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collab > leadership 1 exam > Flashcards

leadership 1 exam Flashcards

1
Q

5 important things to remeber with stadard precautions

A 
hand hygine 
mask and face shields when spashing of bodily fluids 
gloves 
moisture resistant bags 
dispose of sharps properly
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2
Q

4 steps for Confronting the Chemically Impaired Employee

A

Gather all evidence

Immediately remove the employee from the work environment

Drug/alcohol testing

Outline the organization’s plan or expectations for the employee in overcoming the chemical impairment

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3
Q

8 infections associated with contact precautions

A 
impetigo
scabies
schigello
MRSA
herpes
c.diff 
RSV
wound infections
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4
Q 
med admin 
enteral feedings 
catheter insertion
 trach care 
reinforce patient teching 
suctioning 
NG tube patency

can all be delegated to

A

LPN

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5
Q

unexpected occurence that results in patient death or serious injury

A

sentinel event

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6
Q

simple dressing change
suction established trach

can be done by

A

CNA

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7
Q

–Occurs when an issue could not be settled using the formal grievance process

–A mediator is selected

A

Arbitration

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8
Q

5 things to do for a patient during a seizure

A 
lower patient to floor or bed 
turn patient to side 
loosen restrictive clothing 
nothing in mouth
note onset and duration
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9
Q

in case of chemical exposure, do what 3 things

A

undress patient
irrigate patient perfusly
locate safety data sheet

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10
Q

with restraints:

must get a prescription within \_\_\_\_ hours 
orders can be writen up to \_\_hours 
remove 1 at a time ever \_\_ hours 
\_\_ fingers can fit between 
\_\_\_\_\_\_\_ knot 
belt restraints \_\_\_\_\_ gown
A 
must get a prescription within 1 hour 
orders can be writen up to 4 hours 
remove 1 at a time ever 2 hours 
2 fingers can fit between 
quick release knot on bed frame
belt restraints over gown
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11
Q

3 things to remeber for patients with contact precaution

A

private room or same infection
glove
gowns

keep equipment in room

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12
Q

3 interventions for herpes zoster (shingles)

A

isolate patient until veicles have crusted over
avoid individuals who have not had chickenpox
antiviral meds

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13
Q

type of tort that incudes negligance

forgot to set a bed alarm and the patient fell

A

unintenttional tort

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14
Q

no conflict occured yet but high likeylhood that it will occur

A

latent conflict

stage one

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15
Q

Outlines the important general values, duties, and responsibilities that flow from the specific role of being a nurse

Established by the American Nurses Association in 1950 to support the ethical obligation of nursing

A

Code of Ethics for Nurses

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16
Q

request from a provider to another physican or resource who can provide expert advice or services

A

consult

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17
Q

assist the patient with issues regarding speech, language and swallowing

A

speech language pathologist

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18
Q

use of oxygen at home:

place ______ sign at front door
_______ equipment grounded
_______ fabrics and not synthetic or wool

A

place no smoking sign at front door
electrical equipment grounded
cotton fabrics and not synthetic or wool

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19
Q

if you suspect a coworker is imapired you must report to ____

A

charge nurse

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20
Q

help patient to reain ability to perform ADLs

A

OT

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21
Q

both parties are aware of conflict and

resolution is being made

A

manifest conflict

stage 4

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22
Q

older than 65
recieved disibility for at leasr 2 years
endstnge renal disease with dialisis or als

A

medicare

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23
Q

what are the 2 main parts of an advance directive

A

living will- patients wishes if incapacitated

DPOA- someone that the pateint designated to makes medical decisions for the person

DNR and AND can also be included

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24
Q

2 interventions for frostbit

A

98.6- 108 water

tetnaus vacciene

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25
Q

end result of care

what results occured from specifc internevention of the nurse

(mortality, morbidity, length of hospital stay)

A

outcome audits

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26
Q

2 things needed before entering a room for a patient wih dropet precautions

A

private room or same infection roommate

mask

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27
Q

RACE acronym with fire safety

A

rescue - move patients to safer location (horizontal)
Alarm- activate alarm
contain - close doors and windows
Extingush- fire extingusisher

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28
Q

PASS acronym with fire safety

A

Pull pin
Aim at base of fire
squeeze handle
sweep from side to side

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29
Q

with tornados, what 3 things should the nurse do

A

close shades
move patients away from windows
place blankets over patiens who are bed bound

30
Q

what 6 things need to be included with discharge paperwork

A

diet and activity restrictions

detailed instructions for procedures at home (dressing changes)

list of medications, when to take and precautions

signs and symptoms of complications and when to seek medical attention

followup appointment information

names and number for providers

31
Q

2 things needed before entering a room with a patient with airbourne precautions

A

private room with negative airflow

N95 mask

32
Q

3 things to remeber with sealed radiation implant

A

wear an apron facing radiation site
visitor stand 6 feeet away or more
visitors can only stay for 30 mins or less

