• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/281

Click to flip

281 Cards in this Set

  • Front
  • Back
The most important nursing responsibility in patient care ethical situations is to:

a) be able to defend the morality of one's own actions

b) remain neutral and detached in ethical decisions

c) ensure that a team is responsible for deciding ethical questions

d) follow exactly the client and family wishes
be able to defend the morality of one's own actions
Which of the following is most clearly a question of nursing ethics:

a) The hospital policy permits use of internal fetal monitoring during labor. However, there is literature both to support and refute the value of the practice

b) When asked about the purpose of a medication, a nurse collegue responds, "Oh, I never look them up. I just give what the doctor orders."

c) The nurses on a unit agree to sponsor a fund-raising event to support striking fellow nurses at another facility

d) A client reports that he didn't quite tell the doctor the truth when asked if he was following his therapeutic diet at home.
When asked about the purpose of a medication, a nurse collegue responds, "Oh, I never look them up. I just give what the doctor orders."
A child who has been in a car accident has been shown to have no brain function. The parents refuse to allow life support to be withdrawn. Although the nurse believes the child should be allowed to die and organ donation considered, once the parents have decided, the nurse supports their decision. Which moral principle provides the best basis for the nurses actions:

a) respect for autonomy

b) nonmaleficence

c) benificence

d) justice
respect for autonomy
Which of the following statements by the nurse would be most helpful to assist clients in clarifying their values:

a) "That was not a good decision. Why did you think it would work?"

b) "The most important thing is to follow the plan of care. Did you follow all of your doctors orders?"

c) "Some people might have made a different decision. What led you to make your decision?"

d) " If you had asked me, I would have given you my opinion about what to do. Now how do you feel about your choice?"
"Some people might have made a different decision. What led you to make your decision?"
An elderly client wants to go home after recovering from her hip replacement. The family wants her to go to a nursing home. Acting as a client advocate, the nurse:

a) informs the family that the client has a right to decide on her own

b) asks the physician to to discharge the client to home

c) suggests the client hire a lawyer to protect her rights

d) helps the client and family communicate their views to each other
helps the client and family communicate their views to each other
Which of the following statements reflect the contemplation stage of behavior change:

a) I currently do not exercise 30 minutes 3 times a week and do not intend to start in the next 6 months

b) I have tried several times to exercise 30 minutes 3 times a week but am seriously thinking about trying again in the next month

c) I currently do not exercise 30 minutes 3 times a week but I am thinking about starting to do so in the next six months

d) I have exercised 30 minutes three times a week regularly for more than 6 months
I currently do not exercise 30 minutes 3 times a week but I am thinking about starting to do so in the next six months
A female client is 46 lbs overweight. She previously attended 2 programs that "guaranteed" weight loss. Although the weight was lost, more returned after each program. She tells you "I was just born to be fat. I don't have willpower." According to the health promotion model, the nurse recognizes which of the behavior-specific cognitions and affect variable in this client:

a) perceived barriers to action

b) perceived self efficacy

c) interpersonal influences

d) situational influences
perceived self efficacy
Which of the following individuals would have an increased possibility of illness in the near future?

a) a 25 year old man who recently married his high school sweetheart

b) a 35 year old man who was fired from his job

c) a 40 year old woman who started a nursing program

d) a 50 year old woman whose husband died a month ago
a 50 year old woman whose husband died a month ago
The nurse who is assisting a client in the action stage of change would use which of the following strategies?

a) reinforce the importance of providing rewards for positive behavior

b) ask the client if they would like information

c) Guide the client to create a plan of action

d) remind the client of previous successes
reinforce the importance of providing rewards for positive behavior
If a client fails to follow the information or teaching provided, how should the nurse respond?

a) give up as the client doesn't want to change

b) develop a tough approach

c) reteach the information, as the nurse is the expert

d) reassess the clients importance given to the behavior and readiness to change it
reassess the clients importance given to the behavior and readiness to change it
Which of the following is an example of continuing education for nurses:

a) attending the hospitals fire safety program

b) talking with a company representative about a new piece of equipment

c) receiving a certificate of completion for a workshop on legal aspects of nursing

d) obtaining information about the facilities new computer charting system
receiving a certificate of completion for a workshop on legal aspects of nursing
Which type of research inquiry investigates the issues of human complexity (e.g., understanding the human experience):

a) positivism

b) naturalistic inquiry

c) logical positivism

d) quantitative research
naturalistic inquiry
Which of the following studies is based on quantitative research:

a) a study measuring the affects of sleep deprivation on wound healing

b) a study examining the bereavement process in spouses of clients with terminal cancer

c) a study exploring factors influencing weight control behavior

d) a study examining a clients feelings before and after a bone marrow aspiration
a study measuring the affects of sleep deprivation on wound healing
Which of the following studies is based on qualitative research:

a) a study measuring nutrition and weight loss or gain in clients with cancer

b) a study examining oxygen levels after endotracheal suctioning

c) a study examining a clients reactions to stress after open heart surgery

d) a study measuring differences in blood pressure before, during, and after a procdure
a study examining a clients reactions to stress after open heart surgery
An 85 year old client in a nursing home tells a nurse "I signed the papers for that research study because the doctor was so insistent and I want him to continue taking care of me." Which client right is being violated:

a) right not to be harmed

b) right ot full disclosure

c) right of privacy and confidentiality

d) right of self-determination
right of self-determination
A supposition or system of ideas that is proposed to explain a given phenomenon best defines:

a) a concept

b) a conceptual framework

c) a theory

d) a paradigm
a theory
A group of related ideas or statements is a definition for:

a) a philosophy

b) a conceptual framework

c) a theory

d) a paradigm
conceptual framework
A set of shared understandings and assumptions about reality and the world is a definition for:

a) a concept

b) a conceptual framework

c) a practice discipline

d) a paradigm
a paradigm
Which of the following is NOT considered a practice discipline:

a) physics

b) psychology

c) nursing

d) management
physics
Which of the following constitute the metaparadigm for nursing:

a) nursing process, nursing diagnosis, nursing theory, nursing research

b) person, environment, health, nursing

c) assessment, diagnosis, planning, evaluation

d) individual, family, group, community
person, environment, health, nursing
Cost effective health care emphasizes the primary prevention oof illness. Which of the following is an example of a primary prevention activity:

