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Success in Practical/Vocational Nursing - E-Book

Success in Practical/Vocational Nursing - E-Book

Patricia Knecht

(2016)

Additional Information

Book Details

Abstract

A market-leading must-have and part of the LPN Threads series, Success in Practical/Vocational Nursing, From Student to Leader, 8th Edition provides you with everything you need to succeed in both nursing school and in a career in LPN/LVN nursing. With a strong emphasis on leadership, this clear, comprehensive new edition discusses the higher-level roles and responsibilities of an LPN/LVN leader, the skills necessary to become a successful LPN/LVN, and the future of the field. It is filled with opportunities for you to test your understanding as you read, as well as practice NCLEX review questions at the end of each chapter to prepare you for the NCLEX-PN® Examination.

  • Collaborative Care boxes highlight challenges that occur in emerging community and continuing care workforce settings, and give you examples of leadership and management opportunities for LPN/LVNs in any health care setting you may find yourself.
  • Critical Thinking boxes include activities that could be used in a flipped classroom experience, and provide you with critical thinking and problem solving opportunities throughout the chapter to enhance your understanding.
  • Try This boxes provide students and instructors with clinical simulations or activities related to topics discussed in the text that can be utilized in simulation or role-play scenarios in class.
  • Professional Pointers boxes give advice on nursing best practices in the professional arena during and after nursing school.
  • Get Ready for the NCLEX® Examination! section at the end of the text contains key points, additional learning activities, and review questions for the NCLEX® Examination (including alternate format items in every chapter).
  • Presents tips on taking the NCLEX-PN examination and information on applications, interviews, and the job search, including electronic resumes.
  • Full-color design, cover, photos, and illustrations make this text visually appealing, pedagogically useful and easy to read.
  • Numbered objectives open each chapter and provide a framework for content.
  • Key points at the end of each chapter summarize chapter highlights and serve as an excellent review tool.
  • Key terms with phonetic pronunciations are at the beginning of each chapter and in full color at first mention in the text, and assist you in improving and supplementing your terminology and language skills before you enter clinical practice.
  • References and Suggested Readings lists are arranged by chapter at the end of the book to provide you with resources for further understanding of text concepts.
  • NEW! Community Resources chapter covers tools and resources that you can find within your community to help you with learning, personal, and family needs that could interfere with success in school.
  • NEW! Work Force Trends chapter discusses the most current issues, challenges, and concerns with the LPN/LVN workforce.
  • NEW! Storytelling narratives at the beginning of each chapter use true stories to enhance learning and demonstrate the relevancy of key topics.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Brief Contents IFC
Dedication i
Evolve ii
You’ve just purchased more than a textbook! ii
Front matter iii
Success in practical/vocational nursing iii
Copyright page iv
Acknowledgments v
Reviewers vi
LPN threads vii
LPN advisory board viii
To the student and instructor ix
Teaching and learning package ix
For the instructor ix
For the student ix
Reading and review tools x
Chapter features x
I Resources 1
1 Personal resources of an adult learner 1
Objectives 1
Key terms 1
The adult learner and resource management 1
Formal and informal educational experiences 3
Geared for success 4
Liabilities and hidden dangers 4
Hidden danger shared by all adult learners 4
Dangers for the traditional adult learner 5
Grade expectations 5
Social activities 5
Employment 5
Dangers for the nontraditional learner 5
Physical 5
Social and family responsibilities 5
Special challenges for practical/vocational nursing students 6
Strengths of all adult learners 6
Learners have rights 6
Responsibilities of learners 7
Teaching versus learning 7
Passive learners 7
Instructors—facilitators of learning 7
Active learning 8
Role of evaluation 8
Theory tests 8
Clinical performance evaluations 9
Dealing with referrals 10
Other responsibilities of learners 10
Get ready for the NCLEX-PN® examination! 11
Key points 11
Additional learning resources 11
Review questions for the NCLEX-PN® examination 11
Alternate format item 12
Critical thinking scenario 12
2 Academic resources (study skills and test strategies) 13
Objectives 13
Key terms 13
Brain dominance 14
Right and left sides of the cerebrum 14
Right-brain-dominant individuals 14
Left-brain-dominant individuals 15
Thinking style 15
Learning styles 15
Perceptual learning styles 15
Perceptual learning style preference 16
