Evidence Based Project Proposal
For your Dropbox assignment this week, you will write Part 3 of your project proposal. In a one- to two-page paper in APA format, include:
Your clinical question
How the clinical question indicates the type of study that will be done (quasi-experimental vs. experimental). Describe the type of study.
Theoretical framework(s) chosen including a rationale for your choice
EBP Research and PICOT Analysis Essay – Nurses Role in Self-Care
This Role of Nurses in Self-Care assignment is a revision of previous assignments. It includes revising highlighted areas done by my professor. Documents to be revised PICOT , quantitative, and qualitative research critiques(each document attached separately). After revision to be placed in one attachment. Will be submitted to turnitin.
Rubric
, and assignment
requirements
attached.
NRS-433V Introduction to Nursing Research
EBP Research and PICOT Analysis Essay – Nurses Role in Self-Care
Based on evidence-based practice (EBP) and PICOT analysis, the research question to be evaluated is as follows:
Do Type 2 Diabetes Mellitus patients assisted by nurses under self-care have high chances of glycemic control than those not assisted by nurses in their diabetic self-care? (Please revise this questions.. Your patient population is (For patients diagnosed with Type 2 Diabetes Mellitus does the addition of a nurse-led ….. or something to that effect. I think what you are asking if there if periodic monitoring of the patient will that effect glycemic control. If I am let me know) Please search the literature to see if you can find research articles that provide positive results of nurse-led intervention to improve glycemic control. You do have one article. There is a lot of information regarding this subject. If you have any questions, please let me know. Professor Farley
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The practice research question for the consequent capstone research can be broken down into components of the PICO (T) as follows:
Patient Population
: Type 2 Diabetes Mellitus patients.
Intervention
: Assistance of nurses in self-care of glycemic control.
Comparison
: Type 2 Diabetes Mellitus patients under self-care programs but lack the assistance of nurses.
Outcome
: Improvements in glycemic control.
EBP Research and PICOT Analysis Essay – Nurses Role in Self-Care References
Chlebowy, D. O., Hood, S., & LaJoie, A. S. (2010). Facilitators and barriers to self-management of type 2 diabetes among urban African American adults focus group findings.
The diabetes educator
,
36
(6), 897-905.
Abstract
Purpose
The purpose of this study was to identify facilitators and barriers to self-management of type 2 diabetes mellitus (T2DM) among urban African American adults.
Methods
Thirty-eight African American adults with T2DM were recruited from 1 of 3 health care agencies in a midsized city in the southeastern United States. Qualitative data were obtained using focus groups, wherein each participant engaged in a 60- to 90-minute audio-recorded session. Focus group data were transcribed and analyzed using Atlas ti 6 ® data analysis software. Demographic and medical history information was also collected.
Results
Factors relating to external locus of control primarily facilitated adherence to T2DM self-management behaviors. Support from family, peers, and health care providers positively influenced adherence behaviors by providing cues to action, direct assistance, reinforcement, and knowledge. Internal factors were primarily described as barriers to self-management behaviors and included fears associated with glucose monitoring, lack of self-control over dietary habits, memory failure, and perceived lack of personal control over diabetes.
Conclusions
African Americans perceived external factors as facilitators of their T2DM management behaviors and internal factors as barriers to self-management. Further research is necessary to design and test interventions that capitalize on the external facilitators while helping African Americans to overcome perceived barriers identified in this study.
Goetz, K., Szecsenyi, J., Campbell, S., Rosemann, T., Rueter, G., Raum, E., … & Miksch, A. (2012). The importance of social support for people with type 2 diabetes–a qualitative study with general practitioners, practice nurses and patients.
GMS Psycho-Social-Medicine
,
9
.
Abstract
Objective:
Social support is an important element of family medicine within a primary care setting, delivered by general practitioners and practice nurses in addition to usual clinical care. The aim of the study was to explore general practitioner’s, practice nurse’s and people with type 2 diabetes’ views, experiences and perspectives of the importance of social support in caring for people with type 2 diabetes and their role in providing social support.
Methods:
Interviews with general practitioners (n=10) and focus groups with practice nurses (n=10) and people with diabetes (n=9). All data were audio-recorded, fully transcribed and thematically analysed using qualitative content analysis by Mayring.
Results:
All participants emphasized the importance of the concept of social support and its impacts on well-being of people with type 2 diabetes. Social support is perceived helpful for people with diabetes in order to improve diabetes control and give support for changes in lifestyle habits (physical activity and dietary changes). General practitioners identified a lack of information about facilities in the community like sports or self-help groups. Practice nurses emphasized that they need more training, such as in dietary counselling.
Conclusions:
Social support given by general practitioners and practice nurses plays a crucial role for people with type 2 diabetes and is an additional component of social care. However there is a need for an increased awareness by general practitioners and practice nurses about the influence social support could have on the individual’s diabetes management.
Keywords:
social support, type 2 diabetes, qualitative approach, primary health care, Role of Nurses in Self-Care
Malanda, U. L., Welschen, L., Riphagen, I. I., Dekker, J. M., Nijpels, G., & Bot, S. D. (2012). Self‐monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin.
The Cochrane Library
. We still need the Journal, volume, issue and page numbers to complete this reference.
