Intro to Nursing Exam 2

Question 1

Define Fidelity

Answer 1

The duty to keep promises.

Question 2

Define Justice

Answer 2

Obligation to be fair

Question 3

Define Veracity

Answer 3

Duty to tell the truth.

Question 4

Define Autonomy

Answer 4

Person’s right to choose and ability to act on that choice.

Question 5

Define Nonmaleficence

Answer 5

Two-fold duty to do no harm and prevent harm.

Question 6

What type of communication style is effective in healthcare?

Answer 6

Assertive

Question 7

True or False:
Professional Communication involves:
Keeping Appointments
Attentive body language
Texting only when there is a professional relationship

Answer 7

True

Question 8

True or False:
The purpose is to move the conversation forward. Avoid “hey it’s me again.”

Answer 8

True

Question 9

E-mail Communication Should include all of the following: (Select All That Apply)
A concise subject line.
Only essential information.
Emoticons.
Ornate and colorful font and be written in capital letters.
Utilize a brief closing…like, thank-you, best, respectfully etc.

Answer 9

A concise subject line.
Only essential information.
Utilize a brief closing…like, thank-you, best, respectfully etc.

Question 10

Assertive Communication would utilize which of the following? (Select All That Apply).
“I” statements.
Bossy arrogant opinionated statements.
An attitude that strives for compromise.
Effective non-verbal communication.
Clearly stated positive statements

Answer 10

“I” statements.
An attitude that strives for compromise.
Effective non-verbal communication.
Clearly stated positive statements

Question 11

Define Morals

Answer 11

Morals are:
Groups of standards of right or wrong
Personal behavior customs or traditions
Learned from external influences
EX: Mistreatment of the elderly is an immoral (and illegal) action because I have been taught to respect my elders or under the Golden Rule to treat others as I would want to be treated.

Question 12

Define Ethics

Answer 12

Ethics is:
Study of right and wrong conduct
Formal process for making consistent decisions
Principles, rules that justify an individual’s actions in a particular situation.
Ethics helps us decide what is right or wrong.
EX: It is illegal to drive over the speed limit but if the driver is transporting someone to the ER is it immoral or unethical to drive over the limit?
A nurses moral code may not support driving under the influences but their ethics would require the nurse to provide care to the driver if they had injuries.

Question 13

What is a Good Samaritan Law and how would it apply?

Answer 13

Good Samaritan laws are designed to protect from liability those who provide emergency care to someone who has been injured.
You still need to be prudent in your actions.

Question 14

What is EMTALA?

Answer 14

Emergency Medical Treatment and Labor Act
An act that requires healthcare facilities to provide emergency treatment to patients regardless of their ability to pay, legal status, or citizenship.
The facility must stabilize the patient before transporting to another agency.

Question 15

True or False
Nurses are legally responsible for his/her own actions, and this legal responsibility cannot be delegated.
Provide an example.

Answer 15

True.
A nurse cannot ask an unlicensed assistive person to administer a medication or an ointment or carry out other duties that are not in their scope of practice.

Question 16

One of the roles in nursing is change agent.
Explain how the nurse can be a change agent.

Answer 16

A change agent in nursing would advocate for positive change. A nurse could research and use evidence-based information to push for a change in practice.

Question 17

What are other roles as a nurse?

Answer 17

Direct care provider
Communicator
Client/family educator
Counselor
Leader
Manager
Case manager

Question 18

What is a Nurse Practice Act?

Answer 18

Laws that give power to each State Board of Nursing to regulate and oversee nursing in that state.

Question 19

What are Standards of Practice?

Answer 19

They outline the duties that ALL Registered Nurses, regardless of role, population or specialty are expected to perform competently.

Question 20

Identify ways that you as a practicing nurse could reduce or minimize your legal risk.

Answer 20

Proper documentation
Observe standards of practice
Avoid medication errors
Document accurately .Be factual
Attend to client safety
Maintain confidentiality
Observe professional boundaries
Participate in continuing education
Observe mandatory reporting regulations
Provide client education
Accept appropriate assignments

Question 21

Identify the functions of the State Board of Nursing

Answer 21

Approving nursing programs
Defining the practice of professional nursing
Establishing licensing criteria
Developing rules & regulations that govern nursing
Enforcing rules

Question 22

Identify the essential qualities of a nurse

Answer 22

Critical thinking skills
Caring and compassionate
Detail oriented
Organized
Communication skills
Listening skills
Patience
Competence
Emotional stability
Physical stamina

Question 23

What professional organization is responsible for establishing and maintaining a universal standard of Nursing Education?

Answer 23

National League for Nursing

Question 24

Provide an Example of an intervention that would fit in the “Illness prevention” category of nursing.

Answer 24

Remember there are health promotion, illness prevention, health restoration and end of life care categories.
Minimize development of or exposure to disease.
Hand washing
Immunization
Masking
Health screening

Question 25

Describe the nursing delivery system of “Team Nursing”

Answer 25

RN led team where the team leader assigns work duties and the staff member is accountable for patient care and outcomes.
Functional nursing-charge nurse delegates tasks (focus on the task rather than the patient)
Primary nursing- nurse is active in planning and providing individualized care.
Client-focused care or total care-one nurse responsible for planning and delivering care to a patient. (One nurse is the lead but different nurses carry out that plan of care.)

Question 26

Provide and example of Inductive vs Deductive reasoning

Answer 26

Inductive is from specific to general;
example- Elevated WBC, increased temp, red draining wound (specifics)= general client has a wound infection.
Deductive is from general to specific:
I know that infection results in an increased temperature and increased WBC, the patient has a diagnosis of kidney infection so I will monitor their temperature and WBC levels.

Question 27

Battle-Ax:
Professional:
Handmaiden:
Angel of Mercy:

Answer 27

Battle-Ax:Nurse Ratched, torturer, treating patients with cruelty
Professional:Florence Nightingale.
Handmaiden:portrays the male in the dominant physician role, with female nurses assisting the physicians
Angel of Mercy:serene and content, halo or other religious symbol

Question 28

Which professional organization supports global health policies that advance nursing and improve worldwide health?

Answer 28

International Council of Nurses

Question 29

Which Nursing Theorist developed Science of Human Caring?
This theory describes what caring means from a nursing perspective.

Answer 29

Jean Watson

Question 30

Components of Informatics:
Data
Information
Knowledge
Wisdom

Answer 30

Data: unprocessed numbers, symbols, words; no context included. Primary facts and observations acquired when providing service. vital signs, answers to health history questions.
Information: groupings of processed data. EX: blood glucose levels, male, age 67, thirst. Grouped data is male gender, age 67, family history of diabetes. This together gives info on a man with a probable new onset of diabetes.
Knowledge: meaningful information created by the grouping and compiling information. add information created about the pathophysiology, patient history, assessment findings, etc. This will help provide the knowledge to help guide the diagnosis by the healthcare provider and the treatment to be provided.
Wisdom: appropriate use of knowledge. knowing when and how to apply knowledge. This develops as an outcome of your clinical experience, theoretical knowledge, critical thinking, and intuition as you gain experience and practice as a nurse