Nursing Standards, Process, and Legal Frameworks: ATI Fundamentals Review

What are the general standards of professional nursing practice?

Accountability for behavior, protection of clients, and adherence to ethical values.

Which organization established standards for nursing practice?

The American Nurses Association (ANA).

What are the five steps of the nursing process?

Assessment, Diagnosis, Planning, Implementation, Evaluation (ADPIE).

What is the purpose of the assessment phase in nursing?

Systematic collection of information about the client's health status.

What type of data is considered subjective in nursing assessment?

Information reported by the client, such as symptoms and feelings.

What type of data is considered objective in nursing assessment?

Information obtained through observation and physical examination.

What is the goal of the diagnosis phase in the nursing process?

To analyze data and determine health status or issues.

What does the planning phase involve in nursing?

Establishing priorities, expected outcomes, and selecting interventions.

What are the three major types of nursing planning?

Initial planning, ongoing planning, and discharge planning.

What acronym is used to create effective nursing goals?

SMART: Specific, Measurable, Attainable, Realistic, Timely.

What is the focus of the implementation phase in nursing?

Selecting and implementing appropriate therapeutic interventions.

What skills are essential during the implementation phase?

Problem-solving, clinical judgment, and therapeutic communication.

What is the purpose of the nursing care plan?

To quickly identify problems, outcomes, and interventions for patients.

What does the evaluation phase assess in nursing?

Client's response to interventions and progress toward goals.

What factors can lead to clients not meeting their goals?

Incomplete database, unrealistic outcomes, nonspecific interventions, inadequate time.

What is the role of critical thinking in the nursing process?

To guide nursing care and make informed decisions based on data analysis.

What is the significance of Maslow's hierarchy in nursing planning?

It helps prioritize client needs and set goals.

What are nurse-initiated interventions?

Actions taken autonomously by nurses based on evidence and rationale.

What are provider-initiated interventions?

Interventions initiated as a result of a provider's orders or protocols.

What are collaborative interventions in nursing?

Actions carried out in collaboration with other healthcare professionals.

What is the importance of documentation in nursing?

To ensure accurate records of care and client responses.

How should nurses respond to unplanned events during implementation?

By using critical thinking and clinical judgment to address the situation.

What is the outcome of effective nursing interventions?

Promotion, maintenance, or restoration of health.

What is the role of evidence-based rationale in nursing interventions?

To ensure that interventions are based on the best available evidence.

What is the first step in the nursing process?

Assessment.

What is the last step in the nursing process?

Evaluation.

What is the primary purpose of the Nurse Practice Act (NPA)?

To regulate nursing practice within each state.

Who executes the Nurse Practice Acts?

State boards of nursing.

What does the NPA identify regarding nursing licensure?

Conditions that must be met for nursing licensure.

What are the specific nursing titles defined by the NPA?

RN, LPN, LVN, APN.

What is the two-step process for defining the scope of nursing practice?

The state legislature passes the NPA and identifies a regulatory body to enforce it.

How does the state board of nursing regulate nursing education?

By approving nursing program standards and curricula based on the NPA.

What are the two national accreditation organizations for nursing schools?

The Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE).

What is the purpose of the QSEN Institute?

To improve quality and safety in nursing education.

What are the six competencies identified by QSEN?

Patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

What is the goal of the National League for Nursing (NLN)?

To foster excellence in nursing education.

What are the four NLN competencies for new nursing graduates?

Human flourishing, nursing judgment, professional identity, and spirit of inquiry.

What does the AACN BSN Essentials outline?

Essential expected curriculum content and required competencies for BSN graduates.

List the nine AACN BSN Essentials.

1. Liberal Education, 2. Leadership for Quality Care, 3. Evidence-Based Practice, 4. Information Management, 5. Healthcare Policy, 6. Interprofessional Communication, 7. Clinical Prevention, 8. Professionalism, 9. Generalist Nursing Practice.

What organization sets standards for educating LPNs/LVNs?

The National Association for Practical Nurse Education and Service (NAPNES).

What is required for nursing licensure?

Each state must protect clients by requiring professional nurses to have a license.

What is the Nurse Licensure Compact (NLC)?

It allows nurses to practice in their home state and other compact states under one multistate license.

What are examples of national certifications in nursing specialty practice?

CCRN, CEN, CNOR, CMSRN, OCN.

What is credentialing in nursing?

A process that confirms an individual's abilities to practice as a health professional.

What is the order to list nursing credentials?

1. Highest degree, 2. Licensure, 3. State designations, 4. National certifications, 5. Awards and honors.

What is the significance of periodic license renewal?

It maintains the right to practice nursing.

What is the role of the state board of nursing (BON)?

To enforce regulations and rules set by the Nurse Practice Act.

What does 'patient-centered care' entail?

Recognizing the patient as a full partner in providing care based on their preferences and needs.

Define 'evidence-based practice' in nursing.

Integrating best current evidence with clinical expertise and patient preferences for optimal care.

What is 'quality improvement' in nursing?

Using data to monitor and improve care processes continuously.

What does 'safety' mean in the context of nursing?

Minimizing risk of harm to patients and providers through effective systems and performance.

What is the role of informatics in nursing?

Using information and technology to support decision-making and manage knowledge.