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Adult Health 1 > Chapter One: Overview of Professional Nursing > Flashcards

Chapter One: Overview of Professional Nursing Flashcards

1
Q

Nursing “KSAs”

A
  • knowledge
  • skills
  • ability
  • attitude- a good one!
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2
Q

What is the general job overview of a med-surge nurse

A

promote, restore, or maintain optimal health for patients over 18

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3
Q

what are the 6 major roles of a med-surge nurse

A
  1. Care coordinator
  2. transition manager
  3. caregiver
  4. Pt. educator
  5. leader
  6. advocate for the pt. and family
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4
Q

10 QSEN concepts needed for competent care

A
  1. patient centered care
  2. collaborate w. interdisciplinary HC team
  3. evidence based practice
  4. quality improvement
  5. informatics
  6. safety
  7. clinical judgement
  8. ethics
  9. HC orgsnizations
  10. HC disparities
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5
Q

explain what is meant by “patient centered care”

A

the patient is the source of control and a full partner in the care plan

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6
Q

the nurse must be ________ in order to provide patient-centered care to diverse patients and their families

A

culturally competent

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7
Q

what are the attributes of pt. centered care?

A
  1. respect for values, preferences, and expressed needs
  2. coordination and integration of care
  3. information, communication, and education
  4. physical comfort
  5. emotional support and alleviation of fear/anxiety
  6. involvement of fam and friends
  7. transition and continuity
  8. access to care
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8
Q

what does family-centered care emphasize according to The Joint Commission

A

it emphasizes the importance of including the patient’s support system as a part of interprofessional care

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9
Q

special considerations and populations when providing pt. centered care

A
  1. cultural and spiritual considerations
  2. gender health considerations
  3. considerations for older adults
  4. veterans health considerations
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10
Q

what is an integrative care model

A

integrating complementary and alternative medicine (CAM) into patient care plans

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11
Q

examples of CAM (integrative care)

A

-pet therapy, massage therapy, acupuncture, biofeedback, exercise routine, nutritional supplements

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12
Q

this nursing role is the organization of patient care activities between 2 or more members of the HC team to facilitate appropriate and continuous HC to meet patients needs

A

care coordination

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13
Q

one of the most important members of the HC team who assists with care coordination is the __________ AKA _______

A

case manager

discharge planner

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14
Q

________ provides quality and cost effective services and resources to achieve pt. outcomes

A

case management

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15
Q

the case manager coordinates ______ and _____ before the patient is discharges

A

inpatient and community-based care

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16
Q

what is the purpose of case management?

A

to prevent readmission

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17
Q

this nursing role prevents adverse events and hospital readmission by safely moving patients among HC settings, health providers, and the community

A

transition management

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18
Q

6 recommendations by the joint commission for effective care coordination and transition management

A
  1. understandable discharge info for pt. and fam
  2. explanation of self-care activities
  3. ongoing or emergency care info
  4. list of community and outpatient resources and referrals
  5. knowledge of pt. language, culture, and health lit.
  6. medication reconciliation
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19
Q

this nursing role involves evaluating actual current medications and comparing them to pt’s prescribed medications @ the time of their admission, transfer, or discharge to identify and resolve discrepancies

A

medication reconciliation

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20
Q

what is the purpose of medication reconciliation

A

prevent duplications, omissions, and interactions

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21
Q

what is the DMAIC methodology of medication reconciliation

A 
the nurse must :
Define
Measure
Analyze
Improve
Control

patient medications

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22
Q

define the QSEN competency “safety”

A

the ability to keep the pt. and staff free from harm and minimize errors in care

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23
Q

what is meant by “unsafe”

A

possibly causing harm or death

24
Q

what is meant by “safe”

A

preventing harm or negative outcomes

25
Q

pt. harm and error most often occur as the result of these 9 things:

A
  1. lack of communication
  2. lack of attentiveness/ pt care
  3. lack of clinical judgement
  4. inadequate measures to prevent health complications
  5. med. administration errors
  6. error in interpreting provider prescriptions
  7. lack of professional accountability/ pt advocacy
  8. inability to carry out interventions in timely manner
  9. lack of mandatory reporting
26
Q

what is interprofessional collaboration

A

interprofessional collaboration involves the pt, their family, nurses, UAP, and other health care professionals

27
Q

what is the purpose of interprofessional collaboration

A

to provide safe evidence based practice

28
Q

Interprofessional Education Collaboration (IPEC) Competencies

A
  1. Values/ethics for interprofessional practice
  2. role responsibility
  3. interprofessional communication
  4. teams and teamwork
29
Q

2 forms of proper communication

A
  1. SBAR

2. STEPPS

30
Q

what does STEPPS stand for

A

Strategies and Tools to Enhance Performance and Patient Safety

31
Q

what are “Cus” words used in the STEPPS model?

