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med surg test 1
chapter 1-4
| Question | Answer |
|---|---|
| Critical thinking | Cognitive skills that increase the chance of desirable outcomes help understand what and why |
| clinical judgment | the outcome of critical thinking determines what to do after analyzing cues |
| What's up | Where How aggravating/ Alleviating timing severity Useful data Patient perception |
| Intellectual humility Example | I'm not sure I need more information |
| intellectual autonomy | Think independently Do not follow the crowd |
| intellectual integrity | values and truth you avoid gossip or dishonesty |
| CUS | Concern uncomfortable safety issue |
| S bar | situation background assessment recommendation |
| vigilance | Being attentive, alert, anticipating problems early |
| clinical judgment process | Identify cues → Prioritize hypotheses → Generate solutions → Take action → Evaluate → Repeat |
| Evidence‑Based Practice | Systematic use of current evidence to guide patient care decisions. |
| Level I Evidence | Systematic reviews of RCTs; strongest evidence. |
| Level VII Evidence | Expert opinion; weakest evidence |
| ASKMME | Ask, Search, Kritically appraise, Measure outcomes, Make it happen, Evaluate. |
| PICOT | Population, Intervention, Comparison, Outcome, Time. |
| QSEN Competencies | EBP, Safety, Teamwork, Patient‑centered care, Quality improvement, Informatics. |
| EBP Decision Factors | Quality, applicability, patient preferences, cost, expertise, setting. |
| Factors Changing Healthcare | EBP, aging population, cultural diversity, new viruses, MDR organisms, technology. |
| ENFit | Enteral tubing connector designed to prevent misconnections. |
| HAC Examples | Retained object, air embolism, blood incompatibility, pressure ulcers, CAUTI, infections, DVT/PE. |
| Autocratic Leadership | High control; best for emergencies. |
| Democratic Leadership | Shared decision‑making; effective in most situations. |
| Laissez‑faire Leadership | No control; little gets accomplished |
| Coaching Leadership | Communication, support, empowerment |
| 5 Rights of Delegation | Right task, circumstance, person, direction, supervision. |
| Ethical Principles | Autonomy, beneficence, nonmaleficence, fidelity, veracity, justice. |
| Mandatory Reporting | Abuse (child, elder, disabled), trafficking indicators. |
| HIPAA | Protect PHI; no photos or social media disclosure. |
| Cultural Sensitivity | Using appropriate language; avoiding offense. |
| Cultural Awareness | appreciation of traditions, foods, arts, clothing |
| Cultural Competence | Skills and knowledge to provide effective care |
| Cultural Humility | Lifelong self‑reflection on one’s own culture |
| Ethnocentrism | Belief that one’s culture is the “right” way. |
| Stereotype | Assuming all individuals in a group are the same |
| Time Orientation | Past, present, or future‑focused. |
| Interpreter Use | Always use a professional interpreter, not family. |
| Death Rituals | Least likely to change; provide privacy and respect. |
| You overhear a nurse say I am not sure of the answer but I will find out what does this mean | Intellectual humility |
| a nurse continues to monitor sugar closely is a sign of what | vigilance |
| You suspect a client is being trafficked What is a sign | A man answering all the questions |
| Coaching is a leadership style define it | - Active listening - Clear communication - Support + accountability - Helps staff develop problem‑solving skills - Makes direct‑care employees feel empowered, valued, respected |
| What are some required criteria for gender affirming surgeries | |
| not a nursing consideration the med spironolactone to inhibit Testosterone is what | anuria |
| What is the preferred treatment for puberty suppression in adolescence | GnRH |
| Arranging services for a client is a priority function in the directing role of manager is this true or false | False |
| What is the side effect of furosemide | hypokalemia |
| what is a potential adverse effect for metoprolol | bradycardia |
Created by:
destiny638