Skills Chapter 1-12 – Flashcards
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Licensed Practical or Vocational nurse
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Most basic of all the entry-level options for nurses with full times programs lasting from 9 months to 1 year
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Associate degree nurse (ADN)
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Entry-level education of registered nurses; minimum of 2 years at a community college
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Nurse Practice Act
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The law in each state that govern's nurse's actions; addresses each level of nursing
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Health Occupations Students of America (HOSA)
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A national organization specifically for students in health occupations educational programs; membership open to both high school and adult students
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Scope of Practice
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Limitations and allowances of what can be done as a nurse
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When students in ADN, diploma, and BSN programs complete all course work and graduate, they are eligible to take the
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NCLEX-PN
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Nurses that are educated in hospital-based nursing education programs, of which there are few, are refered to as __________________ nurses.
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Diploma program
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When students in an LPN or LVN program complete their educational program, they will take the _______________, and after they pass it, they become licensed practical or licensed vocational nurses.
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NCLEX-RN
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The professional organization for licensed practical/vocational nurses is the ____________________________________________________________________________________.
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National Federation of licensed Practical Nurses
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Nurses who complete their nursing education at a university, earning a 4- year college degree, are ____________________ nurses.
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Baccalaureate degree
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The purpose of the Clinical Connections in this book is/are to help you
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-- Identify actions to take and information to consider when caring for patients -- Understand your thoughts and feelings about caring for specific types of patients --Connect what you read in the book with what you will see and do during clinical experiences
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Which of the following are concerns when you are providing care for the elderly patients?
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These patients often have chronic illnesses, sensory deficits,and multiple medications
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When you care for pediatric patients, you must keep in mind that they
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-- Have difficulty understanding what is happening and expressing their feelings during procedures -- Often have no previous experience to prepare them for illness or treatment, so they are frightened
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A unique aspect of home health is that
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--Fewer supplies and less equipment are available than in a hospital setting -- The nurse is alone in the home with other health care staff to help make a decisions about care
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Which of the following is true of working in long-term care?
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--The setting is more homelike -- You will need to use an easy, calming approach to residents --Changes in behavior can indicate health problems in the elderly
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Which are your responsibilities as a nursing student regarding laboratory and diagnostic test results?
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-- Check the test results often and note any abnormal findings --Notify the physician of significant abnormal results
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What might be the outcome if you delegate a task to a UAP or CNA that is not within his or her scope of practice?
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Both you and the UAP can be in legal jeopardy
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What is a common desire of successful nursing students?
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to learn and care for people
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Explain the purpose of the Post-Conference Connection.
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To help evaluate the clinical experience of caring for the patient in the clinical connection.
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Which is true of nursing care in hospitals during the 1700s and early 1800s?
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Nursing care was provided by the poor and lower classes
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Kaiserworth deaconses were women who
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--Trained at the first school of nursing -- Went to various places to teach other women to be nurses -- Were educated at the same school as Florence Nightingale
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When did laws requiring licensing of nurse first come into being?
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In the early 1900s
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Which nurse in history was known as the "Angel of the Battlefield" during the U.S. Civil War?
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Clara Barton
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Which nurse in history established modern nursing and is famous for giving nursing care during the Crimean War
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Florence Nightingale
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Who was the first African American nurse in the United States?
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Mary Mahoney
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Which nurse in history developed the first nurse's notes and established the first school of nursing in Japan
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Linda Richards
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Which nurse in history was instrumental in establishing a 3-year training program for nurses and worked for licensure exams and nursing registration?
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Isabel Hampton Robb
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Graduate of which program(s) take the NCLEX-RN?
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-- Baccalaureaate degree nursing program -- Associate degree nursing program -- Diploma nursing program
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Which is true of the Nurse Practice Acts in all states?
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--LPNs/LVNs must practice under the supervision of an RN or physician -- RNs must practice under the supervision of a physician -- The act is enforced by each stat's nursing board -- The act establishes the scope of practices for each level of nursing practice
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Which are the responsibilities of the nurse?
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-- Caring for more than one patient at a time -- Helping families understand the care of the patient after discharge --Noticing changes in the patient's condition and notifying the appropriate health care professional
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Which is/are example(s) of unprofessional conduct that could result in the loss of a person's nursing license?
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-- Stealing from a patient while caring for him or her in the home -- Neglecting to ensure that resident in a long-term care setting is receiving adequate food and fluids --Caring for a patient while under the influence of alcohol -- Leaving a long-term care facility during an assigned shift so that nursing assistants are unsupervised
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Which student organization is connected with the American Nurses Association?
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NSNA
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Which student organiatin holds competitions for medical-related skills?
