Nursing Practice and Health Care Delivery, Exams of Nursing

Download Nursing Practice and Health Care Delivery and more Exams Nursing in PDF only on Docsity!

AANC American

Association of

Critical-Care Nurses

Essentials Exam 1

Review Questions

and Answers 100%

Pass

AANC American Association of Critical-Care

Nurses Essentials Exam 1 Review

Questions and Answers 100% Pass

The Profession of Nursing - Answer>> -A variety of career opportunities are available in nursing, including clinical practice, education, research, management, administration, and entrepreneurship -The patient is the center of your practice -You are responsible and accountable for yourself, your patients, and your peers ANA: Standards of Nursing Practice - Answer>> Describe a competent level of nursing care -Assessment -Diagnosis -Outcome Identification -Planning -Implementation -Coordination of Care -Consultation -Prescriptive Authority and Treatment -Evaluation ANA Standards of Professional Performance - Answer>> A competent level of behavior in the professional role -Ethics -Education -Evidence-Based Practice Research -Quality of Practice -Communication -Leadership

Always use teaching methods that match your patient's capabilities and needs and incorporate other resources such as the family in teaching plans Communicator - Answer>> Essential for all nursing roles and activities Allows you to know your patients, including their strengths and weaknesses Manager - Answer>> Need to establish an environment for collaborative patient-centered care to provide safe, quality care with positive patient outcomes Career Development - Answer>> Provider of Care -Advanced Practice Registered Nurse (clinical nurse specialist (CNS) -Certified nurse practitioner (CNP) -Certified nurse midwife (CNM) -Certified RN anesthetist (CRNA) Nurse Educator Nurse Administration Nurse Researcher ADN Nursing - Answer>> 2 year program Focuses on the basic sciences and theoretical and clinical courses related to the practice of nursing Must pass NCLEX-RN Most ADNs return to their BSN

BSN Nursing - Answer>> 4 year program Focuses on basic sciences; theoretical and clinical sources; and course in the social sciences, arts, and humanities to support nursing theory. The essentials of Baccalaureate Education for Professional Nursing delineates essential knowledge, practice, and values, attitudes, personal qualities, and professional behavior for the baccalaureate-prepared nurse and guides faculty on the structure and evaluation of the curriculum. Must pass the NCLEX-RN Graduate Education (MSN) - Answer>> Emphasizes advance knowledge in the basic sciences and research-based clinical practice. -important for the roles of a nurse educator and nurse administrator Doctoral Preparation (DNP) - Answer>> It provides skills in obtaining expanded knowledge through the formulation and interpretations of evidence-based practice Nurse Practice Acts - Answer>> State Boards of Nursing oversee NPAs -regulate the scope of nursing practice and protect public health, safety, and welfare. Protects nurses from unsafe and unqualified nurses Licensure - Answer>> Nurses must pass NCLEX-RN (standardizes the minimal knowledge base for nurses)

The Twentieth Century: Movement towards scientific research- based practice and defined body of knowledge - Answer>> 1901: Army Nurse Corps established 1906: Mary Adelaide Nutting, the first professor of nursing at Columbia University 1908: Navy Nurse Corps established 1920-1923: Study of nursing education 1940s and 1950s: Associations emerged 1970: ER Nurses organization Twenty-First Century - Answer>> Nursing Code of Ethics Changes in curriculum Nursing in multiple care setting Advances in technology and informatics (EMR, EHR) End-of-Life Care Nursing Practice - Answer>> Protect, promote, and optimize our patients' health Prevent illness and injury Alleviate suffering through the diagnosis and treatment of human responses Advocate for care of our patients Benner's Stages of Nursing Proficiency - Answer>> Novice - Beginning nursing student or nurse encountering a new situation with no previous experience Advanced Beginner - A nurse who has had some level of experience with the situation Competent - A nurse who has been in the same clinical position for 2-3 years Proficient: A nurse with more than 2 to 3 years of experience in the same clinical position

