Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals Exam 4 > Nursing Roles & Practice > Flashcards

Nursing Roles & Practice Flashcards

1
Q

Name 4 Nursing Programs for entry level professional Nursing practice.

A

Associate Degree
Diploma Program
Baccalaureate Degree
Master’s Entry to the Nursing Profession

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who was the founder of modern nursing?

A

Florence Nightingale.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When was nursing as a profession born?

A

Mid 19th century.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What was the first reported nursing textbook called?

A

Hand-book of Nursing for Family and General Use. It was published by Lippincott in 1878.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In ancient times what was suffering and sickness believed to be caused by?

A

Evil Spirits, which is why in historical nurses, care was often performed by members of religious institutions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What was the 3 heritages of Nursing that amy have impacted the stereotype of nurses and could have led to nursing to be seen as an undesirable profession?

A

The folk image of the nurse
The religious image of the nurse - Crusader times
The servant image of the nurse. - the dark ages of nursing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What was the 6 things that Florence Nightingale was important for the patient in order to heal (The role of the environment)

A

fresh air,
sunlight,
warmth,
cleanliness,
quiet,
nutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Explain how Florence Nightingale changed nursing from what it was and what it is today.

A

Historically, advocacy in nursing emerged from religious and charitable traditions. Early nurses, such as those in religious orders like the Sisters of Charity, advocated for vulnerable populations including the poor, orphans, and the elderly. Florence Nightingale’s advocacy revolutionized healthcare by addressing military hospital conditions during the Crimean War, promoting sanitation, and influencing public health policy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does modern nurses advocate for?

A

Modern nursing advocacy extends to patient rights, healthcare policy reform, and social justice issues. Nurses actively engage in legislative advocacy, support patient autonomy, and work within interdisciplinary teams to promote health equity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How would you compare historical nursing in contract to modern nursing?

A

While historical advocacy was rooted in charitable and religious obligations, modern advocacy is legally and ethically driven, supported by professional organizations like the American Nurses Association (ANA).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How would you contrast historical nursing to modern nursing?

A

Historical advocacy often lacked formal recognition and was based on societal roles, while contemporary advocacy is evidence-based, policy-oriented, and embedded in legal frameworks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does the ANA define nursing?

A

the promotion of health, prevention of illness, alleviation of suffering through diagnosis and treatment of human response and advocacy in the care of individuals, families and communities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the concurrent enrollment with PIMA?

A

You take your Associates degree and at the same time you are taking you Bachelors with a University of your choice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the difference between and associate and a Bachelors degree in nursing?

A

In the Bachelors you have more courses such as research, leadership, community, public health,.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain the Diploma program in nursing.

A

Started by Florence Nightingale. The nurses are educated in the hospital and do their clinicals there, so when they graduate they know their workplace and the system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the disadvantage of a Diploma Program?

A

It used to not be transferrable to an institution of higher learning, however they are working towards this being an option now.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When LPN’s graduate, are they called professional or vocational/practical nurses?

A

Vocational/practical nurses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Is there a difference on the NCLEX if you take an associates or bachelors degree?

A

No. The NCLEX doesn’t test for leadership and research which are some of the specific classes that separates the degrees.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Explain the MEPN program.

A

Master entry into the Nursing Profession.
Professionals that have any Bachelors degree who want to become a nurse so instead of getting another bachelors, they take the Masters degree.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Why was the associate degree originally offered on 1952?

A

Because there was a shortage of Nurses and the need for Nurses at the bedside was increasing. The Associate degree focuses on training nurses at the bedside.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Explain the Care Cure model.

A

The primary role of the nurse is to care, and the secondary role of the nurse is to cure.
The primary role of the physician is to cure and the secondary role of the physician is to care.
the care part is bigger than the cure part and the cure lives within the care part - so by caring, we cure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

where do we apply to schedule our NCLEX?

A

The Arizona state board of nursing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Without the NCLEX can you practice as a Nurse?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Are LPN’s allowed to give IV medications?

A

No, only IV saline flush.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

In Arizona, can an RN pronounce the time of death of a patient?

