Download NURS 300 Applied Pharmacology Final Exam Latest % Accurate Fall Exam BYU VERIFIED EXAM VER and more Exams Pharmacology in PDF only on Docsity!
NURS 300 Applied Pharmacology Final Exam Latest % Accurate Fall
Exam BYU VERIFIED EXAM VERSION 1
What factors shape the public perception of nursing? Nurses, System, Environment, Media Please list the criteria of a profession (Hint: 6 of them) specialized body of knowledge, specialized education, service orientation, professional organization, autonomy and self-regulation, code of ethics Criteria of a profession-- Specialized Body of Knowledge As a profession, nursing is establishing a well-defined body of knowledge and expertise. A number of nursing __________________ __________________ contribute to the knowledge base of nursing and give direction to nursing practice, education, and ongoing research. Increasing research in nursing is contributing to nursing practice and nursing knowledge. conceptual frameworks Criteria of a profession-- Specialized Body of Knowledge As a profession, nursing is establishing a well-defined body of knowledge and expertise. A number of nursing conceptual frameworks contribute to the knowledge base of nursing and give direction to what? nursing practice, education, and ongoing research Criteria of a profession-- Specialized Education
Specialized education is an important aspect of professional status. In modern times, the trend in education for professions has shifted toward programs in colleges and universities. What is required for nursing? baccalaureate degree What is service orientation? A service orientation differentiates nursing from an occupation pursued primarily for profit. Criteria of a profession-- Service orientation A service orientation differentiates nursing from an occupation pursued primarily for profit. Many consider ________________________ (selfless concern for others) the hallmark of a profession. Nursing has a tradition of service to others. This service, however, must be guided by certain rules, policies, or codes of ethics. Nursing is an important component of the health care delivery system altruism Criteria of a profession-- Professional Organization Operation under the umbrella of a professional organization differentiates a profession from an occupation. Criteria of a profession-- Professional Organization Operation under the umbrella of a professional organization differentiates a profession from an occupation. For registered nurses, who performs these self-regulatory functions? CNA and provincial/territorial nursing organizations What makes a profession "autonomous"? A profession is autonomous if it regulates itself and sets standards for its members
What does the Nursing Process foster? critical thinking and decision making (clinical reasoning) Nurses view the world and their role in it from what perpective? theoretical perspective Nurses view the world and their role in it from a theoretical perspective that encompasses ______________ key concepts. four Nurses view the world and their role in it from a theoretical perspective that encompasses four key concepts & forms the what? metaparadigm or global framework of nursing Nurses view the world and their role in it from a theoretical perspective that forms the meta- paradigm or global framework of nursing-- Name the four key concepts it encompasses. Person/client, health, environment, nursing Define person/client individual, family, community, population Define health the degree of wellness, wellbeing, or quality of life that the person experiences Define environment explains the full context of healthcare, nursing and the factors that impact the client's experience of health and well-being
Define nursing Applies a breadth and depth of specialized knowledge about health and illness, the pathophysiology of diseases, health promotion, healthcare systems and global health issues Theoretical perspective How do we define nursing as a profession? According to the Health Professions Act, how do we define nursing? health profession that provides following services: (a) health care for promotion, maintenance, and restoration of health (b) prevention, treatment, and palliation of illness or injury (c) medical assistance in dying The role and scope of the nurse Promoting health and wellness, Preventing illness, Restoring health, Caring for the dying Why does Smith argue we need to move beyond Nightingale? Modern professional nursing in the Nightingale tradition was deliberately developed as a profession for white, middle class women. That history continues to impact who is able to become a nurse today, and how nurses are seen within the healthcare field. Why do we tell professional histories? Understanding this history can help a nurse see how structural inequities and stigmatizing assumptions impact people's health and healthcare experiences Value of historical thinking What legislation guides nursing practice?
How do you obtain initial licensure from BCCNM? graduate from a recognized school of nursing + NCLEX exam How often must you renew your registration? annually as according to the Quality Assurance program BCCNM regulates nursing practice. For example, they control who can register and thus use the "nurse" title (must graduate SON + take NCLEX). How else does BCCNM regulate nursing practice? Sets the Standards of Practice, Supports nurses to meet the standards, Acts if standards are not met List the components of the BCCNM Standards of Practice. Professional standards, Practice standards, Scope of practice standards / Limits and conditions BCCNM Standards of Practice An expected and achievable level of performance against which actual performance can be compared. It is the minimum level of acceptable performance. professional standards How many BCCNM Professional Standards are there? four 4 BCCNM Professional Standards professional responsibility & accountability, knowledge-based practice, client-focused provision of service, ethical practice
professional responsibility & accountability, knowledge-based practice, client-focused provision of service, ethical practice 4 BCCNM Professional Standards 4 BCCNM Professional Standards-- explained
- Requirements related to specific aspects of nurses' practice.
- These standards complement the Professional Standards and provide additional information on specific topics.
- They guide and direct nurses' practice. practice standards Standards, limits and conditions related to the scope of practice for registered nurses and nurse practitioners. The activities that RNs are educated and authorized to perform. Scope of Practice Standards Allows nurses to make a nursing diagnosis that identifies a condition as cause of clients S+S Nurses (Registered) and Nurse Practitioner Regulation The Nurses (Registered) and Nurse Practitioner Regulation allows nurses to make a nursing diagnosis that identifies a what? condition--not a disease or disorder-- as cause of clients S+S Scope of Practice Standards RNs provide care ONLY within SCOPE OF PRACTICE, except when?
