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BSNC 1020 MODULE 1-5 FINAL EXAM 2023-2024 GRADED A+, Exams of Nursing

University of WalesNursing

BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023/BSNC 1020 MODULE 1-5 FINAL EXAM 2023

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2024/2025

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BSNC 1020 MODULE 1-5 FINAL EXAM 2023
1. Professionalism: Behaviours, skills, and attributes required or expected of
mem- bers of a profession.
- Conduct, aims or qualities that characterize or make up a profession or
profession- al.
-Requires specialized knowledge, accountability, autonomy, inquiry, collegiality,
col- laboration, innovation & ethics and values
2. How do nurses display professionalism?: Provide quality care to patients
thru:
- Commitment to profession led regulation
- Professional ethics
- Personal health & fitness to practice
- Legal & ethical dimensions to nursing
3. What year did nursing start in Canada?: 1639 - Hotel Dieu Quebec
4. Florence Nightingale: - founder of modern nursing and a reformer of
hospital sanitation methods
5. What did Florence Nightingale do?: - Insisted on better hygiene in field
hospi- tals and founded the first school of nursing
- Crimean war: reduced mortality from 42-2.2%.Hand-washing/nature working on
patient's body was her mainstay. First health statistician (collected & analyzed
health data).
- improved standards of nursing care in the mid-nineteenth century
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BSNC 1020 MODULE 1-5 FINAL EXAM 2023

  1. Professionalism: Behaviours, skills, and attributes required or expected of mem- bers of a profession.
  • Conduct, aims or qualities that characterize or make up a profession or profession- al. -Requires specialized knowledge, accountability, autonomy, inquiry, collegiality, col- laboration, innovation & ethics and values
  1. How do nurses display professionalism?: Provide quality care to patients thru:
  • Commitment to profession led regulation
  • Professional ethics
  • Personal health & fitness to practice
  • Legal & ethical dimensions to nursing
  1. What year did nursing start in Canada?: 1639 - Hotel Dieu Quebec
  2. Florence Nightingale: - founder of modern nursing and a reformer of hospital sanitation methods
  3. What did Florence Nightingale do?: - Insisted on better hygiene in field hospi- tals and founded the first school of nursing
  • Crimean war: reduced mortality from 42-2.2%.Hand-washing/nature working on patient's body was her mainstay. First health statistician (collected & analyzed health data).
  • improved standards of nursing care in the mid-nineteenth century

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  • known for reducing mortality during the Crimean war through improved sanitation measures
  • triggered a shift in public attitudes towards the acceptability of women doing nursing outside of the home
  1. Florence Nightingale and Crimean War: - She went to the war and helped turn the mortality rate around. 1854, she and 38 nurses entered the battlefield near Scutari, Turkey and cared for the sick and injured. They had few supplies and little outside help. She insisted on establishing sanitary conditions and providing quality nursing care. This immediately reduced the mortality rate. Her dedicated service both during the day and night when she and her nurses made rounds carrying oil lamps created a public image if the lady with the lamp.
  2. Nightingale Fund: - established by the English government to promote nurse's training in England
  • used to establish the first Nightingale school of Nursing, at St Thomas' Hospital in London
  1. Nightingale System of Education (Nightingale Model): - 1860: Nightingale created a financially independent school of nursing associated with St. Thomas' Hospital in London, England.
  • Nightingale model missing from new nursing schools because they had no financ- ing
  • Nursing students had to provide care for hospitals in return for education & living expenses
  • Result: Hospitals able to provide nursing care for minimal cost
  1. Sister of Charity of Montreal: - -Grey Nuns
  • Formed by Marguerite D'Youville -Basically the birth of home nursing -Pledged their lives to helping the poor and the sick (home visits) -Establish hospitals across Canada, making separate wings and establish a health system.
  • cared for both the poor and the wealthy
  1. What were the financial advantages of a hospital with a school of nurs- ing?: This gave the institutions a competitive edge relative to others to which paying patients may turn for care. A training school provided security against incurring a financial loss if the number of paying patients dropped at any point. Training schools attached to a hospital also ensured a higher standard of care than one without a school.
  2. Where was the first hospital diploma school in Canada?: -First Hospital Diploma School This was at the St. Catherines Training School that opened in 1874 at the St. Catharines General and Marine Hospital.
  3. What were the admissions for the first diploma school for nurses and what did they teach?: -Plain English education, good character and Christian motives. -Learned about sanitary, science, physiology, anatomy, and hygiene. -Taught to observe the patient for changes in temperature, skin condition, pulse, respirations, and functions of orgrans
  4. University of British Columbia: - first Canadian undergraduate nursing degree program
  • non-integrated (university did not control learning that took place in hospitals)
  • apprenticeship-style training
  1. First Canadian Undergraduate Nursing Degree: 1919: UBC
  2. Alberta Task Force on Nursing Education: - 1975
  • recommended that all new graduates be prepared at the baccalaureate level before entering professional practice -First entry to practice

