Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
FUDAMENTALS FINAL
CHAPTER 1-7;13;19
| Question | Answer |
|---|---|
| 1 A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a loss of consciousness in the emergency department (ED). The nurse anticipates preparing the patient for ordered diagnostic tests. | What aspect of nursing does this nurse’s knowledge of the diagnostic procedures reflect? |
| 2 Nurses today complete a nursing education program, and practice nursing that identifies the personal needs of the patient and the role of the nurse in meeting those needs. Which nursing pioneer is MOST instrumental in this birth of modern nursing? | FLORENCE NIGHTINGALE (19TH AND 20TH CENTURIES) Most early civilization believe that illness had a supernatural causes -physician treated disease by chanting, inspiring fear or open the skull to release evil |
| 3 The role of nurses in today’s society was influenced by the nurse’s role in early civilization. Which statement best portrays this earlier role? | The nurse was the mother who cared for her family during sickness by using herbal remedies. early Christian period, women(deaconesses) first organized visits to sick people, and members of male religious orders gave nursing care and buried the dead. |
| 4 Nurses today work in a wide variety of health care settings. What trend occurred during World War II that had a tremendous effect on this development in the nursing profession? | There was a shortage of nurses and an increased emphasis on education. KNOWLEDGE EXPLOSION ( During World War II, large numbers of women worked outside the home. They became more independent and assertive) |
| 5 A nurse practicing in a primary care center uses the ANA’s Nursing’s Social Policy Statement as a guideline for practice. Which purposes of nursing are outlined in this document? Select all that apply. | A definition of the scope of nursing practice The establishment of a knowledge base for nursing practice A description of nursing’s social responsibility |
| 6 A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which examples of nursing interventions reflect this goal? Select all that apply. | A nurse counsels adolescents in a drug rehabilitation program A nurse performs range-of-motion exercises for a patient on bedrest A nurse shows a diabetic patient how to inject insulin |
| 7A nurse instructor outlines the criteria establishing nursing as a profession. What teaching point correctly describes this criteria? Select all that apply. | Nursing is a recognized authority by a professional group Nursing has a code of ethics Nursing is influenced by ongoing research |
| 8A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which degree in nursing is necessary to practice at this level? | MSN DEGREE (certification in their specialty area) CAN TEACH WITH AN ADVANCE DEGREE(PHD) |
| 9Nursing in the United States is regulated by the state nurse practice act. What is a common element of each state’s nurse practice act? | Defining the legal scope of nursing creating a state board of nursing to make and enforce rules and regulations, define important terms and activities in nursing, and establish criteria for the education and licensure of nurses. |
| 10According to the National Advisory Council on Nurse Education and Practice, what is a current health care trend contributing to 21st century challenges to nursing practice? | Older and more acutely ill patients A growing population of hospitalized patients who are older and more acutely ill, (STAY ARE SHORTER) increasing health care costs, and the need to stay current with rapid advances in medical knowledge and technology. |
| 11what indicates that a nurse is professional? | using evidence-based practice |
| 12 The client plan of care is created by the nursing using what? | THE NURSING PROCESS |
| 13WHEN THE NURSING ASSIST A CLIENT WITH BATHING AND DRESSING, THIS REFLECTS WHAT? | THE ROLE OF A CAREGIVER |
| 14THE NEED FOR UNIVERSITY-BASED NURSING EDUCATION STARTED DURING AND PROVIDE COMMUNITY-BASED CARE? | WORLD WAR 2 |
| 15WHO established the first public health service for the sick and poor? | Lillian wald |
| 16WHAT is the role of National Nursing Student Association? | It provides programs of current professional interest. |
| 17 A student nurse asks an experienced nurse why it is necessary to change the patient’s bed every day. The nurse answers: “I guess we have just always done it that way.” This answer is an example of what type of knowledge? | Traditional knowledge |
| 18A nurse is using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model PET as a clinical decision-making tool | A nurse searches the Internet to find the latest treatments for type 2 diabetes. A nurse recruits an interprofessional team to develop and refine an EBP question. A nurse questions the protocol for assessing postoperative patients in the ICU. |
| 19A nurse is using general systems theory Which statements reflect key points of this theory? Select all that apply A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in their health care facility. | The whole system is always greater than the sum of its parts. Boundaries separate systems from each other and their environments To survive, open systems maintain balance through feedback |
