TFN 3M(Pre-test)

Question 1

• a profession is an organization of an occupational group based on the application of special knowledge which establishes its own rules and standards for the protection of the public and the professionals. attuned and responsive to
  local and global challenges.
• a profession serves all of society and not the specific interest of a group.
• the aims of a profession are altruistic rather than materialistic.

Answer 1

CONCEPTS OF A PROFESSION

Question 2

• is an art and a science, dominated by an ideal of service in which certain principles are applied in the skillful care of the
  well and the ill, and through relationship with the client/patient, significant others, and other members of the health team.

Answer 2

PROFESSIONAL NURSING

Question 3

• is an individual who has acquired the art and science of nursing through her basic education, who interprets her role
  in nursing in terms of the social ends for which it exists – the health and welfare of society and who continues to add her knowledge, skills and attitudes through continuing education and scientific inquiry (research) or the use of the results of such inquiry.

Answer 3

PROFESSIONAL NURSE

Question 4

• a graduate of Bachelor of Science in Nursing
• must pass the Nurses’ Licensure Examination conducted by the Professional Regulations Commission (PRC) to acquire the PRC license (current).

Answer 4

THE PHILIPPINE NURSING ACT OF 1991

Question 5

• a person shall be deemed to be practicing nursing within the meaning of this Act when he or she singly or in collaboration with another, initiates and performs nursing services to individuals, families and
  communities in any health care setting. It includes, but not limited to, nursing care during conception, labor, delivery, infancy, childhood, toddler, preschool, school
  age, adolescence, adulthood and old age
• as independent practitioners, nurses are primarily responsible for the promotion of health and prevention of illness. As members of the health team, nurses shall collaborate with other health care providers for the curative, preventive, and rehabilitative aspects of care, restoration of
  health, alleviation of suffering, and when recovery is not possible, towards a peaceful death.
• In the practice of nursing in all settings, the nurse is dutybound to observe the Code of Ethics for nurses to uphold the
  standards of safe nursing practice.
• the nurse is required to maintain competence by continual learning through continuing professional education to be
  provided by the accredited professional organization or any recognized professional nursing education. Provided, that the program and activity for the continuing professional education shall be submitted to and approved by the Board.

Answer 5

SCOPE OF NURSING PRACTICE

Question 6

• provide nursing care through utilization of the nursing process. Nursing care includes, but not limited to, traditional and innovative approaches, therapeutic use of
  self, executing health care techniques and procedures, essential primary health care, comfort measures, health teachings, and administration of written prescription for
  treatment, therapies, oral, topical and parenteral medications, internal examination during labor in the absence of antenatal bleeding and delivery. In case of suturing and perineal lacerations, special trainings shall be provided according to protocol established;
• establish linkages with community resources and coordination with the health team;
• provide health education to individuals, families and communities
• teach, guide and supervise students in nursing education programs including the administration of nursing services
  in varied settings such as hospitals and clinics; undertake consultation services; engage in such activities that require the utilization of knowledge and decision-making skills of a registered nurse;
• undertake nursing and health human resource development training and research, which shall include, but not limited to, the development of advance nursing practice

Answer 6

DUTY OF A NURSE

Question 7

• according to the American Nurses’ Association, nursing is the diagnosis and treatment of human responses to actual
  and potential health problems.
  Nurses focus on the following points - (In another question)
• On the other hand, medicine is concerned of the disease, treatment of disease
• contemporary nursing requires that the nurse possesses knowledge and skills for a variety of professional roles and
  responsibilities.
• Principal role of nurses: Provide care and comfort as they carry out specific nursing functions.
• Expanded role emphasized on health promotion and illness prevention, as well as concern for the client as a whole.

Answer 7

NURSING

Question 8

• NURSING FOCUSES ON THE FOLLOWING:

Answer 8

• diagnosis and treatment of the person with the disease (Nursing diagnosis)
• responses of the patient
  ▪ pain due to medical condition
  ▪ depression due to a diagnosis
  of terminal illness

Question 9

• an essential element in nursing
• It means that a person is reasonably independent and self-governing in decision-making and practice.
• refers to the ability to act according to one’s knowledge and judgment, providing nursing care within the full scope of practice as defined by existing professional, regulatory, and organizational rules.
• the nurse is accountable for keeping current and competent in technical skills and informed of the knowledge needed to
  perform nursing care.

Answer 9

AUTONOMY

Question 10

• it means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided.
• The American Nurses Association’s Code of Ethics defines professional accountability as being “ANSWERABLE TO
  ONESELF AND OTHERS FOR ONE’S OWN ACTIONS.”
• composed of four (4) pillars: professional, ethical, lawful, and employment / contractual.

