Nursing Fundamentals Quiz Chapter 1

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Questions and Answers

What is the one of focuses of QSEN?

  • Quality improvement (correct)
  • Regenerative care
  • Interpersonal competencies
  • Promoting health

Which defines the legal scope of nursing practice?

  • American Nurses Association
  • National League for Nurses
  • Nurse Practice Acts (correct)
  • National Student Nurses Association

What is a significant trend in nursing according to NLN?

  • Reduced need for interdisciplinary education
  • Increasing complexity of patient care (correct)
  • Less need for managed care
  • Decreasing diversity

Which competency is included in the 4 blended competencies for nurses?

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

What type of care includes end-of-life care and palliative care?

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

What is a key role of Nurse Practice Acts?

<p>Defining important terms and activities in nursing (B)</p> Signup and view all the answers

What is the primary role of the nurse in promoting wellness?

<p>Integrating multiple roles to prevent illness and restore health (D)</p> Signup and view all the answers

Which of the following is NOT a key role of the nurse as a communicator?

<p>Conducting research to increase knowledge in nursing (B)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a counselor?

<p>To facilitate the patient's problem-solving and decision-making skills (C)</p> Signup and view all the answers

Which of the following best describes the nurse's role as a leader?

<p>Assertive and self-confident practice when providing care (C)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as an advocate?

<p>To protect the patient's human or legal rights and secure care for them (A)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a collaborator?

<p>To use skills in organization, communication, and advocacy to facilitate the functions of all members of the healthcare team as they provide patient care (D)</p> Signup and view all the answers

___the provision of care to patients that combines both the art and the science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs. The nurse integrates the roles of communicator, teacher, consular, leader, researcher, advocate, and collaborator to promote wellness through activities to prevent illness, restore health, and facilitate coping with disability or death.

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

___the use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings.

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

___the use of communication skills to assess, implement and evaluate individualized teaching plans to meet learning needs of patients and their families.

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

Which of the following is NOT one of the 4 blended competencies for nurses?

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

What is the primary focus of the QSEN competencies for nursing education?

<p>Patient-centered care (D)</p> Signup and view all the answers

What is the primary purpose of Nurse Practice Acts?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT one of the 4 aims of nursing?

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

Which of the following is NOT a key national nursing organization?

<p>American Medical Association (A)</p> Signup and view all the answers

Which of the following is considered a significant trend in nursing according to the NLN?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following best describes the primary focus of regenerative/restorative care?

<p>Delivering critical/trauma care and treatment for physiologically unstable patients (B)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a collaborator?

<p>To facilitate the functions of all members of the healthcare team as they provide patient care (B)</p> Signup and view all the answers

Which of the following is a key trend in nursing education and practice according to the NLN?

<p>The growing need for interdisciplinary education and collaborative practice (D)</p> Signup and view all the answers

What is the primary role of the nurse in promoting wellness?

<p>Promoting physical and mental health in all patients and managing minor-acute care needs (A)</p> Signup and view all the answers

Which of the following best describes the nurse's role as a leader?

<p>The assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups (A)</p> Signup and view all the answers

Which type of care includes end-of-life care as well as palliative and supportive care for individuals requiring extended care or with complex, chronic disease states?

<p>Hospice/palliative care (D)</p> Signup and view all the answers

What is the primary focus of regenerative/restorative care?

<p>Critical/trauma care, complex acute care, and treatment of physiologically unstable patients (A)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a counselor?

<p>Provide information and facilitate patient's problem solving and decision making skills (B)</p> Signup and view all the answers

Which of the following is a key trend in nursing education and practice according to the NLN?

<p>Transition to a more holistic, patient-centered approach (C)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as an advocate?

<p>Protect human or legal rights and secure care for all patients (D)</p> Signup and view all the answers

What is the primary focus of the QSEN competencies for nursing education?

<p>Improve quality and safety in nursing practice (B)</p> Signup and view all the answers

Which of the following is NOT one of the 4 blended competencies for nurses?

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

What are the four blended competencies that nurses must possess according to the text?

<p>Cognitive, technical, interpersonal, and ethical/legal (A)</p> Signup and view all the answers

Which of the following is NOT considered one of the four aims of nursing according to the text?

<p>Facilitate research and development (B)</p> Signup and view all the answers

What is the primary purpose of Nurse Practice Acts according to the text?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT considered a key national nursing organization according to the text?

<p>American Medical Association (A)</p> Signup and view all the answers

Which of the following is considered a significant trend in nursing education and practice according to the NLN?

<p>The shift to population-based care and the increasing complexity of patient care (A)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a researcher?

<p>To increase knowledge in nursing and improve patient care (C)</p> Signup and view all the answers

Which of the following best describes the nurse's role as a leader?

<p>The assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups (C)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as an advocate?

<p>To protect human or legal rights and secure care for all patients based on the belief that patients have the right to make informed decisions about their own health and lives (A)</p> Signup and view all the answers

What is the primary focus of the nurse's role as a counselor?

