Nursing Concepts and Definitions Quiz
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Questions and Answers

Match the following concepts with their descriptions, as presented in the text:

Maslow's Hierarchy = A pyramid of needs where basic needs must be met first. Environmental Factors = Physical and social conditions that influence health and illness. Cadet Nurse Corps = Organization providing nursing education during World War II. Articulation Program = Educational programs for LPN/LVNs to advance to RN.

Match the following organizations with their stated function:

Nightingale school = Not listed in text for nursing education during WWII Public health department = Not listed in text for nursing education during WWII Frontier Nursing Service = Not listed in text for nursing education during WWII Cadet Nurse Corps = Provided nursing education during World War II.

Match the description to the terms related to nursing education:

Repetition = Not related to advancing the LPN/LVN for RN Exclusion = Not related to advancing the LPN/LVN for RN Coexistence = Not related to advancing the LPN/LVN for RN Articulation = Educational advancement for LPN/LVN to RN programs

Match the concept with the correct example:

<p>Basic Needs = The level in Maslow's hierarchy that must be met first Self-actualization = Not considered a primary need according to Maslow Physical factors = Environmental factors impacting health Social factors = Another category of environmental factors also impacting health</p> Signup and view all the answers

Match the following concepts with their corresponding relationships and impacts:

<p>Maslow's Hierarchy of Needs = Premise that basic needs must be met before higher ones Physical environmental factors = Affect social factors Social environmental impact = Affect physical factors Environmental factors = Cause patients to react in a unique ways</p> Signup and view all the answers

Match the concepts with the impact they have:

<p>Basic Needs = Must be met prior to other needs Environmental Factors = Affect one another Cadet Nurse Corps = Provided nursing education during WWII Articulaiton = Allows advancement of LPN/LVN</p> Signup and view all the answers

Match the historical development or concept with its description

<p>World War II = Time period when the Cadet Nurse Corps was established Nightingale School = Not listed as a nursing education option in this text LPN/LVN to RN = Describes educational advancement possibilities Maslow's Hierarchy = A theory focusing on meeting needs in a structured order.</p> Signup and view all the answers

Match each nursing concept with its description

<p>Basic Needs in Maslow's Theory = Those that must be met before progressing to higher needs Impact of Environmental Factors = The premise that physical and social conditions affect one another Cadet Nurse Corps Establishment = Occurred during World War II Educational Articulation = Mechanism for LPN/LVNs to enter RN program</p> Signup and view all the answers

Match the following historical figures/organizations with their associated actions or roles in nursing:

<p>Florence Nightingale = Pioneering nursing education at Kaiserswerth School NFLPN = Exclusive LPN/LVN membership and standards promotion ANA = Published a document defining two levels of nursing practice in 1965 State Boards of Nursing = Defines the passing score requirement for licensure</p> Signup and view all the answers

Match the following concepts with their corresponding definitions:

<p>Holistic health care = Comprehensive patient care considering physical, emotional, social, and spiritual aspects Interdependent care = Care that requires collaboration with other healthcare professionals Illness prevention care = Measures taken to prevent the onset of diseases Health promotion care = Actions that enhance health and well-being</p> Signup and view all the answers

Match the following entities with the items they are associated with:

<p>Kaiserswerth School = The location of Florence Nightingale's original nursing education Saint Thomas Hospital = A location not associated with Florence Nightingale's original training Crimean Hospital = A location where Nightingale worked but not where she trained Kings College Hospital = A location not associated with Nightingale's original training</p> Signup and view all the answers

Match the professional licensing terms with their descriptions:

<p>Licensing standards = Guidelines for licensure in different states Position paper = The document from the ANA that defined two levels of nursing practice Smith-Hughes Act = Federal legislation concerning vocational education, not directly related to nursing practice levels Computerized Examination = Method for determining if a potential nurse is able to obtain a license</p> Signup and view all the answers

Match the organizations with their membership:

