1. Name the 5 societal trends that are currently influ- •Growing proportion of older
adults in the US
encing nursing practice. • Changes in healthcare con-
sumers
• Legislation
• Women's movement
• Collective bargaining
2. Explain the rationale for nursing being a profes-
sion. - Nurses use technical and sci-
entific knowledge
- Nurses are evaluated by a
community of peers
- Nurses have a service orienta-
tion and a code of ethics
3. Explain the rationale for nursing being an occupa- •Most nurses are hourly wage
earners.
tion. • The employer, not the nurse,
decides the conditions of prac-
tice and the nature of the work.
• Nurse practice acts do not pre-
vent nurses from functioning
more autonomously.
4. Explain the rationale for nursing being a discipline. •Nursing is a scientifical-
ly-based and self-governed
profession that focuses on the
ethical care of others.
• Nursing is driven by aspects of
theory and practice.
• Nursing demands mastery of
, both theoretical knowledge and
clinical skills.
5. A nurse with a Doctor of Nursing Practice (DNP) b. in a hospital or clinic oversee-
degree would most likely work: ing patients
a. in a research lab
b. in a hospital or clinic overseeing patients
c. as a nursing professor at a college
d. as a home health nurse
6. Name the 3 governing bodies that oversee nurs-
ing practice. • Nurse practice acts
• State board of nursing
• Standards of practice
7. What is the role of the American Nurses Associa-
tion (ANA)? professional organization to ad-
vance and protect the profes-
sion of nursing
8. What is the role of the National League for Nursing Establishes and maintains a
(NLN)? universal standard of education
9. What is the International Council of Nurses (ICN)? Federation of national nursing
organizations
10. A nurse who is able to identify and achieve objec- d. Expert
tives is demonstrating which aspect of Benner's
model?
a. Advanced beginner
b. Competence
c. Proficient
d. Expert
,11. Which organization represents nurses around the b. The International Council of
Nursing
world to ensure quality nursing care for all?
a. The American Nurses Association
b. The International Council of Nursing
c. The National League for Nursing
d. The World Health Organization
12. Name the 5 IOM competencies for delivering safe, •Provide patient-centered care
• Work as interprofessional
effective nursing care (SENC). teams
• Employ evidence-based prac-
tice
• Apply quality improvement
• Utilize informatics
13. Name Benner's 5 stages of nursing. -Stage 1: Novice
-Stage 2: Advanced beginner
-Stage 3: Competent
-Stage 4: Proficient
-Stage 5: Expert
14. What does QSEN stand for? Quality & Safety Education for
Nurses
15. What does the "swiss cheese model" describe? infection can slip through the
"holes" and spread, but nurses
need to take actions to minimize
the chance of infection spread-
ing; preventing the spread of
infection is like trying to keep
the holes in the swiss cheese
, not lined up & covering each
other
16. What is a communicable (contagious) infection? when an infection is transmitted
from 1 person to another
17. What is an iatrogenic healthcare-associated infec- HAI contracted from diagnostic
tion? or therapeutic procedures
18. What is an exogenous healthcare-associated infec- HAI contracted from a microor-
ganism external to an individual
tion? that does not exist in their nor-
mal flora; contracted from the
healthcare environment itself
19. What is an endogenous healthcare-associated in-
fection? HAI caused by overgrowth of
normal flora, often from antibi-
otic therapy
20. Name 4 types of patients who are at greater risk
for healthcare associated infections. - patient with multiple illnesses
- older adults
- poorly-nourished patients
- patients with a compromised
21. Which is more expensive and difficult to treat: immune system
healthcare-associated infection or community-ac-
quired infection?
healthcare-associated infection
22. Name the 6 factors that must be present in order
for infection to spread.
- Susceptible host
- Portal of entry
- Infectious agent
- Mode of transmission