Nursing Program Certification and Patient Care

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Questions and Answers

Which of the following delivery methods allows for the LPN/LVN to work with the RN to meet the needs of patients in a cost-effective manner?

  • Case management (correct)
  • Primary nursing
  • Focused nursing
  • Team nursing

What document, published by the American Hospital Association in 1972, outlines patients' right to dignity and compassionate treatment?

  • Code of Ethics
  • OBRA
  • Patient's Bill of Rights (correct)
  • Advance directives

Which of the following is NOT a cost-effective method of care delivery that allows for collaboration between LPN/LVNs and RNs?

  • Team nursing (correct)
  • Case management
  • Focused nursing (correct)
  • Primary nursing (correct)

Which of the following outlines patient expectations for respectful and dignified treatment?

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

Which of the following is NOT a core element that informs nursing models?

<p>Health care provider's orders (D)</p> Signup and view all the answers

Which care delivery system focuses on reducing the number of employees while maintaining quality patient care?

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

Which of the following is NOT a method used to deliver high-quality patient care?

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

The relationship among nursing, patients, health, and the environment are foundational to which of the following?

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

What is the correct procedure for correcting an error in a patient's chart?

<p>Draw a single line through the error, write &quot;error&quot; above it, and sign your initials. (B)</p> Signup and view all the answers

Which of the following actions should a nurse avoid when documenting in a patient's chart?

<p>Including speculative information. (C), Leaving blank spaces in the notes. (D)</p> Signup and view all the answers

What is the purpose of the SBAR communication method?

<p>To improve communication between healthcare providers and reduce errors. (C)</p> Signup and view all the answers

Which of the following is NOT a component of the SBAR communication method?

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

What is the primary reason why a nurse should avoid writing retaliatory comments in a patient's chart?

<p>It can lead to legal action by the patient. (A), It can affect the quality of care the patient receives. (B), It can create a hostile work environment. (C), It can damage the reputation of the healthcare facility. (D)</p> Signup and view all the answers

Which of the following is the best way to ensure that documentation in a patient's chart is accurate and complete?

<p>Review the chart before making an entry to ensure consistency. (A)</p> Signup and view all the answers

Why is it important for nurses to chart consecutively in a patient's chart?

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

What is the purpose of "hand-off" or "handover" communication in healthcare?

<p>To transfer patient care responsibilities between healthcare providers. (C)</p> Signup and view all the answers

What was the primary belief behind primitive medical interventions?

<p>Illness was caused by the presence of evil spirits. (C)</p> Signup and view all the answers

Who performed witchcraft and rituals to expel evil spirits from ailing individuals during early civilizations?

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

How often does the National Council of State Boards of Nursing conduct job analysis to determine the scope of practice for LPN/LVNs?

<p>Every three years (A)</p> Signup and view all the answers

What was the name given to graduates of the first school for training practical nurses?

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

What was the primary goal of primitive medical interventions?

<p>To expel evil spirits from the body. (B)</p> Signup and view all the answers

Which of the following practices would most likely have been employed in primitive medical interventions?

<p>Using herbs and poultices. (A)</p> Signup and view all the answers

What organization is responsible for conducting job analysis for LPN/LVNs?

<p>National Council of State Boards of Nursing (C)</p> Signup and view all the answers

Which of the following is a key difference between early medical practices and modern medicine?

<p>Recognition of the role of bacteria in disease. (D)</p> Signup and view all the answers

What was the primary focus of training at the Ballard School?

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

In which year was the National Federation of Licensed Practical Nurses (NFLPN) established?

<p>1949 (D)</p> Signup and view all the answers

What term is used for graduates of the Ballard School program?

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

Which document marks the initial step in a legal action involving a nurse?

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

What type of members does the NFLPN officially represent?

<p>Licensed practical nurses and licensed vocational nurses (A)</p> Signup and view all the answers

Which of the following is NOT a focus of the Ballard School's training?

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

What does a summons notify the defendant of?

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

What is the role of a deposition in a legal context?

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

What is the term for integrated care plans developed by staff from various disciplines for patients of a specific case type?

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

What is a unique feature of home health care documentation?

<p>Different healthcare providers need access (C)</p> Signup and view all the answers

Which legislation regulates standards for long-term care documentation?