<p>NFLPN = Members include only LPNs and LVNs ANA = Members include RNs and other members of the healthcare community NLN = Members include nurses from all educational levels and other members of the healthcare community NAPNES = Members include LPN/LVNs and other members of the healthcare community</p> Signup and view all the answers

Match the terms with their relevant category:

<p>Nursing education = Kaiserswerth School belongs to this category Nursing organizations = NFLPN and ANA belong to this category Nursing programs = Holistic health care is a concept related to this Licensure examination = The 'pass' score is directly a part of this category</p> Signup and view all the answers

Match the following descriptions to the relevant care type:

<p>Considers the physical, emotional, and social environment = Holistic health care encompasses this Involves collaboration with other professionals = Interdependent care is defined by this characteristic Aims to avoid the initial onset of disease = Illness prevention care has this main goal Actions taken to enhance the well-being of a person = Health promotion care is focused on this aspect</p> Signup and view all the answers

Match the following nursing concepts with the correct description.

<p>Nursing Process Step: N/A = Concepts related to educational and organizational context rather than specific nursing actions. Cognitive Level: Knowledge = A way to analyze the level of understanding required by a particular nursing task. MSC: NCLEX: N/A = Indicates the lack of direct NCLEX relation for a nursing process task. REF: p. 10 = An example of a reference to a particular page within a book or document</p> Signup and view all the answers

Match the following nursing actions with their primary legal or ethical consideration:

<p>Reporting a communicable disease = Protection from liability for mandated reporting Providing compassionate care = Best defense against a lawsuit Following a DNR order = Legal obligation to follow the order Requesting a different assignment when opposing a procedure = Ethical right to not participate in procedures violating moral convictions</p> Signup and view all the answers

Match the following situations to the most appropriate nurse's action:

<p>New LPN/LVN wants to know what can/cannot be done for patients = Review the standards of care Nurse disagrees with a DNR order = Follow the DNR order Nurse has moral objections to abortion = Ask for another assignment To avoid lawsuits as a nurse = Provide compassionate, competent care</p> Signup and view all the answers

Match these nursing legal terms/concepts with their corresponding descriptions:

<p>Standards of Care = Defines what should or should not be done for patients DNR Order = Must be followed by the nurse even if they disagree Mandated Reporting = Legal protection from liability when acting in good faith Moral Convictions = The basis for a nurse to request a different patient assignment</p> Signup and view all the answers

Match the following concepts with their descriptions:

<p>Critical pathways = Integrated care plans for a projected length of stay Home health documentation = Necessitates access by different healthcare workers OBRA = Regulates standards for long-term care documentation Confidentiality = Requirement of clinical reason for reading patient records</p> Signup and view all the answers

Match the nurse's action with the patient right or legal obligation being addressed:

<p>Following the DNR order = Legal Duty Requesting a different assignment for moral reasons = Nurse's Moral Right to Refuse Participation Providing competent care = Patient Right for Quality Care Reporting gunshot wounds = Legal Duty of Mandated Reporting</p> Signup and view all the answers

Match the scenarios with the nurse's appropriate responses:

<p>Nurse has strong moral objections to a procedure = Request a different assignment Nurse is unsure about legal guidelines for patient care = Consult the standards of care Nurse is notified of a DNR order for their patient = Follow the order Nurse has to report a case of elder abuse = Protection from liability if acting in good faith</p> Signup and view all the answers

Match the documentation-related concepts with their corresponding nursing context or process.

