Nursing Today Chapter 1
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Questions and Answers

What type of law is HIPAA considered?

  • Criminal law
  • Common law
  • Administrative law (correct)
  • Case law

    • What does the Scope and Standards of Nursing Practice define?

  • The values of the nursing profession (correct)
  • The role of doctors in patient care
  • The rights of patients
  • The hospital's policies and procedures

    • What is the primary goal of the Patient Protection and Affordable Care Act (PPACA)?

  • To improve medical research
  • To reduce healthcare costs
  • To increase the number of medical professionals
  • To provide affordable health care coverage (correct)

    • What does the Emergency Medical Treatment and Active Labor Act (EMTALA) prohibit?

    <p>The transfer of patients from private to public hospitals without appropriate screening and stabilization</p> Signup and view all the answers

    What is the main purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

    <p>To provide rights to patients and protect their health information</p> Signup and view all the answers

    What must nurses ensure under the Health Information Technology Act?

    <p>That patients' health information is protected</p> Signup and view all the answers

    What is the focus of primary health care?

    <p>Improved health outcomes for an entire population</p> Signup and view all the answers

    What type of care is provided in hospitals and intensive care facilities?

    <p>Secondary and tertiary care</p> Signup and view all the answers

    What is the purpose of health promotion programs?

    <p>To reduce the incidence of disease</p> Signup and view all the answers

    What type of care is provided in home care and rehabilitation facilities?

    <p>Restorative care</p> Signup and view all the answers

    What is the purpose of discharge planning?

    <p>To coordinate the transition from one care setting to another</p> Signup and view all the answers

    What is the purpose of respite care?

    <p>To provide short-term relief to family caregivers</p> Signup and view all the answers

    What is a key characteristic of a novice nurse according to Benner's model?

    <p>Has no nursing experience</p> Signup and view all the answers

    What is the primary focus of patient-centered care?

    <p>Providing care that is focused on the patient's needs</p> Signup and view all the answers

    What is the role of the RN in nurse delegation?

    <p>To supervise care received by the patient and reassess delegation</p> Signup and view all the answers

    What is the purpose of the American Nurses Association's (ANA) Standards of Practice?

    <p>To define the scope of professional nursing practice</p> Signup and view all the answers

    What is the primary goal of Healthy People 2030?

    <p>To provide national objectives for health promotion and disease prevention</p> Signup and view all the answers

    According to the WHO, what is the definition of health?

    <p>A state of complete physical, mental, and social well-being</p> Signup and view all the answers

    What is the primary role of critical thinking in nursing practice?

    <p>To make informed clinical decisions</p> Signup and view all the answers

    What is the hierarchy of needs developed by Maslow?

    <p>A ranking of basic human needs</p> Signup and view all the answers

    What is the final step in the nursing process?

    <p>Evaluation</p> Signup and view all the answers

    What is the characteristic of an expert nurse according to Benner's model?

    <p>Has an intuitive grasp of clinical problems</p> Signup and view all the answers

    What is an example of an external variable influencing health and health beliefs?

    <p>Food insecurity</p> Signup and view all the answers

    What is the primary focus of professional nursing practice?

    <p>Administering quality patient-centered care</p> Signup and view all the answers

    What is the focus of primary prevention?

    <p>Reducing the incidence of disease</p> Signup and view all the answers

    What is the purpose of the nursing process?

    <p>To provide a model for clinical decision making</p> Signup and view all the answers

    What is the purpose of secondary prevention?

    <p>To prevent the spread of disease, illness, or infection</p> Signup and view all the answers

    What level of prevention focuses on managing chronic illnesses?

    <p>Tertiary prevention</p> Signup and view all the answers

    What is the primary purpose of the Nurse Practice Acts?

    <p>To ensure that care is consistent with best practice within the scope and standards of nursing</p> Signup and view all the answers

    Which act provides the foundation for the national organ donation system?

    <p>Uniform Anatomical Gift Act</p> Signup and view all the answers

    What is a key element of informed consent?

    <p>Receiving an explanation of the procedure</p> Signup and view all the answers

    Which act requires health care institutions to provide written information to patients concerning their rights to make decisions about their care?

    <p>Patient Self-Determination Act</p> Signup and view all the answers

    What is the purpose of the Mental Health Parity and Addiction Equity Act?

