Nursing 212 chapter 1 Questions With Complete Solutions
roles of nurses
-direct patient care, -research, teaching undergraduate and
graduate students, and managing companies
-advanced education, such as master's and doctoral degrees, are
prepared to become researchers, educators, and administrators.
-advanced practice nurses includes nurse practitioners, clinical
nurse specialists, certified nurse midwives, and certified
registered nurse anesthetists.
within the last 150 years...
nursing practice shifted from informal home and community
settings to hospitals
medical centers
-offer comprehensive specialty services, such as cancer centers,
maternal-fetal medicine services, and heart centers.
-usually associated with university medical schools and have a
complex array of providers
-1000 or more beds
-"level 1 trauma centers" offer highly specialized surgical and
supportive care for the most severely injured patients
community based hospitals
-usually less severely ill
-highly unstable patients may warrant transport to a larger
hospital or a medical center
,nursing roles in community based hospitals
-identify very sick patients
-help stabilize patients
-prepare for transport
nursing in hospitals
-medical or surgical conditions
-pediatric units, women and newborns
-severe trauma or burns
-specialty "units" -operating suites or emergency departments,
intensive care units (cardiac, neurology), and step-down or
progressive care units
-generalist and specialist certification
educational credentials for nursing in hospitals
associate degrees/diplomas to doctoral degrees
entry level positions require RN licensure
-bachelors degree to advance on the clinical ladder or to assume
management positions
-clinical ladder and career advancement
nurse managers
assume 24 hour accountability and are ofter required to have a
masters degree
clinical nurse specialist example
oncology clinical specialist
evidence based practice
, refers to nursing care that is based on the best available research
evidence, clinical expertise, and patient preference
more bsn prepared =
benefits for nurses and hospitals
patients on surgical units with more bsn prepared nurses had
fewer complications than patients on units with fewer bsn nurses
rigid work scheduling
a drawback to hospital nursing-evenings, nights, weekends, and
holidays
flexible staffing
nurses on a particular unit negotiate with one another and
establish their own schedules to meet personal and family
responsibilities while ensuring that appropriate staffing for high-
quality patient care is provided
predictable staffing
-emergency department or surgical units and anticipated high
use
-holidays staffing-low census and elective procedures
Lillian Wald (1867-1940)
established the Henry Street Settlement in New York City in
1895
community health nursing
ambulatory clinics, health departments, hospices, homes, and a
variety of other community-based settings.
roles of nurses
-direct patient care, -research, teaching undergraduate and
graduate students, and managing companies
-advanced education, such as master's and doctoral degrees, are
prepared to become researchers, educators, and administrators.
-advanced practice nurses includes nurse practitioners, clinical
nurse specialists, certified nurse midwives, and certified
registered nurse anesthetists.
within the last 150 years...
nursing practice shifted from informal home and community
settings to hospitals
medical centers
-offer comprehensive specialty services, such as cancer centers,
maternal-fetal medicine services, and heart centers.
-usually associated with university medical schools and have a
complex array of providers
-1000 or more beds
-"level 1 trauma centers" offer highly specialized surgical and
supportive care for the most severely injured patients
community based hospitals
-usually less severely ill
-highly unstable patients may warrant transport to a larger
hospital or a medical center
,nursing roles in community based hospitals
-identify very sick patients
-help stabilize patients
-prepare for transport
nursing in hospitals
-medical or surgical conditions
-pediatric units, women and newborns
-severe trauma or burns
-specialty "units" -operating suites or emergency departments,
intensive care units (cardiac, neurology), and step-down or
progressive care units
-generalist and specialist certification
educational credentials for nursing in hospitals
associate degrees/diplomas to doctoral degrees
entry level positions require RN licensure
-bachelors degree to advance on the clinical ladder or to assume
management positions
-clinical ladder and career advancement
nurse managers
assume 24 hour accountability and are ofter required to have a
masters degree
clinical nurse specialist example
oncology clinical specialist
evidence based practice
, refers to nursing care that is based on the best available research
evidence, clinical expertise, and patient preference
more bsn prepared =
benefits for nurses and hospitals
patients on surgical units with more bsn prepared nurses had
fewer complications than patients on units with fewer bsn nurses
rigid work scheduling
a drawback to hospital nursing-evenings, nights, weekends, and
holidays
flexible staffing
nurses on a particular unit negotiate with one another and
establish their own schedules to meet personal and family
responsibilities while ensuring that appropriate staffing for high-
quality patient care is provided
predictable staffing
-emergency department or surgical units and anticipated high
use
-holidays staffing-low census and elective procedures
Lillian Wald (1867-1940)
established the Henry Street Settlement in New York City in
1895
community health nursing
ambulatory clinics, health departments, hospices, homes, and a
variety of other community-based settings.
