Nurs 231 advocacy activism and policy in professional nursing

Nurs 231 advocacy activism and policy in professional nursing Advocacy - Correct Answer support; active pleading on behalf of someone or something activism - Correct Answer The practice of pursuing political or other goals through vigorous action, often including protests and demonstrations policy - Correct Answer A proposed or adopted course or principle of action nursing practice is highly regulated by health policy in order to - Correct Answer safeguard the consumer acuity - Correct Answer the amount of nursing time required to provide nursing services for each client nurse to patient ratio - Correct Answer The number of clients each nurse is assigned approaches by states to create staffing laws - Correct Answer -requiring health care organizations to have nurse driven staffing community -mandating minimum nurse to patient ratios -requiring facilities to disclose staffing levels to the public or regulatory agencies organizational policies and procedures - Correct Answer -The specific skill and supervision requirements for various tasks are designated in written policies and procedures -Ensure that the delegatee is trained in and understands the organization's general standards of care (e.g., infection control) Health Insurance Portability and Accountability Act (HIPAA) - Correct Answer applies to all forms of health info, protect patient information emergency medical treatment and active labor act (EMTALA) - Correct Answer -passed to prevent patient dumping, the practice of one health care organization moving a patient based in their inability to pay or lack of insurance coverage -ensures that individual in the ER will receive at minimum a medical screening exam and treatment until stabilized Patient Self-Determination Act (PSDA) - Correct Answer A federal law that mandates that every individual has the right to make decisions regarding medical care, including the right to refuse treatment and the right-to-die 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. Occupational Safety and Health Administration (OSHA) - Correct Answer establishes and enforces standards that protect workers from job-related injuries and illnesses health information technology and economic and clinical health act (HITECH) - Correct Answer created to promote and expand the adoption of health info technology specifically the use of electronic health records Controlled Substances Act - Correct Answer places all substances which were in some manner regulated under existing federal law into one of five schedules Who influences laws and policies? - Correct Answer -fda -cdc -agency for healthcare research and quality -state and local health departments -nurses! Scope of Nursing Practice - Correct Answer defines nursing and reflects the values of the nursing profession, describes the who what when wher why how of nursing the nursing process - Correct Answer 1) Assessment - Collects information. 2) Nursing Diagnosis - Describes health problems. 3) Planning - Setting priorities and goals. 4) Implementation - Carries out the plan (goals). 5) Evaluation - Measures if the goals of the planning step were met. Standards of Practice - Correct Answer assessment, diagnosis, outcome identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence based practice and research, quality of practice, professional practice evaluation, resource utilization, environmental health 8 areas of patient rights and responsibilities - Correct Answer 1. right to revive accurate info for informed decision 2. the choice in healthcare providers 3. right to emergency care w/o prior authorization if life is endangered 4. right to participate in treatment decisions 5. right to be treated w respect and no discrimination 6. info is confidential and has the right to copy their medial record and appeal documentation and add changed 7. right to appeal and dispute differences w their providers 8. patients are consumers of healthcare services and must assume reasonable responsibility for the decisions especially with regard to their healthcare outcomes and health costs patient centered care - Correct Answer -care centered around patient -perspective of family and patient are paramount -patient participates in care goals -cultural considerations respected -communication is open and honest -everyone work together for patient -patient has a voice and input valuable -promotes satisfaction and teamwork