NURS 114 FINAL 2024 LATEST EXAM QUESTIONS WITH 100% CORRECT ANSWERS!!, Exams of Nursing

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NURS 114 FINAL 2024

LATEST EXAM

QUESTIONS WITH

100% CORRECT

ANSWERS!!

NURS 114

OCTOBER 25, 2024

EVATEE

NURS 114 FINAL 2024 LATEST EXAM

QUESTIONS WITH 100% CORRECT

ANSWERS!!

what is TWU's SON vision? Answer - equipping nurses who think deeply, act justly, care generously what is TWU SON mission Answer - Excellence in nursing practice, research, leadership and education that embodies covenantal caring, fosters a spirit of inquiry, and contributes to the good of the world and the glory of God. what is TWU SON values Answer - convenantal caring, collaboration, culture of inquiry, transformation, equity What does the HPA do? (4) Answer - -gives BCCNM its power -approves regulation amendments -sets education requirements -sets scope of practice what does BCCNM do (5) Answer - -protects the public -registration -investigates complaints and discplining members if needed -develops code of ethics -sets standards of practice

what does ICN do (2) Answer - - represent nursing worldwide (> 28 million), advance the nursing profession, promote the wellbeing of nurses

• Advances nursing, nurses and health through its policies, partnerships, advocacy, leadership development, networks, congresses & special projects what are CNA's code of 7 ethics Answer - safe, compassionate, competent and ethical care promoting health and well being informed decision making dignity privacy and confidentiality justice being accountability what are the TWU student learning outcomes Answer - knowledge and its application cognitive complexity inter/intra personal wellness spiritual formation social responsibility and global engagement leadership what are the TWU BSN harmonized program outcomes Answer - professional responsibility value based leadership knowledge based practice clinical reasoning collaborative practice

covenantal caring social responsibility what are the sources of law and what they're responsible for/how theyre made up/example Answer - 1. constitution of canada -federal and provicial responsibilities

2. civil rights - private relationships between people
3. civil law (quebec)/common law (rest of canada) - decisions are made on previous case rulings
4. statute law - created by elective legislative bodies like parliament and provincial legislatures Eg., HPA ●Two types of nurses identified from archeological studies Answer - - Skilled women "nurses for hire"

• "nurses" whose positions were those of slaves in wealthy households Nursing in the Pre-Christian Era: Early cultures: Answer - Babylonia - nursing care between physician visits Buddhism (China) - herbology Hindu (India) - male nurse role Ireland - druidic priests & priestesses cared Egypt - embalming taught human surgery Greece - developed medicine Rome - Romans recognized importance of fresh water and hygiene Israel - Ancient Hebrews believed that following the Ten Commandments promoted health Biblical Roots of Nursing Answer - ●Old Testament

Nursing Education in Canada Answer - ●1874 - First hospital diploma school Admission standards: "plain English education, good character, and Christian motives" ●1919 - first Canadian BSN at UBC ●1932 - Recommended that nurse preparation be transferred from hospitals to general education system & that nurses receive adequate liberal arts education ●1982 - CNA approved resolution for baccalaureate as entry-to-practice describe the paradigm change from 30 AD to present Answer - faith based-

virtue based->efficiency based->theory based->evidence based->values based describe the leadership change from 30 AD to present Answer - religious orders, nightingale model, hospital administrators, theorists, researchers, staff nurses describe the key events change from 30 AD to present Answer - church development, war/epidemics, scientific breakthrough, move to colleges, digitalization litigation, economic recession describe the values change from 30 AD to present Answer - compassion, character, service, holism, critical thinking, integrity/leadership describe the emphasis change from 30 AD to present Answer - who the nurse represents, who she is, what they do, what they know, how they think, what they value Mass Media & the Image of Nurses & Nursing change 1854-present Answer - angel of mercy, modest and loyal "girl friday", the hero, the mother, sex object

Men in Nursing Answer - - First nurses who came to Canada from Europe to serve as nurses were male and later Jesuit priests