Visual learner 16
Auditory learner 16
Kinesthetic/tactual learner 17
Categories of multiple intelligences 17
Identifying and using the intelligences 17
Linguistic learner (the word player) 17
Logical/mathematical learner (the questioner) 17
Spatial learner (the visualizer) 18
Musical learner (the music lover) 18
Bodily/kinesthetic learner (the mover) 18
Interpersonal learner (the socializer) 18
Intrapersonal learner (the individual) 18
How we learn 18
Mapping (concept map) 18
Visual strategies to enhance understanding 19
Draw idea sketches 20
Use color and font characteristics in taking notes 20
Make your own diagram as you read 20
Engage in mental imagery 20
Undependable memory and learning system 21
Possible behaviors 21
Some suggestions for the student with attention deficit hyperactivity disorder (although they can help all learners!) 21
More barriers to learning 22
Inability to understand (comprehend) content 22
Putting it all together 22
General hints for learners 23
Concentration 23
External distractions 23
Personal study area. 23
Lighting. 23
Background noise 24
Internet and social networking. 24
Your peers. 24
Internal distractions 24
Complaints of mental fatigue. 24
Daydreaming. 24
Listening/viewing 24
The active and passive listener/viewer 24
Note making versus note taking 25
Note making hints 25
How to understand (comprehend) information 25
Reading assignments 25
Reading effectively 26
Remembering and forgetting 27
From temporary to permanent memory by way of a neural trace 27
Memory AIDS 28
Successful test taking 28
Preparing for the test 28
Taking the NCLEX PN 2016 28
Reviewing your tests 29
Reducing anxiety before testing 29
Hints for specific questions 30
Multiple-choice questions 30
Fill-in-the-blank. 31
Multiple-response. 31
Prioritizing. 31
Beyond the basics of study skills 31
Your school’s learning resource center 31
Different student skill levels and different resources of the learning resource center 31
Where to start 32
General information about resources of the library 32
Librarian. 32
Circulation desk. 32
Online catalog. 32
Locating in-house resources 33
The stacks 33
Reference materials 33
Interlibrary loan services 33
Professional journals/periodicals 33
Digital periodical databases/print periodical indexes 33
Magazines and newspapers 34
Responsible use of learning strategies 34
Face-to-face class 34
Lectures/minilectures. 34
Lecture-discussion. 34
Cooperative learning. 35
Distance learning. 35
Technology use during learning activities 36
Other learning resources 36
Syllabus and course outlines 36
Study groups 36
Tutoring 37
Nursing skills/simulation lab 37
Study skills lab 37
Audiovisual materials 38
Internet 38
Mobile devices 38
Computer-aided instruction 39
Guest speakers 39
Get ready for the NCLEX-PN® examination 40
Key points 40
Additional learning resources 40
Review questions for the NCLEX-PN® examination 40
Alternate format item 41
Critical thinking scenario 41
Scenario 1 41
Scenario 2 42
Scenario 3 42
Scenario 4 42
3 Community resources 43
Objectives 43
Key terms 43
What types of community resources exist? 44
Information and referral agencies 44
Housing and shelter programs 44
Financial and legal assistance programs 44
Health and medical services 45
Food programs 45
Transportation programs 45
Employment/educational/training programs 46
Beyond community resources 46
Nursing organizations 46
Social media (electronic media) and social networking 46
Internet academic resources 47
Get ready for the NCLEX-PN® examination! 48
Key points 48
Additional learning resources 48
Review questions for the NCLEX-PN® examination 48
Alternate format item 48
Critical thinking scenarios 49
II Building Blocks for Your Career 50
4 How practical/vocational nursing evolved: 1836 to the present 50
Objectives 50
Key terms 50
Modern practical nurses 50
First school of nursing (1836) 50
Florence nightingale (1820–1910) 52
Crimean war 1853 to 1865 53
Mary seacole; honored for her work 53
Death rate drops; nightingale decorated 53
Nightingale establishes first school of nursing in england 54
Nightingale’s core belief about nursing 55
Nightingale museum on the site of her school of nursing 55
Early training schools in america 55
Civil war (1861–1865) 55
Clara barton 55
Formal training: Practical nursing 56
Nursing in the home 56
From home to public health nursing 56
Twentieth century 57
Mississippi: First to license practical nurses 57
World war I nurses 1914 to 1918 57
Canadian nurses in world war I 58
Smith hughes act of 1917 58
Nurses return home: Acute nursing shortage follows world war I 58
Depression of the 1930s 58
World war II 1939 to 1945 58
Practical nursing responsibilities increase after world war II 59
Practical nursing duties outlined 59
Registered nurse and licensed practical nurse tasks differentiated 59
The korean conflict (also known as united nations police action or the second indochina war) 1950 to 1953 59
Registered nurses react 60
Public law 911 60
The vietnam war 1961 to 1973 60
National black nurses association 61
Iraq war 2003 to 2011 and the afghan war 2001 to 2014 61