Abstract
Background
Self-monitoring of blood glucose (SMBG) has been found to be effective for patients with type 1 diabetes and for patients with type 2 diabetes using insulin. There is much debate on the effectiveness of SMBG as a tool in the self-management for patients with type 2 diabetes who are not using insulin.(this is talking about self care)
Objectives
To assess the effects of SMBG in patients with type 2 diabetes mellitus who are not using insulin.
Search methods
Multiple electronic bibliographic and ongoing trial databases were searched supplemented with handsearches of references of retrieved articles (date of last search: 07 July 2011).
Selection criteria
Randomised controlled trials investigating the effects of SMBG compared with usual care, self-monitoring of urine glucose (SMUG) or both in patients with type 2 diabetes who where not using insulin. Studies that used glycosylated haemoglobin A
1c
(HbA
1c
) as primary outcome were eligible for inclusion. Role of Nurses in Self-Care.
Data collection and analysis
Two authors independently extracted data from included studies and evaluated the studies’ risk of bias. Data from the studies were compared to decide whether they were sufficiently homogeneous to pool in a meta-analysis. Primary outcomes were HbA
1c
, health-related quality of life, well-being and patient satisfaction. Secondary outcomes were fasting plasma glucose level, hypoglycaemic episodes, morbidity, adverse effects and costs.
Main results
Twelve randomised controlled trials were included and evaluated outcomes in 3259 randomised patients. Intervention duration ranged from 6 months (26 weeks) to 12 months (52 weeks). Nine trials compared SMBG with usual care without monitoring, one study compared SMBG with SMUG, one study was a three-armed trial comparing SMBG and SMUG with usual care and one study was a three-armed trial comparing less intensive SMBG and more intensive SMBG with a control group. Seven out of 11 studies had a low risk of bias for most indicators. Meta-analysis of studies including patients with a diabetes duration of one year or more showed a statistically significant SMBG induced decrease in HbA
1c
at up to six months follow-up (-0.3; 95% confidence interval (CI) -0.4 to -0.1; 2324 participants, nine trials), yet an overall statistically non-significant SMBG induced decrease was seen at 12 month follow-up (-0.1; 95% CI -0.3 to 0.04; 493 participants, two trials). Qualitative analysis of the effect of SMBG on well-being and quality of life showed no effect on patient satisfaction, general well-being or general health-related quality of life. Two trials reported costs of self-monitoring: One trial compared the costs of self-monitoring of blood glucose with self-monitoring of urine glucose based on nine measurements per week and with the prices in US dollars for self-monitoring in 1990. Authors concluded that total costs in the first year of self-monitoring of blood glucose, with the purchase of a reflectance meter were 12 times more expensive than self-monitoring of urine glucose ($481 or 361 EURO [11/2011 conversion] versus $40 or 30 EURO [11/2011 conversion]). Another trial reported a full economical evaluation of the costs and effects of self-monitoring. At the end of the trial, costs for the intervention were £89 (104 EURO [11/2011 conversion]) for standardized usual care (control group), £181 (212 EURO [11/2011 conversion]) for the less intensive self-monitoring group and £173 (203 EURO [11/2011 conversion]) for the more intensive self-monitoring group. Higher losses to follow-up in the more intensive self-monitoring group were responsible for the difference in costs, compared to the less intensive self-monitoring group.
There were few data on the effects on other outcomes and these effects were not statistically significant. None of the studies reported data on morbidity.
Authors’ conclusions
From this review, we conclude that when diabetes duration is over one year, the overall effect of self-monitoring of blood glucose on glycaemic control in patients with type 2 diabetes who are not using insulin is small up to six months after initiation and subsides after 12 months. Furthermore, based on a best-evidence synthesis, there is no evidence that SMBG affects patient satisfaction, general well-being or general health-related quality of life.
This does not seem favorable to your question. I think you are looking for a studies related to nurses overseeing these patients periodically
More research is needed to explore the psychological impact of SMBG and its impact on diabetes specific quality of life and well-being, as well as the impact of SMBG on hypoglycaemia and diabetic compl
Moser, A., van der Bruggen, H., Widdershoven, G., & Spreeuwenberg, C. (2008). Self-management of type 2 diabetes mellitus: a qualitative investigation from the perspective of participants in a
nurse-led, shared-care programme
(I think this is the topic you are looking for)
in the Netherlands.
BMC public health
,
8
(1), 91.
Abstract
Background
Diabetes mellitus is a major public health problem. Little is known about how people with type 2 diabetes experience self-management in a nurse-led, shared-care programme. The purpose of this article is to report an empirically grounded conceptualization of self-management in the context of autonomy of people with type 2 diabetes.
Methods
This study has a qualitative descriptive, and exploratory design with an inductive approach. Data were collected by means of in-depth interviews. The sample consisted of older adults with type 2 diabetes in a nurse-led, shared-care setting. The data analysis was completed by applying the constant comparative analysis as recommended in grounded theory.
Results
People with type 2 diabetes use three kinds of self-management processes: daily, off-course, and preventive. The steps for daily self-management are adhering, adapting, and acting routinely. The steps for off-course self-management are becoming aware, reasoning, deciding, acting, and evaluating. The steps for preventive self-management are experiencing, learning, being cautious, and putting into practice. These processes are interwoven and recurring.
Conclusion
Self-management consists of a complex and dynamic set of processes and it is deeply embedded in one’s unique life situation. Support from diabetes specialist nurses and family caregivers is a necessity of self-managing diabetes.
