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Mem. of Discipline
NP 1, Unit 1, Member of Discipline Lecture
| Question | Answer |
|---|---|
| What does NLNAC stand for? | National League for Nursing Accrediting Commission. |
| What is the National League for Nursing Accrediting Commission? | Major accrediting body for Associate degree nursing programs. |
| Is accreditation voluntary or compulsory? | Voluntary? |
| What happens if you get a degree from an unaccredited nursing program? | You cannot advance to upper-level degrees. |
| Who was the founder of modern nursing? | Florence Nightingale |
| What contributions did Florence Nightingale make in the Crimean War? | Cut mortality rate in half. |
| What did Florence Nightingale contribute to the nursing profession? | Supported the education of nurses, introduced nursing theory and research, believed nursing should be based on scientific principles. |
| What was the state of the nursing profession during the American Revolutionary War, and what was its influence of nursing's future? | No trained nurses, nurses mostly men and unskilled women, sudden onset of sick and wounded stimulated the progress of medicine. |
| Describe nursing during the American Civil War. | No nurse corps, ambulance service, field hospitals, or organized medical corps. Need for nurses became imperative. Many religious orders provided care. 2,000 to 10,000 women engaged in nursing and hospital administration. |
| Describe nursing during World War One | Created even larger demand for nurses, 20,000 nurses assigned to military service, Army established its own school of nursing - Walter Reed in Washington, D.C. |
| Describe nursing during World War Two | Over 69,000 Army and Navy nurses served, Now had sulfa drugs, PCN, some immunizations, blood and blood products. Birth of flight nursing. First efforts to draft nurses. |
| Describe nursing during the Korean War. | Development of MASH units closer to front lines. Triage protocols for sorting of the wounded according to priority. |
| What does MASH stand for? | Mobile Army Surgical Hospital |
| When did schools of nursing begin to spring up in the US | Late 19th century. |
| What is a "professional"? | Someone who has: specialized education, a distinct body of knowledge, field w/ ongoing research, code of ethics. |
| What are the means of entry to registered nursing? | Hospital diploma, associate's degree, bachelor's degree, master's degree, doctoral degree, bridge and transition programs. |
| Which states passed the first licensure legislation and when? | New York, North Carolina, New Jersey, Virginia. 1903. |
| After the first legislation passed, how long did it take for all states to pass licensure legislation? | Almost 20 years. |
| What is meant by "autonomy" in a profession? | Self-regulating - determines its own goals and responsibilities, legal authority to define its scope of practice and set standards for its members, and authority to define its roles and functions. Service orientation Professional Organization. |
| What is meant by ongoing research? | Application of scientific principles and research findings. |
| What is the value of ongoing research to the nursing profession? | Gives credence to the actions of nurses because their practice flows from substantiated, accepted theory drawn not only from own research but from a variety of disciplines such as biology, anthropology, sociology, medicine, psychology, etc. |
| What is meant by evidence-based nursing practice? | Integrates clinical expertise and the best available evidence from systematic research. |
| True or False - evidence based nursing practice does not take into account patient preferences and values. | False. Evidence-based nursing practice includes patient preferences and values. |
| What is de-emphasized by evidence-based nursing practice? | 1. Ritual 2. Isolated unsystematic clinical experience. 3. Ungrounded opinions and tradition. |
| What are some problems in implementing evidence-based nursing practice? | 1. Nurses may not be aware of changing expectations. 2. May not have necessary skills to review evidence. 3. May lack knowledge to evaluate strength of evidence. 4. May lack time/resources to review current literature. |
| What is the nature and value of the nursing code of ethics? | Provides a framework for moral and ethical decision making. Provides guidelines for nurses to consider before acting. Nurses are required to act in accordance with the code of ethics established for professional nurses. |
| What qualities and features are associated with autonomy in the nursing profession? | *Independence and self-regulation. *Responsibility *Accountability *Standards of practice/Standards of Care *Scopes of practice *Licensure |
| What are standards of care? | The skills and knowledge commonly possessed by members of a profession. Legal guidelines for nursing practice. Define accountability - i.e. describe the responsibilities for which nurses are accountable. |
| What are standards of care based upon? | THE NURSING PROCESS!!! |
| Who initiates standards of care? | Professional organizations |
