NUR 101 - Test 1, Evolution Of Nursing, Legal Concepts And Leadership

A wellness-illness model developed in the 1940's to help us understand patient needs within a conceptual hierarchy. 

• Fliedner's School

• Maslow's model

• Ballard Model

• Sociocognitive Development Model

A tourist from Spain decided to remain in Chicago. She happens to be a licensed nurse. Now she want to work in Illinois. What does she need to do first?  

• Apply for a job

• Apply for a license in Illinois

• Go back to Spain first and get a copy of her physical license

• Have a short trip to Disney World first and get her license in Florida

When treating a patient from another culture, it is important that we AVOID doing what? 

• Understand the patient's background

• Listening to what the patient has to say

• Transfer our own expectations to the patient

• Respect the patient's difference

In a regular health care facility, this event typically takes place at 7:00 am, 3:00 pm and 11:00 pm  and its goal is to provide pertinent information about patients. 

• Coffee chat

• Breakfast, lunch and dinner

• Change of shift report

• Cigarette smoking breaks

What is the primary area for LPN/LVN jobs in the United States and Canada?

• Long term care facilities

• Doctor's clinics

• Dental offices

• Hospitals

Two blocks away from the hospital, while waiting for a public bus, a person suddenly fainted. A CNA was right beside this person and started doing CPR. An ambulance arrived later,  but the person did not make it alive to the emergency room.  During an investigation, it was determined that the CNA cannot be sued. What is the law that protects him? 

• His CPR certification card

• It was not his fault

• Good Samaritan Law

• Health Workers Bill of Rights

Laws that formally define and limit the scope of nursing practice 

• Agency guidelines

• Nurse Practice Act

• Nursing protocols

• Standards of Care

Four major concepts that are the basis for all nursing care models

• Doctors, nurses, CNA's, patients

• Health care providers, client, disease, hospitals

• Nursing, patient, health, environment

• Disease, wellness, patient, nursing, doctors

Recently, your charge nurse seems to be highly sensitive, irritable and forgetful. She always covers for nurses who call and sick. She complains of being tired and has no appetite for anything. What could she be suffering from? 

• Pre-menstrual syndrome

• Anorexa nervosa

• Burnout

• Mental disorder

The Ballard School in Brooklyn New York, under the supervision of the YWCA gave a course that lasted approximately 3 months, and was the first training school for Practical Nurses. Since graduates from this school were also trained in cooking and nutrition, they were also called what?

• Student Nurses

• Attendant Nurses

• Technical Nurses

• Nurse Practitioners

A complete network of agencies, facilities, and providers involved with health care in a specified area.  

• Health Management Organizations

• Medicare and Medicaid

• Health care system

• World Health Organization

Set standards for practical and vocational nursing, protect and promote the interests of LPN/LVN's, and educate and inform the general public about practical and vocational nursing

• ANA and NLN

• NAPNES and NFLPN

• NASB and AHA

• NCLEX and JCAHO

Two basic categories of Law:

• Statutory and Common

• Criminal and Civil

• Public and Private

• Federal and State

The following are Patient responsibilities. Select all that apply

• Administer his own medication

• Take an active role in the planning process

• Ask questions when needed

• Comply with the treatment plan prescribed

This ancient group of people where known to have used hollow reeds as catheters and provided detailed instructions for daily nursing care. 

• Ancient Egyptians

• Ancient Indians

• Ancient Greeks

• Ancient Hebrews

______________(An acronym composed of 5 letters) and is directly related to protect the confidentiality of all health care information. 

Upon entering a patient's room, the patient screamed and said: "Leave me alone. You guys have been bothering me the whole night. I need to sleep. Go away". If the nurse persists in staying and doing whatever she has to do, the nurse can be accused of violating which right?  

• Patient abuse

• Battery

• Invasion of Privacy

• Being obnoxious

The difference between an APPROVED PROGRAM and ACCREDITATION: 

• Approved program sets the lowest standards while accreditation demands excellence

• Approved programs refer to minimum expectations while accreditation requires higher standards

• An approved program means being accepted while accreditation refers to academic credits

• Approved programs are needed for Federal Funding while Accreditation is not

Refers to full disclosure of facts that patient needs in order to make a decision before any invasive treatment or procedure.  

• Doctrine of Informed Consent

• Patient Bill of Rights

• Confidentiality Report

• Consumer Rights

Personal beliefs about the worth of an object, an idea, a custom or an attitude

• Culture

• Values

• Tradition

• Ethics

The Ethical Principle behind the patient's right to refuse medical advice or medical treatment 

• Justice

• Autonomy

• Beneficence

• Nonmaleficence

These two nurses organized the American Society of Superintendents of Training Schools of Nursing in 1894 dedicated to establish educational standards for Nurses and which was patterned after the American Medical Association

• Linda Richards and Clara Barton

• Mary Eliza Mahoney and Lillian D. Wald

• Isabel Hampton Robb and Lavinia Dock

• Phoebe and Fabiola

Difference between ACCOUNTABILITY and LIABILITY

• The former is owning an account and the latter is being responsible for that account

• The former and the latter are both legal terms

• The former is personal responsibility, the latter is legal responsibility

• The former is legal responsibility and the latter is personal responsibility

A health care worker's best defense against a lawsuit

• Liability Insurance

• An Excellent Lawyer

• Compassionate, competent patient care

• A good employer

Malpractice and Professional Negligence are exactly the same. Anyone who commits malpractice always commits professional negligence and anyone who commits professional negligence, always commits malpractice. 