a) antibiotic treatment of a suspected urinary tract infection

b) occupational therapy to assist a client in adapting his or her home environment following a stroke

c) nutrition counceling for young adults with a strong family history of cholesterol

d) removal of tonsils for client with recurrent tonsilitis
nutrition counceling for young adults with a strong family history of cholesterol
Which of the following statements is true regarding types of health care agencies and services:

a) hospitals provide only acute, inpatient services

b) public health agencies are funded by governments to rsearch and provide health programs

c) surgery can only be performed inside a hospital setting

d) skilled nursing, extended care, and long term care facilities provide care for the elderly whose insurance no longer covers hospital stays
public health agencies are funded by governments to rsearch and provide health programs
In many cases, clients must have a primary care provider in order to receive health insurance benefits. Which of the following might the nurse suggest for a client as a primary care provider:

a) family practice physician

b) hospital

c) case manager

d) pharmacist
family practice physician
Health care costs in the US continue to increase. At least one way to influence cost would be to stop the increasing:

a) number of older adults

b) number of uninsured and underinsured persons

c) number of physicians and nurses nationwide

d) competition among drug and medical equipment manufacturers
number of uninsured and underinsured persons
A client is seeking to control his or her health care costs for both preventative and illness care. Although no system guarantees exact out-of-pocket expendatures, the most prepaid and predictable client contribution would be seen with:

a) medicare

b) an individual fee-for-service insurance

c) a preferred provider prganization (PPO)

d) a health maintenace organization (HMO)
a health maintenace organization (HMO)
Nursing Agenda For Health Care Reform (ANA, 1991) recommended that:

a) primary health care should be based in acute care hospitals

b) a minimum standard of health care for all persons should be paid for with public funds

c) case management be focussed on clients with enduring health care needs

d) indicated that essential services should be initiated simultaneously to avoid gaps
case management be focussed on clients with enduring health care needs
A category of the PEW Commission Competencies for Future Practititioners emphasized the need for providers to become skilled in:

a) use of technology

b) budgetary and financial management strategies

c) traditional clinical approaches

d) making decisions for incompetant clients
use of technology
A characteristic of community-based health care is that the nurse provides client care:

a) primarily to clients with identified illnesses

b) to individuals in groups according to their geographical commonalities

c) that is paid for by the community as a whole rather than by individuals

d) in which all clients are case managed
to individuals in groups according to their geographical commonalities
Collaborative health care necessitates that the nurse:

a) assume a leadership role in directing the health care team

b) demonstrate respect for the opinions of the client, peers, and other health care providers

c) be physically present for the implementation of all aspects of the health care plan

d) pass decision-making authority to each health care provider in turn
demonstrate respect for the opinions of the client, peers, and other health care providers
The nurse can conclude that effective discharge planning (hospital-to-home) has been conducted when the client states:

a) as soon as I get home, the nurse will come out, look at where I live, and see what kind of care I will need

b) All I need are my medications and a ride home, Then I'm all ready for discharge

c) When I visit my doctor in 10 days, they will show me how to change my bandages

d) I have the phone numbers of the home care nurse and the therapist who will visit me at home tomorrow
I have the phone numbers of the home care nurse and the therapist who will visit me at home tomorrow
An idea or a general impression:

a) science

b) concept

c) proposition

d) Schematic Model
concept
____________ is/are the basic ingredients of theory:

a) opinions

b) arguments

c) science

d) concepts
concepts
Concepts are the basic ingredients of:

a) opinions

b) arguments

c) science

d) theory
theory
A group of concepts that are associated because of their relevance to a common theme:

a) Schematic model

b) proposition

c) theory

d) Conceptual model
Conceptual model
A conceptual model is a group of concepts that are associated because of their relevance to a common:

a) theory

b) proposition

c) theme

d) idea
theme
Labels given to ideas, objects, or events are/is:

a) models

b) themes

c) construct

d) schemes
construct
The collection & organization of data related to nursing and its associated components is:

a) a conceptual model

b) nursing science

c) nursing theory

d) schematic model
nursing science
The purpose of collecting & organizing data related to nursing and its associated components is to:

a) determine their relevance to a common theme

b) provide a body of scientific knowledge, which provides the basis for nursing practice

c) predict future trends

d) relate information that explains past nursing phenomena
provide a body of scientific knowledge, which provides the basis for nursing practice
Nursing science of which the collection & organization of data, related to nursing and its associated components provides the basis for:

a) conceptual models

b) schematic models

c) nursing practice

d) nursing theory and the nursing model
nursing practice
The compilation of data that defines, describes, and logically relates information that will explain past nursing phenomena and predict future trends is:

a) a conceptual model

b) nursing science

c) nursing theory

d) schematic model
nursing theory
Provides a foundation for developing models or frameworks for nursing practice development:

a) science

b) concepts

c) theories

d) organization of data
theories
Nursing theory is a compilation of data that defines, describes, and logically relates information that will explain past nursing pnenomena and:

a) label ideas, objects or events

b) provide a foundation for developing models

c) predict future trends

d) establish frameworks for nursing practice
predict future trends
Proposes the relationship between & among concepts:

a) theory

b) science

c) schematic models

d) proposition
proposition
A diagram or visual representation of concepts, conceptual models, or theory is:

a) Scientific theory

b) theoretical framework

c) paradigm

d) schematic model
schematic model
A schematic model is a diagram or visual representation of concepts, conceptual models, or:

a) constructs

b) science

c) theory

d) themes
theory
Science is both:

a) propositions & theories

b) concepts & constructs

c) dynamic & static

d) models & frameworks
dynami & static

dynamic in figuring out how a phenomena happens

static in describing what happens
scientific inquiry involves 5 steps. Which of the following represents the 5 steps:

a) hypothesis-->method-->data collection-->results-->implementation

b)hypothesis-->method-->data collection-->implementation-->evaluation

c) hypothesis-->method--> data collection-->results--> evaluation

d) concept-->hypothesis-->data collection-->results-->evaluation
hypothesis-->method--> data collection-->results--> evaluation
"A unique perspective, a distinct way of viewing all phenomena which ultimately defines the limits and nature of its inquiry" stated by Donaldson & Crowley, defines:

