EXAM1

Question 1

Who is Florence Nightingale?

Answer 1

Founder of the first School of Nursing, shaped field of sanitation (asepsis), founder of public health statistics. First Nursing Researcher, popularized the pie chart

Question 2

Who is Dorothy Dix?

Answer 2

Advocate for mental health reform, superintendent of Army nurses in the civil war.

Question 3

Who is Clara Barton?

Answer 3

Founded the American red Cross

Question 4

Who is Mary Eliza Mahoney

Answer 4

First African American nursing graduate ( in 1879 )

Question 5

Who is Luisa parson?

Answer 5

Founder of the University of Maryland School of Nursing.

Question 6

Who is Mary Elizabeth Carnegie?

Answer 6

First African American elected president of the American academy of Nursing.

Question 7

Who is Luther Christman?

Answer 7

Created/founded the American Assembly for men in nursing.

Advocated for the BSN to be the minimum entry level to nursing.

Question 8

Who is Patricia benner?

Answer 8

Created the five levels of hierarchy nursing model.
Novice.
Advanced beginner.
Competent.
Proficient.
Expert.

Question 9

What is licensing?

Answer 9

Licensing - administered by state and allowed people to use the title RN

Question 10

What is credentialing?

Answer 10

Credentialing - verification of completion from an approved RN program, and state background check

Question 11

What is certification?

Answer 11

Certification validates knowledge skills and ability for practice and specific functional or clinical areas of nursing ( IE. gerontology, education, oncology, etc.)

Question 12

What is AACN

Answer 12

AACN is American association of credentialing of nurses. They are the largest non-governmental organization that offers nursing certification programs.

Question 13

What is privileging?

Answer 13

Privileging is the process by which a healthcare organization grants permission for the RN to provide certain aspects of care.

Question 14

Nursing philosophy

Answer 14

Organizing nursing paradigm concepts:
Values
Beliefs
Attitude

Question 15

Why is it important to respond with feedback?

Answer 15

Feedback helps the communicators make sure that the message has been decoded correctly.

Question 16

What is the dynamic of nonverbal communication?

Answer 16

Body language 55%
vocal tones 38%
verbal 7%

Question 17

What are forms of nonverbal communication?

Answer 17

Touch.
Eye contact.
Facial expressions.
Posture.
Gate.
Guestures.
general physical appearance.
Mode of dress and grooming.
Sounds.
Silence

Question 18

What factors influence communication

Answer 18

Developmental level.
Biological sex.
Socio-cultural differences.
Space and territoriality
Physical commental, and emotional state.
Values.
Environmental.
Hearing, vision impairments

Question 19

What are Communication enhancers?

Answer 19

Active listener.
Paraphrasing.
Clarification.
Reflection of client feelings.
Summarizing.
Focusing on important content.
Direct questions.
Indirect questions

Question 20

What are communication blockers?

Answer 20

Failing to listen.
Changing topics.
Making stereotypes responses or cliches.
False reassurance.
Being judgmental.
Asking why.
Bombarding client with questions.
Challenging
Moralizing

Question 21

Nonverbal active listening - s o l e r

Answer 21

Sit squarely.
Open posture.
Lean forward.
Eye contact.
Relax and unhurried appearance

Question 22

What is required for active listening?

Answer 22

Share the message.
Convey understanding of the message.
continuous decoding of the message.
Use appropriate nonverbal listening skills

Question 23

What is restatement or paraphrasing?

Answer 23

Takes the client’s words and transforms it into the nurse’s own words without losing the original meaning.
Helps the client elaborate without forcing a specific answer.
Useful when the client over generalizes or seems stuck in a repetitive line of thinking.

Question 24

Examples of restatement or paraphrasing

Answer 24

Are you saying that…
You mean…
Let me see if I have this right…

Question 25

What is clarification?

Answer 25

requesting for additional information to understand the meaning of the message received.
Demonstrates the nurses desire to understand the client’s communication.