A

Yes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Why should nurses know article 4?

A

Because it outlines the scope of practice of the LPN who we are delegating tasks to and the scope of practice of the RN.

27
Q

Why should you know article 8?

A

Because its the scope of practice of the CNA’s

28
Q

Which organization writes the NCLEX tests?

A

National Council State Board of Nursing.

29
Q

How many states ae part of the Nurse Licensure Compact (NLC) ?

A

39 States.

30
Q

what does being part of the Compact mean for your license as a nurse?

A

If your license was issued in a compact state then you can work in any other compact state as well.
However, if you permanently move to another state, you need to apply for licensure in that specific state as well.

31
Q

If you need to apply for a license in a state that is not part of the compact, what do you need to apply for

A

A Reciprocity.

32
Q

Where does most nurses work?

A

In hospitals.

33
Q

what are the 6 aspects of the Nursing Care Delivery Model?

A
  • Case Method
  • Functional Method
  • Team Nursing
  • Primary Care
  • Total Patient Care
  • Case Management.
34
Q

What Nursing Care Delivery Method does most clinical care facilities use?

A

Team Nursing Approach.
Usually an RN who has LPN’s and CNA’s to delegate specific tasks to.

35
Q

Explain Case Method.

A

Usually more one of one where a nurse has a case load of patients. This often happens in home health, where the nurse visits only one patient at a time.

36
Q

Explain functional method.

A

This method is more task focused. A task is divided between nurses and techs and each have their own roles. For example some handle medication administration, some handle dressing changes for wounds, some handle the ADL’s.

37
Q

Explain total patient care.

A

Happens mostly in the ICU and involves nurses only. The nurses have a limited amount of patients (ICU they have 2 patents per nurse) and the nurses take care of all the patients needs without the help of LPN’s or CNA’s.

38
Q

Explain Case Management.

A

The nurses doesn’t give direct care at the bedside, but help the patients navigate the healthcare system and help the patient coordinate the care outside the hospital once they are discharged.

39
Q

Explain Primary Care.

A

You have a patient that you are the primary care nurse for. So even if your shift is only 12 hrs, you will be on call for the remaining 12 hrs if this patient needs you and you will be informed of any changes to the patients plan of care.

40
Q

What are certifications that you can apply for as a nurse?

A

When you gained a certain experience buy working in a unit for an extended amount of time you are more skilled in that area of care . For example for ICU nurses you can the the ICCU exam by the American Association of Critical Care Nurses.

41
Q

What is the first leadership skills that you need to take care of your patients?

A

1) Prioritization.
It is taking care of the problems that needs immediate action first. A delay in this intervention is a threat to life. For example Breathing issue comes before pain management.

42
Q

What are the component of Maslow’s Hierocracy of needs?

A

Physiological Needs
Safety and Security
Love and Belongingness
Self-Esteem
Self Actualization

43
Q

Out of the needs on Maslow’s Hierarchy of Needs, what is always the priority for nurses?

A

Physiological Needs.

44
Q

Which needs can be grouped together as psychosocial needs on Maslow’s Hierarchy of Needs?

A

Safety and Security
Love and Belonging
Self- Esteem
Self Actualization.

45
Q

How is Safety and Security a gray area with Maslow?

A

Because sometimes Safety needs to come before physiological needs. For instance if a patient is stating that they want to harm themself, then that needs to be addressed first. Or if a patient is in harmed but stuck in a burning building, the patient needs to be in a safe place before we can address the injuries.

46
Q

If there are no safety issue that needs to come first, how are we prioritizing the care of our patients?

A

With the ABC’s
A - Airways
B - Breathing
C - Circulation

47
Q

In the ABC’s when we are addressing the A, what are we treating?

A

Airway.
This is always first priority.
We need to ensure that foreign body, swelling of trachea, larynx or airways or drowning is not prevented.

48
Q

In the ABC’s when we are addressing B, what are we treating?

