COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS [MOST TESTED QUESTIONS] COMPLETE
STUDY GUIDE [ALL PASSED] BEST MARKING
SCHEME GRADE A+
State nurse practice act does what
The Nurse Practice Act contains the regulations that mandate the
educational requirements, responsibilities, and the scope of practice for
nurse practitioners
State board of nursing is what?
BON is a formal governmental agency that has the statutory authority to
regulate nursing practice. The BON has the legal authority to license,
monitor, and to discipline nurses. The BON is also authorized to revoke
a nurse's license (after formal hearings)
Fidelity means what?
Dedication and loyalty to one's patient, keeping one's promise.
Justice means what?
a. All people are to be treated in the same equitable manner
regardless of socioeconomic sta.tns, ethnicity, sexual ori€ntation,
diagnosis or other personal characteristics . Lack of bias and equitable
distribution of resources.
beneficence
The obligation to help people inneed, promote good; acting inthe patient
best interest
autonomy
,: The right of the competent person to choose a personal plan of life and
action by exercising the rights of self-determination, independence and
freedom
utilitarianism
Defined as allocation of healthcare resources so that the best is done for
the greatest number of people
What is veracity?
The provider should be honest and give full disclosure to the patient,
abstain from misrepresentation or deception, and report known lapses of
the standards of care to the proper agencies
nonmalfiecence
Do no harm
What is incidence?
The number of newly diagnosed cases of a disease
prevalence means what
The number of people in a population with a specific disease or
condition at a given time, usually expressed as a ratio of the number of
affected people to the total populatio
prescriptive authority
protocol usually contains the list of drugs (by name, by class, or by
condition) that the NP is allowed to prescribe.
Risk management
Is a systematic organizational process to identify risky practices to
minimize adverse patient outcomes and corporative liability. For
example medication errors, hospital-acquired infections,patient
identification problems1and falls.
Systematic review
Highest level on pyramid
least common
ask a question
comprehensive review of studies
make recommendations based on well done studies
(randomized controlled trials, experimental and quantitative studies)
critically appraised individual articles
,Authors of individual articles evaluate and synopsize individual research
studies.
randomized control trials
easiest to find to support systematic reviews example is (neonatal
infection control)
Evidence synthesis (critically appraised topics) is what?
authors evaluate and synthesize multiple research studies. Critically-
appraised topics are like short systematic reviews focused on a particular
topic.
cohort study is what
a longitudinal
observational study
analyze a characteristic of a group over a long period of time
case study defined as
is a research method involving a detailed investigation of a single
individual or a single organized group.
background information/expert opinion
necessarily backed by research studies. They include point-of-care
resources, textbooks, conference proceedings
paternalism defined as
Healthcare professionals make decisions about diagnosis, therapy, and
prognosis for the patient. Based upon the health care professional's
belief about what is
in the best interest of the patient, he/she chooses to reveal or withhold
patient information
What is ethical relativism
This theory holds that morality is relative to the norms of one's
culture. Example: An example, often used, is female genital
circumcision. One side calls it female
genital mutilation. Another group may consider this an appropriate
cultural rite of
passage. The ethical issue discussed—is this a cultural issue or human
rights issue?
feminist theory
, This theory supports ethical relativism in that it does not support
universal acts. Feminist theory requires examination of context of the
situation in order to
come to a moral conclusion.
What is deontology?
This theory judges the morality of an action based on the action's
adherence
to rules. Whether an action is ethical depends on the intentions behind
the decisions
rather than the outcomes that result. does not look primarily at
consequences of actions, but examines a situation
for the essential moral worth of the intention of act, or rightness or
wrongness of the act
First NP program
was ajoint effort between Henry K. Silver, a pediatrician, and Loretta C.
Ford, then a nursing professor, at the University of Colorado in 1965. · .
Elements of Malpractice
1. The NP owed the plaintiff a duty.
2. The NP's conduct fell below the standard of care.
3. The NP's conduct caused injury. 4. The plaintiff was injured. ·
Gross negligence
- for a professional, is the intentional failure to perform a professional
duty in reckless djsregard of t.he consequences.
malpractice
.- is the failure of a professional to exercise that degree of skill and
learning commonly applied by the average prudent, reputable member of
the profession
negligence
is failure to take the care that a responsible person usually takes : lack of
normal care or attention
CHF s/s
Cyanosis, pallor, SOB supine and on exertion, weight gain, fluid
retention, and wheezing
CHF treatment
oxygen and fluid reduction using diuretics, anxiety and BP reduction