<p>Critical pathways = Projected length of stay for specific cases Home health documentation = Multiple healthcare providers access Evaluation of patient care = Implementation phase of nursing process Patient confidentiality = Clinical reason for record access</p> Signup and view all the answers

Match the following concepts with their legal or ethical implications in nursing:

<p>Nurse's Moral Convictions = May allow one to avoid specific patient assignments Standards of Care = Determine appropriate and inappropriate actions for patients Mandatory Reporting Laws = Safeguard the public health and patient well-being DNR Order Adherence = Legal obligation to respect patient's wishes</p> Signup and view all the answers

Match each item with its main feature or definition:

<p>Critical pathway = Integrated plans for specific patient case type Home health care documentation = Unique need for multiple provider access OBRA = Medicare and Medicaid long-term care documentation Confidentiality in medical records = Requirement for clinical access reason</p> Signup and view all the answers

Match the standards or process with the aspect of medical record documentation they relate to:

<p>Critical pathway = Integrated care plans Home health documentation = Multiple provider access needs OBRA = Long-term care documentation standards Confidentiality = Reason for access to patient records</p> Signup and view all the answers

Match the following nurse actions with their related rationale:

<p>Follow a DNR order = Legal obligation to respect patient's wishes Provide compassionate and competent care = Best defense against lawsuits Request a different assignment for a moral conflict = Respect for nurse's values and beliefs Report a communicable disease = Legal requirement to prevent spread of disease</p> Signup and view all the answers

Match the nursing questions/concerns with the proper response:

<p>What legal resource should I use? = Standards of care What should I do when I have moral problems? = Request a different assignment What should I do when I find a DNR? = Follow it How to avoid lawsuits? = Provide compassionate, competent care</p> Signup and view all the answers

Match the following documentation concepts to their related elements of healthcare or treatment process:

<p>Critical pathways = Care plans for specific patient cases Documentation in home health = Necessitates multiple provider access OBRA = Regulations for long term health care documentation Confidentiality in healthcare = Clinical reasons needed for record access</p> Signup and view all the answers

Match each nursing concept with its key component:

<p>Critical pathways = Integrated care plan Home health charting = Accessibility by multiple workers OBRA regulation = Standard for long-term care documentation Medical record access = Clinical reason requirement</p> Signup and view all the answers

Match the healthcare aspect to its description:

<p>Critical pathways = Care plans for specific cases Home healthcare records = Documentation for multi healthcare providers OBRA = Regulations for documentation in long-term care Confidentiality of records = Clinical reason required for access</p> Signup and view all the answers

Match the concept to its main application in patient care

<p>Critical pathways = Care plans for specific case types Home care documentation = Access by different providers OBRA regulations = Standards for long-term care documentation Patient confidentiality = Reason for accessing medical record</p> Signup and view all the answers

Match the documentation basis with the correct charting method:

<p>Problem list = Problem-oriented charting Modified patient problems = Focus charting SOAPE format = Problem-oriented charting Care results = Quality assurance</p> Signup and view all the answers

Match the concept with its purpose or description:

<p>Quality assurance = Evaluate care against standards Peer review = Appraises individual nurse's practice Focus charting = Uses modified patient problems as index SOAPE = Format used in problem-oriented charting</p> Signup and view all the answers

Match the term with its related definition:

<p>QA = Evaluation of care results against standards Peer review = Appraisal of individual nursing practice POMR = Uses SOAPE chart format Focus charting = Documentation indexed by patient problems</p> Signup and view all the answers

Match the legal aspects with the correct parties:

<p>Ownership of a medical record in hospital = Institution Ownership of medical records in a private office = Health care provider Basis for focus charting = Modified Patient problems Evaluation of care against standards = Quality assurance</p> Signup and view all the answers

Match the following documentation terms with their descriptions:

<p>Focus charting = Uses patient problems as a basis for documentation SOAPE format = Used in problem-oriented charting Quality assurance = Evaluates care based on standards Peer review = Appraises the practice of an individual nurse</p> Signup and view all the answers

Match the method to the correct description or result.

