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

1. A document that outlines the individual needs of the patient and the approach of the health care team to meet these needs.

Nursing Notes

MAR

Care Plan

Nursing Process Documentation

p. 16 of Foundations

Explanation

p. 16 of Foundations

2. 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

p. 12 of Foundations

Explanation

p. 12 of Foundations

3. 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

Foreign nurses need to apply for a license in a State where they wish to work. They cannot work as a nurse without this local license. It is through this process that all details regarding immigration and work would be explained.

Explanation

Foreign nurses need to apply for a license in a State where they wish to work. They cannot work as a nurse without this local license. It is through this process that all details regarding immigration and work would be explained.

4. 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

Transferring our own expectations to the patient is may be considered disrespectful of the patient's individuality and autonomy. We need to avoid this. The other answers should actually be observed and not avoided. p. 31, cultural considerations

Explanation

Transferring our own expectations to the patient is may be considered disrespectful of the patient's individuality and autonomy. We need to avoid this. The other answers should actually be observed and not avoided. p. 31, cultural considerations

5. 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

p. 1263

Explanation

p. 1263

6. 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

p. 1266, question number 19

Explanation

p. 1266, question number 19

7. 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

p. 29 Good Samaritan Laws provide immunity in certain circumstances. The goal is to encourage assistance in emergencies occurring outside a medical facility .

Explanation

p. 29 Good Samaritan Laws provide immunity in certain circumstances. The goal is to encourage assistance in emergencies occurring outside a medical facility .

8. Laws that formally define and limit the scope of nursing practice

Agency guidelines

Nurse Practice Act

Nursing protocols

Standards of Care

p. 25

Explanation

p. 25

9. 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

p. 17

Explanation

p. 17

10. 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

p. 1258, Box 41-12

Explanation

p. 1258, Box 41-12

11. 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

p. 8 of Foundations.

Explanation

p. 8 of Foundations.

12. 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

Both Health Management Organizations and Medicare and Medicaid belong to a Health Care System. The World Health Organization, in some locations, either directly or indirectly may also be a part of a Health Care System

Explanation

Both Health Management Organizations and Medicare and Medicaid belong to a Health Care System. The World Health Organization, in some locations, either directly or indirectly may also be a part of a Health Care System

13. 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

p. 9 of Foundations

Explanation

p. 9 of Foundations

14. Two basic categories of Law:

Statutory and Common

Criminal and Civil

Public and Private

Federal and State

p. 23

Explanation

p. 23

15. 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

p. 16 of Foundations. The patient does not have the responsibility to administer his own medication

Explanation

p. 16 of Foundations. The patient does not have the responsibility to administer his own medication

Submit

16. 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

p 2 of Foundations

Explanation

p 2 of Foundations

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

p. 26 - Health Insurance Portability and Accountability Act of 1996

Explanation

p. 26 - Health Insurance Portability and Accountability Act of 1996

Submit

18. 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

p. 27 - Invasion of privacy involves a patient's right to be left alone

Explanation

p. 27 - Invasion of privacy involves a patient's right to be left alone

19. 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

Accreditation is also necessary in applying for Federal Funds. Refer to p. 9 of Foundations

Explanation

Accreditation is also necessary in applying for Federal Funds. Refer to p. 9 of Foundations

20. 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

p. 27

Explanation

p. 27

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

Culture

Values

Tradition

Ethics

p. 31

Explanation

p. 31

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

Justice

Autonomy

Beneficence

Nonmaleficence

p. 32. Autonomy refers to freedom of personal choice.

Explanation

p. 32. Autonomy refers to freedom of personal choice.

23. 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

p. 5 of Foundations

Explanation

p. 5 of Foundations

24. 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

P. 24

Explanation

P. 24

25. A health care worker's best defense against a lawsuit

Liability Insurance

An Excellent Lawyer

Compassionate, competent patient care

A good employer

p. 29

Explanation

p. 29

26. 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

p. 24 and page 26 - the words "always" and "exactly" the same make this statement false

Explanation

p. 24 and page 26 - the words "always" and "exactly" the same make this statement false

27. 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

p. 26

Explanation

p. 26

28. Match the leaders of Nursing in America on the left side with their attributes on the right side

Dorothea Dix

Lillian D. Wald

Linda Richards

Mary Eliza Mahoney

Clara Barton

Submit

29. 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

p. 1265 on Key Points

Explanation

p. 1265 on Key Points

30. 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

p. 27. The health care provider (physician, surgeon or qualified person who will do the intervention) is the only individual responsible to explain all the details of the intervention and all the element of the disclosure

Explanation

p. 27. The health care provider (physician, surgeon or qualified person who will do the intervention) is the only individual responsible to explain all the details of the intervention and all the element of the disclosure

31. 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

p. 1261, Medication Safety Alert, number 3

Explanation

p. 1261, Medication Safety Alert, number 3

32. 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

p. 11 of Foundations

Explanation

p. 11 of Foundations

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

Complete

Encoded

Permanent

Accurate

p. 27, entries need to be permanent, accurate, complete and legible. They do not need to be encoded (unless perhaps if they are electronic records)

Explanation

p. 27, entries need to be permanent, accurate, complete and legible. They do not need to be encoded (unless perhaps if they are electronic records)