Expert: A nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem Quality and Safety Education for Nurses (QSEN) - Answer>> Patient-Centered Care Teamwork and Collaboration Evidence-Based Practice Quality Improvement Safety Informatics Chapter 1 Summary - Answer>> Nursing responds to the health care needs of society, which are influenced by economic, social, and cultural variables of a specific era. Changes in society such as increased technology, new demographic patterns, consumerism, health promotion, and the women's human rights movements lead to changes in nursing Nursing definitions reflect changes in the practice of nursing and help bring about changes by identifying the domain of nursing practice and guiding research, practice, and education Nursing standards provide the guidelines for implementing and evaluating nursing care Professional nursing organizations deal with issues of concern to specialist groups within the nursing profession Nurses are becoming more politically sophisticated and, as a result, are able to increase the influence of nursing on health care policy and practice

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: 1.educator 2.advocate 3.caregiver 4.case manager - Answer>> 2. advocate The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? 1.educator 2.advocate 3.caregiver 4.case manager - Answer>> 2. advocate The examination for RN licensure is exactly the same in every state in the US. This examination:

1. Guaranetees safe nursing care for all patients 2.Ensures standard nursing care for all patients 3.Ensures that honest and ethical care is provided 4.Provides a minimal standard of knowledge for an RN in practice

• Answer>> 4. Provides a minimal standard of knowledge for an RN in practice Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply)

1. Caregiver

2. Autonomy and accountability
3. Patient advocate
4. Health promotion
5. Lobbyist - Answer>> 1. Caregiver, 2. Autonomy and accountability, 3. Patient advocate, 4. Health promotion Match the advanced practice nurse specialty with the statement about each role.
6. Clinical nurse specialist
7. nurse anesthetist
8. nurse practioner
9. nurse-midwife a. provides independent care, including pregnancy, and gynecological services b. expert clnician in a specialized area of practice such as adult diabetes care c. provides comprehensive care, usually in a primary care setting, directly managing the medical care of patietns who are healthy or have chronic conditions d. provides care and services under the supervision of an anestehisologist - Answer>> Clinical Nurse specialist - Expert clinician in specialized area of practice such as adult diabetes care. Nurse anesthetist - Provides care and services under the supervision of an anesthesiologist Nurse practitioner - provides comprehensive care, usually in primary care, directly managing the medical care of patients who are healthy or have chronic conditions Nurse-midwife - provides independent care, including pregnancy and gynecological services

device for patients at risk for pressure ulcers. This is which type of education? 1.continuing education 2.graduate education 3.in-service education

4. Professional Registered Nurse Education - Answer>> 2.gradate education Which of the following internet resources can help consumers compare quality care measures? (select all that apply) 1.WebMD 2.Hospital Compare 3.Magnet Recognition Program
5. Hospital Consumer Assessment of Health care
6. The American Hospital Association's webpage - Answer>> 2.Hospital compare, 4.Hospital Consumer Assessment of Healthcare Nursing Theory - Answer>> Conceptualizes an aspect of nursing to describe, explain, predict, or prescribe nursing care Components of theory - Answer>> Phenomenon- The term, description, or label given to describe an idea or responses about an event, a situation, a process, a group of events, or a group of situations. Concepts - the words or phrases that identify, define, and establish structure and boundaries for ideas generated about a particular phenomenon Definitions - Theoretical/Conceptual (simply define a particular concept) and Operational (state how concepts are measured)

Assumptions - the "taken-for-granted" statements that explain the nature of concepts, definitions, purpose, relationships, and structure of a theory. Nursing Metaparadigm - Answer>> 1.Person, health, environment, and theory 2.Health, theory, concepts, and enviroment,

3. Nurses, physicians, health, and patient needs
4. Person, health, environment, and nursing Nursing paradigm - Answer>> Links person, health, environment/situation, and nursing Florence Nightingale (mid 1800s) - Answer>> Environment as the focus of nursing care Descriptive theory - the initial model for nursing encouraged nurses to think about their patients and patient's environment Hildegard Peplau (1952) - Answer>> Focus on the interpersonal relations between nurse, patient, and patient's family Development of nurse-patient relationship -Ex: active listening and talking to a patient about their health and well-being Virginia Henderson (1955,1966) - Answer>> 14 basic needs of the whole person Framing nursing care are the needs of the individual Assisting the individual, sick or well, in the performance of those activities that will contribute to health, recovery, or a peaceful

