Exam 1 Flashcards
A nurse is caring for a client who asks why they chose the nursing profession.
The nurse states that it was because they wanted to help others.
-The nurse is referring to which of the following professional values?
A) Integrity
B) Human dignity
C) Altruism
D) Social Justice
c: altruism
observed outcome of critical thinking and decision making. It is an iterative process that uses nursing knowledge to observe and assess presenting situations, identify a prioritized client concern, and generate the best possible evidence-based solutions in order to deliver safe client care
clinical reasoning
A nurse is providing equal care to a group of clients who have varying economic statuses.
Which of the following ethical principles is the nurse demonstrating?
a) fidelity
b)autonomy
c)justice
d) veracity
C) justice
Veracity
Duty to tell the truth
Why used close ended questions?
saves time in emergency situations
used to clarify responses to open-ended questions
best way to compete a checklist of data
helpful if Clint is confused, in pain, or having difficulty breathing
which of the following is an example of subjective data?
a) the patients medical chart states he takes 50 mg metoprolol BID
b) the nurse caring for the patient indicates that she walked with PT once on her shift
c) “I often get very short of breath when I walk to get the mail”
d) a patients daughter mentions that the patient often forgets to take her medications
C
in a droplet precaution room you will never need to wear gloves
true or false?
false
what are the major sites for HAI to develop?
-respiratory tract
-urinary tract
-bloodstream
-surgical wounds
What ppe do you wear for contact precautions?
gloves and gown
What type of precautions would you use for a patient with C.diff?
Contact
What precautions would you use for a patient with MRSA?
Contact
What PPE do you wear for droplet precautions?
Surgical mask
What precautions would you use for a patient with Pertussis?
droplet
What precautions would you use for someone with influenza?
droplet
A patient is going into sepsis. What type of precautions would you use?
Droplet
What PPE is used for airborne precautions?
Respirator (N95 respirator), negative air pressure room
What precautions would you use for a patient with TB?
Airborne
What precautions would you use for a patient with Varicella?
Airborne
Why are airborne precautions used?
For illnesses spread by droplet smaller than 5mcg; infectious agent is so small that it can be suspended in the air for long periods of time and carried for long distances on air currents
showing honesty and choosing to do what is right and fair, even when the situation is difficult
human dignity
the awareness of society’s unequal treatment of vulnerable populations and promotes the equal distribution of health care to everyone
social justice
nurse’s obligation to implement actions that minimize harm and benefit clients. Meetings a client’s physical, social, or emotional needs.
beneficence
These laws protect people who provide aid in the event of an emergency from being held liable for their well-intentioned actions.
good samaratin laws
intentional or unitentional or a failure to act, that results in injury or harm to a client.
These exist to protect the public, to determine liability, and settle claims for illness or damages.
torts
Emergency medical personell can provide care to clients entering an emergency room, regardless of their ability to pay
Emergency Medical Treatment and Labor Act
anguish experience when a person feels unable to act according to closely held core values
moral distress
what is risk management
system of ensuring appropriate nursing care that attempts to identify potential health hazards and eliminate them before harm comes
what are the steps of risk management
- identify risk
- analyze
- act to reduce
- evaluate
what is a reservoir?
a place where pathogens can survive and may or may not multiply and cause disease
what are standard precautions?
assumes all blood and body fluid no matter the patient is infectious
what PPE do you wear for standard precautions?
gloves
clinical judgement about the patient in response to an actual or potential health problem
nursing diagnosis
identification of a disease condition based on specific evaluation of signs and symptoms
medical diagnosis
an actual or potential physiological complication that nurses monitor to detect a change in patient status
collaborative problem