Test 2

Question 1

National League of Nursing

Answer 1

nursing school accreditation (center of excellence) certifies nurse educators

Question 2

American Nurses Association (ANA)

Answer 2

provides: specialty certification, code of ethics, and magnet status (rn) to hospitals- also the code for nurses/policy statement

Question 3

code for nurses

Answer 3

policy statement. gives goals, values and ethical precepts that direct profession. is nonnegotiable and each nurse has obligation to uphold and adhere to code of ethics.

Question 4

DECs for educators

Answer 4

Differentiated Essential Competencies provides guidance for curriculum development, a guidline/tool for benchmark/evaluation of programs, and a statewide standard

Question 5

Decs for employers

Answer 5

guide for job description and career ladder, data for competencies and information for policy and procedures

Question 6

DEC structure

Answer 6

divided into 3 degrees, each with 4 nursing roles and 25 competencies. roles- member of profession and healthcare team, provider of pt centered care and pt safety advocate. competencies base upon knowledge clinical judgement and behaviors.

Question 7

Member of the profession (nursing role DEC)

Answer 7

Commitment to continued competency/ life long learning and self assessment. better the profession/contribute to society (better self). and stay within LEGAL SCOPE, guidelines. ASSUME responsibility and accountability. ex) RN at national conference presenting EBP

Question 8

Provider of pt centered care- DEC nursing role

Answer 8

ADPIE. pt centered involves FAMILY. ACCEPT responsibility (not ASSUME). use knowledge, clinical reasoning, evidence based practice and determine phys and mental status/ needs/ preferences, analyze date for plans, goals- eval and report.

Question 9

Patient safety advocate- DEC nursing role

Answer 9

Reduce risk, provide safety- one way- obtain instruction, supervision or training as needed, or comply with mandatory reporting. ex- rn instructing yearly competencies for policies and procedures in ICU.

Question 10

Member of healthcare team (DEC nursing role)

Answer 10

COORDINATE, COLLABORATE, COMMUNICATE in a timely manner, provide REFERRALS to pts and families, serve as HEALTHCARE ADVOCATE, ASSIGN & DELEGATE and supervise care. ex)RN coordinating hospice care

Question 11

Fraud

Answer 11

most common criminal- fed and state prosecution. kickbacks, billing, coding, unbundling.

Question 12

false claim act

Answer 12

office of inspector general can enforce monitory penalty and exclusion from medicare and other programs

Question 13

Medicare and Medicaid Patient Protection Act

Answer 13

aka- Anti-kickback statute: criminal penalties for solicitation or receipt of pmt for referral secs payable by medicare or medicaid HIPPA added more civil and criminal penalties

Question 14

Falsification of records

Answer 14

intentional (doc services not provided) or unintentional, failure to disclose for licesnce, Criminal prosecution and civil for any injury

Question 15

Drug diversion and theft

Answer 15

criminal- most common bon disciplinary action. theft, falsifying med records, mandatory report of impaired nursing. bon provides Texas Pear Assistance Program Nurses for rehab and to keep nurse in practice.

Question 16

Pt abuse and neglect (act)

Answer 16

Omnibus budget and reconciliation act. resident has right to be free of verbal, sexual, pays, or mental abuse, corporal punishment and involuntary seclusion. Institution may be liable as well- mandatory to report

Question 17

disciplinary sanctions

Answer 17

for violating NPA and rules and regs

Question 18

Mandatory report

Answer 18

Falls, medication errors, impaired nursing, abuse to vulnerable, family complaint of inadequate care, injury from equipment failure, treatment induced incidents (reactions, and missed or incorrect diagnosis_

Question 19

civil law

Answer 19

intentional tort- assault, battery, false imprisonment, conversion of property. Quasi- invasion of privacy, defamation of character. Unintentional tort- Negligence, malpractice

Question 20

prove negligence

Answer 20

negligence is unintentional harm- common are car accidents, slip and falls. to win must prove Duty of reasonable care, breach of duty, proximate or foreseeable cause, and injury or damages. could be expert witness, but not necessarily.

Question 21

Types of damages awarded for negligence

Answer 21

General damages- cost of injury
Special damages- all losses and expenses incurred as result of injury.
emotional damages from injury
punitive damages- if malicious, willful or wanton misconduct

Question 22

Malpractice

Answer 22

special case of negligence from a professional. requires expert testimony as to breach of duty of standards- lay person does not know expectations of professional in situation (duty)

Question 23

Assault

Answer 23

conduct makes another person fearful. pt has fear of touching and you approach with blood pressure equip. you threaten a pt with a diaper

Question 24

battery

Answer 24

unconsented touching of another. taking blood pressure without asking.

Question 25

search engines for health sciences lit

Answer 25

CINAHL- Cumulative index of nursing and allied health literature. Medline, and
Agency of healthcare research and quality (AHRQ) clinical guidelines and evidence summaries.

Question 26

5 Steps EBP

Answer 26

1) Ask clinical Question
2) collect best/ most relevant evidence
3) critically appraise evidence
4) integrate all evidence with clinical expertise, client preferences and values in decision making or change
5) evaluate decision or change

Question 27

Benefits of EBP

Answer 27

Develop distinct nursing body of knowledge, credibility of prof, cost of effective care, accountability for practice, validates interventions, improves care

Question 28

clinical vs research article

Answer 28

in manuscript narrative- clinical- describes/explains /teaches followed by summary of clinical implications
RESEARCH- purpose stmt, methods/design, results/conclusion, clinical implications

Question 29

Abstract

Answer 29

summarizes purpose of research or query, major themes/finding, implications for nursing

Question 30

introduction

Answer 30

purpose and importance to audience w/ brief supporting evidence

Question 31

Lit Review or Background

Answer 31

A good author gives detailed background of the level of clinical info that exists about the topic-how past research led to this researcher’s question

Question 32

charting AMA

Answer 32

pt informed leaving could: aggravate current condition and complicate future care, result in permanent physical and mental impairment, result in complications leading to death, result in pt responsible to pay for hospitalization