Nur 410 Exam 2 With Complete Solutions Latest
Update
Patient advocacy - correct answers 1. the nurse and the nursing profession's powerful voice at the local, state, and
national levels in supporting policies that protect consumers and enhance accountability for quality by promoting safer
health care systems.
2. patient advocacy is a cornerstone of the nursing profession, and patients depend on nurses to ensure that they
receive quality care
3. workforce advocacy is a component of patient advocacy
4. Nurses are the voice of the aged, infirmed (weak), children and those who are unable to speak for themselves.
5. Patients depend on nurses to ensure that they receive safe, quality care.
workforce advocacy - correct answers 1. an array of services and tools designed to help nurses promote an optimal
professional work environment and support their professional and personal development
2. elements of workforce advocacy include staffing, workflow design, personal and social factors, physical environment,
and organizational factors
3. Workforce advocacy usually means nurses need to speak up for better working conditions. In particular, some
facilities enforce mandatory overtime. How do you think working 2 8 hour shifts or working more than 12 hours impact
your well-being?
4. Supports the personal and professional development of nurses and promotes optimal work environment.
5. issues in the workplace include
-Exposure to bloodborne pathogens. There was a nurse in NJ a few years ago, when Chris Christie was the governor, who
was exposed to the Ebola virus. Gov. Christie forced her to be quarantined but the nurse knew that although she had
been exposed to the virus, she took the necessary precautions. She remained quarantined for a few days and then asked
to be let out of the area. Gov. Christie refused and the nurse protested. She got state and national support and showed
that she was not a hazard to society. Always take the necessary precautions to protect yourself when exposed to blood
and body fluids. Most nurses who work in areas such as the ER and L&D make sure to change their scrubs as soon as
they get home so they won't expose their family to germs.
-Ergonomic injuries - According to the textbook, individuals working in health care experience musculoskeletal injuries
i.e. back and neck injuries. They say the Department of Labor repots this as a rate 56% higher than all private industries.
Remember to raise the patient's bed up to your level so that you're not leaning over the assess the patient. This leaning
over or using poor body mec
,Magnet Recognition Program - correct answers 1. a magnet environment is one that could attract and retain nurses even
in the midst of a critical nursing shortage
2. factors deemed to be critical influencers of nurse job satisfaction and turnover rates in the acute care setting included
quality of leadership and exemplary management style, organizational structures that support nursing autonomy and
career development, and an emphasis on professional practice excellence and quality of patient care
3. Created by the American Nurses Credentialing Center (ANCC) to improve nurse satisfaction, to improve the workplace
of nurses, and to decrease nurse turnover.
4. Many hospitals and facilities who are Magnet Certified only hire BSN nurses. You have an edge over the Associate
Degree and Diploma nurses in applying for a job.
5. Nurses who work in Magnet hospitals:
-Are empowered to change the work environment
-Have better relationships with physicians
-Have higher job satisfaction
-Lower turnover; higher retention
6. Many new nurses seek out Magnet hospitals because there is an increase in autonomy in the workplace.
7. Studies find that Magnet-recognized organizations exhibit:
-*Quality and Safety
-High adoption of National Quality Forum safe practices
-Lower overall missed nursing care
-Higher support for evidence-based practice implementation
-Higher nurse-perceived quality of care
-Higher patient satisfaction
8. Patient Outcomes:
-Lower mortality rates
-Lower failure-to-rescue
-Lower patient fall rates
-Lower nosocomial infections
-Lower hospital-acquired pressure ulcer rates
-Lower central line-associated bloodstream infection rates
9. Helps support financial success
, 10. magnet recognition program
-Lower RN turnover rate
-Lower length of stays
-Higher net patient income
How to Speak Up for Patient Safety - correct answers 1. Document observations with dates
2. If you're sure you're right and that patients are being abused, then contact your State Board of Nursing
3. Make sure you submit your complaint in writing
4. Whistle Blower Protection Laws
-persons who speak up for the rights of others.
-For example, there was an experienced nurse in DE who obtained a job as a staff nurse at the State Hospital, a mental
health facility. This nurse witnessed blatant physical abuse to patients by various workers on the unit. She reported the
abuse to the manager of the unit who did nothing. Also, she noticed in the morning when she got into her car to leave
that it had been keyed, with several hundreds of dollars damage. She then decided to notify the BON of DE. Since she
had written down observations with dates she could provide valuable details and submit a formal complaint in writing.
After a state investigation was begun, the nurse was fired. Several months later after a detailed investigation, several
people were fired from the State Hospital, including many people at the top of the administration. The nurse was
awarded financial compensation for her missed wages. This nurse did the right thing and hopefully the abuse to the
patients stopped there. One thing to remember is to always contact the State Board of Nursing before filing a formal
complaint. If it is illegal activity, contact the police. You are not protected by whistleblower laws until you file a formal
complaint. The textbook also provides an excellent example of how two nurses filed a complaint against a physician for
unsafe medical practice. Who helped them with their case? (the American Nurses Association (ANA) supported the two
Texas nurses with their case against the physician who was practicing unsafely)
5. Federal whistleblower laws are more vague and complicated
6. States
-E
workplace issues
The Nursing Shortage: Is it real? - correct answers 1. According to Cherry & Jacob (2017), there was an increased number
of people entering the work force from 2002 to 2009.
2. Number of full-time RN's 23-26 years old increased by 62%.
3. But we must also consider that 40% of RN's are aging an approaching retirement age.
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