Nursing Foundations Exam 1 Study Guide

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Questions and Answers

Which of the following accurately describes a legal implication of negligence in nursing?

It is only applicable in instances of intentional harm.

It involves breach of duty where care provided falls below the accepted standard. (correct)

It requires a financial penalty only.

It does not concern patient outcomes.

What should be included in nursing documentation regarding medications?

The patient's personal opinion about the medication.

Information about the nurse's qualifications.

The time, route, and patient's response to the medication. (correct)

Only the medication name and dosage.

Which of the following is an example of an intentional tort in nursing practice?

Defamation of Character (correct)

Negligence

Failure to provide adequate supervision

Incorrect medication dosage

What is NOT a recommended practice in professional documentation?

Omitting to state why medications were not administered as ordered. Signup and view all the answers

What does the scope of practice in nursing primarily refer to?

The legal boundaries within which a nurse is authorized to operate. Signup and view all the answers

What nursing theory focuses on the environmental impact on healing through fresh air and cleanliness?

Environmental Theory Signup and view all the answers

Which component of nursing theories emphasizes the recognition of both the patient's and nurse's value systems?

Person Signup and view all the answers

What is the primary aim of accountability in nursing practice?

To advocate for patient safety and well-being Signup and view all the answers

Which of the following principles is NOT a part of patient autonomy as described in the Nurse Practice Act?

Cultural Sensitivity Signup and view all the answers

Which nursing theorist is associated with the idea of self-care and addressing self-care deficits?

Dorothea Orem Signup and view all the answers

What is a primary goal of health promotion in nursing?

To teach and motivate healthy lifestyle practices Signup and view all the answers

Which of the following best describes veracity in nursing practice?

Being truthful within the nurse's scope of practice Signup and view all the answers

Which aspect of the Nurse Practice Act is primarily focused on ensuring ethical and legal behavior in nursing?

Standards of Care Signup and view all the answers

Which component is NOT included in objective data assessment?

Patient history Signup and view all the answers

What is a key characteristic of goals set within the nursing process?

Observable and measurable Signup and view all the answers

In the context of nursing diagnoses, what does 'AEB' stand for?

As Evidenced By Signup and view all the answers

Which ethical principle emphasizes the duty to do good and prevent harm?

Beneficence Signup and view all the answers

What does the principle of autonomy in nursing ethics primarily protect?

Patient self-determination Signup and view all the answers

Which of the following is NOT a characteristic of ethical nurses?

Arbitrary decision-making Signup and view all the answers

What is the purpose of Whistleblower Laws in nursing?

To protect employees reporting wrongdoing Signup and view all the answers

Why is cultural sensitivity important in nursing practice?

To provide care that respects diverse healthcare beliefs Signup and view all the answers

What is meant by the term 'Safe Harbor Laws' in the context of nursing?

Provisions protecting whistleblowers from punishment Signup and view all the answers

Which aspect is NOT a focus of Maslow’s Hierarchy of Needs in patient care?