Basic nursing errors that can result in negligence How does BCCNM resolve a complaint? (1) Consensual complaint resolution: consent agreements OR (2) Investigation, inquiry and discipline hearings How does BCCNM resolve a complaint? (1) Consensual complaint resolution: consent agreements OR (2) Investigation, inquiry and discipline hearings What is the purpose of the nursing process? To identify a client's health status and actual or potential health care needs. To establish plans to meet the identified needs. To deliver & evaluate specific nursing interventions to meet those needs. Purpose of Nursing Process What are the 5 phases of the nursing process? Assessment Diagnosis Planning Implementation Evaluation
Assessment phase gathering & organizing info Assessment phase = gathering & organizing info Collecting data, Organizing data, Validating data, Documenting data Types of assessment What is objective vs. subjective data? What is subjective data? subjective data is based on client's perceptions, sensations, feelings, values, beliefs, attitudes, & understanding of personal health status and life situation What is objective data? Detectable by an observer; can be seen, heard, felt, or smelled Sources of data primary and secondary Methods of data collection Interview, observation (use your senses), examination Sources of Data & Methods of Collection What does it mean to "validate data"? double-check data for confirmation
causes in the nursing diagnosis is essential because each may require different nursing interventions. defining characteristics Defining characteristics are the cluster of signs and symptoms that indicate the presence of a particular diagnostic label A nursing goal should be what? SMART What are the components of a nursing diagnosis? A NANDA nursing diagnosis usually has three components: (a) the diagnostic label or the problem and its definition, (b) the etiology, and (c) the defining characteristics. What is documentation? The process of making an entry on a client record Primary purpose of documentation What are the principles of documentation that a nurse should know? BCCNM Principles of Documentation According to the BCCNM Principles of Documentation, who is responsible for documenting nursing care provided to a client? Nurses are responsible and accountable for documenting in the client record the care they personally provide to the client. Care provided by others should ordinarily be documented by those individuals, except in certain circumstances suchas an emergency.
According to the BCCNM Principles of Documentation, nurses are responsible for documenting a decision-making process (???). ADPIE According to the BCCNM Principles of Documentation, nurses are responsible for documenting a decision-making process (ADPIE)-- why? to show the care they personally provided According to the BCCNM Principles of Documentation, in what manner should nurses document? Nurses document in a clear, concise, factual, objective, timely, & legible manner How can you maintain confidentiality when referring to another client on someone's chart? refer to other clients by initials only What pen color can you use? black, but it depends on agency policy According to the BCCNM Principles of Documentation, nurses document all relevant information about clients in ______________________________ order in the client record. chronological According to the BCCNM Principles of Documentation, at what time should nurses document? Nurses document at the time they provide care or as soon as possible afterwards. Nurses clearly mark any late entries, recording both the date and time of the late entry and of the actual event. What does a nurse do if they make a documentation error? Nurses correct any documentation errors in a timely, honest, and forthright manner.
What is charting by exception? documentation system in which only significant findings or exceptions to norms are recorded by using flowsheets as much as possible CBE incorporates three key components: ??? clinical observations, nursing interventions, and client response to nursing care CBE (lecture slide) What is true regarding the role of a regulatory body when a written complaint is received about a registered nurse? a) The regulatory body must temporarily suspend the registered nurse's license to protect the public b) When the complaint is of a criminal nature, the regulatory body has no role c) The regulatory body must immediately meet with the nurse d) By law, an investigation of the complaint must be put into place by the regulatory body d Practice standards are a requirement of a self-regulated profession such as nursing. Which of the following is a purpose of these standards? a) Serve as a means for nurses to assess their own practice b) Govern the profession of nursing in Canada c) List the professional competencies and indicators a
To administer a client-specific medication order, the order needs to be _______________________. complete To administer a client-specific medication order, the order needs to be complete. Orders should be clear, legible, complete and clinically appropriate. Verbal orders should only occur in exceptional cases-- why? verbal orders increase the risk of errors What constitutes a complete medication order? client name, date and time prescribed, drug name/dose/strength/route, frequency, authorized prescriber signature Complete medication order What are the 7+3 Medication Rights/Checks? Patients have the right to refuse medication, and their choice should be respected after education about risks and benefits. Right to refuse What are strategies the nurse can employ to prevent medication errors? Nurses identify the human and system factors that may contribute to medication errors and/or near misses, and they act to prevent or minimize them. Nurses take action, including following organizational/employer policies and processes, when an error or near miss occurs at any point of a medication-related activity.
Protocols and processes for medication reconciliation must be in place, particularly in the following transition areas: ??? on admission; during transfer between units, in shift reports, and in new MARs; and at discharge What does it mean for an RN to administer medication "within their autonomous scope of practice"? do not require an order Under what conditions can nurses administer medications within their autonomous scope of practice? BCCNM Medication Practice Standard BCCNM Medication Practice Standard-- “Within autonomous scope of practice: The nurse may be allowed and supported by their organization/employer to administer or dispense a certain medication within their autonomous scope of practice if what? the nurse is competent to do so and follows a clinical decision support tool Administering medication: Essential steps When can telephone orders be utilized? What does a nurse do if a medication order seems inappropriate? What assessment does a nurse need to do before administering a medication? Client assessment
Before administering a medication, the nurse must perform a client assessment. What does it mean to identify the client using 2 identifiers? name, DOB, PHN A mistake with medications, or a problem that could cause a mistake with medications. medication error What factors contribute to medication errors? health professional's practice, clients, work environment, department/institution How could a health professional's practice contribute to making a med error? fatigue, education, stress, memory How could clients contribute to a med error? lack of communication, complexity of care, language barriers How could work environment contribute to a med error? clutter, lighting, distractions, staffing, lack of decision support tools How could department/institution contribute to a med error? lack of a safety culture, mismatch between practice and policy True or False-- Preparing (pre-pouring) medications ahead of time is a safe and effective time management strategy. False-- Preparing medications ahead of time (pre-pouring) may seem like a time-saver, but it increases the chance of a medication error occurring.