Submit

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

60

85

205

25

p. 1248

Explanation

p. 1248

35. 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

p. 9 of Foundations, Organizational Influence

Explanation

p. 9 of Foundations, Organizational Influence

36. 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

p. 6 of Foundations

Explanation

p. 6 of Foundations

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

NLN

AHA

NAPNES

NFLPN

National Federation of Licensed Practical Nurses, p. 9 of Foundations

Explanation

National Federation of Licensed Practical Nurses, p. 9 of Foundations

38. 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

p. 10 of Foundations

Explanation

p. 10 of Foundations

39. 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

Another factor for rising health care costs is the increased use of technology. Shortage of nurses is not a factor that increases this cost

Explanation

Another factor for rising health care costs is the increased use of technology. Shortage of nurses is not a factor that increases this cost

Submit

40. 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

p. 24 - Regulation of Practice

Explanation

p. 24 - Regulation of Practice

41. Interstate Compact

State partnership Act

Multistate practice of nursing

Articulation

Endorsement

p. 25

Explanation

p. 25

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

Professional negligence

Malpractice

Abandonment of care

Legal liability

p. 26

Explanation

p. 26

43. 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

p. 11 of Foundations. The term PRACTICAL NURSE was not included in this position paper.

Explanation

p. 11 of Foundations. The term PRACTICAL NURSE was not included in this position paper.

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

Professional Vows

Historical Documents

Code of Ethics

Parts of a journal

p. 32

Explanation

p. 32

45. Match the legal terminology on the left column with the definition on the right

abandonment of care

assault

battery

competency

defamation

p. 24, Box 2-2

Explanation

p. 24, Box 2-2

Submit

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

Focus

Develop Goals

Practice Detachment

Be Aware

p. 1259

Explanation

p. 1259

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

Existing laws

Rules

Cultural Value

Regulations

p. 22. Cultural values are important in patient-nurse relationship but they do not directly affect legal relationship

Explanation

p. 22. Cultural values are important in patient-nurse relationship but they do not directly affect legal relationship

Submit

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

Appeal

Complaint

Discovery

Verdict

p. 23

Explanation

p. 23

49. Match the legal terminology on the left with its proper definition on the right

harm

libel

malpractice

slander

tort

p. 24, Box 2-2

Explanation

p. 24, Box 2-2

Submit

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

AHA

ANA

NLN

NFLPN

p. 26 - AHA or American Health Association developed this Bill in 1972

Explanation

p. 26 - AHA or American Health Association developed this Bill in 1972

51. 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

p. 4 of Foundations. Only Ballard School is not included. It was the first training school for Practical Nurses

Explanation

p. 4 of Foundations. Only Ballard School is not included. It was the first training school for Practical Nurses

Submit

52. 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

p. 1255. In a large hospital, it can be assumed that there are responsible directors of departments who no longer need guidance to perform their work. Hence, a CEO merely functions as an executive who does not have much need for leadership.

Explanation

p. 1255. In a large hospital, it can be assumed that there are responsible directors of departments who no longer need guidance to perform their work. Hence, a CEO merely functions as an executive who does not have much need for leadership.

53. Reclaim yourself!

Hope

Integrity

Goals

Focus

p. 1259

Explanation

p. 1259

54. The cornerstone of this kind of leadership theory is the flexibility of the manager in adapting to the needs of the individual or the work groups.

Situational

Autocratic

Democratic

Laissez Faire

p. 1256

Explanation

p. 1256

55. Although it sounds like an oxymoron, it is a strategy against burnout and it means that we need to pay attention to our own personal needs in as much as we pay attention to the needs of others.

Being nosey

Altruistic egoism

Integrity

Awareness

p. 1259

Explanation

p. 1259

56. A truck loaded with toxic chemicals rolled over Hwy 53 and spilled its contents. People are being rushed to the emergency room. What kind of an emergency nurse would best fit this situation?

Democratic

Autocratic

Laissez faire

Situational

p. 1255 Autocratic leaders excel in times of crisis because quick decisions have to be made.

Explanation

p. 1255 Autocratic leaders excel in times of crisis because quick decisions have to be made.

57. A CNA was instructed by her supervisor to give a cup of vitamins to a patient. According to the rights of delegation, which of those rights did the supervisor violate?

Right task

Right circumstance

Right person

Right direction

Right supervision

A CNA is not authorized to administer any form of prescribed medication or supplement to a patient, p. 1260

Explanation

A CNA is not authorized to administer any form of prescribed medication or supplement to a patient, p. 1260

58. Two kinds of malpractice insurance

Liability and legal insurance

POS and PPO

Claims based and occurrence based

High deductible and low deductibles

p. 1264

Explanation

p. 1264

59. Directing, Coaching, Supporting and Delegating are considered what?

Four typical styles for leaders

Four styles of Leadership and Management

Four styles of a good mentor

Four qualities of a good manager

p. 1255

Explanation

p. 1255

60. Match the nursing theorists on the left with the essence of their theories on the right

Nightingale

Orem

Leininger

Roy

Parse

Benner and Wrubel

p. 18, Table 1-3

Explanation

p. 18, Table 1-3

Submit