Nursing Fundamentals Exam 1 - Chapter 1

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Questions and Answers

Which of the following must the nurse recognize regarding the health care delivery system?

  • It includes all states.
  • Insurance companies are not involved.
  • The major goal is to achieve optimal levels of health care. (correct)
  • It affects the illness of patients.

What is required by the health care team to identify the needs of a patient and to design care to meet those needs?

  • The nurse's notes
  • The health care provider's order sheet
  • An individualized care plan (correct)
  • The Kardex

Patient care emphasis on wellness, rather than illness, begins as a result of:

  • increased number of health care givers.
  • improved insurance payments.
  • decentralized care centers.
  • increased education concerning causes of illness. (correct)

What is the most effective process to ensure that the care plan is meeting the needs of the patient?

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

How does an interdisciplinary approach to patient treatment enhance care?

<p>By preventing the fragmentation of patient care (B)</p> Signup and view all the answers

How may a newly licensed LPN/LVN practice?

<p>Under the supervision of a health care provider or RN (B)</p> Signup and view all the answers

Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion?

<p>Florence Nightingale (B)</p> Signup and view all the answers

What document identifies the roles and responsibilities of the LPN/LVN?

<p>Nurse Practice Act (C)</p> Signup and view all the answers

What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN to meet the needs of patients?

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

What is the title of the American Hospital Association's 1972 document that outlines the patient's expectations to be treated with dignity and compassion?

<p>Patient's Bill of Rights (C)</p> Signup and view all the answers

The relationships among nursing, patients, health, and the environment are the basis for:

<p>nursing models. (C)</p> Signup and view all the answers

What system reduces the number of employees but still provides quality care for patients?

<p>Cross-training (D)</p> Signup and view all the answers

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

<p>Protection of the public from unqualified people (C)</p> Signup and view all the answers

What premise is Maslow's hierarchy of needs based on?

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

What must the nurse realize when assessing physical and social environmental factors affecting health and illness?

<p>They affect one another. (D)</p> Signup and view all the answers

What organization, established during World War II, provided nursing education and training?

<p>Cadet Nurse Corps (C)</p> Signup and view all the answers

Where did Florence Nightingale's original nursing education take place?

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

What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person?

<p>Holistic health care (A)</p> Signup and view all the answers

What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?

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

What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?

<p>Designated as -passll (D)</p> Signup and view all the answers

What document, published in 1965 by the ANA, clearly defined two levels of nursing practice?

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

What is the wellness/illness continuum defined as?

<p>The range of a person's total health (B)</p> Signup and view all the answers

According to Maslow's hierarchy of needs, what is an individual's most basic need?

<p>Physiologic (E)</p> Signup and view all the answers

Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.)

<p>Offering formal and practical educational experiences (B), Keeping records of students' progress (C), Retaining a registry of all graduates (D), Focusing on sanitation and hygiene (E)</p> Signup and view all the answers

During early civilization, what did medicine men perform?

<p>Medicine men performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person.</p> Signup and view all the answers

The National Council of State Boards of Nursing (NCSBN) performs a job analysis every years to determine the scope of practice of LPN/LVNs. How often do they perform this analysis?

<p>3 years</p> Signup and view all the answers

Graduates of the first school for training the practical nurse were referred to as what?

<p>attendant</p> Signup and view all the answers

Who founded the National Federation of Licensed Practical Nurses (NFLPN)?

<p>Lillian Kuster</p> Signup and view all the answers

When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called?

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

The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?

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

What are the universal guidelines that define appropriate measures for all nursing interventions?

<p>Standard of care (B)</p> Signup and view all the answers

A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:

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

Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?

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

The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?

<p>Informed consent (B)</p> Signup and view all the answers

When a nurse protects the information in a patient's record, what ethical responsibility is the nurse fulfilling?

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

An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?

<p>Ask the patient if anyone has hit her. (A)</p> Signup and view all the answers

What is the best way for a nurse to avoid a lawsuit?

<p>Provide compassionate, competent care. (A)</p> Signup and view all the answers

The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order, what is his or her legal obligation?

<p>To follow the order (B)</p> Signup and view all the answers

The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take?

<p>Ask for another assignment. (A)</p> Signup and view all the answers

The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?

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

What role is the nurse who diligently works for the protection of patients' interests playing?

<p>Advocate (B)</p> Signup and view all the answers

When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?

<p>Discuss it with the charge nurse, asking for direction. (A)</p> Signup and view all the answers

The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?

<p>Withhold an opinion. (A)</p> Signup and view all the answers

What fundamental principle must the nurse first observe when confronted with an ethical decision?

<p>Respect for people (D)</p> Signup and view all the answers

A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient's health, safety, and well-being. Given this knowledge, which of the following is most necessary for the nurse to report?