Nurse leaders in U.S. government 62
American nurses association movement toward two levels of nursing 62
American medical association moves to ease nursing shortage 62
Unlicensed assistive personnel 62
First computerized testing: NCLEX-PN® 62
Long-term care certification 63
Twenty-first century 63
You have come a long way! 63
Get ready for the NCLEX-PN® examination 64
Key points 64
Additional learning resources 64
Review questions for the NCLEX-PN® examination 64
Alternate format item 64
5 Critical thinking: A lifelong journey 65
Objectives 65
Key terms 65
Overview of critical thinking 65
Ways of thinking 66
Definition of applied critical thinking 66
Critical thinking and licensed practical/ licensed vocational nursing 67
What you need to think critically 68
Factors that influence critical thinking 68
Additional factors that influence critical thinking 69
Critical thinking and the NCLEX-PN® 70
Making it work for you 71
Where to go from here 71
Get ready for the NCLEX-PN® examination 71
Key points 71
Additional learning resources 71
Review questions for the NCLEX-PN® examination 71
Alternate format item 72
Critical thinking scenarios 72
Scenario 1 72
Scenario 2 72
6 Ethics applied to nursing: Personal versus professional ethics 73
Objectives 73
Key terms 73
Description and scope of ethics 74
Morals and values 74
Comparison of legal aspects of nursing and ethics 74
Nursing ethics 74
Ethical codes of the national association for practical nurse education and service and national federation of licensed pr ... 75
Your personal code of ethics 76
Roots of nursing ethics 76
What changed? 76
Ethical decisions in health care 77
Ethics committees 77
Western secular belief system 77
Ethical responsibilities of nurses 77
Principles of ethics 78
Nonmaleficence (do no harm) 78
Beneficence (do good) 79
Autonomy (free to choose) 80
Role of privacy in autonomy 80
Role of culture, religion, and personal values in autonomy 80
Fidelity (be true) 81
Justice (fair to all) 81
Role of beneficent paternalism 82
Paternalism and women’s health 82
Get ready for the NCLEX-PN® examination 83
Key points 83
Additional learning resources 83
Review questions for the NCLEX-PN® examination 83
Alternate format item 84
Critical thinking scenarios 84
Scenario 1 84
Scenario 2 84
7 Nursing and the law: What are the rules? 85
Objectives 85
Key terms 85
Nurse practice act 86
Basic terminology 86
Content of nurse practice acts 87
State board of nursing 87
Functions of the board 87
Disciplinary responsibility of the board 88
Disciplinary process and action 88
Nursing licensure 88
Working in other states 89
Verification of licensure 90
Unlicensed assistive personnel 90
Nursing standard of care 90
How the law affects licensed practical nurses and licensed vocational nurses 90
Common law versus statutory law 90
Criminal versus civil action 91
Intentional torts 91
Assault and battery 92
False imprisonment and use of restraints 92
Defamation 92
Physical and emotional abuse 92
Unintentional torts 93
Negligence 93
Malpractice (professional negligence) 93
Malpractice insurance for nurses 93
Four elements needed to prove negligence 94
Steps for bringing legal action 94
Depositions 94
Attorney procedures 94
Giving testimony 95
Liability 95
Kinds of liability 95
Common causes of nursing liability 95
Responsibility and accountability in nursing 96
Liability of student nurses and instructors 96
Functioning beyond the scope of practice and experience 96
Specific patient situations 97
Privacy and confidentiality 97
Information that must be revealed 97
Patients’ rights 97
Health insurance portability and accountability act 98
Basics of the health insurance portability and accountability act 98
The notice of privacy practices 98
What the notice of privacy practices addresses 99
Concerns that the health insurance portability and accountability act does not address 100
Patient competency 100
Patient’s right to consent 100
General (implied) consent 100
Informed consent 100
Authorized consent 101
End-of-life issues 101
Patient self-determination act 101
Advance directives 101
Living will 101
Durable medical power of attorney (advanced health care directive) 102
Do-not-resuscitate order 102
Removal of life support systems 102
Physician-assisted suicide and euthanasia 102
Oregon death with dignity act 103
Organ donation 103
End-of-life care 103
Good samaritan act 104
Get ready for the NCLEX-PN® examination 104
Key points 104
Additional learning resources 105
Review questions for the NCLEX-PN® examination 105
Alternate format item 105
Critical thinking scenarios 105
Scenario 1 105
Scenario 2 106
III Relationship-Centered Care 107
8 Effective communication: Health care team, patients, faculty and peers 107
Objectives 107
Key terms 107
Communication process 108
One-way versus two-way communication 108
Essential components of the communication process 108
Factors that affect communication 109
Types of communication 109
Verbal communication 109
Nonverbal communication 109
Affective communication 110
Communication strategies 110
Active listening 110
