership and management
(baccalaureate degree)
Prior to 1800's the primary providers of nursing care included?
* members of religious orders and prostitutes
With the advances in science and technology, it is critical that nurses be able to?
* Use the computer system to obtain information about patient conditions
. The unionization movement of workers in the USA during the 1940's and 1950's contributed to the development of?
A health-care setting that delivered fee-for-service care by insurers of workers
Evidence-based practice refers to health-care practices that are based on?
recent research findings
The nurse responsible for establishing the American Red Cross is?
Clara Barton
The organization responsible for developing licensure examinations is the?
National Council of State Boards of Nursing
. The honor society of the nursing profession is ?
Sigma Theta Tau International
The nurse with an associate degree is prepared to perform which of the following functions?
Direct patient care
RN-completion programs differ from 4 year baccalaureate degree programs because the RN-completion programs?
recognize that the RN already has basic patient knowledge and skills
Which of the following statements is true about the 1965 ANA position Paper?
The recommendations of the paper have not been implemented by the profession
Which of the following is true about the standards of care?
Standards of care are based upon the knowledge and skills all professional nurses are expected to have
. A systemic process to evaluate nursing care and determine if the best patient outcomes are being achieved is called?
Quality improvement
An advantage of peer review as a mechanism of quality improvement is that?
it increases staff participation in the evaluation process
.In the concurrent method of quality improvement, data are collected from?
current performance
Evaluation of the structure in a quality improvement program might include review of the?
Available equipment and staff resources
Evaluation of the work process in continuous quality improvement would include review of?
transfer procedures from unit to unit
What is the main reason to measure the outcome of patient satisfaction in quality improvement programs?
patients are the best qualified to evaluate the care they receive
Which of the following is true about total quality management?
It is proactive and participative management style
A major advantage of total quality management is that it?
involves all levels of employees with in the organization.
A limitation of chart audits as a mechanism of quality improvement is that?
the documentation may be incomplete
Which of the following statements is true about the mechanism for quality improvement?
all the methods have limitations, so it is best to use multiple methods
The organization that accredits hospitals to assure that standards are being met is the?
Joint Commission on Accreditation of Healthcare organizations
An advantage of the observation method as a mechanism of quality improvement is that?
it is reliable in determining the actual care delivered
Which of the following statements about quality improvement is true?
Quality improvement ia a complex process completed to evaluate all aspects of care
A common role of the staff nurse in quality improvement may involve?
being a peer reviewer for colleagues
The main purpose of licensure of registered nurses is to?
protect the safety of the public
Which of the following is true regarding nurse licensure?
To perform activities with in the scope of nursing practice, a person must have a nursing license
Credentialing differs from licensure because credentialing is?
A voluntary process on the part of the nurse
Rules for disciplinary action against nurses are provided in the?
nurse practice acts of each state
Which of the following statements is true about nurse practice acts?
The acts define the scope of nursing practice
Enforcement of the nurse practice acts is done by?
the state boards of nursing
Misdemeanors and felonies are a type of?
criminal law
Which of the following is a type of civil law?
A law that originated from a written code of laws
What serves as the basis for a charge of negligence against a nurse?
standards of care
The definition of tort law covers?
a wrongful act a person commits against another person
failure to assess the functioning of an intravenous pump delivering medications to a patient would be a(n)
act of omission
Nurses may be able to reduce the risk of committing negligent acts by?
avoiding working long shifts without adequate rest or nutrition.
Nurses may reduce the likelihood of errors if they?
listen carefully to patients and attend to their complaints
Malpractice applies to?
all professionals with standards of care
Good Samaritan statutes?
Protect nurses from negligence charges when performing nursing during emergency situations without pay.
