PNE 141 Exam Review Flashcards
What is the insignia of nursing that represents the warmth of caring, symbolizes the striving for excellence and the energy and commitment of the nurse to care for others?
Lamp of Learning
What word is derived from the Latin word which means to nourish?
Nurse
Based on mythical figures, the _______ __ _______ and the ___________ are modern symbols of medicine?
Staff of Aesculapius; Caduceus
Who is known as the father of medicine?
Hippocrates
What term is used for treating the person as a whole?
Holistic
During the crusades most nursing care was done by _______?
male military personnel
During the Reformation (1500s-1800s;Dark Ages of Nursing), the few women that provided nursing care were _________ or ___________?
prisoners; prostitutes
Who established the Kaiserswerth School for Nursing (1836)?
Pastor Theodor Fleidner
Who was the most famous student at the Kaiserswerth School for Nursing?
Florence Nightingale
During the Crimean War, Florence Nightingale and 38 other nurses insisted on establishing _________ ________ and providing ________ _________ _______, which reduced the mortality rate?
sanitary conditions; quality nursing care
Who founded the American Red Cross?
Clara Barton
Name an attribute required to be a nurse?
A strong sense of responsibility; highest standards of integrity.
What was one of the original responsibilities of nurses?
Managing nutrition and diet
Florence Nightingale was born in _______ in 1820 to wealthy English parents
Italy
Nightingale started the first training school at St.Thomas Hospital in __________?
London
What are the various names of the “Nightingale Lamp”?
Lamp of Learning; Lamp of Nursing
Who founded the school of nursing at John Hopkins University?
Isabel Hampton Robb
Who continued to care for the sick when nursing was considered menial?
Florence Nightingale
Who organized the school of nursing at Massachusetts General Hospital?
Melinda Ann Richards
Who founded American Public health nursing?
Lillian Wald
Which 3 nursing programs were established on the basis of the Nightingale plan?
Bellevue Hospital School of Nursing, New York; Connecticut Training School in New Haven; and Boston Training School at Massachusetts General Hospital
Which factors create a need for more healthcare services in the public sector?
homelessness; unemployment; underemployment; lack of health insurance; devastating diseases, such as AIDS or Tuberculosis
What is the importance of nursing uniforms?
Easily identifiable and distinguishable from other staff
What religious symbols are represented on nursing pins?
A cross (Maltese cross) and the star of David
What was the impact of WW1 on nursing?
Marked the first emergency training of nurses; The Army School of Nursing was established, Annie W Goodrich (1876-1955) wrote the cirriculum. Hundreds of women were trained in this program.
Which individual established the first geriatric facility?
Saint Helena
What course can be pursued in the (YWCA) Young Women’s Christian Association?
A 3 month program to train women in simple nursing care
Which change did the Greeks bring about in the field of nursing?
Hospitals or Hostels were set up to care for the sick
When caring for a patient with a chronic disease in the home why should the nurse put greater emphasis on teaching the client and family?
Family members may need to operate sophisticated equipment.
During which war did the first emergency training of nurses occur?
World War 1
What has been the most influential among the latest nursing trends?
Changes in nursing education; limitations on payment for healthcare; Lifestyle factors and greater life expectancy
A/P
Anterior/Posterior
approx.
Approximately
ARC
Aids Related Complex
ARDS
Acute Respiratory Distress Syndrome
ASA
Acetylsalicylic Acid (Aspirin)
ASCVD
Arteriosclerotic Cardiovascular Disease
ASHD
Arteriosclerotic Heart Disease
Asst.
Assist/Assistant
As Tol.
As Tolerated
A.V. Node
Atrioventricular Node
Ax
Axilla/Axillary
Ap
Apical
ACLS
Advanced Cardiac Life Support
AJN
American Journal of Nursing
ANA
American Nursing Association
AD
Right Ear
AS
Left Ear
AU
Both Ears
The _______ assistant is trained academically and clinically to practice medicine under the supervision of a doctor of medicine or osteopathy.
(PA) Physicians Assistant
A nursing theory that focused importance of nurses aiding clients to meet or return to meeting their self care needs was developed by theorist ___________ ________?
Dorthea Orem
The national organization that focuses on advancing “excellence in nursing education” for all nurses is known as the ________
(NLN) National League for Nursing
The _______ assistant, under the direction of a physician, performs duties in the front/back medical office or clinic?
