Exam #2 Flashcards

1
Q

Forensic nursing?

A

Associated with violent crime; something that is going to trial

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2
Q

CRNA

A

Certified registered nursing anesthetist: put people to sleep and manage pain protocol
- School: masters in nursing

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3
Q

Advanced nursing degree and what titles require this?

A

*Anything higher than a bachelors degree
- nurse practitioner (need masters)
- certified nurse midwife
- nurse educator

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4
Q

What is the role of a quality manager?

A
  • looking at rates
  • quality of patient care
    *ex. Rate of infections, the number of times a patient acquires an infections in the hospital
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5
Q

Does not require advance education

A
  • Quality manager
  • Flight nurse
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6
Q

Any nurse that works on improving standard of care?

A

Quality manager

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7
Q

Case manager?

A

Nurses who find resources that are most affordable for a patient

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8
Q

What do occupational health nurses do?

A

Function in a role with industry; industrial type nurses on site to help people who have been injured at work

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9
Q

What are ted hoes used for?

A
  • Prevention of DVTs
    (deep vein thromboses; if dislodged can go to heart of lungs)
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10
Q

What is on an APA title page?

A
  • Title
  • Your name
  • School (affiliation)
  • Course
  • Professors name
  • Date (day month spelled out and year)
  • Page numbers
    *NEVER a running head with APA
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11
Q

When and how to use sentence casing?

A
  • Articles
  • books
  • reports
  • webpages
  • other works in a reference list
    Lowercase most words in the title or heading only capitalize the first word or a word that comes after and ending punctuation
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12
Q

When and how to use title casing

A
  • titles
  • articles
  • books
  • reports
  • works appearing in text
    Capitalize the first word and words that aren’t minor (regular capitalization)
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13
Q

When to use Italics

A
  • use for titles of webpages or the source of your article
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14
Q

When a journal article…

A

The volume number is also italicized

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15
Q

When doing in text citation…

A

Page number goes in parenthesis; punctuation goes after the parenthesis

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16
Q

What are the driving influences that force change?

A
  • Explosion of scientific knowledge
  • Integration of technology in health care
  • Emphasis on health promotion
  • Shortages of healthcare professionals
  • Aging of population
  • Increased cultural diversity and globalization
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17
Q

What are we concerned about when we have more sick people than healthy people?

A

Debt spiral: too many sick people vs. healthy people

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18
Q

HMOs

A
  • Health Maintenance Organizations; has a fixed copayment but must select a primary care physician approved by HMO
  • member must be referred for treatments, specialists, and services by the primary care physician
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19
Q

PPOs

A
  • Preferred Provider Organizations; member pays premium for a fixed percentage of expense covered
  • member may select physician but will pay less for physicians and facilities on the plans preferred list
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20
Q

What can be included in a quality improvement process

A
  • Assesses opportunities for process improvement
  • Implement changes
  • Measure outcomes
  • Start the process all over again
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21
Q

What do home health nurses do on a daily basis?

A

Provide care and education

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22
Q

Healthcare Models

A
  • Medicare: is federal NOT state; largest health insurance program in the United States
  • Medicaid: federal program that is ran by each individual state; provides health insurance coverage for impoverished families; benefits vary state by state
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23
Q

What healthcare model uses DRGs?

A

Medicare

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24
Q

What healthcare insurance is designed for low income families?

A

Medicaid

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25
Q

Federal program that is ran by individual state?

A

Medicaid

26
Q

Medicare is?

A

Federal ran

27
Q

Old people (65 or older) or disabilities receive?

A

Medicare

28
Q

What type of insurer wants members to use specific providers in return for reduced rates?

A

Preferred Provider Organizations (PPO)

29
Q

What are DRGs?

A

*diagnostic related group
-Patient assigned to a diagnostic grouping based on primary diagnosis at hospital admission; payment to the hospital is set of the DRG.
- If the hospital exceeds the set DRG payment the hospital will incur a loss of money; if costs are less than DRG hospital makes profit

30
Q

Billing those who have insurance in order to cover expenses of those who are uninsured and cannot pay?

A

Cost shifting

31
Q

When does discharge planning start?

A

As soon as patient is admitted

32
Q

Extensive wound care after discharge; what facility?

A

Continuing care

33
Q

What is Hospice care?

A

Care of the dying

34
Q

What is assisted living?

A

Care for individuals who can do most stuff on their own but need assistance for certain activities

35
Q

What is skilled nursing?

A

Cannot provide the care that they need at home
Ex. Nursing home; extended care facility

36
Q

In the ER and patient comes in with chest pain, what level of care is needed?

A
  • Tertiary
37
Q

What is restorative care?