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Oftedal, B., Karlsen, B., & Bru, E. (2010). Perceived support from healthcare practitioners among adults with type 2 diabetes.
Journal of advanced nursing
,
66
(7), 1500-1509.
Abstract
Title. Perceived support from healthcare practitioners among adults with type 2 diabetes.
Aim.
This paper is a report of a study of how adults with type 2 diabetes perceive different attributes of support provided by healthcare practitioners and how various attributes of support can influence people’s motivation to self-manage their disease. This qualitative study appears to be beneficial to your question because it is asking whether the patient feels that support may or may not influence their self-management.
Background.
Motivational problems seem to be a major reason for poor diabetes management. According to well-known theories of motivation, expectations of being able to perform certain behaviours are a key element. Different attributes of support from healthcare practitioners are likely to influence such expectations. To date, no researchers have specifically examined how people with type 2 diabetes perceive different attributes of support from healthcare practitioners and how these may influence their motivation to manage their disease themselves.
Methods.
A descriptive/explorative qualitative design and focus groups were used to collect data. The sample consisted of 19 adults with type 2 diabetes, and the data were collected in 2007 and analysed using qualitative content analysis.
Findings.
Five themes were identified, reflecting perceived attributes of support from healthcare practitioners: (1) an empathetic approach, (2) practical advice and information, (3) involvement in decision-making, (4) accurate and individualized information and (5) ongoing group-based support.
Conclusion. Healthcare practitioners may strengthen the self-management motivation among adults with type 2 diabetes by enhancing expectations of being able to perform the necessary diabetes care, and through the provision of empathetic, individualized, practical and ongoing group-based support. Role of Nurses in Self-Care
Stellefson, M., Dipnarine, K., & Stopka, C. (2013). Peer reviewed: The chronic care model and diabetes management in US primary care settings: A systematic review.
Preventing chronic disease
,
10
.
Abstract
Introduction
The Chronic Care Model (CCM) uses a systematic approach to restructuring medical care to create partnerships between health systems and communities. The objective of this study was to describe how researchers have applied CCM in US primary care settings to provide care for people who have diabetes and to describe outcomes of CCM implementation.
Methods
We conducted a literature review by using the Cochrane database of systematic reviews, CINAHL, and Health Source: Nursing/Academic Edition and the following search terms: “chronic care model” (and) “diabet*.” We included articles published between January 1999 and October 2011. We summarized details on CCM application and health outcomes for 16 studies.
Results
The 16 studies included various study designs, including 9 randomized controlled trials, and settings, including academic-affiliated primary care practices and private practices. We found evidence that CCM approaches have been effective in managing diabetes in US primary care settings. Organizational leaders in health care systems initiated system-level reorganizations that improved the coordination of diabetes care. Disease registries and electronic medical records were used to establish patient-centered goals, monitor patient progress, and identify lapses in care. Primary care physicians (PCPs) were trained to deliver evidence-based care, and PCP office–based diabetes self-management education improved patient outcomes. Only 7 studies described strategies for addressing community resources and policies. This would be appropriate for your question in EBP Research and PICOT Analysis Essay – Nurses Role in Self-Care.
Conclusion
CCM is being used for diabetes care in US primary care settings, and positive outcomes have been reported. Future research on integration of CCM into primary care settings for diabetes management should measure diabetes process indicators, such as self-efficacy for disease management and clinical decision making. EBP Research and PICOT Analysis Essay – Nurses Role in Self-Care.
Using a friend, family member, or colleague, perform a neurovascular (include all cranial nerves), musculoskeletal, and cardiopulmonary (includes the heart, lungs, and peripheral vasculature) exam. Document the physical examination findings in the SOAP note format. Even though your patient may have abnormal findings, you must document the expected normal exam findings for the system. If you would like to include the abnormal findings they should be noted in parenthesis next to the normal expected findings. The complete subjective and objective sections must be included. You may include the assessment and plan portion of the SOAP note, but these sections will not be graded. You should devise a chief complaint so that you may document the OLDCART (HPI) data. You must use the chief complaint of headache, back pain, and cough. You should also focus the ROS based on the patient’s chief complaint and the body systems being examined. Refer to the SOAP Note Format document in Course Resources as necessary. This will be the same format that faculty will follow during the immersion weekend.
NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment
ASSIGNMENT
REQUIREMENTS
Details:
Prepare this NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment.
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Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment to Turnitin. Please refer to the directions in the Student Success Center.
PICOT and Research Critique
This PICOT and Research Critique assignment is a revision of previous assignments. It includes revising highlighted areas done by my professor. Documents to be revised PICOT , quantitative, and qualitative research critiques(each document attached separately). After revision to be placed in one attachment. Will be submitted to turnitin.
Rubric
, and assignment
requirements
attached.
ASSIGNMENT
REQUIREMENTS
Details:
Prepare this PICOT and Research Critique assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
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PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this PICOT and Research Critique assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This PICOT and Research Critique assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this PICOT and Research Critique assignment to Turnitin. Please refer to the directions in the Student Success Center.
Nursing Practice Problem and PICOT Statement Rubric
1
Unsatisfactory
0.00%
2
Less than Satisfactory
75.00%
3
Satisfactory
83.00%
4
Good
94.00%
5
Excellent
100.00%
60.0 %Content
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5.0 %Nursing Practice Problem and PICOT Statement
A nursing practice problem is not clearly described and/or a PICOT statement is not included.
