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An overview of the nursing profession, covering various roles, responsibilities, and emerging trends in the field of nursing. It discusses the evolution of nursing practice, highlighting the importance of evidence-based care, patient-centered approaches, and the integration of nursing research and clinical expertise. The diverse career paths available to nurses, including advanced practice roles, nurse specialization, and leadership positions. It also addresses the impact of healthcare reform on the nursing profession, emphasizing the shift towards preventive care, chronic disease management, and interprofessional collaboration. Additionally, the document delves into the ethical principles and standards of nursing practice, as well as the regulatory frameworks that govern the nursing profession. Overall, this document offers a comprehensive understanding of the dynamic and multifaceted nature of nursing in the 21st century.
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You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code?
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's:
Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald - Florence Nightengale The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning d. Implementation - planning An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice b. Proficient c. Competent d. Advanced beginner - novice A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? a. Licensure b. Autonomy c. Certification d. Accountability - Autonomy A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing?
c. Short-term grief and single stressor d. Physical and mental exhaustion - burnout and secondary traumatic stress A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? a. Manager b. Patient educator c. Patient advocate d. Clinical nurse specialist - patient advocate The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the nurse-midwife take initially? a. Provide the referral as requested. b. Offer to provide the newborn care. c. Refer the patient to the supervising provider. d. Tell the patient that is not allowed to make referrals. - offer to provide the newborn care The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA? a. Manages gynecological services such as PAP smears b. Works under the guidance of an anesthesiologist c. Obtains a PhD degree in anesthesiology d. Coordinates acute medical conditions - Works under the guidance of an anesthesiologist A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? a. Protects the nurse b. Protects the public c. Protects the provider
d. Protects the hospital - protects the public A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize? a. Legislation is politics beyond the nurse's control. b. National programs have no bearing on state politics. c. The individual nurse can influence legislative decisions. d. Focusing on nursing care provides the best patient benefit. - the individual nurse can influence legislative decisions. A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? a. Code of ethics b. Standards of practice c. Standards of professional performance d. Quality and safety education for nurses - code of ethics A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first? a. Obtain certification for an emergency nurse. b. Pass the National Council Licensure Examination. c. Take a course on genomics to provide competent emergency care. d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems. - Pass the National Council Licensure Examination. While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe? a. Autonomy b. Accountability c. Patient advocacy d. Patient education - accoutability
A. Notes on Nursing B. Last Acts Campaign C. Healthy People 2010 D. Nursing Principles and Practice 2010 - Healthy people 2020 A nurse who uses critical thinking in the decision-making process providing effective quality care to individuals is known as a(n): A. Advanced care nurse B. Clinical decision maker C. Evidence-based practitioner D. Multidiscipline practice - clnical decision maker The document that assures clients that they will receive quality care from a competent nurse is the: A. Standards of care B. Nurse Practice Act C. Accreditation certification D. National council licensure - Standards of care The regulation of licensure and practice of nursing is accomplished by the: A. NCLEX-RN B. Certification examination C. Nurse Practice Act D. ANA Congress for Nursing - Nursing practice act A nurse who has been in a position on the same unit for 2 years understands the organization and care of the clients on that nursing unit. Benner defines this nurse as able to anticipate nursing care and to formulate long-range goals; this nurse is given the title: A. Expert B. ProficientC
. Competent
D. Advanced beginner - competent An advanced practice nurse (APN) is the nurse most independently functioning of all professional nurses. All of the following are examples of clinically focused APNs except: A. Nurse specialist B. Nurse practitioner C. Case manager D. Care provider - care provider An APN is pursuing a job change. Which of the following positions would the APN be unable to pursue without meeting additional criteria? A. Nurse educator B. Certified registered nurse anesthetist C. Nurse manager D. Case manager - certified registered nurse anesthetist Which of the following professional organizations was created to address concerns of members in the nursing profession? A. NLN B. MSN C. PHA D. NIH - NLN NURSING HAS A CODE OF ETHICS THAT PROFESSIONAL rn'S FOLLOW:
Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald - Florence Nightingale What is true about the general practice of advance practice registered nurses? - function independently The nurse conducts health awareness training programs at a community center. What kind of action is this? - primary prevention A patient in labor has been brought to the certified nurse midwife (CNM). Which interventions should the CNM undertake in this situation? Select all that apply. - conduct labor care for newborn What is true about the general practice of advance practice registered nurses? - function indepenently The nurse is working with a young childbearing family who has one child with a congenital heart disease. The parents are trying to determine the risks of a second child being born with congenital heart disease. Which information is important in assisting the parents in this decision? - genomics A 50-year-old patient is admitted with acute exacerbation of asthma. The patient is treated with bronchodilators and oxygen therapy. The patient is clinically stable and is planned for discharge. The nurse teaches the patient about deep breathing exercises. The nurse has initiated these exercises to improve the patient's lung capacity. Which professional behavior is the nurse showing? - autonomy
A patient with asthma approaches a primary care center for management of the illness. What is the role of the nurse practitioner during the patient's visit for primary care? Select all that apply. - Provide direct medical care. Provide comprehensive care. Establish a collaborative provider-patient relationship. The nurse has many roles to perform. Which activities are included in the direct caregiving role? Select all that apply. - Implements postoperative exercises for a patient who recently had surgery. Provides measures that restore a patient's emotional, spiritual, and social well-being. An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The patient and family have expressed concern about the drug. What is the role of the nurse in this particular situation? - Provide information so the patient can decide whether to accept the treatment or refuse. Nursing is important in providing safe, patient-centered health care to the global community. Which statements are true about the nursing practice? Select all that apply - Nursing practice helps shape health policy and health systems management. Nursing practice involves collaborative care of sick individuals of all ages, families, groups, and communities Nursing practice involves helping a dying patient find relief from pain. Nursing practice involves interpreting clinical situations and making complex decisions based on knowledge and experience. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. The nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Which career does the nurse consultant exemplify? - nurse researcher The nurse educator is preparing to teach a group of nursing students about nursing interventions for managing bioterrorism. Which topics should the nurse include in the teaching plan? Select all that apply.
Which educational program should the nurse recommend to this student? - Associate degree program in nursing The senior nurse is explaining to the nurse who holds an associate degree in nursing about next steps in advanced nursing education. Which educational options should be included? Select all that apply. - Bachelor of Science in NursingBachelor of Nursing