Medical Assistant
The LV/LPN works under the direct or indirect supervision of a healthcare provider, such as a physician, dentist, podiatrist or a/an _______
(RN) Registered Nurse
Who documents clients care and client response?
Communicator
Who assists clients in understanding their rights and responsibilities?
Advocate
Who advises clients in learning about their medications and healthcare at home?
Teacher
Who helps clients achieve a maximum level of wellness?
Care provider
What is the role of a nurse as a student?
Bring certain knowledge, skills, attitudes and abilities to their nursing program.
What are the key program areas listed as crucial to nursing by the International Council for Nursing (ICN)?
Professional nursing practice with a focus on an international classification of nursing practice (ICNP); regulation of standards of nursing; socioeconomic welfare for nurses
What is the purpose of the NALPN
to provide standards of nursing care, promote continued post-licensure education and certification, and interpret the role and function of the LV/LPN.
Are there any states where a nurse can practice without a license?
NO
BBB
Bundle Branch Block
BCLS
Basic Cardiac Life Support
BCP
Birth Control Pills
B.E.
Barium Enema
bid
Twice a Day
BKA
Below Knee Amputation
BM
Bowel Movement
BMR
Basal Metabolic Rate
B.P.
Blood Pressure
BPH
Benign Prostatic Hypertrophy
BRP
Bathroom Privilages
BSE
Breast Self Exam
BSO
Bilateral Salping-oophorectomy
BTL
Bilateral Tubal Ligation
BUN
Blood Urea Nitrogen
b/w
Between
Bx
Biopsy
C
Centigrade
_
c
With
C1,C2,etc.
First Cervical Vertebrae, Second Cervical Vertebrae, etc
Ca
Calcium
CA
Cancer
CABG
Coronary Artery Bypass Graft
CAD
Coronary Artery Disease
cap
Capsule
cath
Catheter/Catheterized
CBC
Complete Blood Count
C/C
Chief Complaint
cc
Cubic Centimeter
CCU
Coronary Care Unit
CDC
Center for Disease Control
CHF
Congestive Heart Failure
CHO
Carbohydrate
Cl
Chloride
cm
Centimeter
CNS
Central Nervous System
c/o
Complains/ Complaints of
CO2
Carbon Dioxide
cont
Continued/ Continuous
COPD
Chronic Obstructive Pulmonary Disease
CP
Cerebral Palsy
CPR
Cardiopulmonary Resuscitation
C&S
Culture and Sensitivity
CSF
Cerebrospinal Fluid
CT
Computerized Technology
Cu
Copper
CVA
Cerebrovascular Accident
CVP
Central Venous Pressure
CXR
Chest X-ray
cysto
Cystoscope/Cystoscopy
CF
Cystic Fibrosis
CHD
Coronary Heart Disease
Change
A nurse is interested in achieving a license as a medical doctor. What is the initial requirement to obtain this license?
A minimum of 4 years of an undergraduate study
A RN has recently specialized in the field of surgery. As an RN in the surgical dept. what is the specialized role?
First assistant in surgery
After obtaining a licensure, in which kinds of care is the LPN nursing student likely to be involved?
providing routine wound care, caring for IV medication delivery system, reporting client reactions to prescribed meds, providing bedside care, and administering prescribed oral meds
What is the purpose of the (NFLPN) National Federation of Licensed Practical Nursing?
Promoting continued post licensure education, granting advanced certificates to LV/LPN, providing standards for nursing care and supporting federal and state legislation for the LV/LPN
What is the focus of the National Association for Practical Nurse Education and Service (NAPNES)
The role of the LV/LPN in healthcare delivery, preparing the LPN student for healthcare practice, and licensing the LV/LPN for client care practice
What is a mandatory licensure?
Requires that the nurse functions be performed only by those licensed in the state
What are the 2 types of licensure that can be pursued by the new nurse?
Permissive and Mandatory
A nurse wants to know the importance of licensure. Which responses are accurate?
Protects the public from unethical nurses, identifies a nurse as a qualified healthcare provider, and assures a minimal level of nursing competency
A LPN has recently moved to a new state & is seeking employment. What licensing applies to this nurse’s situation?
Endorsement
Why is it important for the nurse to be familiar with nursing theories?
Nursing programs are based on nursing theories, nursing theories are the basis for nursing care, and theories provide the purpose for nursing actions
What nurse’s pledge do the LPN’s recite at graduation?