<p>Focus charting = Documentation uses modified patient problems SOAPE = Method for problem-oriented charting Peer review = Appraises individual nurse's practice Quality assurance = In house department for evaluating care standards</p> Signup and view all the answers

Match the nursing concept with its correct description:

<p>Focus Charting = Uses a list of patient problems as the basis for documentation QA = Evaluates care results against accepted standards Peer review = Appraises the practice of a nurse SOAPE = Acronym used in problem-oriented medical records</p> Signup and view all the answers

Match the elements related to patient's medical records :

<p>Legal owner of a patient's medical record in a hospital = Institution Documentation format using SOAPE = Problem-oriented record Focus of peer review = Nursing practice of an individual nurse Documentation method using modified patient problems = Focus charting</p> Signup and view all the answers

Match the nurse's responses to patient statements with the appropriate therapeutic communication techniques:

<p>Patient: &quot;I am upset about all this lab work.&quot; Nurse: &quot;You're upset?&quot; = Restating Nurse silently places hand on widow's arm = Use of silence and a quiet presence Nurse tells the patient &quot;you need to be strong for your children&quot; = Cliché and non-therapeutic Nurse speaks to unresponsive patient. = Assume verbal stimuli are heard</p> Signup and view all the answers

Match the characteristic with the communication concept:

<p>One defining characteristic = Lowest number needed to identify impaired verbal communication Assumes verbal stimuli are heard = Communication with an unresponsive patient Silence and a quiet presence = Effective response to the newly grieving Encourages patient to offer more information = Purpose of the restating technique</p> Signup and view all the answers

Match the nurse's actions with their descriptions:

<p>Nurse states, 'You need to be strong for your children.' = An example of a cliché response Nurse asks, 'Is there anyone the widow needs to have notified?' = Non-therapeutic in immediate grieving time Nurse states, 'You are feeling overwhelmed about your husband's death.' = Non-therapeutic in immediate grieving time Nurse places hand on widow's arm = Therapeutic in immediate grieving time</p> Signup and view all the answers

Match the communication technique with its description:

<p>Restating = Repeating the patient's statement to encourage more information Open-ended question = Not exemplified in the given scenarios Paraphrasing = Not exemplified in the given scenarios Reflecting = Not exemplified in the given scenarios</p> Signup and view all the answers

Match the situation with the best nursing action:

<p>Dealing with a newly grieving widow = Use silence and a quiet presence Communicating with an unresponsive patient = Assume verbal stimuli are heard Identifying impaired verbal communication = Look for at least one defining characteristic Patient expressing upset about lab work = Use Restating</p> Signup and view all the answers

Match the following communication elements with the correct approach:

<p>Cliché statement to a grieving widow = Non-therapeutic communication Quiet presence and touch for a grieving widow = Therapeutic early intervention Therapeutic communication for an unresponsive patient = Assuming verbal stimuli are heard Response to 'I am upset about all this lab work.' = 'You're upset?' (restating)</p> Signup and view all the answers

Match the communication aspect with its respective detail:

<p>Impaired verbal communication = Can be determined with one defining characteristic Therapeutic communication = Uses silence and presence with grieving individuals Response to upset patient = Includes restating technique Approaching unresponsive patients = Requires assuming they hear verbal stimuli</p> Signup and view all the answers

Match the scenario to the communication concept or intervention

<p>Widow in early grief stage: 'Why wasn't it me?' = Best intervention involves silent presence Patient says: 'I'm upset about all the lab work' = Therapeutic response is restating Unresponsive patient = Assume they are hearing verbal stimuli Assessing impaired verbal communication = Requires observation of at least one defining characteristic</p> Signup and view all the answers

Flashcards

What is the basis of Maslow's Hierarchy of Needs?

Maslow's Hierarchy of Needs is a theory suggesting that basic needs, like physiological needs (food, water, shelter), must be fulfilled before moving on to higher needs, like self-esteem and self-actualization.

How do physical and social environmental factors affect health and illness?

Physical and social factors are interconnected and influence each other. They impact the health and well-being of individuals in unique ways.

What organization provided nursing education during World War II?

The Cadet Nurse Corps was a program established during World War II to address the nursing shortage by providing accelerated nursing education and training.

What is an 'articulation' program in nursing education?

Articulation is a program designed to recognize prior learning from LPN/LVN programs and allow them to transition to RN programs more efficiently, often with advanced standing.

