Podcast
Questions and Answers
Which of the following must the nurse recognize regarding the health care delivery system?
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?
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:
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?
What is the most effective process to ensure that the care plan is meeting the needs of the patient?
How does an interdisciplinary approach to patient treatment enhance care?
How does an interdisciplinary approach to patient treatment enhance care?
How may a newly licensed LPN/LVN practice?
How may a newly licensed LPN/LVN practice?
Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion?
Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion?
What document identifies the roles and responsibilities of the LPN/LVN?
What document identifies the roles and responsibilities of the LPN/LVN?
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?
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?
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?
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?
The relationships among nursing, patients, health, and the environment are the basis for:
The relationships among nursing, patients, health, and the environment are the basis for:
What system reduces the number of employees but still provides quality care for patients?
What system reduces the number of employees but still provides quality care for patients?
What is the purpose of licensing laws for LPN/LVNs?
What is the purpose of licensing laws for LPN/LVNs?
What premise is Maslow's hierarchy of needs based on?
What premise is Maslow's hierarchy of needs based on?
What must the nurse realize when assessing physical and social environmental factors affecting health and illness?
What must the nurse realize when assessing physical and social environmental factors affecting health and illness?
What organization, established during World War II, provided nursing education and training?
What organization, established during World War II, provided nursing education and training?
Where did Florence Nightingale's original nursing education take place?
Where did Florence Nightingale's original nursing education take place?
What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person?
What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person?
What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?
What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?
What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?
What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?
What document, published in 1965 by the ANA, clearly defined two levels of nursing practice?
What document, published in 1965 by the ANA, clearly defined two levels of nursing practice?
What is the wellness/illness continuum defined as?
What is the wellness/illness continuum defined as?
According to Maslow's hierarchy of needs, what is an individual's most basic need?
According to Maslow's hierarchy of needs, what is an individual's most basic need?
Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.)
Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.)
During early civilization, what did medicine men perform?
During early civilization, what did medicine men perform?
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?
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?
Graduates of the first school for training the practical nurse were referred to as what?
Graduates of the first school for training the practical nurse were referred to as what?
Who founded the National Federation of Licensed Practical Nurses (NFLPN)?
Who founded the National Federation of Licensed Practical Nurses (NFLPN)?
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?
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?
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
What are the universal guidelines that define appropriate measures for all nursing interventions?
What are the universal guidelines that define appropriate measures for all nursing interventions?
A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:
A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:
Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?
Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?
The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
When a nurse protects the information in a patient's record, what ethical responsibility is the nurse fulfilling?
When a nurse protects the information in a patient's record, what ethical responsibility is the nurse fulfilling?
An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
What is the best way for a nurse to avoid a lawsuit?
What is the best way for a nurse to avoid a lawsuit?
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?
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?
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?
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?
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
What role is the nurse who diligently works for the protection of patients' interests playing?
What role is the nurse who diligently works for the protection of patients' interests playing?
When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?
When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?
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?
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?
What fundamental principle must the nurse first observe when confronted with an ethical decision?
What fundamental principle must the nurse first observe when confronted with an ethical decision?
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?
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?
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
Which of the following could cause a nurse to be cited for malpractice?
Which of the following could cause a nurse to be cited for malpractice?
A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
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?
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?
What is true about nurse practice acts?
What is true about nurse practice acts?
How can the medical record be used in litigation? (Select all that apply.)
How can the medical record be used in litigation? (Select all that apply.)
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.)
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.)
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.)
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.)
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...
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...
Acts whose performance is required, permitted, or prohibited are defined by...
Acts whose performance is required, permitted, or prohibited are defined by...
What does documentation of type of care, time of care, and signature of the person prove?
What does documentation of type of care, time of care, and signature of the person prove?
Why is documentation especially significant in managed care?
Why is documentation especially significant in managed care?
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
What form explains the lapse when events are not consistent with facility or national standards of expected care?
What form explains the lapse when events are not consistent with facility or national standards of expected care?
In focus charting, instead of using the problem list what is used as an index?
In focus charting, instead of using the problem list what is used as an index?
The National Council of State Boards of Nursing (NCSBN) performs a job analysis every ______ years to determine the scope of practice of LPN/LVNs.
The National Council of State Boards of Nursing (NCSBN) performs a job analysis every ______ years to determine the scope of practice of LPN/LVNs.
Graduates of the first school for training the practical nurse were referred to as nurses. What is this title?
Graduates of the first school for training the practical nurse were referred to as nurses. What is this title?
Who founded the National Federation of Licensed Practical Nurses (NFLPN) in 1949?
Who founded the National Federation of Licensed Practical Nurses (NFLPN) in 1949?
Flashcards
Approved Nursing Program
Approved Nursing Program
A nursing program certified by a state agency for meeting minimum standards.
Health Care Delivery System Goal
Health Care Delivery System Goal
The primary goal is to achieve optimal levels of health care.
Individualized Care Plan
Individualized Care Plan
A care plan that identifies patient needs and designs care to meet them.
Emphasis on Wellness
Emphasis on Wellness
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Interdisciplinary Approach
Interdisciplinary Approach
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Nurse Practice Act
Nurse Practice Act
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Case Management
Case Management
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Patient's Bill of Rights
Patient's Bill of Rights
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Holistic Health Care
Holistic Health Care
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Quality Assurance
Quality Assurance
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Standards of Care
Standards of Care
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Malpractice
Malpractice
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Confidentiality
Confidentiality
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Documentation in Nursing
Documentation in Nursing
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Informed Consent
Informed Consent
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Patient Advocacy
Patient Advocacy
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Incident Report
Incident Report
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Peer Review
Peer Review
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Standard Operating Procedures
Standard Operating Procedures
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Electronic Documentation
Electronic Documentation
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Patient Care Record Ownership
Patient Care Record Ownership
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Ethical Decision-Making
Ethical Decision-Making
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Scope of Practice
Scope of Practice
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Holistic Patient Assessment
Holistic Patient Assessment
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Communication in Healthcare
Communication in Healthcare
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Nursing Education Standards
Nursing Education Standards
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Accredited Nursing Program
Accredited Nursing Program
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Health Care Delivery System
Health Care Delivery System
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Emphasis on Preventive Education
Emphasis on Preventive Education
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Evaluation in Nursing
Evaluation in Nursing
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Interdisciplinary Teamwork
Interdisciplinary Teamwork
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Nurse's Roles under Practice Act
Nurse's Roles under Practice Act
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Cross-Training in Nursing
Cross-Training in Nursing
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Confidentiality in Nursing
Confidentiality in Nursing
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Informed Consent Requirement
Informed Consent Requirement
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Documentation Guidelines
Documentation Guidelines
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Incident Reporting Purpose
Incident Reporting Purpose
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Legal Ownership of Medical Records
Legal Ownership of Medical Records
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DARE Documentation Format
DARE Documentation Format
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SBAR Communication
SBAR Communication
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Reporting Elder Abuse
Reporting Elder Abuse
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Peer Review Definition
Peer Review Definition
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Malpractice Claims
Malpractice Claims
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Patient's Rights Legislation
Patient's Rights Legislation
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Documentation Importance
Documentation Importance
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Holistic Assessment Focus
Holistic Assessment Focus
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Advanced Practice Role
Advanced Practice Role
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Patient Care Record Accuracy
Patient Care Record Accuracy
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Healthcare Quality Assessment
Healthcare Quality Assessment
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Incident Reporting Form
Incident Reporting Form
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Basic Patient Rights
Basic Patient Rights
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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.
Legal and Ethical Considerations
- 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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