| 20A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in their health care facility. Which theorist promoted this type of caring as the central theme of nursing care, knowledge, and practice? | Madeline Leininger |
| 21A student nurse interacting with patients on a cardiac unit recognizes the four concepts in nursing theory that determine nursing practice. Of these four, which is most important | the person |
| 22A nurse manager schedules a clinic for the staff to address common nursing interventions used in the facility and to explore how they can be performed more efficiently and effectively. T an example of a situation described by which nursing theory? | Prescriptive theories address nursing interventions and are designed [to control, promote, and change ]clinical nursing practice. |
| 23When conducting quantitative research, the researcher collects information to support a hypothesis. This information would be identified as | data |
| 24A nurse is conducting quantitative research to examine the effects of following nursing protocols in the emergency department (ED) on patient outcomes. This is also known as what type of research? | Quasi-experimental research is often conducted in clinical settings to examine the effects of nursing interventions on patient outcomes. NOT IN LABORATORY SETTINGS |
| 25A nurse studies the culture of Native Alaskans to determine how their diet affects their overall state of health. Which method of qualitative research is the nurse using? | Ethnography[examine issues of culture of interest to nursing.] |
| 26A nurse is formulating a clinical question in PICOT format. What does the letter P | Clearly defined, focused literature review of procedures |
| 27what is developmental theory? process of growth and development of humans as orderly and predictable, beginning with conception and ending with death | what is descriptive theory? describe a phenomenon, an event, a situation, or a relationship break whole things into parts and then to learn how the parts work together in “systems.” |
| 28 Theorist Betty Newman: humans are in constant relationship with stressors in the environment and the major concern for nursing is keeping the patient system stable through accurate assessment of these stressors. | Jean Watson: promoting and restoring health, preventing illness, and caring for the sick. Dorothy E.: problems due to disturbances in the system or subsystem or functioning below optimal level |
| 29what is adaptation theory? | he adjustment of living matter to other living things and to environmental conditions. Could be internal, social, and physical |
| 30WHAT IS AN EXPERIMENTAL RESEARCH? | CAUSE AND EFFECT RELATIONSHIP BETWEEN VARIABLESS UNDER A HIGHLY COMTROLLED CONDITION, DONE IN LABS |
| What is the final steps in the evidence-based-practice? | evaluating practice change |
| which research is a phenomenological research method is best for the following? | attempting to understand non-English immigrants EXPERIENCES of being hospitals clients |
| which research is a grounded theory/ | Understand how clients cope with a new diagnosis of Alzheimer's disease. |
| research undertaken within a specific culture such as homeless, iv drug users is what type of research? | Ethnography Research |
| Examining the significance of past events. I.E WAR is what type of research? | Historical research |
| What is the basic framework of the research process? | The nursing Process(bedside nursing routinely constitutes of a research. |
| One of the primary nursing research is to GENERATE KNOWLEDGE TO GUIDE PRACTICE | |
| After the identification of a researchable problem, the nurse must do? | Select literature relevant to the problem. |
| What is conceptual framework? | A group of interrelated objects that follow a pattern |
| What is the key thing in participating in hospital setting research? | Clients must grant informed consent if they are to participate |
| What are traditional, authoritative, scientific knowledge? | Traditional: passed from one generation to another Scientific: provided by way of scientific method Authoritative: passed down from an expert |
| What is health? | Is a state of social, physical, mental well-being, not the absence of disease or infirmity. |
| What is the nursing FOCUS? | Promotion of health and prevent of illness . HOLISTIC-APPROACH |
| What is wellness? | It is an active state of being healthy, it is individualized. i.e A patient with an amputation could still consider himself healthy. |
| What does health integrates? | All human dimensions: Intellectual, emotional, physical, spiritual, environmental and sociocultural |
| what is an acute illness? | Short-term- rapid onset-not permanent change on the health i.e tonsillitis, appendicitis diarrhea, common cold |
| what is a chronic illness? | Long-term Change body processes and lifestyle becomes a permanent condition diabetes-COPD-CANCER-HYPERTENSION |
| What is a disease? | pathologic changes in the structure or function of the body or mind. |
| What is an illness? | the response of the person to a disease |
| Exacerbation acute chronic? | Slow onset, the disease is present, but the person does not experience symptoms the symptoms of the disease reappear |