PICOT statement describes a nursing practice problem but lacks reliable sources.
PICOT statement describes a nursing practice problem and includes a few reliable sources.
PICOT statement articulates a nursing practice problem using supporting information from reliable sources.
PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
5.0 %Background of Study
Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.
Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
5.0 %Method of Study
Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.
Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
5.0 %Results of Study
Discussion of study results including findings and implications for nursing practice is incomplete. Nursing Practice Problem and PICOT Statement
Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
5.0 %Ethical Considerations
Discussion of ethical considerations associated with the conduct of nursing research is incomplete.
Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
5.0 % Nursing Practice Problem and PICOT Statement Conclusion
Conclusion does not summarize a critical appraisal and applicability of findings.
Conclusion is vague and does not discuss importance to nursing. Nursing Practice Problem and PICOT Statement
Conclusion summarizes utility of the research and importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
10.0 %Evidence of Revision
Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.
Incorporation of research critique feedback or evidence of revision is incomplete.
Incorporation of research critique feedback and evidence of revision are present.
Evidence of incorporation of research critique feedback and revision is clearly provided.
Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
10.0 %PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included. Nursing Practice Problem and PICOT Statement
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.
10.0 %Proposed Evidence-Based Practice Change (C. 3.2)
The proposed evidence-based practice change is not included.
The proposed evidence-based practice change is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.
The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.
The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.
30.0 %Organization and Effectiveness
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Nursing Practice Problem and PICOT Statement
10.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose. Nursing Practice Problem and PICOT Statement
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
10.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style. Nursing Practice Problem and PICOT Statement
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Nursing Practice Problem and PICOT Statement Sources are not documented. Nursing Practice Problem and PICOT Statement
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
Nursing Practice Problem and PICOT Statement
NUR 2058 Dimensions Of Nursing Exams
Chapter 1
What is critical thinking?
What is all included in the nursing process?
Think of examples for the nursing process.
Chapter 2
What are some strategies for learning preferences?
Think of examples of different learning preferences.
Chapter 3
What does the Benner model consist of?
Know each of the levels and examples.
Chapter 3
What is a theory and how is it used in nursing?
What are the key concepts common to nursing models?
What is general systems theory?
What is an Open system?
With the Orem model, self-care model what are the differences between wholly compensated care, partially compensated care & supportive developmental care
What is The King Model of Goal Attainment and who developed it?
What are some examples of primary,
s
econdary, and tertiary interventions?
What are the middle-range theories and models?
With the Neuman Model what are the different types of Interventions that can be used?
Chapter 6
What is the code of ethics, how was it developed and how does it help nurses?
What is the system of morals?
Define these terms:
What are the steps for the ethical decision-making process?
Chapter 7
How is confidentiality used in genetic and mandatory screening?
What happens when the donor is a child?
What is the difference between passive and active euthanasia?
What is the issue of self-determination with euthanasia?
What is the nurses legally protected for reporting child abuse?
Chapter 8
What is civil and tort law?
What is malpractice? Think of examples
What are the definitions of these intentional torts: assault, battery, false imprisonment, abandonment, and intentional infliction of emotional distress?
What is the nurse’s duty with informed consents?
What are advance directives?
What does a durable power of attorney do?
How does the Good Samaritan Act protect nurses?
NUR 2058 Dimensions Of Nursing Exam
All of the following are true about the nursing code of ethics except:
The nurse is assigned to see a home-bound client on a daily basis to prepare the client’s medications. The nurse fails to visit the client and does not request that another nurse visit the client. The client is later admitted to the hospital after taking the wrong dosage of medication. Which ethical concept does this situation reflect?
A client is held down by the nurse and forced to have a nasogastric tube placed. Which of the following could this represent?
When applying the nursing process, which of the following should always be addressed first?
How can most living organisms be classified in general systems theory?
Which of the following are the steps to the nursing process? select all that apply
What type of tort may occur if a client is not allowed to leave the hospital after receiving emergency care until the bill is paid?
Which of the following is the best substitute for self-determination if an individual is no longer competent to make their own health care decisions?
Does clinical reasoning and judgment require various ways of thinking in the role of a nurse?
A client complains of hip pain and requests pain medication. For the nurse to apply the nursing process, what would the nurse do next?
The client’s short term outcome was to walk in the hallway by the end of the day. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
Which of the following phases of the nursing process determines client problems, risks, and strengths?
What is another term that can be used for professional negligence?
An example of invasion of privacy would be:
The client must have a treatment requiring an informed consent. Whose role is it to review the proposed treatment and its associated risks with the client?
Team building, nurse retention, and patient satisfaction are all benefits of being sensitive to personality types.
Why is it important for nurses to understand and use a nursing theory or model in practice?
Which of the following theorists authored the Model of Goal Attainment?
A client suffered a ruptured appendix and had to have an open appendectomy. She is post-op day 1. She is able to perform many of her activities of daily living independently, such as wash her face, brush her teeth, feed herself, and reposition. However, she requires assistance to care for her indwelling urinary catheter, Jackson-Pratt drain, and change her dressing. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
What are the primary ethical issues involved in genetic research?
Which of the following would not be appropriate to chart?
Identify the four concepts that are common in most nursing theories.
You are teaching a group of senior citizens about the importance of getting their influenza and pneumonia vaccines. What type of intervention are you providing based on Neuman’s Health Care Systems Model?
