ATI FUNDAMENTALS- NURSING FOUNDATIONS Flashcards
what dose the scope of practice describe
what the nurse does
what the nurse’s responsibilities are
where/when client care is to performed
why/how client care is achieved
what does the scope and standards of practice form
a solid foundation for a nurse’s practice
nurse practice act
legal and regulatory body created by and applicable in each individual state. establishes definitions, rules, and regulations to guide the practice for a licensed nurse to promote quality of care and safety when caring for a client
what does the ANA’s scope of nursing practice provide
a clear definition of the complex and dynamic role of the nurse and the expectations of the nurse in that role. are explanatory statements that describe a competent level of care and professionalism that all nurses should achieve
code of ethics for nurses assists with what
ethical decison making by incorporating the nurses value system, duty, obligation to the client and call to uphold professional ideals
evidence based practice
process of using evidence from credible scientific research to guide nursing interventions and clinical judgment
when did the firsst school of nursing open
1872
which of the following are florence nightingale’s contributions to nursing that are still used today
a. documentation
b. data collection
c. hand hygiene
d. american red cross
e. evidence based practice
select all that apply
a, b, c, e
clara barton
served in the battlefields
created a center to locate missing soldiers
started the american red cross
dorothea dix
not a nurse but a teacher
volunteered during civil war
appointed superintendent of army nurses for the union army
pushed for formal training
advocacy for mental health reform and indigenous rights
ildaura murillo-rohde
doctorate in 1970s
founded the national association of hispanic nurses (naha)
eddie bernice johnson
faced segregation
first rn elected to the us congress
2012- introduced STEM education act in the us house of representatives to provide grant awards to minority students
match contributions to the leader who made them.
a. florence nightingale
b. clara barton
c. dorothea dix
d. eddie bernice johnson
e. ildaura murillo rohde
- mental health awareness
- data collection
- founded the naha
- formalized nursing education
- started nursing schools
- indigenous rights
- created opportunities for minorities
- founded american red cross
- us congressional representative
a. florence nightingale
2. data collection
5. started nursing schools
b. clara barton
4. formalized nursing education
8. founded american red cross
c. dorothea dix
1. mental health awareness
6. indigenous rights
d. eddie bernice johnson
7. created opportunities for minorities
9. us congressional respresentative
e. ildaura murillo- rhode
3. created the naha
advanced practice registered nurses APRNs
variety of skill based and educational based national certification recognitions are available to show knowledge and expertise in specialty and advanced practice areas
doctoral degrees in nursing
dnp- doctor of nursing practice- a clinical practice degree
phd- doctor of philosophy in nursing- research based degree
lifelong learning
patricia benner has described it as the transition of novice to expert. helps to improve/maintain competency and ensure the best client outcomes
who practices under the supervision of an rn
lpn and lvn
adn
created to meet demands for care under nursing shortage. earn rn in 2 years. cost effective way to earn entry level rn position.
dnp degree
recommended by american association of colleges of nursing. nurse practitioners, nurse anesthetists, clinical nurse specialist. designed to be the terminal degree
simulation is an educational experience that enhances the learning of clinical skills and knowledge. which best describes a simulation experience?
a. simulation is exactly like a clinical experience
b. simulation does not require preparation
c. students view simulation online for best learning
d. simulation is designed to be a safe learning experience
d
how are nurses in leadership positions valuable
- establish a collaborative culture
- encourage positive interations in new and experienced nurses
- create atmosphere of mutual respect
- solid foundation of teamwork
novice to expert model for nursing competence
- dr patricia benner
- 1982
- details how nurses develop skills and understanding of patient care
- 5 stages–>novice, advanced beginner, competent, proficient, and expert
novice stage of novice to expert model
nursing students and new nurses with no previous experience. cannot draw on their own judgment. struggles to decide which tasks are most relavent in real life situations
competent stage of novice to expert model
able to prioritize tasks by drawing on past experiences. may not function with the same speed or ease of change as proficient nurses. have mastery in multiple areas. recognize patterns in clinical situations more quickly and accurately than advanced beginners can
advanced beginner stage of novice to expert model
recognizes patterns and recurrent situations. problem is the focus is on remembering and following rules and guidelines. needs clinical support to set priorities
proficient stage of novice to expert model
able to understand bigger picture and desired outcomes to facilitate improved decision making. able to respond to changing situations and modify plans in different events
expert stage of novice to expert model
extensive experience and knowledge to draw from in complex client conditions. have self confidence and trust their intuitive sense of a situation. know what needs to be done and are able to do it well
nursing roles- care provider
educated to provide knowledgeable compassionate care to promote health and address illnesss. focuses on care of the whole person- physical, mental, emotional, spiritual. advocate for the client. communicates and works well with the client and coworkers
nursing role- case manager
nurse works with the client, family, and hc team to ensure the client receives needed services. communicates with interprofessional team members to create appropriate plan of care. coordinates educational needs.