a) a science

b) a discipline

c) a nursing model

d) a profession
a discipline
When a substantial body of nursing knowledge is collected, organized, and developed, the nursing profession will be defined, and its scope of practice differentiated. Key in this accomplishment is the development and practice of:

a) nursing diagnosis

b) nursing theory

c) nursing process

d) nursing science
nursing theory
Provides nurses with a focus for research & practice:

a) nursing diagnosis

b) nursing theory

c) nursing process

d) nursing science
nursing theory
A method of bringing together facts and giving them coherence and integrity:

a) theoretical framework

b) conceptual models

c) science

d) paradigms
science
If stones represent facts and laying the stones represents the science, then future ideas and new directions represent:

a) the model

b) the concept

c) the result

d) the theory
the theory
For a proposed theory to be accepted as a theory it must meet all the following criteria EXCEPT:

a) inclusivness

b) consistency

c) phenomena

d) relevance

e) fruitfulness

f) simplicity

g) accuracy
phenomena
In the scientific process, the question that is to be the main focus & usually including independent & dependent variables is:

a) the evaluation

b) the theory

c) the hypothesis

d) the concept
the hypothesis
In the scientific process, to decide what data is to be collected to answer a question is:

a) the "method"

b) the "data collection"

c) the "hypothesis"

d) the "relevance"
the "method"
In the scientific process, the implementation of the step-by-step procedure that has been determined to answer the question is:

a) the "method"

b) the "data collection"

c) the "hypothesis"

d) the "relevance"
the "data collection"
In the scientific process, on the conclusion of the data collection, outcomes are statistically identified to establish parameters that will determine whether or not the data is relevant. This represents what stage in the scientific process:

a) the "method"

b) the "data collection"

c) the "evaluation"

d) the "results"
the "results"
In the scientific process, the results are examined to determine the relevance of outcome data to answer the question, the significance is determined, and the potential for future research is identified. This is what phase in the scientific process:

a) the "method"

b) the "data collection"

c) the "evaluation"

d) the "results"
the "evaluation"
The primary mechanisms by which researchers organize findings into a broader conceptual context are:

a) theories & schematic models

b) frameworks & conceptual models

c) theories & conceptual models

d) methods & evaluations
theories & conceptual models
An abstract generalization that presents a systematic explanation about how phenomena are interrelated & having at least 2 concepts to support it, is:

a) an evaluation

b) a theory

c) a question

d) result
a theory
There are many conceptual models (conceptual frameworks) that offer explanations of the nursing process of which 4 basic concepts are included & identified as:

a) nursing, person, health, environment

b) health, wellness, prevention, treatment

c) individual, family, group, community

d) assessment, diagnosis, intervention, evaluation
nursing, person, health, environment
A term used interchangeably with nursing theory is:

a) the scientific process

b) the nursing process

c) schematic model

d) conceptual model (framework)
nursing theory = conceptual model (framework)
The difference in a conceptual model and a schematic model is ?

you are on your own here . . . ?
(or flip the card)
A conceptual model deals with concepts relevant to a common theme and provide perspective

A Schematic Model is just that! A model, a diagram, a chart, picture, or something that demonstrates concepts
What guides research and practice?

a) the scientific process

b) a hypothesis

c) an evaluation

d) theory & theoretic thinking
theory & theoretic thinking
The basic ingredients of theory are:

a) hypothesis

b) science

c) propositions

d) concepts
concepts
Examples of nursing concepts are:

a) health

b) stress

c) adaptation

d) all of the above
Examples of nursing concepts are health, stress, and adaptation.
The difference between a concept and a theory is?

Explain . . .

-----> (flip card)
Concepts are the basic ingredients of a theory. A concept is an idea, or an impression.

A theory developes from a concept and provides a frame of referrence or framework from which the concept is developed

A theory means to put concepts in a form in which relationships are described & predictions are made
The first epidemiologist that systematically collected objective data & described environmental factors that effected health & illness:

a) Taylor

b) Nightengale

c) Coleman

d) Johnson
Nightengale
Nursing research defines:

a) the conceptual model

b) nursing as a profession

c) nursing theory

d) discipline
nursing as a profession
Nightengale recognized the value of research:

a) in epidemiology

b) in nursing science

c) in nursing care

d) in nursing theory
in nursing care
Through research, Nightingale was the first epidemiologist that:

a) applied the scientific method

b) systematically collected objective data & described environmental factors that effected health & illness

c) Identified the criteria necessary for science & theory

d) provided a schematic model
systematically collected objective data & described environmental factors that effected health & illness
Nurses are held accountable for their actions and must equip themselves to defend the interventions through:

a) the scientific process

b) empirical evidence

c) code of ethics

d) past phenomena & future trends
empirical evidence
Nursing research is a systematic process for answering questions through the discovery of new information with the ultimate goal of:

a) assisting the medical community in future patient assessments and care plans

b) satisfying providers with evidence for neccessary care plans

c) improving patient care

d) decreasing health care costs
improving patient care
Purpose of nursing research is:

a) decreasing health care costs

b) satisfy providers with evidence for neccessary care plans

c) improving patient care

d) to test, refine & advance the knowledge on which improved education, clinical judgment, & cost-effective, safe, ethical nursing care rests.
to test, refine & advance the knowledge on which improved education, clinical judgment, & cost-effective, safe, ethical nursing care rests.
Clinical decisions & interventions are:

a) justified related to cost

b) justified related to safety

c) justified related to quality

d) justified related accessibility of health care
All of the above
Nursing clients are all of the following EXCEPT:

a) individuals & families

b) family units & communities

c) organizations, institutions, corporations,

d) local & state agencies, & citizens of a country
Nursing clients ARE family units, communities, organizations, institutions, corporations, local and state agencies, and citizens of a country
Research to gain an understanding of how individuals construct meaning in their world, visualize a situation, & make sense of that situation is:

a) Quantitative research

b) phsychosocial research

c) Qualitative research

d) community research
Qualitative research

(remember it involves more consideration of the psychological factors of an equation)
Research that involves the study of the human experience as it is lived through careful collection & analysis of narrative subjective materials is:

a) psychodynamic research

b) physiological research

c) Qualitative research

d) Quantitative research
Qualitative research

(usually involves "personal" opinions)
A type of research when the colletion & the analysis occur at the same time:

a) psychodynamic research

b) physiological research

c) Qualitative research

d) Quantitative research
Qualitative research
Research for which data is collected through semi-structured interviews using open-ended questions & observations such as in determining what is the process of grieving for the family of a patient with Alzheimer’s?

