Nursing 101 Exam1 Study Guide

Front 1

3 historical threads

Back 1

1. religious influences
2. women in society
3. standards of society

Front 2

how do you define nursing

Back 2

Based upon your own image and perception

Front 3

Art of nursing

Back 3

How and Who - Caring, compassion and respect

Front 4

Science of nursing

Back 4

What and why - Knowledge and science

Front 5

renaissance

Back 5

beginning of scientific era

Front 6

revolutionary war

Back 6

era when hospitals housed poor and homeless

Front 7

1st hospital to treat the sick

Back 7

pennsylvania hospital

Front 8

Civil War

Back 8

era when need for nurses increased

Front 9

World Wars

Back 9

Era when catalysts spurred advances

Front 10

3 relationships of RBC

Back 10

1. nurse - patient/family
2. nurse - colleagues
3. nurse - self

Front 11

1st to look at nursing as a profession

Back 11

Abraham Flexner

Front 12

Attitude of ANA towards nursing education

Back 12

Support BSN

Front 13

1st 4 states to grant nursing licensure

Back 13

NY, NJ, NC and VA

Front 14

Dorothy Del Bueno/Competancy frame work

Back 14

Technical, interpersonal and critical thinking will give rise to leadership

Front 15

Brenner's Levels of Competancy

Back 15

1. Novice
2. Advanced Beginner
3. Competant
4. Proficient
5. expert

Front 16

best nursing framework

Back 16

decentralized AND shared governance

Front 17

4 caring theorists

Back 17

Watson, Swanson, Dingman, and Leninger

Front 18

Profession vs. occupation

Back 18

P: uniform process, society, autonomous and education
O: training

Front 19

3 approached to define a profession

Back 19

1. process
2. power
3. trait

Front 20

Process approach

Back 20

continuum; lacks specifics

Front 21

power approach

Back 21

1. amt. of independece of practice
2. amount of power it controls

Front 22

trait approach

Back 22

most widely accepted
identifies traits and characteristics

Front 23

He listed traits observed to other professions and applied them to nursing.

Back 23

Abraham Flexner

Front 24

3 educational routes to nursing

Back 24

1. diploma programs
2. assoc. degrees
3. bsn.

Front 25

Nurse Practice Act

Back 25

1. each state has one
2. defines scope of practice

Front 26

Scope of Practice

Back 26

Defines what you are allowed to do as a nurse; varies between states.

Front 27

ANA conceptual framework

Back 27

Boundary, Intersection, core, dimensions

Front 28

3 Realms of Practice (functions/actions)

Back 28

1. dependent (invasive procedures)
2. Indepdent (repositioning/teaching)
3. Interdependent (collaborative/dietary/xray)

Front 29

Nursing Triad

Back 29

1. theory - science/education
2. practice
3. research

Front 30

Role transition - 3 stages

Back 30

1. honeymoon
2. shock and reflection
3. recovery

Front 31

Purpose of professional organizations

Back 31

strength in numbers/characteristic of a profession

Front 32

NLN

Back 32

Maintain and improve std. of nursing edu. Determines what school teaches. More open membership

Front 33

ANA

Back 33

Improve quality of nursing practice. membership only to nurses.

Front 34

Healthcare trends

Back 34

1. aging and culturally diverse population
2. technology
3. Nursing shortage
4. Advanced research

Front 35

New graduate nurse requirements

Back 35

1. delivery meds
2. technology proficient
3. delegate
4. organize
5. 6-10 patients
6. teach health promotion and lifestyle.

Front 36

3 types of organizational structures

Back 36

1. flat
2. tall
3 matrix

Front 37

2 types of infrastructures

Back 37

1. centralized
2. decentralized

Front 38

centralized infrastructure

Back 38

top down, little room for critical thinking, minimal staff input; exp. nursing home or small org.

Front 39

decentralization

Back 39

when org chart is flipped, top will support bottom.
More autonomy, critical, thinking and communication. More staff input.

Front 40

RAA

Back 40

required for successful decentralization; Responsibility, accountability, authority

Front 41

Shared governance

Back 41

method to increase staff participation; adds credibility

Front 42

3 forms of shared governance at Shadyside

Back 42

1. professional practice
2. evidence based practice
3. quality and safety improvement.

Front 43

3 Key aspects of teamwork (RBC)

Back 43

1. individuals on team
2. healthy team r'ships
3. nurse - physician r'ship

Front 44

4 elements of nursing care delivery systems

Back 44

1. nurse/patient r'ship
2. work allocation
3. team communication
4 mgmt. of unit/environment

Front 45

4 types of delivery systems

Back 45

1. functional
2. team
3. total patient care
4. primary nursing

Front 46

Functional (delivery system)

Back 46

beaureaucratic/highly centralized

Front 47

Team

Back 47

less centralized; RN delegates, not at bedside

Front 48

total patient care

Back 48

RN provides majority of care; just over an assigned shift

Front 49

Primary nursing

Back 49

establishes a nurse-patient relationship over time (complete admission).
Drawback- more nurses needed.

Front 50

Case management

Back 50

Makes primary nursing model more efficient. Goal is to decrease length of stay. RN not at bedside. Manages treatment/coordinates treatment while patient is in hospital.

Front 51

Levels of care depend on these 2 things

Back 51

1. complexity of care
2. setting of care

Front 52

3 levels of care

Back 52

1. primary
2. secondary
3. tertiary

Front 53

primary (care level)

Back 53

preventative, education (speaking to a nutritional couselor)

Front 54

secondary

Back 54

high tech, acute, complex disorders
(getting chemo treatment at Hillman)

Front 55

tertiary

Back 55

restorative, continuing care (physical therapy after shoulder surgery)

Front 56

Importance of respite care

Back 56

Provides relief for primary caregiver; may reduce elder abuse

Front 57

People who can qualify for medicare

Back 57

1. over 65
2. permanent kidney failure
3. certain disabling diseases

Front 58

Free part of medicare

Back 58

part A

Front 59

Part known as medicare advantage

Back 59

Part C - medicare plus private health plan

Front 60

Number of peeps on medicare

Back 60

40 million

Front 61

Who administers medicare

Back 61

federal gov't (crooks)

Front 62

How is medicare funded

Back 62

employed individuals/social security taxes.

Front 63

What is a DRG/What's its role

Back 63

DRG = diagnosis related group. How hospitals get payments.

Front 64

Medicaid

Back 64

Lowest reimbursement
Based on poverty level
Blind, disabled and minors

Front 65

Who adminsters medicaid

Back 65

Each state designs and administers its own program.

Front 66

Who funds medicaid

Back 66

Although it's a state-run program, the feds fund medicaid.

Front 67

managed care

Back 67

cost control while maintaining quality. Limit unecessary use of resources. Cheaper but restrictions.

Front 68

Delegation

Back 68

RNs must delegate to others, but are still accountable for the treatment/outcome

Front 69

ANA's defnition of delegation

Back 69

Transferring responsibility while maintaining accountability

Front 70

5 rights of delegation

Back 70

1. right task
2. right circumstance
3. right person
4. right direction/communication
5. right supervision

Front 71

RN tasks they cannot delegate

Back 71

1. admission assessment
2. iv meds
3. blood products
4. care plan
5. client teaching
6. unstable clients
7. acute diseases

Front 72

What can an RN do that an LPN can't do (hint - invovles physician).

Back 72

Only an RN can accept verbal orders from a physician

Front 73

What is an outcome

Back 73

It is the result of care delivered

Front 74

Nosocomial

Back 74

hospital acquired.