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An advanced practice nurse with a masters degree who independently provides health care to clients, usually in an outpatient, ambulatory care, or community-based setting
Nurse Practitioner
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An advanced practice nurse with expertise in a specialized area of practice who may work in any practice setting
Clinical Nurse Specialtist
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A registered nurse is educatied in midwifery and certified to provide independent care for women during normal pregnancy, labor, and birth as well as care for the newborn
Certified nurse midwife
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A registered nurse who has received advanced training in an accreited program to provide anesthesia under the guidance and supervision of a physician
Certified registered nurse anesthetist
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This is granted to registered nurse candidates who pass the NCLEX-RN test administered by the individual state boards of nursing. It ensures that the candidate has a minimum knowledge base for the population nurses serve.
Licensure
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Formal, organized educational programs offered by state nurses associations and educational and health care institutions to help nurses remain current in nursing skills, knowledge, and theory.
Continuing education and inservice education
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The nurse practices nursing in conformity with the code of ethics for professional registered nurses. This code:
Defines the principles by which nurses' provide care to their clients
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An 18-year-old woman is in the emergency department with fever and cough. The physician asks the nurse to measure vital signs, auscultate lung sounds, listen to heart sounds, determine the level of comfort, and collect blood and sputum samples for analysis. The nurse is performing what aspect of practice?
Assessment
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A client is wheezing and short of breath. The physician orders a medicated nebulizer treatment now and in 4 hours. The nurse is providing what aspect of care?
Implementation
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The nurse is caring for a client with end-stage lung disease. The client wants to go home on oxygen therapy and be comfortable. The family wants the client to undergo a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the client's wishes with the family. The nurse is acting as the client's:
Advocate
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Evidence-based practice is defined as:
A problem-solving approach to clinical practice based on best practices
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The examination for the registered nurse (RN) licensure is exactly the same in every state in the United States. This examination:
Provides a minimal standard of knowledge for practice
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Advanced practice nurses (APNs) generally:
Function independently
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Nursing practice in the twenty-first century is an art and science that is centered on:
The client
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Who acted to decrease mortality by improving sanitation in the battlefields, which resulted in a decline in illness and infection?
Florence Nightingale
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The professional nurse responsible for increasing respect for the individual and awareness of cultural diversity was:
Mary Mahoney
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The document that developed goals and objectives to meet the health of the public is known as:
Healthy People 2010
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A nurse who uses critical thinking in the decision-making process to provide effective quality care to individuals is known as:
A clinical decision maker
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What assures clients that they will receive quality care from a competent nurse?
Standards of care
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The licensure and practice of nursing is regulated by:
The Nurse Practice Act
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A nurse who has filled a position on the same unit for 2 years understands the unit's organization and the care of the clients on that nursing unit. Benner defines this nurse as able to anticipate nursing care and to formulate long-range goals; this nurse is given the title:
Competent nurse
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An APN is the most independently functioning of all professional nurses. All of the following are examples of a clinically focused APN:
- Case manager
- Nurse specialist
- Nurse practitioner
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An APN is pursuing a job change. What position would the APN be unable to fill without meeting additional criteria?
Certified registered nurse anesthetist
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What professional organization was created to address concerns of members in the nursing profession?
NLN(National League for Nursing)
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Contemporary nursing requires that the nurse possess knowledge and skills to carry out a variety of professional roles and responsibilities. Examples include:
- Autonomy and accountability
- Advocacy
- Provision of bedside care
- Health promotion and illness prevention
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occurs after all assessments are completed
Diagnosis
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a plan is developed and
implemented
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actual delivery of care
Implementation
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data gathering is
Assessment
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Then the information is developed into a
diagnosis
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the final step of the nursing process is
Evaluation
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helps speak for the client, communicating the client's concerns and wishes to family and other caregivers
advocate
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assists in meeting all health care needs of the client, including taking measures to restore emotional, spiritual, and social well-being
caregiver
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coordinates all the activities of the members of the nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibilities for a specific nursing unit or agency
manager
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explains concepts and facts about health, demonstrates procedures such as self-care activities, reinforces learning or client behavior, and evaluates the client's progress in learning
educator
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where the client goes to receive treatment
health care facility
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how nurses proceed to plan care for the client
The nursing process
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founded the Red Cross
Clara Barton
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organized hospitals, nurses, and supply lines to support the troops of the Union Army
Dorothea Dix
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opened the first community health service for the poor
Lillian Wald
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assisted slaves to freedom during the Civil War
Harriet Tubman
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founded the Nurses Associated Alumnae of the United States and Canada, which later became the American Nurses Association (ANA)
Isabel Hampton
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instrumental in the affiliation of nursing education with universities
Mary Adelaide Nutting
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Nightingale's first nursing philosophy
Notes on Nursing
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developed standards and policies for end-of-life care
Last Acts Campaign
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draws on research findings as well as clinical expertise and client values
evidence-based practitioner
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includes health care members from various fields of activity, such as physical therapy and dietary therapy, along with nursing
member of a multidisciplinary practice
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regulates the licensing and practice of nursing; it describes the scope of practice
Nurse Practice Act
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allows the facility, school, or hospital to operate and be recognized in good standing according to standards set by peers
Accreditation certification
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the standardized national examination that assess for a minimum knowledge base relevant to the client population that the nurse serves
National council licensure
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an organization that addresses legal aspects of nursing practice
ANA Congress for Nursing
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diverse experience who can focus on a specific problem and offer multidimensional solutions
Expert nurse
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more than 2 to 3 years' experience and applies knowledge and experience to a situation
Proficient nurse
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some level of experience
Advanced beginner
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has additional experience and is able to coordinate activities of other members of the health care team
Case manager
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addresses health on a national level
National Institutes of Health (NIH)
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concerned with areas of public health
Public Health Administration (PHA)
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