Upon what ethical principle do supporters of assisted suicide base their support for the practice?
Which of the following does not describe critical thinking in nursing?
Which professional nursing organization wrote the Code of Ethics for Nurses?
This theorist states that even though you may be a novice now, with a solid educational base and many patient care experiences over time, you will one day become an expert.
A 16-year-old boy brought to the emergency room with a gunshot wound to the head is declared brain dead. His driver’s license identifies him as an organ donor, but the hospital staff is unable to locate his family for permission to take his organs. Another client in the same hospital will die within 24 hours without a heart transplant. The tissues of both clients match sufficiently for a transplant. What is the ethical course of action in this case?
Identify the situation in which a nurse would likely be charged with negligence.
Which situation is the nurse allowed to breech a client’s right of confidentiality?
Critical thinking can also be referred to as common sense.
The requirement that health-care providers do no harm to their clients is known as:
Identify the statement that is most accurate concerning middle range nursing theories.
Which of the following is the appropriate order in Benner’s stages of knowledge?
The nurse is caring for a client who is a kinesthetic learner. How would the nurse best approach teaching the client how to self-inject insulin before discharge?
What is the practice of allowing a client to die without the use of any extraordinary measures?
A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities. After the results are back from the laboratory, a representative from the client’s medical insurance company calls the nurses’ station on the phone and asks for the results of the tests. How can the nurse best respond to this request?
What study advice would you provide to a visual learner?
The ethical principle which requires the health-care provider to tell the truth and not to deceive or mislead clients is known as:
Under which category are nursing licensure laws included?
What is the underlying legal concept that protects health-care professionals under the Good Samaritan Act?
A client complains of pain to the nurse. The nurse medicates the client as prescribed, but then fails to follow up and make sure the patient is no longer in pain. Which of the following ethical principles has the nurse failed to demonstrate?
Which of the following demonstrates the planning phase of the nursing process?
A nurse is providing a back rub to a client just after administering a pain medication to help decrease the client’s pain. Which phase of the nursing process is this nurse demonstrating?
An 18 -month-old infant is brought into the emergency room with several recent cigarette burns on his chest and legs. What is the nurse’s legal responsibility in this case?
Which of the following “rights” are based on a moral principle?
A client is in a coma and unable to make health-care decisions. Who should sign the informed consent for a non-emergent, scheduled surgery?
The processes used in ethical decision making include all of the following except:
Theory can be defined in nursing as which of the following?
The term tort refers to a violation of the civil law
NUR 2058 Dimensions Of Nursing Final Exam
True or False: Energy Systems in the body are used by both conventional and integrative medicine.
Select the most effective method that nurses can use to gain power over their practice.
An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
What is the purpose of spiritual modes of healing?
True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health.
Which best describes The Leapfrog Group and its recommendations?
A client’s blood pressure of 180/110 mmHg is an example of which of the following?
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With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching?
What is the definition of the ethical principle of nonmaleficence?
These characteristics are difficult to identify, but have an even more profound effect on an individual’s cultural identity.
Which of the following is a key element to effective education of nursing students?
Which of the following would NOT be considered an invasion of privacy:
Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
Which of the following is not a characteristic of Integrative medicine?
When reviewing the term spirituality, which of the following would not be included in its definition?
This is the single most obvious barrier to providing culturally competent care.
Which situation is the nurse allowed to breech a client’s right of confidentiality?
Which of the following best describes conventional and integrative medicine?
Which characteristic is required in a person to be able to resolve difficult crises?
Where would a nurse look to find their scope of practice as defined by state law?
Identify an important aspect of the role of forensic psychiatric nurses
The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?
A) Each hospital establishes its own policy regarding spirituality. B) The American Association of Colleges of Nursing mandates a policy related to spirituality in health care C) The Joint Commission has a standard of patient care with inclusion of spirituality. D) Spirituality remains at the discretion of the chaplain or pastoral care.
What is the first step in the delegation process?
A) Allowing the person to observe the RN performing the task before making the assignment B) Determining the skill level of the person to whom the task is to be delegated C) Obtaining permission from the client for another care provider to help with the care D) Instructing the person to whom the task is delegated about the assignment
What is the most important element for the nurse navigator to include in the planning of care for a client?
A) The client’s perceptions and beliefs about the disease process and the modalities of treatment B) The distance the client lives from the primary health-care facility C) The age difference between the client and the nurse D) What type of insurance coverage the client has
Identify a secured setting for the practice of forensic nursing.
A) Crime scenes B) Women’s shelters C) Emergency rooms D) Correctional institutions
What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
A) A failure to determine the impact nurses have on outcomes B) The inability to identify what the nursing staff actually does C) The establishment of appropriate reimbursement for nursing activities D) A decrease in the number of nursing diagnoses
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
A) Sets up a time and place for a one-on-one meeting with the staff nurse B) Arranges for the transfer of the staff nurse to the night shift C) Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues D) Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless
When do most health-care expenditures occur in a person’s life?
A) As old age sets in due to the development of multiple chronic illnesses B) During the last 6 months of life C) During childhood due to the large number of broken bones and traumatic injuries D) During and shortly after being born
Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic?
A) Completing the admission vital signs and assessment on a 44-year-old woman who just returned from the post anesthesia care unit after nephrectomy B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion C) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries D) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to eat lunch
What is the primary goal of the nurse navigator role?