| Illness behavior Experiencing symptoms? | is recognizing one or more symptoms that are incompatible with one’s personal definition of health. |
| Assuming SICK ROLE? | Self-defines as being sick, seeks validation of this experience from others, gives up normal activities Doing something about it I.E Calling out from work |
| Assuming a dependent role? | the patient’s decision to accept the diagnosis and follow the prescribed treatment plan I.E GETTING REFERRALS FROM MD, GETTING HELP FROM A HEALTHCARE PROFESSIONAL |
| What is the recovery phase? | begin in the hospital and conclude at home, or may be totally concluded at a rehabilitation center or at home. May not return to baseline |
| What is health disparities? | PATIENT HAVE DIFFERENT HEALTH OUTCOMEDUE TO ENVIRONMENTAL , SOCIAL ECONOMIC AND BACKGROUND(RACE, GENDER, ETHNICITY ) DISABILITIES |
| HOW CAN ILLNESS IMPACT THE FAMILY? | IT AFFECTS EVERYONE IN THE FAMLY EVERYONE NEEDS TO ADJUST0NURSE SHOULD INCORPORATE THE FAMILIES MEMBERS INTO THE CARE-PLAN I.E BURDEN ON INCOME, ROLE CHANGE, STRESS, EMOTIONAL BREAKDOWN, PHYSICAL IMPACT AS WELL |
| THE FACTORS AFFECTING HEALTH ARE? | BASICS NEEDS-MASLOW PYRAMID. PHYSICAL-INTELLECTUAL-AGE-PHYSIOLOGICAL-AGE AND DEVELOPMENTAL LEVEL(INFANT-OLDER), EDUCATIONAL BACKGROUND |
| What are the risk factors? | Modifiable=lifestyle-diet-recreational drugs, alcohol-exercise non-modifiable-age, genetics-gender-pollution in atmosphere |
| Primary prevention? | preventing from being sick or acquire disease i.e handwashing-wear masks-IMMUNIZATION PROVIDE STDS EDUCATION TO STUDENTS health assessment BED is locked-Call light |
| Secondary prevention ? | Screening FOR EARLY DISEASE DETECTION VS. MAMMOGRAM-X-RAYS |
| Tertiary prevention? | Treatment(restoring health)-take care of the condition or rehabilitate i.e teaching how to take care of the problem-disease management |
| Health model? belief | factors that drive PATIENT'S decision making to changes to health outcome IF one perceive benefits that of taking action toward care, they will take care of it. perceive-susceptible-seriousness and benefits |
| Define the health promotion model? | How one interact with their environment to pursue health I.E free MALARIA screening in the school hobby |
| What does "HEALTH--ILLNESS CONINUUM MEANS? | Health on one side, and death on the other- VIEW AS constant change in health state. |
| What is the agent-host-environment model? | Infectious disease-interaction between the external agent, a susceptible host and environment |
| STAGES OF Model of Change are: | precontemplation-not even thinking about changing[rebellion) Contemplation-Consider need to change-nurse teach about pros and cons Determination-make decision to fix issue Action-implement plan to change Maintenance, relapse, recycling-sustainbehavior |
| A nurse working in a primary care facility assesses patients who are experiencing various levels of health and illness. Which statements define these two concepts? Select all that apply. | Health and illness are individually defined by each person. Health is more than the absence of illness. Illness isthe response of a person to a disease. |
| Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. Which patients are considered vulnerable populations? Select all that apply. | Diabetes mellitus Rheumatoid arthritis Cystic fibrosis |
| Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. Which patients are considered vulnerable populations? Select all that apply. | An African American teenager who is 6 months pregnant A Hispanic male who has type II diabetes A low-income family living in rural America A White baby who was born with cerebral palsy |
| A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating? | PRIMARY PREVENTION |
| A patient in a community health clinic tells the nurse, “I have a high temperature, feel awful, and I am not going to work.” What stage of illness behavior is the patient | Assuming the sick role |
| Based on the components of the physical human dimension, the nurse would expect which clinic patient to be most likely to have annual breast examinations and mammograms? | Tricia, who has a family history of breast cancer The physical dimension includes genetic inheritance, age, developmental level, race, and biological sex. |
| Nurses perform health promotion activities at a primary, secondary, or tertiary level. Which nursing actions are considered tertiary health promotion? SATA | A nurse provides range-of-motion exercises for a paralyzed patient A nurse teaches a patient with an amputation how to care for the residual limb |
| A nurse incorporates concepts from current models of health when providing health promotion classes for patients. What is a key concept of both the health–illness continuum and the high-level wellness models? | Health as a constantly changing state |
| The nurse uses the agent–host–environment model of health and illness to assess diseases in patients. This model is based on what concept? | RISK FACTORS |
| A nurse working in a long-term care facility personally follows accepted guidelines for a healthy lifestyle. How does this nurse promote health in the residents of this facility? | By being a role model for healthy behaviors |
