Eastern Florida 2019 January NUR3805 Full Course Latest

16 Jun Eastern Florida 2019 January NUR3805 Full Course Latest

Question
NUR3805 Dimensions of Professional Practice

Chapter 1 Discussion

Discussion Topic:

First of all ~ What area do you work in now, and where do you see yourself in 5 years. (This is not to imply you are unhappy, only to challenge you to examine your position and your options~ which I expect you have already done, as here you are!)

After reading through the learning plan and completing your reading/PPT, choose one of the identified challenges the future of nursing is faced with. Find a peer reviewed journal article that addresses this problem to summarize and give your perspective on where we, as nursing professionals, should go from here ~ what is our role, as nurses, in looking forward on the issue. Please attach the article as a PDF for your peers if possible, but certainly include the reference.

NUR3805 Dimensions of Professional Practice

Chapter 2 Discussion

The history and social context of nursing

As we attempt to synthesize the historic, contemporary and emerging theories & principles affecting the practice of nursing, we are going to explore some of of the organizations that are helping define the future of professional nursing practice. As nurses, we have a great history ~ but you all are the future of nursing!

And I take my cap off to you!

You have stepped out of your comfort zone and here you are! Now, where to from here on a personal level.

Please take some time to read about one of nursing’s biggest advocates and what’s happening on a national level regarding the social context of nursing:

1. Johnson & Johnson:

Link to Champion of Nursing: Johnson & Johnson (Links to an external site.)Links to an external site.

Link to Johnson & Johnson Website (Links to an external site.)Links to an external site.

2. Robert Wood Johnson Foundation:

Link to Robert Wood Johnson Foundation (Links to an external site.)Links to an external site.

3. Nurses are taking Washington,D.C. by Laura Stokowski, (Links to an external site.)Links to an external site. MSN, RN. Do you see yourself as a policy game changer? How can we support these efforts without going to Washington?

4. Feel free to explore what is happening in the health care policy-making in Tallahassee (state level) or in Washington (national level) if this is an area of interest to you.

DISCUSSION

View TED talk by Roselinde Torres (Links to an external site.)Links to an external site.

Based on your own self-reflection, having exploring the sites above, consider what your professional role as a nurse looks like or could look like. No citations needed. These responses are of a personal nature.

1. Where are you anticipating change in your professional life? (take a look at your calendar: Who are you spending time with? On what topics? What are you reading? Does what you are doing match your goals)

2. What is the diversity measure of your professional stake network? (Your capacity to develop relationships with people very different from yourself)

3. Are you courageous enough to abandon a practice that has made you successful in the past? Do you have a dream (actually, many have already answered that this past week) My goal is to help you develop a plan for here you see your career as a professional nurse taking you. I don’t have a dream for you ~ and there are no dreams too small or too big. But finding your interest, learning to dream, and forming a plan is where it all starts.

NUR3805 Dimensions of Professional Practice

Chapter 4 Discussion

“So… you’re a nurse?”

The general public often puts all nurses into the same category, however we who are in the profession, know that there are many different kinds of nurses. This can be defined by nursing specialties, levels of education, areas of passion (ICU, peds, ED, home health, etc.), where one works,… ~ and I’m probably missing something!

Discussion Prompts: This week’s discussion will focus on our choices ~ “If we knew then what we know now..” choices. This is not just a conversation, though it certainly could be! I would like to hear from you researched facts based on what you answer ~ I want more than just your gut feeling on the topic. There are 4 discussion points ~ Answer ONE of the following questions. Between all of you, I would like all of the discussion points to be covered so please try to avoid too much duplication, but feel free to add your perspective through responses.

1. If a friend who wants to become a nurse asked your advice about the type of program he or she should enroll in, what would your answer be (LPN, ADN, BSN, Diploma, etc.)? What would you cite as the advantages and disadvantages for your recommended program? What are the differences in scope of practice, responsibility, job opportunities, and salary?

2. The Brown Report, ANA, the National Commission for the Study of Nursing and Nursing Education (Lysaught Report), National Commission on Nursing, NLN, and AACN all recommend the BSN degree as entry into practice; however, this has not happened to date in the United States. In what way would the unification of nursing education strengthen the profession in the US? What are the drawbacks to this approach?

3. Why might a BSN program choose one accrediting agency over the other (ACEN vs. CCNE)? Make a persuasive argument for one of these two choices.

4. Jan Gonzalez has been an RN for 7 years. She has become increasingly interested in research, serving on her unit’s evidence-based practice committee and then on her hospital’s nursing research council. She is very interested in the effects of sleep deprivation on milk production in breastfeeding mothers. She is trying to decide between a doctorate of philosophy (PhD) program and a doctorate of nursing practice (DNP) program for her doctoral studies.

Address these questions Jan Gonzalez:

What are the differences and similarities between these two types of programs?

What should Jan consider as she determines which of these doctorates to pursue?

What are the differences between approaches to research that Jan will find between these two programs?

NUR3805 Dimensions of Professional Practice

Chapter 5 Discussion

This is a reflective posting so no citations are required

There’s an old saying: If you don’t know where you’re going, how do you know when you’ve gotten there? This applies to professional nursing.