Active listening behaviors 110
Types of questions 111
Nurse-patient communication evaluation 111
Blocks to communication 112
Avoiding blocks 112
Male/female differences 112
Conversation 112
Other differences 113
Cultural differences 113
Role changes for the patient 113
It begins with “hello, my name is . . . ” 113
Nursing jargon 114
Fear of the unknown 114
Personal factors 114
Environmental factors 114
Communicating with instructors and staff 114
Respect 114
Trust 114
Honesty 115
Empathy 115
Sensitivity 115
Humor 115
Knowledge 115
Patience 115
Commitment 115
Self-esteem, thoughts, and straightforward communication 115
“I” messages 115
Situation, background, assessment, recommendation 116
SBAR for the shift report 116
Life span communication 117
Infants 117
Preschoolers 117
School-age children 117
Teenagers 117
Adults 117
Generational differences 117
Elders 118
Conflict resolution 118
Electronic communication 119
Cell phones and text messaging 119
Get ready for the NCLEX-PN® examination 119
Key points 119
Additional learning resources 120
Review questions for the NCLEX-PN® examination 120
Alternate format item 120
Critical thinking scenarios 120
Scenario 1 120
Scenario 2 120
9 Assertiveness: Your responsibility 121
Objectives 121
Key terms 121
Nonassertive (passive) behavior 122
Aggressive behavior 123
Assertive behavior 123
Negative interactions: Using coping mechanisms 125
Gossip hurts 126
Guidelines for moving toward assertiveness 126
The problem-solving process 126
Problem-solving steps 127
Step one: Define the problem 127
Step two: Decide on a goal 127
Step three: Choose alternatives 128
Step four: Try out the alternatives 128
Step five: Evaluate the effectiveness of your approach 129
Step six: Repeat the process if the solution is not effective 129
Negative manipulative interactions 129
Aggressiveness and work-related issues 130
Assault 130
Contributing factors 130
Personal factors 131
Workplace practices 131
Environmental factors 131
Risk diagnosis 131
Employee violence 132
Signs of workplace violence 132
Prevention of workplace violence 132
Sexual harassment 133
Counseling and filing charges 133
Lateral violence 133
Insidious aggression 134
Get ready for the NCLEX-PN® examination 134
Key points 134
Additional learning resources 134
Review questions for the NCLEX-PN® examination 134
Alternate format item 135
Critical thinking scenarios 135
Scenario 1 135
Scenario 2 135
10 Cultural uniqueness, sensitivity, and competence 136
Objectives 136
Key terms 136
Definition of culture 137
Characteristics of culture 137
Danger: Ethnocentrism, prejudice, and discrimination 137
Avoiding false assumptions 137
Think like an anthropologist! 138
Each culture and person is unique 138
Communication 138
Space 139
Social organization 139
Time 139
Environmental controls 139
Biological variations 139
Knowing yourself 141
What makes you unique? 141
How many hats do you wear? 141
What we share in common 142
Knowing others: Cultural diversity 142
Importance of cultural diversity 143
Philosophy of individual worth 143
Learning about cultural diversity 143
How to begin 143
Areas of cultural diversity 143
Family structure 143
Food preferences 144
Religious beliefs 144
Concept of time 144
Communication 144
Forms of hellos and good-byes 145
Appropriateness of the situation 145
Confidentiality 145
Emotions and feelings and their expression 145
Pain expression 145
Tempo of conversation 145
Meaning of silence 145
Educational background 146
Economic level 146
Wellness and illness beliefs and practices 146
Preventing illness. 146
Curing illness. 146
Complementary and alternative medicine. 146
Modesty. 147
Mental illness. 147
Pregnancy and birth beliefs and practices 147
Terminal illness and death beliefs and practices 147
Increasing your knowledge of culturally diverse groups 148
Categories of major health belief systems 148
Diversity profiles of predominant cultural groups in the united states 148
Developing cultural competence in health care situations 149
Identify your agency’s cultural groups 150
Modify your work setting 150
Care planning for culturally diverse patients in your service area 151
Adapting plans of care for culturally diverse patients 152
Get ready for the NCLEX-PN® examination 154
Key points 154
Additional learning resources 154
Review questions for the NCLEX-PN® examination 154
Alternate format item 154
Critical thinking scenario 155
11 Spiritual needs, spiritual caring, and religious differences 156
Objectives 156
Key terms 156
Spirituality and religion 156
Spiritual versus emotional dimension 157
Importance of spiritual care 157
Who needs spiritual care? 157
Gathering data for spiritual issues 157
Meeting the spiritual needs of patients and their families 158
Pastoral care team 158
How patients meet spiritual needs 159
Patients’ spiritual practices 159
Religion and the patient 159
Value of rituals and practices 159
The patient and prayer 159
The religious american 160
Religion in the united states 160
Avoiding false assumptions and stereotypes 160
Western and middle eastern religions in the united states and canada 160