nursing roles- researcher
research to provide evidence based care. may serve on the quality improvement committee. develops knowledge by conducting research and publishing results.
which descriptions meed the definition of evidence based practice.
a. nurse collects data from the clients ehr
b. student reads journal articles to write an essay
c. completes a facility based survey on staffing policies
d. searches recent research literature to revise a procedure
d
nursing roles-educator
client education is a critical intervention. preceptors help newly hired nurses transition to their new role.
nursing role- leader
leadership is seen in the way a team works with effortless coordination. requires communication, relationship building and teamwork to create clear plans and achieve goals. assigned leadership is a nurse manager, nurse director, or chief nurse office– formal positions. informal leaders exhibit strong influence without a position. emergent leaders are necessary for quality of care and work environments.
nursing roles- nurse manager
assigned leadership role. responsible for a team of nurses and have significant impact on team’s job satisfaction. manages staff and ensures quality of care. includes hiring, orienting, scheduling, evaluation. help problem solve for staff, clients and agencies. manages supply and equipment availability, maintains budgets.
which are responsibilities of a nurse manager
a. budgeting
b. scheduling
c. resolving conflicts
d. client safety
select all that apply
a, b, c, d
nursing roles- change agent
recognize the need for and take steps to make a change. required to be both credible and reliable. must embrace change, working creatively with others based on a shared understanding of the need for change
which ways could a nurse act as a change agent?
a. maintain client privacy
b. serve on the quality improvement committee
c. provide nurse manager with info on a more efficient cardiac monitor
d. provide care for the client
e. introduce a new process to discharge clients
select all that apply
b, c, e
match each role with appropriate description
a. case manager
b. researcher
c. educator
d. leader
- inspires and motivates a group toward achieving a common goal
- seeks factual evidence based info for nursing practice
- communicates and coordinates care for the client with all team members
- teaches nursing students
a. case manager
3
b. researcher
2
c. educator
4
d. leader
1
nursing competencies
knowledge, attitudes, values and skills that nurses are expected to know to provide safe care
advocacy
ANA’s defines as one of the pillars of nursing in the provision of care.
nurse supports, protects, and promotes the rights health and safety of the client.
