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NURS exam 3
| Question | Answer |
|---|---|
| 4 parts of the quadruple aim | patient experience population health reducing costs care team well-being |
| 4 key concepts of integrative nursing | mindfulness presence intention intuition |
| 6 principles of integrative nursing | 1)Whole Systems-includes environments 2)Innate Capacity for Health 3)The Healing Role of Nature 4)Person and Relationship-Centered Care 5)Evidence-informed Use of Full Range of Therapies 6)Wellbeing of Caregivers |
| which law? Decisions made by regulatory bodies such as the State Board of Nursing when rules and regulations are passed. Example is mandate to report incompetent or unethical nursing conduct to the State Board of Nursing. | administrative or regulatory Law |
| which law? Body of written opinions created by judges in federal and state appellate cases; also know as judge made law. Example includes informed consent, a patient's right to refuse treatment, negligence, and malpractice. | common law |
| which law? A category of law (tort law) that deals with conduct considered unacceptable; based on societal expectations regarding interpersonal conduct; Consequences of violations are fines or specific performance of good works such as public service. | civil law |
| which law? Protect society as a whole and provide punishment for crimes, which are defined by municipal, state, and federal legislation. Categorized into misdemeanor and felonies. Examples are traffic tickets and stealing narcotics. | criminal law |
| Civil wrongful acts or omissions made against a person or property. Classified as intentional, quasi-intentional, and unintentional. | torts |
| Conduct that falls below the generally accepted standard of care or a reasonably prudent person. The act is unintentional. Examples are hanging the wrong intravenous solution. Can result in discipline by the Board of Nursing and lawsuit. | negligence |
| Legal requirements for nursing practice that describes the minimum acceptable nursing care. Standards reflect the knowledge and skills ordinarily possessed and used by nurses actively practicing in the profession. | standards of care |
| Describe and define the legal boundaries of nursing practice within each state. Defines scope of practice and expanded nursing roles, sets education requirements for nurses, and distinguishes between nursing and the medical practice. | nurse practice act |
| which law? Law enacted by a legislative body such as State or Federal. | statutory law |
| which federal statute does this violate? The nurse posts a photograph on facebook with her patient. | Health Insurance Portability and Accountability Act (HIPAA) |
| which federal statute does this violate? The nurse sends an unstable patient home from the emergency department. | Emergency Medical Treatment and Active Labor Law |
| which federal statute does this violate? The nurse fails to obtain a translator for a Spanish speaking patient during the process of surgical consent. | Americans with Disabilities Act |
| which federal statute does this violate? The nurse fails to inquire if the patient has an advance health care directive and to make note of it in the medical record. | Patient Self Determination Act |
| which tort violation? The nurse threatens to place restraints on a patient if they don't stop trying to get out of bed. | assault |
| which tort violation? The nurse administers the flu shot to a patient who is refusing the injection. | battery |
| which tort violation? The nurse writes "drug seeker" on the patient's clipboard. | libel |
| which tort violation? The nurse is talking with her colleague and calls the patient a "drug seeker". | slander |
| which tort violation? The nurse locks the patient in the room and tells them they cannot leave the hospital without discharge orders. | false imprisonment |
| 6 QSEN competencies for nursing | patient-centered care quality improvement teamwork and collaboration evidence-based practice safety informatics |
| informatics definition | use info & tech to communicate, manage knowledge mitigate error, & support decision making |
| CIS HIT EHRS EMR POC | clinical information systems health information technology electronic health record system electronic medical record point of care technology |
| 5 pillars of meaningful use (for EHR) | 1) improve quality, safety, and efficiency & reduce health disparities 2) engage patients & fam 3) improve care coordination 4) improve population & public health 5) privacy & security protections |
| EHRS 8 core functions | health info & data (diagnose & treat plans) results management CPOE (computerized provider order entry) clinical decision support team electronic communication & connectivity patient support admin processes reporting & population health management |
| privacy vs. confidentiality | privacy: patient's rights confidentiality: disclosure of info w/ patient consent |
| HIPAA | federal law, privacy rule Health Insurance Portability & Accountability Act |
| just culture definition | workers are not held accountable for system failure, but there is zero tolerance for reckless behavior |
| 3 leading root causes of sentinel events | inadequate communication incorrect assessment of a patient's condition inadequate leadership, orientation, & training |
| 2025 national patient safety goals | identify patients correctly improve staff communication use medications safely use alarms safely prevent infection identify patient safety risks improve health equity prevent mistakes in surgery |
| team STEPPS | team strategies & tools to enhance performance & patient safety |
| intraprofessional vs. interprofessional | intra-within the profession inter-outside the profession |
| STEP (teamwork & collaboration) | status of the patient team members environment progress towards goal |
| situation monitering | constantly scan & assess situations to identify issues |
| situation awareness | knowing current conditions affecting one's work (STEP) |
| shared mental model | team members maintain situation awareness and share facts with entire team |
| communication SBARR technique | Situation of patient Background or context Assessment of what the problem is Recommendation Read back orders to confirm |
| communication IPASS technique | Illness severity Patient summary Action list Situation awareness & contingency planning Synthesis by receiver |
| two challenge rule | "stop the line" if someone senses a safety issue |
| CUUS (critical language) | concerned uncomfortable unsafe scared safety issue |
| conflict resolution: DESC script | Describe situation or behavior w data Explain how the situation makes you feel/concerns State alternatives & seek agreement Consequences should be stated in terms of impact on team goal |
| key points of conflict resolution | identify problem recognize your conflict resolution style have discussion choose private location choose "i" statements, avoid blaming statements active listening all ppl involved see problem mutually keep focus on delivery of quality patient care |
| UMN model of wellbeing | environment health relationships security purpose community |
| CAM allopathic medicine | complementary & alternative medicine -outside mainstream medicine treat symptoms using drugs, radiation, or surgery -alternative therapies replace these treatments |
| categories of CAM | biological & botanical therapies manipulative & body-based methods energy therapies whole medical systems mind-body therapies |
| nurse-accessible therapies | guided imagery meditation & breathing relaxation therapy |
| therapies requiring training | biofeedback traditional chinese medicine acupuncture acupressure therapeutic touch aromatherapy herbal therapies |
| living will vs. durable power of attorney | will: expressing wishes in event they are incapacitated - end of life decisions POA: authorizes someone to make decisions for patient if they are incompetent - all health care decisions |
| implied vs. informed consent | implied: informal, not invasive informed: formal, invasive, completed by person doing the procedure |
| legal process of informed consent | Procedure Alternatives Risks Benefits Right to refuse Operators |
| NPA | nurse practice acts - state laws intended to protect citizens, make nurses accountable, & ensure consistent & best care -regulated by state boards of nursing |
| quasi-intentional | intent is lacking but harm happens |
| when are physical restraints used | 1) to ensure physical safety of client 2) when all other options have failed 3) only on the written order of a physician |
| examples of quasi-intentional torts | invasion of privacy - giving out info defamation of character - publication of false statements |
| examples of unintentional torts | negligence malpractice - causes harm |
| 4 elements necessary to prove nursing malpractice | duty of care breach of duty harm causation |
Created by:
alaynak