| What do Nursing Practice Acts do? | Define the scope of nursing practice. Set legal guidelines. Define the parameters and boundaries of various professions. |
| Who determines the contents of a nursing practice act? | State legislation. |
| Who enforces a nursing practice act? | State Board of Nursing. |
| What is the purpose of a Nurse Practice Act? | To protect the public. |
| True or False - The Nursing Practice Act is the same in every state. | False. Each state has its own Nurse Practice Act, and they vary from state to state. |
| What are some additional regulations and standards? | Job descriptions, agency policies and procedures, state and federal regulations, legal precedents, management policies |
| What does JCAHCO stand for? | Joint Commission on Accreditation of Health Care Organizations. |
| True or False - A nurse can obtain a national license, good in all fifty states. | False. Licensure is handled at the state level. |
| If a nurse moves to another state, what must he or she do? | Apply for reciprocity. |
| What is assured by licensure? | Practitioner has completed appropriate education and training. |
| How often must a Florida nurse renew his or her licensure? | Every 2 years. |
| What is required to renew a nursing license? | Continuing education credits. |
| Professions operate under the umbrella of a _________ ________. | Professional organization. |
| In the US, what is the professional organization for nurses? | American Nurses Association, or the ANA. |
| What does ANA stand for? | American Nurses Association. |
| What functions does the ANA perform? (pt. 1) | Establishes standards of nursing care/practice, nurse education, & service. Establishes code of ethical conduct. Establishes system of credentialing. Initiates/influences legislation, govt. programs, health policy. Supports study and nursing resear |
| What functions does the ANA perform? (Pt. 2) | Provides for professional development of nurses. Promote and protect the economic and general welfare of nurses. |
| What is the least expected of a nurse? | Do no harm. |
| What is legally expected of nurses and student nurses? | Provide safe and competent care so that no harm comes to the patient. |
| What is liability? | The quality or state of being legally responsible to account for one's obligations and actions and to make financial restitution for wrongful acts. |
| What are the four components of negligence/malpractice? | 1. Nurse owed duty to a client. 2. Nurse failed to carry out that duty. 3. Client was injured. 4. Client's injury was caused by the nurse's failure to follow the standard of care. |
| True or False - The nurse is obligated to direct the practice of those under his or her supervision so that no harm or injury comes to the patient. | True. Nurse is responsible for directing the practice of PCAs, for example. |
| If you are asked to carry out an activity that you believe will be injurious to the client, what must you do? | Refuse to carry out the order and report to the person in charge. |
| Standards of care by which the nurse must act or fail to act are legally defined by what two things? | 1. Nurse Practice Act 2. Rule of reasonable and prudent action. |
| What is meant by "reasonable and prudent"? | What would a reasonable and prudent professional with similar preparation and experience do in similar circumstances? |
| True or False - Nursing students are not liable for their own acts of negligence during clinical experiences. | False. Nursing students are accountable for their actions and liable for their negligent acts. |
| True or False - When nursing students perform duties that are within the scope of nursing practice, they are legally held to the same standard of skill and competence as a registered nurse. | True. |
| True or False - Lower standards are applied to the actions of nursing students. | False. Students are held to the same standards as RNs. |
| True or False - Nursing students can perform a skill that has not yet been covered in class and lab. | False. Students must not perform any skill they have not been trained to perform yet. |
| True or False - Only the student is liable for his or her actions, the school and instructor are not liable. | False. If the student is negligent, the clinical instructor and the school may also be held liable. |
| Nursing students who work as PCAs may perform nursing skills they learned in school during a shift as a PCA. | False. Nursing students may practice as nurses only during clinical experiences, under the supervision of the clinical instructor. |
| What are common errors that can result in negligence? (pt. 1) | Failure to: gather and chart client information adequately. recognize significance of certain information AND to notify the physician in a timely manner. Give discharge info client understands. Chart each ID'd problem |
| What are common errors that can result in negligence? (Pt. 2) | Failure to: Ensure continuity of care by ignoring the care plan. Correctly interpret and carry out MD orders. Perform tasks correctly. Persue MD if he/she fails to respond to calls. Notify nurse manager if MD is unavailable. |
Created by:
christyness
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