This discussion focuses on the evolution of the professional nurse and the introduction of a theory that helps us identify where we are, so we know where we are going professionally not just as individuals, but as a profession ~ but the journey starts with us, as individuals …

Discussion:

ANSWER the following 2 prompts:

1. Examine Benner’s model from your reading. Then, determine at which stage you are in your development as a student and as a nurse. Give your rationale for that placement. If none of the models or stages fits your experience, create your own model (or stage). Don’t be shy, embarrased or humble ~ be honest.

2. Write your own mission statement:

a. After reviewing the definitions of nursing identified in your book and discussed in the learning plan, write your own professional mission statement.

b. Identify the vision, values, mission, and philosophy statement of your place of employment (or another healthcare organization) and expand on how your mission statement lines up. (Just one or two paragraphs) *Please include the website/URL or name of the company as a reference.

c. Evaluate the effects of the above organization’s mission, values, and philosophy on nursing leadership, quality of patient care, patient safety and patient outcomes based on your experience and your readings this week.

NUR3805 Dimensions of Professional Practice

Chapter 7 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Ladies and Gentlemen ~This topic of nursing ethics is HARD & complex ~ it requires thinking! … and we MUST think! In addition to thinking, we MUST speak ~ We are the advocates, the ethical voice, of our patients. We want easy answers but there are no easy answers when it comes to ethics.

Discussion: Choose ONE of the following prompts to address:

1. Based on one the two situations below, discuss the different outcomes that would result if the decision were made based on these three ethical theories: (1) deontology, (2) utilitarianism, and (3) principalism. Identify your personal favorite of these three theories.

You need to discharge patients from a full ICU to make room for a critically ill admission

OR

You are currently working short-staffed on your unit and you are being forced to take a patient load that will prevent you from giving good care

2. Read the ICN Code of Ethics for Nurses online at www.icn.ch/ethics.htm (Links to an external site.)Links to an external site. or download the PDF: icncode_english.pdfPreview the document and write your post comparing it to the American Nurses Association’s Code of Ethics for Nurses. What elements do they have in common? In what ways are they different?

3. Conduct a literature search for ethical decision-making models. Choose one that interests you and prepare a summary. In your summary, discuss whether the model you found includes all six steps identified in the text.

4. Amelia is a new nurse on a 35-bed medical unit and is enjoying her first few months there. She particularly enjoys her new patient, Katy, a 32-year-old mother of two little girls who has been admitted for fatigue and low blood counts. Katy had a bone marrow biopsy soon after admission, and she and her husband are anxiously waiting for the results. Late in the afternoon, Amelia notices that the preliminary report indicates that Katy has acute myelogenous leukemia (AML).

When Amelia goes to check Katy’s vital signs at 4 p.m., Katy asks her if the results are back yet. Amelia responds truthfully that she does not know if Katy’s doctor has seen the results yet. Katy persists, “…but you have. What is my diagnosis?” Amelia acts as if she had not heard the question. Katy then said, “It is bad, then.”

Consider these questions:

What is the ethical dilemma for Amelia?

What actions should she take?

What is the ethical basis for the actions that you believe she should take?

What principles from the ANA Code of Ethics can guide Amelia’s responses?

NUR3805 Dimensions of Professional Practice

Chapter 8 Discussion

Time to take care of ourselves!

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Ladies and gentlemen~

Did you know that “for nearly every indicator, the health of America’s nurses is worse than that of the average American. Nurses are more likely to be overweight, have higher levels of stress and get less than the recommended hours of sleep. Because health care delivery requires 24/7 support, the demands of shift work exacerbate the health of nurses. In addition, hazards such as workplace violence and musculoskeletal injuries are contributing factors to poorer health. According to the Bureau of Labor Statistics, registered nurses have the fourth highest rate of injuries and illnesses that result in days away from work when compared to all other occupations.” (ANA, 2018, Link (Links to an external site.)Links to an external site.)

Please read through the executive summary from ANA’s health risk assessment.

Healthy nurse, healthy nation (Links to an external site.)Links to an external site.

Additional Optional Resources:

Hoffman, A. (2013) Enhancing Self-Efficacy for Optimizing Patient Outcomes through the Theory of Symptom Self-Management. Cancer Nurs. 2013 Jan; 36(1): E16–E26.

doi: 10.1097/NCC.0b013e31824a730a

Link to Enhancing Self-Efficacy for Optimizing Patient Outcomes through the Theory of Symptom Self-Management (Links to an external site.)Links to an external site.

Discussion: There are 2 parts to this week’s original posting: Everyone should answer #1 AND either #2, #3, #4, OR #5

1. Some people, once they recognize they need to change unhealthy behaviors do, and some do not. Review Rosenstock health belief model OR Albert Bandura’s theory of perceived self-efficacy and write a short summary of this model/theory, with an application to ONE healthy behavior (such as use of tobacco, alcohol, adequacy of rest and sleep, etc.).

2. Some theorize that often nurses don’t take care of themselves due to experienced distress and grief associated with their patients’ suffering that lead to burnout, moral distress and compassion fatigue. Do a literature search to explore this further.

3. Select a chronic or acute illness or health condition and do an online search. Examine websites generated by your search, assessing them for accuracy and safety. What items on the site do you consider safe and why? Why do you consider others not as safe? (be sure to look at who is funding the page~ it’s very small print!)

4. Review the Link to Healthy People 2020 initiative (Links to an external site.)Links to an external site.

Select ONE of the 2020 topic and objectives to explore & write a summary on why it was chosen for a 2020 initiative, the objectives, what the interventions that are being implemented are and your perception of the effectiveness based on the nation’s response.