A) Lower the risk factors that cause poor or adverse client outcomes B) Elimination of the barriers to care to make moving through the treatment maze easier C) Starting a business by combining nursing experience and knowledge with business knowledge D) Provide health care for inmates in correctional facilities such as juvenile centers, jails, and prisons
True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals.
A) False B) True
Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.
A) Aggressive B) Assertive C) Dishonest D) Submissive
Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress?
A) Explain the nurse’s religious beliefs and values immediately when requested to do so by the client. B) Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client. C) Express a willingness to assist and cooperate with religious practices that are not detrimental to the client’s health in the treatment setting. D) Communicate acceptance of the client’s spiritual needs and acknowledge their importance.
When does the encoding process of communication take place?
A) The message is sent in a way that causes confusion in the receiver. B) The receiver thinks about the information, understands it, and forms an idea based on the message. C) The sender sends the message. D) The receiver responds to the message and gives feedback.
Who is called the “father of modern medicine”?
A) Hippocrates B) Emperor Darius C) Cyrus the Great D) William Harvey
Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable.
A) Developing the nursing diagnosis for a newly admitted client B) Turning a client with a CVA every 2 hours C) Teaching a new diabetic patient how to administer insulin injections D) Adding potassium to an intravenous (IV) bag of D6W that was already hanging
A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing?
A) Transcendental Meditation B) Guided Imagery C) Therapeutic Talking D) Visualization
Identify the primary change that increased the need for many more certified RN-coders and certified RN-auditors.
A) The development of new oversight procedures for Medicare and Medicaid B) The switch to the new ICD-10 coding system C) The new regulations that came into effect with the Affordable Care Act D) The closing of many college programs that teach or offer degrees in health-care coding
Identify the four concepts that are common in most nursing theories.
A) Client, health, environment, nursing B) Hospital, nursing home, clinic, physician’s office C) Nurse, physician, client, other providers D) Care, adaptation, system, cure
Which of the following demonstrates the planning phase of the nursing process?
A) The nurse specifies short and long term outcomes for the client B) The nurse determines whether or not the client’s short term outcomes were met C) The nurse performs a physical exam and collects a health history D) The nurse identifies that the client is at risk for pressure ulcers
What is the best way to increase the motivation to learn in the elderly population?
A) Use negative reinforcements when an elderly person does not change behavior appropriately B) Link positive reinforcement to changes in behavior. C) Ignore their life experiences so that the learning is not contaminated by misinformation from the past. D) Use the power disparity between the teacher and the client to reinforce basic principles
Why is it important for nurses in general practice to have an awareness of forensic knowledge?
A) They may one day wish to become certified in forensic nursing B) Forensic knowledge is a part of nursing curricula and is necessary for passing the National Council Licensure Examination C) Nurses are often in positions to report crimes or preserve evidence. D) With the increasing involvement of nurses in malpractice suits, forensic knowledge will help them win their cases
Why is term healing preferred to medicine when referring to alternative and complementary modalities?
A) Clients might associate alternative treatments with hospital care. B) Nurses have had a strong influence in naming this modality. C) The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological dimensions of care. D) Medicine implies that only physicians can carry out the treatment
An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette?
A) False B) True
What primary skills are required of the nurse to provide cultural competent care?
A) All of the above B) Sensitivity C) Understanding D) Communication
Both nursing models and theories help explain and direct nursing actions.
A) True B) False
Which of the following statements is most accurate about the vast majority of the elderly?
A) They make up the single largest expenditure for the federal government budget B) They are relatively healthy and most manage their chronic conditions at home C) They all have chronic diseases and are in assisted-care facilities. D) They have high levels of depression and are usually in bad spirits.
Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups.
A) True B) False
The client’s short term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
A) Evaluation B) Assessment C) Planning D) Diagnosis
This lengthy assessment tool provides a thorough overview of a client’s culture.
A) Minority Model B) Purnell’s Model C) Non-English Model D) Bio-Cultural Model
True or False: By law, supplements are regulated be the Food and Drug Administration (FDA)
A) False B) True
Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model?
A) Multistep process that helps the client adapt and reach the highest level of functioning B) Assistance in self-care activities to help the client achieve health C) Dynamic process that identifies and meets the client’s health-care needs D) Identifies boundary disruption and helps clients in activities to restore stability.
An ethical code does which of the following?
A) dictates decisions B) provides a framework for decision-making C) sets firm rules D) provides a group of legally binding values
To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client?
A) LPN B) CNA, level II C) CNA, level III D) RN
A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
A) Partially compensated care B) Supportive developmental care C) Self-care D) Wholly compensated care
Function in nursing informatics focuses on which of the following?
A) A well-articulated theoretical basis to guide the gathering of data B) Areas of research that lead to new knowledge C) The levels of special interest, including technology and concepts of nursing theory D) How the management and processing of information helps nurses enter, organize, or retrieve information
Identify the best method for a nurse to acknowledge a client’s autonomy
A) Incorporate the ethical principle of paternalism into all client care activities B) Follow only the instructions of the client’s family C) Use the ethical principle of best interest when making decisions about the client’s care needs D) Know and understand the state’s laws that address living wills
Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel).