• only male cared for sick until Florence Nightingale
• When 1st nursing school established, only women accepted
• Nightingale excluded men from nursing What can Nurses do to Educate the Public about Nursing? Answer - - Present a positive image by following a healthy lifestyle
• Tell others about the value of nursing
• Write letters to media creators when you see something in the media that disrespects nursing How has colonization resulted in historical trauma for Indigenous people? (3) Answer - - french explorers and fur traders settled and introduced TB, smallpox and measles which killed thousands of Indigenous people
• canadian government displaced indigenous peoples from their lands and developed policies to assimilate them into canadian society
• this had negative effects on indigenous cultural identities and governance structures What main categories are addressed by the 94 calls to action of the Truth and Reconciliation Commission? How might Christian nurses respond to the TRC calls to action? Answer - - they address policy like child welfare, justice, education, language rights, government indigenous funding programs and health care.
• nursing schools require education on aboriginal health issues Indian & Indian Act Answer - indian is all indigenous people in canada who are not inuit. status indians are registered under the indian act, which manages reserves and sets out federal obligations

Theory: regular vs. nursing theory Answer - Theory:

• set of assumptions that tell the relationships between concepts Nursing theory
• Conceptualization of some aspect of nursing
• Communicates the purpose of explaining or prescribing nursing care Emergence of Nursing Theory Answer - Florence Nightingale Developments in science in technology - post WWII Nurses gained knowledge about nursing 1960s - urgency to tell how nursing differed from other Health Care Professionals (HCP) Conceptual Frameworks Answer - Mental maps Link concepts to direct nursing decisions Often referred to as nursing theories or nursing philosophies Components of a Theory Answer - Phenomenon: An aspect of reality that can be sensed e.g. pain Concepts: how ideas are organized and communicated e.g. anxiety Definitions: A description of concepts e.g. differentiation and measurement of anxiety Assumptions: A description of concepts that are factual or true; "taken for granted" e.g. "Nursing exists to serve a social mandate." Nursing Process (ADPIE) Answer - Assessment Diagnosis

Planning Intervention Evaluation Each conceptual framework was an attempt to define nursing by creating a theoretical definition for the substance and structure for determining the key bodies of knowledge that would be needed to understand particular clinical situations. the collective body of knowledge was called the _____ ______ and included the concepts of ____, ______, ____ _____, and ____ ____. Answer - metaparadigm concepts, person, environment, health care, nursing care Metaparadigms (4) Answer - Person: The individual, family, group, or community that is the recipient of nursing care Environment: The social environment (client's family, friends, significant others) and the physical environment (surroundings) health: Client's state of wellness/illness nursing: The actions taken by the nurse on behalf of (or in conjunction with) the client The TWU SON Philosophy draws on Christian perspectives regarding the nature of: persons Answer - Persons: Reflections of God's nature (Imago dei), having value, relational, diversity, deserving of equity & justice The TWU SON Philosophy draws on Christian perspectives regarding the nature of: health Answer - health: Individual's perception of well-being & quality of life, resource, social determinants of health (SDOH) The TWU SON Philosophy draws on Christian perspectives regarding the nature of: environment Answer - environment: Global community, relationships, social, political & economic factors, health promotion, SDOH, global citizens, accessible, egalitarian, caring health care communities

" ______ is the essence and the central, unifying, and dominant domain that distinguishes nursing from other health disciplines" (Leininger, 1978 as cited in Ross-Kerr, et al., 2014, p. 264). Answer - caring Transpersonal Caring: Jean Watson's theory of caring: Answer - Promotes healing and wholeness Rejects the disease orientation to health care Places care before cure Emphasizes the nurse-patient relationship Benner says caring is ______. Leininger says caring is _______ and Watson says caring is_______. Answer - primary, universal, transformative The Human Act of Caring Roach (1992) Answer - Compassion Competence Confidence Conscience Commitment Dimensions of Caring Answer - - Being (presence)

• Listening
• Touching Covenantal Caring Answer - caring that has a moral foundation in God's covenant with humankind. image of God in humankind and thus the absolute value of human life

Clients who perceive health care providers as sensitive, sympathetic & interested in them as people are more likely to Answer - become active partners in plan of care what are the 5 classifications of health Answer - health as... stability actualization stability & actualization resource unity Social Safety Net: Answer - - social programs to protect specific vulnerable canadians

