Profession Of Nursing/community-Based Nursing

Front 1

True/False:

Nursing has always been a highly respected profession.

Back 1

False - Nursing has evolved into a profession.

Front 2

What nursing pioneer restructured the nursing practice by focusing on cleanliness and the environment?

Back 2

Florence Nightingale

Front 3

What nursing pioneer focused on the concept of self-care?

Back 3

Dorothy Orem

Front 4

Who does the ANA state is responsible for helping clients deal with their reactions to their illness?

Back 4

the nurse

Front 5

A profession should have prolonged specialized education with some ________ ____ content.

Back 5

liberal arts

Front 6

A profession has a theoretical body of knowledge. Describe this.

Back 6

Evidence based practice - meaning that professionals use some form of substantiation in making clinical decisions (tradition, authority, experience, trial and error, logic, or research)

Front 7

Who sets the standards of practice and ethics in nursing?

Back 7

ANA

Front 8

Who is the governing body for the practice of nursing in the state of Louisiana?

Back 8

LSBN (Louisiana State Board of Nursing)

Front 9

What are 6 methods used in evidence-based practice?

Back 9

- Tradition
- Authority
- Experience
- Trial and Error
- Logic or reason
- Research

Front 10

A client is suffering with constipation. We, as nurses, know that if we respond quickly to a call for help, that clients have fewer incidences with constipation. What type of evidence-based practice is shown here?

Back 10

Tradition

Front 11

A client is already suffering with constipation. You advise the client to use the opioids prescribed to him cautiously because they are known to cause constipation. What type of evidence-based practice is shown here?

Back 11

Authority

Front 12

You advise a client to adhere to a regular schedule to decrease the incidence of constipation. What type of evidence-based practice is used here?

Back 12

Experience

Front 13

A nurse discovered that placing a small footstool under the feet of elderly patients decreased the number of constipated clients. What type of evidence-based practice is shown here?

Back 13

Trial and error

Front 14

A nurse advised a client that the valsalva maneuver should not be used as a tool to relieve constipation. What type of evidence-based practice is shown here?

Back 14

Logic or Reason

Front 15

A study shows that the use of fiber, fluid, and activity in chronically constipated elderly me greatly reduces the need for oral laxatives. What type of evidence-based practice is shown here?

Back 15

Research

Front 16

What is our state level chapter of the ANA?

Back 16

LSNA

Front 17

The NSNA is the National Student Nurses Association. What is the local chapter for CSN?

Back 17

CASN (Charity Association of Student Nurses)

Front 18

LSNA, NSNA, and CASN are all chapters of what major nursing organization?

Back 18

ANA (American Nurses Association)

Front 19

What professional organization accredits the schools of nursing?

Back 19

NLN (National League for Nursing)

Front 20

What professional organization focuses on the improvement of nursing education and nursing service through continued education?

Back 20

NLN

Front 21

What are 7 values that are essential to the professional nurse?

Back 21

- altruism
- equality
- esthetics
- freedom
- human dignity
- justice
- truth

Front 22

Which value of the professional nurse is:

a concern about the welfare of others

Back 22

altruism

Front 23

Which value of the professional nurse is:

the support of the clients' rights and privileges regardless of who they are

Back 23

equality

Front 24

Which value of the professional nurse is:

the promotion of a positive image of nursing

Back 24

esthetics

Front 25

Which value of the professional nurse is:

the acknowledgment of clients' choices

Back 25

freedom

Front 26

Which value of the professional nurse is:

the treatment of all clients with respect and safeguarding of their privacy

Back 26

human dignity

Front 27

Which value of the professional nurse is:

the function within the ethical and legal framework of nursing

Back 27

justice

Front 28

Which value of the professional nurse is:

providing factual data and own up to your own mistakes

Back 28

truth

Front 29

CSN believes that man is a biopsychosocial being with basic human needs. What does this mean to you as a nurse?

Back 29

When you take care of a client, you take care of their biological, psychological, and social needs together.

Front 30

CSN believes that man is a holistic being with what 4 qualities?

Back 30

- value
- worth
- dignity
- free-will

Front 31

CSN believes that man _______ and ________ his environment.

Back 31

adapts and modifies

Front 32

CSN believes that man is committed to the betterment of humanity. What does this essentially mean?

Back 32

CSN believes that man is good.

Front 33

CSN believes that health is a continuum between what 2 things?

Back 33

Wellness and Illness

Front 34

CSN states that health is a ______ state.

Back 34

dynamic

Front 35

CSN believes that nursing is a ________, _________, __________, _____________ process that assists individuals and groups to cope with life situations affecting health and illness.

Back 35

dynamic, therapeutic, caring, interpersonal

Front 36

True/False:

You nursing education is complete when you graduate from CSN.

Back 36

False - nursing is a continuous leaning process

Front 37

What are the 3 major concepts at CSN that are used to select and sequence learning objectives, content, and experiences (the organizing framework)?