a) psychodynamic research

b) physiological research

c) Qualitative research

d) Quantitative research
Qualitative research
Hard science is also called:

a) psychodynamic research

b) physiological research

c) Qualitative research

d) Quantitative research
Quantitative research
Research that involves systematic, logical steps according to a specific plan to collect numerical information under controlled conditions is:

a) Imperical research

b) The scientific process

c) Qualitative research

d) Quantitative research
Quantitative research
Research to study the growth of microorganisms from which wound cultures would be the measurement is:

a) scientific method

b) scientific inquiry

c) qualitative

d) quantitative
quantitative
Deductive reasoning with measurable attributes of human experience describes:

a) qualitative research

b) quantitative research

c) nursing theory

d) nursing science
quantitative research
Studying wound cultures on wounds using wet-dry dressings & cultures of wounds without a wet-dry dressing is what type of process:

a) qualitative

b) quantitative
quantitative research
To study if wet to dry dressings decrease the presence of microorganisms is:

a) quantitative research

b) qualitative research
quantitative research
The Oklahoma Nursing Practice Act requires any person who practices as a RN or LPN to be?
1 - licensed

2- submitt sufficient evidence of qualification to practice
Which of the following recipients of nursing seek assistance because of illness or the need for surgery?

1) consumer

2) client

3) patient

4) customer
patient
When a RN or LPN petitions the OBN to request promulgation, amendment, or a repeal what measures should she take?
1) co-signed by at least 10 RN's or LPN's;

2) submitted to the OBN at least 30 days prior to a regular meeting;

3) be referred to the OBN's attorney for legal consideration;

4) be considered by the Board at a regular meeting; and

5) be scheduled for a Public Hearing within 90 days after being considered by the Board in a regular meeting
Who has the power to deny, revoke or suspend licenses to practice nursing?
OBN

Oklahoma Board of Nursing
When a patient/client leaves against medical advice the nurse must?
1) act promptly to notify the provider

2) clearly articulate the danger inherent in leaving
An offense against society defined through written criminal statutes or codes?
Crime
The BASIS of Assessment, according to the Nursing Practice Act, is?
Analysis, planning, intervention & evaluation used in the promotion & maintenance of health & nursing management of illness, injury infirmity, restoration or optimal function or death with dignity IS...KNOWLEDGE & SKILL !
Laws written by the state to ensure that all RN's, LPN's & UAP's are licensed & have the proper credentials?
Nurse Practice Acts
The performance of services provided for purposes of nursing diagnosis & treatment of human responses to actual or potential health problems that are consistant with educational preparation?
Scope of Nursing Practice
Failure to monitor the patient and report significant findings is an example of?

a) malpractice

b) abandonment

c) negligence
Negligence
The British Government denied this Nurse the right to join nursing efforts during the Crimean War.
SEACOLE, Mary
Best known for the development & establishment of a viable practice for public health nurses in the 20th century.

a) Richards

b) Seacole

c) Nightengale

d) Wald
Lillian WALD
The first to attribute disease to natural causes rather than to supernatural causes?

a) egyptians

b) confucious

c) hppocrates

d) india
Hippocrates
Responsible for writing a pharmacopia to assist in the care & management of disease?

a) Romans

b) India

c) Egyptians

d) Confucious
Egyptians
Taught a moral philosophy that adressed one's obligation to society?
Confucius
For what was the purpose of the "Vedus"
a guide to health care practices
A period in time when women of nobility devoted themselves to caring for the sick & the injured?
MIDDLE AGES
Responsible for designing a written patient record & physicians order system?
Richards
One who identifies a patients problems & communicates them in writing to other members of the health team is called a?
communicator
A medicare payments system to hospitals & physicians that establishes fees according to diagnosis?

a) medicaid

b) Federal public assistance

c) welfare

d) DRGs
DRGs

Diagnostic Related Groups
Establishes minimal levels of practice which is granted & governed by legislation & administered through the State Board of Nursing?
Licensure
The unlawful restraint or detention of another person against his/her wishes?

a) Assult

b) Battery

c) False Imprisonment

d) Breach of Duty
False Imprisonment
A civil case of which the burden of proof is on the plantif/accusor & the penalty is money?
Torte
Laws written by the state to ensure that all RN's, LPN's & UAP's are licensed & have the proper credentials?

a) statutory law

b) legislative law

c) judicial law

d) nurse practice acts
Nurse Practice Acts
Established for implementation of the statute by carrying on the licensing & educational functions for practical, registered & advanced practical nursing?
OBN

Oklahoma Board of Nursing
Requires any person who practices or offers to practice practical or registered nursing to be licensed?
Oklahoma Nursing Practice Act
The attributes, characteristics, & actions of the nurse providing care on behalf of or in conjunction with the client?
The definition of nursing
The performance of services provided for purposes of nursing diagnosis & treatment of human responses to actual or potential health problems that are consistant with educational preparation?
Scope of Nursing Practice
Causing a person to fear he/she will be touched without consent is?

a) aasult

b) battery
ASSAULT
If the nurse does not get a patient's permission before initiating a procedure or treatment, the patient can declare what type of offense against her?
BATTERY
Defamation by means of print, writing or pictures is referred to as?
libel
The discussion of unprivilaged information, or to talk about someone that damages a reputation is referred to as?

a) liable

b) slander
slander
An agreement accepted by a client to accept a course of treatment or procedure is called?
Informed Consent
The information a patient must be given to satisfy the requirements of informed consent are?
1) Benifits

2) Risks

3) Alternatives

4) Prognosis without treatment or procedure
An oral or written agreement is?
Expressed Consent
A formal statement of a groups ideals & values is called?

a) value system

b) belief system

c) A code of Ethics
A Code of Ethics
A set of ethical principles shared by members of a group that reflects their moral judgments & serves as a standard for professional actions is called?
A Code of Ethics
An occupation or a calling that requires extensive education, special knowledge, skill & preparation?
Profession
A profession is an occupation that requires?
1) extensive education