| To adapt to a chronic illness a person must learn to ? | live as normally as possible and maintain a positive self-concept and sense of hope. |
| The tertiary prevention of illness as a goal is to ? | Minimize complication and to maximized function |
| Does personality characteristics affect the person's response to illness? | yes |
| A patient with an amputated leg, how to accomodate the client's intellectual dimension? | Teaching her how to care for the stump and explaining the rehabilitation |
| What is an example of sociocultural dimension influencing a person health-illness status? | A single mother of two applies for food stamps in order to feed her family it is influenced the person economic level, lifestyle, family and culture. Low-income groups are less likely to seek for medical care to prevent illness. |
| The process to define who and what one is are? | Being(recognize self as separate and individual) Belonging(being part of a whole) Becoming(growing and developing) Befitting(making personal choice to befit self for the future) |
| Importance of basic needs? | lack-lead to illness meet-prevent illness and restore health |
| What are the physiologic needs? | O2-food-water-elimination-temperature-sexuality-physical activity and rest must be met to maintain life NURSES PRIORITY |
| SAFETYNAND SECURITY NEEDS INCLUDE? | physical and emotional components Being protected from potential or actual harm hand hygiene-bedrails-lock bed-non-slip socks fire-alarm-chemical danger children-skillfully ambulating patients encourage spiritual practice-explain unfamiliarprocedure |
| What is Love and belonging? | Engage in social activities-feel belonging include family and friends in the care of the patient refer patient to support group |
| Self-Esteem Needs? | Body image-feel good about self incorporate religious belief respect cultural norms , values and beliefs change in role(illness or death) |
| Self-actualization needs is defines as? | reach the full potential through development of their unique capabilities NURSES-focus on patients' self-actualization needs, acknowledge-WHAT CAN BE CHANGED-CREATE PLAN OF ACTION BE OBJECTIVE-MAXIMIZE POTENTIALS |
| What is family? | any group of people who live together and depend on one another for physical, emotional, and financial support. |
| What is community? | is a specific population or group of people living in the same geographic area under similar regulations and having common values, interests, and needs. |
| health in community have? | safe and healthy environment clinic school support group traffic lights recycles bins |
| community based nursing ? | Work with individual and family, focusing on their disease process |
| Community health nursing | Focus on the population wic nutrition screenings vaccines safe sex-contraceptive |
| A nurse uses Maslow’s hierarchy of basic human needs to direct care for patients on an intensive care unit. For which nursing activities is this approach most useful? | Establishing priorities of care |
| The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs? Select all that apply. | Changing a patient’s oxygen tank Helping a patient |
| The nurse caring for patients postoperatively uses careful hand hygiene and sterile techniques when handling patients. Which of Maslow’s basic human needs is being met by this nurse? | Safety and security |
| A nurse caring for patients in a long-term care facility uses available resources to help patients achieve Maslow’s highest level of needs: self-actualization needs. Which statements accurately describe these needs? Select all that apply. | Self-actualization needs may be met by creatively solving problems A person achieves self-actualization by focusing on problems outside self. The self-actualization process continues throughout life. |
| A nurse works with families in crisis at a community mental health care facility. What is the BEST broad definition of a family? | A group of people who live together and depend on each other for support |
| A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two children. Which interview questions directed to the single mother could the nurse use to assess the affective and coping family function? SATA | Who is the person you depend on for emotional support? Who keeps your family together in times of stress? |
| The nurse caring for families in a free health care clinic identifies psychosocial risk factors for altered family health. Which example describes one of these risk factors? | Both parents work and leave a 12-year-old child to care for his younger brotheR |
| A nurse working in an “Aging in Place” facility interviews a married couple in their late seventies. Based on Duvall’s Developmental Tasks of Families, which developmental | are to adjust to retirement and possibly to adjust to the loss of a spouse and loss of independent living |
| A visiting nurse working in a new community performs a community assessment. What assessment finding is indicative of a healthy community? | offers access to health care services to treat illness and to promote health |
| A nurse is practicing community-based nursing in a mobile health clinic. What typically is the central focus of this type of nursing care? | entered on individual and family health care needs. Community-based nurses may help families in crisis and work in health care facilities, |
