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Nursing 425 test 1 questions with complete solutions graded A+
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Nursing 425 test 1 questions with complete solutions graded A+
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Nursing 425 test 1 questions withcomplete solutions graded A+
Affordable care act and how it impacts nursing - correct answer ✔✔provides americans with adequate
and affordable care
throughput - correct answer ✔✔-moving patients in and out of the system
ex: how long a patient has to wait for a bed
benchmarking - correct answer ✔✔-a strategy used by organizations to compare performance outcomes
-Once the results are known, health care organizations can address areas of weakness and enhance
areas of strength
TCAB quality management - correct answer ✔✔-2003
-35-40% of unexpected deaths occur at the bedside
1. safe and reliable care
2. vitality and teamwork
3. Patient centered Care
4. value added care process
*use of rapid response teams
*specific communication models
* professional support programs
*diet plans and meal schedules for patients
*redesigned workspace that enhances efficiency and reduces waste
Budgets - correct answer ✔✔-Manager responsibility that cannot be delegated
-A detailed plan that communicates expectations to the real world happenings
-RN overtime was reduced, RN turnover was lowered and fewer pts suffered falls
,-Time nurses spend looking for missing supplies and lab results, costs of agency nurses because of
unfilled positions and delays in patient d/c due to lack of communication
Shared Governance - correct answer ✔✔-Allows decision making at all levels
-Accountability
-Based on the philosophy that a group is best determined by it's members
-Members have control over decisions of practice
-may create an environment in which nurses strive to be the best they can be but and it is a big but, the
biggest enemy of shared governance is the middle level manager
-The middle level manager has to give up many of his/her traditional roles such as being the sole
problem solver and decision maker for the unit
-Managers take the role of a facilitator rather than a supervisor or a boss. When would shared
governance not work well?
Human factors, such as lack of leadership, or the absence of knowledgeable mentors, can impede the
implementation of the model. Structural factors, such as a known structure for decision making, time
available for meetings, and staffing support for attendance also can affect the success
Mary Breckenridge - correct answer ✔✔became a registered nurse in 1910. She introduced nurse-
midwifery to America, founding the Frontier Nursing Service (FNS), which also focused on bringing
general and maternal pre and post-natal care to women living in the Appalachian mountains of eastern
Kentucky.
Mary Ezra Mahoney - correct answer ✔✔became the first African-American women to become a
registered nurse in the United States. Because of the successes of this alumna, the New England Hospital
for Women and children, loosened policies against admitting African-American nursing candidates. She
went on to advocate for the rights of all African-American nurses and co-founded the National
Association of Colored Graduate Nurses (NACGN) in 1908.
Walt Whitman - correct answer ✔✔While known as a teacher, journalist and one of America's most
recognized poets, Whitman served three years during the Civil War as a volunteer nurse. He visited
wounded soldiers at military hospitals around the Washington D. C. area and cared for the wounded
bodies and souls, listening to their stories, sending word to their families on their behalf, raising soldiers'
spirits and sitting by them when they died, visiting more than 100,000 Confederate and Union wounded
soldiers.
, Florence Guinness Blake - correct answer ✔✔A 20th Century pioneer in nursing education, Blake
advocated for better training for nurses, dedicating much of her work to pediatric nursing and education.
She founded the first of its kind advanced pediatric nursing graduate program at the University of
Chicago. In 1950 she authored and published "The Child, His Parents and the Nurse", a book explaining
the parent-child relationships from infancy through adolescence and advanced her belief that parents
should be involved in the medical care of their children, which is still a model used in nurse education
and practice today.
Lilian Wald - correct answer ✔✔Nurse Lillian Wald taught immigrant women on Manhattan's lower East
Side about home nursing and good hygiene in 1890. She founded the Visiting Nurse Service and the
Henry Street Settlement House Community Center, offering comprehensive assistance services to people
in need. Her nursing staff became the first public health nurses in the United States. A pioneer in public
health, Wald was responsible for nurses being placed in American public schools, established the
National Organization of Public Health Nursing, the National Woman's trade Union League to advocate
for working women and the Children's Bureau to help end child labor.
Dorothea Dix - correct answer ✔✔As a teacher in New England, Dorothea Dix was known for her work as
a humanitarian and social reformer, lobbying for better care and treatment of the mentally ill and
prisoners over the course of 40 years. In 1861, she volunteered for the Union Army in the Civil War, was
appointed as Superintendent of Women Nurses for the Union Army by the Secretary of War and oversaw
6,000 women providing nursing services in military hospitals. She went on to found 32 institutions that
treated mental health conditions.
Helen Fairchild - correct answer ✔✔Helen Fairchild joined the American Expeditionary Force in 1917
during WW1 and along with 63 other nurses, cared for 2,000 wounded soldiers while under fire.
Mary Seacole - correct answer ✔✔The unsung hero of 19th Century nursing, Mary Seacole was denied
joining the same nursing group that Florence Nightingale was part of in Britain, because of the color of
her skin, being Jamaican and Scottish. Undeterred she borrowed money, made the 4,000 mile journey to
Crimea to care for the injured soldiers on her own and created boarding houses for the wounded being
treated.
Rochester City Hospital - correct answer ✔✔Nurses from this hospital were instrumental in forming the
first nursing organization in the Country, The New York State Nurses' Association, home of the American
Journal of Nursing (AJN). The title of Registered Nurse (RN) comes from the Nurse Registration Act of
1903.
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