Answer 10

ACCOUNTABILITY

Question 11

ROLES OF A NURSE

Answer 11

• GIVER OF CARE (CAREGIVER)
• LEADER OR MANAGER
• RESEARCHER
• ADVOCATE
• EDUCATOR
• COMMUNICATOR
• CHANGE AGENT
• COLLABORATOR
• COUNSELOR

Question 12

o the nurse helps the client regain health
through the healing process.
o the nurse addresses the holistic health
care needs of the client including
measures to restore emotional, spiritual
and social well-being.
o the caregiver helps the clients and
families set goals and meet those goals
with minimal cost of time and energy.
o CARING CARE: communicates respect
of man’s individual uniqueness;
consistent of man’s holistic needs;
efficient, effective and safe

Answer 12

GIVER OF CARE (CAREGIVER)

Question 13

o the nurse through the process of
interpersonal influence helps the client
make decisions in establishing and
achieving goals to improve his well-being
o the nurse plans, gives directions,
develops staff, monitors operations,
gives rewards fairly and represents both
staff members and administration as
needed.
o delegates nursing activities to ancillary
workers and other nurses and supervises
and evaluates performance.

Answer 13

LEADER OR MANAGER

Question 14

the nurse as __________ or coresearcher participates in scientific investigation and
uses research findings in practice for the promotion of health.

Answer 14

RESEARCHER

Question 15

o assistance in the clients’ human and
legal rights.
o the nurse also defends the clients’ rights
in a general way by speaking out against
policies and/or actions that might
endanger their wellbeing or conflict with
their rights.
o nurses act as patient advocate by helping
clients make an informed decisions about
their health, including helping them
navigate a complex medical system,
translating medical terms and helping
patients make ethical decisions

Answer 15

ADVOCATE

Question 16

o the nurse explains to clients concepts and facts about health.
o the nurse uses teaching methods that match
the client’s capabilities and incorporates other resources such as the family in teaching plans.

Answer 16

EDUCATOR

Question 17

o the role of the ______________ is central to all nursing roles and activities.
o nursing involves communication with clients, families and other nurses with health care professionals, resource persons and the community.

Answer 17

COMMUNICATOR

Question 18

the nurse initiates change and assists
the clients make modifications to the lifestyle to promote
health

Answer 18

CHANGE AGENT

Question 19

o helps the client recognize and cope with stressful psychological or social problems.
o the role includes providing emotional, intellectual and psychologic support.

Answer 19

COUNSELOR

Question 20

DIFFERENT CAREER DEVELOPMENT FOR NURSES

Answer 20

• CLINICIAN
• ADVANCED PRACTICE NURSES (APN)
• CLINICAL NURSE SPECIALIST (APN – CNS)
• NURSE PRACTITIONER (APN – NP)
• ADULT NURSE PRACTITIONER
• PEDIATRIC NURSE PRACTITIONER
• ACUTE CARE NURSE PRACTITIONER
• GERIATRIC NURSE PRACTITIONER
• CERTIFIED NURSE MIDWIFE
• CERTIFIED REGISTERED NURSE ANESTHETIST
• NURSE EDUCATOR
• ## NURSING ADMINISTRATOR

Question 21

• a person occupying supervisory or managerial positions requiring knowledge in nursing must:
  o Possess a degree of Bachelor of Science in Nursing with at least nine (9) units in
  management and administration course at the graduate level; and
  o Be a member of good standing of the accredited professional organizations of nurses.
• a person occupying the position of Chief Nurse or Director of Nursing Service shall, in addition to the foregoing qualifications, possess:
  o At least five (5) years of experience in a
  supervisory or managerial position in nursing; and
  o a master’s degree major in nursing

Answer 21

QUALIFICATIONS OF NURSING SERVICE
ADMINISTRATORS, ACCORDING TO RA 9173

Question 22

o GOAL: provide direct patient care in hospital, clinic
or another healthcare setting
o uses the nursing process and critical thinking skills
o FOCUS: restorative and curative
o Provides education to the client and family to
promote health maintenance and self-care.
o job duties include preparing charts, providing
direct patient care, communicating with other
medical staff, and making sure treatment is
administered correctly
o in collaboration with other health care team
members, the clinical nurse focuses on returning
the client to his or her home and usual state of
health.

