Nursing as a Profession True/False
Elements of a Profession
The Public and Policy Role of the Nursing Profession
Words from Dr. Jack Silverman
100

Nursing is a fully mature and adult profession now reflecting all of the particular characteristics of professional delineation.

False.

"Compared with other professions such as medicine and the law, nursing is still in its formative developmental stages and is just beginning to mature in a way that can be equitably compared with other disciplines" (Porter-O'Grady & Malloch, 2018, p. 43).

Module outcome: Describe the role of the professional nurse.

100

Which element does this statement correspond to?

"This continual generation of new knowledge is so critical to all professions that they inevitably have mechanisms that take the professional beyond the basics to new and higher levels of understanding and contemporary research about practice that alters expectations and changes behaviors."

Knowledge work always changes

(Porter-O'Grady & Malloch, 2018, p. 48).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

100

Fill in the blank (1 word):

"Because much of public advocacy is undertaken by professional organizations, participation in such an organization ______ its capacity to speak out for the best interests of the population for which it advocates."

Strengthens.

(Porter-O'Grady & Malloch, 2018, p. 70).

Module outcome: Describe the role of the professional nurse.

100

In chapter 4, Dr. Silverman describes an incident in which an orthopod becomes dismissive of the nurses' what?

Professional autonomy.

The orthopod was angry at the nurses for exercising their professional autonomy by having the "audacity" to make suggestions about medications and make challenged about his expertise.

(Nance, 2008, p. 37-38).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

200

For nursing it is legal for institutions to unilaterally control the profession.

False.

"For nursing, as with any licensed profession, it is against the law for institutions to unilaterally control the profession. Instead, such controls are defined by state legislatures and regulated by the state's professional discipline, which responds to a human call for care that is broad and universal" (Porter-O'Glady & Malloch, 2018, p. 47).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

200

Which element does this statement correspond to?

"Society needs to be assured that its professions do not take their obligations lightly or fail to respond to the call for service in a way; they need to know that professionals will minimizes risk to members of society, and advance outcomes and fulfill the interests of those members."

Professional work as a social mandate

(Porter-O'Grady & Malloch, 2018, p. 47).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

200

Finish this sentence (2 words):

"Each nurse should be fully aware of the personal obligation the professional has to address issue of advocacy and ____ ____."

Public policy.

(Porter-O'Grady & Malloch, 2018, p. 71).

Module outcome: Describe the role of the professional nurse.

200

What is the 'crisis' nurses are experiencing that Dr. Silverman mentions in chapter 4? What is the animal that Dr. Silverman metaphorically uses?

"Nurses are in crisis, and with a low professional self-esteem and a national paradigm of discounted worth, inadequate staffing and senior nursing leaders typically too far disconnected and powerless to change things, nurses act like rats in an overcrowded cage and turn on one another" (Nance, 2008, p. 390).

Module outcome: In the context of nursing, examine the alignment of a person and a profession.

300

It is of best interest for the nurse to embrace the notion that other disciplines (notably physicians) are better educated and more well informed.

False.

"Nurses must overcome and dismiss the notion that other disciplines (notably physicians) are better educated and more well informed; have a deeper understanding of patient's needs; are fully knowledgeable regarding the work of others in a way that informs patients' needs; are directly in control of all clinical practice; and are, in fact, in the final analysis, the captain of the clinical ship" (Porter-O'Grady & Malloch, 2018, p. 65).

Module outcome: Describe the role of the professional nurse.

300

Which element does this statement correspond to?

"For the professional, work is not codified in hourly increments and prescribed only within the context of a job, category or an institutional position."

The profession becomes identified with the person

(Porter-O'Grady & Malloch, 2018, p. 46).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

300

Fill in the blank (2 words):

"The nurse can act as a ____ ____ by embracing the political and social role of the profession, and supporting the passage of laws and regulations that establish firm standards upon which quality, safety, and health can be advanced and assured."

Change agent.

(Porter-O'Grady & Malloch, 2018, p. 70-71).

Module outcome: Describe the role of the professional nurse.

300

What is the built-in rule Dr. Silverman mentions to Will about medications?

"We have a built-in rule that says we must expect literally every medication order to contain a potentially lethal mistake" (Nance, 2008, p. 51).

"Regarding all medications as lethal unless proven otherwise has the potential to drastically reduce medication disasters based on assumption" (Nance, 2008, p. 66).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

400

One of the primary roles of the nurse is to coordinate, facilitate, and integrate interdisciplinary interaction around elements of professional practice and patient care so as to ensure synthesis and safety for the patient.

True.

"Clinically integrated care models that include a broad range of health professionals, whose services are often coordinated within the plan of care by the nurse, are becoming more common as a foundation for clinical practice in almost every setting" (Porter-O'Grady & Malloch, 2018, p. 73).

Module outcome: Describe the role of the professional nurse.

400

Which element does this statement correspond to?

"It is expected that the professional, by virtue of his or her membership and work, is committed to advancing the role and contribution of the profession."

Professional work is knowledge work

(Porter-O'Grady & Malloch, 2018, p. 45).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

400

Fill in the blank (2 words):

"Through ___ ___, nurses  can and should influence practice standards and processes to assure quality of care."

Policy work.

(Malliarakis, 2017).

Module outcome: Describe the role of the professional nurse.

400

What national story does Dr. Silverman refer to when speaking to Will about the dangers of assumption?

Three premature babies died when they were injected with doses of the adult version of insulin at roughly 1,000-times the safe dosage for an infant.

(Nance, 2008, p. 63).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

500

For a professional, the identification of the profession becomes a part of personal identity such that it is impossible to separate the person from the profession.

True.

"For a professional, personal identity and professional identity act together as one. When individuals become members of the profession, they become so tightly identified with the profession that their membership in it cannot be separated from their personal identity. 'I am a nurse' is a statement that enumerates who I am, not just what I do" (Porter-O'Grady & Malloch, 2018, p. 71).

Module outcome: In the context of nursing, examine the alignment of a person and a profession.

500

Which element does this statement correspond to?

"Professionals are expected to make judgments in a way that reflects facts and truth."

Evidence, improvement science, and translation of knowledge and best practices

(Porter-O'Grady & Malloch, 2018, p. 48).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.

500

Fill in the blank (3 words):

"The work nurses do in influencing policy affects decisions that impact ___ ___ ___ and universal access to care."

Quality of life.

(Glen, 2015).

Module outcome: Describe the role of the professional nurse.

500

Dr. Silverman attributes what flaw as a prominent reason for medical mistakes?

"Flawed communication is the bedrock-basic human malady that enables most medical mistakes" (Nance, 2008, p. 65).

Module outcome: Describe professional and ethical foundations of membership in a professional practice setting.