Nursing Exam 1 Content Flashcards
What is a passing cumulative exam grade in the UP school of nursing?
76%
What is the daily deduction for a late assignment?
10% per day
Is any extra time given for exams if your late to class or have to use the bathroom?
no
What time should students arrive before the exam is scheduled to begin?
At least 10 minutes
What does the Carnegie credit workload mean?
That students should be spending 2-3 hours per credit for that course doing work outside of class. ex for three credit course students should be spending anywhere from 6-9 hours per a week completing work outside of class
What should you do if you are too sick to make to class?
Let your professor know
What program will essays be submitted to?
Turn it in
Where is the Learning Commons located?
Buckley Center 163
Where would you go to get an AES plan?
The Shepard Academic Resource Center
Where are Counseling services available on campus?
The upper level of Orrico hall
What is the percentage of each exam worth?
15% for all four including the final (Which is comprehensive)
What are the three big concepts covered in Nursing 104?
Leadership, Professionalism, and Spirituality are the three big concepts
What is the definition of leadership according to Goethals et al., 2004?
An interactive process with significant influence on others that facilitates the collective efforts of team members towards the accomplishment of shared goals. Goethals et al., 2004
What is the UPSONI definition of Professionalism?
A belief system in which group members declare to each other and the public the shared competency standards and ethical values of their discipline. UPSONHI 2017
What is the UPSONI definition of spirituality?
A search for the sacred or transcendent, enabling a person to discover the essence of one’s deepest self. UPSONI 2017
What are the 6 attributes of leadership.
Followers, vision, communication, decision making, change, and social power
What are the three attributes of professionalism?
Self- regulation, Identity Formation, and role accountability
What is the scope of professionalism according to UP?
The scope ranges from absence of professionalism to intrinsic professionalism.
What is the definition of self- regulation?
The ability to manage one’s energy levels, time, stress, and emotions
What is the definition of role accountability?
Being honest about accepting praise and making mistakes
What is UP’s definition of role accountability?
Openness and honesty in all academic endeavors UPSONHI
What is the standard for a nurse- patient relationship?
A therapeutic relationship which is one that protects a patient’s dignity and privacy
What does a under involved nurse- patient relationship look like?
One where nurse is distanced from or even the neglects the patient’s needs. Creating an imbalance in the relationship.
What does an over involved nurse -patient relationship look like?
One where the nurse crosses many professional boundaries with the patient due to the closeness of their relationship
What is a boundary crossing in a nurse- patient relationship?
It’s when a nurse weather intentionally or unintentionally crosses a professional boundary with a patient to support a therapeutic need and can happen in a therapeutic nurse-patient relationship.
What is a boundary violation?
It is when there is difficulty in seeing if it was to benefit the nurse or the patient’s needs. Which can involve secrecy or a reversal of roles between the nurse and the patient.
What should a nurse do if they cross a boundary?
Evaluate their actions and see if they need to report themselves for any disciplinary action and evaluate the relationship with the patient
What is an example of a boundary crossing with a nurse and patient?
giving a patient who is losing hope in their treatment a sweatshirt
What is an example of a boundary violation?
Giving a patient who is losing hope in their treatment a sweatshirt of a team they both like and suggesting they go to a game together secretly. (which puts the nurses needs ahead of the patients) An extreme version of a violation would include sexual misconduct
What are the punishments for the violations regulated by?
The state board of nursing
What are some signs of an inappropriate relationship with a patient?
Overprotectiveness, sharing a lot about yourself, keeping secrets, giving special treatment or flirting
What is a novice level nurse according to Benner’s model?
A nursing student who is inflexible, and displays rule-driven behaviors
What is an advanced beginner nurse according to Benner’s model?
A new grad nurse who needs help with priority setting
What is a competent nurse according to Benner’s model?
A nurse with 2-3 years of experience in a particular setting or specialty
What is a proficient level nurse in Benner’s model?
A nurse with 3-5 years of experience in a particular setting or specialty and can notice small details in patients’ conditions
What is an expert level nurse in Benner’s model?
Has worked in one or many settings for years and had a intuitive grasp
What Benner’s level will you be on when you graduate
An advanced beginner
According to Giddens attributes are____________ of concepts.
A) important
B) Crucial
C) key
D) essential
D
According to Giddens Attributes are used to help ________ a concept.
A) explain
B) clarify
C) describe
B) Clarify
According to Giddens concepts ______ attributes
A) contain
B) describe
C) clarify
A) contain
How does Giddens define doing in terms of professionalism?
doing- the tasks that are a part of the role
How does Giddens define being in terms of professionalism?
Being- a personal sense of being a nurse, adopting attitudes and behaviors of the nursing profession
What is Giddens definition of acting ethically in terms of professionalism?
acting ethically- doing the right thing
What is Gidden’s definition of flourishing in terms of professionalism?
Flourishing- doing with a sense of transformational growth
What is Gidden’s definition of changing identities in terms of professionalism?
changing identities- identity formation
Which of the following it the best example of good self-care?
