exam 2 learning objectives Flashcards
Examine the State Nurse Practice Act as it relates to the roles and responsibilities of the licensed practical nurse and the registered nurse.
The NPA exists to regulate and protect the public from practitioners who are a risk to the health, safety, and welfare of the citizens within its state board jurisdiction.
Protects public form nurses
Identify the different types of settings where licensed practical nurses and registered nurses work.
outpatient and skilled nursing facilities,
in-home healthcare
, government agencies,
schools,
or employment services
hospitals
clinics
Describe the different types of educational nursing programs.
lpn
asn/bsn
MSN
PMC
D
Explain the functions of the American Nurses Association (ANA), the National League for Nursing (NLN), the National Student Nurses Association (NSNA) and LPN organizations.
ANA advances the profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public.
The National League for Nursing promotes excellence in nursing education to build a strong and diverse nursing workforce to advance the health of our nation and the global community.
NSNA’s mission is to mentor students preparing for initial licensure as registered nurses, and to convey the standards, ethics, and skills that students will need as responsible and accountable leaders and members of the profession.
Indicate how a professional code of ethics is utilized to facilitate the ethical decision making to provide quality patient care.
It allows you to set a baseline expectation for what is socially acceptable and how to approach problems
gives a guideline into what you should actually do vs what you cant do
Describe the legal liability responsibilities of the nurse based on standards of care.
provide all aspects of nursing care according to established standards of care, in a safe and competent manner, and also done in a complete, appropriate and timely manner.
Identify the roles and responsibilities of each member of the healthcare team.
CNA-assist with the patient’s daily activities such as bathing, dressing, eating, and ambulating
LPN-monitor patients’ health and do some physical care tasks, such as taking blood pressure, inserting catheters, starting IVs, and changing bandages
rn-RN level of nursing, more specialized positions open up
aprn-APRNs focus on directing a plan of care.
MSN
DNP
Indicate reasons that nurses need to focus on economics in the delivery of nursing and healthcare.
provide the necessary context as they liaise with insurance providers and use new technologies to process payments.
When nurses are knowledgeable about finances and economics, they can connect with their patients on a different level.
Identify environmental factors affecting safety.
harmful substances, such as air pollution or proximity to toxic site
access to various health-related resources (e.g., healthy or unhealthy foods, recreational resources, medical care);
Describe the nurse’s role in responding to a bioterrorism attack.
Because nurses identify and interview persons potentially exposed to bioterrorism agents, they need to know the signs and symptoms of all suspected diseases. They will assess, triage, isolate, treat, and provide public health support for victims and responders [
Apply assessment tools to identify safety needs.
risk matrix, decision tree, failure modes and effects analysis (FMEA), and bowtie mode
risk assessment tools like Braden scale or Glasgow coma scale
Identify nursing strategies for injury prevention.
clean hands
Use the lift and transfer equipment
Watch for hazards and practice good body mechanics
Speak up and step up
Get vaccinated
Practice safe needle handling
PPE
sleep
self care
Bed positioning, providing alarms and railings and orienting a patient to their room
Identify the types of restraints available.
Physical restraints, which limit a person’s movement
chemical restraints are medications not used to treat illness, but used to sedate people
Environmental restraints are those that limit where a person can go
Review the legal implications of restraint use.
Except in emergencies, patients should be restrained only on a physician’s explicit order. Patients should never be restrained punitively, for convenience, or as an alternate to reasonable staffing.
never put patents on restraints always find alternative methods
Describe response styles and other factors that impact verbal communication.
Oral (spoken) 2. Written 3. Phone call conversation 4. Email
Indicate how nonverbal communication cues and body language affect communication.
They can put people at ease, build trust, and draw others towards you, or they can offend, confuse, and undermine what you’re trying to convey
Define therapeutic communication.
an exchange between the patient and provider using verbal and non-verbal methods. The ultimate goal of this communication style was considered to help the patient overcome some form of emotional or psychological distress
Explain the phases of the helping relationship.
orientation-when nurse and patient meet and get to know one another
ie. be warm, empathetic, and caring, closely observe patient, assess patient’s health status
working-when nurse and patient work together to solve problems accomplish goals
termination–ending the helping relationship
ie. remind patient termination is near, evaluate goal achievement with patient
Examine techniques that enhance or impair communication.
impair
jargon
no attention
noise/distractions
dark
hearing problems
language problems
differing viewpoints
echance
eye contact
listeing
pateince
body lagnuage
understating
silence
repetition
Identify features of effective group communication.
verbal
nonverbal
active listening
written communication
presentation
patient teach back
personal connections
trust
cultural awareness
Differentiate between assertive and non-assertive communication.
Nonassertion is failing to stand up for oneself, or standing up for oneself in such an ineffectual manner that one’s rights are easily violated.
Assertion is standing up for oneself in such a way that one does not violate the basic rights of another person. It’s a direct, honest, and appropriate expression of one’s feelings and opinions.
Indicate why confidentiality of patient information is essential.
Patients are more likely to disclose health information if they trust their healthcare practitioners. Trust-based physician-patient relationships can lead to better interactions and higher-quality health visits.
Examine various types of patient records, i.e. Narrative charting, SOAP charting, Focus charting, Charting by Exception, Computer-Assisted charting.
A narrative note is written in paragraph form and tells a story
Subjective, Objective, Assessment, and Plan
focus- To easily identify critical patient issues/ concerns in the progress notes
cbe- a system for documenting exceptions to normal illness or disease progression, using a shorthand method of charting what’s usual and normal
comp-documentation done as interventions are performed using bedside computers
Summarize guidelines for making entries into patient’s record.
Legibility
Patient identification on each page
Visit date
Diagnosis by appropriate provider
all idangoses
each encounter
enter everything and anything
history conditions
Identify essential guidelines for reporting patient data through change of shift reports, telephone reports, and telephone orders.
COS- the patient’s name, current medications, allergies, general medical history, pain levels and discharge information
tele-names, dates and content, including actions taken in response to the patient’s call
order-Patient phone calls should be documented effectively with names, dates and content, including actions taken in response to the patient’s call