<p>Unethical behavior of other staff members (B)</p> Signup and view all the answers

A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?

<p>Only offers protection while on duty. (C)</p> Signup and view all the answers

Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?

<p>Leaving a copy of the patient's history and physical in the photocopier (D)</p> Signup and view all the answers

Which of the following could cause a nurse to be cited for malpractice?

<p>Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines (C)</p> Signup and view all the answers

A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:

<p>civil battery. (D)</p> Signup and view all the answers

A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse's actions exemplify?

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

What is true about nurse practice acts?

<p>The nurse must know the nurse practice act within his or her state. (B)</p> Signup and view all the answers

How can the medical record be used in litigation? (Select all that apply.)

<p>Documentation of time lapses (B), Evidence of omission of care (C), Proof of adherence to standards (D), Public record (E)</p> Signup and view all the answers

During a lunch break, an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of? (Select all that apply.)

<p>Defamation (D), HIPAA violation (E)</p> Signup and view all the answers

A nurse failed to monitor a patient's respiratory status after medicating the patient with a narcotic analgesic. The patient's respiratory status worsened, requiring intubation. The patient's family claimed the nurse committed malpractice. What must be present for the nurse to be held liable? (Select all that apply.)

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

Personal beliefs about the worth of an object, idea, custom, or attitude that influence a person's behavior in a given situation are referred to as...

<p>values</p> Signup and view all the answers

Acts whose performance is required, permitted, or prohibited are defined by...

<p>standards of care</p> Signup and view all the answers

What does documentation of type of care, time of care, and signature of the person prove?

<p>Interventions were implemented to meet the patient's needs. (C)</p> Signup and view all the answers

Why is documentation especially significant in managed care?

<p>Institutions are reimbursed only for patient care that is documented. (B)</p> Signup and view all the answers

The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?

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

What form explains the lapse when events are not consistent with facility or national standards of expected care?

<p>Incident report (B)</p> Signup and view all the answers

In focus charting, instead of using the problem list what is used as an index?

<p>modified patient problems</p> Signup and view all the answers

The National Council of State Boards of Nursing (NCSBN) performs a job analysis every ______ years to determine the scope of practice of LPN/LVNs.

<p>3</p> Signup and view all the answers

Graduates of the first school for training the practical nurse were referred to as nurses. What is this title?

<p>Attendant</p> Signup and view all the answers

Who founded the National Federation of Licensed Practical Nurses (NFLPN) in 1949?

<p>Lillian Kuster</p> Signup and view all the answers

Flashcards

Approved Nursing Program

A nursing program certified by a state agency for meeting minimum standards.

Health Care Delivery System Goal

The primary goal is to achieve optimal levels of health care.

Individualized Care Plan

A care plan that identifies patient needs and designs care to meet them.

Emphasis on Wellness

The focus on preventive education for health issues.

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Interdisciplinary Approach

An approach that prevents fragmentation of patient care.

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Nurse Practice Act

A document that identifies the roles and responsibilities of the LPN/LVN.

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Case Management

A cost-effective delivery method where LPN/LVNs work with RNs.

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Patient's Bill of Rights

A document outlining patient expectations for dignity and compassion.

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Holistic Health Care

Care that considers physical, emotional, social, and spiritual needs.

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Quality Assurance

A process for evaluating care results against accepted standards.

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Standards of Care

Universal guidelines defining appropriate nursing measures.

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Malpractice

Legal term for professional negligence causing harm to a patient.

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Confidentiality

The ethical duty of nurses to protect patient information.

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Documentation in Nursing

The act of recording patient care details for accuracy and accountability.

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Informed Consent

Patient's agreement provided after being fully informed about a procedure.

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Patient Advocacy

The role of nurses in protecting and promoting patient interests.

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Incident Report

A document explaining events inconsistent with care standards.

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Peer Review

The process of appraising an individual's nursing practice.

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Standard Operating Procedures

Written instructions that outline specific nursing actions.

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Electronic Documentation

Digital recording of patient information to enhance care efficiency.

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Patient Care Record Ownership

Medical records are owned by the healthcare institution.

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Ethical Decision-Making

The process of choosing actions based on ethical principles.

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Scope of Practice

The range of responsibilities and tasks that nurses are authorized to perform.

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Holistic Patient Assessment

Evaluating a patient's comprehensive needs across several dimensions.

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Communication in Healthcare

The exchange of information among healthcare team members.

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Nursing Education Standards

Guidelines that govern nursing education and practice requirements.

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Accredited Nursing Program

A program certified by NLN for complex standards.

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Health Care Delivery System

A network of agencies and providers for health care.

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Emphasis on Preventive Education

Focuses on teaching about health issues before they arise.