| What is COMMUNITY HEALTH CARE STRUCTURE? | THE SIZE, LOCATION AND SERVICE OFFERED IN THE COMMUNITY CAN HAVE AN INFLUENCE ON THE FAMILY DESICIONS. |
| A nurse is assesing the communication style of the client. COMMUNICATION IS AN EXAMPLE OF WHICH DIMENSION OF THE PATIENT? | SOCICULTURAL |
| The nurse providing privacy for the client and family during times of prayer is which basic human needs? | Self-actualization |
| What is culture diversity? | the coexistence of different ethnic, biological sex, racial, and socioeconomic groups within one social unit |
| What is culture? | a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living. |
| How are males nurses identified in regard to culure? | They are part of the subculture, a minority group from the dominant group |
| Identify RACE and ETHNICITY. | RACE: specific physical characteristics such as skin pigmentation, body stature, facial features, and hair texture ETHNICITY: share unique cultural and social beliefs and behavior patterns: language & dialect, religion, literature, music, food etc... |
| Sensitivity to diversity includes? | Stereotyping-making a generalization -negative-positive connotation. neg-sexism, racism. Pos-asian are smart Culture imposition: else should conform to my belief culture blindness: Ignore difference Culture conflict:feel threatened & respond negatively |
| PAIN SYMPTOMS PAIN IS WHAT THE PATIENT SAYS IT IS | HIGH HR, HPB, INCONFORTABLE-REMINSCING, POSTURE, PALE, IRRITABLE, QUIET |
| A nurse is caring for patients of diverse cultures in a community health care facility. Which characteristics of cultural diversity that exist in the United States should the nurse consider when planning culturally competent care? Select all that apply. | People may be members of multiple cultural groups at one time. Culture guides what is acceptable behavior for people in a specific group. Cultural practices may evolve over time but mainly remain constant. |
| In order to provide culturally competent care, nurses must be alert to factors inhibiting sensitivity to diversity in the health care system. Which nursing actions are examples of cultural imposition? Select all that apply | A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence. |
| A nurse caring for culturally diverse patients in a health care provider’s office is aware that patients of certain cultures are more prone to specific disease states than the general population. screen for diabetes mellitus ? sata | A Native American patient Alaska native A White patient A Hispanic patient |
| A nurse is using the ESFT model to understand a patient’s conception of a diagnosis of chronic obstructive pulmonary disease .Which interview question would be MOST appropriate to assess the E aspect of this model—Explanatory model of health and illness? | b. Can you describe how you will take your medications? |
| What is self awareness? | Identifying own biases |
| ...After performing assessments on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood have lost the cultural characteristics that made them different. why? | Cultural assimilation |
| A nurse states, “That patient is 78 years old—too old to learn how to change a dressing.” What is the nurse demonstrating? | Stereotyping |
| A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What is the appropriate nursing intervention? | Ask an interpreter for help. |
| A nurse is interviewing a newly admitted patient. Which question is considered culturally sensitive? | Asking patients what types of foods they eat for meals |
| A nurse is telling a new mother from Africa that she shouldn’t carry her baby in a sling created from a large rectangular cloth, but in a bassinet. The African woman tells that's how it is in her culture... .. This nurse is displaying what cultural bias? | Cultural imposition |
| A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is MOST basic to providing culturally competent care? | Treating each patient at the clinic as an individual |
| what best define race and ethnicity? | Race is based on physical characteristics, while ethnicity is rooted in s common heritage |
| A client from malaysia is admitted to the health care facilities, complaining of cramping pain in the abdomen and loose stools. Where should the nurse seat while interviewing the patient? | At more than one arm's distance |
| A patient refuses her child from getting immunized. The nurse replies:the patient will be consistent ill, and that he won't be able to attend school. Also that her own child all of her children are vaccinated. This is an example of? | Culture imposition |
| How is culture learned by each new generation? | Through formal and informal experiences |
| The nurse respond to a patient, You are here now, so you should try to eat our food. This reflects? | Cultural imposition |
| Health care facilities that sponsor health-promotion activities only in affluent areas are considered? | Culturally blind |
| What is Ethical delimma? | When trying to adhere to basic ethical principles results in two conflicting courses of actions. |
