Introduction to Professional Nursing Exam 1 Question and Answers.

Introduction to Professional Nursing Exam 1 Question and Answers. Defining the Nursing Profession (3) 1. Protection and Promotion 2. Prevention and Recovery 3. Compassion and Advocacy Scope of Practice Most commonly defined by state law; outlines the care you are able to provide for the patient Facility Policies Institution-specific guidelines Professional Standards ANA (American Nurses Association) Standards & Code of Ethics Nurse Practice Act Legal foundation in each state Disciplinary Authority of State Boards Investigate complaints and take disciplinary actions for violations of Nurse Practice Acts to maintain professional standards Different Nursing Roles and Competencies (Know difference) - Care provider - Case manager - Researcher - Educator - Leader - Manager - Change Agent Standards of Practice - Assessment - Analysis/Diagnosis - Outcomes - Identification - Planning - Implementation Standards of Performance - Ethics culturally - Congruent practice - Communication - Collaboration - Leadership Education System Components Participants Settings Regulatory Agencies Financing mechanisms Primary & Secondary Care Preventive vaccines and screenings Primary: First contact, general care Secondary: Specialized care by referral Tertiary & Continuing Care Tertiary: Advanced specialized care Restorative: Rehabilitation services Continuing: Long-term support Acute Care Settings Short term for sudden illness or injury; Hospitals, emergency departments and trauma care, urgent care centers Long Term Care Facilities People needing 24/7 support with activities of daily living; Mainly provide assistance and care for elderly patients, usually called residents Community Based Care Community settings such as public health clinics, schools and shelters; Health care provided to people who live within a defined geographic area APRN A licensed RN who is certified by a nationally recognized certifying body: • Certified nurse midwife CNM • Certified RN anesthetist CRNA • Clinical nurse specialist CNS • Nurse practitioner NP Physician Assistants Practice medicine under the direction and supervision of a licensed MD or DO. Are able to make clinical decisions and be responsible for a variety of services LPN's Licensed Practical Nurses; Basic nursing care under RN supervision Physical Therapists Specialists who improve movement and manage pain through rehab exercises and techniques Speech Language Pathologists To assess and treat communication and swallowing disorders Nutritionist General information and guidance but not qualified to talk medical nutrition therapy Dietitian Ensures patients receive proper nutrition and collaborates with healthcare teams considering their medical conditions Occupational Therepist Help patients develop, recover, and improve skills needed for daily living and working Social Workers Provide essential community support, connect patients with resources and offer counseling to patients and families Advanced Practitioners NPs and PAs who provide direct patient care Quaternary Preventing over diagnosis and over treatment Communication Process in Nursing 1. Sender 2. Message 3. Receiver 4. Feedback -- Creates ongoing dialogue Therapeutic Communication Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship. - Open ended questions - Affirmations - Reflective listening - Summarizing A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of the licensing boards? A. Monitoring evidence-based practice for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining whether medications are safe for administration to clients B. Ensuring that health care providers comply with regulations A nurse is explaining the various types pf health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurses include as federally funded? A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid B. Medicare E. Medicaid A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as the primary health care strategy? A. Collaboration with providers to perform obesity screenings during routine office visits B. Ensuring the availability of specialized beds in rehab centers for clients who have obesity C. Providing specialized intraoperative training in surgical treatments for obesity D. Education acute care nurses about postoperative complications related to obesity A. Collaboration with providers to perform obesity screenings during routine office visits A nurse is explaining the various levels of health care services to a group of newly lisenced nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (SAA) A. ICU B. Oncology treatment center C. Burn center D. Cardiac rehab E. Home health care A. ICU B. Oncology treatment center C. Burn center