NURS 101 Exam Questions with 100% Correct Answers
which organization resolves pt complaints about a nurse? - Answer- the CNO
most complaints are caused by miscommunication
what is research? - Answer- the systematic investigation to develop new knowledge to inform practice
knowledge = evi...
NURS 101 Exam Questions
with 100% Correct
Answers
which organization resolves pt complaints about a nurse? - Answer- the CNO
most complaints are caused by miscommunication
what is research? - Answer- the systematic investigation to develop new knowledge to
inform practice
knowledge = evidence that can be used to improve pt outcomes
History of Nursing Research - Answer- - 19th century: Florence Nightengale
- 50's/60's: quantitative research emphasized
- later: qualitative and observational added
Science vs Art of Nursing - Answer- Science: obtains knowledge to be put towards
practice through *systematic inquiry*/clinical studies
Art: obtains knowledge to be put towards practice through *reflection, learning by
thinking on experiences*
- we must integrate our personal clinical expertise with best available clinical research
evidence
the 4 circles of the Current *Clinical Expertise* Model - Answer- - research evidence
- resources
- environment/context/circumstance
- pt preferences/influence
Meta-analysis - Answer- systematic review combining Quantitative data
Meta-synthesis - Answer- systematic review using Qualitative Data
Clinical practice guidelines are derived from - Answer- systematic reviews!
,build evidence based practice INTO your nursing process - Answer- choose (APIE)
assessment, planning, interventions, and evaluation techniques based on their success
in EVIDENCE BASED RESEARCH
Skills and knowledge to appreciate, understand and use research
Practice ought to be based on the most up-to-date, valid and reliable research
Being 'research literate' is a basic skill
Joanna Briggs Institute - Answer- - Global healthcare research organization
- Systematic Reviews
- Best Practice Guidlines
QcHcQ - Answer- Queens Collaboration for Health Care Quality
- provides best available evidence for healthcare practice
- *Scholarly activities* (ask question about healthcare and find/analyze systematic
reviews on it)
- *educational activities* (run JBI workshops)
- *school of nursing*: (course cirriculum involvement)
- *clinical agencies*: (involved in clinical settings)
History of Indigenous Healthcare in Canada - Answer- - british crown gives indigenous
healthcare responsibility to canadian Federal govnt
- 1876 indian act: only status indians are given access to resources/services
- metis and inuit not included in indian act
- 1979 Indian Health policy
- indigenous are given control of their own community's health programs
- 2013 Daniels decision: metis and even nonstatus are recognized under indian act
- 2015- truth and reconciliation of residential schools
Canadian Healthcare History - Answer- - HIDS Act gives insurance for healthcare (half
provincial, half fed)
- Saskatchewan begins to insure physician services, the docs lose money and strike
- Hall Report & Medical Care Act: healthcare becomes more and more public/universal
- doctors charge extra fees
- lalonde report released
- Canada Health Act: names 5 criteria for a healthcare plan to receive Federal and
provincial funding, prevents extra fees/billing!!!
,lalonde report - Answer- - looked beyond biomedical, health promotion rather than sick
treatment
- emphasized prevention and health promotion
5 Criteria for healthcare plans to receive Provincial and Federal Funding - Answer-
under the Canada Health Act!
- Public (not privatized) administration
- Comprehensive (all medical services provided)
- Universality (all insured persons get the same service)
- Portability (coverage continues when pt travels/moves)
- Accessibility (pts have access to services without barriers)
Issue with "Comprehensive" criteria requirement of the CHA - Answer- ONLY covers
services offered IN hospital
Does not cover
- Outpatient care
- dental
- eyes
- physiotherapy
- drug perscription costs
- long term/home care
Romanow Report - Answer- - overhaul of healthcare
- better wait times, coverage
- electronic health data system
- cost $15 million!
Minister of Health - Answer- responsible for Health Act, Drugs and Substances Act,
Food and drugs act
Federal Government gives money to the _________, provincial government distributes
money to the ____________ - Answer- Federal government mostly funds provincial,
then province distributes $ to local organizations
Federal Government Healthcare Responsibilities - Answer- - making legislation for
Canadian healthcare
- funding provinces
- funding research
- funding services for specific populations (inmates, army and vets, indigenous,
refugees)
- health promotion + safety, prevention
Provincial Government Healthcare Responsibility - Answer- - administrating hc
coverage
, - funding hospital funding
- promoting health and initiatives
- negotiating fees with HCPs
3 roles of - Answer- Financing:
- getting money through taxes
- health premium fee
Funding
- *health accords*: prov/fed agreement of how much funding they'll receive
- *70% public, 30% private funding* (out of pocket or through employer benefits)
Delivery
- public funding but privately delivered hc
- delivery is up to province
1. Minimal Coverage
- medically necessary services
- portable to other countries
2. Optional Additional Benefits
- may cover drugs, dental
- supplemental benefits are often already included for vulnerable populations
Who sets ontarios health policy - Answer- Premier, with aid from finance minister
day to day health care matters are dealt with by - Answer- the minister of health and
long term care ontar
OHIP - Answer- ontario health insurance plan
- coverage for most medical services
anyone in ontario for 153+ days
PLUS citizen or has applied to be a permanent resident
PLUS working, refugee, or clergy member
Integrated Delivery Systems + Regionalization - Answer- the recent shift towards more
local health care control
- regions responsible for their healthcare
- decision making power at community level
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