2) special knowledge

3) special skill

4) special preparation
The administrative process for validating qualifications of licensed professionals & assessing their background?
Credentialing
An objective evaluation of a persons current licensure, training or experience, competence & ability to provide particular services or perform particular procedures is a process known as?
Credentialing
Certification is defined as?
The attainment of board certification in a specialty
To be trusted by the patient to provide aid, advice, or protection because of the RN's knowledge & skills & accepts the duty to act in anothers interest is known as?
Fiduciary Responsibility
Overt or covert expression of erotic or romantic thoughts/feelings &/or gestures by an RN toward a patient is?
Sexual Misconduct
An intentional decision to deviate from established conduct & behaviors is known as?
Boundary Crossing
The Scope of Nursing Practice is the performance of services provided for purposes of?
Nursing Diagnosis & treatment of human responses to actual or potential health problems consistant with educational preparation.
A situation where there is a discrepancy between the RN's management & the patient vulnerability?
Power Differential
A breach of trust to meet the RN's needs before the patients is?
Over Involvement
A therapeutic Relationship is also referred to as?
A Helping Relationship
An occupation that requires extensive education or a calling that requires special knowledge, skill & preparation is?
A Profession
Laws written by the state to protect the public from unsafe healthcare practices by nurses?

a) statutory

b) legislative law

c) Nurse practice acts

d) feduciary
Nurse Practice Acts
Nursing practice acts are written & passed by?
LEGISLATORS !!!
What is the purpose of Certification?

a) to become licensed

b) to graduate from nursing school

c) recognition for excellence in nursing practice
recognition of excellence in nursing practice
Who grants nursing certification?
Non-governmental agencies which are usually nursing organizations & of which requirements & practice opportunities vary
Duties of the Board of Nursing are?
1) responsible for administering the states nursing practice act

2) responsible for granting & renewing licenses

3) Impose disciplinary action when provisions of the act are violated
The administering of the states nursing practice act, granting & renewing licenses & taking disciplinary action when provisions of the nursing practice act are violated is the reponsibility of?
The Board of Nursing
The description of requirements & procedures necessary for the initial entry into practice is found in?
Practice Acts
Laws written & enacted by legislative bodies are known as?
Statutory Laws
A level of law in which violations are criminal offenses & punishable by fines or imprisonment?
Statutory Laws
A law that prohibits the transfer of unstable patients including women in active labor from one facility to another is?
EMTALA

Emergency Medical
Treatment & Active Labor Law
A law requiring hospitals to inform adult patients in writing about their right to make treatment choices & ask patients if they have a living will or durable power of attorney for health care?
Patient Self Determination Act of 1990
Federal Statutory Law intended to ensure confidentiality of patient medical records & sets guidelines for maintaining the privacy of health data?
HIPAA

Health Insurance Portability * accountability Act of 1996

FEDERAL Statutory Law
The Nursing Practice Act is regulated under what type of law?

a) Oklahoma Board Law

b) State Statutory Law

c) Statutory Law

d) State Statutory Law

c)
STATE STATUTORY LAW
Health professionals must report any of these 3 findings under penalty of fine or imprisonment for failure to do so?
1) infant or child abuse

2) dependent elder abuse

3) specified communicable diseases
The duty that nurses will exercise independent judgment to prevent harm to patients is called?
Affirmative Duty
The failure to act in a reasonable & prudent manner is the definition for?

a) malpractice

b) criminal malpractice

c) negligence

d) gross negligence
Negligence
A special type of neglegence wherein a professional fails to acts in a reasonable & prudent manner?
Malpractice
To prove neglegence or malpractice is one must prove?
1) the nurse owed the patient/client a special duty of care based on the establishment of a nurse patient relationship

2) nurse breached duty to the patient/client

3) patient suffered actual harm or damage

4) there is proximate cause or causal connection between the standard of care by the nurse & the patients injury
The failure of a professional to act in a reasonable and prudent manner?
Malpractice
The most frequent allegations of nursing negligence are?

(name 5)
1) failure to ensure patient safety

2) improper treatment or negligent performance of treatment

3) Failure to monitor the patient & report significant findings

4) medication errors

5) Failure to follow the agency's policies & procedures
What is "res ipsa loquitur"?
It is the doctrine that applies when the negligent act clearly lies within the range of a jury's common knowledge & experience to determine the standard of care.

"the thing thast speaks for itself"
A reckless act that reflects a concious disregard for the patients welfare?
GROSS Negligence
An act deemed so reckless that the action also results in serious injury or death to the patient?
Criminal Negligence
A negligent act also constitutes?
A crime
Defenses against claims of negligence include all of the following EXCEPT:

1) Emergency situations

2) Governmental immunity

3) Good Samaritan immunity

4) Physicians orders
Physicians orders
Individual health care workers employed in federal or state facilities are shielded from personal responsibility for damages in malpractice cases are protected under?
Civil Law -Governmental Immunity
Intentional Torts on Nursing practice are?
1) Defamation of character (libel/slander)

2) False Imprisonment

3) Invasion of privacy

4)Intentional infliction of emotional distress
When a patient/client leaves against medical advice the nurse must?
1) act promptly to notify the provider

2) clearly articulate the danger inherent in leaving
Skills required of nurses?
1) problem solving

2) Communication

3) Teaching

4) Caring

5) Management
Which of the following best describes the Scope of Nursing Practice?