When a person writes about another individual that harms that person's reputation and causes others to view him or her negatively, it is termed?
libel
If a patient has given his or her informed consent, it means he or she has
received sufficient information to make a decision about treatment options
A nurse's signature on the informed consent for treatment form indicates
the nurse saw the patient sign the consent form
The primary purpose of documentation is to
assist in implementing the patient's plan of care
Nurses participate in the risk management process by
collecting data from incident reports
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 a(n)
Advance directive
A criminal law that occurs when a person is fearful of being touched in a harmful way is
assault
The Comprehensive Drug Abuse Prevention and Control Act of 1970 served to
control handling of narcotics and other regulated medicines by providers
Invasion of privacy is which type of offense?
Intentional tort
When working with unlicensed assistive personnel, the professional nurse should
provide clear directions about tasks to be completed
The organization created by the federal government in response to the consumer health movement is the
agency for health-care policy and research
A principle that underlies decisions about informed consent and advance directives is the principle of
self-determination
When a nurse acts on the behalf of a patient she is acting in the role of
advocate
Ethics is a branch of philosophy that deals with
what should or ought to be
The document that guides the professional nurses' ethical practice is the
American nurses association’s Code For Nurses
The obligation that professionals have to be truthful is
veracity
The obligation that health-care professionals do not harm and do good for patients is
beneficence
A limitation of the utilitarian theory or ethical decision making is that
it may not be applicable to all health-care situations because of the definition of happiness
When ethical decisions are made based on the deontological theory, ________ are used to guide the decision-making process
moral rules and principles
The function of a hospital ethics committee typically includes
reviewing cases that require ethical decisions
When nurses must decide to report unethical conduct, they need to know that
the rights of both people involved must be protected
Examples of ethical issues in health care that nurses may deal with include
do not resuscitate orders
An ethical dilemma occurs when
a choice has to be made between two alternatives that are not completely positive
A decision in which the obligations of nurses and physicians are in conflict would be an example of
a normative decision
Which of the following are attributes of a profession?
There must be an organized body of knowledge
Autonomy as an attribute of a profession refers to the
control members have over the practice
Nursing science and research
increase the likelihood that nursing will be considered a profession
Which of the following is an example of a nurse functioning autonomously?
A nurse gives a postoperative patient a back massage to enhance pain relief from opioids
An example of an autonomous intervention is the nurse
educating patients about smoking cessation
Which of the following is true about the education requirements of a profession?
Education should occur in higher education institutions
A requirement to be a preceptor is
experience in the area of nursing the preceptor will teach
A primary reason preceptor programs have been developed is to
improve socialization of new graduates into nursing
A benefit of a preceptor program to the new graduate who participates is that
it provides a source of support for the new graduate
Coaching is a method nurses can use to
teach patients to self-administer insulin
Which of the following is the best example of a mentoring relationship?
the professor and the nursing student form a close working relationship while the student completes the baccalaureate and master's programs
. For the professional registered nurse who has not worked in a 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
contacting the state nurse's association
Why is theory so important to the practice of nursing?
theory can guide nursing practice
Which of the following is true about nursing theories?
they are abstract ideas about phenomena’s in nursing
To describe, explain, predict, or control nursing phenomena is the goal of
nursing theory
To be useful in nursing practice, a theory should be
tested and supported by research
The type of theory that is testable through research is termed a(n)
midrange theory
When working with a patient who is angry and needs assistance coping, the nurse could use which of the following theories?
Lazarus's Model
The nurses theorist who developed a theory about self-care deficits is
Dorothea Orem
Hildegard Peplau is best known for her theory that describes
therapeutic communication skills
To work with a person to promote health, the nurse could use which of the following theories?
Pender's Health Promotion Model
When working with a patient who is undergoing a cardiac catheterization procedure, the nurse could reduce patient anxiety by using
Johnson's self-regulation theory
When working with a patient with a pressure ulcer, to promote wound healing, the nurse could use which of the following theories?