5. Create a self-care training and educational plan (based on validated methods) for medical learners (such as yourself!) supporting personal, professional, and team self-care. Keeping in mind Bandura’s theory of perceived self-efficacy.

NUR3805 Dimensions of Professional Practice

Chapter 9 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Ladies and gentlemen ~

I believe that the grand theorists were important to getting nursing where it is today ~ I believe that as nurses, we need to understand their contribution and give them a nod of thanks. This module is focused on the utilization and application of nursing theory as a guide for excellence in nursing practice. As a BSN student, it is important that you learn to critique nursing research and become an informed consumer of research relevant to evidence based practice. That’s where the middle range theories come in… Middle range theories provide the theoretical framework that link grand nursing theories with nursing practice.

Discussion topic: Middle Range Theories

1. Identify ONE middle-range nursing theory from your text, from the list in the Learning Plan, or one you identify on your own that applies to your area of practice or simply peaks your interest. (I am hopeful that you will all have different ones)

2. Summarize your chosen middle-range theory, including the development of it as a middle-range theory, how to utilize it and the theoretical framework for it. Most middle-range theories have a theoretical framework. For example, the framework for the middle range theory of Unpleasant Symptoms:

Framework for Unpleasant Symptoms MRT

Of course, many have their own designed model for how they perceive the framework should be ~ that’s okay. Which one makes the most sense to YOU? And if you don’t like theirs, design your own framework for the theory!

3. Identify how this middle range theory can help you organize your thoughts for critical thinking and decision making in nursing practice.

NUR3805 Dimensions of Professional Practice

Chapter 10 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

So ~ We’re always talking about evidenced-based practice, but HOW DOES ONE FIND THE EVIDENCE?!?

Let’s talk about scholarly articles for a moment ~ There are different types of scholarly literature, some of which require original research (or “primary literature”) and some that are based on other published work (“secondary literature”). For this module, though I highly value original work, we are going to look at review articles (a secondary literature source). Review articles give an overview of existing literature on a topic, often identifying specific problems or issues and analyzing information from available published work on the topic with a balanced perspective.

There are three types of review articles (broadly speaking!):

1. the literature review: An important part of the text of a scholarly paper that includes the current knowledge including substantive findings, as well as theoretical and methodological contributions on a specific topic.

2. the systematic review: This form of review collects and summarizes all empirical evidence that fits pre-specified eligibility criteria (our review of choice this week!).

3. the meta-analysis: This just strengthens the findings of a systematic review as it statistically combines data from multiple studies to evaluate a common effect.

Systematic reviews and meta-analysis are considered to be the highest quality evidence on a research topic because their study design reduces bias and produces more reliable findings. This week we are going to look at a topic of your choice. Ideally, there are a least peer reviewed articles on the topic, however it would be nice to find a systematic review. How does one find systematic reviews?! (Hint: Look at CINAHL database through EFSC library and Cochrane Database of Systematic Reviews (CDSR) which is considered the leading resource for systematic reviews in health care. The CDSR includes Cochrane Reviews (Links to an external site.)Links to an external site. (the systematic reviews) and protocols @ Cochrane.org Link (Links to an external site.)Links to an external site.)

Discussion: Please answer 2 of the 5 questions below. Choose ONE of questions from 1-4 AND complete question 5.

Part I: Answer question 1, 2,3 or 4:

1. Discuss the difference between inductive and deductive reasoning. Why is neither adequate to advance knowledge alone?

OR

2. Identify the NIH and NINR definition of nursing research. Base on this, what is the primary focus of EBP?

OR

3. Is inductive or deductive reasoning most likely to change practice? Explain.

OR

4. Where does research on improving nursing education and learning outcomes fit into the definition of nursing research provided by the NIH and NINR definition?

Part II: Please answer the following question:

5. Choose a topic that interests you and examine the SECONDARY research using the PICO process.

Do a search of the literature in 2 data bases: CINAHL database (Cumulative Index of Nursing and Allied Health Literature ~ the largest and most in-depth nursing research database) and Cochrane (at Chochrane.org~ the ‘gold standard’ for EBP) and, based on your findings, choose ONE secondary research article (ideally a systematic review or meta-analysis!) that interests you to summarize. In the summary, please include:

Can the steps of the research process be identified ?

Does the article make you consider practicing in a different way?

How To Resource: How to do a library data base search: Go to Library Resources on your MyEFSC.edu site. choose Database Search. Click on the the data bases then put in your search words: CINAHL ~ this process takes practice. Don’t let yourself feel frustrated at the process!

Cochrane Database is not part of the EFSC database collection but it is accessible to you. In regard to the Cochrane Database of Systematic Reviews (CDSR) you can use the advanced search (Links to an external site.)Links to an external site. or you can browse by topic (Links to an external site.)Links to an external site. or by Cochrane Review Group (Links to an external site.)Links to an external site. (CRG).

NUR3805 Dimensions of Professional Practice

Chapter 12 Discussion.

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

After you complete the readings, view the PPT, and viewing the following lectures, please address one of the following discussion postings.

View:

Lorelei Linguard: (about 20 min.) Collective Competence ~ (Hear: Collaborative Communication!)

Kathy Torpie’s story: (about 4 min.)

Discussion: Choose one of the discussion prompts below ~ Ideally, as a class, all questions will be answered as each covers a different aspect of professional communication. Please read through each other’s work and respond to at least one of your peers with a scholarly response.