1) Providing care to clients, preventing illness & counceling

2) Promoting health & wellness, preventing illness, restoring health & care of the dying

3) Promoting health, having a caring relationship, providing care for the sick

4) Assessing, diagnosing, planning, implementing & evaluating
Promoting health & wellness, preventing illness, restoring health & care of the dying
According to the ANA Standards of Clinical Nursing Practice the nurse who follows the standard of professional performance would?
Aquire & maintain current knowledge in nursing practice
The components of a professional are?
1) specialized education

2) A service orientation

3) ongoing research

4) autonomy

5) code of ethics

6) a professinal organization
Process by which nurses licensed in one state may seek licensure in another w/out repeating exams is?
Licensure by endorsement
The program developed by the state board of nursing proposes interstate compact so that nurses licensed in one state may practice in another with out holding multiple licensure is called?
Mutual recognition
A state that has established an agreement with other states allowing nurses to practice within the state with out an additional license is called a?
Compact State
Sexual gratification from illicit tactile stimulation
Usually acted out in public?

a) voyerism

b) frotteurism

c) ilicit sex
Frotteurism
Laws that are written by the state to ensure that all RN’s, LPN’s, and UAP’s are licensed and have the proper educational credentials are:

a) statutory laws

b) judicial laws

c) nurse practice acts

d) federal laws
Nurse Practice Acts
Common offenses nurses are charged with?
Illegal practice of medicine

Failure to report child abuse

Falsification of medical records

Assault & battery & physical abuse of patients
Establishes minimal levels of practice of which is granted & governed by legislation & administers licenses?
State Board of Nursing
Established by the Oklahoma Nursing Practice Act for the implementation of the statute by carrying on the licensing & educational functions for practical nursing, registered nursing, and advanced practice nursing
Oklahoma Board of Nursing
The practice of an RN includes but is not limited to?
RN's ASSESS the status of:

INDIVIDUALS-FAMILIES-GROUPS


ASSESSMENT-ANALYIZE-ESTABLISH
GOALS
to meet identified needs!


PLAN-PRIORITIZE-IMPLEMENT


DELEGATE-EVALUATE-TEACH


MANAGE-SUPERVISE-COLLABORATE
Members of the OBN are selected/appointed by whom?

a) legislature

b) governor

c) board members of the OBN
The GOVERNOR
Name 3 primary conditions that must be satisfied for RN's & LPN's to become a member on the OBN?
1) Be in good standing

2) Have a minimum of 5 years experience in practice

3) Be IN Practice
Renewals of licensing for nursing occur when?
OBN

Oklahoma Board of Nursing
What is a PEER assistance program?
Rehabilitation for nurses whose competency may be compromised because of alcohol or drug abuse so they can be treated & return to or continue the practice of nursing
The PEER assistance program is under whose supervision and control?

a) state

b) federal

c) the facility

d) OBN
OBN
Assuming responsibility to the client, the public, or other health-care practitioners & one's self for one's actions &/or decisions and outcomes is called?
Accountable
An individual other than a licensed nurse who performs an assistive role & has been certified to perform core skills as delegated by a licensed nurse & as authorized by the rules & reg's of the OBN is an?
advanced unlicensed assistive person
To be eligible to participate in a PEER Assistance Program, applicants must?
1- have a current unrestricted license

2- have no pending felony or conviction that would prevent the practice of nursing

3- voluntarily submitt an application for participation

4 - reside in this state
Who defines the Scope of practice for nurses in this state?

a) legislature

b) The Oklahoma Board of Nursing

c) The Oklahoma Nursing Practice Act

d) legislature
The Oklahoma Nursing Practice Act
The doctor writes an order that reads as follows: “give 0.1 mg drug X bid IV” The nurse administers 1.0 mg drug X by IV. The patient dies from receiving 10 times the prescribed dose. What type negligence would this be?

a) negligence

b) gross negigence

c) criminal negligence

d) malpractice
Criminal Negligence


(death by decimal- page 3 Nursing Negligence class notes).
. The doctor writes an order as follows: give 2 mg drug Z. The nurse believes this to be an excessive dose and checks the drug reference. The reference list the maximum dose as 4 mcg. The nurse consults with the doctor, advising him of what the drug reference lists as the maximum dosage. The doctor gets irate and tells the nurse to follow the order and give the med as prescribed, then hangs up the phone. What should the nurse do at this point?

a) hang up on the doc, he is a jerk

b) tell the patient he has a bad doctor

c) quit your job

d) go to the charge nurse & whine about it
Notify the charge nurse of the discrepancy.

The charge nurse can deal w/ situation from that point.
Define Malpractice?
Failure to act as a reasonably prudent RN would do in a similar situation
Failure to act as a reasonably prudent RN would do in a similar situation is:
Malpractice?
List 4 elements that must be proved to establish malpractice?
Nurse owed patient special care based on establishment of nurse-patient relationship
(nurse accepted the assignment)

Nurse breached duty to the patient

Actual harm or damage was suffered by the patient

Proximate cause or causal connection between breach in standard of care by nurse and the patient was injured
The RN is supposed to give a medication at 2000 but gets busy and doesn’t administer it until 2130 & then charts it as having given it at 2000.

This is an example of?

a) Fraud

b) Malpractice

c) Neglect

d) Gross neglect
Fraud
During the period form 1945-1953, what milestone was reached with regard to nursing education?
Minimal nursing education standards were established
What occurred in the 1970’s regarding nursing education and degrees?
Masters degree for nurse practitioner
Why have competency based performance examinations become necessary in nursing schools?
Increased medical errors leading to lawsuits
Who approves nursing programs?

a) legislatur

b) governor

c) State Boards of Nursing

d) Oklahoma Board of Education
State Boards of Nursing
What are 3 major roles of the RN?
Providing Care

Leadership

Member of Profession
Name the 7 stages to the Spencer & Adams transition model . . .
Stage 1
losing focus

Stage 2
minimizing the impact

Stage 3
The Pit

Stage 4
letting go of the past

Stage 5
Testing the limits

Stage 6
Searching for meaning

Stage 7
integration
What is the purpose of licensure for nurses?
The need to demonstrate a certain level of skill and knowledge, thereby protecting the public.
What are the duties of the board of nursing?
Administer states Nursing Practice Act

Granting and renewing nursing licenses

Taking disciplinary action
A nurse in the U.S. Navy that is licensed in Oklahoma, but works at Portsmouth Naval Hospital in Portsmouth, Va. Is an example of?

a) compact state

b) Special cases of licensure

c) emploment by endorsement

d) military privilage
Special cases of licensure
What is certification?

a) pre-requisite to licensure

b) accredidation to teach

c) recognizes excellence
Certification recognizes excellence, is granted by various non-governmental agencies.
What is licensure?
Licensure can ONLY be done by the state. States the holder has met a minimum qualification criteria to be licensed.
Assertion that every person is responsible for wrong or injury done to another resulting from carelessness defines?
Liability
What factors must the RN consider before delegating tasks to a person of less training than the RN?

