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NUR151-Prof-Standard
Professional Standards of Nursing
| Question | Answer |
|---|---|
| What is the science of nursing? | Pathophysiology –how normal is altered by disease. |
| What is the art of nursing? | Based on compassion for clients – care for them. Respect. |
| As nurses, we must abide by? | Code of Ethics (ANA) and Nurse Practice Acts. |
| How does every state tell nurses their scope of practice? | State Nurse Practice Acts |
| Can we push anesthetics into an IV? | No. Even if doc says so. |
| As nurses, we must work within? | Our scope of practice or lose license. |
| What is EBP? | Evidence based Practice – all our interventions are grounded in research. |
| What is critical thinking in nursing? | Applying what we have learned and evaluating it. |
| Making decision based on facts, evidence, experience, education. | Critical Thinking |
| Define Holism. | Look at patient as a whole being – spiritually, physically. |
| Nursing is ever ____ | evolving |
| “The ___ is the center of your practice.” | client |
| ANA | American Nurses Association |
| What does the ANA do? | Strong lobbyists, looking to improve and make nursing better. |
| What is Nursing? | The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and popu |
| “You gain knowledge, expertise, and lifelong learning through the continual process of___” | “critical thinking and reflection.” |
| Founder of Nursing profession and was first practicing nurse epidemiologist. Connected poor sanitation with cholera and dysentery. | Florence Nightingale |
| Known as the “Lady of the lamp”. | Florence Nightengale, because she went out to the battlefield looking for wounded soldiers at night. |
| Founder of the American Red Cross. | Clara Barton |
| Dorothea Lynde Dix | 1st female nurse in army |
| Harriet Tubman | Active in the Underground Railroad movement. |
| Mary Mahony | First African American nurse concerned with relationships between cultures and races. |
| Army Nurse Corps was established | 1901 |
| What happened in 1906 that helped shaped nursing? | the Goldmark Report concluded nursing education needed financial support and suggested university schools of nursing receive the money. |
| What has shaped nursing in the 21st Century? | Nursing Code of Ethics ANA – 1990’s, code revised in 2001 |
| Name some societal influences on Nursing | Demographic Changes, Woman’s Health, Human rights, Medically Underserved, Bioterrorism. |
| “Problem-solving approach to clinical practice, uses best available evidence along with your expertise, client preferences, & values in making decisions about care.” | EBP-Evidence Based Practice. |
| Characteristics of a profession | Extended education, a body of knowledge, provides a specific service, autonomy, and incorporates a code of ethics. |
| Defines the principles by which nurses' provide care to their clients. | The code of ethics for professional registered nurses. |
| A code of ethics does not ensure ___ to all clients. | identical care |
| The nursing code of ethics does not ____ or improve self-health care. | protect clients from harm |
| Measure vital signs, auscultate lung sounds, listen to heart sounds, and determining the level of comfort are what aspect of practice? | Assessment. |
| _____ occurs after all assessments are completed. | Diagnosis |
| _____ is the actual delivery of care. | Implementation |
| Assessment is ___. | data gathering |
| An ____ helps speak for the client, communicating the client's concerns and wishes to family and other caregivers. | advocate |
| A ___ assists in meeting all health care needs of the client, including taking measures to restore emotional, spiritual, and social well-being. | caregiver |
| An ___ explains concepts and facts about health and demonstrates procedures such as self-care activities. | educator |
| The ____ provides a minimum standard of knowledge for nurses, but cannot guarantee or ensure care for clients. | RN licensure examination |
| Generally the most independently functioning nurses. | APNs (Advanced practice nurses) |
| An APN can work where? | In a primary, acute, or restorative care setting. |
| The APN may function as a___ | clinician, educator, case manager, consultant, or researcher. |
| Who organized hospitals, nurses, and supply lines to support the troops of the Union Army? | Dix |
| Barton founded___ | the Red Cross |
| Mary Mahoney, the first African American professional nurse, worked to? | Bring respect to individuals regardless of race, color, background, or religion. |
| Healthy People 2010, a federal document, outlines? | Goals for the public. |
| Notes on Nursing set forth? | Nightingale's first nursing philosophy. |
| The Last Acts Campaign has developed standards and policies for? | End-of-life care. |
| Nursing Principles and Practice 2010 | Current readings in journals are necessary for all nurses in practice. |