• True

• False

Upon arriving at the hospital, a nurse observes that there are people roaming around the floor, looking at patient files, observing what the nurses are doing and asking a lot of questions. When she approached one of them,  she was told that they are checking the hospital's compliance with all applicable laws, rules and regulations so that they could decide whether to approve accreditation or not. Who are these people?  

• State politicians

• The Joint Commission (TJC)

• Officers of the National League of Nursing (NLN)

• Wandering patients from the mental health floor

Main function of the State Board of Nursing

• Ensure safety for the consumer of nursing services

• Collect fees for lobbying purposes

• Represent nurses in government meetings

• Approve schools of nursing

According to the "Doctrine of Informed Consent" a nurse would need further training when he/she does the following:

• Witness the patient's signature

• Acquire the patient's consent before the procedure

• Explain all the details of the procedure, elements of the disclosure, and benefits of the intervention

• Provide the necessary documentation to the patient

A physician called and gave a series of instructions regarding medication. Which of these should be processed first?   

• ASAP order

• Stat order

• Regular order

• PRN

Range of a person's total health influenced by the individual's physical condition, mental health and social well-being. 

• Homeostasis

• Health spectrum

• Wellness-illness continuum

• Holistic health care

Entries made in a written medical record should have the following conditions. Select all that apply:

• Complete

• Encoded

• Permanent

• Accurate

Minimum number of questions that a Practical Nurse Student would have for the NCLEX-PN 

• 60

• 85

• 205

• 25

During this time, nursing training focused heavily on "service to the patient" rather than a comprehensive professional education and was far removed from the Nightingale Plan

• World War I

• World War II

• Crimean War

• Civil War

The Association of Practical Nurse Schools founded in 1941 changed its name  to National  Association of Practical Nurse Education (NAPNE) the following year and then changed to NAPNES (adding Services at the end) in 1945. What did this organization originally do?

• Established the rules for the licensing of practical nurses

• Acted in behalf of nursing schools in lobbying

• Planned the first standard curriculum for practical nursing

• Established the first accrediting service

Founded by Lillian Kuster, it is the official membership organization for licensed practical nurses and licensed vocational nurses.   

• NLN

• AHA

• NAPNES

• NFLPN

Allows nursing programs to plan their curricula collaboratively in order to lessen duplication of learning programs and support a process of progressive buildup.  

• Articulation

• Continuing Education

• Curriculum design

• Academic Planning

Factors affecting the rising cost of health care services. Select all that apply. 

• Aging population

• Increase cost of health care insurance

• Shortage of nurses

• Rising cost of medical malpractice insurance

Within the health care profession, acts whose performance are required, permitted or prohibited are defined by:

• Scope of practice

• Legislation

• Standards of Care

• Licensing Laws

Interstate Compact

• State partnership Act

• Multistate practice of nursing

• Articulation

• Endorsement

Duty, breach of duty, harm and proximate cause are all elements of which offense? 

• Professional negligence

• Malpractice

• Abandonment of care

• Legal liability

In 1965, the American Nursing Association formulated a position paper that defined two levels of nursing practice. What were these two levels?  

• Nurse Practitioner and Nursing Assistant

• Practical Nurse and Vocational Nurse

• Registered Nurse and Technical Nurse

• Attendant Nurses and Professional Nurses

"The Nightingale Pledge" and "The Practical Nurse's Pledge" are examples of what? 

• Professional Vows

• Historical Documents

• Code of Ethics

• Parts of a journal

Factors that influence the legal relationship between nurses and Patients. Select all that apply  

• Existing laws

• Rules

• Cultural Value

• Regulations

Realistic, achievable and in line with your personal values describe this strategy that could prevent burnout. 

• Focus

• Develop Goals

• Practice Detachment

• Be Aware

Admission of facts, interrogatory and deposition are all techniques for which phase of a litigation

• Appeal

• Complaint

• Discovery

• Verdict

Organization that developed the "Patient's Bill of Rights"

• AHA

• ANA

• NLN

• NFLPN

Schools that followed the "Nightingale Plan" in the United States. Select all that apply 

• Bellevue Hospital School in New York

• Connecticut Training School in New Haven, CT

• Ballard School in Brooklyn, NY

• Boston Training School in Boston, MA

The "Laissez Faire" style of leadership can work well with who?

• The CEO of a large hospital

• The Charge Nurse of the Oncology Unit

• The Nurse Manager of the ICU

• The Clinical Instructor of PCCTI