(i.e. an LPN, or an aid)
Determine if it’s legal to delegate such task.

Determine if it’s reasonable and prudent to delegate such task based on the level of training of the other health care person as well as the status of the patient.
Why are incident reports necessary?
RNs are legally required to report critical incidents to their manager. A critical incident that results in patient injury or death may result in a malpractice claim.
What are the pros and cons to cross training and floating?
Pro's...
enhances efficiency and reduces staffing cost

Con ...
Increases personal liability of the RN
Failure to act as a reasonably prudent person would in a similar situation is considered to be an act of?
Negligence
What are the major categories of negligence?
FAILURE TO:

Follow standard of care

Use equipment in a reasonable manner

Communicate

Document

Assess and monitor
Reckless act by nurse that reflects conscious disregard for patient’s welfare.
Showing complete indifference to consequences of action to patient defines?

a) malpractice

b) criminal neglegence

c) negligence

d) gross neglegence
GROSS Negligence
Reckless act by nurse that reflects conscious disregard for patient’s welfare.
Showing complete indifference to consequences of action to patient defines?
GROSS Negligence
When might it be acceptable to breach the standard of care?
In a life threatening situation where following procedure would likely result in patients death.
A nurse assume's responsibility for patient harm or injury as a result of his/her negligent acts & this is called?
Personal liability
A nurse should consider these factors of Personal liability in delegation and supervision of team members?
Nurses must be absolutely clear about the lawfulness of patient care assignments

Determine if it is reasonable and prudent to delegate a task based on knowledge of the worker

Patient’s status, and current work setting conditions
Employer liability is considered to be?
vicarious liability
Nurses are legally bound to report critical incidents to?
the manager
Critical incidents that result in patient injury or death may lead to what type of claim?
malpractice claim
In an Incident Report it is important to describe events in what way?
Describe events objectively

Avoid subjective comments or personal opinions
No No's ...

when filing an Incident Report?
Avoid subjective comments or personal opinions

Never note in the medical record that an incident report was completed or filed

Never photocopy the incident report

Physician’s order for an incident report should not be written in the chart
•Failure to follow Standard of Care
•Failure to use Equipment in a Responsible manner
•Failure to Communicate
•Failure to Document
•Failure to Assess & Monitor
•Failure to Act as a Patient Advocate


These are all examples of ?
Negligence
Abandonment in Nursing indicates?
The failure to ensure patient safety
Improper treatment or negligent performance of the treatment is an example of?
Negligence
Failure to monitor the patient and report significant findings is an example of?

a) negligence

b) gross negligence

c) criminal negligence
Negligence
A Nurse who makes medication errors is gulity of?
Negligence
Failure to follow the agency’s policies and procedures is considered to be?
Negligence
Reckless act by nurse that reflects conscious disregard for patient’s welfare.
Showing complete indifference to consequences of action to patient defines?
GROSS Negligence
When might it be acceptable to breach the standard of care?
In a life threatening situation where following procedure would likely result in patients death.
A nurse assume's responsibility for patient harm or injury as a result of his/her negligent acts & this is called?
Personal liability
A nurse should consider these factors of Personal liability in delegation and supervision of team members?
Nurses must be absolutely clear about the lawfulness of patient care assignments

Determine if it is reasonable and prudent to delegate a task based on knowledge of the worker

Patient’s status, and current work setting conditions
Employer liability is considered to be?
vicarious liability
Nurses are legally bound to report critical incidents to?
the manager
Critical incidents that result in patient injury or death may lead to what type of claim?
malpractice claim
In an Incident Report it is important to describe events in what way?
Describe events objectively

Avoid subjective comments or personal opinions
No No's ...

when filing an Incident Report?
Avoid subjective comments or personal opinions

Never note in the medical record that an incident report was completed or filed

Never photocopy the incident report

Physician’s order for an incident report should not be written in the chart
•Failure to follow Standard of Care
•Failure to use Equipment in a Responsible manner
•Failure to Communicate
•Failure to Document
•Failure to Assess & Monitor
•Failure to Act as a Patient Advocate


These are all examples of ?
Negligence
Abandonment in Nursing indicates?
The failure to ensure patient safety
Improper treatment or negligent performance of the treatment is an example of?
Negligence
Failure to monitor the patient and report significant findings is an example of?
Negligence
A Nurse who makes medication errors is gulity of?

a) malpractice

b) criminal malpractice

c) gross negligence

d) negligence
Negligence
Failure to follow the agency’s policies and procedures is considered to be?
Negligence
• Failure to follow Standard of Care

•Failure to use Equipment in a Responsible manner

•Failure to Communicate

•Failure to Document

•Failure to Assess and Monitor

•Failure to Act as a Patient Advocate

ARE ALL EXAMPLES OF:

a) malpractice

b) gross malpractice

c) negligence
Negligence
•Negligent act by the nurse that is reckless and reflects such conscious disregard for the patient’s welfare

•Complete indifference to the consequences of action to the patient

•Not giving 02 to a COPD patient when transferring the patient to another hospital leading to the death of the patient

The are all examples of?
Gross Negligence
• Failure to follow Standard of Care

•Failure to use Equipment in a Responsible manner

•Failure to Communicate

•Failure to Document

•Failure to Assess and Monitor

•Failure to Act as a Patient Advocate
Negligence
The central role of nurses is?
Preventing patient harm (ANA)
•Negligent act by the nurse that is reckless and reflects such conscious disregard for the patient’s welfare

•Complete indifference to the consequences of action to the patient

•Not giving 02 to a COPD patient when transferring the patient to another hospital leading to the death of the patient

These are all examples of?

a) malpractice

b) criminal malpractice

c) negligence

d) gross negligence
Gross Negligence
The central role of nurses is?
Preventing patient harm (ANA)
When Nurses are dealing with "orders" they must?
Nurses must take action to prevent harm
• Failure to follow Standard of Care

•Failure to use Equipment in a Responsible manner

•Failure to Communicate

•Failure to Document

•Failure to Assess and Monitor

•Failure to Act as a Patient Advocate
Negligence
Nurses that render services outside the employment setting are shielded from malpractice claim by?
Good Samaritan Immunity
When Nurses are dealing with "orders" they must?
Nurses must take action to prevent harm
•Negligent act by the nurse that is reckless and reflects such conscious disregard for the patient’s welfare