Judaism 160
Christianity 161
General beliefs of christians 162
The bible. 162
Baptism.  162
Holy communion. 164
Major divisions of christianity 164
Catholicism. 164
Catholics of the roman rite. 164
Catholics of eastern rites. 164
Eastern orthodox churches. 164
Protestantism. 165
Islam 165
Additional christian and nonchristian religious groups 166
Eastern religions and philosophies in the united states and canada 166
Hinduism 168
Buddhism 170
Nursing interventions for eastern religions 170
Get ready for the nclex-pn® examination 171
Key points 171
Additional learning resources 171
Review questions for the NCLEX-PN® examination 171
Alternate format item 171
Critical thinking scenarios 172
Scenario 1 172
Scenario 2 172
IV Health System-Based Care 173
12 The nursing process: Your role 173
Objectives 173
Key terms 173
The nursing process: The 1950s 174
The nursing process: The 1970s to the 1990s 174
The nursing process: 2000 and beyond 174
What differentiates the licensed practical nurse/licensed vocational nurse role from the registered nurse role 175
Developing your plan of care for assigned patients 176
Steps of the nursing process 176
Step 1: Data collection 176
Systematic way of gathering data 176
Verify the information 176
Communicate information to appropriate health care team members 176
Other aspects of data collection 177
Data collection continues. 176
Accuracy in data collection. 177
Introduce yourself. 177
Asking questions. 178
Barriers in data collection 178
Step 2: Planning 178
Assisting the registered nurse to develop the nursing diagnosis 178
Realistic, useful nursing care plans. 178
Assisting the registered nurse to develop outcomes 180
Strengths. 180
Goals and outcomes. 180
Assisting the registered nurse to develop nursing interventions 180
Care plans vary. 181
Maintaining patient safety. 182
Documenting the care plan. 182
Step 3: Implementation 182
Nursing action 182
Maintaining patient safety 182
Initiating teaching that is within your role and supports the registered nurse’s teaching 182
Reporting and documenting 183
The difference between licensed practical nurse/licensed vocational nurse and student practical nurse/student vocational n ... 183
Step 4: Evaluation 183
Assist in determining patient progress toward meeting desired patient goals/outcomes 183
Communicate findings 183
Where are we now in the nursing process? 184
Nursing interventions classification 184
Nursing outcomes classification 184
Linking north american nursing diagnosis association international, nursing interventions classification, and nursing outc ... 184
Get ready for the NCLEX-PN® examination 184
Key points 184
Additional learning resources 186
Review questions for the nclex-pn® examination 186
Alternate format item 186
Critical thinking scenarios 186
Scenario 1 186
Scenario 2 186
13 Nursing theory, research, and evidence-based practice 187
Objectives 187
Key terms 187
Nursing theories 187
Rationale for theories 187
Florence nightingale: The first nursing theorist 187
Abraham maslow’s human needs theory 188
Applying maslow’s human needs theory to the nursing process 188
Orem’s self-care deficit theory 189
Madeline leininger’s culture care theory 189
Hildegard peplau’s interpersonal relations theory 189
Rosenstock’s health belief theory 189
Sister callista roy’s adaptation model 190
Jean watson’s theory of human care 190
Nursing research 190
Evidence-based practice 191
Background of the evidence-based practice movement 191
How best evidence for practice guidelines is determined 191
Evidence-based practice in nursing 192
Elements of evidence-based practice 192
The nurse’s role 192
The licensed practical nurse/licensed vocational nurse’s role in evidence-based practice 193
Get ready for the NCLEX-PN® examination 193
Key points 193
Additional learning resources 193
Review questions for the NCLEX-PN® examination 193
Alternate format item 194
Critical thinking scenario 194
14 The interdisciplinary health care team: The role of the practical/vocational nurse 195
Objectives 195
Key terms 195
Who is responsible for mrs. brown’s discharge? 195
Mrs. brown’s emergency care 196
The surgical experience 197
Postanesthesia care unit 197
Intensive care: A time for close observation 197
Surgical unit: An eye to discharge 198
Extended-care unit: On the road to rehabilitation 198
Home care: Smooth transition to previous family roles 199
Interdisciplinary health care team 199
What is nursing? 200
Nursing’s place on the health care team 200
Diversity in educational preparation of nurses 200
Registered nurses 200
Education 200
Associate degree nursing program 200
Diploma program 200
Bachelor’s nursing program 200
Role of registered nurses 200
Independent role of the registered nurse. 201
Interdependent role of the registered nurse. 201
Education in addition to the basic nursing programs for registered nurses 201
Bachelor of science in nursing completion program 201
Accelerated bachelor of science in nursing program. 201
Master of nursing programs. 201
Certification. 201
Advanced practice registered nurse. 201
Doctoral nursing education. 202