Medical treatment preferences Signup and view all the answers

Study Notes

2303 Intro to Nursing Exam 1 Study Guide

Blueprint Exam 1 N2303: Covers chapters 1-7 of the Foundations of Nursing Practice (4th edition textbook), Healthy People 2020 goals and determinants of health, 6 dimensions of health and wellness, rest and sleep, stress, behavioral change models, self-care, and a review of early historical practices for 100 questions. This includes specific topics like mummification, burial practices, handwashing, quarantine, and safe water. The study also includes topics like the four elements, Greek Olympics, Elizabethan Laws, illness-wellness continuum, and alternative and complementary healing.
Historical Practices: Early medical treatments and beliefs from ancient Egypt, Native Americans, and biblical times and practices.
Important Concepts: Homeostasis, the internal regulation toward equilibrium, discussed by Claude Bernard in 1878 and Walter Cannon in 1925. It also includes discussions about the four elements (Empedocles), Greek Olympics, Native American values, Yin and Yang, Elizabethan Poor Laws, and the Travis Illness-Wellness Continuum.
Scientific Discoveries: Key contributions to medical knowledge and understanding by figures like Anton Van Leeuwenhoek, Edward Jenner, Louis Pasteur, Joseph Lister, Alexander Fleming, and Jonas Salk.
Notable Nurses: Florence Nightingale, Dorothea Dix, Lillian Wald, Harriet Tubman, Clara Barton, Mary Adele Nutting, Mary Breckinridge, and Mary Seacole are highlighted.
World Health Organization (WHO): Focus on health promotion, disease prevention, and addressing social determinants of health discussed by the WHO. Healthy People 2020 and 2030 are referenced, focusing on population based interventions and actions to address social determinants and health inequities.
Health Promotion Goals: Addressing sexual and reproductive health, domestic violence, health promotion goals, include public awareness campaigns, treatment, and protection of victims, including linkage with law enforcement and social services.
Determinants of Health: The blueprint emphasizes the five key determinants (policy making, social factors, social environment (concentrated poverty, schools, transport, safety, and resources), physical environment (buildings, transportation, and environments), and health services).
Barriers to Health: The document highlights the barriers to access, like lack of availability, cost, insurance, language barriers, and delays in treatment and preventive services.
Nursing Diagnoses: The document includes three part statements regarding diagnosis, describing the "problem", "related to", and "as evidenced by" aspects, and 2 part statements relating to risk and wellness. It references NANDA-I diagnostic categories which include actual and potential diagnoses, patient holistic response to the identified cause or problem, and identified cause/pathophysiology and symptoms.
Nursing Process: The blueprint describes how the nursing process is used in assessing and prioritizing patient needs and designing and implementing nursing interventions. It outlines independent and dependent interventions and includes assessment data, observation, palpation, percussion, auscultation, Subjective Data (patient history, including medications, etc.) and Objective Data, in the prioritization of patient needs, establishing and documenting goals and interventions in the assessment.
Legal Implications: The document notes legal implications of nursing practice, including malpractice, liability insurance, scope of practice, and whistleblower laws.
Ethical Practices: The document emphasizes ethical considerations in nursing practice and details ethical frameworks, focusing on principles of beneficence, non-maleficence, justice, and respecting patient autonomy. Topics include confidentiality (HIPAA), and patient self-determination.
Cultural Sensitivity: Critical for appropriate care, avoidance of biases, cultural imposition, and cultural blindness are also emphasized. Cultural sensitivity skills and definitions are provided including intercultural communication, awareness of cultural variations, and avoidance of stereotyping, including situations where pain or grief expression may vary across cultures.
Nursing Education: The study guide includes information about educational and practice levels for nurses, including CNA, LVN/LPN, ADN, BSN, DNP, PhD. It touches upon areas including nursing licensure, and continuous education.
Patient Care: The document includes the areas of patient care, including aspects like health promotion, health maintenance, health restoration and critical thinking and evidence-based practice.
Nursing Roles and Responsibilities: The document describes the various roles and responsibilities of nurses, including crisis response and disaster preparedness or management. The goal is to cover all aspects and stages of care, beginning with prevention (Mitigation), preparation, responses and recovery strategies to catastrophes or instances of significant patient needs.
Nursing Process (ADPIE): The document details the use of the nursing process (Assessment, Diagnosis, Planning, Implementation, and Evaluation) in designing and implementing care for patients.
Ergogenic Aids: The exam covers safe and unsafe ergogenic aids (that enhance performance) and their potential risks and consequences.
Health Alterations and Symptoms: The document contains information regarding common health issues, as well as symptom management and assessment tools, including the assessment-observation palpation percussion, and auscultation components.
Sleep-wake balance: The document includes details regarding sleep disorders, including obstructive sleep apnea and hypersomnia. Sleep disorders and physical effects are detailed, including negative effects of sleep deprivation on physical, mental, and psychological functioning.
Cultural Competence: The document references crucial concepts for understanding cross-cultural factors in the assessment and provision of care.
Wellness and Self-Care: The importance of wellness and self-care for nurses during stressful or demanding situations are discussed.

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Description

This study guide focuses on the material covered in the first exam for the N2303 Intro to Nursing course. It includes chapters 1-7 from the Foundations of Nursing Practice textbook, addressing key health concepts, historical practices, and various health determinants. Prepare for a comprehensive review of early medical treatments and important nursing principles.