Chapter 28 Flashcards
A nursing instructor quizzes the students on factors that have contributed to the nursing shortage. Which answer by a student would indicate that further teaching is needed?
a. increase of elderly and frail patients
b. aging nursing population
c. variable numbers of nursing students
d. restructuring efforts in the health care system
C: Further teaching is needed if a student responded variable numbers of nursing students. Some contributing factors to the nursing shortage are declining number of nursing students in the pipeline, an increase in chronically ill and frail elderly patients who need nursing care, an aging nursing population, and various restructuring efforts in our health care system.
INTRODUCTION
A vital factor, from a nursing education perspective, that contributes to the nursing shortage is which of the following?
a. lack of qualified nursing student applicants
b. lack of qualified nursing instructors
c. lack of nursing programs
d. lack of nursing students who pass the NCLEX-RN
B: NLN statistical data revealed that even though there has been an increase in student enrollment in nursing programs, the number of qualified instructors has continued to decline, hence causing potential students to be rejected or placed on waiting lists. INTRODUCTION
An ongoing issue in nursing has been the minimum appropriate entry-level requirements to practice as a registered nurse and what programs are qualified to educate professional nurses for the RN degree. As a result numerous motions and suggestions have been made regarding RN degree. Which of the following is not a part of these contributing factors?
a. 1965 American Nurses Association (ANA) House of Delegates (HOD) motion to work toward a baccalaureate as the foundation for professional nursing practice
b. 1985 ANA HOD agreed to urge state nursing associations to establish the BS degree as the minimum for RNs
c. Two-year associate degree and three-year diploma schools can grant a RN degree
d. Only four-year baccalaureate degree school can grant viable RN degrees
D: A number of factors have contributed to the ongoing discussion of what constitutes the minimum appropriate requirements for the degree of registered nurse. In 1965 American Nurses Association (ANA) House of Delegates (HOD) moved to work toward a baccalaureate as the foundation for professional nursing practice, and in 1985 ANA HOD agreed to urge state nursing associations to establish the BS degree as the minimum for RNs. However, today the BS degree is still not a mandatory requirement (only recommended) for the degree of registered nurse, and two-year associated degree schools and three-year diploma schools provide viable RN degrees. INTRODUCTION
The field of advanced practice nursing (APN) has grown since its inception in the 1800s. In this list of types of APN degrees, which is not necessarily correct?
a. CRNA c. NP
b. CSN d. CNM
B: Some types of advance practice nursing specialization that are available to nurses today are the CRNA (Certified Registered Nurse Anesthetist), CNS (Clinical Nurse Specialist – not a CSN), NP (Nurse Practitioner), and CNM (Certified Nurse Midwife). INTRODUCTION
In nursing, a formal recognition of the specialized knowledge, skills, and experience demonstrated by the achievement of standards identified by a nursing specialty to promote health outcomes is a definition of:
a. CRNA c. certification
b. NP d. advance practice
C: Certification in nursing is a marker of knowledge and experience of a professional RN. The American Board of Nursing Specialties (ABNS) defines certification as “a formal recognition of the specialized knowledge, skills, and experience demonstrated by the achievement of standards identified by a nursing specialty to promote health outcomes.” CERTIFICATION
There are a variety of specialization areas available to nurses. Which of the following is a certification recognized by the American Nurses Association for those with a BS degree?
a. family nursing c. advanced diabetes management
b. case management d. technology nursing
B: An individual with a BS can obtain specialization in case management. Advanced diabetes management nurses generally hold an advanced practice certification as either a Nurse Practitioner or Clinical Nurse Specialist. Family nurses general are Nurse Practitioners. There is no such certification as technology nurse. However, nurses can be certified in Informatics Nursing.
TABLE 28-1 CERTIFICATIONS AVAILABLE FROM AMERICAN NURSES CREDENTIALING CENTER
A number of organizations certify advance practice nurses. Some of these certifying organizations are listed below. Which is not necessarily one of these organizations?
a. AANCP c. NAPNAP
b. AANA d. ACCN
A: Some certifying organizations that grant advance practice nursing certifications are the AANA (American Association of Nurse Anesthetists), NAPNAP (National Association of Pediatric Nurse Associates and Practitioners), AACN (Association of Critical Care Nurses), ANA (American Nurses Association), and AWHONN (Association of Women’s Health, Obstetric and Neonatal Nurses. AANCP is not an acronym for a nursing organization.