Answer 22

CLINICIAN

Question 23

o The most independent functioning nurse.
o An _____ has master’s degree in nursing,
advanced education in pharmacology
and physical assessment as well as certification and expertise in a
specialized area of practice.
o The _____ may practice in primary, acute
or restorative care settings.
o A primary health care center provides
services which are usually the first point
of contact with a health professional.
o Primary health care includes services
provided by general practitioners,
dentists, community nurses, pharmacists
and midwives among others.
o ACUTE CARE: Level of health care in
which a patient is treated for a brief but
several episodes of illness, for conditions
that are the results of trauma or disease
or during recovery from surgery

Answer 23

ADVANCED PRACTICE NURSES (APN)

Question 24

ADVANCED PRACTICE NURSES (APN) FACILITIES INCLUDE:

Answer 24

o Hospital (General Acute Care as well as Psychiatric, Specialized and
Rehabilitation Hospitals)
o Ambulatory Care Facility
o Home Health Agency
o End-Stage Renal Disease Facility
(Dialysis Center)
o Hospice

Question 25

o an APN with nursing expertise in a
specialized area of practice and may
work in any practice setting.
o functions as: expert clinician, educator,
case manager, consultant, researcher

Answer 25

CLINICAL NURSE SPECIALIST (APN – CNS)

Question 26

o Provides health care for clients, usually
in and outpatient, ambulatory or
community-based setting.
o provides care to clients with complex
problems providing a more holistic
approach, attending to the symptoms of
non-pathologic conditions, comfort and
comprehensiveness of care.

Answer 26

NURSE PRACTITIONER (APN – NP)

Question 27

o provides primary care to adults with non-emergent acute or chronic illness and in some tertiary care settings.
o they work collaboratively with one or more primary care physicians.

Answer 27

ADULT NURSE PRACTITIONER

Question 28

o provides care to infants and children.
o they practice in hospitals, ambulatory care, emergency care and physician’s offices

Answer 28

PEDIATRIC NURSE PRACTITIONER

Question 29

o functions in collaboration with a physician or house staff physician in acute health care settings, such as hospital or specialty clinic.
o they are generalist, usually based in internal medicine, focusing on the care of hospitalized patients.

Answer 29

ACUTE CARE NURSE PRACTITIONER

Question 30

o specialized on caring for older adults.
o they are trained in special needs of the aging adult, with emphasis on health promotion, health maintenance and functional status.
o works with the client and family to manage existing health problems to promote independence.

Answer 30

GERIATRIC NURSE PRACTITIONER

Question 31

o RNs who are also educated in midwifery
o the practice of _____ ________ involves providing independent care for women during normal pregnancy, labor and delivery as well as care of newborn.
o practices with a health care agency that provides medical consultation, collaborative management
and referral

Answer 31

CERTIFIED NURSE MIDWIFE

Question 32

o assisting in normal vaginal delivery
o doing routine newborn care
o routine Papanicolaou (Pap) smears
o family planning
o treatment for minor vaginal infections

Answer 32

CERTIFIED NURSE MIDWIFE SERVICES INCLUDE:

Question 33

o they are RNs who has received advanced
training in an accredited program in
anesthesiology.
o ________ ____________ provide surgical anesthesia under the guidance and supervision of an anesthesiologist, a physician with advanced knowledge of surgical anesthesia

Answer 33

CERTIFIED REGISTERED NURSE ANESTHETIST

Question 34

o Works primarily in a school of nursing, staff development and departments of health care agencies and client education departments.
o requires experience in clinical practice to provide them with practical skills and theoretical knowledge.
o ______ __________ in nursing schools are usually required to have graduated degrees in nursing and additional educational process.
o the primary focus of the nurse educator in an agency’s department of client education is to teach ill or disable clients and their families how to provide care in the home.

Answer 34

NURSE EDUCATOR

Question 35

o Manages client care and the delivery of specific nursing services within a health care agency.
o begins with positions such as the charge nurse or assistant nurse managers.
o experience and additional education may lead to middle-management positions such as nurse manager of a specific patient care area or director of the nursing service.

Answer 35

NURSING ADMINISTRATOR

Question 36

a person occupying supervisory or managerial positions requiring knowledge in nursing must:

Answer 36

o Possess a degree of Bachelor of Science in Nursing with at least nine (9) units in
management and administration course at the graduate level; and
o Be a member of good standing of the accredited professional organizations of nurses.

Question 37

• a person occupying the position of Chief Nurse or Director
  of Nursing Service shall, in addition to the foregoing
  qualifications, possess:

Answer 37

o At least five (5) years of experience in a supervisory or managerial position in nursing; and
o a master’s degree major in nursing