A

“concerned”
“uncomfortable”
“safe”

32
Q

what are “Check Backs” in STEPPS

A

restating what the other person says to verify all team members understand

33
Q

what are “Call outs” in the STEPPS model?

A

shout out important information so all team members hear @ once

34
Q

what is the “two challenge rule” in the STEPPS model?

A

state the concern twice as needed- if the concern is ignored twice then follow chain of command to get it addressed

35
Q

_______ is the process of transferring a select nursing task to a competent person of authority

A

delegation

36
Q

who is ALWAYS held accountable for the task that was delegated?

A

the nurse

37
Q

describe the importance of supervision as it pertains to delegation

A

the nurse should guide, direct, evaluate, and follow up on the task he/she delegates

38
Q

what are the 5 rights of delegation?

A
  1. Right Task- its within UAP scope of competence
  2. Right Circumstance- setting and resources are appropriate
  3. Right person- UAP capable of performing task
  4. Right communication- expectations are stated
  5. Right Supervision- nurse follows up
39
Q

what is evidence based practice

A

integration of the best current evidence and practices to make decisions about patient care- takes into consideration what the patient prefers and values

40
Q

what is the best source of evidence?

A

research, specifically: systematic reviews and meta-analysis

41
Q

__________is a process in which nurses and the interprofessional healthcare team use indicators (data) to monitor care outcomes and develop solutions to improve care

A

Quality Improvement

42
Q

what is PDSA quality improvement

A

1 .Plan- identify/analyze problem

  1. Do- develop & test evidence based solution
  2. Study- analyze effectiveness of solution
  3. Act- implement improved solution
43
Q

what is FOCUS_PDCA quality improvement

A 
Find a process to improve
Organize a team
Clarify the current process
Understand variations in current process
Select the process to improve

Plan the improvement
Do the improvement
Check for results
Act to hold the gain

44
Q

what is the DMAIC quality improvement model

A

Define issue/problem
Measure key aspects of current process for issue
Analyze collected data
Improve current process-> implement EVP intervention
Control future state of intervention to ensure

45
Q

_______ is the access to and use of information and electronic technology to communicate, manage knowledge, prevent error, and support decision making

A

informatics

46
Q

______ is the process used to make decisions based on interpretation of the patient needs and problems

A

clinical judgement

47
Q

what influences sound clinical judgement?

A

-how well the nurse knows the patients typical response pattern and the situational context of the nursing care unit

48
Q

the worst result of poor clinical judgement is _____

A

failure to rescue

49
Q

what is failure to rescue

A

the inability of the nurse and other team members to save a patient’s life in a timely manner when issues occur

50
Q

what are the attributes of clinical judgement skills?

A

Think ADPIE

  1. Assessment: noticing a new issue
  2. Diagnosis/analysis: interpreting the new issue
  3. Planning/implementation: responding to new issue
  4. Evaluation: reflecting on the response
51
Q

what is the role of the Rapid Response Team

A

save lives and decrease the risk for harm by providing care before a medical emergency occurs by intervening rapidly when needed for patients who are beginning to clinically decline

52
Q

what is applied professional nursing ethics?

A

using clinical judgement to decide what is right and wrong to make clinical decisions

53
Q

ANA code of Ethics

A
  1. Autonomy- pt is in charge of themselves
  2. Beneficence- promote + actions- do good
  3. Nonmaleficence-preventing harm
  4. Fidelity- keeping promises to pt
  5. Veracity- honest and tell truth
  6. Social Justice- equality and fairness
54
Q

_____ are purposely designed & structured systems in which HC is provided by nurses and members of interprofessional teams

A

Health care organizations

55
Q

_______are differences in pt. access to or availability of appropriate HC services

A

healthcare disparities

56
Q

causes of HC disparities

A
  • poor communication
  • lack of access to HC
  • health literacy (lack thereof)
  • Healthcare provider biases and discrimination

Adult Health 1 (3 decks)

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