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NUR 1290 FINAL EXAM QUESTIONS
AND ANSWERS ALREADY PASSED
Purpose of code of ethics ✔✔The values and ethics are the heart of the code of ethics that
constitutes nursing as a profession; the code acts as a general guide
primarily to the members of the profession but also informs other
professional groups and society as a whole.
Outcome of tuskegee study ✔✔the irb boards lack of trust by african american community
Ethical dilemma in health care what's true about them ✔✔Ethical dilemmas in health care
- Two or more choices are available
- Difficult to determine which choice is best
- Available alternatives cannot solve the needs of all those involved
- Each alternative in the dilemma may have both favorable and unfavorable features
- Ethical dilemmas in healthcare involve issues surrounding professional actions and patient care decisions
Principles of ethics (beneficent, justice, etc) ✔✔Principles of ethics (beneficent, justice, etc)- Beneficence, Nonmaleficence, Autonomy, Justice, Distributive Justice, Veracity, Fidelity, Privacy, Confidentiality
Fraud ✔✔wrongful or criminal deceptions intended to result in financial or personal gain
Negligence- ✔✔an unintentional conduct that falls below a standard of care established for the protection of others against unreasonable risk of harm
Malpractice ✔✔Improper, illegal, or negligent professional activity or treatment, especially by a medical practitioner, lawyer, or public official
autonomy ✔✔ability to make independent decisions
Accountability ✔✔to be answerable to oneself and others for one's own actions
Veracity ✔✔Health professional should be honest and give full disclosure to the patient
Nurses role in suspected child abuse ✔✔Required to report it Mandated continued education when you renew your license.
What should a nurse do if they are questioning a med that they are told to give out- ✔✔Patient- must give it
Doctor- if you disagree on medical not moral aspect report to nurse
manager and discuss with doctor
Purposes of documentation- ✔✔In- case of a mistake, lawsuit, etc. Supports care coordination and continuity of care
What states euthanasia is legal in ✔✔Washington DC, California, Colorado, Oregon, Vermont, Washington,Montana (Via Court Ruling)
Difference between annual limit, deductible and copay ✔✔Deductibles- a specified amount of money that the insured must pay before an insurance company will pay a claim
Copays- out of pocket paid for medical care
Annual limits- are the total benefits an insurance company will pay in a year while an individual is enrolled in a particular health insurance plan
Role of lobbyist ✔✔A person who takes part in an organized attempt to influence legislators
The ANA lobbies for all nurses.
Aim of AHC act (aka obama care american health care act) ✔✔- Aim- Returns control of health care from Washington back to the states and restores control to patients and physicians so Americans can access quality, affordable health care options that are tailored to their needs.
Professional health care models- ✔✔Frameworks for the organization of care delivery to patients. Several
models involve more than nurses. No model is better than another.
Holistic Model-Focuses on healing whole person
Team Nursing Model- Focuses on patient-centered care/ effective use of available personnel
Functional Nursing Model- Focuses on getting the job done
Total care Nursing Model- Focuses on RN being able to be perform patient care freely
Primary Nursing Model- Focuses on RN is at the bedside planning and giving expert care
Case Management- Focuses on coordinating all aspects of the care of individual patients
IOM patient centered care ✔✔IOM has a competency to address quality improvement
How does informatics equal safety for patients ✔✔Informatics- technology provides many opportunities for communication and knowledge- sharing Informatics can lead to safe, quality care. Information sharing and coordination of care
Caring environment ✔✔The nurse is responsible for promoting the achievement of client
outcomes by directing and providing nursing care in a care setting in a manner that protects clients, family/significant others, and other health care providers.
Molloy humanistic framework ✔✔Humanity, valuing, health, and environment all around nursing
National institute for nursing research what it does and doesn't do ✔✔mission is to promote the health of individuals , families, and communities.
Start to control health care cost ✔✔Increasing the availability of mid-level providers Nurse practitioners, Changing fee structures,Controlling fraud and abuse, Charging for things that are not done, Cost containment measures,cPreferred providers contracts
Managed care- "gatekeeper"
Watching to make sure you get the things the patient needs
Case Management
Using acuity measures to determine cost
Take generic- rather than name brand
Steps innaction health care policy ✔✔Health Policy making involves the development, planning and enactment or programs crafted to improve quality of health for individuals
Informatics= Safety for patients
Informatics- technology provides many opportunities for
communication and knowledge- sharing
Informatics can lead to safe, quality care
Information sharing and coordination of care
Definition of personal morality ✔✔what each individual believes is morally right and sound. Each persons personal morality can vary. Morals and morality refer to the domain of personal values and the rules of behavior regulating social intercourse
What does the ana cover in general ✔✔ANA Social Policy Statement
Nurses advancing our profession to improve the health of all, a
statement that describes the profession of nursing and its
What organization responsible for promoting quality nursing education( either nln or accn) ✔✔National league for nursing (NLN)
Definition of standards of care ✔✔standard that nurses are held to, are expected to act or professionally conduct themselves
Definitions of delegation and negligence- ✔✔Negligence- an unintentional conduct that falls below a standard of care established for the protection of others against unreasonable
risk of harm
Delegation- the transfer of a responsibility to complete a task that is within the scope of the transferees position.
Payers of hospital charges (insurance) ✔✔Patients, federal government (medicare/medicaid), insurance
Medicare: 65+, persons with disbilities, end-stage renal diseases
Medicaid: established by the Title XIX of the social security act, federal aid to low income people
HIPAA guidelines- ✔✔Privacy and Confidentiality
Requires data security and electronic transaction standards
Privacy- right of a person to have personal information kept private
-Only necessary information is shared to providers (insurers)
-Patients CAN access medical records
-Health info cannot be openly shared by HCP (not in public places, calling patients work / home and leaving a message with information)
-Cannot carry patient information that is identifying outside of an HCO
-No pictures in clinical setting (privacy violation)
-Violation of HIPPA are examined and provider might have to pay a fee for not following regulations.
Action by nurse that equals crime ✔✔Assault: Threatening a patient if they do not comply
Battery: Carrying out a treatment without consent, intentional. Doctrine of res ipsa loquitur: the principle that the occurrence of an accident implies negligence.
Age group with greatest burden on health care ✔✔Elderly
Steps to making ethical decisions- ✔✔Ethical dilemma: a person is forced with making a decision between two or more alternatives involving strong emotions
continue to develop as a transition from the student role to the role as a practicing nurse. Promotes the professional development of nursing students
*Purpose of expert nurse witness in trial ✔✔Saw something- give opinion to be an expert witness regardless or personal
Nursing action that promotes networking- ✔✔Opportunities it can bring for career advancement
Example of performance based learning( sim lab) ✔✔Watching how a hospital and personnel truly function for researchers it is easier to identify and help fix the problem
Student nurse behaviors that will increase success (chapter 4) ✔✔▪ Prepare for class
▪ Ask questions
▪ Apply information
▪ Demonstrate initiative
▪ Communication
▪ Complete assignments on time
▪ Use faculty a resource when needed
▪ End goal: Pass NCLEX
Behaviors to reduce stress (in the chapter in beginning of book) ✔✔-time management
-take a break
-use humor
-practice self assertion
-healthy diet and self care
-ask questions