<p>The use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the patient's problem solving and decision making skills (B)</p> Signup and view all the answers

What is the primary purpose of the nurse's role as a collaborator?

<p>The effective use of skills in organization, communication, and advocacy to facilitate the functions of all members of the healthcare team as they provide patient care (B)</p> Signup and view all the answers

What is the primary focus of the nurse's role in promoting wellness?

<p>Wellness, Disease Prevention- Promotion of physical and mental health in all patients as well as management of minor-acute and intermittent care needs of a generally healthy patient (C)</p> Signup and view all the answers

Which of the following is a key factor that can contribute to secondary traumatic stress in healthcare workers?

<p>Frequent exposure to patients experiencing distress and trauma (B)</p> Signup and view all the answers

What is a characteristic of burnout that distinguishes it from secondary traumatic stress?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a key contributor to the high rates of burnout among healthcare professionals prior to the COVID-19 pandemic?

<p>The healthcare industry's historical struggle with addressing burnout (C)</p> Signup and view all the answers

What is the primary difference between secondary traumatic stress and compassion fatigue?

<p>Compassion fatigue is characterized by a blend of secondary traumatic stress and burnout, while secondary traumatic stress is a distinct phenomenon. (D)</p> Signup and view all the answers

What is a key historical trend that has contributed to the high rates of burnout among healthcare professionals?

<p>The increasing emphasis on patient-centered care and shared decision-making (B)</p> Signup and view all the answers

Which of the following is a key strategy for addressing the high rates of burnout among healthcare professionals?

<p>Implementing organizational policies and programs to support the mental health and well-being of healthcare workers (A)</p> Signup and view all the answers

What is the primary focus of patient-centered care?

<p>Emphasizing the importance of considering patients' needs, preferences, and values (B)</p> Signup and view all the answers

Which of the following is NOT an effective intervention to prevent secondary trauma, burnout, and compassion fatigue among healthcare professionals?

<p>Encouraging healthcare professionals to suppress their emotions (D)</p> Signup and view all the answers

What is the historical focus in healthcare that patient-centered approaches have shifted away from?

<p>Treating diseases rather than the individual (D)</p> Signup and view all the answers

Which of the following is NOT a potential negative impact of compassion fatigue among healthcare workers?

<p>Improving organizational performance (B)</p> Signup and view all the answers

What is the primary goal of addressing secondary traumatic stress, burnout, and compassion fatigue in healthcare settings?

<p>Both enhancing provider satisfaction and improving patient outcomes (C)</p> Signup and view all the answers

Which of the following is NOT a strategy mentioned in the text to promote resiliency and reduce the negative impacts of working with individuals who have experienced trauma?

<p>Implementing mandatory overtime for healthcare professionals (C)</p> Signup and view all the answers

Flashcards

Secondary Traumatic Stress (STS)

A state where individuals experience emotional and cognitive distress from indirect exposure to traumatic events through their work.

Burnout

A state of mental and physical exhaustion caused by prolonged exposure to stressors, characterized by feelings of frustration, hopelessness, and detachment from work.

Compassion Fatigue (CF)

A combination of secondary traumatic stress and burnout, characterized by physical and emotional symptoms like apathy, cynicism, decreased empathy, and job dissatisfaction.

Patient-Centered Care

An approach to healthcare that emphasizes the individual's needs, preferences, and values throughout their care journey.

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Interventions for Well-Being

Strategies aimed at preventing secondary trauma, burnout, and compassion fatigue in healthcare professionals.

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QSEN (Quality and Safety Education for Nurses)

An organization focused on developing and promoting quality and safety education for nurses.

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Cognitive Competency (Nursing)

The ability to apply knowledge and skills to clinical practice, demonstrating a deep understanding of the subject matter.

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Technical Competency (Nursing)

The ability to perform technical procedures and tasks competently, including using equipment and instruments.

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Interpersonal Competency (Nursing)

The ability to communicate effectively with patients, families, colleagues, and other members of the healthcare team.

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Ethical/Legal Competency (Nursing)

The ability to act ethically and legally, respecting patient rights and adhering to professional standards.

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Aims of Nursing Practice

The primary goals of nursing practice, focusing on promoting health, preventing illness, restoring health, and facilitating coping with disability or death.

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Roles of Nurses

The various roles nurses embody to promote patient well-being, including communicator, teacher, counselor, leader, researcher, advocate, and collaborator.

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Nurse Practice Acts

The legal framework that defines the scope of nursing practice, sets standards for education and licensure, and establishes a board to regulate the profession.

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American Nurses Association (ANA)

A non-profit organization representing the interests of registered nurses, advocating for safe and ethical nursing practice.

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National League for Nursing (NLN)

An organization focused on promoting nursing education, including accreditation and certification.

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American Association of Colleges of Nursing (AACN)

An organization dedicated to advancing nursing education, scholarship, and research.