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

What is the primary requirement for a nurse to comply with the concept of confidentiality regarding a patient's medical record?

<p>Have a clinical reason for reading the record (D)</p> Signup and view all the answers

Which option is NOT a benefit of critical pathways in healthcare?

<p>Reduces individual accountability (A)</p> Signup and view all the answers

What does OBRA stand for in the context of healthcare documentation?

<p>Omnibus Budget Reconciliation Act (A)</p> Signup and view all the answers

How does the collaborative nature of critical pathways affect patient care?

<p>Improves treatment outcomes (B)</p> Signup and view all the answers

Why is it crucial for different healthcare providers to access home health care documentation?

<p>To ensure continuity of care (D)</p> Signup and view all the answers

What is meant by the doctrine of informed consent in healthcare?

<p>Full disclosure of essential facts for decision making (A)</p> Signup and view all the answers

What ethical responsibility does a nurse fulfill by protecting patient information?

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

In the case of suspected elder abuse, what is the nurse's best immediate action?

<p>Report the incident to the charge nurse (D)</p> Signup and view all the answers

Why are certain disclosures about patient information legally allowed?

<p>They are part of mandated reporting laws (B)</p> Signup and view all the answers

To avoid potential lawsuits, what is the best strategy for a nurse?

<p>Provide care with a focus on empathy and skill (D)</p> Signup and view all the answers

Which of the following is NOT true regarding the information in a patient's chart?

<p>It is considered public information (A)</p> Signup and view all the answers

What must a nurse do if they suspect a patient is a victim of elder abuse?

<p>File an immediate report with appropriate authorities (D)</p> Signup and view all the answers

What is the primary goal of obtaining informed consent?

<p>To ensure patients fully understand the risks and benefits of a procedure (A)</p> Signup and view all the answers

Flashcards

Case Management

A cost-effective method of patient care delivery that involves LPNs/LVNs working with RNs.

Patient’s Bill of Rights

A document outlining patients' expectations for dignity and compassion in treatment.

Nursing Models

Theories that explain the relationships among nursing, patients, health, and the environment.

Cross-Training

A system that allows fewer employees to provide quality patient care by training in multiple roles.

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Focused Nursing

A nursing approach concentrating on specific patient needs but not as cost-effective.

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Team Nursing

A method where a team of nurses works together to provide patient care, usually less efficient than case management.

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Primary Nursing

A nursing model where one nurse is accountable for a patient's care plan throughout their stay.

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Critical Pathways

Treatment protocols that standardize patient care to improve efficiency and outcomes.

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Home Health Care Documentation

Documentation that requires access from different healthcare providers.

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OBRA

Legislation that regulates standards for long-term care documentation.

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Confidentiality in Nursing

Nurses must have a clinical reason to access patient records.

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Integrated Care Plans

Collaborative plans among various disciplines for patient care.

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Charting in Home Health Care

Unique due to the access needed by various healthcare workers.

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Pivotal Person in Charting

Healthcare provider who oversees patient documentation in home care.

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Long-Term Care Standards

Standards regulated by OBRA for documentation in long-term care.

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Ballard School

A three-month program training students for chronic care.

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Attendant Nurses

Graduates from the Ballard School trained in home care.

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NFLPN

National Federation of Licensed Practical Nurses established in 1949.

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Licensed Practical Nurses (LPN)

Nurses providing basic medical care; members of NFLPN.

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Litigation First Step

The first document filed in court is a complaint.

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Complaint Document

A legal document that starts a lawsuit or action.

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Deposition

A process where witnesses are questioned under oath.

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Summons

A court order notifying the defendant of a legal action.

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Cause of Illness (Primitive Belief)

Illness was believed to be caused by evil spirits inhabiting the body.

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Role of Medicine Men

Medicine men performed rituals to expel bad spirits from the sick.

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NCSBN Job Analysis Frequency

The NCSBN conducts a job analysis every 3 years for LPN/LVNs' scope of practice.

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First Practical Nurse School

The first school for practical nurse training was established in Brooklyn in 1892.

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Term for Early Nurses

Graduates of the first practical nurse school were called attendants.

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Ancient Health Interventions

Medical practices in early civilization relied on driving out evil spirits.