Question 26

What is reflection?

Answer 26

Direct back to client’s feelings regarding ideas, questions, or content.
Shows the clients that their feelings have value.
Gives the client permission to have feelings.

Question 27

What is focusing?

Answer 27

Redirects a client back to focus on an important issue.

Response requires more than yes or no answer.

Question 28

What are values?

Answer 28

Set of personal beliefs and attitudes about truth, beauty, and the worth of any thought, object or behavior.

Question 29

What is presence in nursing practice?

Answer 29

Humanistic quality of relating

Question 30

Characteristics of nursing presence?

Answer 30

Uniqueness.
Connecting.
Sensing.
Going beyond the data.
Knowing.
Being with the patient.
Afford s compassion, trust and reassurance

Question 31

What is uniqueness?

Answer 31

involves direct contact with and being open to each individual patient.
Takes into account the uniqueness of the patient.
Requires gathering and remembering small bits of information about the patient.

Question 32

What is connecting

Answer 32

related to the concept of uniqueness.
Seeing the whole person and not just the tasks to be accomplished.
Getting an appropriately deeper level and building trust

Question 33

What is knowing?

Answer 33

Knowing the patient’s needs emotionally physically and spiritually.
being willing to attend to those needs regardless of time constraints.
Honoring and respecting each patient and acknowledging their individuality

Question 34

What is being with the patient?

Answer 34

Being physically and mentally present.
Being sensitive to the patient’s objective experience.
Using of active listening and responsiveness.
Using silence at times

Question 35

What are the three types of silence?

Answer 35

Awkward.
Invitational.
Compassionate

Question 36

What are the three group roles

Answer 36

Task- enable the work group to define clarify and pursue a common purpose. Keep the group on track.

Maintenance- foster supportive and constructive interpersonal relationships maintenance roles keep the group together.

Personal role

Question 37

What is sbar

Answer 37

Situation, background, assessment, recommendation

Question 38

What is stepps

Answer 38

Strategies and Tools to Enhance Performance and Patient Safety

Question 39

What is the cultural assessment tool ASKED

Answer 39

Awareness of own personal bias

Skill ability to collect relevant cultural data

Knowledge process of seeking info based on different cultural and ethnic groups

Encounters interacting directly with patients from culturally dirverse backgrounds

Desire motivation of provider to want to engage in process of becoming culturally competent.

Question 40

What is the cultural assessment tool LEARN

Answer 40

Listen to patients perception
Explain his/her perception (the nurse)
Acknowledge similarities/differences
Negotiate a treatment plan incorporating aspects of patient culture.

Question 41

What is the cultural assessment tool ETHNIC

Answer 41

Explanation patient perception of problem

Treatment nurse asks about treatments used

Healers nurse asks about alternative med advice

Negotiate find the best, naturally acceptable option

Intervention appropriate, incorporates alt. Tx

Collaboration all providers

Question 42

What are the four types of female genital mutilation

Answer 42

Type 1, also called clitoridectomy: partial or total removal of the clitoris and/or the prepuce
AKA: female circumcision

type 2, also called excision: partial a total removal of clitoris and labia minora with or without excision of the Libya majora. The amount of tissue that is removed varies widely from community to community.

Type 3, also called infibulation: narrowing of the vaginal orifice with a covering seal The seal is formed by cutting and repositioning the labia minora and/or the labia majora. This can take place with or without removal of the clitoris.

Type 4: all other harmful procedures to the female genitalia for non-medical purposes, for example: freaking, piercing, and incising, scraping or cauterization.

Question 43

Requirements for effective communication

Answer 43

Information must be: 
 Complete 
 Accurate 
 Timely 
 Unambiguous
Understood by the patient 
 Culturally and linguistically appropriate

Question 44

What are the communication barriers with patients who have sensory deficits?

Answer 44

Language.
Speech.
Hearing.
Cognition.
Vision. Entering education.
Airway issues