| A nurse who uses critical thinking in the decision-making process to provide effective quality care to individuals is known as: | A clinical decision maker. |
| An advanced care nurse has? | Advanced educational preparation. |
| An evidence-based practitioner draws on? | Research findings as well as clinical expertise and client values. |
| A multidisciplinary practice includes? | Health care members from various fields of activity, such as physical therapy and dietary therapy, along with nursing. |
| What assures clients that they will receive quality care from a competent nurse? | Standards of care describe the competency level of nursing care as described by the ANA. |
| The Nurse Practice Act regulates? | The licensing and practice of nursing; it describes the scope of practice. |
| _____ is the standardized national examination that assess for a minimum knowledge base relevant to the client population that the nurse serves. | National council licensure |
| The Nurse Practice Act regulates? | The license and practice of nursing; it describes the scope of practice. |
| The ____ is administered in each state to test that candidates have the minimum knowledge level required for practice. | NCLEX-RN national licensure examination. |
| The ANA Congress for Nursing is an organization that? | Addresses legal aspects of nursing practice. |
| The nurse who has held the same position for 2 to 3 years and understands the specific area and client population is termed a ___ nurse. | competent |
| The ___ is a nurse with diverse experience who can focus on a specific problem and offer multidimensional solutions. | expert |
| The ___ nurse has more than 2 to 3 years' experience and applies knowledge and experience to a situation. | proficient |
| The ___ nurse has at least some level of experience. | advanced beginner |
| Care provider is a ___ position, a nurse who provides direct care. | staff |
| The ___ has clinical expertise in a specific area. | nurse specialist |
| The ___ has advanced training in assessment and pharmacology and is able to provide health care in specific settings. | nurse practitioner |
| The ___ has additional experience and is able to coordinate activities of other members of the health care team. | case manager |
| National League for Nursing (NLN) was created to? | address concerns of members in the nursing profession. |
| The __ is the foundation of clinical decision making and includes all significant actions taken by nurses in providing care to clients. | Nursing Process |
| What are the Six standards of practice? | Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, and Evaluation. |
| A violation of the NPA means that you have? | Fallen below a standard of care set by the state for nurses. |
| “Commitment to include clients in decisions.” | Autonomy - Freedom to make own decisions. |
| Taking positive actions to help others – Client’s interest comes before our interests - the urge to do good for others. | Beneficence |
| “Avoidance of harm or hurt”– commitment to do no harm - balance risks and benefits of plan of care to do the least harm possible. | Nonmaleficence |
| Personal belief about worth of a given idea, attitude, custom, or object that sets standards that influence behavior. | Value |
| (Immanuel Kant (1724-1804) - defines actions as right or wrong based on their “right-making characteristics such as fidelity to promises, truthfulness, and justice”. | Deontology |
| Name some issues in Bioethics. | Quality of Life, Allocating scarce resources, futile care, and the nursing shortage. |
| Our legal guidelines come from? | statutory, regulatory, and common law. |
| Generally define the scope of nursing practice. | Nurse Practice Act for the state in which they work. |
| Requires that accredited hospitals have written nursing policies and procedures. | The Joint Commission (TJC) (2007). |
| Reflects decisions made by administrative bodies such as State Boards of Nursing when they pass rules and regulations – ex: duty to report incompetent or unethical nursing conduct to the State Board of Nursing. | Regulatory law, or administrative law. |
| Results from judicial decisions of decided individual legal cases – Ex: informed consent and the client's right to refuse treatment. | Common Law – nurse most frequently encounters common laws involving negligence and malpractice. |
| _____ is either civil or criminal – Misuse of controlled substance. | Statutory law |
| Where are the Nursing Standards of Care set out? | In every state's Nurse Practice Act, the federal and state laws regulating hospitals and other health care institutions, professional and specialty nursing organizations, and by the policies and procedures established by the health care facility where nur |
| Used in malpractice lawsuit, to measure nursing conduct and determine whether the nurse acted as any reasonably prudent nurse would. | Standards of Care |
| American with Disabilities Act – federal statute | Protects rights of handicapped throughout our society. |
