Fundamentals Of Nursing Flashcards

Question

What is the patient self determination act PSDA?

Answer 1

Ensures of patient’s right to self-determination in healthcare decisions, including advance directives.

Answer 2

Indicates desired of prohibited medical interventions including code status, level of intervention, or life-sustaining measures.

Answer 3

Do not resuscitate. No CPR or resuscitation actions should be taken.

Answer 4

These are medical orders that summarize the patient’s wishes regarding medical care.

Answer 5

Identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Answer 6

Law that protects the patient’s right to privacy and regulates how their health care information is used in disclose.

Answer 7

One, patient information may not be disclose to anyone that is not directly involved in the care of the patient without patient consent. Two, patients have a right to receive a copy of their healthcare records.

Answer 8

Only discuss patient information in a secure environment instead of public places like the elevator. Report any breach of confidentiality. Do not access information or charts not needed for work. Log off computer when stepping away. Use secure, unique passwords and change them frequently. Never share passwords.

Answer 9

Patients who are competent to provide consent have the right to refuse medications or other therapies even if they were involuntary omitted (except in emergency).

Answer 10

Leaving against medical advice. AMA means the patient chooses to leave the hospital before the treatment team recommends discharge.

Answer 11

Notify the provider. Discussed risks associated with leaving AMA with the patient. Have patient signed AMA form, or document patient refusal to sign form. Remove any IV catheters and apply dressing. Do not call security.

Answer 12

Assault, battery, False imprisonmeant, invasion of privacy, deformation of character.

Answer 13

Willful acts her violate her patients rights.

Answer 14

Any threat made against a patient that makes them fearful. Example, telling a patient if you don’t settle down, I’m going to tie you down.

Answer 15

Touching of a patient without consent that causes harm. For example, Nursing Jackson medication to a patient despite the patient’s refusal.

Answer 16

A before B:: Assault, threat, before battery, harm.

Answer 17

Inappropriate confinement of a patient with restraints, seclusion, or medication acting as a chemical restraint.

Answer 18

Violating a patient try to confidentiality. For example, sharing patient information to a family member without patient concern.

Answer 19

Making derogatory remarks that harm and patience reputation.

Answer 20

Verbal statements.

Answer 21

Written statements.

Answer 22

Negligence, malpractice, abandonment.

Answer 23

Unintended acts against the patient that cause harm.

Answer 24

Failure to provide care that are reasonably prudent person would in a similar situation.

Answer 25

Negligence by a professional, someone with a professional license. For nurses, it’s when the nurse had a duty to pay to the patient and felt to provide the standard of care.

Answer 26

Desertion of a patient by anyone who has assume the responsibility for care of that patient.

Answer 27

Report suspected abuse of a child, elder, or vulnerable adult. This is required as a mandated reporter.

Answer 28

The nurse does not have to provide proof, just a requirement to report the facts/circumstances that led the nurse to suspect abuse or neglect. The priority nursing action is always to protect patient from immediate harm.

Answer 29

Interview the patient away from the suspected abuser.

Answer 30

Collect and prepare evidence for legal purposes. Develop a safety plan with the patient. Provide information on shelters and safe houses.

Answer 31

``` Physiological needs, Safety, Love and belonging, Self-esteem, Self actualization. ```

Answer 32

You start with their basic physiological needs first such as food and water and shelter then work your way up the pyramid.

Answer 33

Pursue and her talents and fulfillment.

Answer 34

Theory that describes key stages in human development and the psychosocial crisis is encountered during each stage usually categorized by year?

Answer 35

Trust versus miss trust. | Age ranges birth to one year old.

Answer 36

Autonomy versus shame and doubt. | Toddler age range is 1 to 3 years of age.

Answer 37

Initiative versus guilt. | Preschooler age ranges from 3 to 6 years old.

Answer 38

Industry versus inferiority. | The age range is 6 to 12 years old.

Answer 39

Identity versus role confusion. | The age range is 12 to 18.

Answer 40

Intimacy versus isolation. | The age ranges from 18 to 40.

Answer 41

General activity versus stagnation. | Adulthood is from 40 to 65 years old.

Answer 42

Integrity versus despair. | The age range is 65 years or older.

Answer 43

Theory that focuses on thinking, reasoning, and decision making across the lifespan.

Answer 44

Theory that describes perception and cognition across the lifespan.

Answer 45

``` Open ended questions, Clarification/validation, Reflection, Offering self, Restating. ```

Answer 46

Tell me more about…

Answer 47

Do I understand you correctly when you say…?

Answer 48

Refer questions back to the patient. For example, patient asks do you think I should try this medication?. The nurse says what are your thoughts about it?

Answer 49

Make yourself available to the patient. For example, I can sit with you until your family arrives.

Answer 50

Repeat what the patient said to confirm understanding. | For example I am so anxious that I can’t get to sleep, the nurse would say your anxiety is keeping you awake?

Answer 51

False reassurance, passing judgment good or bad, giving advice, closed ended questions, asking the “why” question, leading by us questions, changing the subject.

Answer 52

Everything will be fine.

Answer 53

Yes, you did the right thing.

Answer 54

Asking only yes or no questions. We want them to elaborate.

Answer 55

You don’t smoke, do you? This could make them feel bad about that they do smoke and they would say no instead of yes but they actually do smoke.

Answer 56

Involves intellect/thinking.

Answer 57

Involves physicality physicality/action

Answer 58

Involves emotions/ feelings.

Answer 59

Ability to learn, gather, process, and understand health information.

Answer 60

Using medical jargon or educational materials above patient’s reading and or education level. Presence of their physical symptoms such as pain, fatigue, moderate Dash severe anxiety.

Answer 61

Probably not.

Answer 62

Try to give it in their primary language, demonstrate to them, give them reading materials at their education level,.

Answer 63

The best way to evaluate whether the patient learn what you were trying to teach them is teach back.

Answer 64

After the nurse explains, demonstrate some thing the patient explains demonstrates it back to ensure full comprehension. This is the best way to do it.

Answer 65

Thanks you can see and tangible data, facts. For example vital signs are objective.

Answer 66

Thanks reported by the patient that cannot be verified independently. Document as a direct quote from the patient.

Answer 67

Document immediately after but not before doing some thing.

Answer 68

Only use approved abbreviations. There is a list of abbreviations that are no longer allowed to be used to avoid confusion.

Answer 69

Cross airs out with one line and add initials, date, and time. Never use correction tape or fluid.

Answer 70

Left off on card 26.