A physiologic rationale of wound healing
Physiologic rationale are appropriate to use as a basis for practice when the patient problem
requires a physiological base for solving the problem
An efficient delivery model in which care is delivered based on each provider doing a specific set of tasks
functional nursing
An advantage of team nursing is that
team members feel supported by each other
When primary nursing is implemented, the professional nurse
is accountable for the care received by a group of patients
The delivery model that best emphasized the autonomous role of the nurse is
primary nursing
Differentiated practice means that
patient care is delivered based upon the education of the provider
Managed care as a delivery model developed in response to
cost-containment efforts
The main purpose of a care map and a critical path is to
achieve safe patient outcomes at a reasonable cost
In managed care models, when a patient is unable to have a diagnostic test because the preliminary work required for the test was not ordered or administered, it is a
provider variance
. In managed care models, when a patient is unable to be discharged within a reasonable time due to prologned pain, it is a
patient variance
Who would be knowledgeable and prepared to coordinate the evaluation of the care maps and critical pathways for groups of patients?
the clinical nurse specialist
A limitation of the managed care delivery model is that
it is not supported by research as better then other models
Change that is deliberate and done to make a situation better is called
*
planned change
Which of the following is true of breakpoint change?
It most stressful of the individual and requires a great deal of time and effort to manage
A nurse should use the rationale model for change when he or she anticipates that
resistance to change will be low
. A nurse who gives people new information about a change and provides opportunities for feedback about a change is part of the
moving stage
Of the change process: evaluation of the change should be planned before the change is implemented
TRUE or FALSE
TRUE
The development of groups of nurses and other providers to review studies to support changes in practice is an example of using ________ to support change.
research utilization
Nurses use the power of expert knowledge and experience to
influence the change process and advocate for patients and staff
Nurses as a group have a great deal of power because
the(ANA) American Nurses Association has an active lobby group
Which of the following is true about power?
power, like leadership, can be learned by nurses
Historically, autonomous practice by nurses has been limited because
nurses were mostly women and physicians were mostly men
Which of the following is true of transformational leaders?
they use shared vision to accomplish goals and objectives
The style of leadership that has been demonstrated through research satisfaction of staff nurses is
participatory
Managers are different from leaders because managers have
specific goals and tasks to accomplish
Which of the following is true of the laissez-faire leadership style?
it is unfocused
In the dual factor theory of leadership, leadership is viewed as
motivational in purpose and involves levels of satisfaction and dissatisfaction
An important role of a nurse leader is
to nurture younger nurses
Nurses in the staff role need management skills to
manage patient care
Nursing management is best defined as
planning, organizing, and controlling resources to achieve patient outcomes
The costs component of a hospital budget includes
payroll of salaries and benefits
Responsibility and accountability for the budget of a community hospital lies with the
chief executive officer
A full-time equivalent is
a unit for measuring employee work time
The component of the budget that includes the actual number of hours worked, the minimum staffing requirements, and any additional staff expenses is the
staffing budget
The NANDA system is used to
delineate potential or actual nursing problems that require treatment
a limitation of the NANDA system is that
the diagnoses are untested by research
Which of the following is true of the nursing intervention classification (NIC) system?
The system provides a method for categorizing common nursing interventions
A benefit of delegation is the?
promotion of a sense of teamwork.
Which of the following statements are true of conflict management?
A collaboration to find a solution acceptable to both sides will have the best outcome
The most important therapeutic technique of communication is?
listening
Sexual harassment occurs when?
unwelcome sexual advances are made that can influence a person's employment
If a nurse believes he or she has been the victim of sexual harassment, he or she should?
follow the institutional policies and procedures for sexual harassment
The Americans with disabilities act (ADA)
was passed to eliminate discrimination against people with disabilities
The agency that oversees complaints related to the Americans with Disabilities Act is the?
Equal Employment Opportunity Commission
The purpose of the ANA lobbyists is to?
influence federal and state officials to support matters important to nursing
Providing equal basic health care to all Americans is the definition of?
universal access.
When a type of health care is restricted and not available to people, it is termed ?
rationing
The federal government organization that is responsible for protecting the health of all Americans is the?
Department of Health and Human Services
The National Institute for Nursing Research is?
A major source of federal grant funding for nurses and health scientists
A prepaid health plan in which primary care providers are viewed as gatekeepers to care is?
a Health Maintenance Organization
A demographic trend that is influencing health care and will continue to have a major impact on health care is?
an increase in the elderly population