Foundations and Adult Health Nursing Test Bank

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Questions and Answers

Which nursing concept focuses on the relationships between nursing, patients, health, and the environment?

  • Evaluation of patient care
  • Nursing models (correct)
  • Care plans
  • Health care provider's orders

Which of the following nursing strategies aims to reduce the number of employees while maintaining quality patient care?

  • Cross-training (correct)
  • Team nursing
  • Use of critical pathways
  • Case management

What is the primary purpose of licensing laws for LPN/LVNs?

  • To limit the number of LPN/LVNs
  • To increase revenue for the state board of nursing
  • Prevention of malpractice
  • Protection of the public from unqualified people (correct)

According to Maslow's hierarchy of needs, which premise underlies the organization of human needs?

<p>Basic needs must be met before the next level of needs can be met. (B)</p> Signup and view all the answers

What is the first step in a legal case where a nurse is involved?

<p>Complaint (C)</p> Signup and view all the answers

What legal concept describes the nurse's responsibility for a patient's care in an acute care setting?

<p>Nurse-patient relationship (A)</p> Signup and view all the answers

Which of the following is NOT a component considered in nursing models?

<p>The patient's financial resources (A)</p> Signup and view all the answers

Which nursing strategy aims to improve efficiency by standardizing care for specific diagnoses?

<p>Use of critical pathways (A)</p> Signup and view all the answers

Which of the following best defines 'standard of care'?

<p>The general guidelines for all nursing interventions (D)</p> Signup and view all the answers

What is a potential consequence of inadequate LPN/LVN licensing regulations?

<p>Compromised patient care (C)</p> Signup and view all the answers

What is a 'deposition' in the context of a legal case involving a nurse?

<p>Questioning of witnesses by attorneys (D)</p> Signup and view all the answers

What does the term 'advocacy' mean in the context of nursing?

<p>The nurse's obligation to act for the patient's best interest (B)</p> Signup and view all the answers

Which aspect of Maslow's hierarchy of needs emphasizes the pursuit of personal growth and fulfillment?

<p>Self-actualization needs (D)</p> Signup and view all the answers

What legal concept is most directly related to the nurse's accountability for their actions?

<p>Advocacy (A)</p> Signup and view all the answers

Which of these is NOT a legal concept related to nursing practice?

<p>Nursing process (A)</p> Signup and view all the answers

Which of the following best describes the purpose of a 'summons' in a legal case?

<p>To notify the defendant of the legal action (D)</p> Signup and view all the answers

Which of the following must be present for a court to find a nurse liable for malpractice?

<p>A nurse-patient relationship exists. (A), The nurse failed to perform in a reasonable manner. (D)</p> Signup and view all the answers

What defines acts that are required, permitted, or prohibited in nursing care?

<p>Standards of care (D)</p> Signup and view all the answers

What is the primary difference between a nurse's values and standards of care?

<p>Values are personal beliefs, while standards of care are established guidelines. (D)</p> Signup and view all the answers

Which of the following is NOT a necessary element for a court to find a nurse liable for malpractice?

<p>The nurse acted negligently (D)</p> Signup and view all the answers

Which document outlines patients' expectations regarding healthcare services?

<p>American Hospital Association’s Patient’s Bill of Rights (D)</p> Signup and view all the answers

Which of these options best describes the concept of 'duty' in the context of nursing malpractice?

<p>The nurse's obligation to provide competent and safe care. (C)</p> Signup and view all the answers

Which of the following is NOT a key element for a court to determine if a nurse is liable for malpractice?

<p>The nurse acted with intent to harm the patient. (A)</p> Signup and view all the answers

What is the primary legal doctrine that requires a patient's informed consent before an invasive medical procedure?

<p>Doctrine of Informed Consent (D)</p> Signup and view all the answers

Which of the following is NOT required before a thoracentesis procedure is performed?

<p>Surgical checklist (A)</p> Signup and view all the answers

How do values influence a nurse's actions during a patient's care?

<p>Values guide the nurse's decisions and behaviors. (A)</p> Signup and view all the answers

Which of the following is the best definition of 'standards of care' in nursing?

<p>General principles of nursing practice that guide care delivery. (A)</p> Signup and view all the answers

A nurse's ethical obligation to protect and maintain the confidentiality of patient information is referred to as:

<p>Confidentiality (D)</p> Signup and view all the answers

What ethical principle is violated when a nurse shares information about a patient's medical condition with unauthorized individuals?

<p>Confidentiality (D)</p> Signup and view all the answers

Why is a physical assessment crucial before a thoracentesis procedure?

<p>To identify any potential complications from the procedure (A), To determine the proper location for the procedure (B), To determine if the patient is a good candidate for the procedure (C)</p> Signup and view all the answers

Which of the following is NOT a component of the Doctrine of Informed Consent?

<p>A guarantee of a positive outcome (A)</p> Signup and view all the answers

Which of the following actions could be considered a breach of patient confidentiality?

<p>Sharing a patient's medical information with a close friend (A)</p> Signup and view all the answers

Which of the following documents was published by the ANA in 1965 and defined two levels of nursing practice?

<p>Position paper (C)</p> Signup and view all the answers

What is the primary function of the wellness/illness continuum?

<p>To represent the range of a person's overall health and well-being. (A)</p> Signup and view all the answers

Which of the following is NOT a factor influencing the wellness/illness continuum?

<p>A fixed and unchanging concept (A)</p> Signup and view all the answers

According to Maslow's Hierarchy of Needs, which need is considered the most fundamental and essential for an individual's survival?

<p>Physiological (C)</p> Signup and view all the answers

What is the minimum score required to pass the licensing examination for vocational school graduates, allowing them to be awarded a license recognized by all states?

