Professional Nursing Flashcards
Who is Florence Nightingale
monitored and reported outcomes of care
promoted total patient care
observed that there are factors that affect pt care
Who were the nursing leaders at start of 1900’s
Lilian Wald
Mary breckenridge
What helped the development of nursing and nursing education?
War
created a important role in caring for wounded and dying
creation of new nursing techniques
when were nursing schools developed?
shortly after civil war
based off of Nightingale Schools in England
mainly apprenticeships
what are some aims and competencies that nurses strive for?
promote health
prevent illness
restore health
facilitate coping with disability or death
what are nursing spheres of care
wellness and disease prevention
chronic disease management
regenerative and restorative care
hospice and palliative care
what are the educational levels of a RN and whats the difference?
ADN: offered by community/ JC college (typically 2 years)
BSN: need more knowledge of theory, 4 year degree
MSN: graduate level, advanced practice, educational roles, managerial roles, clinical specialists
DnP: graduate level, terminal defree in nrusing practice, offers alternative to research focused doctoral programs
What are the different routes to RN
Diploma: 24-30 months
-little or no transfer of courses
Associate: 2 years
-many opportunities to bridge to BSN
BSN: 4 years
-higher positions, masters ready
Masters prep
leadership positions
clinical specialization
entry level degree for nursing faculty
advanced practice nursing
Doctoral studies
academic advancement
research for advancement of profession
proposed entry level degree for NPs
What is the required educational level for NP
MSN
What types of specialties are NPs certified in?
can specialize in almost any field
Ex: Family NP, nurse midwives
Whats educational prep for a Nursing assistant
Certification
75 hours minimum of theory and practice
Educational prep for LVN
school is 1 year to 18 months
clinical experience
completion of NCLEX-PN
Who approves nursing programs through legal requirement for accredidation?
Board of registered nursing
Who accredits through voluntary accreditation
Through accreditation commission for education in nursing (ACEN)
what is Government owned/ public agency hospitals
operated by federal, state, or local government
ex: VA hospital, health department, county facilities
Give me info on hospitals that are voluntary (non-profit) agencies
operated by private, non governmental agencies expempt from federal income tax
ex: St. Jude
Give me info on proprietary (for profit) agencies
operated by private, for profit company
employees are shareholders, can be sold to proprietor
ex: placentia linda, los alamitos
what is the primary level of care
offices and clinics
usually self directed
ex: primary care physicians
What is a secondary level of care
A specialist referral
through a general or community hospital typically
ex: surgeons, oncologist, typically through a “gatekeeper”
What is a tertiary level of care
Acute care hospital/ teaching facility
transport center
(trauma, burns, w helipad)
high level of care
(specialists on site, 24Hr availability)
What do physicians do in hospitals?
diagnose and treat illness
admin privileges
prescribe med
interpret results
preform prcedures/ surgery
What does a PT do
doctoral prepared, helps restore function or prevent further injury
What does a RT do?
tests and treats for pulmonary function and oxygenation, varied prep
What does a OT do?
assists pt to adapt to limitations
What does a Speach pathologist do?
helps with speech and swallowing issues
what does a RD do?
manages and plans diets for pts and entire facility
what does pharmacist do?
doctoral prepared and licensed, helps with drugs
What does a social worker do?
counsel, assist with decisions and refer
what does a unlicensed assistive personnel do (UAP)
helps nurses w direct pt care; CNA, PCT
A nurse is planning education for a patient who is scheduled for a diagnostic procedure to rule out a cerebral aneurysm. Which aspect of nursing does the nurse use as the basis for education? a. Art of nursing b. Science of nursing c. Caring aspect of nursing d. Holistic approach to nursing
B
A group of students in a community health course is discussing disaster management. Which nursing leader will the students identify as the founder of the Red Cross? a. Clara Barton b. Florence Nightingale c. Lillian Wald d. Lavinia Dock
A
A nurse is engaged in community health promotion activities. What activity best reflects this type of health promotion? a. Teaching about fall prevention and home safety at a senior center b. Holding a blood glucose screening for diabetes at a local church c. Educating hospice volunteers on therapeutic communication d. Providing education on crutch walking to a child with a fractured tibia
A
A nurse historian is researching changes in professional nursing and nursing education in the mid-20th century. What trend promoted advancement of the profession and of nursing education? a. Increased need for nurses and knowledge explosion led to emphasis on education. b. Focus on the war effort slowed development of knowledge in medicine and technology. c. Role of the nurse focused on acute technical skills used in hospital settings. d. Nursing care was dependent on the medical profession to define its priorities.
A
According to Nursing: Scope and Standards of Practice (ANA, 2021), “Nursing is the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations in recognition of the connection of all humanity.” Which actions are consistent with these nursing roles? Select all that apply. a. Offering emotional support to a patient overwhelmed by a new diagnosis of ovarian cancer b. Making a diagnosis of appendicitis when a patient reports right lower quadrant pain c. Providing classes on nutrition and physical activity at a senior center d. Administering an antibiotic to a patient with a documented infection e. Working with the health department to provide free influenza vaccinations to children f. Requesting the health care provider change prescription for the patient whose pain is still unrelieved
A,C,D,E,F
A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which nursing interventions could the nurse use to meet this goal? Select all that apply. a. Counseling adolescents in a drug rehabilitation program b. Performing range-of-motion exercises for a patient on bedrest c. Demonstrating insulin injection to a patient with diabetes d. Recommending a yoga class for a busy executive e. Providing hospice care for a patient with end-stage cancer f. Teaching a nutrition class at a local high school
A,B,C
Nursing students are learning about the criteria that establish nursing as a profession. Which statements by the students indicate they have correctly described characteristics of a profession? Select all that apply. a. Nursing is composed of a well-defined body of general knowledge. b. Nursing interventions are dependent upon medical practice. c. Nursing is a recognized authority by a professional group. d. Nursing practice is regulated by the medical profession. e. Nursing has a code of ethics. f. Nursing is influenced by ongoing research.
C,E,F
A nurse considers returning to school to obtain a master’s degree in nursing. Which practice discipline requiring graduate level education could the nurse consider? a. Rehabilitation nurse b. Critical care nurse c. Oncology nurse d. Nurse practitioner
D
Nurses in the United States follow regulations outlined by each state’s nurse practice act. A nurse moving to a different state anticipates finding which elements are common to all states’ nurse practice acts? a. Definition of the legal scope of nursing practice for those registered b. Provision of continuing education programs to meet state requirements c. Determining the scope of content covered in the NCLEX examination d. Creating institutional policies for health care practices
A
Nurses of a statewide nursing organization come together to plan for the challenges to health care for the 21st century. What current trend in health care should be a focus of the plan? a. Decreasing numbers of hospitalized patients b. Increasing numbers of older and more acutely ill patients c. Decreasing health care costs owing to managed care d. Decreasing advances in medical knowledge and technology
b
Who was lillian Wald
founder of public health nursing, established a neighborhood nursing service for sick and poor in NYC
Whos Clara Barton
founder of red cross