speaking up for clients needs when the clients are unable to speak for themselves and supporting clients to make choices for their own health. defends the rights interests and safety of someone who is vulnerable. acts of defending interests, rights, and safety for those who cannot do it themselves
change management
goal of nurse managers who help to bring about change with a goal to constantly improve the staff workflow and the client outcomes
communication
truly personal way that nurses can convey trust, empathy, understanding, cultural consideration and interests
collaboration
in hc, refers to the respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members so as to provide quality professional care
national academy of medicine
- since 1970
- formally institute of medicine
- 1 of 3 national academies of science engineering and medicine in the us
- nonprofit private business
- provides objective data to improve the health of society
- emphasizes scientific evidence based approach to issues that affect the world, working collaboratively to discover solutions to health problems
national student nurses association
- nsna
- 1952
- nonprofit organization
- for students to provide and introduction to professional development through conventions, networking and career development activities
- promotes advancement of skills
- more than 6000 members
NSNA’s code of ethics
- advocacy
- leadership and autonomy
- professionalism
- care
- diversity
- quality education
american nurses association
widely respected organization that supports nurses health and wellness, fosters high standards and promotes environments that are safe, ensure ethical behavior, and advocates for nurses and the public regarding hc issues
code of ethics for nurses
outlines behaviors and practices that nurses should abide by to provide responsible and ethical care
nursing scope and standards of practice
discusses the art and science of nursing while providing specifics related to specialty nursing practices
ana position statements
provided by the ana when issues arise that are important to the hc industry and nurses need recommendations for the course of action, explanation, or justification
principles for nursing practice
provides guidance to nurses on issues such as pay, staffing, use of social media in an effort to help enhance professional practice
iom’s the future of nursing report
explores how nurses roles, responsibilities and education should evolve to mee tthe increasing demand for care in the us
healthy nurse, healthy nation
ana initiated program to promote healthy lifestyles for nurses and improve the health of the us nearly 4 million nurses
5 initiatives in healthy nurse, healthy nation
increase physical activity
improve quality of life
obtain adequate rest
improve nutrition and healthy eating
increase nurses safety in professional and personal lives
collaborative health care
occurs when the health professionals involved in care communicate, create plans and work together to achieve client goals
which item has a positive effect on nurse staffing shortages
a. low nursing school enrollments
b. more nurses starting to retire
c. more insured people seeking care
d. more nurses furthering education
d
health promotion
who defines it as a way to empower people to control and improve their physical and mental health. most important focus is creating a system of access for all communities to healthy options and addressing imbalances by social injustice, poverty, racial injustice, and lack of resources or education
5 strategies to address health promotion according to WHO
- establish health policies that support healthy lifestyles
- provide education to empower personal health skills
- build a culture of support
- build strong community actions, resources and support
- build a holistic health care system
healthy people 2030
us established national goals to achieve better health for all americans. specifically developed by us office of disease prevention and health promotion. engages in science based initiatives with 10 year national objectives.
determine if each is a benefit or danger of actions with cell phones with clients
a. calling for assistance with transfer
b. sending personal text from clients room
c. telling a client photograph of their wound will be taken to share at a team meating
d. accessing app to determine purpose of a med
e. showing a video to a client about self insulin admin
benefits
a, d, e
dangers
b, c
in 2018, 70% of all deaths due to medication overdoses were due to what
70%
5 strategies to battle the opioid epidemic according to the us department of health and human services
- increase availability and access to Tx and recovery services
- greater use of overdose reversing medications like naloxone
- increased understanding of the epidemic through better public health education and tracking
- support for research on pain and addiction
- improved and exapnded practice for pain managemtn
health literacy
the capacity to obtain, communicate, and understand basic health info and services so as to make appropriate health decisions
a nurse is performing the role of case manager for a client. which action demonstrates the nursing role?
a. coordinating and overseeing the care the client is receiving
b. helping to develop nursing knowledge for clinical interventions
c. providing knowledgeable and compassionate care to promote health address illness
d. instructing the client on specialized topics such as diabetes care
a
a nurse who completed their shift realized they forgot to take a clients vs as frequently prescribed. which action should the nurse take to uphold the ANA code of ethics for nurses with interpretive statements
a. take clients vs now and document them as being completed 8 hr earlier
b. document vs that are the same as those obtained earlier
c. make a reminder note to be more diligent the next day
d. report the omission to the charge nurse and the nurse on the next shift
d
a nurse is describing to another nurse how to social media in client care. which example should the nurse include as an acceptable use of social media
a. post a comment on social media about facility staffing shortages
b. accept a friend request from a client
c. reviewing the use of a fitness application with a client
d. sharing client info with a coworker in a private message
c
a nurse is talking with a client who arrived at the clinic over an hour ago and states that nobody cares that they are sick. the nurse listens to the client and notifies the provider, relaying the client needs. in which role is the nurse performing?
a. educator
b. case manager
c. advocate
d. leader
c
a nursing student expresses a desire to become more involved with the nursing profession on a national level. which organization should the student join?