A

Breathing.
This is our second priority. We want to ensure that we are dealing with anything concerning neurological (brain hemorrhage, increased ICP, spinal cord injury, guillian barre, myasthenia gravis), trauma to chest, pneumothorax, COPD, pneumonia, atelectasis, overdose causing respiratory depression or seizures

49
Q

n the ABC’s when we are addressing C, what are we treating?

A

Circulation:
This is the 3rd priority, we make sure that we are treating any cardiac failure; low Hgb,Hct; fluid overload or deficit; critical electrolyte imbalances esp. in renal failure; inadequately treated hypertension; cardiotonic or anticoagulant IV solutions

50
Q

Explain Actual vs Potential problem when it comes to prioritization.

A

In most cases, an actual problem will take precedence over a potential problem unless the potential problem presents a greater risk to safety than the actual problem. For example, while an alert client may have an actual problem of vomiting, a client who is nauseated while in c-spine precautions is a higher priority because of the concerns for airway safety.

51
Q

Explain Acute versus Chronic when it comes to prioritization.

A

Given a choice between acute and chronic, an acute situation will almost always be the higher priority. A good example of this would be a client with COPD. While their disease is being maintained with medications and oxygen, they are considered chronic. When there is evidence of respiratory distress or exacerbations of the symptoms (respiratory rate, ABGs, pulse ox, etc.) the client becomes acute by showing a change in their baseline condition.

52
Q

Explain Least Invasive First when it comes to prioritization.

A

It is important for the nurse to consider less invasive options before increasing the client’s risk of injury with an invasive option. For example, standing a male client at the bedside every two hours to use a urinal is a better option than applying adult diapers. Applying adult diapers is a better option than applying a condom catheter. Applying a condom catheter is a better option than placing a Foley catheter.

53
Q

Explain Safe Practice when it comes to prioritization.

A

This is always a priority. Safety concerns may include evaluation of the risk for falls, prevention of injury when performing a skill, reduction of risk for hospital acquired infections (HAI), and more

54
Q

Explain the leadership skill of Delegation.

A

Transferring your responsibility to another person, which is normally the tech or LPN. However it is important to know if the person that you delegated the task to did not do it properly or at all, then you as an RN is being held responsible. Because the responsibility, not the accountability was transferred.

55
Q

As an RN what are some of the things that you should not delegate to others.

A
  • Assessment
  • Diagnosis
  • Planning
  • Evaluation.
  • Health teaching and Counselling
  • complex and Complicated activities
  • Unstable patients with unpredictable outcome.
56
Q

What are the things that you can delegate as an RN?

A

The implementing phase., however not all implementations can be delegated.

57
Q

Can you delegate medicine administration to the LPN?

A

Yes. An LPN can can administer IM, Subq and ID medication.

58
Q

Can an LPN do an assessment?

A

No. They can do data collection from the patient, however it is the role as the RN to cluster the data and make an assessment.

59
Q

Can vital signs be delegated to a tech or LPN?

A

Yes.

60
Q

Can you delegate taking a wound specimen to your tech?

A

No. But it can be delegated to an LPN.

61
Q

Can you delegate an enema to you LPN?

A

Yes.
It can be delegated to a tech as well after proper training, however this is policy and procedure of the facility. It is not part of the education at the CNA program.

62
Q

Explain the leadership skill of Assignment.

A

This involves assignment of patients and not task specific. For example you would delegate easy patients without complications to your LPNs and keep the difficult patients.

63
Q

A patient is being discharged after surgery. After providing going-home instructions, the nurse asks the patient to repeat the instructions. The nurse demonstrates which of the program learning outcomes expected from ADN graduates of Pima Community College?

System-Based Practice
Patient-Centered Care
Teamwork & Collaboration
Informatics

A

Patient-Centered Care

64
Q

Patient A vital signs are BP 154/92 HR 118 O2 saturation 88% on 1L/min oxygen via nasal cannula RR 38 and T 38.3C orally.

What is the priority nursing diagnosis for this patient?
A. Decreased Cardiac Output
B. Ineffective Breathing Pattern
C. Risk for Electrolyte Imbalance
D. Anxiety

A

B. Ineffective Breathing Pattern

Fundamentals Exam 4 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions