Unit 1 Open Book Questions

Unit 1 Open Book Questions
Chapter 1 1. What is meant by a holistic approach to medicine? (See page 2 in your textbook.)
Pertaining to the total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person 2. Name the three schools modeled after the Nightingale Plan that were established in the United States by the end of the nineteenth century. (See page 4 in your textbook.)
Saint Thomas, Bellevue Hospital School of Nursing, Connecticut Training School 3. What are the eligibility requirements for RN certification testing? (See page 6 in your textbook.)
Must have current license, have a minimum of 2 years’ experience as a RN in the designated area and currently practicing a designated
area. 4. What is the purpose of the National Association of Practical Nurses Education and of the National Federation of Licensed Practical Nurses? (See page 9 in your textbook.)
NAPNE—established an accrediting service for schools of vocational/practical nursing
NFLPN—organization for LPNs 5. How does accreditation of a program differ from program approval? (See page 9 in your textbook.)
Accreditation—signifies that a program has met it pre-established criteria
Approval—satisfies a set of minimum standards set by a state 6. Most states have some type of articulation plan. What is an articulation plan? (See page 10 in your textbook.)

Allows nursing programs to plan their curricula collaboratively

7. What is the major goal of the health care system? (See page 11 in your textbook.)
To achieve optimal levels of health care for a defined population; the means of achieving this goal is provision of an adequate health care service 8. Describe the difference between a technologist and a technician. (See page 13 in your textbook.)
Technologist—those with a baccalaureate degree
Technician—those with an associate degree or less 9. List the economic factors affecting health and illness. (See page 13 in your textbook.)
Rising health care, advances in technology, malpractice, aging population, healthcare insurance, and miscellaneous factors 10. List the distinguishing characteristics, roles, and responsibilities of the LPN/LVN. (See page 18 in your textbook.) is a responsible and accountable member of the health care team, maintains a current license, practices within the scope of nurse practice act, practice under the supervision of a medical physician (RN, osteopathic physician, dentist, or podiatrist), participants in continuing education activities, is an effective member of the health care team, uses the nursing process to meet patient’s needs, promotes and maintains health, prevents disease, and encourages/assist in rehabilitation, maintains a professional appearance, subscribes to recognized ethical practices, performs within legal parameters, participates in activities of professional organizations, assists in developing the role of the LPN/LVN of tomorrow
Chapter 2 1.
What are the differences between criminal and civil law? (See page 23 in your textbook.)
Criminal law—conduct at issue is offensive to society in general, issue is detrimental to society as a whole, the law involves public offenses (robbery, murder, assault), and purpose is to punish for the crime and deter and prevent further crimes
Civil law—conduct at issue violates a person’s right, issue is detrimental to that individual, law involves an offense that is against an individual, and purpose is to make the aggrieved person whole again, to restore the person where he or she was 2. When does the nurse-patient relationship begin? (See page 24 in your
textbook.)
When you assume the responsibility for a patient’s care 3. Define an interstate compact. (See page 25 in your textbook.)
Allows multistate practice of nursing 4. How is the legal relationship that exists between nurse and patient influenced? (See page 25 in your textbook.)
Nurse practice act 5.
List the elements that must be present for a charge of malpractice. (See page 26 in your textbook.)
Duty, breach, harm, and proximate cause 6. Name some of the responsibilities that patients have to the health care institution. (See page 26 in your textbook.)
Patients’ rights, informed consent, confidentiality, medical records, invasion of privacy, reporting abuse 7. List the factors that put older adults at risk for physical, emotional, or financial abuse. (See page 29 in your textbook.)
Declining physical health, mental ability, decreased strength and mobility, loss of independence, isolation, loss of loved ones, friends, and relatives. 8. What is the LPN/LVN’s best defense against a lawsuit? (See page 29 in your textbook.)
To provide compassionate, competent nursing care 9. When confronted with an ethical question, what is the first, fundamental principle for the nurse to consider? (See page 31 in your textbook.)
Identify the problem as an ethical one 10. What is the proper procedure a nurse must follow when reporting unethical behavior? (See page 32 in your textbook.)
Always follow the proper chain of command and explain the facts as clearly as possible
Chapter
8

1. Name the four common characteristics of all cultures. (See page 159 in your textbook.)
Culture is learned at birth (language and socialization, behaviors, values, attitude, and beliefs), culture is dynamic and ever-changing (but remains stable), all members of the same cultural group share the patterns that are present in every culture (communication, economic/physical survival, transportation, religious and family systems, social customs/mores), culture is an adaptation to specific factors/conditions, in a specific location (availability of natural resources)

2. Define transcultural nursing. (See page 160 in your textbook.)
An integration of the nurse’s understanding of culture into all aspects of nursing care 3. What is the difference between race and ethnicity? (See page 160 in your textbook.)
Race—a group of people who share biological physical characteristics
Ethnicity—a group of people who share a common social and cultural heritage based on shared traditions, national origins, and physical/biological characteristics 4. When a patient has a poor grasp of English, what must a nurse do to encourage communication? (See page 162 in your textbook.)
Keep the directions or questions brief and simple. Go back later and provide more information 5. What are the factors that have directed the change of thinking from modern biomedical health care to alternative therapies? (See page 170 in your textbook.)
Biomedical health care system—life can be manipulated by human beings using mechanical interventions. Alternative therapies—addresses the whole patient by viewing symptoms 6. Name the four basic concepts of health beliefs. (See page 170 in your textbook.)
Biomedical health belief, folk health belief, holistic health belief, and alternative/complementary belief systems