in Western Canada. 134 of its graduates served as nurses in WWI -1890: By this point hospitals in Montreal, Fredricton, Saint John, Halifax, and Charlottetown had opened schools of nursing -1891: Vancouver General Hospital began a school of nursing -1894: Medicine Hat opened a school of nursing

  1. Timeline of Nursing Education:: - St. Catherine's Diploma, integrated (1874)
  • UBC non integrated Diploma (1919) -1975 Alberta Task force recommended bachelor degree programs
  • 1982 - Entry to practice programs -2000s-2010: All must have bachelor degree.
  1. What is the Victorian Order of Nurses?: - Established in 1898
  • This signified a professional standard of education for Canadian nurses that recognized the need not only for altruism and compassion but also for nursing knowledge
  • was formed by the National Council of Women under the presidency of Lady Ishbel Aberdeen following the discovery of the plight of women in Western Canada who had to give birth in remote locations with no assistance.
  1. What is the International Council of Nurses?: -Founded in 1899 by: Bedford Fenwick
  • Britain, Germany, USA member organizations
  • This started as a small organization in the broader context of the women's move- ment with the goals of professional welfare of nurses, the interests of women, and the improvement of the people's health.
  • Goals: professional welfare of nurses, interests of women and improvement of people's health
  1. Purpose of the code of ethics: - provide meaningful guidelines for nurses experiencing ethical conflicts in daily practice
  2. What is a CNA?: - National voice of registered nurses in Canada
  • Advance nursing excellence
  • Positive health outcomes
  • Promote profession-led regulation
  1. History of Canadian Nurses Association (CNA): - Registration of nurses established through legislation in each province.
  • 1924: Canadian National Association of Trained Nurses (CNATN) changed to CNA
  • 1930: Became federation of provincial associations
  • two-tiered education system with baccalaureate-prepared leaders and diplo- ma-prepared bedside nurses
  • launched the demise of hospital training schools and addition of 10 Ba nursing programs
  1. Education reform of the 1960s: - better prepared faculty in schools
  • high quality and standards as priorities in nursing education programs
  • more integrated programs
  • more university -based opportunities for students
  1. Nursing schools in the 1960s: - two-year nursing programs
  • diploma education based in community colleges
  1. What set the admission criteria and curricula for nursing schools?: This was set by rules governing the registration and discipline of practicing nurses
  2. Why were provincial governments reluctant to endorse the baccalaureate standard for entry to the practice of nursing?: This reflected the fact that equality

in education for women in nursing did not come easily. This occurred over two decades

  1. Where were the first two-year programs of nursing to appear?: This oc- curred in Ontario, Quebec, and Saskatchewan where a system of diploma education based entirely in community colleges
  2. What was the standard for nursing education between 1874 and the 1930s?: Nursing students were the primary means of staffing hospitals where they were provided a low-cost education in return for low-cost service. There were growing concerns about the quality of nursing education and exploitation of nursing students which led to a nationwide study on nursing education that was jointly funded by the CNA and the Canadian Medical Association
  3. Integrated Degree Programs (Education and Clinical Practice): - Universi- ties resisted because costs of low teacher/student ratios for clinical training
  • Cheaper to allow hospital to finance clinical training
  • Meant universities granted degrees for work done that they had no control over
  • 1964: Royal Commission on Health Services castigated the universities for this practice
  1. Nursing Education Today: - New curricula & collaborative baccalaureate pro- grams -country attest to profession's commitment to high standards & responding to society's change in health care needs -Standards for nursing education monitored provincially

in 1990, makes the decision whether a particular profession will be regulated by a college under the Health Professions Act.