1. You have just transferred to theICU from a M/S unit. You notice that the unit seems to face several challenges because of ineffective communication. Unit morale is down. Both nurses and physicians are under immense stress. You know that high-quality, efficient communication takes teamwork, dedication, and patience. You set out to make a difference in your new place of work.

The Johari window is a metaphor often utilized to help create awareness and address communication issues. Please expand on what the Johari window is and how it can be utilized in this situation.

2. Three types of formal organizational communication exist: upward, downward, and vertical. Describe each of these types of communication and provide a workplace example.

3. What are ways to complete the orientation phase of a nurse-patient relationship in one acute-care shift? (Keep in mind the difference between social and professional relationships)

4. Perform an Internet or library search using “communication AND hospital errors” as key words. Create a summary of one scholarly article that you found interesting.

5. Discuss ways to demonstrate caring with one’s patients. How can a nurse be sensitive to a patient’s personal needs while still being professional and efficient? (Keep in mind the priniciples for determining professional boundaries)

6. Discuss the communication theory~ based on this, identify the communication style in these examples:

(1) “That must be horrible.”

(2) “Could you rephrase your last comment?”

(3) “Dr. Smith does lots of surgeries; I’m sure you will be OK.”

(4) “I lost my mother, too; I know how you feel.”

(5) “This was not what you expected to happen and is likely causing you many emotions.”

(6) “Many people have been through this and returned to normal.”

(7) “This must be disappointing.”

(8) “Oh, you are not hungry.”

(9) “Things will get better soon.”

(10) “I don’t think that question is relevant to your care. Let’s focus on you….”

7. In what ways is the collaborative process similar to the nursing process?

Additional resources:

Kourkouta, L., & Papathanasiou, I. V. (2014, February 20). Communication in Nursing Practice (Links to an external site.)Links to an external site..

Vertino, K. A. (2014, September 30). Effective Interpersonal Communication: A Practical Guide to Improve Your Life (Links to an external site.)Links to an external site..

NUR3805 Dimensions of Professional Practice

Chapter 13 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Ladies and gentlemen ~ After reviewing the learning plan, completing the reading, and viewing the PowerPoint, I imagine you are a bit overwhelmed. Keep focused on the topic: Communication and the roll of the nurse. Complete ONE of the three discussion prompts:

1. Incivility in the workplace:

Kathleen Bartholomew, RN, MN, managed a 57-bed orthopedic and spine unit in a tertiary hospital. Recognizing that the culture of an institution is critical to patient safety, she speaks about the image and future of nursing, creating healthy work environments, communication, nurse-to-nurse hostility, and improving physician-nurse relationships.

Lessons from Nursing to the World | Kathleen Bartholomew | TEDxSanJuanIsland (Links to an external site.)Links to an external site.

Lessons from Nursing to the World | Kathleen Bartholomew | TEDxSanJuanIsland

Based on this video, let’s look at incivility in the workplace. Workplace incivility, defined as “characteristically rude and disrespectful, revealing a lack of respect for others” is a significant problem in healthcare settings and especially in nursing. Incivility not only negatively impacts the individual enduring the negative behaviors but also the care that is delivered under the shadow of incivility. There is a great deal of research in this area!

How can incivility in the workplace be addressed?

2. Self-Care:

Complete the personal stress inventory found in Table 13-1 of the textbook. Consider your own coping skills. Review one of the articles below (OR do a library search for an article that discusses “nurse*” and “self-care”) and see what research-based recommendations are made for nurses and their health. Summarize your article and address some of the following questions:

How should one maintain a life–work balance?

How do you manage school, home, and work responsibilities?

In what ways are you taking care of your health? What are the impediments?

Identify one action that you could implement to enhance your physical or psychological health or both.

Choose ONE of the suggested articles available through EFSC library CINAHL data base (feel free to search for one on the same subject matter):

Cassie, F. (Feb/Mar 2015) Coping with shift work: Is there a perfect roster? Nursing Review (1173-8014), 15(1): 4-7. 4p. (Journal Article – pictorial, tables/charts) ISSN: 1173-8014

Helm, M. (July, 2017) The role of mindfulness in enhancing self-care for nurses. American Journal of Critical Care, 26(4): 344-348. 5p. (Article – research, systematic review, tables/charts) ISSN: 1062-3264.

Malloy, P., Thrane, S., Winston, T., Virani, R.,Kelly, K. (April, 2013) Journal of Hospice & Palliative Nursing, Volume 15(2), p 99–106.

Van Wijlen, J. (2017) Healing the Healer: A Caring Science Approach to Moral Distress in New Graduate Nurses, International Journal for Human Caring, 2017; 21(1): 15-19. 5p. (Article) ISSN: 1091-5710

3. Cultural Competence:

Different cultures have different rules. Read or View at least ONE of the following resources and consider your answer to the following questions:

Summarize ONE of the resources (articles or the Ted Talk), and answer 2 of the following 7 job interview style questions:

Share any experience you have in working with individuals from backgrounds different from yours. How would this experience translate to working within a health care environment and with patients?

What are some of the challenges you have encountered in working with patients from diverse populations?

Do you have experience working with individuals with Limited English Proficiency?

What languages do you speak? If language other than English is offered, ask about proficiency (conversational, fluent, read, write, etc.) and if the proficiency has been tested.