| A nurse caring for patients in the intensive care unit develops values from experience to form a personal code of ethics. Which statements best describe this process? Select all that apply. | Values influence beliefs about health and illness. Values act as standards to guide behavior. Values are ranked on a continuum of importance |
| A pediatric nurse is assessing a 5-year-old boy who has dietary modifications related to his diabetes..., deprive him of a favorite TV program when he becomes angry after they deny him foods not on his diet. example of? | Rewarding and punishing |
| A nurse caring for patients in an institutional setting expresses a commitment to social justice. What action best exemplifies this attribute? | Promoting universal access to health care |
| An older nurse asks a younger coworker why the new generation of nurses just aren’t ethical anymore. Which reply reflects the BEST understanding of moral development? | “Behaving ethically develops gradually from childhood; maybe my generation doesn’t value this enough to develop an ethical code. |
| A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. The nurse’s action reflects which principle of bioethics? | A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. The nurse’s action reflects which principle of bioethics? |
| A hospice nurse is caring for a patient with end-stage cancer. What action demonstrates this nurse’s commitment to the principle of autonomy? | The nurse helps the patient prepare a durable power of attorney document. |
| A nurse wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for himself. The nurse believes his dying is being prolonged painfully. | Ethical diSTRESS |
| A student nurse begins a clinical rotation in a long-term care facility and quickly realizes that certain residents have unmet needs. The student wants to advocate for these residents. Which statements accurately describe this concept? SATA | Advocacy is the protection and support of another’s rights. SPecial advocacy needs include the very young and the older adult, those who are seriously ill, and those with d |
| What is a value clarification? | A process by which one understand their own values and value system- |
| What is the care-based approach? | approach based on values and bioethics |
| What is the best way to advocate for the patient? | Facilitate the client's decision by allowing him to verbalize his feelings and provide information to help him assess his option explain the problem that will arise if patient doesn't follow treatments, explore alternatives |
| What is the code of ethics? | Set of principals that reflect on primary goals they are autonomy, justice, maleficence, beneficence, fidelity and veracity |
| What is nursing professional values? | Belief about the worth of something. Act upon it. I.E autonomy, social justice, altruism, human dignity and integrity |
| 1. A state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. This is an example of what type of law? | Criminal law(federal and state statues) i.e theft-illegal possession of drug-negligence and murder |
| Newly hired nurses in a busy suburban hospital are required to read the state nurse practice act as part of their training. Which topics are covered by this act? Select all that apply. | Violations that may result in disciplinary action Scope of practice |
| A nurse in a NICU fails to monitor a premature newborn according to the protocols in place, and is charged with malpractice. What is the term for those bringing the charges against the nurse? | Plaintiffs Defendants (being accused, talk to risk management only!!) |
| A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient’s vital signs during routine eye surgery, leading to the death of the patient. ... was granted recognition in a specialty area of nursing. Whats that? | Certification |
| Review of a patient’s record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. Which intentional tort has been committed? | Assault (Every person is granted freedom from bodily contact by another person unless consent is granted.) |
| What criteria must be established to prove that the nurse is guilty of malpractice or negligence | The nurse had a duty to monitor the patient’s vital signs, and due to the nurse’s failure to perform this duty in this circumstance, the patient died. |
| An attorney is representing a patient’s family who is suing a nurse for wrongful death. The attorney calls the nurse and asks to talk about the case to obtain a better | “I’m sorry, but I can’t talk with you; you will have to contact my attorney. |
| What are the reasons that the license get revoked by the state board of nursing? | Drug abuse and alcohol |
| What is accreditation, licensure and credential? | accreditation=minimum standard for nursing education programs credentials-professional competence met and maintained Licensure-legal document allowing nurses to practice |
| A nurse administers the wrong medication to a patient and the patient is harmed. The health care provider who ordered the medication did not read the documentation that the patient was allergic to the drug. who is liable? | Both the nurse and the health care provider are responsible for their respective actions. |
| I am going to hit you, if you don't take your medication is? | An assault |