•Complete indifference to the consequences of action to the patient

•Not giving 02 to a COPD patient when transferring the patient to another hospital leading to the death of the patient

These are all examples of?

a) negligence

b) malpractice

c) gross negligence

d) criminal malpractice
Gross Negligence
A method of reimbursing providers (usually physicians) with a fixed payment typically expressed as a per-member-per-month payment that is made in advance for future anticipated contracted health services is called?

a) social security

b) capitation

c) federal health care financing

d) retrospective payment system
capitation
Nurses that render services outside the employment setting are shielded from malpractice claim by?
Good Samaritan Immunity
The central role of nurses is?

a) to follow physicians orders

b) to practice according to facility policies & procedures

c) Preventing patient harm

d) To follow OBN guidelines
Preventing patient harm (ANA)
A method of reimbursing providers (usually physicians) with a fixed payment typically expressed as a per-member-per-month payment that is made in advance for future anticipated contracted health services is called?

a) social security

b) capitation

c) federal health care financing

d) retrospective payment system
capitation
The Federal Government agency that administers Medicare & Medicaid, formally known as the Health Care Financing Administration (HCFA)is?

a)Public Health Administartion

b)State Insurance Fund

c) Centers for Medicare & Medicaid Services

d) National Health Care Systems
Centers for Medicare & Medicaid Services
The Federal Government agency that administers Medicare & Medicaid. Formally known as the Health Care Financing Administration (HCFA)is?

a)Public Health Administartion

b)State Insurance Fund

c) Centers for Medicare & Medicaid Services

d) National Health Care Systems
Centers for Medicare & Medicaid Services
When Nurses are dealing with "orders" they must?
Nurses must take action to prevent harm
A term used referring to reimbursement based on a pre-determined fixed price per case or diagnosis for clients in 468 categories is called?

a) NDX

b) Diagnosis-related groups

c) retrospective payment groups

d) social security grant and funding services
Diagnosis-related groups (DRGs)
Nurses that render services outside the employment setting are shielded from malpractice claim by?
Good Samaritan Immunity
A term used referring to reimbursement based on a pre-determined fixed price per case or diagnosis for clients in 468 categories is called?

a) NDX

b) Diagnosis-related groups

c) retrospective payment groups

d) social security grant and funding services
Diagnosis-related groups (DRGs)
A method of reimbursing providers (usually physicians) with a fixed payment typically expressed as a per-member-per-month payment that is made in advance for future anticipated contracted health services is called?

a) social security

b) capitation

c) federal health care financing

d) retrospective payment system
capitation
A change in some variable is called?

a) variance

b) variable margin

c) marginal

d) marginal variance
marginal
The Federal Government agency that administers Medicare & Medicaid. Formally known as the Health Care Financing Administration (HCFA)is?

a)Public Health Administartion

b)State Insurance Fund

c) Centers for Medicare & Medicaid Services

d) National Health Care Systems
Centers for Medicare & Medicaid Services
A change in some variable is called?

a) variance

b) variable margin

c) marginal

d) marginal variance
marginal
A jointly sponsored state and federal program that pays for medical services for the elderly, poor, blind, disabled, and for families with dependent children

a) Medicaid

b) Centers for Medicare & Medicaid Services

c) Federal Public Welfare

d) Medicare
Medicaid
A jointly sponsored state and federal program that pays for medical services for the elderly, poor, blind, disabled, and for families with dependent children

a) Medicaid

b) Centers for Medicare & Medicaid Services

c) Federal Public Welfare

d) Medicare
Medicaid
A term used referring to reimbursement based on a pre-determined fixed price per case or diagnosis for clients in 468 categories is called?

a) NDX

b) Diagnosis-related groups

c) retrospective payment groups

d) social security grant and funding services
Diagnosis-related groups (DRGs)
A federally funded health insursnce program for the disabled, persons with end stage renal disease and persons 65 years of age and older who qualify for social security benifits?

a) Health Care Financing Administration

b) Medicare

c) Social Security

d) Medicaid
Medicare
A federally funded health insursnce program for the disabled, persons with end stage renal disease and persons 65 years of age and older who qualify for social security benifits?

a) Health Care Financing Administration

b) Medicare

c) Social Security

d) Medicaid
Medicare
A method of reimbursing health care providers an amount for which is predetermined based on the patients diagnosis is called?

a) medicaid

b) medicare

c) social security funding

d) prospective payment system
prospective payment system
A change in some variable is called?

a) variance

b) variable margin

c) marginal

d) marginal variance
marginal
A method of reimbursing health care providers an amount for which is predetermined based on the patients diagnosis is called?

a) medicaid

b) medicare

c) social security funding

d) prospective payment system
prospective payment system
A method of reimbursing health care providers for which services are rendered and charges are billed based on the services provided?

a) medicaid

b) medicare

c) retrospective payment system

d) prospective payment system
retrospective payment system
A method of reimbursing health care providers for which services are rendered and charges are billed based on the services provided?

a) medicaid

b) medicare

c) retrospective payment system

d) prospective payment system
retrospective payment system
A jointly sponsored state and federal program that pays for medical services for the elderly, poor, blind, disabled, and for families with dependent children

a) Medicaid

b) Centers for Medicare & Medicaid Services

c) Federal Public Welfare

d) Medicare
Medicaid
An organization other than the patient and the supplier that assumes responsibility for the payment of charges is called?

a) medicare

b) medicaid

c) charity

d) third party
third party
A federally funded health insurance program for the disabled, persons with end stage renal disease and persons 65 years of age and older who qualify for social security benifits?

a) Health Care Financing Administration

b) Medicare

c) Social Security

d) Medicaid
Medicare
A method of reimbursing health care providers an amount for which is predetermined based on the patients diagnosis is called?

a) medicaid

b) medicare

c) social security funding

d) prospective payment system
prospective payment system
A method of reimbursing health care providers for which services are rendered and charges are billed based on the services provided?

a) medicaid

b) medicare

c) retrospective payment system

d) prospective payment system
retrospective payment system
An organization other than the patient and the supplier that assumes responsibility for the payment of charges is called?

a) medicare

b) medicaid

c) charity

d) third party
third party