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Fundamentals
Test 1
| Question | |
|---|---|
| What are the 5 parts of the nursing process? ADPIE | -Assessment - Diagnosis/ Analysis - Planning - Implementation - Evaluation |
| Symptoms are ____________ data | subjective |
| Nurse work with client to identify what two things | outcomes and goals |
| What are you expected to know about every medication? | How it works Why it is given (Indication) What the drug is expected to do (Therapeutic effect) Normal side effects Adverse effects You should also be aware of why it should not be given (contraindication) |
| What are some way to discretely identify your patient | - DOB - MRN – medical record number – this is a unique number to every patient - name |
| What are the six rights? | - Right person - Right Drug - Right Dose - Right Time - Right Route - Right Documentation |
| What is a MAR? | Medication Administration Record |
| Medications should generally be given within ____ minutes of when they are scheduled for. Some institution have different standards. | 30 |
| What are three things you need to document? | 1. Make sure you document the dose and time given 2. Document any additional data such as reaction 3. Document your assessment of the efficacy of the dose |
| (PO) - Sublingual – Buccal – Transdermal - | - Oral / Enteral - under the tongue - Cheek - patch on the skin |
| When placing a transdermal patch what are 3 thing to consider/do? | - Place the patch on an area with no hair - Rotate placement site and document where you put the patch - Clean the area before applying patch |
| What are sites with adequate fat for subcutaneous administration? How do you administer subQ medication. | Give in the Abdomen or upper arm - Pinch skin for average sized person pinch skin and inject at a 45 degree angle - For obese patients inject at a 90 degree angle |
| Most is the most dangerous route of administration? | IV (intravenous) |
| Refers to how medications travel through the body, how they are absorbed, how they are distributed and how they are excreted. | Pharmacokinetics |
| What are some Federal laws affecting nursing practice? | Health Insurance Portability and Accountability Act (HIPPA), Americans with Disabilities Act (ADA), Mental Health Parity Act (MHPA), Patient Self-Determination Act (PSDA) |
| This type of law is a subsection of public law and relates to the relationship between an individual and the government. A nurse who falsifies records to cover up a serious mistake can be guilty of breaking this type of law. | Criminal law |
| This type of law protect individual rights. | Civil law |
| One type of civil law that relates to the provision of nursing care is? | Tort law |
| What are two type of unintentional torts? Give examples | - Negligence -Nurse fails to implement safety measures for a client at risk for falls. - Malpractice (professional negligence) - dosage miscalculation where the patient has a heart attack and dies. |
| What are two types of Quasi-intentional torts? give examples | -Breach of confidentiality - nurse releasing medical diagnoses to the press - Deformation of Character - nursing lying about a patient to another nurse |
| What are 3 intentional torts? | Assault, battery, False imprisonment |
| This conduct makes another person fell fearful and apprehensive. | Assault |
| Intentional and wrongful physical contract with a person that involves an injury or offensive contact. | Battery |
| What is false imprisonment? | confine or restraining a someone against their will. |
| This type of law enacts statures that define the parameters of nursing practice and give the authority to regulate the practice of nursing to to its state board of nursing. | State law |
| Who has the power to issue and revoke a nursing license? | Boards of nursing |
| Who has the authority to adopt rules and regulations that further regulate nursing practice? They also set standards for nursing programs and further delineates the scope of practice for RNs, PNs and advanced practice nurses. | state (boards of nursing) |
| What are two things that require mandatory reporting? | abuse and communicable diseases |
| What is a nurses best legal safeguard? | Competent practice |
| What is intended to empower nurses by making clear what is absolutely nonnegotiable in the workplace? | Bill of Right for RN's (review on page 106) |
| refusal to participate in certain types of treatment and care based on the fact that these activities violate the nurse’s personal and professional ethical beliefs and standards. | Conscientious objection |
| Who recognizes that some nurses are asked to tolerate practice conditions that seriously violate a nurse’s personal and professional standards and integrity, and supports nurses who refuse to accept these conditions | The ANA Code of Ethics for Nurses |
| T or F - As a student nurse, you are responsible for your own acts, including any negligence that may result in patient injury. You are held to the same standard of care as an RN. Responsible for being familiar with facility policies and procedures. | True |
| Can RNs get informed consent? | No - this is the doctors responsibility |
| What are the 4 parts of informed consent? | Disclosure, comprehension, competence and voluntariness (pg 133) |
| What are the four elements of liability? | Duty, breach of duty, causation, damages |
| Creation of a _____ ______ indicates an organizational commitment to accountability and universal safety in health care. Nurses are encouraged to disclose clinical errors and potential error situations without the fear of punitive actions. | just culture |
| Why is there a just culture in nursing? | allows other nurses to learn from this experience. |
| This is intended to prevent employers from taking retaliatory action against nurses, such as suspension, demotion, harassment, or discharge, for reporting improper patient care or business practices. | Whistle blowing laws |
| T or F - ANA and State Nurses Associations are promoting strong whistle-blower laws on the state level that provide legal protections for nurses advocating for patients without fear of reprisal. | True |
| These are designed to protect health care providers when they give aid to people in emergency situations | Good Samaritan Laws |
| the process of transferring the performance of a task to another member of the health care team while retaining accountability for the outcome | Delegation |
| the process of directing, monitoring, and evaluating the performance of tasks by another team | Supervision |
| What are some things you should do when delegating task. | - Provide clear directions initially with periodic reassessment and evaluation. - Know the Nurse Practice Act and what you are legally able to delegate. - only delegate tasks appropriate for skill/education |
| What are three things you may not delegate? | - Nursing process (ADPIE) - Client education - Tasks requiring nursing judgment |
| What are 5 factors to consider before delegating? | - Predictability of outcome (want this at a high level) - Potential for harm - Complexity of care - Need for problem solving and innovation - Level of interaction |
| What are the 5 Rights of Delegation ? | - Right task – appropriate education level -Right circumstance -Right Person – trained and certified - Right Direction&Communication – Clear expectations - Right Supervision&Evaluation –Nurse responsible for making sure the task is completed. |
| Where should the patient be most involved in the nursing process. ADPIE | Planning |
| Who is the most important person the health care team | client |
| what is the difference between medicare and medicaid? | Medicare is for 65 year and up or those with permanent disabilities. Medicaid is for clients who have low income. |
| 1mg = ? mcg | 1000mcg |
| 1 g = ?mg | 1000mg |
| 1kg = ? g | 1000g |
| 1 oz = ? mL | 30mL |
| 1L = ?mL | 1000mL |
| 1tsp = ?mL | 5mL |
| 1tbsp = ? mL | 15mL |
| 1tbsp = ? tsp | 3tsp |
| 1kg = ?lbs | 2.2 lbs |
| 1gr = ?mg | 60mg |
| _______is a federal law that requires hospital emergency departments to medically screen every patient who seeks emergency care and to stabilize or transfer those with medical emergencies, regardless of health insurance status or ability to pay | EMTALA - Emergency Medical Treatment & Labor Act |
Created by:
sbertelsen
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