ULL NURSING 104 FINAL EXAM WITH PERFECT SOLUTION

ULL NURSING 104 FINAL EXAM WITH PERFECT SOLUTION What is the minimal grade to pass? - 77C ULL department of nursing missions statement - to seek to promote, expand & validate scientific knowledge & evidence-based practice to advance health & provide an atmosphere of scholarly inquiry, an appreciation of professional values, inter-professional collaboration & active community service What happens if you miss a test? - will receive an unexcused absence and grade 0 What is required if you are applying for your first clinical course? - File an application with the LA State Board of Nursing (LSBN) & have criminal background history using fingerprints Florence Nightingale's Theory of Practice - 1st nursing theorist; Foundation for health promotion & guidance for the practice of professional nursing Florence Nightingale's theory of practice- environmental adaptation theory - -ventilation & warming -Noise -Variety -Diet -Light -Chattering hopes & advice -cleanliness (health of houses) Jean Watson's Theory of Human Caring - -Transpersonal Caring (art of nursing)- caring amount nurses, environment, and client is essential to healing -Holistic outlook- effect and importance of altruism, sensitivity, trust, and interpersonal skills Dorothy Orem's Self-Care deficit model - -goal: restore clients self-care capability -Purposeful Nursing Intervention-Facilitates client self-care by measuring the client's deficit relative to self-care needs; Implements appropriate measures to assist the client in meeting these needs by matching them with an appropriate supportive intervention Patricia Benner's Novice to Expert - stages of clinical competence; one of the most useful frameworks for assessing nurses' needs at different stages of professional growth Patricia Benner's 5 levels of nursing experience - novice, advanced, beginner, competent, proficient, and expert what is the minimum GPA required for admission into the 200 level nursing course? - 2.8 Students who earn a D or F in 2 or more required non-nursing courses - Will not be allowed to major in nursing at UL Lafayette patient centered care - providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions Health Insurance Portability and Accountability Act (HIPAA) - Mandates protection of an individual's privacy by health care providers and throughout society Nurse Practice Act - right granted by a state to protect those who need nursing care. The guidelines of the NPA and its rules provide safe parameters within which to work and protect patients from unprofessional and unsafe nursing practice NCLEX (National Council Licensure Examination) - a nationwide examination for the licensing of nurses in the United States; administered through the state boards of nursing State Board of Nursing - A state board of nursing holds the legal authority for nursing practice and regulates nursing practice through: Establishing the requirements to obtain a nursing license Issuing nursing licenses Determining the scope of practice Setting minimum education standards Managing disciplinary procedures What do you have to do if wanting to work as a nurse in a different state? - contact that state's board of nursing and see what they require of you State Board's process if you did something bad. - they first investigate, then they put you into a program to help with whatever you did, they are never looking to take your license (as long as what you did was not to intentionally to harm someone else) Drinking blood alcohol concentration? - over 21- 0.08% under 21- 0.00% Nurse Licensure Compact - • Mutual recognition model for nursing licensure; maintain home state license, but may practice in any party state What enables nurses to work in different states using the same license? - the nurse licensure compact (24 states in it) Institution Review Board (IRB) - there to protect the patient(s) you want to do the research/study on; protects ethical rights of patients; examine the proposal of what research you want to do nursing ethics - system of principles that govern the actions of the nurse in relation to patients, families, other health care providers, policymakers, and society beneficience and nonmaleficence - largest a balance of risk & benefit; the risk for harm must be weighed against the possible benefits; the risk should never be greater than the importance of the problem to be solved Beneficence - an ethical principle of compassion and patient advocacy, stating that one should do good and prevent or avoid doing harm Nonmaleficence - an ethical principle stating the duty to not inflict harm The Joint Commission - -One of the first accreditation agencies to embrace QI principles as an accreditation requirement in hospital-based setting -"Gold seal of approval" by following the quality and safety standards established by the TJC -Accredits ambulatory clinics, hospitals, health care organizations, and long-term care facilities To Err is Human: building a safer health system - -Placed the issue of medical mistakes & patient safety on the pages on many national newspapers, on the agendas of health care governing boards, & at the forefront of federal government legislation - ~98,000 patients die each year from preventable medical errors -Poor quality of care is a major problem in the US Institute of Medicine (IOM) - A branch of the National Academy of Sciences whose goal is to advance and distribute scientific knowledge with the mission of improving human health (IOM 2013); nonprofit organization IOM 6 guiding aim for improvement: STEEEP - •Safe - preventing injuries to patients from the care that is intended to help them •Timely - reducing waits & delays •Effective - providing services to those who benefit •Efficient - preventing waste (ex. Equipment, supplies, ideas, energy) •Equitable - providing care that does not vary in quality because of personal characteristics (ex. Gender, ethnicity, socioeconomic status) •Patient-centered - providing care that is respectful of & responsive to individual patient preferences, needs, & values & ensuring that patient values guide all clinical decisions never events - serious and costly errors in health care that should never happen; ex: wrong site surgery & mismatched blood transfusions Affordable Care Act - An expansion of medicaid, most of employers must provide health insurance, have insurance or face surtax, prevents rejection based on pre-existing condition. Also referred to as "Obamacare", signed into law in 2010.