Take: Nursing as a Profession Quiz Attempt Time Score LATEST Attempt 1 14 minutes 40 out of 50 Correct answers are no longer available. Question 1 10 / 10 pts Which principles best describe Florence Nightingale's beliefs about the nursing profession? Select all that apply. Caring Lifelong learning Improved conditions for clients Curriculum based on theory only Nursing instructors should be volunteers only Physicians should have final authority over nursing curriculum Rationale: Florence Nightingale believed nurses should spent their time caring for clients, not cleaning. She believed nurses must continue their learning throughout their lifetimes, so they do not become “stagnant” in their nursing knowledge, skills, and practice. Nightingale’s early quality improvement efforts were to improve basic hygiene in the army hospitals including cleanliness, wholesome food, light & fresh air, and safe sanitation measures. She made significant reforms in nursing education including integrating theory and practice in nursing education and hiring qualified paid nursing instructors. Nightingale believed nursing schools should be associated with medical schools so nurses and doctors could work collaboratively in the int best interest of the clients; however, the school matron (chief nurse at the school) should have final determination and authority over nursing curriculum. IncorrectQuestion 2 0 / 10 pts Which one statement most accurately describes the overall development of a definition for nursing? Historical researchers have identified the exact point in history when nursing emerged. Nursing is pursued primarily through theoretical concepts Nurses cannot agree on a single definition of nursing Nurses have evolved to be the medical provider's assistance Rationale: Over the years, nurses have tried to write a single definition for nursing; however, nurses have not agreed on any single definition. The difference in opinions among nurses is in part due to the opinions of the role of theory and practice in nursing, which further leads to varying opinions if nursing is a skilled vocation or a profession. Ironically, there is evidence that an integration of both theory and practice yields the best outcomes, which is one of the drivers of increasing the number of baccalaureate nurses providing direct care to clients in hospitals. Variations of the functions of nursing were performed as far back as ancient times, and specialized care providers were present in many early religions and at some point caring for the sick became an independent role rather than a responsibility of a family member of the client. Nonetheless, because of lack of documentation, there is no specific year or years when nursing could be identified as an independent practice Question 3 10 / 10 pts Which is the primary fundamental difference between nursing and medicine? Holistic caring framework Professional opportunities Physicians authorize nursing practice Opportunities for specialization Rationale: Although nursing and medicine are highly interactive and highly interdependent with each other, the primary difference between the two are the goals. The overarching goal of medicine is to cure (curative treatment) where the overarching goal of nursing is achieving its four aims through a holistic caring framework (promoting health, preventing illness, restoring health, and facilitating coping with disability and death). A common and incorrect stereotype is nurses work for the physicians or that physicians authorize nursing practice. Authorization to practice as a registered nurse comes from each’s nurse’s state nursing practice act. You will learn more about the legal aspects of nursing in NUR 302A). Nurses actually work for the agencies and follow nurse-authorized procedures and protocol. Providers write orders for the client. Nurses use their specialized skills to help the clients carry out the orders. Nurses also help clients understand the purpose of the orders. However, nurses should look at a client’s health in much broader terms (holistic caring). Nurses and providers both have numerous opportunities to advance their practice and to specialize. There are opportunities for nurses to work in formal leadership roles; to achieve and obtain certifications for specialty areas to care for a specific client population (oncology, newborns, emergency, critical care, cardiology, wound, ostomy, and continence [WOCN], etc.); to work as nurse education in the academic or clinical setting; to work as a nurse research, or to work in informatics or quality assurance. Question 4 10 / 10 pts Which factors most directly influence the need for a unique and special language for the nursing profession? Select all that apply. Making evidence-based client care decisions Decreasing costs of client data storage collecting information about the history of nursing comparing clinical outcomes across settings retrieving data for nursing research and quality assurance Rationale: The development of a unique and specialized language for nursing documentation allows for the structured collection of data about nursing activities, which are not directly tracked in the medical language systems. These data are collected for purposes of making evidencebased client care decisions, comparing clinical outcomes across settings, collecting data for quality assurance and nursing research, and managing nursing intervention data in an electronic format. If the specific work done by nursing is tracked, nursing will have hard data to use to justify staffing increases, salary increases, and other changes needed to improve client outcomes and the work environment. Client charts and other client documentation are client-specific, so this might not be the most direct or effective approach to gathering historical information about nursing. If additional data are stored, there could be an increase rather than a decrease in data storage costs. Question 5 10 / 10 pts Nursing-specific nomenclature and classification systems most directly support which one of the seven criteria of a profession? Possession of a specialized body of knowledge Service to the public A code of ethics Nursing as a lifetime commitment Rationale: Nursing researchers have developed an organized body of knowledge unique to nursing along with a specialized language of nursing. This meets the possession of a specialized body of knowledge criterion in table 1.6 in Stegen & Sowerby (2019).