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American Academy of Nursing (AAN)

An organization recognizing and supporting nurses who demonstrate exceptional achievements in nursing practice, policy, and leadership.

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National Student Nurses' Association (NSNA)

A student-led organization that represents the interests of nursing students.

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Trauma & Distress on Healthcare Workers

The emotional and physical toll that healthcare professionals experience from working with patients experiencing trauma and distress.

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Compassion Fatigue's Impact on Patient Care

The impact of compassion fatigue on patient care, including potential for decreased empathy, apathy, and job dissatisfaction.

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Factors Contributing to Burnout in Healthcare

The factors contributing to the high prevalence of burnout in healthcare, such as demanding work environments and long working hours.

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Impact of Pandemic on Burnout and Compassion Fatigue

How the COVID-19 pandemic exacerbated existing issues of burnout and compassion fatigue in healthcare.

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Evidence-Based Interventions for Burnout and Compassion Fatigue

Examples of evidence-based interventions that can help reduce burnout, such as stress management techniques and peer support groups.

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Resilience in Healthcare

The role of resilience in mitigating the negative impacts of trauma and stress on healthcare professionals.

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Promoting Positive Aspects of Caring for Trauma Survivors

The importance of cultivating a positive outlook and finding joy in working with individuals who have experienced trauma.

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Benefits of Patient-Centered Care

The importance of patient-centered care in promoting better patient outcomes and enhancing provider satisfaction.

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Integration of Nursing Roles

The ways in which nurses integrate diverse roles to provide comprehensive patient care, such as communicator, teacher, counselor, leader, researcher, advocate, and collaborator.

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Responsibilities of Nurses

The responsibilities of nurses in providing patient-centered care, managing chronic diseases, and promoting physical and mental health.

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Importance of Addressing Burnout and Compassion Fatigue

The importance of addressing burnout and compassion fatigue to ensure the well-being of healthcare professionals and the quality of patient care.

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Study Notes

Healthcare Professions and Well-Being

  • Working in the healthcare industry can be both rewarding and challenging, leading to the development of secondary traumatic stress, compassion fatigue, and burnout.

Understanding Secondary Trauma

  • Secondary traumatic stress (STS) occurs when individuals are indirectly exposed to traumatic events through their work, causing a range of emotional and cognitive responses.
  • Healthcare workers, such as physicians and nurses, are at a high risk of developing STS due to their proximity to patients experiencing distress and trauma.

Addressing Burnout

  • Burnout is a state of mental and physical exhaustion characterized by feelings of frustration, hopelessness, and psychological detachment from work.
  • The healthcare industry has historically struggled with burnout, with rates reaching up to 54% among physicians and 45% among nurses prior to the COVID-19 pandemic.
  • The pandemic has intensified these issues, further highlighting the importance of addressing burnout within the healthcare workplace.

Compassion Fatigue and Its Impact

  • Compassion fatigue (CF) is a blend of secondary traumatic stress and burnout, characterized by physical and emotional symptoms such as apathy, cynicism, decreased empathy, and job dissatisfaction.
  • The prevalence of compassion fatigue among healthcare workers can negatively affect patient care, relationships with colleagues, and overall organizational performance.

History of Patient-Centered Care

  • The concept of patient-centered care has evolved over time, emphasizing the importance of considering patients' needs, preferences, and values throughout their care journey.
  • Historically, the focus in healthcare has been on treating diseases rather than the individual, but patient-centered approaches have shifted the emphasis towards personalized care that promotes better patient outcomes and enhances provider satisfaction.

Preventing Secondary Trauma, Burnout, and Compassion Fatigue

  • Implementing evidence-based interventions such as stress management strategies, peer support groups, and professional counseling services can help prevent secondary trauma, burnout, and compassion fatigue.
  • Cultivating resiliency and promoting positive aspects of working with individuals who have experienced trauma can also contribute to reducing the negative impacts on providers' well-being.

QSEN and Nursing Competencies

  • QSEN (Quality and Safety Education for Nurses) focuses on six competencies: patient-centered care, teamwork and collaboration, quality improvement, safety, evidence-based practice, and informatics.
  • Four blended competencies in nursing are: cognitive, technical, interpersonal, and ethical/legal.
  • The four aims of nursing are: promote health, prevent illness, restore health, and facilitate coping with disability or death.

Nursing Roles and Responsibilities

  • The nurse integrates various roles such as communicator, teacher, counselor, leader, researcher, advocate, and collaborator to promote wellness and patient care.
  • Nurses are responsible for providing patient-centered care, managing chronic diseases, and promoting physical and mental health.

National Nursing Organizations and Nurse Practice Acts

  • National nursing organizations include: American Nurses Association, National League for Nurses, American Association of College of Nursing, American Academy of Nursing, and National Student Nurses Association.
  • Nurse Practice Acts define the legal scope of nursing practice, create a state board of nursing, and establish criteria for education and licensure of nurses.

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