A) A client with a percutaneous endoscopic gastrostomy tube who is receiving continuous tube feedings B) A client with difficulty walking and requires assistance to the bathroom C) A client with difficulty swallowing food and fluids D) A client with a colostomy who requires irrigations
What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life?
A) Laws B) Values C) Morals D) Ethics
Which of the following is known as a healing practice that uses the human energy system?
A) Visualization B) Therapeutic Touch C) Hypnosis D) Guided Imagery
The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called:
A) Quality Improvement B) Root Cause Analysis C) Case Management D) Leapfrog
Nurses who learn about another person’s culture is enough to guarantee the nurse will have cultural awareness.
A) False B) True
Using errors as learning opportunities is a key element in building which of the following?
A) Magnet hospital B) Shared decision-making environment C) system of improvements and quality care D) Just culture organization
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful.
A) True B) False
Which of the following is considered the best preferred strategy to dealing with conflict?
A) Choose your battles B) Confront the conflict C) Postpone the conflict D) Ignore the conflict
Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?
A) “The RN who delegates is also responsible for education about the task to be performed.” B) “When nurses delegate, they are delegating nursing.” C) “Assessing clients is a task of the RN.” D) “The tasks delegated should have expected and predictable outcomes.”
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
A) “I am the manager and we will do it my way.” B) “You have made some good points, but I have another suggestion.” C) “I’m sorry, but your suggestion was useless to solving the problem.” D) “I really don’t care; do it the way you think is best.”
A physician writes a DNR order for a competent client. Which individual may give permission for this order?
A) The client’s next of kin B) The client C) The client’s spouse D) The client’s only child
A client asks what the Affordable Care Act is. What best explains this act?
A) “The law requires that most of the assets be absorbed.” B) “The law is only for those on Medicare Part D.” C) “The law has been written for those seniors who are under Medicaid.” D) “The law has been written for those of all ages for a positive outcome.”
Clients may develop this when they view that the nurse is an authority figure or expert in health-care matters.
A) Passive Obedience B) Active Obedience C) Health Care Aversion D) Communication Synergy
Which is the principle upon which Nightingale’s spirituality was based?
A) Scientific rationalism B) A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality C) Adherence to a set of rules of behavior, the participation in prescribed rituals, prayer, and the study of sacred texts D) The beliefs of her Unitarian and Anglican parents
Client Satisfaction is not another way to measure quality of care.
A) False B) True
What is one disadvantage to the electronic health care system that health care workers are concerned about?
A) Computer glitches B) Inexpensive computer systems C) Improved communication D) May be used by multiple users at one time
Which is not part of the role of the forensic correctional nurse?
A) Provide health screenings B) Respond to emergency situations C) Prescribe medications D) Develop health-care plans
The nurse identifies a problem list for the client. Which of the following phases of the nursing process is this a part of?
A) Assessment B) Diagnosis C) Evaluation D) Planning
What is the federally funded national health insurance program in the United States for people older than 65 years?
A) Medicare B) Exclusive Provider Organization C) Long-term care insurance D) Medicaid
T.S is a 75 year old man who sustained a left hip fracture after a fall. He is normally independent and lives at home with his wife who suffers from dementia. He currently requires a heavy assist of 2 to pivot transfer to a chair. He is not currently ambulating more than a few steps with a walker. His goal is to go back home to help care for his wife. Which of the following is the most appropriate hospital discharge plan for T.S.?
A) Rehabilitation Center B) Long-term care facility C) Home with homecare D) Assisted living
What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?
A) Death of a client may indicate that the care they were providing was insufficient B) Their education has focused them on keeping clients alive and promoting health. C) They have an internal conflict in coping with their own fears of death. D) They become very emotional when clients they are caring for die.
What is the most effective method nurses can use to gain power over nursing practice?
A) Confront hospital administrators about inadequate staffing B) Leave the nursing profession when better jobs are available C) Join professional organizations in large numbers D) Use union tactics to increase salaries
The establishment of a professional organization is one of the most important defining characteristics of a profession.
A) False B) True
Why is heritage consistency important to cultural groups?
A) It allows them to advance within the larger culture B) It allows them to retain many of their cultural elements C) It allows them to fit in with the larger culture D) All of the above
Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
A) Religion B) Spirituality C) Truth D) Meditation
True or False: Total quality improvement is based upon the organization with the higher-quality service that will capture a greater share of the market than competitors with lower-quality services.
A) False B) True
Which of the following is not a reason the State Board of Nursing may revoke a nursing license?
A) Conviction of a serious crime B) Ethical conduct in the practice of nursing C) Use of illegal drugs while providing client care D) Failure to renew a nursing license while still practicing nursing
What would be a characteristic of the ideal electronic health care record?
A) The system is unique to the institution it resides in. B) It reflects only the past medical history. C) The system reflects the lifelong, continuous record of all care the client has received. D) It depicts the current health status, but does not provide the medical history
The type of reimbursement system that pays a fixed-rate based on diagnosis (or DRG) is called what:
A) Capitated Payment System B) Managed Care Organization C) Preferred Provider Organization D) Prospective Payment System
Which of the following organizations provides nursing with a code of ethics?
A) Institute of Medicine B) Department of Health C) Board of Nursing D) American Nurses Association
Which of the following reasons is not a reason for the increasing use of alternative and complementary healing practices?
A) Desire for greater control over one’s health B) Traditions passed on from parents C) Belief in the effectiveness of alternative therapies D) Dissatisfaction with conventional health care
Identify the primary driving force behind the development and use of telehealth or telemedicine.
