Nursing Today + History of Nursing (Ch. 1 & 2)
True or False: Nursing is run by a Magnet manager who makes decisions for the nursing units.
True.
True or False: This ANA document—Nursing: Scope & Standards of Practice—describes nursing’s “contract with society,” including the duty to promote health, provide safe and ethical care, and meet the needs of the public.
True
This ANA document describes nursing’s “contract with society,” outlining the profession’s obligations to promote health, provide safe and ethical care, and meet the needs of the public.
Clue:
To confirm a patient truly understands a newly prescribed medication schedule, a nurse asks the patient to explain—in their own words—when and how each medication will be taken. This strategy is considered the most accurate way to verify comprehension.
What is using the teach-back method?
Serving as a tool for interprofessional communication, a legal and financial record of care, a resource for education and research, and a guide for performance improvement, this essential document supports safe and effective healthcare delivery.
What is the health record?
True or False: In a nursing diagnosis, the “related to (r/t)” phrase identifies the assessment data that supports the chosen diagnosis.
False.
The r/t phrase identifies the etiology or cause, not the defining characteristics/assessment data. The assessment data go in the "as evidenced by" part.
This type of patient goal is Specific, Measurable, Achievable, Realistic, and Time-bound—for example, “The patient will walk 50 feet with a walker by the end of the shift.”
What is a SMART goal?
Providing care for patients at the end of life, focusing on comfort, dignity, and quality of remaining life, and discontinuing curative treatments are all functions of ____________.
Hospice nursing.
Clue:
This systematic, five-step process—used to assess patients, identify problems, plan and implement care, and evaluate outcomes—demonstrates how nurses apply the critical thinking model to make sound clinical decisions.
What is Using the nursing process
Nursing programs seek ____________ from organizations such as CCNE or ACEN to ensure they meet national standards for quality education and prepare students for professional practice.
Accreditation
Research that focuses on numerical data, measurements, and statistical analysis is called ____________.
Quantitative Research.
A ____________ diagnosis identifies a patient’s responses to health problems, while a ____________ diagnosis identifies the underlying disease or medical condition.
Nursing, Medical.
Clue:
Guiding ethical decision-making and outlining professional expectations, this foundational document serves as a framework for how nurses provide safe, compassionate, and moral care.
What is the Code of Ethics?
State the Major Theoretical Accomplishments for each:
1-Florence Nightingale
2-Jean Watson
3-Patricia Benner
1-Environmental Theory and impact on patient outcomes
2-Theory of Caring (Caring Caritas)
3-Novice to Expert
Clue:
This ethical principle requires nurses to honor a patient’s right to make independent choices about their own care, even when the nurse disagrees with those choices.
What is autonomy
Clue:
This assessment finding—showing the patient is alert, interested, and asking questions—best indicates that the patient is ready to learn.
What is demonstrating motivation and readiness,
True or falseThis action—creating strong, frequently updated passwords and making sure patient information on your screen cannot be viewed by unauthorized individuals—is considered acceptable practices for maintaining the security and confidentiality of electronic health records.
Answer: True
What are using a strong, frequently changed password
In this foundational framework, nurses collect patient data, analyze and identify problems, set measurable goals, carry out interventions, and determine whether outcomes were met. Name this five-step process that guides all nursing care.
What is the Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation)?
Clue:
While riding the elevator after clinical, a student nurse discusses a patient’s recent diagnosis with a peer. Another passenger overhears and realizes the student is talking about their neighbor. This situation represents this violation of HIPAA standards.
What is a breach of patient confidentiality?
Clue:
While volunteering at a Bloomsburg neighborhood wellness fair, a nurse offers flu vaccines, conducts BMI screenings, teaches smoking-cessation strategies, and provides guidance on nutrition and exercise. These services fall under this level of health care focused on preventing illness before it occurs.
What is preventive care?
Clue:
Lack of accountability and poor communication are examples of these obstacles that can hinder a nurse’s professional growth and quality of care.
What are barriers to professionalism?
This domain of learning is demonstrated when a patient practices a skill such as drawing up insulin or performing a dressing change.
What is psychomotor learning?
List the two types of scientific research and provide an example or describe
Qualitative
Quantitative
Clue:
This format/guideline states that a proper nursing diagnosis includes the problem, the related cause, and the supporting characteristics, signs and symptoms—in that order.
What is the Diagnosis — Related To — As Evidenced By format?
Clue:
According to Maslow, this foundational level of human need includes essentials such as oxygen, food, water, sleep, and elimination—needs that must be met before safety or emotional well-being can be addressed.
What are physiologic needs?
Clue:
When a nurse relies on evidence-based guidelines, ethical standards, and established best practices to determine the safest and most effective intervention, this provides the rationale behind the nurse’s clinical actions.
What is using professional standards to guide and justify clinical decision-making?
Clue:
A specialized body of knowledge, a commitment to service, and adherence to a code of ethics are three of these defining features of nursing as a profession.
What are key characteristics of a profession?
1. This domain of learning involves changes in attitudes, values, or feelings—such as a patient expressing increased confidence in managing their condition.
2.This learning domain is activated when a patient describes, explains, or understands new information—such as listing signs and symptoms to report to a provider.
1. What is affective learning?
2. What is cognitive learning?
Clue:
These three essential components—research evidence, clinical expertise, and patient preferences and values—come together to guide high-quality, patient-centered care.
What are the components of Evidence-Based Practice?
Clue:
During which phase of the Nurse-patient relationship process is characterized by active problem-solving, this phase of the therapeutic relationship - where interventions occur and the patient develops new coping skills with the nurse’s support.
What is the working phase?
Clue:
This national organization develops and administers the NCLEX examinations used by all U.S. state boards to determine a candidate’s readiness for entry-level nursing practice.
What is the National Council of State Boards of Nursing (NCSBN)?
Clue:
Today-A nurse manager focuses on supporting staff needs, fostering their professional development, and celebrating team successes. When major changes occur on the unit, the manager works alongside the team and uses evidence-based strategies to guide the process. This approach reflects a leadership style centered on serving and empowering others.
What is servant leadership?
Clue:
During a staff meeting, nurses are invited to help revise patient-care protocols, and their feedback directly shapes the final policy. This collaborative decision-making model empowers staff and strengthens professional practice across the unit.
What is shared governance?
Clue:
A health department team reviews disease patterns across several neighborhoods, identifies common risk factors, and implements community-wide strategies such as vaccination campaigns and health education initiatives to improve outcomes for entire groups of people. This broad, prevention-focused approach exemplifies this concept in modern healthcare.
What is population health?
Clue:
A nurse asks a patient, “Aren’t you going to get out of bed, or are you just going to sleep all day?” This non-therapeutic statement demonstrates a breakdown in effective interaction caused by judgmental, belittling language.
Answer:
What is a barrier to communication?
Clue:
After assessing a postoperative patient’s pain and planning appropriate interventions, the nurse administers the prescribed analgesic, applies a heating pad as ordered, and assists the patient with repositioning to increase comfort. These actions represent this phase of the nursing process.
What is implementation?
Clue:
While visiting clients in their homes, these nurses coordinate services, communicate with physicians and therapists, and ensure that all disciplines involved in the client’s care are aligned toward shared goals—one of their key professional responsibilities.
What is collaborating with other care providers?