Have you worked with interpreters? If yes, in what capacity and what was your scope of involvement? Are you knowledgeable about a specific culture such that you could serve a mentor role in teaching other staff about that culture?

If you suspected a patient was experiencing challenges (not following treatment plan, missing appointments, etc.) due to cultural preferences, what steps would you take to understand their preferences?

How would you go about building rapport with a patient who is from a background different from yours?

Article 1: Rahimaghaee, F.,Mozdbar, R. (2017) Cultural intelligence and it’s relation with professional competency in nurses. Nursing Practice Today 4(3): 115-124. 10p. (Article – research, tables/charts) ISSN: 2383-1162

Article 2: Riley, D., Smyer, T., York, N. (2017) Cultural Competence of Practicing Nurses Entering an RN-BSN Program.

Ted Talk: View Fayth Parks: Ms. Parks is a licensed psychologist and associate professor at Georgia Southern University. She has over 25 years experience studying disparities in rural education, rural health care access, and cultural competency training.

NUR3805 Dimensions of Professional Practice

Chapter 14 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Discussion: Choose one of the following discussion topics to develop ~ be sure to respond to one of your peers.

Review the healthcare initiative of Healthy People 2020 and Healthy People 2030 (being developed) In what ways might nursing address the Healthy People 2020 broad goals? (consider using the 10 health indicators as a guide)

Think about the four major categories of health care services (health promotion and maintenance, illness prevention, diagnosis and treatment, and rehabilitation and long-term care). Which have you or a family member used? Which ones might have been more useful and why?

Identify a local or global health care agency/system and do the following: determine how the agency is classified (e.g., public, voluntary, for-profit, not-for-profit), obtain a copy of the organizational chart, identify to whom the chief nurse executive (CNE) reports and who reports to the CNE, and describe the types of health services provided.

Discuss the causes of health disparities. After researching this topic, did you find that health care disparities have gotten significantly worse or have remained unchanged?

According to the text, people who support a free-market economy consider health care a privilege. The United States, however, has health care payment policies inconsistent with a free-market economy. Based on basic economic theory, discuss whether health care in the United States is a right or a privilege. (This topic is a personal favorite 😉

Do a little research on how hospital bills break down payments. What are the advantages and disadvantages to including nursing services in hospitals as part of the “room rate”? How does this affect the professional image of nursing?

Research one or two health care agencies and find out what economic measures they are using to decrease health care costs. Present their findings along with a new idea that is not found in the text.

NUR3805 Dimensions of Professional Practice

Chapter 16 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Beth Perry Black, in our text, tries to help us recognize the challenges in caring so as to help challenge us to do what we do ~ CARE ~ better.

This week’s discussion: Choose one of the challenges to further develop:

The Challenge: Caring for ourselves

Compose a list of self-care strategies and ways that one could incorporate those strategies into a busy nursing career. This is more than just your thoughts ~ do the research as this includes not only health, but mental health and balance.

The Challenge: Caring for the profession

Only 10% of nurses belong to the American Nurses Association (ANA). What are some of the ways in which we can encourage nurses to unite for collective power? What other ways would encourage caring for our profession?

The Challenge: Caring for the environment

Research illnesses that are caused by environmental deterioration and our failure to be good stewards to earth’s resources or to respond properly and promptly to natural disasters.

The Challenge: Unite and Act

Evaluate where nursing is now in relation to 10 domains identified in Nursing’s Agenda for the Future. Sadly, this is the latest agenda I found, and though it needs to be updated ~ the issues still apply. Please view at the following link: Link (Links to an external site.)Links to an external site. (http://ana.nursingworld.org/mods/archive/mod725/cedecfull.htm#develop.)

Based on this document, evaluate nursing’s agenda from a process standpoint. What skills did the nursing leaders need to work effectively together on this strategic plan?

How are today’s students preparing themselves to develop these skills?

OR

Give a review of the topics and the upcoming event of April 25th & 26th with Nurses Take DC with a march on Washington! Do you believe this has the potential to bring about change? Link (Links to an external site.)Links to an external site. (Web link to Nurses Take DC (Links to an external site.)Links to an external site.)

NUR3805 Dimensions of Professional Practice

Chapter 1 Quiz

Question 1

Which of the following could eventually change the historical status of nursing as a female-dominated profession?

More men graduating from baccalaureate and higher degree programs

The proportion of men in nursing beginning to increase

More male graduates of basic nursing programs entering the workplace

Salary compensation increasing to attract more men

Question 2

The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when

the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.

the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.

the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses.

the nonwhite portion of the general population decreases.

Question 3

Which of the following is a correct statement about the registered nurse (RN) population?

The racial/ethnic composition of RNs closely resembles that of the general population.

The number of men entering nursing has decreased steadily over the last decade.

The rate of aging of RNs has slowed for the first time in the past 30 years.

The majority of employed RNs working full time must work a second position.

Question 4

Which of the following best describes trends in nursing education?

Numbers of RNs with bachelor’s and higher degrees are increasing.

Numbers of RNs with associate degrees are decreasing.

Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation.

Numbers of RNs with diploma educations are increasing.

Question 5

Despite the variety of work settings available to the RN, data indicate that the primary work site for RNs is

ambulatory care settings.

community health settings.

long-term care facilities.

acute care hospitals.

NUR3805 Dimensions of Professional Practice

Chapter 3 Quiz

Question 1

Which of the following was recognized earliest as a true profession?

