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?
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?
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:
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?
Signup and view all the answers
How does an interdisciplinary approach to patient treatment enhance care?
How does an interdisciplinary approach to patient treatment enhance care?
Signup and view all the answers
How may a newly licensed LPN/LVN practice?
How may a newly licensed LPN/LVN practice?
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?
Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion?
Signup and view all the answers
What document identifies the roles and responsibilities of the LPN/LVN?
What document identifies the roles and responsibilities of the LPN/LVN?
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?
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?
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?
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?
Signup and view all the answers
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:
Signup and view all the answers
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?
Signup and view all the answers
What is the purpose of licensing laws for LPN/LVNs?
What is the purpose of licensing laws for LPN/LVNs?
Signup and view all the answers
What premise is Maslow's hierarchy of needs based on?
What premise is Maslow's hierarchy of needs based on?
Signup and view all the answers
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?
Signup and view all the answers
What organization, established during World War II, provided nursing education and training?
What organization, established during World War II, provided nursing education and training?
Signup and view all the answers
Where did Florence Nightingale's original nursing education take place?
Where did Florence Nightingale's original nursing education take place?
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?
What system of comprehensive patient care considers the physical, emotional, and social environment and spiritual needs of a person?
Signup and view all the answers
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?
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?
What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?
Signup and view all the answers
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?
Signup and view all the answers
What is the wellness/illness continuum defined as?
What is the wellness/illness continuum defined as?
Signup and view all the answers
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?
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.)
Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.)
Signup and view all the answers
During early civilization, what did medicine men perform?
During early civilization, what did medicine men perform?
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?
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?
Signup and view all the answers
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?
Signup and view all the answers
Who founded the National Federation of Licensed Practical Nurses (NFLPN)?
Who founded the National Federation of Licensed Practical Nurses (NFLPN)?
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?
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?
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?
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
Signup and view all the answers
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?
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:
A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:
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?
Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?
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?
The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
Signup and view all the answers
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?
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?
An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
Signup and view all the answers
What is the best way for a nurse to avoid a lawsuit?
What is the best way for a nurse to avoid a lawsuit?
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?
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?
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?
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?
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?
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
Signup and view all the answers
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?
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?
When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?
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?
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?
Signup and view all the answers
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?
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?
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?
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?
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
Signup and view all the answers
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)?
Signup and view all the answers
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?
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:
A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
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?
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?
Signup and view all the answers
What is true about nurse practice acts?
What is true about nurse practice acts?
Signup and view all the answers
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.)
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.)
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.)
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.)
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.)
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...
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...
Signup and view all the answers
Acts whose performance is required, permitted, or prohibited are defined by...
Acts whose performance is required, permitted, or prohibited are defined by...
Signup and view all the answers
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?
Signup and view all the answers
Why is documentation especially significant in managed care?
Why is documentation especially significant in managed care?
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?
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
Signup and view all the answers
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?
Signup and view all the answers
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?
Signup and view all the answers
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.
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.
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 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).
- 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.
Additional Considerations
- Licensure and certification standards vary by location.
- Knowledge of relevant state laws and regulations is mandatory.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the fundamentals of nursing as covered in Chapter 1. This quiz explores topics like healthcare delivery systems, care planning, and the differences between approved and accredited nursing programs. It is essential for nursing students aiming for a comprehensive understanding of essential concepts in their education.