Nursing management, leadership, and executive roles 202
Licensed practical nurse/licensed vocational nurses 203
Background 203
Education 203
Role of licensed practical nurses/licensed vocational nurses 203
Expanded role of licensed practical nurses/licensed vocational nurses 204
Student nurses 204
Nursing assistants 205
Unlicensed assistive personnel 205
Clerk receptionists (unit secretary) 205
Unit managers 205
Delivery of nursing care in acute care settings 206
Total patient care (case method) 206
Functional nursing 206
Team nursing 206
Primary nursing 206
Nursing case management 207
Skill mix 207
Patient-centered–relationship-centered care—a philosophy 207
The hidden nursing shortage 208
Get ready for the NCLEX-PN® examination 208
Key points 208
Additional learning resources 209
Review questions for the NCLEX-PN® examination 209
Alternate format item 209
Critical thinking scenarios 209
Scenario 1 209
Scenario 2 209
15 Health care settings: Continuum of care 210
Objectives 210
Key terms 210
Public versus private health care agencies 211
Public health care agencies 211
Examples of public health care agencies 211
Official government agencies 211
Local. 211
State. 212
Federal (national). 212
International. 212
Voluntary health care agencies 212
Private health care agencies 212
Family practice physicians 213
Private practice nurses 213
Types of hospitals 213
Community hospitals 214
Federal or state government hospitals (public hospitals) 214
Teaching and research hospitals 214
Critical access hospitals 214
Beyond the hospital setting 214
Ambulatory services 214
Outpatient clinics 215
Urgent care centers 215
One-day surgical care centers 215
Free clinics 215
Alternatives to nursing homes 215
Community based care 215
Home health nursing 215
Community health nursing services 216
Adult day care centers 216
Independent living facilities 216
Assisted living programs 216
Continuing care retirement community 217
Board and care homes 217
Institutional settings 217
Nursing facilities 217
How the omnibus budget reconciliation act relates to skilled nursing facilities 217
Types of care 217
Long-term care facilities 217
What is skilled nursing care? 217
Skilled nursing facility 217
Innovative elder living models. 218
Short-term care. 218
Personal care 218
Other types of facilities/services 218
Rehabilitation services 218
Wellness centers 218
Hospice care 219
Get ready for the NCLEX-PN® examination 219
Key points 219
Additional learning resources 220
Review questions for the NCLEX-PN® examination 220
Alternate format item 220
Critical thinking scenarios 220
Scenario 1 220
Scenario 2 220
16 The health care system: Financing, issues, and trends 221
Objectives 221
Key terms 221
The united states health care system 222
Health care reform: The affordable care act 222
Financing health care costs 223
Fee-for-service 223
Capitation 223
How patients pay for health care services 223
Personal payment 223
Private health insurance 223
Private group health insurance 224
Private individual health insurance 224
Public health insurance 224
Veteran’s health administration (VHA) 224
Medicare: A program of social security 224
Medicare health care plans (www.medicare.gov) 225
Medicare supplement insurance 225
Medigap coverage. 225
Diagnosis-related groups. 225
Medicaid 226
Cost of health insurance 226
The uninsured 226
Quality, safety, and cost of health care 227
Improving quality in health care 227
Improving quality in health care; payment methods/penalties 228
Improving safety in health care 228
Improving the cost of health care 229
Restructuring the health care system 229
Dealing with change 229
Get ready for the NCLEX-PN® examination 230
Key points 230
Additional learning resources 230
Review questions for the NCLEX-PN® examination 230
Alternate format item 231
Critical thinking scenario 231
V The LPN/LVN: Your Role Today and in the Future 232
17 Collaboration: Leading and managing 232
Objectives 232
Key terms 232
Licensed practical nurse/licensed vocational nurse as first-line leader 233
Mission statements 233
The diverse role of the newly licensed practical nurse/licensed vocational nurse 234
Expanded role of licensed practical/licensed vocational nursing 235
Review the current nurse practice act of your state. 235
Preparing for a leadership and management role 235
Difference between management and leadership 235
What kind of leader are you? 236
Leadership styles 236
Benefits and disadvantages of leadership styles 237
Situational leadership 237
Using the leadership continuum as a guide 237
Core knowledge and skills needed for leadership 238
The four “I”S of transformational leadership can help lead the way 238
Understanding motivation and human needs 238
Motivation 239
Human needs 239
Motivating nursing assistants 240
Applying communication skills as a licensed practical nurse/licensed vocational nurse leader 240
Applying problem solving as a licensed practical nurse/licensed vocational nurse leader 241
Scenario: Late for assigned shift 242
Data collection. 242
Problem. 242
Goal. 242
Intervention. 242
Evaluation. 242