a. national league of nursing
b. national student nurses association
c. national academy of medicine
d. international council of nursing
b
a nurse is reviewing the contributions made by various ursing organizations that have impacted the profession. the nurse should id which are contributions made by the ANA
a. providing a definition of nursing
b. lobbying for whistle blower protection
c. providing objective data to improve the health of society
d. provide all rn with competency expectations
e. provide the nursing magazine imprint
select all that apply
a, b, d
a nurse is caring for a client who reports experiencing chills and not feeling well. the nurse informs the client that they will need to have their temp taken to monitor manifestations. which of the following terms describes that the nurses action is grounded in research
a. evidence based practice
b. competencies
c. lifelong learning
d. change agent
a
a nurse manager is providing education to a group of newly licensed nurses about various organizations. which info should the nurse manager include?
a. the ana’s code of ethics for nurses with interpretive statements guide through difficult decisions
b. the national academy of medicine developed the healthy people campaign to improve the health of all americans
c. the american academy of nursing requires members to have a dr degree in nursing to join
d. the nsna was created to encourage students to enter nursing
a
a newly licensed nurse is reviewing benners novice to expert model. at which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience
a. advanced beginner
b. proficient
c. competent
d. novice
c
a nurse is caring for a client who tells the nurse they want to quit smoking. the nurse provides them with info about smoking cessation and other way to improve health. which of the following roles is the nurse demonstrating?
a. advocate
b. collaborator
c. change manager
d. health promotor
e. nurse educator
select all that apply
d, e
a nurse is caring for a client who asks about healthy choices to lose weight. the nurse shares info from healthy people 2030. which describes the healthy people initiative?
a. program for hc practitioners to get healthy
b. social media platform for nurses
c. set of objectives for improving the health of american lives
d. rehabilitation program for clients with substance use disorders
c
a nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. the nurse should id that which agency provides the nursing scope and standards of practice
a. ana
b. american academy of nursing
c. nsna
d. national academy of medicine
a
a nurse is reviewing historical nursing data and how it has impacted nursing care. the nurse should id that which of the nursing pioneers is credited with first using evidenced based practice in caring for clients
a. clara barton
b. dorthea dix
c. eddie bernice johnson
d. florence nightingale
d
a nurse in a long term care facility took a picture of a client and posted it on the internet. this is an example of which of the following?
a. serving as an advocate for the following
b. violating the code of ethics for nurses
c. participating in the healthy people 2030 program
d. demonstrating collaboration
b
a nurse educator is planning a presentation about the opioid epidemic. which is a strategy promoted by the us dept of hhs to address this epidemic
a. continue to evaluate to determine if the use of opioids improves on its own
b. educate nurses and other hc personnel about naloxone
c. keep the issue private to avoid embarassment
d. reduce efforts to explore alternative pain management practice
b
a nurse is reviewing the pmh of a client during a routine office visit. which observations by the nurse is an example of the client demonstrating health literacy?
a. states they want to improve their current knowledge about their health
b. asks for info that will help them improve their eating habits
c. states they understand their hc info and Tx
d. requests a meeting with the nurse, pt, and provider
c
a nurse is explaining to a new nurse that caring for clients involves lifelong learning. the nurse should include which of the following as examples of learning opportunities?
a. nursing blogs/opinions
b. online continuing education journal articles
c. nursing skill refresher opportunities
d. continuing education presentation
e. participating in hc research
selct all that apply
b, c, d, e
a nurse is reviewing the iom future of nursing report to better understand proposed educational requirements. which organization is reponsible for publishing this report?
a. ana
b. national academy of medicine
c. state board
d. american association of colleges of nursing
b
a nurse accepted a position at a hospital in the state where they live. the nurse should id that which regulates the nurses actions when they begin working?
a. ana code of ethics for nurses with interpretive statements
b. state nurse practice act
c. nsna
d. national league for nursing
b
a nurse is discussing culturally competent care with another nurse. which statement should the nurse include?
a. use a medical interpreter for a client who does not speak the same language
b. provide client with info in print only so they can have it as a resource
c. provide standard educational materials to all clients for continuity
d. limit communication with the client if there is a language barrier
a