A

Restoring patient back to previous health

38
Q

What should you avoid sharing with your patient?

A
  • your own experiences
  • never give advice
39
Q

Before clipping a patients finger nails what should you do?

A

Look at the facilities policies and procedures

40
Q

Telling older adults in a community why it is important to get a flu shot?

A

community health nursing

41
Q

Intrapersonal communication?

A

Self communication

42
Q

Interpersonal communication

A

Between two individuals

43
Q

What are the elements of communication exchange?

A
  • Referent: motivates one to communicate with another
  • Sender and receiver: one who encodes and one who decodes the message
  • Message: content of the message
  • Channels: means of conveying and receiving messages
  • Feedback: message the receiver returns
  • Interpersonal variables: factors that influence communication
  • Environment: the setting for sender - receiver interactions
44
Q

Communication techniques?

A
  • restating: use the patients exact words in the same order
  • reflection of feelings: reflect back to patient a feeling
  • empathetic response: saying something with emotion when you say it back
  • clarification: used to clarify global pronouns, slang, time, place or events
45
Q

What does the mnemonic AIDET stand for?

A
  • Acknowledge: acknowledge the person standing in front of you with a positive attitude and make the person feel comfortable
  • Introduce: introduce yourself and let the person know what your role is in the department
  • Duration: give the patient or family an idea of how long a procedure may take
  • Explain: describe what the patient will experience with the treatment
  • Thank you: thank patients for coming to your organization for care
46
Q

What is the mnemonic for good communication techniques?

A

S: sit at an angle facing the patient
U: uncross legs and arms
R: relaxed and comfortable with patient
E: eye contact
T: touch; gentle touch
Y: your intuition as you grow in confidence to individualize communication skills

47
Q

What to do if you have a patient who has issues with vision and hearing?

A
  • Reduce environmental noise
  • do not chew gum
  • speak at a normal volume
  • face patient with mouth visible
  • identify yourself when you enter and notify when leaving
  • use indirect lighting
48
Q

How do you respond assertively?

A

Using “I” language
Ex. I feel uncomfortable hearing that

49
Q

What are things you do and don’t want to use with a prosthetic for wound care?

A
  • do not want padding
  • need good skin protection
  • use water based products
  • patients can impact how a prosthetic fits based on weight
50
Q

Maslow hierarchy of needs

A

Bottom to top:
- Physiological: shelter, nutrition, oxygen
- Safety and security: physical safety and physiological safety
- Love and belonging needs
- Self-esteem
- Self- actualization

51
Q

What is passive health promotion?

A
  • patient doesn’t have to take an active role in it it just happens
    ex. Fluoride in drinking water
52
Q

What is active health promotion?

A
  • patients have to take action in it themself
    Ex. Making sure you have enough vitamin c in your diet
53
Q

5 stages of healthy behavior change

A
  • Precontemplation: not intending to make changes within the next 6 months
  • Contemplation: considering a change within the next 6 months
  • Preparation: making small changes in preparation for a change in the next month
  • Action: actively engaged in strategies to change behavior; last up to 6 months
  • Maintenance: sustained change over time; begins 6 months after action has started and continues indefinitely
54
Q

Levels of care?

A
  • Primary care: going to family doctor for something
  • Secondary care: primary doctor cant take care of it so they send you to a specialist ex. Cardiologist
  • Tertiary care: specialized care like the ER or ICU
55
Q

Levels of preventions?

A
  • Primary prevention: lowers the chances of a disease developing
  • Secondary prevention: prevents the spread of disease when it occurs
  • Tertiary prevention: minimizes the effects of disease or disability
56
Q

Penders health determination model

A

Determines factors that influence the persons health promotion behaviors

57
Q

Healthy life

A

Applies not only to longevity, but also to functional independence and the perception of healthy days

58
Q

Prevalence

A

Number of people in a population who have a condition within a given time
* any given time frame

59
Q

Vulnerable population and what impacts them

A
  • low income
  • immigrants
  • members who are high risk for vulnerable population
  • mental health issues
  • trauma
60
Q

What do you clean prosthetics with?

A

Warm soap and water

61
Q

Characteristics of secondary traumatic stress in nurses

A
  • decline in health
  • changes in sleep and eating patterns
  • emotional exhaustion
  • irritability
  • restlessness
  • impaired ability to focus and engage with patients
  • feelings of hopelessness
  • inability to take pleasure from activities
  • anxiety
62
Q

What is the order of APA source

A

-Regular source
Author. (Date). Title. Source. DOI or URL

-Journal article
Author. (Date). Title. Source, volume(issue), page numbers. DOI or URL

-Remember
- The title is sentence cased
- the source is italicized
- the volume number is italicized for journal