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Good Faith Reporting Protection

A legal protection for healthcare professionals when reporting mandated information, like certain diseases or injuries, in good faith. They are shielded from liability even if the report leads to negative consequences.

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Best Defense Against Lawsuits

Providing high-quality care with compassion and adhering to professional standards is the best way to prevent lawsuits.

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Nurse's Duty with DNR

It is a legal obligation for nurses to follow a DNR order even if they personally disagree with it.

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Nurse's Action with Ethical Conflict

A nurse with moral objections to a procedure, like an abortion, should politely request a different assignment. They cannot abandon their patient.

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Standards of Care

Guidelines that define the scope of practice and acceptable actions for nurses.

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Nurse Practice Act

The legal document that outlines the scope of practice and responsibilities of a registered nurse.

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Where did Florence Nightingale study nursing?

The Kaiserswerth School in Germany is where Florence Nightingale received her initial nursing education.

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What is holistic health care?

Holistic health care considers a patient's physical, emotional, social, and spiritual needs in a comprehensive approach to well-being.

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Which organization represents LPNs/LVNs exclusively?

The National Federation of Licensed Practical Nurses (NFLPN) is a professional organization dedicated to promoting and supporting LPNs/LVNs.

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What ANA document established two levels of nursing practice?

The ANA's 1965 document defined two levels of nursing practice, recognizing the distinct roles of registered nurses and practical nurses.

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What score is needed to pass the LPN/LVN licensing exam?

A score of 'pass' is required on the computerized licensing examination for LPN/LVN graduates to receive their licenses in all states.

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What did the ANA's 1965 document define?

The ANA's 1965 document established the distinct roles of Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) in nursing practice.

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What does NLN stand for?

The National League for Nursing (NLN) is a professional organization dedicated to promoting nursing education and nursing practice.

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What does ANA stand for?

The American Nurses Association (ANA) is a professional organization dedicated to promoting nursing practice and advocating for nurses.

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What are critical pathways?

A multidisciplinary plan that outlines the care for a specific type of patient over a projected length of stay.

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What makes home health care documentation unique?

Home health records require unique documentation due to multiple healthcare workers needing access to the patient's medical record.

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What regulates documentation in long-term care?

The Omnibus Budget Reconciliation Act (OBRA) regulates documentation standards for long-term care.

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What is the requirement for reading a patient's medical record?

A nurse should only access a patient's medical record with a legitimate clinical reason.

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Which phase of the nursing process is documentation a part of?

Documentation is a key part of the implementation phase of the nursing process.

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Why is documentation important for evaluating patient care?

Documentation is vital for evaluating patient care.

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Why is patient confidentiality important?

Confidentiality is a cornerstone of healthcare. Nurses should never share patient information without a clinical reason.

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What is the role of the nurse in maintaining patient confidentiality?

The nurse should read the patient's medical record for clinical purposes only, ensuring confidentiality and patient privacy.

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Focus Charting

A documentation method that focuses on patient problems and uses a structured format like "DAR" (Data, Action, Response) for recording information.

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Quality Assurance (QA)

In-house department that assesses and analyzes care services by comparing them to established standards.

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Peer Review

A formal process used to evaluate the practice of individual nurses, usually conducted by their peers within a healthcare setting.

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Problem-Oriented Medical Record (POMR)

A documentation system that uses the acronym SOAPE (Subjective, Objective, Assessment, Plan, Evaluation) to organize patient information.

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Who owns the medical record?

The legal owner of a patient's medical record is the healthcare institution (for hospitalized patients) or the healthcare provider (for private office visits).

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Incident Reporting

A process used to document specific events or occurrences that may have negative consequences for patients or staff.

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Standardized Documentation Formats

A method of documentation that utilizes standardized data and formats to ensure consistency and efficiency.

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DAR (Data, Action, Response) Charting

A type of charting often used in acute care settings that focuses on specific patient concerns and uses a DAR (Data, Action, Response) format.

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How to best support a grieving individual?

Silence and a quiet presence are effective in comforting a grieving individual.