Back 37

- nursing
- health
- adaptation

Front 38

What does it mean to be a patient advocate?

Back 38

YOU protect the rights, dignity, and autonomy of the client

Front 39

You may attain RN status through what 3 programs?

Back 39

- diploma
- ADN
- BSN

Front 40

All new graduates in the US must pass what test to attain licensure?

Back 40

NCLEX (National Counsel License Examination)

Front 41

What is the primary goal of each state's board of nursing?

Back 41

To ensure the safety of the public

Front 42

What are the 3 interrelated roles of the Associate Degree Nurse?

Back 42

- Provider of Care
- Manager of Client Care
- Member of the profession of nursing

Front 43

As an entry level RN, what does it mean to identify organizational resources?

Back 43

You orient yourself with what resources are available where you work, knowing what you are responsible for and what you outsource

Front 44

As an entry level RN, what does it mean to work with various nursing care models?

Back 44

It simply means that you need to be flexible in various working environments (ex. floor nurse with 8 patients, community nurse, etc.)

Front 45

The ANA standards of care are known as the _______ process.

Back 45

nursing

Front 46

What are the 5 standards of care (nursing process) by the ANA?

Back 46

Assess
Nursing Diagnosis
Plan
Implement
Evaluate

(Remember ADPIE (assess, diagnose, plan, implement, evaluate)

Front 47

During which part of the nursing process do you collect patient health data?

Back 47

assessment

Front 48

(Def)

the determination of how a client will respond to a diagnosis by analyzing the assessment data

Back 48

Nursing Diagnosis

Front 49

During which part of the nursing process to you identify the expected outcomes individualized to the client?

Back 49

diagnosis

Front 50

During which part of the nursing process do you develop a plan of care that contains interventions that will attain the desired outcome?

Back 50

planning

Front 51

During which part of the nursing process do you put interventions into practice?

Back 51

implementation

Front 52

During which part of the nursing process do you measure the patient's progress toward attaining the desired outcomes?

Back 52

evaluation

Front 53

A client comes in with difficulty breathing. You measure his respiration rate, blood pressure, etc. What phase of the nursing practice is this?

Back 53

assessment

Front 54

What ANA standard of professional performance:

The nurse systematically evaluates the quality and effectiveness of nursing practice

Back 54

Quality of Care

Front 55

What ANA standard of professional performance:

The nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statues and regulations

Back 55

Performance Appraisal

Front 56

What ANA standard of professional performance:

The nurse acquires and maintains current knowledge in nursing practice

Back 56

Education

Front 57

What ANA standard of professional performance:

The nurse interacts with and contributes to the professional development of peers and other health care providers as colleagues

Back 57

Collegiality

Front 58

What ANA standard of professional performance:

The nurse's decisions and actions on behalf of patients are determined in an ethical manner

Back 58

Ethics

Front 59

What ANA standard of professional performance:

The nurse collaborates with the patient, family, and other health care providers in providing patient care

Back 59

Collaboration

Front 60

What ANA standard of professional performance:

The nurse uses research findings in practice

Back 60

Research

Front 61

What ANA standard of professional performance:

The nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care

Back 61

Resource utilization

Front 62

What ANA standard of professional performance:

provides leadership in the profession and practice setting

Back 62

leadership

Front 63

In the ANA code of ethics book, provision 1.5 states that the principles of respect extend to all encounters, including colleagues. How does this affect us as students?

Back 63

It sets the standards that are expected by us as student, and how we are expected to interact with peers (students), instructors, clients, staff, etc.

Front 64

What does provisions 1-3 in the ANA code of ethics reiterate?

Back 64

the fundamental values and commitments of the nurse

Front 65

What do provisions 4-6 in the ANA code of ethics identify?

Back 65

the boundaries of duty and loyalty

Front 66

What do provisions 7-9 in the ANA code of ethics describe?

Back 66

nursing duties beyond individual encounters

Front 67

What are "never events"?

Back 67

Hospital Acquired Condtions

Front 68

In relation to HACs (hospital acquired conditions), what does the law passed in 2005 by US congress state?

Back 68

It allows the CMS (Center for Medicare and Medicaid Services) to reduce, withhold, or refuse reimbursement to hospitals for certain medical events and report such events to the public.

Front 69

As a nurse, how do "never events" affect you?

Back 69

You need to assess the patient fully, and document EVERYTHING!

Front 70

What are 4 "never events" that strongly impact nurses?

Back 70

- bed sores (pressure ulcers)
- in-hospital falls and trauma
- ventilator associated pneumonia (related to oral care)
- DVT/pulmonary embolism (keep people mobile)

Front 71

A nurse should use at least _____ ways to identify patients.

Back 71

two

Front 72

Who published the 2010 Hospital National Patient Safety Goals?

