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147 Cards in this Set

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A person committing an intentional tort is considered to?
Have knowledge of the permitted legal limits of words or acts
Lillian Wald was responsible for
was responsible for establishing a visiting nurse service, community health nursing.
The Nurse Practice Act is what type of Law?
Statutory Law
The nursing organization whose membership is limited to nurses only is?
ANA
This organization includes both nurses and non-nurses in its membership, who join together to foster the development and improvement of nursing services and nursing education?
National League for Nurses
The recent trend towards an increased number of clients being discharged from hospitals, which are still requiring care, is largely attributed to?
Medicare prospective payment system (PPS)
A controversy surrounding DRGS has been?
Shorter hospital stays
The purpose of the National Council of State Boards of Nursing is?
Develop licensing exams and develop model licensure laws and regulations
The baccalaureate nurse is viewed as a?
Nurse Generalist
The nurse specialist is reserved to those nurses who graduate from?
Masters Degree Program
11. The ADN graduate is considered? (Technician
Technician
12. A hospital provides what kind of care?
Secondary
Know what primary care is.
preventative, immunizations, b/p screening
Know what tertiary care is?
Rehab, hospice
The focus of nursing education at the doctoral level should be:
Research
Why is the ANA a federation?
The ANA is composed of state nursing
associations and the individual can only become a member of the ANA by joining her states nursing association
Pt. Care where different tasks are performed by different nurses is called
functional nursing
An RN, two LVNs and four CNAs are caring for a group of pt, this approach is referred to as:
team nursing
Know what: Omnibus Budget Reconciliation Act is.
It regulates nursing home laws and CNA's
Good Samaritan laws:
Exemption from civil liability when emergency care is given in good faith with due care or without gross negligence
Advantages of functional nursing are.
It is economically efficient and it allows for specialization
A code of ethics:
is a set of ideas and values that guide professional behavior
The purpose of a code of ethics is to:
Provide a frame of reference for making nursing judgments
Questions regarding values, key word to remember is
personal
If a nurse is reluctant to give an ordered medication, because she knows the
negative effects are as significant as the positive effects, this is an example of
beneficence vs. nonmalfecence
A peer review is when:
a nurse reviews the actions of another nurse of the same level in attempts to improve the quality of care
A review of the pts chart to evaluate the outcome of care is referred to as:
a nursing audit retrospective audit
A nurse files an incident report to:
use to monitor the outcome of the situation and prevent reoccurrence
Transcultural nursing refers to:
(comparative study and analysis of different cultures and subcultures in the world, with respect to their caring behavior, nursing care, and health values, beliefs and patterns
A daughter cares for her disabled mother in her home, she needs a break, and she takes her mother to a facility for 6-8 hours so she can run some errands. This is an example of:
respite care
Which assignment pattern is an example of primary nursing?
The RN gives complete care to the assigned patients and directs their care for their entire hospitalization.
What is the purpose of the ANA Standards of Clinical Nursing Practice?
To improve the practice of nursing
33. How would nurses let legislators know about health care issue?
The options were: sign a petition, write a letter to legislator, sit in meeting and tell legislator, call the legislator
What is the primary purpose of the Patient Self-Determination Act?
To allow patients to make informed decisions about lifesaving or life-prolonging actions
Which action by the nurse is appropriate example of cost containment?
Minimizing the use of disposable equipment
How Mildred Montag’s 1951 report, The Education of Nursing Technicians, change the prevailing system of nursing education?
Nursing education moved from being predominantly an apprenticeship model to a collegiate model.
Mildred Montag is recognized for having made which important contribution to nursing education?
She provided the framework for the establishment of associate degree programs
While pouring a patient a cup of tea on the patient’s forearm. The patient receives a deep partial-thickness (second degree) burn. For what is the nurse liable?
Malpractice
Genetic engineering is defined as:
The alteration, replacement or repair of genetic material in the cell by synthetic means for the purpose of elimination genetic disorders and malformations in humans.
Informed consent requires that the patient communicates consent to a treatment
In writing or verbally directly to the nurse or physician
Know what ANA standards of nursing practice are.
They provide a method for evaluating the quality of patient care
Where does the legal regulation of the practice of nursing rest?
State Government
A nurse acting as a client advocate would:
Support clients in their decisions
Who grants a license to practice:
State agency
Career ladder in education refers to:
Specialized programs for associate degree or diploma RNs to attain baccalaureate degree
Team nursing is best described as:
A group of nurses collectively meeting the health needs of a group of clients during a period of time.
An RN, informs the patient that she is putting his side rails up so that he will not fall out of bed. She further explains that he is on bed rest and should use the call bell if he needs help. The patient tries to get out of bed by himself and falls. This is an example of:
Contributory Negligence
Accreditation of a hospital by the Joint Commission for Accreditation of Hospitals (JCAH) means:
That the hospital has met a high standard of care
The health care team can best meet its goal when:
the health care members communicate and consider each other as colleagues and have mutual respect for one another
A nurse needs to improve in the area of time management. Which activity should she do to improve?