Team building 242
Stress management 242
Stress control skills for the licensed practical/ licensed vocational charge nurse 243
Controlling stress by altering how you think. 243
Thinking before “irrational thinking” class 243
Thinking after “irrational thinking” class 243
Specific knowledge and skills needed for leadership 244
Occupational skills for first-line licensed practical nurse/licensed vocational nurse leaders 244
Nursing (clinical) skills, including the nursing process 244
Documentation 244
Legal aspects 244
Federal regulations. 244
The omnibus budget reconciliation act of 1987. 244
Centers for medicare and medicaid services. 245
Your state’s regulations. 245
Organizational skills for first-line licensed practical nurse/licensed vocational nurse leaders 245
Time management 245
Continuous quality improvement 246
Conflict resolution 247
Human relationship skills for first-line licensed practical nurse/licensed vocational nurse leaders 248
Anger management 248
Performance evaluation of nursing assistants 249
Empowering team members and encouraging personal growth and development of confidence 250
Additional resources for the licensed practical nurse/licensed vocational nurse to develop organizational, occupational, a ... 251
Where to begin? job description for charge nurse 252
How long will it take me to prepare to be a charge nurse? 252
How this text can help you to prepare for a future charge nurse position 253
A checklist of policies, regulations, and routines for the licensed practical/licensed vocational charge nurse 253
Facility organization/legal aspects 253
Federal, state, and private agency regulations 253
Personnel policies 253
Records and unit routines 253
Unit administration 254
Safety policies 254
Housekeeping, maintenance, and supplies 254
Equipment: How to use it and where to obtain it 254
Food service for residents 254
Nursing care procedures/assisting physician 254
Medications 254
Documentation 254
Special areas 254
Miscellaneous 255
Collecting data as a charge nurse 255
Signs and symptoms 255
The report that wasn’t 256
Common problems of licensed practical/licensed vocational charge nurse 256
When nursing assistants bring problems from home 257
Encouraging personal responsibility in nursing assistants 257
Dealing with demanding/complaining families 257
Assignment and delegation 258
Checking your nurse practice act 259
General considerations 259
Differences between assigning and delegating 260
Assigning 260
Delegating 260
Why delegating is important 261
Legal aspects of delegating 261
Scope of practice for the licensed practical nurse/licensed vocational nurse 261
Using the nursing process as a guide for assigning tasks and delegating duties 262
Collecting data 262
Oncoming report 262
Report when starting your shift 262
Assessment of patients 262
Planning 262
Before assigning tasks/delegating duties to nursing assistants 262
Identifying resident goals. 263
Setting priorities. 263
Criteria for assigning/delegating to nursing assistants 263
Right task. 264
Assigning tasks. 265
Delegating duties. 265
Right circumstance. 266
Right person. 266
Review job descriptions. 266
Know level of competence. 267
Refusing assignment. 267
Right directions and communication. 267
Remember. 267
Tricia makes assignments for the nursing assistants 268
Implementation 269
Right supervision, feedback, and evaluation 269
Evaluation 270
Tricia’s evaluation of and feedback from nursing assistants 270
Putting it all together 270
Reporting at the end of your shift 271
Get ready for the NCLEX-PN® examination! 271
Key points 271
Additional learning resources 272
Review questions for the NCLEX-PN® examination 272
Alternate format item 273
Critical thinking scenarios 273
Scenario 1 273
Scenario 2 273
18 Workforce trends: How to find a first job you will love 274
Objectives 274
Key terms 274
Licensed practical nurse/licensed vocational nurse demographics 275
Nursing: The licensed practical nurse/licensed vocational nurse as a door to many workforce options and life-long learning 275
Countless workforce settings exist: Finding the right fit is a rewarding challenge 276
Long-term care facilities (including sub-acute units) 277
Assisted living facility 278
Independent living facility 278
School related positions 278
Home health nursing 278
Helpful qualities for home health nurses 278
Mental health nursing 279
Military services 279
Hospital nursing 280
Outpatient clinics, doctors’ offices, urgent care centers and chiropractic offices 280
Operating room nursing 280
Veterans health adminstration medical careers 281
Hospice and palliative care 281
Other job opportunities 281
Private duty nursing 281
Health insurance companies 281
Travel nursing 281
Veterinary clinics and hospitals 281
Pharmaceutical/medical equipment sales 281
Coroner’s office 281
Parish nursing 281
Temporary help agency 282
Helpful personal attributes 282
Using interpersonal styles to your benefit 282
Potential references 283
Networking your way to success 284
Informational interviews to create future expectations 286
Searching for employment openings 287
