NUR 215 Exam 1 with 100% accurate solutions + rationales 2026-2027

Participants in the health care systems

Consumers (clients)

Licensed professionals

Unlicensed professionals (Assistive personnel)

Autonomy definition

right to self-determination

Beneficence definition

promotes good to others with no self interest

Fidelity definition

agreement to keep promises

Justice definition

fairness in care and use of resources

Nonmaleficence (definition)

to do no harm

Veracity definition

to tell the truth

Federal nursing regulations

HIPPAA, ADA, MHPA, PSDA

HIPPAA abbreviation

Health Insurance Portability and Accountability Act

ADA abbreviation

Americans with Disabilities Act

MHPA abbreviation

Mental Health Parity Act

PSDA abbreviation

Patient Self-Determination

Professional negligence

failure of a person who has professional training to act in a reasonable and prudent manner

Nursing definition (ANA)

the diagnosis and treatment of human responses to actual and potential health problems

4 characteristics of a registered nurse

Nursing practice is individualized.

Nurses coordinate care by establishing partnerships (with persons, families, support systems, and other providers).

Caring is central to the practice of the registered nurse.

Registered nurses use the nursing process to plan and provide individualized care to their healthcare consumers.

A strong link exists between the professional work environment and the registered nurse's ability to provide quality healthcare and achieve optimal outcomes.

10 Nursing qualities

1. Critical thinking

2. Caring and compassion

3.Detail Oriented

4. Organization skills

5. Speaking skills

6. Listening skills

7. Patience

8. Competence

9. Emotional stability

10. Physical stamina

Critical thinking

Monitor the client, note changes, and take actions to ensure safe and effective care.

Caring and compassion

Show kindness, concern, and sincerity that convey to clients that you care about their well-being.

Detail oriented

Pay attention to details to prevent and identify potentially harmful errors in care

Organization skills

Prioritize the needs of your client and meet the needs of the most critical clients first

Speaking skills

Listen to clients' concerns; take verbal or telephone prescriptions from providers.

Listening skills

Listen to clients' concerns; take verbal or telephone prescriptions from providers

Patience

In stressful situations in the work environment, think clearly and take the correct actions

Competence

Obtain the knowledge and skills to ensure safe, quality client outcomes

Emotional Stability

Develop the ability to cope with human suffering, emergencies, and other stresses

Physical Stamina

Perform physical tasks and endure long hours walking and standing.

a profession must have

a domain of knowledge that has both theoretical and practical boundaries.

Assessment

It is important to assess the client's immediate environment, developmental stage, and individual risk factors. The following will help you to perform focused assessments for falls risk, home safety, and risk for violence

The nursing process

Assessment

ANALYSIS/NURSING DIAGNOSIS

PLANNING OUTCOMES/EVALUATION

PLANNING INTERVENTIONS/IMPLEMENTATION

3 Domains of learning

Cognitive (thinking)

Affective (feeling)

Psychomotor (doing)

6 Higher level thinking skills

remembering

understanding

applying

analyzing

evaluating

creating

ANA Standard 1: Assesment

The registered nurse collects pertinent data and information relative to the healthcare consumer's health or the situation

ANA Standard 2: Diagnosis

The registered nurse analyzes the assessment data to determine actual or potential diagnoses, problems, and issues

ANA Standard 3: Outcomes Identification

The registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation.

ANA Standard 4: Planning

The registered nurse develops a plan that prescribes strategies to attain expected, measurable outcomes.

ANA Standard 5: Implementation

The registered nurse implements the identified plan

ANA Standard 5a. Coordination of Care

The registered nurse coordinates care delivery

ANA Standard 5b. Health Teaching and Health Promotion

The registered nurse employs strategies to promote health and a safe environment

ANA Standard 5c. Consultation

The graduate-level prepared specialty nurse or advanced practice registered nurse provides consultation to influence the identified plan, enhance the abilities of others, and effect change.

ANA Standard 5d. Prescriptive Authority and Treatment

The advanced practice registered nurse uses prescriptive authority, procedures, referrals, treatments, and therapies in accordance with state and federal laws and regulations.