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HOSA
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Sister Callista Roy
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Developed the adaption model, inspired by the stregth and resiliency of children; relates to the choices people make as they adapt to illness and wellness
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Jean Watson
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Developed the caring theory, which focuses on nursing as an interpersonal process
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Madeleine M. Leininger
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Developed the culture care diversity and universality theory
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Dorothea Orem
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Developed the self-care deficit theory, which explains what nursing care is required when people cannot care for themselves
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What does the nursing theory include?
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The theorist views regarding the persons environment, health, and nursing itself
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List 3 ways nurses coordinate the care of several patients during a shift
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-- Be organized -- Take good notes --Prioritize care
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Although starting nursing school may be the realization of your goal, why is it only the begining of setting and achieveing you goals?
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Because you have many choices as a nurse. Like you can decide on a practicing setting, like a specialization, and how you will continue your education
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How is a licensed practical/vocational nurse different from an associate degree nurse in education and licensure?
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The LVN programs last 9 months to a year. Associates are 2 years. Exams for LVN is NCLEX-PN and ADN NCLEX_RN
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As you begin nursing school, you are convinced that you want to be an obstetrical nurse. What will you expect in your education program regarding any specialization in nursing?
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Expect to be rotated through many ares of nursing care.
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Why is it necessary for all nurses to continue to learn after completing their basic nursing education?
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Staying current in many aspects of nursing because aspects of nursing can change frequently
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Explain how nursing can be both an art and a science.
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Because it requires caring creativity, communication and compassion
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Describe three attributes of a good and professional nurse
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--Able to communicate clearly and well --Takes responsibility for their own behavior -- Sees themselves as a professional and acts as a professional
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While you are a nursing student, you make an error when giving you patient medications. The patient is not aware of the error and neither is your instructor. The incorrect medication could cause interactions with the patient's other medicat
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Explain to your instructor what happened and follow facility protocol for reporting medication errors.
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Medicare
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The federal governement's health insurance program for people older than 65 years of age
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Managed care
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A system of health care delivery aimed at managing the cost and quality of access to health care
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Case management
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patient care approach aimed at coordinating the care of patients who are vulnerable, at-risk, or cost-intensive so that their specific needs are met in the most cost effective manner while still bringing them to optimum health
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Medicaid
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A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirments
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Third-party payer
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The insurance company that finances health care provided to a beneficiary
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Health Maintenance Organization
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A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
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Diagnosis-related groups
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A classification of illnesses and diseases that are then used to determine the amount of money paid to a hospital by Medicare
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Preferred provider organization
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A group of health care providers who contract with a health insurancecompany to provide services to a specific group of patients on a discounted basis
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Point of service
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A type of insurance program where a primary care physician serves as gatekeeper but the members are not capitated; insured people can seek care from physicians who are both in and out of the network.
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Primary care physician
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The "gatekeeper" for access to medical services
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When a person stays overnight or longer in a health care facility, he or she is referred to as an
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Inpatient
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_________________ can be one or many types of health or medical services provided to patients in their home because they are confined to their home by an illness or disability
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Home Health Care
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___________ is a medically directed, nurse -coordianted program providing a continuum of home and inpatient cae for the patient who is terminally ill and his or her family.
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Hospice
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Empowering the patient to take control of and manage his or her care is called _______________.
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Client centered
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When patient care is provided by different individuals who perform tasks based on his or her skills, education, and licensure, it is called _____________.
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Team nursing
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In ______________ one nurse is responsible for all aspects of nursing care for his or her assigned patients.
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primary care nursing
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When a primary care physician cannot successfully treat a patient's condition, he or she makes a ____________ to a specialist.
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referral
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When care is provided to a person without admitting him or her to a health care facility, the person is referred to as an _______________.
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outpatient
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A facility that specializes in intense physical, occupational, and speech therapy is called a ___________ facility.
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rehabilitation
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At what age are people eligible for Medicare?
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65
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When caring for the patient without insurance who has questions about payment, what resources would you consult to find out more information?
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Social Services
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Insurance companies will only pay costs when a procedure is deemed medically necessary. by medically necessary, they mean
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--The procedure has to be a reasonable intervention, given the patient's diagnosis. -- The procedure has to treat an illness or injury
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A 58-year old patient is in the ICU step-down unit at an acute care hospital after having as cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities of daily living (ADLs). The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is
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Rahabilitation facility
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Which of the following is a criterion for admission to a skilled nursing facility?
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The aptient has been hospitalizzed within the last 30 days
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Which of the following can be considered a disadvantage of team nursing?
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Care can be fragmented unless there is good communication among team members
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An LPN is the team leader for another LPN and certified nursing assistant, all of whom are caring for 10 patients in a long-term care facility. The second LPN applies a pressure ulcer dressing incorrectly. Which of the following is the best response for the team leader to make when she discovers the error?
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"You did a good job with this dressing change. i see one step here that you may have overlooked. Tell me how you did it so we can figure out if it was done according to procedure."
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Give one reason why patients are cared for by a team of health care professionals from different specialty areas.
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Each bring unique skills that can help with patient holistic care.