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Evaluation in Nursing

Process of assessing if care meets patient needs.

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Interdisciplinary Teamwork

Collaborative approach preventing care from being fragmented.

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Nurse's Roles under Practice Act

Defines responsibilities and limits for LPN/LVNs.

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Cross-Training in Nursing

Reduces staff but maintains care quality.

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Confidentiality in Nursing

Legal duty to protect patient information.

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Informed Consent Requirement

Patient must understand and agree to treatment.

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Documentation Guidelines

Standards for reporting patient care accurately.

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Incident Reporting Purpose

Records events not consistent with standards.

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Legal Ownership of Medical Records

Medical records owned by the institution.

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DARE Documentation Format

Data, Action, Response, Education for charting.

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SBAR Communication

Method for structured communication in health settings.

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Reporting Elder Abuse

Mandatory action when signs of abuse are suspected.

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Peer Review Definition

Evaluation process assessing nurse's practice by peers.

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Malpractice Claims

Legal actions taken due to negligence in nursing.

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Patient's Rights Legislation

Laws ensuring patients receive dignified care.

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Documentation Importance

Essential for evaluating patient care quality.

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Holistic Assessment Focus

Evaluating physical, emotional, and social health.

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Advanced Practice Role

Involves higher-level responsibilities in nursing.

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Patient Care Record Accuracy

Ensure accurate and truthful patient documentation.

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Healthcare Quality Assessment

Evaluates services against accepted practices.

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Incident Reporting Form

Documenting unsatisfactory care circumstances.

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Basic Patient Rights

Patients deserve respect, care, and informed choices.

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Study Notes

Exam 1 Fundamentals "COOPERS" - Chapter 1

  • A nursing program is considered approved when certified by a state agency. Accredited programs are certified by the NLN.
  • The major goal of the healthcare delivery system is to achieve optimal levels of health care. Insurance companies are involved in the system.
  • An individualized care plan is required by the healthcare team to identify patient needs and design care.
  • Patient care emphasis on wellness, rather than illness, stems from increased education about disease prevention.
  • Effective care plan evaluation relies on communication between the healthcare team.
  • Communication is the primary component of the healthcare team for evaluation and modification of care plans.

Nursing Education and Practice

  • Approved programs meet minimum state standards.
  • Accredited programs meet more complex standards, as set by the NLN.
  • Interdisciplinary care improves efficiency by preventing care fragmentation.
  • Licensed Practical Nurses (LPN/LVNs) practice under the supervision of a health professional (physician, dentist, etc.).
  • The 19th-century influence on nursing practice was significantly related to improvements in the patient environment, advocated for by Florence Nightingale.
  • Clara Barton was a pioneering figure in developing the American Red Cross.
  • Linda Richards is considered America's first trained nurse.
  • Dorothea Dix pushed for improved mental health care standards.
  • Florence Nightingale trained at the Kaiserswerth School, not St. Thomas.
  • The Nurse Practice Act defines LPN/LVN roles and responsibilities.
  • Case management is a cost-effective care delivery method that allows LPN/LVNs to collaborate with registered nurses.
  • Patients have rights, and one vital document outlining patient expectations is the Patient's Bill of Rights.
  • The nurse-patient relationship is legally binding.
  • Nurses must maintain patient confidentiality following HIPAA guidelines.
  • Nurses are ethically obligated to advocate for patients' interests.
  • Malpractice occurs when a nurse fails to meet a legal duty of care and causes harm.
  • Nurses must be aware of their scope of practice and adhere to standards of care and professional obligations.
  • Documentation is crucial for legal responsibilities, patient care, and reimbursement.

Documentation and Assessment

  • Documentation is crucial for legal responsibilities, patient care, and reimbursement.
  • Comprehensive patient care considers physical, emotional, social, and spiritual well-being.
  • Nurses must use appropriate documentation systems (e.g., SOAPE, DARE).
  • Critical pathways ensure consistent care for patients with specific conditions.
  • Documentation includes specific details.
  • The DARE format (Data, Action, Response, Education) is used for focused charting and documentation of patient problems.
  • The legal owner of a patient's medical record is the institution, not the patient, for inpatient treatment.
  • Nurses may be disciplined for inadequate or inappropriate documentation.
  • Documentation of care, time of care, and signatures verify interventions provided to meet patient needs.

Additional Considerations

  • Licensure and certification standards vary by location.
  • Knowledge of relevant state laws and regulations is mandatory.
  • HIPAA violations occur when patient information is improperly disclosed.
  • Documentation errors can lead to malpractice claims.
  • Documentation should accurately reflect the care provided and is important for legal purposes.
  • Quality assurance evaluates the quality of care and services provided compared to accepted standards.

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