BNPR501 Exam

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111 Terms

1
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Who was the pioneer of modern Nursing?

Florence Nightingale (1820 - 1910)

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Sibylla Maude (Nurse Maude)

Founder of district nursing in NZ

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Grace Neill

Instrumental in the development of nursing training in NZ

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Hester Maclean

Largely responsible for drafting the Nurses and Midwives Registration Act 1925 and was Matron-in-Chief of the New Zealand Army Nursing Service during the First World War

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Aheneki Hei

First Maori nurse in NZ

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Irihapeti Ramsden

Developed cultural safety in 1992

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A legal requirement in New Zealand is that every nurse works within a scope of practice. The three scopes of practice are:

Nurse Practitioner (NP), Registered Nurse (RN), Enrolled Nurse (EN)

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Nursing education history

  • Originally hospital based, learn on the job training

  • 1971 – Carpenter Report – advocated for nursing education to take place in an educational institution rather than hospital

  • Initially diploma in 1973

  • Moved to a degree in 1993

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What does the NCNZ issue to nurses so they can continue to practice?

Annual practicing certificate

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Nursing Council of New Zealand (NCNZ)

Registration body that governs the practice of nurses in New Zealand

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Domain 1 Competencies

Professional Responsibility

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Domain 2 Competencies

Management of nursing care

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Domain 3 Competencies

Interpersonal Relationships

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Domain 4 Competencies

Interprofessional Healthcare and Quality Improvement

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Professional Responsibility

This relates to professional, legal and ethical responsibilities and cultural safety. Including being able to demonstrate knowledge and judgement and being accountable for own actions and decisions, while promoting an environment that maximises health consumer safety, independence, quality of life and health.

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Management of nursing care

This relates to assessment and managing health consumer care, which is responsive to the consumers’ needs, and which is supported by nursing knowledge and evidence-based research.

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Interpersonal Relationships

This relates to interpersonal and therapeutic communication with health consumers, other nursing staff and interprofessional communication and documentation.

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Interprofessional Healthcare and Quality Improvement

This relates to demonstrating that, as a member of the health care team, the nurse evaluates the effectiveness of care and promotes a nursing perspective within the interprofessional activities of the team.

19
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NCNZ produces…

  • The Code of Conduct

  • Competencies

  • Guidelines: Professional Boundaries

  • Guidelines for Cultural safety

  • Guidelines - Social Media

  • Guidelines: Direction and Delegation

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Legislation (Acts)

a formal description of a law passed in NZ and it is intended to spell out the duties for group that follows it eg. HPCA (2003), HDCA (1994), PA (2020)

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Legislation (Codes)

a guide on how to achieve the legal standards required in the Act

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Purpose of Health Practitioners Competence Assurance Act HPCAA (2003)

The purpose is to protect the health and safety of members of the public by providing mechanisms to ensure that health practitioners are competent and fit to practise their professions.

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Purpose of Health and Disability Commissioners Act HDCA (1994)

The purpose is to promote and protect the rights of health and disability service consumers, and facilitate the fair, simple, speedy, and efficient resolution of complaints.

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Purpose of Privacy Act PA (2020)

The purpose is to provide a framework to promote and protect individual privacy

25
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What year were men permitted to register as nurses in NZ?

1939

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How many principles are in the NZNO Code of Ethics (2019)?

7 Māori & 9 western ethical principles/values

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Rangatiratanga

Self-determination

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Manaakitanga

Kindness/respect and hospitality

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Tika

Justice/fairness

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Whanaungatanga

Establishing relationships

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Wairuatanga

Spiritual existence

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Kotahitanga

Unity

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Kaitiakitanga

Guardianship

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Autonomy

Self-determination

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Beneficence

Doing good

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Non-maleficence

First do no harm

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Justice

Fairness

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Confidentiality

Privacy

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Veracity

Truthfulness

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Fidelity

Faithfulness

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Guardianship of the environment and its resources

responsibility to respect and protect the environment and its resources

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Being professional

belief that nursing is a profession with a defined purpose

43
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Ethical issues faced by RNs?

  • Which call bell to answer first?

  • Patients who refuse medications/treatments

  • Facilitating independence vs safety

  • Choosing treatment options e.g pain relief

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What is morality?

it refers to the personal values, character and conduct of individuals or groups within society

45
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What is Ethics?

refers to the various ways people thing about, understand and examine how best to a live a moral life

46
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NZNO (New Zealand Nurses Organisation)

a nursing union in new zealand that provide professional support and leadership for nurses

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How many principles are in the Code of Conduct?

8

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How many rules in the Health Information Privacy Code 2020?

13

49
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What is primary healthcare?

Primary healthcare is provided in the community often by a GP or a practice nurse

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What is secondary healthcare?

Secondary healthcare is found within the hospital system - public or private

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What is Tertiary healthcare?

Tertiary healthcare is highly specialised medical care usually over an extended period that involves advanced and complex procedures and treatments performed by medical specialists.

52
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What are some priorities of the current health target?

  1. COVID-19 response

  2. Health and disability reforms

  3. Improving child wellbeing

  4. Improving mental health

  5. Improving well-being through preventative measures

  6. Creating a strong and equitable public health system

  7. Providing better primary health care

  8. Ensuring a financially sustainable health system

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What is the Māori Health Strategy?

He Korowai Oranga

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What is the purpose of He Korowai Oranga?

Provide guidance and direction for Māori health development. The overall aim strategy is Pae Ora - healthy futures for Māori

55
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The New Zealand Healthcare System is overseen by who?