Practical Nurse’s Pledge
What are the concepts of Florence Nightingale’s nursing theory that are still practiced today?
Nature alone cures. Nursing assists the person to an improved condition.
Sister Callista Roy identified a nursing theory model that is still in practice today. What was the concept?
An individual’s state of health/ wellness moves back & forth on a continum.
When verbalizing events with the healthcare team members, which role is the nurse performing?
Communicator
What activity does a nurse perform when functioning in the care provider role?
Helps clients achieve the maximum level of wellness
What activity does a nurse perform when functioning in the advocate role?
Informs the RN that the clients pain meds are not effective
What activity does a nurse perform when functioning in the teacher role?
Reinforces instructions for a client recovering from surgery
The LPN student wishes to join the ANA & requests info on the eligibility for the membership. What should she know?
The person should be a RN
What key program area is identified as crucial to nursing by the International Council for Nursing?
Social economic welfare for nurses
Which nursing organization represents nurses economically by assisting in collective bargaining situations?
(ANA) American Nurses Association
What is the term that applies to the available insurance policies found within a Health Insurance Marketplace?
Affordable Care Act
What is the term for the minimal level or need for healthcare services?
Acuity
Another term for case management?
Managed Care
HMO’s
Health Maintenance Organizations
What is the specialized care of the terminally ill called?
Hospice
What is the term for part time supervision of clients with chronic conditions?
Respite
The ability to access a healthcare provider via telephone or computer audio/video link?
Telehealth
SNF/ICF
Skilled Nursing Facility/Intermediate Care Facility
What are services offered by community health departments?
immunizations, well baby checks, WIC, treatment of specific diseases such as tuberculosis or STD’s
OSHA
Occupational Safety and Health Administration
What is the agency that assigns recognition to hospitals?
The Joint Commission
QA
Quality Assurance- a pledge to the public that healthcare services will provide optimal achievable goals and maintain excellence in the services rendered.
The fee or premium paid in advance to the HMO is called?
capitation
PPO
Preferred Provider Organizations-groups of healthcare practitioners who contract with the PPO to provide services
What is a federal insurance program that is available to meet most people aged 65 years and older; some with disabilities younger than 65 & people with end stage renal disease
Medicare
What is a type of insurance program for employees who have become unable to work?
(SSDI) Social Security Disability Insurance
What is the insurance that is a joint effort of federal and state governments?
Medicaid
DRGs
Diagnostic Related Groups-payment based off of medical diagnosis
OT
Occupational Therapy
PT
Physical Therapy
D/C; d/c
discontinue or discharge
D&C
dilation and curettage
DES
Diethylstilbestrol
DM
Diabetes Mellitus
DNR
Do Not Resuscitate
D.O.
Doctor of Osteopathy
DOA
Dead on Arrival
DPT
Diptheria, Pertussis, Tetanus
D/5/W
Dextrose 5% Water
D/5/NS
Dextrose 5% Normal Saline
Dr
Doctor
DRG
Diagnostic Related Group
dr; 3
Dram
DT’s
Delirium Tremens
DVT
Deep Vein Thrombosis
Dx
Diagnosis
DJD
Degenerative Joint Disease
ED
Emergency Department
An air freshner in a client’s room, the patient begins to experience bronchial spasms. What legal and ethical issue is the nurse facing?
Negligence
A photo is submitted for publication without a patients permission. The nurse is liable for what legal offense?
Libel
What source establishes the standards for confidentiality that directs the actions of a professional nurse?
HIPAA
HIPAA
Health Insurance Portability and Accountability Act
What care should the nurse take when updating computerized med. records to best protect the client’s right to privacy?
Always log off before leaving the computer, protect the computer screen so as not to be seen by unauthorized individuals
What area of professional nursing is defined in detail by the US Nursing Practice Act & Canadian Nurses (Reg) Act?
Defining legal boundaries for nursing’s scope of practice, est. licensing requirements, identifying requirements for required continuing education, and est. requirements for approved schools of nursing
If a nurse fails to provide care within her profession’s scope of practice, who will ensure the prescribed punishment?
State Board of Nursing
A nurse fails to report a pt’s. reaction to a med. to the PCP. When the pt gets and infection, what should the nurse be cited for?
Abandonment of Care
Which nursing actions are not performed in a legally responsible manner?
