Kathy J. Morrison - Stroke Certification Study Guide for Nurses

i STROKE CERTIFICATION STUDY GUIDE FOR NURSES

ii Kathy J. Morrison, MSN, RN, CNRN, SCRN, FAHA, is a certified neuroscience nurse, a certified stroke nurse, a Fellow of the American Heart Association, and a recipient of the prestigious Pennsylvania State Nightingale Award for Clinical Nursing Excellence. As the stroke program manager for the Penn State Hershey Medical Center, she oversees all aspects of stroke care, from prehospital through stroke clinic follow-up. She played a pivotal role in Penn State Hershey Medical Centers attainment of The Joint Commission Comprehensive Stroke Center certification and has mentored many stroke program coordinators through the process of attaining Primary and Comprehensive Stroke Center certification. Ms. Morrison serves on The Joint Commission Expert Panel for Stroke Center certification standards.

Ms. Morrisons published works have appeared in nursing journals and neuroscience course curricula. Her book, Fast Facts for Stroke Care Nursing, has been well received in the nursing community, both as a handy guide for stroke care nurses and as a preparation tool for the SCRN certification exam. In addition to speaking nationally on stroke-related topics, she is active in community stroke screenings and awareness lectures and facilitates a regional stroke survivor support group. She established the Stroke Coordinators of Pennsylvania (SCoPA) in 2010a group of stroke coordinators whose collaborative work has resulted in significant improvements in stroke care and outcomes in community hospitals across central Pennsylvania. She is a Fellow of the American Heart Association, a member of the American Heart Association Professional Education Committee and Hospital Accreditation Science Committee, a member of the American Association of Neuroscience Nurses Advocacy Committee, and a board member of the Susquehanna Valley Chapter of the American Association of Neuroscience Nurses.

iii STROKE CERTIFICATION STUDY GUIDE FOR NURSES

Q&A Review for Exam Success

Kathy J. Morrison, MSN, RN, CNRN, SCRN, FAHA

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Library of Congress Cataloging-in-Publication Data

Names: Morrison, Kathy (Nurse), author

Title: Stroke certification study guide for nurses: Q&A review for exam success / Kathy J. Morrison.

Description: New York, NY: Springer Publishing Company, LLC, [2017]

Identifiers: LCCN 2017004914 | ISBN 9780826119636 | ISBN 9780826119667 (e-book)

Subjects: | MESH: Strokenursing | Examination Questions

Classification: LCC RC388.5 | NLM WY 18.5 | DDC 616.8/10076dc23

LC record available at https://lccn.loc.gov/2017004914

Printed in the United States of America by Gasch Printing.

v Contents

vi

Alicia M. Richardson

vii viii

x ix Contributor

Alicia M. Richardson, MSN, RN, ACCNS-AG, Stroke Program Clinical Nurse Specialist, Penn State Hershey Medical Center, Hershey, Pennsylvania

Contents

xi Preface

Stroke care nurses have known for a long time that a specialized body of knowledge and a specific skill set are involved in the complex care needs of their stroke patients. Over the past 15 to 20 years, nurses who found themselves working with this distinct population (and many did not consciously seek out the challenge) also found the need for collaboration and support from their peers across the country. As research evidence led to practice standards and Stroke Center certification, nurses recognized that a specialty was being born.

This study guide is designed to serve as a comprehensive, but efficient, tool for preparing for the American Board of Neuroscience Nursings Stroke Certified Registered Nurse (SCRN) certification. My first book, Fast Facts for Stroke Care Nursing, published in 2014, was designed to be a practical, concise guide for nurses caring for stroke patients. I believed that the more nurses knew about this population and the care needed, the more they would embrace their role and realize that neuroscience nursing is not an intimidating field, but an exciting fieldthe new frontier in nursing. The feedback I received was overwhelmingly positive: I heard from nurses who discovered a passion for stroke care, nurses who utilized the book to help their organization prepare for and attain Stroke Center certification, and nurses who expressed gratitude for a pocket-sized reference that was quick and easy to use. I also heard from many nurses who described the book as a great study guide for the SCRN exam, and they asked me to add practice questions. So, I took that suggestion and created this study guide.

The books format follows the test content outline. I have provided 300 questions divided into categories. The number of questions in each category fits the percentage of the test dedicated to that category. For instance, the anatomy and physiology (A&P) section is weighted as 12% of the exam, so xii there are 36 A&P questions (12% of 300 equals 36). I have also included medication tables, a national stroke care guidelines list, and neuroscience terms for quick reference. Case studies are a valuable tool used in nursing education, so I included a chapter of case studies to stimulate some critical thinking and application of knowledge as an additional preparation tool.