| Continuing to insert the folate catheter although the patient said NO is a? | Battery |
| A nurse answers a patient’s call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Steps & why ? | An incident report is used as a means of identifying risks. An incident report is used for quality control. An incident report makes facts available in case litigation occurs. |
| What is an example of statutory law? | The Nursing Practice Act |
| A nursing student asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true? | Both the nurse and the health care provider are responsible for their respective actions. |
| Hippa, Patient has? | The right to see, update, get a copy of their medical information The right to get a list of disclosure and choose who could see it |
| A nursing student asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true? | Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. |
| What is a common law? | It is based on the principal of precedence- based on previous court ruling |
| Liability? LACK OF FOLLOWING PROTOCOL | A patient must prove damages for liability The steps are: duty-breach of duty-causation-damages |
| Nurse safeguards are? | Competence and practice |
| How is INFORMED CONSENT DONE? | THE PERSON DOING THE PROCEDURE, INITIATE THE INFORM CONSENT EXPLAIN RISK FACORS-WHAT WILL BE DONE-THE DURATION ETC... NURSE WITNESS AND OBTAIN SIGNATURE FROM PATIENT |
| CRUCIAL ELEMENTS OF INFORMED CONSENT ARE? | DISCLOSURE-PATIENT INFORMED ABOUT EVERYTHING COMPREHEND=PATIENT COMPREHEND INFORAMATION- EXPLAIN IN OWN WORD COMPETENCY = UNDERSTAND THAT INFORMATION IS NEEDED TO PROCEED(NURSES PROVIDE ALTERNATIVES TO TREATMENT) VOLUNTEER=NO FORCING PATIENT |
| WHAT IS LIBEL? | written defamation |
| What is slandering? | spoken defamation of character |
| What is defamation of character? | n intentional tort in which one party makes derogatory remarks about another that diminish the other party’s reputation. |
| Good samaritan law | No reliable for further damage while trying to help someone in distress. |
| What is negligence? | it can be intentional or unintentional |
| If a nurse suspect any form of abuse, she should? | report it, because she has a legal and ethical responsibility to do so. |
| What is caring? | protect, enhance and preserve human dignity |
| A way of sharing patient information mitigate any type of error | computerized patient order entry |
| A female patient who is receiving chemotherapy for breast cancer tells the nurse, “The treatment for this cancer is worse than the disease itself. I’m not going to come for my therapy anymore. using critical thinking skills, Which process? | The nurse reassesses the patient and decides how best to intervene in her care. |
| The nursing process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, “How is Mrs. Barclay today?which characteristic of the nursing process? | INTERPERSONAL (OUTCOME ORIENTED UNIVERSILY APPLICABLE SYSTEMITIC EACH STEP DEPENDS ON THE ACCURACY OF THE PRECEDENT STEP) |
| An experienced nurse tells a beginning nurse not to bother studying too hard, since most clinical reasoning becomes “second nature” and “intuitive” once you start practicing. What thinking below should underlie the beginning nurse’s response? | Intuitive problem solving comes with years of practice and observation, and novice nurses should base their care on scientific problem solving. |
| The nurse uses blended competencies when caring for patients in a rehabilitation facility. Which examples of interventions involve cognitive skills? Select all that apply. | The nurse uses critical thinking skills to plan care for a patient. The nurse learns the correct dosages for patient pain medications. The nurse learns the correct dosages for patient pain medications. . |
| A nurse uses critical thinking skills to focus on the care plan of an older adult who has dementia and needs placement in a long-term care facility. Which statements .. of critical thinking applied to clinical reasoning? SATA | -based on the principles of the nursing process, problem solvg, and the scientific method. -constantly re-evaluatg, self-correctg, and strivg for improvement. -driven by PT, family, and community and nurses’ needs to give competent, efficient care. |
| Key factors of the nursing process are? | patient centered scientifically based individualized continuity of care achieve goal that was identified |
| What is reflection? | Reflection of action-thinking on the feet(what am I doing, is it efficient?) Reflection on action-thinking about what could have done differently- Reflecting for action-think about what I will do in the future for a particular issue |
| A nurse is caring for a patient who has complications related to type 2 diabetes mellitus. The nurse researches new procedures to care for foot ulcers when developing a care plan for this patient. Which QSEN competency does this action represent? | Quality improvement |
| A nurse is assessing a patient who is diagnosed with anorexia. Following the assessment, the nurse recommends that the patient meet with a nutritionist. This action best exemplifies the use of: | Clinical judgment(outcome of critical thinking) |