| Emergency Medical Treatment and Active Labor Act | “Patient dumping” - client has right to an appropriate medical screening occurs within the hospital's capacity when they come to the emergency department or the hospital. |
| Mental Health Parity Act | Forbids health plans from placing lifetime or annual limits on mental health coverage that are less generous than those placed on medical or surgical benefits. |
| Name 2 kinds of Advance Directives. | Living Wills and Durable Power of Attorney for Health Care (DPAHC). |
| Written documents that direct treatment in accordance with a client's wishes in the event of a terminal illness or condition. | Living Wills |
| Legal document that designates a person to make health care decisions when can’t do so on own behalf. | Durable Power of Attorney for Health Care (DPAHC) |
| _____ is an emergency treatment provided without client consent. | Cardiopulmonary resuscitation (CPR) |
| Provides rights to clients and protects employees. Protects individuals from losing their health insurance when changing jobs. | Health Insurance Portability and Accountability Act (HIPAA) |
| ____ gave residents in certified nursing homes the right to be free of unnecessary and inappropriate restraints. | The Federal Nursing Home Reform Act (1987) |
| Good Samaritan Laws, Licensure, and Public health laws are State ___ Issues. | Statutory. |
| The Uniform Determination of Death Act. | Tells us how we can pronounce someone dead. EEG determines brain death. |
| The ____ standard requires irreversible cessation of all functions of the entire brain, including the brain stem, when determining death. | whole-brain |
| _____ grant immunity from lawsuits if the nurse follows the standards of care that a nurse of his or her experience would prudently have followed. | Good Samaritan laws |
| Individuals who are not donors typically are pronounced dead when there is a total cessation of _____ functions. | circulatory and respiratory - The absence of pulse and respirations must occur together to meet the legal definition of death. |
| A durable power of attorney is invoked only when the client ____. | can no longer speak for himself or herself. |
| The Patient Self-Determination Act allows clients to ___. | determine their course of care |
| Posting information including the medical condition of clients on a message board is a violation of? | HIPAA provisions. This information should be kept confidential and should not be placed in a location where visitors might view it. |
| The nurse should understand law primarily because the nurse____. | Can be an advocate for clients. The nurse must make sure that "safe, effective care" is given in conformity with the Nurse Practice Act (NPA). |
| Statutory law is created by_____. | legislatures - These enact statutes such as the NPA, which defines the role of the nurse and expectations of the nurse's performance of duties. |
| Regulatory law or administrative law is created by___ | an administrative body such as the Board of Nursing, which passes rules and regulations. |
| Common law is created by? | judicial decisions in court based on individual cases that are decided. |
| Criminal law prevents? | harm to society and provides punishment for crimes. |
| Regulates permission to obtain organs for donation and prevents illegal or immoral removal of organs for sale or profit. | The Uniform Anatomical Gift Act |
| Conduct that falls below the standard of care that protects others against unreasonable risk of harm. | Negligence |
| The threat to engage in harmful or offensive contact. | Assault |
| The actual unlawful touching of another, whether threat of harm is included or not. | Battery - Intentional touching without permission or consent is not lawful. |
| A ____ is a wrong committed against a person or property. | civil tort |
| An example of a tort involving property would be? | To lose the client's dentures by misplacing them. |
| The nurse's signature as a witness indicates only that___ | the person signing the form was indeed the person whose name was on the form. |
| Name 3 Intentional Torts. | Assult, Battery, and False imprisonment. |
| Name 2 Quasi-intentional Torts. | Invasion of privacy and Defamation of Character (Malice, Slander, and Libel). |
| The publication of false statements that result in damage to a person's reputation. – falls into the HIPAA laws. | Invasion of Privacy |
| ___ means that the person publishing the information knows it is false and publishes it anyway or publishes it with reckless disregard as to the truth. | Malice |
| When one verbalizes a false statement. | Slander |
| Libel is a ___ false statement. | written |
| Name 2 Unintentional Torts | Negligence and Malpractice |
| Failure to obtain consent in situations other than emergencies will possibly result in a claim of ___. | battery – because they were touched without permission. |
| Occupational Safety and Health Agency (OSHA) | Helps set standard of a safe environment. |