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Nightingale's School

Florence Nightingale established a groundbreaking nursing school, influencing modern nursing education.

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Health Beliefs

Early civilizations believed illness was connected to spiritual influences.

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Error Documentation

When documenting errors, draw a line through them and note 'error'.

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Consecutive Charting

Charting should be done continuously, line by line, without leaving spaces.

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SBAR Communication

A method of communication: Situation, Background, Assessment, Recommendation.

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Patient Safety Goals

Objectives established to minimize errors in patient care and improve safety.

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Documentation Standards

Guidelines for documenting patient care to ensure clarity and accuracy.

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Critical Comments

Nurses should avoid adding retaliatory or critical remarks in charts.

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Error Correction Process

Draw a line through an error, note 'error', and initial it.

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Fact vs. Speculation

Entries should be factual, avoiding guesses or assumptions about patient care.

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Informed Consent

The patient's right to full disclosure before treatment.

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Confidentiality

The ethical duty to protect patient information from unauthorized disclosure.

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Mandated Reporting

Requirement for healthcare providers to report suspected abuse to authorities.

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Elder Abuse

Mistreatment of older adults, suspected if unexplained injuries appear.

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Nursing Ethical Responsibility

Duties nurses hold to ensure patient welfare and legal adherence.

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Documentation in Nursing

Maintaining accurate patient records for care and legal protection.

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Malpractice Insurance

Coverage for nurses to protect against lawsuits for negligence.

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Patient Care Competence

Providing skilled and compassionate care to avoid legal issues.

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Study Notes

Nursing Program Certification

  • Approved programs are certified by state agencies for meeting minimum standards
  • Accredited programs are certified by the NLN for meeting more complex standards
  • Provisional and exemplified are not terms used in nursing program certification

Health Care Delivery System

  • The major goal of the healthcare delivery system is to achieve optimal levels of health care
  • Complex system encompassing agencies, facilities, and providers in a specific geographic area
  • Insurance companies play a role

Patient Needs Identification

  • An individualized care plan is needed to identify patient needs and design care
  • This plan involves all healthcare workers
  • Kardex, health care provider's order sheet, and nurse's notes are not sufficient for complete care planning

Wellness Emphasis

  • Patient care is increasingly focused on wellness rather than illness
  • Growing awareness of preventive medicine is driving this shift
  • Increased education about illnesses like heart disease and drug abuse is key

Effective Care Plan Implementation

  • Effective care plans are ensured through clear communication between healthcare team members
  • This crucial aspect needs constant evaluation and modification

Interdisciplinary Approach

  • Interdisciplinary care prevents fragmented care amongst healthcare professionals.
  • This unified approach is essential for coordinated and holistic patient care.
  • This collaborative work-style improves care delivery but does not reduce the number of caregivers or shorten hospital stays.

LPN/LVN Practice

  • LPN/LVNs work under the supervision of RNs or other qualified healthcare providers
  • They cannot practice independently in all settings (e.g., hospital settings).

Florence Nightingale's Impact

  • Florence Nightingale's influence on 19th-century nursing practices revolved around patient environment improvement for health promotion
  • She advocated for sanitary conditions

LPN/LVN Roles and Responsibilities

  • Nurse Practice acts (NPA) outline the roles and responsibilities of LPNs/LVNs
  • The NPA is the legal basis for the LPN/LVNs practice area

Patient's Expectations and Rights

  • The Patient's Bill of Rights articulates patient expectations in healthcare
  • This document emphasizes the need for compassion and dignity in treatments.

Nursing Models & Theories

  • Nursing models provide the theoretical basis for understanding relationships between nursing, patients, health, and environment
  • These models are integral parts of the development of care plans and care processes

Licensing Laws

  • Laws for LPNs/LVNs protect the public's health interests by preventing the practice of unqualified individuals

Maslow's Hierarchy of Needs

  • Prioritizing basic needs is fundamental to care: physiological first, followed by safety, belongingness, esteem, and self-actualization
  • Meeting basic needs are prerequisites to fulfilling higher-level psychological needs

Environmental Factors in Patient Care

  • Patient care should consider physical, social, and environmental elements impacting the health and well-being
  • The interaction between different elements of the healthcare environment must be considered

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