CERTIFICATION
A nursing instructor explores with a group of students the range of different opportunities available for today’s nurses. The instructor would recognize that clarification is needed if a student suggested which of the following?
a. traveling nurse c. pharmaceutical sales
b. flight nurse d. reservations nurse
D: The instructor would recognize that further clarification is needed if a student suggested reservation nurse. As opportunities arise for nurses outside the traditional roles of staff nurse of nursing supervisor/administration, a variety of alternate career paths have opened up. Some of these are certifications (i.e., APN, etc.), traveling nurse, flight nurse, pharmaceutical and health care sales, case manager, and nurse entrepreneur. EMERGING OPPORTUNITIES
A nursing student shares with the class that traveling nurses seem to have a wonderful job. The student further explains some of the important issues concerning this type of position. Which comment made by the student would the nursing instructor need to clarify regarding traveling nurses?
a. generally work a three-month assignment on the same unit
b. do not need a license for each state they work in
c. often need only the basic hospital and unit orientation
d. should know exactly what their contract stipulates of them
B: The nursing instructor would need to clarify the students comment that traveling nurses do not need a license for each state they work in. This statement is not totally correct. A traveling nurse may need a license for each state they work in if the state is not a multi-state licensure compact state (not don’t need a license for each state). TRAVELING NURSE
Some characteristics of traveling nurses are listed below. Which is not necessarily correct?
a. flexibility c. ambiguous
b. adaptability d. independence
C: Traveling nurses need to have certain qualities about their personalities and skill sets in order to be able to rapidly adapt to different work situations and work relationships. Some of these characteristics are flexibility, adaptability, assertiveness (not ambiguity), independence, confidence, strong organizational and interpersonal skills, and the ability to learn new skills and techniques. TRAVELING NURSE
Flight nursing has been around for a number of years, but the original idea for the air ambulance was initiated in:
a. Denver in 1972
b. 1933 with the Emergency Flight Corps of the Armed Services
c. the Korean War
d. Philadelphia in 1965
A: Flight nursing began in 1933 with the Emergency Flight Corps of the Armed Services. The concept of the air ambulance was developed in 1972 in Denver. FLIGHT NURSING
A number of skills are critical for flight nurses. Which skill is not necessarily correct?
a. patient intubation c. chest tube placement
b. EKG interpretation d. advanced anesthesia techniques
D: Flight nursing requires many specialized nursing skills. Some of these vital skills are patient intubation, EKG interpretation, chest tube placement, intravenous (IV) insertion, medication administration, sedation (not advanced anesthesia techniques), and central line placement. FLIGHT NURSING
The majority of flight nurse opportunities nationally require the following. Which is not necessarily correct?
a. ACLS
b. PALS
c. NPR
d. a nationally recognized trauma certification
C: Just as flight nurses need to have a variety of specialized skills, they must also display their abilities to care for patients in critical situations with a number of certifications and experiences. Some of these are ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced life Support), NRP (Neonatal resuscitation Program – not NPR), graduation from a nationally recognized trauma program such as PHTLS, BTLS, TNCC, or TNATC, and two to three years critical care experience. FLIGHT NURSING
Other opportunities for nurses include working for or representing national health care institutions or organizations. Some of these consist of companies involved in the following. Which is not necessary correct?
a. pharmaceutical sales c. home care
b. durable medical equipment d. advertising
D: Opportunities for nurses outside of traditional roles have included national health care organizations and institutions. Some of these roles are in pharmaceutical sales, durable medical equipment, home care, insurance coverage, and health maintenance organizations.
HEALTH CARE SALES/PHARMACEUTICAL REPRESENTATIVES
Within the case management model, case managers utilize a number of tools in order to achieve quality and cost effective outcomes. Which is not necessarily correct?
a. medical management c. variance analysis
b. critical pathways d. protocols
A: The case management model establishes certain criteria and methods for patient management utilizing specific tools. Some of these tools are practice guidelines (not medical management, because only a health practitioner such as a physician or advanced practice nurse may do this), critical pathways, variance analysis, protocols, and outcome measurement tools. CASE MANAGER
