N138 exam Study Material with Complete
Solutions!!
What are the the primary work setting for RN's - ANSWER ○ Hospitals 63.2% (where
most nurses work!),
○ Ambulatory care (physician-based practices, nurse-based practices, free-standing
emergency and surgical centers) 10.5%,
○ Public and community health 7.8%,
○ Home health 6.4%,
○ Extended care facilities 5.3%,
○ Others ~6.8%
Understand trends in nursing education - ANSWER BSN are becoming more prominent,
most ADN go back for BSN
"According to the Robert Wood Johnson Foundation, the number of diploma programs
has steadily declined, educating only 4% of all new RNs in 2013 as nursing education has
shifted to colleges and universities. The majority of nurses (53%) in the United States get
their initial nursing education in ADN programs; in the NCSBN/FSNWC (2013) survey,
39% of the 41,823 respondents reported having an ADN as their first degree or
credential, and 36% reported having a BSN as their first degree or credential. Many ADN
prepared RN's eventually return to school to complete a BSN degree" (Black, 4).
,How do BSN nurses affect outcomes to patients in hospitals - ANSWER Patients on
surgical units with more BSN-prepared nurses had fewer complications than patients on
units with fewer BSN nurses.
Research has demonstrated that patient outcomes are more positive for patients care
for by RNs with a bachelor's degree or higher
What are the variety of practice settings for nurses - ANSWER Hospitals
Communities
Medical Offices
Workplace (occupational nurse)
Armed forces
Schools
Palliative Care & End of life settings
Telehealth
Faith Community
Informatics
Entrepreneurs
What is the Hospitals related practice styles, philosophies, benefits and challenges for
nurses - ANSWER ○ *Hospitals*:
■ Practice styles: medical center(many speciality units) or community based hospital
(less severe)
■ Philosophies: direct patient care
■ Benefits: direct patient care, management roles, clinical ladders
■ Challenges: patient quality and safety
, What is the Communities related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Communities*:
■ Practice styles: work in ambulatory clinics, health department, hospices, homes and a
variety of other settings. Provide educational programs in health maintenance
■ Philosophy: focus on improving the overall health of communities
■ Benefits: variety of care settings, cost-effective for patients (home health)
■ Challenges: for home health, patients needs may be out of scope of abilities
What are Medical Offices related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Medical Offices*: nurses work in tandem with physicians, NPs
and their patients
■ Practice styles: performing health assessments, reviewing medications, draw blood,
give immunizations, administer medications, health teaching
■ Philosophies:
■ Benefits: predictable daily schedule, you get to know your patients well
■ Challenges: roles and responsibilities change and can be challenging
What is the Workplace's related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Workplace (occupational nurses)*
■ Style: prove basic health care services, health education, screenings and emergency
treatment to employees in the workplace
■ Philosophies:
■ Benefits: help company reduce absenteeism, insurance costs, worker errors, and
improve profitability
■ Challenges: requires special training and knowledge
What is the Armed Forces related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Armed forces:*
■ Styles: peacetime and war settings
Solutions!!
What are the the primary work setting for RN's - ANSWER ○ Hospitals 63.2% (where
most nurses work!),
○ Ambulatory care (physician-based practices, nurse-based practices, free-standing
emergency and surgical centers) 10.5%,
○ Public and community health 7.8%,
○ Home health 6.4%,
○ Extended care facilities 5.3%,
○ Others ~6.8%
Understand trends in nursing education - ANSWER BSN are becoming more prominent,
most ADN go back for BSN
"According to the Robert Wood Johnson Foundation, the number of diploma programs
has steadily declined, educating only 4% of all new RNs in 2013 as nursing education has
shifted to colleges and universities. The majority of nurses (53%) in the United States get
their initial nursing education in ADN programs; in the NCSBN/FSNWC (2013) survey,
39% of the 41,823 respondents reported having an ADN as their first degree or
credential, and 36% reported having a BSN as their first degree or credential. Many ADN
prepared RN's eventually return to school to complete a BSN degree" (Black, 4).
,How do BSN nurses affect outcomes to patients in hospitals - ANSWER Patients on
surgical units with more BSN-prepared nurses had fewer complications than patients on
units with fewer BSN nurses.
Research has demonstrated that patient outcomes are more positive for patients care
for by RNs with a bachelor's degree or higher
What are the variety of practice settings for nurses - ANSWER Hospitals
Communities
Medical Offices
Workplace (occupational nurse)
Armed forces
Schools
Palliative Care & End of life settings
Telehealth
Faith Community
Informatics
Entrepreneurs
What is the Hospitals related practice styles, philosophies, benefits and challenges for
nurses - ANSWER ○ *Hospitals*:
■ Practice styles: medical center(many speciality units) or community based hospital
(less severe)
■ Philosophies: direct patient care
■ Benefits: direct patient care, management roles, clinical ladders
■ Challenges: patient quality and safety
, What is the Communities related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Communities*:
■ Practice styles: work in ambulatory clinics, health department, hospices, homes and a
variety of other settings. Provide educational programs in health maintenance
■ Philosophy: focus on improving the overall health of communities
■ Benefits: variety of care settings, cost-effective for patients (home health)
■ Challenges: for home health, patients needs may be out of scope of abilities
What are Medical Offices related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Medical Offices*: nurses work in tandem with physicians, NPs
and their patients
■ Practice styles: performing health assessments, reviewing medications, draw blood,
give immunizations, administer medications, health teaching
■ Philosophies:
■ Benefits: predictable daily schedule, you get to know your patients well
■ Challenges: roles and responsibilities change and can be challenging
What is the Workplace's related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Workplace (occupational nurses)*
■ Style: prove basic health care services, health education, screenings and emergency
treatment to employees in the workplace
■ Philosophies:
■ Benefits: help company reduce absenteeism, insurance costs, worker errors, and
improve profitability
■ Challenges: requires special training and knowledge
What is the Armed Forces related practice styles, philosophies, benefits and challenges
for nurses - ANSWER ○ *Armed forces:*
■ Styles: peacetime and war settings