Ministry

Teaching

Engineering

Social work

Question 2

Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession?

Members are trained on the job.

Members are motivated primarily by financial reward.

The group lacks a code of ethics.

Members have autonomy.

Question 3

According to the nurse’s Code of Ethics, the hallmark of nursing practice

altruism.

autonomy.

accountability.

evidence-based practice.

Question 4

A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?

Reading the professional literature

Reporting substandard practice by unlicensed personnel

Mentoring nursing students and novice nurses

Making a financial donation to a professional organization

Question 5

The process of professionalization of an occupation typically follows a pattern of developmental stages. One of the stages is collective identity. Which of the following is an example of collective identity?

Legal right to practice profession to protect unique skills from outsiders

Definition of the profession’s mission related to full-time work

A loose association of practitioners

Apprenticeship programs to develop skills

NUR3805 Dimensions of Professional Practice

Chapter 4 Quiz

Question 1

In 1900, the primary reason for hospital-based nursing education programs

staff the hospitals that operated the education programs.

provide educational opportunities for women.

provide standardized preparation for nurses.

educate nurses to care for patients in hospitals.

Question 2

The Goldmark Report focused on what aspect of nursing?

Desirability of establishing schools of nursing within academic settings

Consistency in theory content across diploma programs

Consistency in length of nursing education programs

Increasing numbers of physicians teaching in nursing programs

Question 3

Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?

Nurses should be highly educated.

Nursing students should be trained on the job.

Nursing students should be used to staff hospitals on the weekends.

Nurses with highly developed instincts do not require standards of practice.

Question 4

The single most important reason for the decline in the number of hospital-based diploma programs was

diploma education’s position outside the mainstream of higher education.

shift in hospital occupancy from acute care to home care.

increase in hospital-based medical residency programs competing for educational dollars.

beginning of associate degree programs that were shorter in length.

Question 5

The 1948 Brown Report recommended which of the following?

Schools of nursing should be associated with teaching hospitals.

Students admitted to nursing programs should not be required to meet admission requirements of the university.

Schools of nursing should be located in institutions of higher learning.

Limit enrollment of men and minorities in nursing programs.

NUR3805 Dimensions of Professional Practice

Chapter 6 Quiz

Question 1

Which of the following is an example of civil law?

Giving alcohol to a minor

Child custody case

Possession of marijuana

Assault and battery

Question 2

Which of the following falls under the jurisdiction of the state board of nursing?

Approving or reject applications for new nursing education programs

Reducing the provisions of the nurse practice act

Expanding the provisions of the nurse practice act

Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage

Question 3

What is the primary function of the National Council of State Boards of Nursing (NCSBN)?

Overseeing decisions made by state boards of nursing

Administering the NCLEX examination at testing centers

Overseeing granting licensure by endorsement

Developing the NCLEX-RN® and NCLEX-PN® licensing examinations

Question 4

The nurse forgets to give the patient a dose of antibiotic. Later in the shift, the patient goes into cardiac arrest and dies. What element is lacking to support malpractice?

Specific injury

Proximate cause

Breach of duty

Duty of care

Question 5

A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to

assess and monitor a patient.

document.

follow the standard of care.

communicate with a patient.

NUR3805 Dimensions of Professional Practice

Chapter 7 Quiz

Question 1

Which of the following situations is an example of moral distress?

You become romantically involved with a co-worker, which is against the unit policy, so you resign your position.

You purposefully use vague language when explaining a patient’s condition to the family. Staff expects that the patient may be brain-dead, but test results are not yet conclusive.

You hear nurses in the lounge making off-color jokes about a patient. You are afraid to speak up for fear of retaliation.

You have been late for work a couple of times in the last 2 weeks, and your co-workers are covering for you.

Question 2

According to Kohlberg’s theory of moral development, individuals who act “because it is the rule of society” are operating in which level of moral development?

Developmental

Preconventional

Postconventional

Conventional

Question 3

According to Kohlberg’s theory, which of the following is true of moral development?

Holding people responsible for their actions does not improve moral development.

Participating in decision making promotes moral reasoning.

Intellectual development has no effect on moral development.

Participating in debates on ethical issues decreases moral development.

Question 4

Which of the following ethical theories is illustrated by the example of following the Golden Rule, “Do unto others as you wish them to do unto you”?

Utilitarianism

Principlism

Virtue ethics

Deontology

Question 5

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of

nonmaleficence.

death with dignity.

justice.

autonomy.

NUR3805 Dimensions of Professional Practice

Chapter 8 Quiz

Question 1

Who is credited with developing the theory on systems?

Rosenstock

von Bertalanffy

Maslow

Rogers

Question 2

Dynamic balance between systems and their parts is called

suprasystems.

inertia.

synergy.

homeostasis.

Question 3

An 18-month-old child has been in three foster homes within the past 9 months. When the child is seen for a well-child visit, the nurse notices the child vigilantly watches everyone. This child may not have which of Maslow’s basic needs met?

Basic physiologic needs

Love and belonging needs

Self-actualization

Safety needs

Question 4 A school-aged child with spina bifida uses a wheelchair, attends school, and is actively involved in Scouting and science club. This child is meeting which of Maslow’s basic needs?

Love and belonging needs

Esteem needs

Safety needs

Self-actualization

Question 5

Which of the following is true of Maslow’s basic need of self-actualization?