<p>A score of 'Pass' only (C)</p> Signup and view all the answers

What is the most important factor that determines an individual's behavior, according to Maslow's theory?

<p>Their attempts to satisfy their essential human needs. (C)</p> Signup and view all the answers

Which level of nursing practice was defined as the 'Technical nurse' in the 1965 ANA position paper?

<p>Licensed Practical Nurse (B)</p> Signup and view all the answers

Which of the following best describes a 'Nurse Practice Act'?

<p>A legal document outlining the scope of practice for nurses in a specific jurisdiction. (B)</p> Signup and view all the answers

What does documentation of the type of care provided primarily demonstrate?

<p>Interventions were carried out to address the patient’s requirements. (A)</p> Signup and view all the answers

Why is thorough documentation crucial in managed care settings?

<p>Because only documented patient care is eligible for reimbursement. (A)</p> Signup and view all the answers

What type of documentation method does a nurse use when only recording changes in patient conditions and new issues?

<p>Charting by exception (D)</p> Signup and view all the answers

What might be a consequence of insufficient documentation in patient care?

<p>Increased likelihood of successful legal claims. (A)</p> Signup and view all the answers

How does the prospective payment system affect documentation in hospitals?

<p>Only documented care aligns cost with patient diagnosis and treatment. (D)</p> Signup and view all the answers

What is a common misconception about the documentation signature in healthcare?

<p>It guarantees no liability exists for the signer. (C)</p> Signup and view all the answers

Which characteristic is associated with the charting by exception method?

<p>Focus on significant changes and deviations only. (D)</p> Signup and view all the answers

When documenting interventions, what is NOT typically included?

<p>Personal opinions about the patient. (A)</p> Signup and view all the answers

Flashcards

Nursing models

Theories based on the relationship among nursing, patients, health, and environment.

Cross-training

A system to train employees to perform multiple roles, reducing staff numbers without compromising care quality.

Licensing laws for LPN/LVNs

Regulations designed to protect the public from unqualified health care providers.

Maslow's hierarchy of needs

Theory stating that basic needs must be met before higher needs can be addressed.

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Quality care

Health care that meets the standards and delivers effective health outcomes for patients.

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Evaluation of patient care

The process of assessing the effectiveness of nursing interventions and patient outcomes.

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Team nursing

A nursing approach where a team of nurses provides care for a group of patients.

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Critical pathways

Structured interdisciplinary care plans that outline patient care activities along a timeline.

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Complaint

First document filed in court for legal action.

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Deposition

Process of questioning witnesses by attorneys.

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Appeal

Request for a higher court to review a decision.

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Summons

Court order notifying a defendant of legal action.

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Nurse-patient relationship

Legally binding situation when a nurse assumes care.

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Accountability

Responsibility for one's own actions in nursing.

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Advocacy

Defending or pleading for a patient's rights.

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Standard of care

Universal guidelines defining appropriate nursing interventions.

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Malpractice Elements

For malpractice, duty exists, there is a breach of duty, and harm occurred.

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Values

Personal beliefs about the worth of ideas, objects, or customs that influence behavior.

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Breach of Duty

Failure to meet the standard of care expected in nursing practice.

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Duty in Nursing

The obligation of a nurse to provide care to patients according to standards.

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Patient Harm

Injury or damage suffered by a patient due to a breach of duty.

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Value System

An individual's set of values that govern their behaviors and decisions.

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75th Percentile Eligibility

Graduates from approved vocational schools can take licensure exams.

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ANA Position Paper 1965

Defined two levels of nursing practice: RN and technical nurse.

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Wellness/Illness Continuum

The range of a person's total health status.

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Maslow's Basic Need

Physiologic needs are the most fundamental for humans.

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Licensing Standards

Regulations governing the requirements for nursing licensure.

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Nurse Practice Act

Legislation that defines the scope of nursing practice.

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Smith-Hughes Act

A 1917 act that provided federal funds for vocational education.

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Patient’s Bill of Rights

A document outlining patient expectations in healthcare.

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Informed Consent

Full disclosure necessary for patients to make decisions before procedures.

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Legal responsibilities of nurses

Nurses must protect patient information to maintain confidentiality.

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Confidentiality

The ethical duty to protect patient information.

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Self-Determination Act

A law ensuring patient's rights to make decisions about their care.

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American Hospital Association’s Standards of Care

Guidelines ensuring quality and consistency in patient care.

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Elder Abuse

Situations involving mistreatment of older adults.

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The Joint Commission

An organization that accredits healthcare organizations and promotes safety.

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Documentation of care

Records type of care, time of care, and signature, proving interventions were implemented.

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Managed care documentation importance

Institutions are reimbursed only for patient care that is documented.

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Charting by exception (CBE)

A documentation system focusing on additional treatments, changes in condition, and new concerns.

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Patient response to interventions

Documenting care includes recording patient reactions, which may vary positively or negatively.

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Healthcare provider visits

Documentation also includes visits from care providers and family presence.

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Prospective Payment System (PPS)

A system classifying patients to determine fixed payment amounts for hospital resources.

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Types of documentation

Types include SOAP, Block, CBE, and Focus; each has distinctive focuses.

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Interventions for patient needs

Documenting care shows that interventions were specifically implemented for patient needs.

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Study Notes

General Information

  • The text is a test bank for a nursing textbook, Foundations and Adult Health Nursing 9th Edition Cooper, Kelly Gosnell Test Bank.
  • The test bank is written by smartjstuvia.
  • The material can be bought and sold on the Stuvia website.
  • The website is www.stuvia.com.

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