    <p>To require health insurance companies to provide coverage for mental health and substance use disorder treatment</p> Signup and view all the answers

    Which of the following is a key element of informed consent?

    <p>Receiving a description of the serious harm, including death, that may occur and the anticipated pain and/or discomfort</p> Signup and view all the answers

    What is the primary purpose of the Americans with Disabilities Act (ADA)?

    <p>To protect the rights of people with physical or mental disabilities</p> Signup and view all the answers

    What is the primary responsibility of nurses regarding Protected Health Information (PHI)?

    <p>To protect PHI</p> Signup and view all the answers

    Study Notes

    Nursing as a Profession

    • To act professionally, nurses use critical thinking skills, administer quality patient-centered care, and are responsible and accountable.
    • Nursing influences the lives of patients, their families, and their communities.
    • Nursing requires current knowledge and practice standards, an insightful and compassionate approach, and critical thinking and clinical judgment.

    Benner's Levels of Nursing Expertise

    • Novice: Beginner nurse student with no nursing experience.
    • Advanced Beginner: Some level of experience, possibly only observational, e.g., graduate nurse.
    • Competent: A nurse with 2-3 years of experience, able to assess efficiently.
    • Proficient: A nurse with more than 2-3 years of experience, with a broader range of skills in different departments/units.
    • Expert: A nurse with diverse experience, having an intuitive grasp of an existing or potential clinical problem.

    American Nurses Association (ANA)

    • Nursing: Scope and Standards of Practice include standards of professional nursing practice, professional performance, code of ethics, and knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories.
    • Incorporates ethical and social values, professional autonomy, and a sense of commitment and community.

    ANA Standards of Practice (Nursing Process)

    • The nursing process is a model for clinical decision-making, consisting of:
      • Assessment (subjective): collects data
      • Diagnosis: analyzes assessment data to determine actual or potential diagnoses, problems, and issues
      • Outcomes Identification
      • Planning
      • Implementation
      • Evaluation

    Health Care Delivery System

    • Levels of health care delivery:
      • Preventative
      • Primary
      • Secondary
      • Tertiary
      • Restorative
      • Continuing health care
    • Integrated Health Care Delivery includes primary and preventive health care services, secondary and tertiary care, restorative care, and continuing care.

    Integrated Health Care Delivery

    • Primary and preventive health care services:
      • Focus on improved health outcomes for an entire population
      • Requires collaboration among health professionals, health care leaders, and community members
      • Includes health promotion programs to reduce disease incidence and preventive care to reduce and control risk factors
    • Secondary and tertiary care:
      • Hospitals, intensive care, mental health facilities, rural hospitals, and discharge planning
    • Restorative care:
      • Home care, rehabilitation, and extended care facilities
    • Continuing care:
      • Longer care, nursing centers or facilities, assisted living, and respite care

    Nurse Delegation

    • Nurse delegation means educating, observing, and verifying that a non-nurse can complete a specific task usually performed by a nurse.
    • The RN retains responsibility to supervise care received by the patient and to periodically reassess whether nurse delegation continues to be appropriate.

    Health and Wellness

    • Healthy People provides evidence-based, 10-year national objectives for promoting health and preventing disease.
    • Healthy People 2030 promotes a society in which all people live long, healthy lives, identifies leading health indicators, and targets high-priority health issues in the United States.

    Definition of Health

    • A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity (WHO).

    Models of Health and Illness

    • Maslow's Hierarchy of Needs: prioritizes basic human needs, including self-actualization, self-esteem, love and belonging, safety, and physiological needs.

    Variables Influencing Health and Health Beliefs and Practices

    • Internal variables: developmental stage, intellectual background, perception of functioning, emotional factors, and spiritual factors
    • External variables: family role and practices, social determinants of health, culture, and food insecurity

    Three Levels of Prevention

    • Primary prevention: reduces the incidence of disease, e.g., vaccinations, education
    • Secondary prevention: focuses on preventing the spread of disease, illness, or infection once it occurs, e.g., treatment, screening, biopsy
    • Tertiary prevention: focuses on reducing the severity of disease, e.g., rehabilitation, disability management

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    Study Guide RN 169.docx

    Description

    This quiz covers the fundamentals of nursing as a profession, including critical thinking, patient-centered care, and accountability, as well as the scope of professional nursing practice.

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