Elderly people outgrow the need for self-expression and self-development.

People use their abilities to the fullest extent possible and are true to their nature.

Once self-actualization is achieved, it is never lost.

Most people achieve self-actualization after all other needs are met.

NUR3805 Dimensions of Professional Practice

Chapter 9 Quiz

Question 1

Which of the following best describes the meaning of the term “theory”?

An organizational structure that outlines concrete connections between concepts

A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes

Statements that describe linkages between concepts and propose a testable outcome

A set of beliefs about the nature of how things work and how the world should be viewed

Question 2

A broad, general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as a

theory.

philosophy.

conceptual model.

metaparadigm.

Question 3

The nurse adjusts the patient’s room to allow the patient to see the sunlight out the window and checks the patient’s diet tray to ensure a balanced diet. The nurse could be basing care on the philosophy of

Watson.

Nightingale.

Henderson.

Roy.

Question 4

Which of the following human needs was not included in Henderson’s 14 basic needs of patients?

Sleep and rest

Sexuality

Need for work

Spirituality

Question 5

Which contemporary theorist is best known for her emphasis on the caring aspect of nursing?

Henderson

Orem

Watson

King

NUR3805 Dimensions of Professional Practice

Chapter 10 Quiz

Question 1

The discovery of oxygen would be called pure science because this information

could direct further research at the bedside.

was obtained for the sake of obtaining new knowledge of the world.

had an immediate use for humans.

would be useful in curing, managing, or preventing disease.

Question 2

To build the body of knowledge of nursing, a problem amenable to study should be

based on published research findings and fit logically with what is already known.

able to ensure participants that the intervention is a “good idea.”

able to produce results that are applicable to a variety of situations.

an original area of study never researched previously.

Question 3

Which of the following are the three most common sources of research questions?

Clinical problems, replication of prior research, testing nursing theory

Review of existing research, NIH grants, request by state board of nursing

Study of clinical problems, anecdotal stories, requests by the National Institutes of Health (NIH)

Requests by drug companies, doctoral students, review of the literature

Question 4

A nursing manager wants the unit staff to become more involved in research. The staff nurses say they are not qualified to conduct research. Which response by the manager is best?

“At the staff nurse level, you can assist with clinical studies by doing data collection.”

“A baccalaureate-prepared nurse should be able to design simple studies.”

“If we all work on this together, we can design and implement good research studies.”

“You need a basic understanding of the research process because you should be good consumers of research.”

Question 5

Which research design has the goal of determining a cause-and-effect relationship?

Applied research

Pure research

Nonexperimental design

Experimental design

NUR3805 Dimensions of Professional Practice

Chapter 11 Quiz

Question 1

Critical thinking in nursing needs to include which of the following important variables?

Ability to determine the best nursing interventions regardless of patient’s values and beliefs

Flexible thinking that rarely follows a pattern or considers standards

Ability to act quickly, often on impulse

Consideration of ethics and responsible decision making

Question 2

Which of the following is a characteristic of an accomplished critical thinker?

Unaffected by other arguments

Quick decision making

Inquisitiveness

Narrow focus

Question 3

Which of the following is considered subjective data in information gathering from the patient?

Pulse and blood pressure measurements

Pain

ECG pattern

Diaphoresis

Question 4

Which of the following is considered objective data obtained from the patient?

Patient nods, indicating an affirmative answer to a question.

“I can’t catch my breath.”

Blood pressure is 110/70 at 8 p.m.

Patient expresses concern about missing work.

Question 5

A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient?

Interviewing the patient using a professional interpreter

Attempting to obtain past medical records for this patient

Performing a physical examination on the patient

Asking the other family members to help interpret

NUR3805 Dimensions of Professional Practice

Chapter 12 Quiz

Question 1

Which of the following best describes Peplau’s theory on therapeutic use of self?

Putting patients’ needs ahead of your own

Providing excellent clinical skills to improve patients’ health status

Using excellent interpersonal skills to help patients improve their health status

Self-protection through avoidance of a relationship with the patient

Question 2

One of the most important outcomes of the orientation phase of the nurse-patient relationship is the development of mutual

communication.

understanding.

acceptance.

trust.

Question 3

Which of the following suggests that a successful contract has been established between the nurse and patient in the orientation phase of the nurse-patient relationship?

Patient has agreed to learn to change his colostomy bag.

Patient ambulates in the hall without assistance.

Patient allows the nurse to inject his daily insulin.

Patient asks the charge nurse to verify that the staff nurse’s teaching is correct.

Question 4

When should the preparation for the termination phase of the nurse-patient relationship begin?

In the orientation phase

During the working phase

As part of the termination phase

Right before termination

Question 5

Which of the following is an effective way to maintain safe professional boundaries?

Never accepting small gifts from patients

Finding ways to satisfy your needs through personal relationships outside of nursing

Avoiding caring for patients who ask personal questions about you

Sharing your personal stories so that patients will feel understood and trusting

NUR3805 Dimensions of Professional Practice

Chapter 13 Quiz

Question 1 Which illness has the characteristics of a chronic illness?

Gastroenteritis

Chickenpox

Bronchitis

Lupus

Lupus requires long-term treatment and impacts a person for his or her entire life. Previously, the life expectancy was as short as a few months after diagnosis.

Question 2 What is the primary difference between acute illness and chronic illness?

In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.

In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly.

In acute illness, symptoms begin suddenly, progress gradually, and do not subside.