Back 72

The Joint Commission

Front 73

(def) **check your spelling**

the study of aging and older adults

Back 73

gerontology

Front 74

(def) **check your spelling**

nursing with involves advocating for the health of older persons at all levels of prevention; roles include - provider of care, teacher, manager, advocate, and research consumer

Back 74

gerontological nursing

Front 75

(def) **check your spelling**

medical care of the elderly

Back 75

geriatrics

Front 76

Community-based nursing can consis of both _______ and _______ care of individuals and families.

Back 76

acute and chronic

Front 77

What are 4 components of community-based nursing?

Back 77

- client self-care
- prevention
- consideration of family, culture, community
- continuity of care

Front 78

What are 6 roles of nurses that are emphasized in a community-based setting?

Back 78

- case manager
- collaborator
- educator
- counselor
- client advocate
- change agent

Front 79

Which community-based nursing role:

the nurse establishes plans of care and coordinates needed resources and services

Back 79

case manager

Front 80

Which community-based nursing role:

works in a combined effort with related health care disciplines

Back 80

collaborator

Front 81

Which community-based nursing role:

teaches individuals, families, and groups to gain knowledge and skills to learn how to care for themselves

Back 81

counselor

Front 82

Which community-based nursing role:

supports the client and acts on the client's behalf

Back 82

client advocate

Front 83

Which community-based nursing role:

involves seeking to implement new and more effective approached to problems; helps to empower clients, families, and groups to creatively solve problems or become instrumental in creating change.

Back 83

change agent

Front 84

Long-term care is often done in an extended care facility. What type of unit would be appropriate for an elder who requires a higher level of nursing care (ex. tube feedings, chronic wounds, ventilator)?

Back 84

skilled nursing facility

Front 85

What are some examples of community-based settings?

Back 85

- homes
- schools
- clinics
- ambulatory care centers
- adult day care centers
- senior centers
- long-term care facilities

Front 86

In Gerontological Nursing Practice, what type of nurse must be in employed to plan care and organize services?

Back 86

Registered Nurse

Front 87

In a gerontological nursing setting, a plan of care must be developed in ________ with the older person.

Back 87

conjunction

Front 88

(def)

a Louisiana program that trains individuals to respond to the needs and problems of nursing home residents

Back 88

Louisiana Ombudsman's Program

Front 89

What is the purpose of the Louisiana Ombudsman's Program?

Back 89

to improve the overall care of nursing home residents

Front 90

True/false:

Baby boomers are the fastest growing segment of the population.

Back 90

False - 85 and older are the fastest growing population group

Front 91

True/false:

Families don't bother with their older relatives.

Back 91

False - only 5% of people live in nursing homes

Front 92

True/false:

Everyone becomes confused or forgetful if they live long enough.

Back 92

False - there is always an underlying cause for confusion and forgetfulness.

Front 93

True/False:

You can be too old to exercise.

Back 93

False - exercise programs can be developed to accommodate any age

Front 94

True/False:

Heart disease is a much bigger problem for older men than older women.

Back 94

False - once a woman passes menopause, the risk is about equal

Front 95

True/false:

People should watch their weight as they age.

Back 95

true

Front 96

True/false:

Most older people are depressed.

Back 96

false - depression occurs at any age

Front 97

True/false:

There is no point in screening older people for cancer because they can't be treated.

Back 97

false - over half of cancers occur over age 65. Older people are successfully treated many times.

Front 98

True/false:

Older people take more medications than younger people.

Back 98

True

Front 99

True/false:

People begin to lose interest in sex around age 55.

Back 99

False- sexual activity declines are often because of social reasons or risk factors

Front 100

True/False:

Diet and exercise reduce the risk for osteoporosis.

Back 100

True

Front 101

True/False:

As your body changes with age, so does your personality.

Back 101

False

Front 102

True/False:

Older people might as well accept urinary accidents as a fact of life.

Back 102

False - procedures and medications can help

Front 103

True/False:

Suicide is mainly a problem for teenagers.

Back 103

False - suicide is prevalent in people age 65 and older

Front 104

True/false:

Extremes of heat and cold can be especially dangerous for older people.

Back 104

True

Front 105

What are some common problems in older adults?

Back 105

- arthritis
- incontinence
- visual and hearing problems
- osteoporosis

Front 106

In 2000, there were 3 million people over the age of 85. What is the estimation of this age group by 2040?

Back 106

12 million

Front 107

What are the leading causes of death in older adults?

Back 107

- heart disease
- cancer
- cerebrovascular accident (CVA)

Front 108

(def)

adjustments to certain physical, psychological, and social changes that occur as individuals live and grow

Back 108

Developmental Tasks (DTs)

Front 109

What are 4 changes that older adults must adjust to?

Back 109

- decreased strength and health
- death of spouse and friends
- retirement and decreased income
- change in living arrangements