Advising a client concerning a malpractice suit against a staff member, always working extra shifts when asked to volunteer to do so, not bothering other staff members to help with moving an obese client, save time by asking a nurse how to do a task instead of the proc. manager.
There is a reason to question a med. prescription. Which is an appropriate action for the nurse to take?
Contact the primary provider to discuss the nurse’s concerns
When faced with a non-hospital emergency situation what are the legal concerns for a nurse?
The Good Samaritan Act protects nurse’s from liability, the nurse is expected to act resonably & prudent, the nurse is required to assist at the scene of an accident when needed & the nurse is not liable for emergency care within the limits of first aid
How can the nurse provide the role of advocate to a pt scheduled for a cardiac cath?
Ask them what they were told by the cardiologist about the scheduled cardiac cath
What are personal values?
One’s culture contributes to one’s personal values; to best support client’s values we need to clarify our own; personal values change over the course of a lifetime; when made to face trauma a person’s personal values can change
What is the basis for maintaining a competent practice?
Ignorance is NOT a legal defense
What nursing action will best protect a nurse from being liable for malpractice?
effective, appropriate documentation of all nursing care
What is a living will?
A written and legally witnessed document that requests no extraordinary measures.
What client would be considered a vulnerable person and require special attention?
A 4-year old child with a heart valve malfunction
Which assessment will the nurse note when determining if a client is brain dead?
The presence of unresponsive pupils; the absence of cephalic reflexes and the absence of external stimuli response
Can the nurse bring charges against a client, and how should she respond?
Yes, like in situations where the client knowingly attacks the nurse
What is an felony?
serious crime
What is a crime?
wrong committed against a person or property or public good
Define misdemeanor?
A crime that is considered not as serious as a felony
What is the term for the legal responsibility for one’s actions or failure to act appropriately?
Liability
Another term for mercy killing?
euthanasia
A term for the physical contact with another person without that person’s consent?
Battery
A threat or an attempt to do bodily harm
Assault
What is the term for professional negligence?
Malpractice
Malicious verbal statements that are false or injurious
Slander
PHI/EPHI
(Electronic) Protected Health Information
NCLEX
National Council Licensing Examination
CAT
Computerized Adaptive Testing
PSDA
Patient Self Determination Act; Example: Living will
Loss of circulation and respiratory functions results in ?
Legal Death
Irreversible cessation of all neurological functions of the entire brain including the brain stem is referred to as?
Brain Death
UNOS
United Network of Organ Sharing
AHA
American Hospital Association- adopted Patient’s Bill of Right’s
EDD
Expected Date of Delivery
EEG
Electroencephalogram
ECG/EKG
Electrocardiogram
EENT
Eye, Ear, Nose and Throat
Endo
Endoscopy
EOM
Extraocular Movement
ER
Emergency Room
ESI
Epidural Steroid Injection
etc.
And so on.
ETOH
Ethyl Alcohol
exam
Examination
exp lap
Exploratory Laparotomy
expir
Expiration
ESRD
End-Stage Renal Disease
ESR
Erythrocyte Sedimentation Rate
EMS
Emergency Medical Service
EGD
Esophaogastroduodenoscopy
A legal document in which a person either states choices for medical treatment or names someone to make treatment choices if they loose decision making ability
Advance Directive
The term for when tests, treatments, meds. have been explained to the person as well as the outcome, complications and alternative procedures
Informed consent
Formal written rules of behavior that governs conduct and are enforced by authority
Laws
Philosophic studies that examine the actions, values and moral principles of human behaviors and that provide fundamental ideas of societal & cultural values of right vs. wrong
Ethics
When a healthcare professional acts negligently and injury occurs to the client in their care, this is called?
Tort
simple survival or physical needs also called?
deficiency
The more complex needs related to personal fulfillment are called?
growth needs
F
Fahrenheit
FBS
Fasting Blood Sugar
Fe
Iron
FH
Family History
FHR/FHS
Fetal Heart Rate/ Fetal Heart Sound
fld
Fluid
foley cath
Foley Catheter
ft
Feet
FTT
Failure To Thrive
FUO
Fever of Unknown Origin
Fx
Fracture
FF
Force Fluids
gal
Gallon
G.B.
Gallbladder
G.C.
Gonorrhea
GERD
Gastroesophageal Reflux Disease
Gm
Gram
gtt
Drops
gr
Grain
GTT
Glucose Tolerance Test
GU
Genitourinary