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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    Description

    Explore the essentials of nursing program certification, healthcare delivery systems, and patient needs identification. Understand the shift towards wellness in patient care and the importance of individualized care plans. This quiz covers key concepts that are crucial for nursing professionals.

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