| The nurse practices using critical thinking indicators (CTIs) when caring for patients in the hospital setting. The best description of CTIs is: | Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote critical thinking in clinical practice |
| What is clinical reassoning? | DECIDING= thinking about patient care issues (determining, preventing, and managing patient problems) |
| What is trial-and -error problem solving? | testing any number of solution until one that works for the problem is found. ie-taking blood pressure on different side until it can be read |
| What is the most justified reason to do trial-and-error? | THE NURSE ATTEMPTING TO LANDMARK AN OBESE PATIENT'S APICAL PULSE |
| WHAT IS PATIENT CENTERED CARE? | IT IS THE FRAMEWORK FOR PROVIDING CARE |
| What is a patient record? | Compilation of patient of patient health information |
| Documenting is | a legal document that the patient can access. A form of communication-timely manner |
| Aim of documentation is to | HAVE complete, accurate, concise, current factual and organize data communicate in timely and confidential manners to facilitate care and coordination |
| While documenting, use | Medical terminology, facts |
| What is a flowsheet? | |
| How is paper charting performed? | Dark ink standard terminology never skip line-draw line in empty space never scratch out or white out, draw one line and write error with initials |
| In regards to HIPPA | Use identifiers Never write patient name on student care plan never access patient record if care is not assigned to you never access your own records Always log out of computer after using the computer Never leave patient information in voicemails |
| What are the method of documentation? | Problem-Oriented-Medical-Records Subjective-Objective-Assessment-Plan Problem-Intervention-Evaluation |
| What is focus charting? | Data-Action-Response |
| What is charting by exception? | shorthand documentation method , chart only thing that are different from normal REWUIRES LESS NURSING TIME AND EADIL DETECT CHANGES IN A CLIENT STATUS |
| What is progress notes? | is to inform caregivers of the progress a patient is making toward achieving expected outcomes. Write one every 8hours narrative nursing notes, SOAP notes, PIE notes, focus charting, CBE, and the case management model |
| Flow sheets are? | documentation tools used to efficiently record routine aspects of nursing care. trending data Promote patient goal achievement, safety, and well-being. |
| The graphic record is? | form used to record pulse, respiratory rate, blood pressure readings, body temperature, weight, fluid intake and output, bowel movements, and other patient characteristics. |
| What are the care plans? | System that help nurses critically think Guide care and see patient outcome |
| WHAT IS ISBAR? | A form of communication with physicians identify-situation-background-assessment-recommendation |
| A change of shift record is? | given in written form or orally in a meeting Giving report to the nurse who take over PATIENT care |
| What is a stand-alone | Document that allow one to see notes regarding PT's care of other health care providers, but it is not in chronological order tethered- chronological order |
| A nurse is documenting patient data in the medical record of a patient admitted to the hospital with appendicitis. The health care provider has ordered 10-mg morphine IV every 3 to 4 hours. Which examples of documentation of care for this pt is right? | 6/12/20 0945 30 mins after GIVG morphine 10 mg IV, pt reports pain as 2 on a scale of 1 to 10. M.P RN Pt reports severe pain in right lower quadrant. Pt states she doesn't want pain medicatn despite return of pain. After discussg situatn, PT TOOK MED |
| a patient diagnosed with an osteosarcoma, whose right leg was amputated. The nurse accidentally documents that a dressing changed was performed on the left leg. What would be the best action of the nurse to correct this documentation? | Mark the entry “mistaken entry”; add correct information; date and initial. |
| A nurse is discharging a patient from the hospital following a heart stent procedure. The patient asks to see and copy his medical record. What is the nurse’s best response? | “I will need to check with our records department to get you a copy.” |
| When may a health institution release a PHI for purposes other than treatment, payment, and routine health care operations, without the patient’s signed authorization? Select all that apply. | Protected health information is needed to facilitate organ donation. Data are needed for the tracking and notification of disease outbreaks. Protected health information is needed to facilitate organ donation. PHI is needed by a coroner. |
| A nurse is using the SOAP format to document care of a patient who is diagnosed with type 2 diabetes. Which source of information would be the nurse’s focus when completing this documentation? | Planned interventions and patient outcomes |
| A nursing standard is | checking on the patient every hour |
| When maintaining health care records for a client, serving also as a legal document of evidence, the nurse must | ensure that the client name appears on all pages. |
| SOAP CHARTING | EVERYONE INVOLVED IN THE CLIENT CARE MAKES ENTRIES IN THE SAME LOCATION IN THE CHART |
Created by:
Seka_nurse
Popular Science sets