ANA Standard 6: Evaluation

The registered nurse evaluates progress toward attainment of goals and outcomes

ANA Standard 7: Ethics

The registered nurse practices ethically

ANA Standard 8: Culturally Congruent Practice

The registered nurse practices in a manner that is congruent with cultural diversity and inclusion principles.

ANA Standard 9: Communication

The registered nurse communicates effectively in all areas of practice.

ANA Standard 10: Collaboration

The registered nurse collaborates with healthcare consumers and other key stakeholders in the conduct of nursing practice.

ANA Standard 11: Leadership

The registered nurse leads within the professional practice setting and the profession.

ANA Standard 12: Education

The registered nurse seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking.

ANA Standard 13: Evidence-based Practice and Research

The registered nurse integrates evidence and research findings into practice

ANA Standard 14: Quality of Practice

The registered nurse contributes to quality nursing practice

ANA Standard 15: Professional Practice Evaluation

The registered nurse evaluates one's own and others' nursing practice.

ANA Standard 16: Resource Utilization

The registered nurse utilizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe, effective, and fiscally responsible.

ANA Standard 17: Environmental Health

The registered nurse practices in an environmentally safe and healthy manner

Nonsocomi were

Men who provided nursing care in ancient Rome

Early religious orders

men in religious orders also provided nursing care

Crimean War (1853-1856)

86 volunteer nurses traveled with them

American Civil War 1861-1873

No nurses were available so Sisters of Charity responded to the wounded

Man nurses served

Walt Whitman

The American Red Cross 1881-1910

Clara Barton established in May 21, 1881 WA DC

Jane Delano founded American Red Cross in 1910 for Army core nurses before WW1

First Nursing Schools 1873

Bellevue training in New York

Connecticut in New Haven

Boston training at Massachusetts General hospital

Men only nursing schools existed until what year

1960's

The first women nursing school opened in Pennsylvania what year?

1914

Mary Eliza Mahoney (1845-1926)

One of the first woman doctors opened the institute Mary attended while the age of 33. She graduated August 1, 1879

Henry Street Settlement 1893

nonprofit service that was founded by nurse Lillian Wald to promote the acceptance of nursing widely

American Society of Superintendents of Training schools of nursing 1893

first nationals professional organization, later became national league of nursing

US Army Nurse Corps 1901

Edward Lyon was first man commissioned in 1955

State Licensure 1903

standardized nursing programs

Cadet Nurse Corps program 1943

Trained nursed for WW2

The American Nurse Assembly for Men in Nursing 1971

to meet, discuss, and influence which factors affected men in nursing

Nursing school used to be only for men because

No one else was considered "pure" enough to enter the first nursing school in India in 250 BC

What caused nursing to go from a mens job to a woman's

warfare in the 19th and 20th century

Maslow's Hierarchy of Needs

physiological needs

safety & security

love/belonging

esteem

self-actualization

The RN 5 Step nursing process

1. Assessment

2. Analysis

3. Planning

4. Implementation

5. Evaluation

Analysis

analyzing the data collected during assessment

Planning

applying nursing knowledge after analyzing, establish desired outcomes and route of care

Evaluation

Determine the effectiveness of the plan of care

ABC's

Airway

Breathing

Circulation

In order for proper oxygen flow there needs to be a

negative pressure gradient in plural cavity

Nurses choose treatment that is

least restrictive and least invasive

Emergent category

Class 1: life-threatening

Urgent Category

Class 2: serious but will survive

Non-urgent category

Class 3:Not serious, and will survive

Expectant category

Class 4: near death not due to injury, just given comforting treatment

Fire response RACE

R= Rescue

A= Alarm

C= Contain/Confine

E= Extinguish

Fire extinguishers PASS

P: Pull the pin

A: Aim

S: Squeeze

S: Sweep

Fire classes

A= combustibles

B= flammable liquids and gas fires

C= electrical fire

7 ways health affects self-concept

Menopause

Sexuality

Depression

Irritability

Difficulty with sexual identity

Job performance

Martial changes w/ death or divorce

Biological factors in health/wellness

Genetic makeup, gender, age/development stage