Have her supervisor help her with determining priorities
The term collective bargaining implies:
Union representatives meeting with employer representatives to negotiate a contract that spells out wages, hours, and conditions of employment
Informed consent means:
The client has been given information including benefits, risks and prognosis about the procedure by his physician at a level the client can understand and then the client has signed the consent form
In this type of health care system, every person pays for his own health care, not
sharing any part for another’s care.
Market-based system
Actions used to guard professional standards of practice and behavior is called:
Gatekeeping
Malpractice differs from negligence because:
Only professionals can be accused of malpractice
The principle of nonmaleficence:
Involves not telling the client the truth because it may do greater harm than good
The nurse who administers care to all clients in exactly the same manner, without regard to race, gender, age or expected outcome, because the “right” principle
guides her actions, is following which ethical theory?
Deontological
The nurse who bases her actions on behavior, which create the greatest good for the greatest number, is following which ethical theory?
Teleological
Which association publishes the Imprint?
The National Student Nurses Association
When an incident report is completed, it should be:
Channeled to the Risk Management department
The primary purpose of the National League for Nursing is to:
Maintain and improve the standards of nursing education.
What causes the need for increased demand for day-care centers?
Single-women with children
Which religion will not donate organs?
Options where Muslims, Mormons, Buddhist, & Hindu
What is the function of ICM? Focus on worldwide health care issues as well as nursing issues.
The options where communication between national nursing organizations, finding employment. Focus on worldwide health issues was not an
option
The purpose of continuing education requirements is?
To promote life-long learning and maintain and enhance skills
Continuing education for licensure
is required in some states
In 1985, the ANA’s position was the minimum educational level to become an RN should be:
BSN degree
Know what acuity is?
An assignment of a number based on the illness of a patient and the number of licensed staff to take care of him
What has been the effect of DRGS?
The acuity of hospitalized pt has risen
Another question about the impact of DRGS on nursing?
Increased demand for home health nurses
Giving medication or treatment to a pt. Who refuses, is an example of:
Battery
What is an example of nursing autonomy?
Nurse sets up clinic for free immunizations independent of doctors
A pt. is in a mental hospital involuntarily, he has just threatened suicide and you restrain him. Are you held liable?
You are not held liable if the Dr. left order for restraints
What did the 1964 training act provide?
Federal government money for training
What is the first thing the nurse should do when auditing a patient record?
Review policy and procedure manual, the key word is review
A nurse was called to be an expert witness to do what?
Give opinion
A nurse accidentally administered the wrong med to a pt. but there was no
reaction. In court the judge said?
Nurse can be sued for malpractice
The ADN graduate who care for a group of patients with ancillary help is acting
in the role of:
Member within the discipline
The ethical theory that uses the principle the end justifies the means is:
Utilitarianism
To determine whether the patients care was necessary and appropriate, the mechanism used is:
Utilization review
The system where nurses set their own working conditions is:
Shared governance
At the end of the year, a non-profit hospital has extra money left over, what do they do with it?
I have no idea, but a few options where 1) Distribute between stockholders or shareholders 2) Give to a institution
When were nursing schools first independent of hospitals?
Civil War
NLN mission: .
to advance nursing education to where nurses can meet the needs of disease population in a changing health environment
What is assessment nursing?
Refers to collecting data for use in health care setting
The system under which each worker does what her education is defined as making her most competent to do is:
Differentiated practice
Under the Differentiated model what would the ADN nurse do?
Just remember
that research, teaching, managing, are all skills for bachelor degree and above, so pick answer like bedside care or help collect info for research project
Know that nonmaleficience is
duty to do no harm
A nurse working in an Adult day care program would typically perform which of the following?
Administer medications and provide social support
The increase of patients with chronic illness has caused what to happen in the medical field?
Increased demand for specialized care
diabetic patient has a total hip replacement. He remains in the hospital 5 days
past his estimated length of stay. Which would investigate this situation?
Utilization review
Why should a nurse choose a program accepted by the NLN?
Meets standard of excellence in education and resources
An audit while the patient is in the hospital
is a concurrent audit.
What is an example of a code of the ANA nurse practice act a nurse violates?
A nurse in a television commercial of untested skin cream
A nurse must chart the response and effectiveness
after giving the pain medication
To meet the spiritual needs of patient:
ask the patient, don’t pick call the Chaplain, first thing to do is assess patients needs
ADN role to clients:
assistance and advocacy
An example of Collaborative dependency:
A physical therapist giving some exercises to a post-op pt. and continuing on by the nurse
Ambulatory care centers are encouraged to:
cut down on health costs
Which one is not beyond the scope of an ADN in nursing care?
Teaching a nurse assistant to transfer a pt. from chair to bed
Which code of ANA nurse practice act a nurse violates?