The Ministry of Health

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What is the Ministry of Health (MoH) responsibilities?

Improving, promoting and protecting the health of all New Zealanders according to the New Zealand Primary Health strategy

57
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How many rights are in the HDC Code of Rights 1996?

10

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Who are these rights from the HDC Code of Rights 1996 for?

Everyone using a health or disability service has the protection of the Code of Rights.

59
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How many rights are there in the Code of Health and Disability Services Consumers' Rights (HDC) (Code of Rights)?

10

  1. The right to be treated with respect

  2. The right to freedom from discrimination, coercion, harassment, and exploitation

  3. The right to dignity and independence

  4. The right to services of an appropriate standard

  5. The right to effective communication

  6. The right to be fully informed

  7. The right to make an informed choice & give informed consent

  8. The right to support

  9. Rights in respect of teaching or research

  10. The right to complain

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When documenting, information held about a health consumer is to be:

  • Up to date

  • Accurate

  • Complete

  • Relevant

  • Not misleading

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Health consumer's information can only be shared in what circumstances?

- Health consumer agrees to it
- Health consumer cannot make decisions for themselves
- They are sectioned under the Mental Health Act

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How many rules are in the Health Information Privacy Code 2020?

13

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What are the 13 rules in the Health Information Privacy Code (2020)?

  1. Purpose of collection of health information

  2. Source of health information

  3. Collection of health information from individual

  4. Manner of collection of health information

  5. Storage and security of health information

  6. Access to personal health information

  7. Correction of health information

  8. Accuracy etc of health information to be checked before use or disclosure

  9. Retention of health information

  10. Limits on use of health information

  11. Limits on disclosure of health information

  12. Disclosure of health information outside NZ

  13. Unique identifiers

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What signs an over-involvement in nurse-health consumer relationship?

Close relationship

65
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The time limit for a nurse and former health consumer to commence an intimate relationship is:

There is no time limit

66
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In a nurse health consumer relationship there is potential for?

A power imbalance

67
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What are signs of Under involvement?

Disinterested and Neglectful

68
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What is the zone of helpfulness?

Therapeutic relationship

69
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What are the 6 ‘P's of social media use?

  1. Professional

  2. Positive

  3. Patient/Person-free

  4. Protect yourself

  5. Privacy

  6. Pause before you post

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What is the original document that the NCNZ social media guidelines come from?

The Code of Conduct (NCNZ) 2012

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What is the active process of guiding the nursing practice of another called?

Direction

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Being answerable for nursing decisions and care is called what?

Accountability

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Making sense of experiences and learning from these is called what?

Reflection

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What is the transfer of nursing responsibility from an RN to an EN called?

Delegation

75
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What are the five rights of delegation?

  • Right activity

  • Right circumstances

  • Right person

  • Right communication

  • Right direction

76
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Feedback

Is important and helps shape our practice

77
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What are benefits of reflection in nursing?

helps nurses manage the impact on themselves of caring for others daily, helps improve clinical skill and communication

78
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What does SOAP (a common documentation framework) stand for?

  • Subjective data

  • Objective data

  • assessment

  • plan

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What does ISBAR (verbal communication framework) stand for?

Introduction, Situation, Background, Assessment, Recommendation

80
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Why do we need nursing research?

  • To inform our practice = evidence-based practice

  • Evaluate the impact of different interventions

  • To provide insights into our practice

  • Provide solutions to challenges

  • Deepen our understanding of concepts central to care

  • Develop theories that guide nursing actions

  • Develop new and improved ways of caring

  • Informed decision making

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How does nursing research help us?

informs our clinical practice, tests commonly held knowledge or assumptions, widens understanding of a subject, develops best practice, stimulates self-action/study, explains behaviours and allows predictions, assists in developing nursing knowledge

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Components of research article

Abstract, Introduction, Literature review, Method, Results, Discussion, limitation, Reference

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What is the Cartwright injury?

A report into allegations concerning the treatment of women with Cervical Cancer at National Women's Hospital.

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Which injury in 1987/1988 exposed the lack of legislation to protect patients rights?

Cartwright injury

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The four key values underpinning the professional conduct of nurses are:

TRIP: Respect, Trust, Partnership, Integrity

86
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The NCNZ Code of Conduct contains how many principles?

8

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Purpose of the Code of Conduct

It is a practical document that describes the conduct expected of nurses. Advises both nurses and tells the public what they can expect of a nurse in terms of the professional role.

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What is a current 2017/2018 health target?

Bowel cancer screening or Increased immunisation

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What is the vision of the New Zealand Health Strategy 2015?

Live well, Stay well, Get well

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What year were men permitted to register as nurses in NZ?

1939

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What are the three principles of the NZ Disability Strategy (2016-2026)?

1. Te Tiriti o Waitangi
2. Ensuring disabled people are involved in decision-making that impacts them
3. The convention on the rights of persons with disabilities

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What is the New Zealand 2016 Strategy?

The New Zealand Disability Strategy (the Strategy) will guide the work of government agencies on disability issues from 2016 to 2026.

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What are the impacts of colonisation on healthcare?

  • Maori hospitalised or die from preventable disease that the europeans arrived with

  • Maori experience discriminatory behaviours from health practitioners

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Inductive reasoning, Small sample size, Focus on human experience, result is not generalisable

Qualitative

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Deductive reasoning, scientific, focus on large sample size and measure variables

Quantitative

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Quantitative research

studies the phenomena in a controlled setting

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Qualitative research

Studies the phenomena in its natural setting

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Quantitative research

Controlled

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Qualitative research

Natural

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Quantative data

Quantity (number/amount)