Excelsior College ULL NURSING 104 FINAL EXAM QUESTIONS AND ANSWERS

ULL NURSING 104 FINAL EXAM What is the minimal grade to pass? Correct Answer: 77C ULL department of nursing missions statement Correct Answer: to seek to promote, expand & validate scientific knowledge & evidence-based practice to advance health & provide an atmosphere of scholarly inquiry, an appreciation of professional values, inter-professional collaboration & active community service What happens if you miss a test? Correct Answer: will receive an unexcused absence and grade 0 What is required if you are applying for your first clinical course? Correct Answer: File an application with the LA State Board of Nursing (LSBN) & have criminal background history using fingerprints Florence Nightingale's Theory of Practice Correct Answer: 1st nursing theorist; Foundation for health promotion & guidance for the practice of professional nursing Florence Nightingale's theory of practice- environmental adaptation theory Correct Answer: -ventilation & warming -Noise -Variety -Diet -Light -Chattering hopes & advice -cleanliness (health of houses) Jean Watson's Theory of Human Caring Correct Answer: -Transpersonal Caring (art of nursing)- caring amount nurses, environment, and client is essential to healing -Holistic outlook- effect and importance of altruism, sensitivity, trust, and interpersonal skills Dorothy Orem's Self-Care deficit model Correct Answer: -goal: restore clients self-care capability -Purposeful Nursing Intervention-Facilitates client self-care by measuring the client's deficit relative to self-care needs; Implements appropriate measures to assist the client in meeting these needs by matching them with an appropriate supportive intervention Patricia Benner's Novice to Expert Correct Answer: stages of clinical competence; one of the most useful frameworks for assessing nurses' needs at different stages of professional growth Patricia Benner's 5 levels of nursing experience Correct Answer: novice, advanced, beginner, competent, proficient, and expert what is the minimum GPA required for admission into the 200 level nursing course? Correct Answer: 2.8 Students who earn a D or F in 2 or more required non-nursing courses Correct Answer: Will not be allowed to major in nursing at UL Lafayette patient centered care Correct Answer: providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions Health Insurance Portability and Accountability Act (HIPAA) Correct Answer: Mandates protection of an individual's privacy by health care providers and throughout society Nurse Practice Act Correct Answer: right granted by a state to protect those who need nursing care. The guidelines of the NPA and its rules provide safe parameters within which to work and protect patients from unprofessional and unsafe nursing practice NCLEX (National Council Licensure Examination) Correct Answer: a nationwide examination for the licensing of nurses in the United States; administered through the state boards of nursing State Board of Nursing Correct Answer: A state board of nursing holds the legal authority for nursing practice and regulates nursing practice through: Establishing the requirements to obtain a nursing license Issuing nursing licenses Determining the scope of practice Setting minimum education standards Managing disciplinary procedures What do you have to do if wanting to work as a nurse in a different state? Correct Answer: contact that state's board of nursing and see what they require of you State Board's process if you did something bad. Correct Answer: they first investigate, then they put you into a program to help with whatever you did, they are never looking to take your license (as long as what you did was not to intentionally to harm someone else) Drinking blood alcohol concentration? Correct Answer: over 21- 0.08% under 21- 0.00% Nurse Licensure Compact Correct Answer: • Mutual recognition model for nursing licensure; maintain home state license, but may practice in any party state What enables nurses to work in different states using the same license? Correct Answer: the nurse licensure compact (24 states in it) Institution Review Board (IRB) Correct Answer: there to protect the patient(s) you want to do the research/study on; protects ethical rights of patients; examine the proposal of what research you want to do nursing ethics Correct Answer: system of principles that govern the actions of the nurse in relation to patients, families, other health care providers, policymakers, and society beneficience and nonmaleficence Correct Answer: largest a balance of risk & benefit; the risk for harm must be weighed against the possible benefits; the risk should never be greater than the importance of the problem to be solved Beneficence Correct Answer: an ethical principle of compassion and patient advocacy, stating that one should do good and prevent or avoid doing harm Nonmaleficence Correct Answer: an ethical principle stating the duty to not inflict harm The Joint Commission Correct Answer: -One of the first accreditation agencies to embrace QI principles as an accreditation requirement in hospital-based setting -"Gold seal of approval" by following the quality and safety standards established by the TJC -Accredits ambulatory clinics, hospitals, health care organizations, and long-term care facilities To Err is Human: building a safer health system Correct Answer: -Placed the issue of medical mistakes & patient safety on the pages on many national newspapers, on the agendas of health care governing boards, & at the forefront of federal government legislation - ~98,000 patients die each year from preventable medical errors -Poor quality of care is a major problem in the US Institute of Medicine (IOM) Correct Answer: A branch of the National Academy of Sciences whose goal is to advance and distribute scientific knowledge with the mission of improving human health (IOM 2013); nonprofit organization IOM 6 guiding aim for improvement: STEEEP Correct Answer: •Safe - preventing injuries to patients from the care that is intended to help them •Timely - reducing waits & delays •Effective - providing services to those who benefit •Efficient - preventing waste (ex. Equipment, supplies, ideas, energy) •Equitable - providing care that does not vary in quality because of personal characteristics (ex. Gender, ethnicity, socioeconomic status) •Patient-centered - providing care that is respectful of & responsive to individual patient preferences, needs, & values & ensuring that patient values guide all clinical decisions never events Correct Answer: serious and costly errors in health care that should never happen; ex: wrong site surgery & mismatched blood transfusions Affordable Care Act Correct Answer: An expansion of medicaid, most of employers must provide health insurance, have insurance or face surtax, prevents rejection based on pre-existing condition. Also referred to as "Obamacare", signed into law in 2010. QSEN (Quality and Safety Education for Nurses) Correct Answer: -Nurses came up with it -Patient-centered care -Teamwork & collaboration -Evidence based practice -Quality improvement