NUR3026 Exam #1 Questions And
Answers
What is nursing? - ANS American Nurses Association (ANA): "The protection, promotion,
and optimization of health and abilities, prevention of illness and injury, alleviation of suffering
through the diagnosis and treatment of human response, and advocacy in the care of
individuals, families, communities, and populations."
Florence Nightingale - ANS The first nurse: nurse who really looked at nursing as a science
and wanted to add some professionalism into it
The first nurse who developed a nursing program... she really looked as what is it that we do,
how we affectively train other, and how can we spread of science amongst the population and
others
Nightingale was put in charge of nursing British and allied soldiers in Turkey during the Crimean
War. She spent many hours in the wards, and her night rounds giving personal care to the
wounded established her image as the "Lady with the Lamp."
Clara Barton - ANS Launched the American Red Cross in 1881. An "angel" in the Civil
War, she treated the wounded in the field.
Holistic Care - ANS An integrated approach to health care that treats the "whole" person,
not simply symptoms and disease. Mind and body are integrated and inseparable.
We are looking at how those symptoms affect their day to day lives (what is the patient's reality)
Ex. Patient with pneumonia can't afford their antibiotic or doesn't have transportation to get an
antibiotic (advocate and help them)
Where do acute care nurses practice? - ANS In a hospital setting
Where do non-acute care nurses practice? - ANS Outside of a hospital setting
Staff Nurse (nurse clinician) - ANS direct care, specific patients, assigned times... assigned
times and doing shifts (12 hour rotations (7am-7pm))
Nurse Manager - ANS a registered nurse who assists the director of nursing in carrying out
administrative responsibilities and is in charge of one or more nursing units. They're apart of
leadership
,Nurse Administrator - ANS Nurse who supervises the organization of nursing care to
ensure overall safety and quality
Organizational responsibility- Human resources
Nurse Researcher - ANS Not in every hospital, magnet certified. research, validates with
evidence based data
Nurse educator - ANS teaches, researches, directs, evaluates... giving direction and
teaching staff about upcoming medical equipment
Community based home health nurse - ANS works with at-risk populations, homeless,
parish/church-based
Long Term Care Nurses - ANS Works with patient who have lost some or all ability to
function. Not just older people can be pediatrics as well.
Occupational Health and Industrial Nurses - ANS Works with factories, corporations -
ensure productivity and OSHA standards
Home care Nurse - ANS Homebound patients
Ambulatory care - ANS practice in clinics or surgical centers, medical offices, walk-in
clinics, retail sites/pharmacies
Hospice and palliative care nurses - ANS comfort and quality of life for the dying/terminally
ill
PICO Question to direct critical analysis of the literature - ANS P = Patient
I = Intervention
C = Comparison
O = Outcome
T = Time (optional)
HEALTH PROMOTION - ANS
Define health - ANS "A state of complete physical, mental and social well-being and not
merely the absence of disease or infirmity" (WHO)
health promotion - ANS •Activities that are useful to all individuals because they encourage
optimal function
•Helps individuals develop a state of physical, spiritual, and mental well-being
health protection - ANS the motivation to avoid illness
, Primary Health Protection - ANS Activities that prevent or slow the onset of a disease
EX: eating healthy, immunizations, seat belts, no drinking
Secondary Health Protection - ANS Activities that can detect diseases
EX: Self breast exams, health screenings, health assessment, pap smear
Tertiary Health Protection - ANS Activities that SLOW the progression of a diagnosis
EX: adequate blood glucose for a patient with diabetes (the pt. already has the disease),
medication, treatment, rehab, surgery, chemotherapy, chronic pain management. IN RELATION
TO DIAGNOSIS.
Pender's Health Promotion Model - ANS •Utilizes both nursing and behavioral science in
order to evaluate individual motivation.
•Past experiences and perceptions affect responses and behaviors towards promotion
Ex; this didnt happen last time, so what about this?
Wheel of Wellness - ANS •Assesses 6 domains of wellness:
physical, mental, emotional, social/family, spiritual, occupation (POMESS)
•All domains must be working together
Transtheorectical model of change - ANS Individual growth through a 6-step process
1. Pre-contemplation: how am I going to do this, can i do it?
2. Contemplation: making a commitment
3. Preparing: what is going to be the commitment, how am i gonna do it?
4. Action: I am here
5. Maintenance: fitting it in the schedule
6. Termination: keep going or completing the goal
Objectives Of Healthy People 2020 - ANS Our health report card
-Address the effect of lifestyle on health
-Creates health improvement goals
-Eliminates health disparities
Healthy People 2030 includes 355 core — or measurable — objectives as well as
developmental and research objectives.
Describe the nurses role in health promotion activities - ANS Assessing, developing
realistic plans that are patient centered, role modeling, counseling, supporting, and advocating
Areas of focus:
-Physical exam & prior medical history