33
Q

during a mass casualty situations, Patients are assessed for:

A

Respiration
Perfusion
Mental status

34
Q

does not provide direct patient care

act as a care coordinator from acute care from home or skilled nursing facility

A

case manager

35
Q

mass casualty event where

must be treated in 1 hour 
life threatening conditions 
resp >30 
cap refill > 2 seconds 
mental status change
A

red
emergent
class 1

36
Q

for safe wheelchair use what 3 techniques

A

stand between the wheelchai and the bottom of incline when moving down a ramp

lock brakes on both sides and raise foot plates when transfering

back patint into elevator

37
Q

type of tort that incudes

assult - threatening violence
Battery- inflicting violence on a patient
false imprisonment- inappropriate restraint

A

intentional tort

38
Q

individual has emeotional response to conflict

A

felt conflict

stage 3

39
Q

measure process of care or how care wa carreid out

task oriented

relationship between quality of nure and care provided

A

process audits

40
Q

3 things to do after a needle sick injury

A

notify supervisior right awa y

patient and nurse will need to be tested for blood bourne illnesses

incidnet report created

41
Q

in mass casualty situation:

If no radial pulse or capillary refill greater than 2 seconds, prioritize ______

A

red/ emergent

42
Q

7 infections that require droplet precautions

A 
influenza
pnemonia
mumps 
pertussis
sepsis
rubella
bacterial meningitis
43
Q

low socioeconomic status

A

medicaid

44
Q

3 things you need to do for AMA

A

notify provider
discuss risks of AMA
sign AMA form if no sign document

45
Q

fridge perishible foods within __ hours or __ hours if it is 90 degrees out or more

A

2 hours

1 hour

46
Q

6 transfer dos

A 
immediate needs and priority 
alllergies 
advanced directives 
diet and activity restriction
recent changes
time of patients last dose of pain
47
Q

monitor structure or setting in which patient care occurs

medical records, building, finanaces, environment

relation ship between quality care and appropriate structures

A

structure audit

48
Q

created when an acident or an unusal event happens in hospital

should be created within 24 hours

A

incident report

49
Q

in mass casualty situation:

If victim does not follow command, is unconscious or disoriented, prioritize ______

A

red/ emergent

50
Q

individual believes that a problem exist but the other party is not aware of it

A

percieved conflict

stage two

51
Q

conflict is resolved with either positive or negative

A

conflict aftermath

stage 5

52
Q

caused by reactivtion of the chickenpox virus

non communicible

painful unilateral rash
low grade rash
paraesthesia

can vaccinate for

A

herepes zoster (shingles)

53
Q

3 things to remeber for patients with contact precaution

A

private room or dame infection
glove
gowns
keep equipment in room

54
Q

conflict between 2 people

A

Interpersonal Conflict

55
Q

3 infetions that are associated with airbourne

A

measles
varicella (chickenpox)
TB

56
Q

conflict between 2 groups

A

Intergroup Conflict

57
Q

used to promote cost effective care by standardizeing care with a specific diagnosis

time bound activities, interventions and outcomes

A

critical pathway

58
Q

when provider request management of one or more of the patients concerns to another provider orsupport services

churches, meal transportation, transportation services

A

refferal

59
Q

in mass casualty situation:

If radial pulse is present or capillary refill is less than 2 seconds go to _________ assessment

A

If radial pulse is present or capillary refill is less than 2 seconds go to MENTAL STATUS assessment

60
Q

can feeding patient with swallowing issues be delegated to a CNA

A

no

61
Q

keeping your promises

A

fidelity

62
Q

injury prevention for school age kid

use a car booster seat until over __ lbs or __ foot __ inches

stay in back seat until __ years old

A

use a car booster seat until over 40 lbs or 4 foot 9 inches

stay in back seat until 12 years old

63
Q

3 types who arent considered competent to refuse treatment

A

dementia
under the unfluence > 0.08% alcohol
schizophrenic with command hallucinations

64
Q

individuals internal struggle

A

Intrapersonal Conflict

65
Q

START Acronym

A

simple triage and rapid treatment

66
Q

on telephone orders, you should do what 4 things

A

have second nurse listen in
repeat order back
have provider sign within 24 hours
question orders that don’t seem correct

67
Q

4 signs of carbon monoxide poision

A

nausea
vomiting
headache
losss of consciousness

68
Q

4 appropriate patient identifier

A

photo ID
hospital band
birthday
medical record number

69
Q

copis of med record should not be made unless ____

A

change of care facility

70
Q

3 transfer donts

A

routein care
visitor info
subjective comments

71
Q

with informed consent the nurse is responsible for what 3 things

A

make sure provider gave the patient the information
make sure the patient is compitent
sign the consent document

collab (2 decks)

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