Chapter 1 Self-Study Guide
(To be turned in to the Assignment DropBox in Blazeview by Tuesday August 30,
2022 @ 2330. It is your ticket to take the first exam. If it is not submitted you will
not be permitted to take the exam and will receive a zero.)
For this section of self-study, you are to use Chapter 1 of Medical-Surgical Nursing
(Lewis). You may write the answers verbatim from the book unless specifically
instructed to put things into your own words.
1. Write your own definition of nursing. What is the 2010 American Nurses
Association definition of nursing? Write it out as found in your book and
compare it to your own definition.
Book definition of nursing: protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and
treatment of human response, and advocacy in the care of individuals, families,
communities, and populations.
My definition of nursing: application of medicine that serves as support in
between the patient and doctor. This allows the doctor to diagnose and oversee care of
more
patients.
Nursing
is
application
of preventative measures
and
health maintenance without the presence of a doctor.
My definition is more vague and less specific considering nursing contains many
faucets and there are many definitions of nursing that are also applicable.
2. Write out the 5 influences on professional nursing practice. How has
Medicare influenced health care payment and reimbursement? What other
initiatives are currently influencing healthcare financing?
1.) The emergence of new technology and knowledge.
2.) rise in life expectancy, diverse populations, chronic illness and co-morbidities
3.) Consumerism, Patients want to be informed so they can be more involved in having
control over their health care.
4.) Health care financing, which is in place to relieve some or all the financial burden of
health care.
5.) Legislation
6.) Professional Nursing Organizations set standards, and promote research, develop
preventative strategies, and address issues that effect the nurses' ability to deliver safe
care.
Medicare has influenced health care payment and reimbursement by paying
hospital services at a flat rate depending on disease or problems treated during admission
for those 65 and over or with certain disabilities. Other initiatives such as HMOs and PPO's
negotiate charges before the delivery of care using fixed reimbursement rates or
capitation fees for medical care, hospitalization, and other health care services. Value
based purchasing programs base reimbursement on quality measures such as: clinical
outcomes, patient safety, patient satisfaction, and the providers adherence to EBP. Valuebased payment may be withheld if a preventable injury occurs.
3. What are the Overarching Goals of Healthy People 2030? Write them out. 1.)
Attain healthy, thriving lives and well-being free of preventable disease, disability, injury
and premature death
2.) Eliminate health disparities
3.) achieve health equity
4.) attain health literacy
5.) improve the health and well being for all
4. Write out the 6 Quality and Safety Education for Nurses (QSEN)
competencies. What competency do you feel is a strength for you? Which do
you think is your greatest weakness?
QSEN
1.) Patient centered care
2.) teamwork and collaboration
3.) safety
4.) EBP
5.) quality improvement
6.) informatics
I think teamwork would be my strong suit considering I work well with others.
Collaborating correctly alleviates work burden and increases the efficiency of
implementation. I believe quality improvement is my weakness. The reason is that I do not
have enough experience to feel confident in adjusting care from the standards that I have
learned without causing harm or decreasing the efficiency of care.
5. Write out the 5 steps of the nursing process.
1.) Assessment
2.) Diagnosis
3.) planning
4.) Implementation
5.) evaluation
6. Write out the 5 Rights of Delegation. Why is critical thinking on the part of
the nurse important when evaluating these rights?
1.) right task
2.) right circumstances
3.) right person
4.)
right directions/communication
5.) right supervision/evaluation
7. What is a Serious Reportable Event (SRE)? Give three examples of SREs.
A “never event”, serious harmful event that is considered preventable.
- Examples: Bed sores, injury from a fall, or death from hypoglycemia
8. What is the Joint Commission (TJC)?
Accrediting agency for health care organizations that gathers and reports information on
sentential events.
9. What does the term sentinel event mean?
patient safety event not related to patients illness or underlying condition that reaches a
patient and results in death, permanent harm, or serious temporary harm.
10. Write out the National Patient Safety Goals listed in your book. Choose one
and list how nurses help to meet this goal for patients.
Identify patients correctly, improve communication among the health care team, use
medicines safely, use alarm systems safely, prevent health care-associated infections,
identify patient safety risks, prevent mistakes in surgery
-mistakes during surgery are prevented by conducting a time-out before the start of any
surgery and confirming correct patient, procedure, and site.