A) eating regular meals
B) studying for hours at a time
C) getting 4 hours of sleep a night
D) working 40 hours a week plus going to school
A
What are the three concepts we will learn this semester in nursing 104?
A) Professionalism
B) Spirituality
C) Leadership
D) Communication
E) Ethics
A, B, and C
Which of the following is one of the attributes of professionalism as defined by UP?
A) Self-regulation
B) identity formation
C) role formation
D) self- awareness
A
Harper has decided to create a self-care plan to help her be successful in her transition to college life. However, she is struggling to create a successful plan. What would you suggest for Harper to include?
A) Exercise
B) Snuggling with her pets
C) Spending time with family
D) Drinking alcohol as a way to relax
E) Planning time for their favorite hobby
a, b, c, and e
Which of the following behaviors it the best representation of the self-regulation attribute?
A) finishing a paper 5 minutes before the deadline
B) recognizing the need for study breaks
C) focused studying 3 hours at a time
D) staying up all night before an exam
b
John is a first year nursing student. He is currently taking 15 credits and has a part time job. He spends a lot of time studying and gets 5 hours of sleep at night. He can’t remember the last time he could spend time with friends or family. Which attribute of professionalism do John seem to be lacking?
A) role formation
B) identity realization
C) Self-regulation
D) Self-efficacy
C
which of the following is an example of academic integrity?
A) Asking a friend about what questions are on the test they just took
B) Sharing about the simulation lab experience content, so your friend won’t be so nervous
C) Letting a professor know about a classmate who cheated on an exam
D) Using a quote in an essay without citing it
c
In the School of Nursing, how are attributes used to help clarify a concept?
A) They are based on personal beliefs and opinions and you can define them on your own
B) They are key components and essential elements of a concept
C) For a concept to be fully described, a majority of attributes must be used
D) Attributes are the same thing as concept, just in different words
B
Which of the following is the best description of the purpose of the American Nurses Association Code of the Ethics?
A) It sets negotiable ethical guidelines and standards for the nursing profession
B) It is a statement of the ethical values, obligations, duties, and professional ideals of nurses individually and collectively
C) It is a summary of Nurse Practice Acts in the US and its territories
D) It is a legally binding contract for all registered nurses
b
What does primary care focus on?
Health promotion and illness prevention
Where does primary care take place?
In community outpatient clinic settings
Who works in primary care?
Medical Doctors (Md’s)
Nurse Practitioner’s (NP’s) and Nurses
What is an RN’s role in primary care?
To give patient and community education as well as vaccinations
What does secondary care focus on?
It is focused on detection and cure of illness
Where is secondary care performed?
Both at outpatient clinic settings and in hospitals
Who performs secondary care?
MD’s, NP’s, ands specialists like neurologists or oncologists. Plus nurses
What do RNs in secondary care do?
They do vitals (ex. blood pressure) along with education on early signs of disease or treatment
What does tertiary care focus on?
Focus on chronic disease management, rehabilitative, and end-of-life care
Where does tertiary care take place?
Hospitals, long term care facilities, home (hospice)
Who is involved in tertiary care?
MD’S, NP’s, Palliative care physicians, Palliative care nurses
What does palliative care mean?
managing pain or difficult symptoms
What types of nurses work in tertiary care?
Dialysis (kidney failure) nurse, hospice nurse, case management nurse, wound nurses, and ostomy nurses
What is the HIPAA Act stand for?
Health insurance portability and accountability act
When was the HIPAA Act put into effect?
1996
What does the HIPAA act ensure?
That patients’ conditions health records and conditions remain confidential
What can happen if HIPAA is violated?
The institution can be fined hundreds of thousands of dollars and your job is likely on the line
What does ADPIE stand for?
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
and
Evaluation
Describe adpie assessment
RN’s must be able to accurately collect data on the patient’s history can current conditions
Describe adpie
Diagnosis
RN’s must be able to use the data collected and given to make a diagnosis like pain but not like a condition that a MD would make
Describe adpie Outcome Identification
Working with the patient to set specific outcome goals ex. reducing pain levels or getting discharged
Describe adpie Planning
The RN must be able to come up with steps or a plan on how to reach the goal
Describe adpie implementation
The RN needs to be able to carry out the plan of care
Describe adpie Evaluation
Following the implementation of the plan the RN needs to evaluate the patients progress towards those goals.
What does the ANA Scope and Standards refer to?
It refers to the who, what, where, when, how, and why of nursing
What is the ANA code of ethics?
It defines the ethical obligations of every RN
What does provision 1 in the code of ethics emphasize?
That the nurse treats every patient with respect, compassion and dignity regardless of their condition, beliefs or aspects of their identity
What is highlighted in the second provision 2 of the code of ethics?
The nurses first commitment is to the patient from an individual, to a family or community
What is highlighted in provision 3 in the code of ethics?
The nurse advocates for and protects the health, safety, and rights of the patient
What is emphasized in provision 4 of the ANA Code of ethics?
The nurse is responsible, required, and expected to make decisions and take actions to improve the patients condition and provide the best care possible