In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

Acute illness is defined as severe symptoms that appear suddenly, progress steadily, and subside quickly.

Question 3 A patient states, “I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago.” In which stage of illness is the patient?

Disbelief and denial

Attempting to gain control

Irritability and anger

Irritability and anger is the second stage of illness acceptance. It is characterized by anger at the body for not functioning properly or by anger at self or others.

Depression and despair

Question 4 A patient states, “There is no hope. They’re going to keep me here until I die. Can’t you give me my medication more often? I’m going to die anyway.” In which stage of illness is this patient?

Depression and grief

Depression and grief is the fourth stage in the adjustment to an illness. The person at this stage may experience many losses, and depression is the response.

Attempting to gain control

Disbelief and denial

Irritability and anger

Question 5 A contemporary view of the sick role includes

patient as submissive to the health care provider.

patient as partner with the health care provider.

A contemporary view of the sick role includes partnering with patients in making health care decisions.

moving away from cultural values when making health care decisions.

patient noncompliant with the health care provider.

NUR3805 Dimensions of Professional Practice

Chapter 14 Quiz

Question 1 Which of the following is not included as an overarching goal of Healthy People 2020?

Attaining longer lives free of preventable diseases and injury

Eliminating health disparities

Creating environments that promote good health

Lengthening the average lifespan by a decade

Question 2 Health promotion differs from illness prevention in that health promotion

occurs before the identification of disease risk factors.

returns an individual to optimal functioning after an illness.

identifies and ameliorates a health problem.

addresses identified health problems.

Question 3 Which of the following is characteristic of public agencies?

They are supported by donations from the public.

Most only provide primary care services.

They provide health care services at the national, state, and local levels.

Public agencies can serve the nation, state, or local community.

They are not involved in the education of health care providers.

Question 4 A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a

not-for-profit agency.

private agency.

for-profit agency.

voluntary agency.

Question 5 Hospices that provide care to terminally ill patients and their families in hospitals, in the home, or in special hospice facilities provide which level of health care?

Subacute care

Secondary care

Tertiary care

Primary care

NUR3805 Dimensions of Professional Practice

Chapter 15 Quiz

Question 1 The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as

political power.

power.

policy.

politics.

Question 2 A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in

politics.

setting policy.

legislative power.

power sharing.

Question 3 The principles and values that govern actions directed at influencing and determining decisions, actions, and other matters are known as

policy.

political power.

power.

politics.

Question 4 Which of the following is an effective method for the practicing nurse to achieve leadership skills?

Avoiding involvement in politics

Becoming active in professional organizations

Learning about collective bargaining

Changing jobs frequently to improve skills

Question 5 The American Nurses Association (ANA) serves as the

clearinghouse of standards set by clinical specialty organizations.

professional organization for all nurses regardless of practice setting or level of practice.

regulatory agency setting the guidelines for the scope of practice.

source of dissemination of nursing research.

NUR3805 Dimensions of Professional Practice

FINAL EXAM

Question 1 The clinical nurse leader (CNL) is a recently proposed role. The responsibilities of the person in this role include which of the following?

Provide daily care to a specific subset of patients with similar needs.

Oversee and manage care delivery in specific settings.

Manage and streamline operations in multiple nursing units.

Replace the outdated CNS role.

Question 2 Which of the following is an example of a research question based on a clinical problem?

Relationship between hours of bright light and irritability of preterm infants

Nursing intuition about what measures are most useful with anxious patients before surgery

Stories of a flight nurse’s experiences with posttraumatic stress disorder

Published observations of a nurse who practiced many years in elder care

Question 3 Which research design would be used to determine the relationship between self-concept, physical fitness, and health habits in school-aged children?

Applied research design

Nonexperimental design

Experimental design

Pretest and posttest design

Question 4 For data collection to be valid, what must occur?

The tool must be accurate all of the time.

The tool must measure what it is supposed to measure.

The tool must be unbiased.

The tool must be thorough.

Question 5 Which of the following must be included in the informed consent in research?

Participants need to know the funding source for the research.

Participants must be informed of risks associated with participation.

Participants relinquish the right to privacy.

Once participants agree to participate, they must complete the study.

Question 6 What is the current name of the agency that serves as an important source of funding for nursing research?

National Institute of Nursing Research

National Nursing Research Agenda

National Center for Nursing Research

NIH

Question 7 Which of the following statements describes the purpose of the nursing process?

A sophisticated time-management strategy

Process used to identify and solve patient problems

Process of documentation designed to decrease liability

Process designed to maximize reimbursement potential

Question 8 Which of the following describes the primary difference between nursing diagnoses and medical diagnoses?

Nursing diagnoses, like medical diagnoses, identify medical diseases.

Nursing diagnoses must be verified by a physician.

Nursing diagnoses identify simple instead of complex problems.

Nursing diagnoses identify problems that can be treated with independent nursing actions.

Question 9 Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?

Patient will inject insulin twice daily.

Patient’s recorded blood glucose will be between 60 and 120 mg/dL each day.

Patient’s A1c will be 5% at 1 year postdiagnosis.

Patient will keep appointments with physician over the next 6 months.

Question 10 Which behaviors help patients develop trust in the nurse?

Meeting with the patient spontaneously because that indicates caring

Sharing personal information to indicate openness

Answering questions with authority

Conveying acceptance of the patient and a nonjudgmental attitude