• Some are universally accessible to all Canadians, for example: Social assistance to unemployed or underemployed, Medicare - provision of hospital & medical insurance 1867 - British North America Act (Constitution Act) Answer - Responsibility for health, education & social services given to provinces 1916 - federal Municipality Act Answer - can pay taxes to pay for physicians Great Depression - many could not pay medical bills; provinces did not have tax base to fund services & to ensure parallel services across the country 1957 - Hospital Insurance and Diagnostic Services Act (HIDSA) Answer - - Federal gov't provided ½ service costs for provinces with established universal hospital insurance By 1961 all provinces & territories provided coverage for inpatient hospital care

Principles of the Canada Health Act (1984) - Comprehensiveness Answer - Covers all medically necessary hospital & physician services; varies across provinces & territories Principles of the Canada Health Act (1984) - Universality Answer - No discrimination based on race, gender, income, ethnicity or religion Principles of the Canada Health Act (1984) - Portability Answer - Can access health care services in another province or territory Principles of the Canada Health Act (1984) - Accessibility Answer - Reasonable access to health care facilities & providers; additional charges for insured services not permitted; essential services available to all Canadians on basis of need Aboriginal Health Care: Indian Act - 1985 Answer - Health Canada and Northern Affairs Canada share responsibility for ensuring health care services are provided to Canada's First Nations people Aboriginal Health Care: Indian Act - 1985: Treaties... Answer - Treaties signed before Confederation with British gov't to include provision for health care services -Enable direct delivery of services regardless of where they live in Canada

• Include primary health care & emergency services on reserves Aboriginal Health Care: Indian Act - 1985: Truth & Reconciliation Commission - 2015 Answer - 7 of the 94 calls to action directed at health, including: funding, cultural healing practices, Cultural competency & safety training

1947 - Premier Tommy Douglas, Saskatchewan Answer - introduced a public, universal hospital insurance plan Organization & Governance of Health Care: Federal Jurisdiction (4) Answer - Set Canada Health Act principles Assist in financing health care services through transfer payments Deliver health services for targeted populations Provide policy to prevent disease Organization & Governance of Health Care: Provincial & Territorial Jurisdiction (4) Answer - Develop health care insurance plan Manage insurable health care services Determine organization & location of health care facilities Reimburse physician & hospital expenses Trends & Reforms in Canada's Health Care System: Answer - turning to regional health authorities (e.g. Fraser Health Authority) Trends & Reforms in Canada's Health Care System: Romanow Commission (2002) - Answer - concluded that Medicare is sustainable & must be preserved b/c it represents Canadians' core values Trends & Reforms in Canada's Health Care System: Kirby Report (2002) - Answer - concluded that Medicare is not sustainable & advocated for stronger private sector involvement in health care delivery Right to Health Care: Answer - in Canada is that everyone has a right to health care

3. Diagnosis and Treatment e.g. primary, secondary, tertiary
4. Rehabilitation e.g. restoration after a stroke
5. Supportive Care e.g. palliative care, respite care Challenges to the Health Care System Answer - cost accelerators, equality and quality Challenges to the Health Care System: cost accelerators Answer - ●New technologies ●Demographics Aging population = increase in chronic & age-related diseases Fewer taxpayers to pay increased costs of care for a greater number of elderly people ●Consumer involvement Better informed consumers demand a high level of quality care Challenges to the Health Care System: quality Answer - Cultural safety Diversity of Canadian population Evidence-informed practice Remaining responsive to new information Quality & patient safety Challenges to the Health Care System: equality Answer - Quality workplaces Need to maintain skilled workforce for high quality care Health care human resources Shortages HCP's Improved patient outcome Increased accountability

What can be done to improve the health of all Canadians? (2) Answer - ●Focuses on disease prevention & the health needs of the population ●Increase research on health issues Joint CNA & CMA Principles for Health Care Transformation (2011) Answer - Patient-centred Quality Health promotion & illness prevention Equitable Sustainable Accountable Critical Thinking Answer - ●Use of reasoning to make clinical decisions 1. Recognize that an issue exists 2. Analyze information about the issue 3. Evaluate information 4. Draw conclusions Critical Thinking: ●In consultation with patients, nurses: Answer - Consider what is important, explore alternative solutions, Consider ethics, Make informed decisions Clinical Judgment Answer - ●A conclusion about a patient's needs or health problems, and/or the decision to take action (or not) Clinical Reasoning Answer - ●the ability to reason as a clinical situation changes, taking into account the context and concerns of the patient and family