recover by noticing interventions that are successful and that guide future caregiving Watson (1996) - Answer>> Defines the outcome of nursing activity with regard to the humanistic aspects of life The model around the caring process - assisting patients in attaining or maintaining health or dying peacefully. This caring process requires the nurses to be knowledgeable about human behavior and human responses to actual or potential health problems Purpose to understand the interrelationships among health, illness, and human behavior Needs to know individual patient needs, how to respond to others, and strengths and limitations of the patient and family and those of the nurse The nurse comforts and offers compassion and empathy to patients and families Harriet Tubman - Answer>> Underground Railroad Clara Barton - Answer>> American Red Cross Henry Street Settlement (1893) - Answer>> Nurses working in the settlement they established were some of the first to demonstrate autonomy in practice because they frequently encountered situations that required quick and innovative problem solving and critical thinking without the supervision or direction of health care Maslow's Hierarchy of Needs - Answer>> Physiological - Basic Human Needs

Safety Love/belonging Esteem Self-Actualization QSEN - Answer>> Evidence-Based Practice Safety Informatics Patient-Centered Care Teamwork and Collaboration Quality Improvement The components of the nursing metaparadigm include:

1. Person, health, environment, and theory
2. Health, theory, concepts, and environment
3. Nurses, physicians, health, and patient needs
4. Person, health, environment, and nursing - Answer>> 4. Person, health, environment, and nursing Theory is essential to nursing practice because it: (Select all that apply.)
5. Contributes to nursing knowledge.
6. Predicts patient behaviors in situations.
7. Provides a means of assessing patient vital signs.
8. Guides nursing practice.
9. Formulates health care legislation.
10. Explains relationships between concepts. - Answer>> 1. Contributes to nursing knowledge, 2. Predicts patient behaviors in situations, 4. Guides nursing practice, and 6. Explains relationships between concepts A nurse ensures that each patient's room is clean; well ventilated; and free from clutter, excessive noise, and extremes in temperature. Which theorist's work is the nurse practicing in this example?

Practice Theory: Specific to a particular situation; brings theory to the bedside Match the following descriptions to the appropriate grand theorist.

1. King
2. Henderson
3. Orem
4. Neuman a. Based on the theory that focuses on wellness and prevention of disease b. Based on the belief that people who participate in self-care activities are more likely to improve their health outcomes c. Based on 14 activities, the belief that the nurse should assist patients with meeting needs until they are able to do so independently d. Based on the belief that nurses should work with patients to develop goals for care - Answer>> King: Based on the belief that nurses should work with patients to develop goals for care Henderson: Based on 14 activities, the belief that the nurse should assist patients with meeting needs until they are able to do so independently Orem: Based on the belief that people who participate in self-care activities are more likely to improve their health outcomes Neuman: Based on the theory that focuses on wellness and prevention of disease Match the following description to the appropriate middle-range theory.
5. Benner's Skill Acquisition
6. AACN's Synergy Model
7. Mishel's Uncertainty in Illness

4. Kolcaba's Theory of Comfort a. The nurse strives to relieve patients' distress. b. The nurse progresses through five stages of expertise. c. The nurse helps the patient to process and find meaning related to his or her illness. d. Matching nurse competencies to patient needs can improve patient outcomes. - Answer>> Benner's Skill Acquisition: The nurse progresses through five stages of expertise. AACN's Synergy Model: Matching nurse competencies to patient needs can improve patient outcomes. Mishel's Uncertainty in Illness: The nurse helps the patient to process and find meaning related to his or her illness Kolcaba's Theory of Comfort: The nurse strives to relieve patients' distress. Which of the following statements related to theory-based nursing practice are correct? (Select all that apply.)
5. Nursing theory differentiates nursing from other disciplines.
6. Nursing theories are standardized and do not change over time.
7. Integrating theory into practice promotes coordinated care delivery.
8. Nursing knowledge is generated by theory.
9. The theory of nursing process is used in planning patient care.
10. Evidence-based practice results from theory-testing research. - Answer>> 1. Nursing theory differentiates nursing from other disciplines, 3. Integrating theory into practice promotes coordinated care delivery, 4. Nursing knowledge is generated by theory, and 6. Evidence-based practice results from theory-testing research.