A) Easy access to computers B) Consumer concerns about access to health care C) Increase sophistication of physicians’ computers skills D) Large segments of the population located in congested urban areas
The establishment of a professional organization is insignificant in defining characteristics of a profession.
A) True B) False
A registered nurse (RN) is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA) or UAP (unlicensed assistive personnel) ?
A) Skill level of each staff member B) Staff preferences for specific clients C) Distance of client rooms from the nurses’ station D) Developmental needs of clients
What is acute care of sick persons that is provided in hospitals called?
A) Primary intervention B) Assistive intervention C) Secondary intervention D) Tertiary intervention
Identify the characteristics of a task that is to be delegated that would require it to be assigned to an RN.
A) The task is routine in nature and follows hospital policies. B) The client is relatively stable. C) The client requires a dressing change at the beginning of the shift. D) The task requires decision-making to complete it.
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful.
A) True B) False
Identify the health-care area in which the use of computers has improved the efficiency of care.
A) Physician record keeping B) Interdepartmental communication C) Documentation D) Medication administration
What is a major benefit for the elderly who now have easy access to and use of technology such as the Internet and smartphones?
A) They can reach hospitals and family if they need help. B) They generally are so confused by the technology, they abandon it. C) They have opportunities to obtain screening and treatment that they might not otherwise seek. D) They now have a new source of entertainment to keep their minds active and delay the effects of dementia.
This federally funded program is known for financing a large portion of maternal and child care for the poor.
A) Medicaid B) Medicare C) Preferred Provider Organization (PPO) D) Exclusive Provider Organization (EPO)
What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?
A) Focus nursing education on competencies to reduce the number of medical errors B) Increase the number of students in nursing programs C) Shift nursing education to a more medical model due to increased client acuity D) Decrease the number of associate degree nursing programs
Which behavior indicates that a nurse, who is forced to confront a conflict situation, is using a submissive approach to communication?
A) Refers the problem to a supervisor B) Confronts the other person loudly and in front of an audience C) Uses the incident as a threat D) Sets up a one-on-one meeting at a specific time
What advantage does the electronic health record system have over traditional paper systems?
A) More portable B) Fewer privacy issues C) Unbreakable D) Reduces redundancy
NURS347 Professional Beliefs Paper – Concepts: Person, Environment, Health, and Nursing
PURPOSE:
There are four dominant concepts in nursing: Person, Environment, Health, and Nursing.
Diversity (culture) is a sub-concept that moves through each of the four major concepts. Students may choose to include culture with Person.People enter nursing with definitions of these concepts that derive from their own personal experiences. Inherent in their definitions are their values, attitudes, and beliefs. It may be helpful to think of this process as values clarification-what these concepts are and what they are not.
This paper is a reflection on the four concepts and how the concepts interrelate based on the semester’s learning experiences. This paper is a personal statement of values; therefore, there are no “right” or “wrong” statements. However, it is expected that the student will address the four concepts including culture; identify major aspects of the concepts; draw relationships among them; analyze and evaluate alternative points of view; and draw conclusions that logically derive from the values expressed by the student for the concepts of Person, Environment, Health, and Nursing.
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The paper is a reflection of the student’s ability to engage in critical thinking. The criteria for assessing critical thinking include:
· Interpretation of concepts using salient arguments and substantiating a point of view by reflecting alternative points of view.
· Explanation of assumptions and reasons with accurate interpretation of evidence.
· In-depth and thorough thinking processes that reflect open mindedness, fairness, and honesty in recognizing personal biases.
· Willingness to reconsider judgments.
WRITING GUIDE:
1. Title: Personal Professional Beliefs Paper
2. Introduction: Brief paragraph stating the purpose of the paper.
3. Your definition of the four concepts and substantiation (why) for your personal beliefs. (What the concept IS and what it IS NOT based on varying points of view reflected in the literature.)
4. Interrelationships between Person, Environment, Health, and Nursing.
5. Conclusion that comes from the four concepts of the paper.
6. It should be typed using APA format with 12 point Times New Roman font, double-spaced, one inch margins, header, section headings, and content shall not exceed 5 pages.
7. The writing should be clear, coherent, and organized with appropriate grammar and syntax.
8. Provide a title page and a reference page (these are excluded from the 5 page limit).
9. Include at least 3 references from scholarly journals, biographies, texts, or professional organization or .gov resources. These may support/contrast your belief.
10. Limit the use of direct quotes. May use brief quotes sparingly.
Beliefs Paper
Introduction (10 points): (#2)
Aspects of Person, Environment, Health, and Nursing are covered (20 points): (#3 and #4)
· The paper flows logically and is well expressed with your original ideas/terms
· Culture/diversity addressed
· Use of references to support/contrast viewpoint
Conclusion (10 points): (#5)
Scholarly Writing (10 points)
· APA format utilized for referencing (1 point)
· APA font, font size, double space, margins, page limit (1 point)
· Header follows APA guidelines (1 point)
· Headings follow APA guidelines for level (1 point)
· 3 professional references utilized (1 nursing) (1 point)
· Title page follows APA guidelines (1 point)
· Reference page follows APA guidelines (1 point)
· Organized content (1 point)
· Correct spelling (1 point)
· Correct grammar and sentence structure. (1 point)
Total Points
/50