Nursing Intro ch.1

Question 1

Through ancient history, nursing care was provided by who?

Answer 1

family members and male priests

Question 2

What happened around 1000 AD (after the end of the Dark Ages)?

Answer 2

Italian town of Salerno allowed women to attend school to study midwifery

Question 3

Since educated women did not want to pursue nursing who was left for nursing?

Answer 3

poor (low class) the “Sairey Gamps” were left to take care of sick people

Question 4

When did modern nursing begin?

Answer 4

mid-1800s

Question 5

When, Where, and Who founded the first school of nursing?

Answer 5

1836 in Kaiserworth, Germany by Pastor Theodore Fliedner

Question 6

Who are the Kaiserworth deaconesses?

Answer 6

women who were educated and assigned to teach other women to be nurses in various places
- Florence Nightingale

Question 7

In 1897 the Nurses Associated Alumnae of the U.S. was formed in Maryland for what purpose?

Answer 7

to oversee training so as to protect patients from incompetent nurses

Question 8

What is the purpose of the National League of Nursing Education?

Answer 8

set standards and rules in nursing education

Question 9

When did some states start to pass laws requiring licensure of nurses and requirements for nursing school?

Answer 9

early 1900s

Question 10

In 1892, Where was the first training program for practical nurses established?

Answer 10

in New York City at Young Women’s Christian Association (YWCA)

Question 11

What year were all states required practical nurses to be licensed?

Answer 11

1955

Question 12

Licensed Practical/Vocational Nurse

Answer 12

9-12 months of education at college

Question 13

Associate Degree Nurse (RN)

Answer 13

2-3 years at community college or state college

Question 14

diploma program (RN)

Answer 14

3 years in a hospital-based program affiliated with college or uni

Question 15

Baccalaureate degree (RN)

Answer 15

4 years at college/uni

Question 16

Masters of Science in Nursing (MSN)

Answer 16

2 or more years in the graduate school of uni.

Question 17

Doctorate in Nursing (PhD, DNP)

Answer 17

2 or more years in a doctoral program at a university

Question 18

scope of practice

Answer 18

limitations and allowances that a person is able to do

Question 19

nurse practice act

Answer 19

• law governing nurses’ actions
• law is written to specifically address each level of nursing
• LVN/LPN required by law to practice under the supervision of the RN

Question 20

What does the Board of Nursing in each state do?

Answer 20

determines and enforces the contents of nurse practice act
- specific allowances and limitations vary from state to state

Question 21

How is nursing both art and science?

Answer 21

art of nursing: caring, creativity, communication, & compassion
science of nursing: describes the analysis and integration of data, the decision-making process, and the technical monitoring of patients

Question 22

Examples of unprofessional conduct that could result in the loss of your nursing license?

Answer 22

• use of drugs or alcohol in a way that could endanger patients
• diversion of drugs from prescribed patient use to personal use
• failure to adequately supervise CNA and unlicensed assistive personnel
• failure to adequately care of patients on conform to minimum standards of nursing practice
• criminal conduct

Question 23

What are nursing theories?

Answer 23

ideas that particular nurse or nurse educator has developed to explain the purpose and focus on nursing

Question 24

What are 2 areas of great importance as we look at major trends now?

Answer 24

1. use of evidence-based nursing practice
2. emphasis on preparing new nurses to improve patient care and the health-care environment in which they work

Question 25

evidence-based practice (EBP)

Answer 25

problem-solving approach to delivering health care
- best evidence from nursing research studies and patient care data; it also considers the patient’s preferences and values

Question 26

Quality and Safety Education for Nurses (QSEN) 2002

Answer 26

focuses on knowledge, skills, and attitudes (KSAs) need by nurses to continually improve the quality and safety of patient care
- includes prelicensure KSAs for nursing students and graduates KSAs.

Question 27

QSEN focuses on 6 areas for prelicensure KSAs:

Answer 27

patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, informatics,

Question 28

patient-centered care

Answer 28

this is a quality focus that emphasizes the patient and their family members as the center of care & as nurses provide compassionate and coordinated care
- care is based on respect for the patient’s preferences, values, and needs
- learn to develop nursing care plans and individualize them according to their preferences, values & needs

Question 29

teamwork and collaboration

Answer 29

this area requires that you function effectively within the nursing team and with other professionals.
- involves showing mutual respect, open communication, and shared decision making to achieve quality patient care

Question 30

quality improvement

Answer 30

requires that you review and evaluate your care and use that data to improve your processes
- must continuously improve the quality and safety of health care systems based on the results of those reviews and evaluations

Question 31

safety

Answer 31

area includes ways to prevent risk & harm to patients and health care workers

Question 32

informatics

Answer 32

emphasizes the use of technology to communicate, manage data, and prevent errors

Question 33

Clinical Judgment

Answer 33

quality nurses develop to know when to act and when to wait and watch

Question 34

2 Organizations LPN/LVN students can join while in school are

Answer 34

HOSA & NALPN
- after graduation, NALPN is the professional organization

Question 35

medical office setting

Answer 35

• care for patients of all ages
• young patients may have difficulty understanding what is happening and expressing their feelings during medical procedures (they have no previous experience to prepare them so they may be frightened)
• LVN responsibility to help reassure younger patients and explain in terms that they understand

Question 36

home health setting

Answer 36

• fewer supplies and less equipment available than hospital (you have to adapt and be creative)
• generally alone in patient’s home, with no other health professionals to help you make decisions about care

Question 37

long-term care setting

Answer 37

• care is delivered in a home-life environment that is less institutional than hospital
• residents surrounded by familiar items from home, may participate in activities together
• you will encourage residents to participate in their care and decision making when possible (essential to use easy, calming approach when providing care)
• to help detect health problems in older adults, important to recognize changes in resident’s behavior as it is to recognize changes in vital signs

Question 38

Which student organization holds competitions for medical-related skills?

Answer 38

HOSA

Question 39

What are some examples of unprofessional conduct that could result in the loss of a person’s nursing license?

Answer 39

• stealing from a patient while providing care in the home
• neglecting to ensure that a resident in a long-term care setting is receiving adequate food and fluids
• caring for a patient while under the influence of alcohol
• leaving a long-term care facility during an assigned shift so that nursing assistants are unsupervised

Question 40

Which focus of the QSEN ties into providing individualized care of patients , including their preferences, values, and needs in their plan of care?

Answer 40

patient-centered care

Question 41

What are the responsibilities of the nurse?

Answer 41

• caring for more than one patient at a time
• helping families understand the care of the patient after discharge
• determining the need for and ordering diagnostic tests
• noticing changes in the patient’s condition and notifying the appropriate health-care professional