A consent form without patient signing it
An elderly patient is about to be discharged and states “I want to go back home”, but the children had arranged for him to be transferred to a long-term care facility, what should you do?
Support the patients decision-always pick advocacy for patient
Nurses role in the informed consent:
indication that the consent was signed by the patient, if patient doesnt know how to write, sign with an X and witness X
Ambulatory care centers benefits: you dont have to stay for 24 hours, it is a
walk-in and out service.
Pick answer that says less than 24 hours
Decision making-
list all possible alternatives, otherwise known as brainstorming
Positive aspects of new technology:
reduce hospital days and cuts labor costs
The insured pays one premium regardless of intensity or duration of illness is which type of healthcare coverage?
HMO
Legislation cannot regulate
the amount a facility can charge for a specific procedure
Cost of Medicare
is found in Health Care Financing Administration. For 65 years old and older or disabled
Know what Medicare Part A covers and what Medicare Part B covers.
I think the question on the test asked which part of Medicare is hospice or physician visit covered under
Medicaid is for the
poor and paid half by State and other half by Federal.
As leader of the team group, a nurse has to make assignments for the shifts:
lays out nursing care plans to carry out protocols
Which code of ANA Nurse Practice Act a nurse violates?
A nurse giving medication to a patient of a newly experimental medicine
What course of action may the nurse take when hospital refuses to negotiate with collective bargaining?
Go to court, civil law case to force hospital to negotiate Taft-Hartley act
What is a “Democratic” supervisor?
A nurse who elicits info from fellow nurses
What is an autocratic leader?
Leader who makes decisions for the group
Privileged information is a pt.
revealing personal information to the nurse during admission interview
Case management
is when the nurse meets with the patient upon admission, prior to surgery, coordinates his hospital care, arranges for home health care after discharge and calls pt. at home to see if everything is going as planned
What is an example of a breech of confidentiality?
Nurse discussing patient’s condition with a friend or an employer
Patient is on no-code. Appropriate nursing procedure is to:
give pain medication as needed
What is veracity?
Ability to tell the truth
What is the purpose of ANA-PAC?
Lobbying congress and they keep their funds separate
You have an LVN monitoring a student nurse. One of her patients was returning from surgery, one patient was asking for a breathing treatment, she tells the student nurse to take the vital signs and then call the respiratory therapist for the
patient who is needing the breathing treatment. What type of nursing was performed?
Manager of care
Know what the Patient’s Bill of Rights is for.
It specifically promotes
continuity of care, right to considerate and respectful care, right to privacy and confidentiality, right to review own pt. records, right to make decisions about care
A patient with diabetes was supposed to be discharged in 5 days. He stays longer than expected. What is the justification of the delay?
TQM, total quality management
The most common problem with the associate degree nurse is
they are placed in positions that are above their educational level
Understand the definition of Laissez-fair.
Leader functions minimally in a group, good for highly motivated professional group
Why is there an increase concern on ethical issues today than in the past?
Nurses are gaining more education or going through specialty areas and
influence of new technologies
Criteria for American Academy of Nursing:
nurses who have made significant professional contributions to the profession
Patient concerned regarding son can’t visit during visiting hours. Being a patient advocate the nurse would.
Arrange alternate hours for son to visit
Decision making-
list all possible alternatives, otherwise known as brainstorming
Positive aspects of new technology:
reduce hospital days and cuts labor costs
The insured pays one premium regardless of intensity or duration of illness is which type of healthcare coverage?
HMO
Legislation cannot regulate
the amount a facility can charge for a specific procedure
Cost of Medicare
is found in Health Care Financing Administration. For 65 years old and older or disabled
Know what Medicare Part A covers and what Medicare Part B covers.
I think the question on the test asked which part of Medicare is hospice or physician visit covered under
Medicaid is for the
poor and paid half by State and other half by Federal.
As leader of the team group, a nurse has to make assignments for the shifts:
lays out nursing care plans to carry out protocols
Which code of ANA Nurse Practice Act a nurse violates?
A nurse giving medication to a patient of a newly experimental medicine
What course of action may the nurse take when hospital refuses to negotiate with collective bargaining?
Go to court, civil law case to force hospital to negotiate Taft-Hartley act
What is a “Democratic” supervisor?
A nurse who elicits info from fellow nurses
What is an autocratic leader?
Leader who makes decisions for the group
Privileged information is a pt.
revealing personal information to the nurse during admission interview
Case management
is when the nurse meets with the patient upon admission, prior to surgery, coordinates his hospital care, arranges for home health care after discharge and calls pt. at home to see if everything is going as planned
What is an example of a breech of confidentiality?
Nurse discussing patient’s condition with a friend or an employer
A newly hired nurse on the unit, what should you do?
Orient regarding goals of the unit
primary purpose of licensing nurses is?
To protect the public