Leaving a voice mail message 289
References: A timeless treasure 289
Resumes: The contributions you will make 289
Cover letters: Tailored to fit the job you want 291
Answers to application questions 293
Preparing for the interview 294
Interview questions and answers: A challenging opportunity 295
Making a lasting impression 298
Personal hygiene 298
Clothing 298
Makeup 298
Accessories 298
Eyewear 299
Posture 299
Manner 299
Courtesy 299
Habits 299
Discussing pregnancy issues 299
Preemployment physical examination, drug screening, and background checks 299
Physical examination 300
Drug screening 300
Background checks 300
After the interview 300
Resignation with style 301
National council of state boards of nursing transition to practice model 302
Staying satisfied at your job 302
Professional organizations 303
National league for nursing 303
The american nurses association 303
National association for practical nurse education and service, inc 304
National federation of licensed practical nurses 304
Continuing education 304
Inservice training 304
Workshops 304
Continuing education units 304
Internet resources 305
Certification opportunities 305
Napnes certification programs 305
NFLPN certification programs 305
American board of managed care nursing certification in managed care 305
Registered nurse career pathway 306
Mobility 306
Registered nurse programs; do LPNS get advanced standing? 306
Get ready for the NFLPN® examination 307
Key points 307
Additional learning resources 307
Review questions for the nclex-pn® examination 307
Alternate format item 308
Critical thinking scenarios 308
Scenario 1 308
Scenario 2 308
19 Licensure and regulation: Becoming licensed and understanding your state nurse practice act 309
Objectives 309
Key terms 309
What is the state nurse practice act? 309
How does the nurse practice act guide/govern nursing practice? 310
Variability of the state’s nurse practice act applicable to licensed practical nurse/licensed vocational nurse practice 310
Applying for a practical nursing license or a temporary permit 310
What is the national council licensing examination for practical nursing? 310
How the national council licensing examination for practical nurses is kept up to date 311
Core content 311
Types of test questions 311
Multiple choice 311
Alternate item format 312
Test framework: Client needs 312
Integration of nursing concepts and processes 312
Overview of application process 313
National council licensing examination for practical nurses process overview**Excerpted from National Council of State Boa ... 313
Authorization to test 313
Fees and other important information 313
How to register (internet or telephone) 313
National council licensing examination for practical nurses administration in the united states and its territories 313
Examination security 314
Confidentiality agreement (source: https://www.ncsbn.org/1219.htm) 314
During the test (source: https://www.ncsbn.org/1219.htm) 315
Reporting the results of the examination (source: https://www.ncsbn.org/1219.htm) 315
A word about national council licensing examination for practical nurses review books and national council licensing exami ... 315
Get ready for the NCLEX-PN® examination 316
Key points 316
Additional learning resources 316
Review questions for the NCLEX-PN® examination 316
Alternate format item 316
Critical thinking scenarios 316
Scenario 1 316
Scenario 2 316
appendix A National association of practical nurse education and service standards of practice and educational competencies of graduates of practical/vocational nursing programs 317
A. Professional behaviors 317
B. Communication 317
C. Assessment 318
D. Planning 318
E. Caring interventions 318
F. Managing 319
appendix B National federation licensed practical nurses association nursing practice standards for the licensed practical/vocational nurse 320
Nursing practice standards for the licensed practical nurse/licensed vocational nurse 320
Preface 320
The code for licensed practical nurse/licensed vocational nurses 320
Introductory statement 320
Definition 320
Scope 320
Standards 320
Education 320
Legal/ethical status 321
Practice 321
Continuing education 321
Specialized nursing practice 321
Glossary 321
appendix C Review questions for the national council licensure examination for licensed practical/licensed vocational nurses (nclex-pn) answer key 323
Chapter 1 323
Glossary 324
A 324
B 324
C 324
D 325
E 326
F 326
G 326
H 327
I 327
J 327
K 327
L 327
M 328
N 328
O 329
P 329
Q 330
R 330
S 330
T 331
U 331
V 331
W 331
Reference List 332
Chapter 1 332
Chapter 2 332
Suggested Readings 338
Chapter 1 338
Chapter 2 339
Chapter 3 340
Chapter 4 340
Chapter 5 341
Chapter 6 341
Chapter 7 341
Chapter 8 341
Chapter 9 342
Chapter 10 342
Chapter 11 343
Chapter 12 343
Chapter 13 344
Chapter 14 344
Chapter 15 344
Chapter 16 344
Chapter 17 345
Chapter 18 345
Chapter 19 346
Index 347
A 347
B 348
C 348
D 350
E 351
F 352
G 352
H 353
I 354
J 354
K 354
L 354
M 356
N 357
O 358
P 359
Q 361
R 361
S 361
T 362
U 363
V 363
W 363
X 364
Nanda-i nursing diagnoses, 2015-2017 365