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What phrases should you avoid when comforting a grieving person?

Using clichés or making pronouncements about how they should feel is not helpful in the immediate grieving process.

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How many defining characteristics are needed for a patient problem of impaired verbal communication?

A patient problem of impaired verbal communication can be diagnosed if one or more defining characteristics are present.

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How should you communicate with an unresponsive patient?

When communicating with an unresponsive patient, assume all sounds are heard, as their awareness may be greater than we perceive.

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What communication technique is used when the nurse says, "You're upset?"

Restating is a therapeutic communication technique that encourages the patient to elaborate and share more information.

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What are some therapeutic communication techniques?

Open-ended questions, reflecting, restating, and paraphrasing are techniques used to enhance therapeutic communication with patients.

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What is the difference between open-ended questions and reflecting in communication?

Open-ended questions allow patients to express themselves freely, while reflecting validates their feelings.

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What is the difference between restating and paraphrasing?

Restating and paraphrasing involve summarizing the patient's message to ensure understanding and encourage further sharing.

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Study Notes

Maslow's Hierarchy of Needs

  • Maslow's hierarchy is based on the premise that basic needs must be met before higher-level needs can be addressed.

Environmental Factors Affecting Health and Illness

  • Physical and social environmental factors influence each other.
  • These factors affect each patient uniquely and aren't always separable.

Nursing Education During World War II

  • The Cadet Nurse Corps was established for nursing education and training during World War II.

LPN/LVN Educational Advancement

  • Articulation programs allow LPN/LVNs to gain advanced standing in RN programs without the full curriculum.

Florence Nightingale's Training

  • Florence Nightingale's initial nursing education was at the Kaiserswerth School.

Holistic Health Care

  • Holistic care considers physical, emotional, social, and spiritual needs of a patient.

LPN/LVN Organization

  • The NFLPN is the exclusive organization for LPN/LVN members, setting standards for their practice.

Graduate Practical Nurse Licensure

  • A graduate practical nurse's license is granted based on a "pass" score on a computerized state-regulated licensing examination.

ANA's Definition of Nursing Practice

  • The 1965 ANA publication defined two levels of nursing practice.

Avoiding Lawsuits

  • Providing compassionate and competent care is the best way to avoid a lawsuit.
  • Nurses have a legal obligation to follow DNR orders, even if they disagree with them.

Ethical Considerations in Abortion Cases

  • Nurses facing ethical conflicts about abortions should ask for a different assignment.

Home Health Care Documentation

  • Multiple health care providers accessing home health records creates unique documentation challenges.

Long-Term Care Documentation Standards

  • OBRA regulates standards for long-term care documentation.

Confidentiality in Patient Records

  • Nurses have a clinical reason to read patient records. Confidentiality requires it.

Documentation and the Nursing Process

  • Documentation is necessary for evaluating patient care, primarily during the implementation phase.

Focus Charting

  • Focus charting utilizes patient problems as an index for documentation, rather than a problem list.

Quality Assurance (QA)

  • QA evaluates care against established standards.

Peer Review

  • Peer review appraises the professional practice of individuals in a department.

Problem-Oriented Medical Records

  • Problem-oriented medical records (POMR) use the SOAPE acronym for documentation format.
  • Hospitals/institutions are the legal owners of patient records.

Communication with Grieving/Terminally Ill Patients

  • In situations with grieving/dying patients, a calm and quiet presence provides effective communication.

Defining Characteristics of Patient Problems

  • A patient problem like impaired verbal communication requires one or more defining characteristics to be present.

Communication with Unresponsive Patients

  • When speaking to an unresponsive patient, assume their stimuli are heard.

Restating Patient Statements

  • Restating a patient's statement is a key technique to encourage more information from them.

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Test your knowledge of nursing concepts and their relationships through various matching exercises. This quiz covers descriptions, historical figures, and organizations in nursing education. Perfect for nursing students looking to reinforce their understanding of crucial terms and definitions.

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