  1. What are the differences between the Act and the Regulation ?: Govern- ment, through cabinet with approval from lieutenant governor, makes decisions whether a particular profession will be regulated by a college under the Health Pro- fessions Act. The Health Professions Act gives BCCNM its authority to regulate the four distinct professions: licensed practical nursing, psychiatric nursing, registered nursing, nurse practitioners and Midwives.
  2. What's the difference between BCCNM and the Health Professions Act?: - BCCNM is the regulatory body, and the Health Professions Act is the authoritative body.
  3. Professional Regulation of Nursing Who gives us authority to practice?: - BCCNM gives us a registration
  • Governed by CNA
  • If moved provinces would have to register under their province-specific college
  1. Under what conditions can someone call themselves a Nurse in BC?: Indi- viduals who have met the requirement for registrations.
  2. What does regulation assure? What does regulation define? How do nurses practice in self regulation?: - Assures the public that they are receiving safe and ethical care from safe and competent nurses.
  • Regulation defines the practice and boundaries of the nursing profession, including self-requirements and qualifications to practice.

-When they accept responsibility to practice according to professional standards and Code of Ethics for Registered Nurses.

  1. BC College of Nursing Midwives (BCCNM): - Regulates & registers nurses and nursing practice
  • Protect public through regulation of nursing professionals
  • Sets standards of practice
  • Assesses nursing education in BC
  • Addresses complaints about nurses in BC
  1. BCNU: - Act of behalf of workers
  • Secure salary
  • Benefits & working conditions
  • Leading advocate for publicly funded health care
  • Professional voice of nursing
  1. What is scope of practice?: Activities that RNs are educated and authorized to perform. Activities are established through legislated definition and by standards, limits and conditions.
  2. What is the purpose of standards of practice?: guide and direct nurse's practice. They set out levels of performance that BCCNM registrants require to achieve their level of practice. (Know boundaries in nurse-client relationships, doc- umentation, privacy and confidentiality)
  3. Who does the BCCNM protect?: Public
  4. What are the four professional standards from BCCNM?: 1) Professional responsibility and accountability
  1. Knowledge-based practice
  2. Client-based Provision of Care
  3. Ethical Practice
  1. What are the three BCCNM practice standards we need to know?: 1) Bound- aries in the Nurse-Client Relationship
  1. Documentation
  2. Privacy and Confidentiality
  1. What are the reasons for the BCCNM professional standards?: These pro- vide an overall framework for the practice of nursing in BC. They set out minimum levels of performance that nurses are required to achieve in their practice
  2. BCCNM Practice Standard: Boundaries in the nurse-client relationship:
  • Nurse determines/maintains professional boundaries with the client via. clinical judgment
  • Begin, maintain, end relationship
  • Don't enter into a friendship/relationship
  • No sexual relations
  • Careful of socializing with previous clients/their friends/family
  • Report violations that other nurses might violate
  • Dual role carefully (care for friend/family)
  • Disclose personal info only if helpful/appropriate
  • No accepting gifts/money
  1. What are examples of violation of the boundaries in the nurse-client relationship?: Violations include behaviour such as favoritism, physical contact, friendship, socializing, gifts, dating, intimacy, disclosure, chastising, and coercion
  2. BCCNM Practice Standard: Documentation: - Communication tool with other health care pros
  • Advocate for patient's access to health records
  • Don't access health records that aren't necessary
  1. Privacy vs. Confidentiality: - Privacy is the right of an individual to have some control over how his or her personal information (or personal health information) is collected, used, and/or disclosed.
  • Confidentiality is the duty to ensure information is kept secret only to the extent possible.
  1. BCCNM Practice Standards Definition: - Practice standards set out requirements related to specific aspects of nursing practice.
  • Link with other standards, policies, by-laws of BCCNM as well as other legislation relevant to nursing practice
  1. What does the document say about nursing students and regulation?: - Registration is mandatory for all nursing students employed as an employee student nurse in a BC health care setting.
  2. What are the requirements that registrants must complete as part of BC- CNM quality assurance program?: The purpose of QA program is to promote practice standards as part of ensuring clients continually receive competent and ethical care, and to support nurses to engage in annual professional development.
  3. When are BCCNM registrants and other health care professional required to make a report to BCCNM or another college?: Nurses in all professional set- tings have a legal and ethical responsibility to report impaired or unethical conduct of regulated health professionals. It is important for nurses to

understand when to report, what to report, and how to report, and know what is ethically required.

  1. What are the seven values in the CNA code of ethics?: 1) Providing safe, compassionate, competent and ethical care.
  1. Promoting health and well-being
  2. Promoting and respecting informed decision-making
  3. Honouring dignity
  4. Maintaining privacy and confidentiality
  5. Promoting justice
  6. Being accountable
  1. Under the section "Purpose of the Code" - list four purposes/intentions of the code.: 1) Designed to inform everyone about the ethical values and subsequent responsibilities
  1. A regulatory tool to serve and protect the public
  2. Provides guidance for ethical relationships, behaviours, and decision making,