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Block 2 Week 1 & 2 F&E ANS Role Dev > NCLEX Role Development Lecture 2 > Flashcards

NCLEX Role Development Lecture 2 Flashcards

0
Q

The right person will __________ the right tasks to the right person to be performed on the right patient.

A. direction
B. task
C. delegate
D. circumstance
E. supervision
A

Answer: C. delegate

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1
Q

What part of SBAR is this?
State your name and unit. I am calling about: client name and room number. The problem I am calling about is the patient has respirations below 8.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Situation

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2
Q

“Professional _____________ are the spaces between the nurse’s power and the patient’s vulnerability”
- National Council of State Boards of Nursing

A. Nursing Practice
B. Standards
C. Boundaries
D. Lifelong Learning

A

Answer: C. Boundaries

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3
Q

What part of SBAR is this?
Ask for a consultant to see the client now.
Other suggestions.
Are any tests needed: CXR, ABG, EKG, CBC, BNP, others.
If a change in treatment is ordered, then ask how often do you want vital signs?
If the client doesn’t improve, when do you want us to call again?

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Recommendation

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5
Q

The right _______is one that is delegable for a specific client, such as tasks that are repetitive, require little supervision, and are relatively noninvasive.

A. direction
B. task
C. circumstance
D. delegation
E. supervision
A

Answer: B. task

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6
Q

“Boundary violations can result when there is _______ between the needs of the nurse and those of the patient.”

A. confusion
B. changes
C. communication
D. collaboration

A

Answer: confusion

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7
Q

Is it _________?
- Have I confused the direction by giving too much unnecessary information?

A. Concise
B. Correct
C. Complete
D. Clear
Which of the 4 C’s of initial direction?
A

Answer: Concise

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8
Q

“_____________ is an extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harassing, or reasonably interpreted as sexual by the patient.”

A. Ethical Misconduct
B. Sexual Misconduct
C. Unintentional tort
D. Battery

A

Answer: B Sexual Misconduct

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9
Q

What part of SBAR is this?
State the admission diagnosis and date of admission. State the pertinent medical history.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Background

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10
Q 
Unstructured time frame
Not goal directed
Non-theoretical
Independent Relationships
Informal Duties
No financial concerns
What are these examples of in relation to social vs. professional relationships?
A

Answer: Social

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11
Q 
A. Library resources
B. PDA
C. Electronic health record
- Computer literacy
D. Online/Web based data bases
- http://rncre8r.wetpaint.com
- Preferred sites end in “org,” “gov,” or “edu.”
- WebMD
- PDRHealth
- healthline.com
- medscape.com
- dictionary.com
- Use caution with sites such as Wikipedia. Avoid personal blogs, commercial sites selling miracle products, etc.
What are these resources examples of in relation to nursing education?
A

A: Life-long Learning

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13
Q

“The _________ is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
A. Health Insurance Portability and Accountability Act (HIPAA)
B. Omnibus Reconciliation Act (OBRA)
C. American Nurses Association (ANA)
D. Occupational Safety Healthcare Act (OSHA)

A

Answer: C. American Nurses Association (ANA)

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14
Q

What part of SBAR is this?
A brief synopsis of the treatment to date.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Background

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15
Q

What skills are needed for delegation? (SATA)

  1. Assessment
  2. Collaboration
  3. Planning
  4. Communicating clear messages
  5. Implementation
  6. Matching job to what is delegated
  7. Diagnosis
  8. Providing clear goals
  9. Teaching
  10. Giving responsibility and accountability
  11. Providing feedback
  12. Evaluating
A

Answer:

  1. Assessment
  2. Collaboration (Incorrect)
  3. Planning
  4. Communicating clear messages
  5. Implementation (Incorrect)
  6. Matching job to what is delegated
  7. Diagnosis (Incorrect)
  8. Providing clear goals
  9. Teaching (Incorrect)
  10. Giving responsibility and accountability
  11. Providing feedback
  12. Evaluating
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16
Q

Communication Matching Quiz

  1. Information ______ is not communication.
  2. The ______ is responsible for clarity.
  3. Use simple and exact _______.
  4. ________ should be encouraged.
  5. The sender must have ________.
  6. _______ of others is essential.
  7. _________ channels of communication are best.
A. language
B. feedback
C. acknowledgement
D. giving
E. direct
F. sender
G. credibility
A

Answer: 1D, 2F, 3A, 4B, 5G, 6C, 7E

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16
Q

What part of SBAR is this?
Briefly state the problem: what it is, when it happened, or started and how severe.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Situation

17
Q

Is it _______?
- Does it give all the information necessary to complete the task?

A. Concise
B. Correct
C. Complete
D. Clear
Which of the 4 C’s of initial direction?
A

Answer: complete

19
Q

ANA Code of Ethics with Interpretive Statements

A

Check the link on slides

21
Q

Right ____________ is a clear, concise description of the task, including its objective, limits, and expectations, is given. Communication must be ongoing between RN and assistive personnel during a shift of care.

A. supervision
B. task
C. delegate
D. circumstance
E. direction
A

Answer: E direction/communication

22
Q

Name the Five Rights of Clinical Delegation?

A
  1. Right task
  2. Right circumstances
  3. Right person
  4. Right direction/communication
  5. Right supervision
23
Q

What part of SBAR is this?
Do you think we should (state what you would like done).

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Recommendation

24
Q

What part of SBAR is this?
Transfer the client to the ICU.
Come to see the client at this time.
Talk to the client and/or family about code status.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Recommendation

25
Q

A nurse never _______ a task that he or she dislikes doing or would not do independently because this can create negative feelings and poor working relationships.

A. direction
B. task
C. delegation
D. circumstance
E. supervision
A

Answer: C. delegation

Ex. if a nurse is in the room when a client asks to be placed on a bedpan, the nurse should assist the client rather than leave the room to find the nurse assistant.

26
Q

What part of SBAR is this?
Most recent vital signs. The client is on or off oxygen. Any changes from prior assessments.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Assessment

26
Q

Is it _________?
- Do the directions follow policy, procedure, job description, and the law?

A. Concise
B. Clear
C. Complete
D. Correct
Which of the 4 C’s of initial direction?
A

Answer: D. Correct

26
Q

Right _____________is appropriate monitoring, evaluation, intervention as needed, and feedback are provided. Assistive personnel should feel comfortable to ask questions and seek assistance

A. direction
B. supervision
C. delegate
D. circumstance
E. task
A

Answer: B supervision

27
Q

Boundary crossings are brief excursions across professional lines of behavior that may be __________ while attempting to meet a special therapeutic need of the patient.”

  • National Council of State Boards of Nursing
A

Answer: inadvertent, thoughtless, or even purposeful

27
Q

What is the nursing mission statement?

A

Answer: “Nurses advancing our profession to improve health for all. “

29
Q

Is it ______?
- Is what I am saying understood?

A. Concise
B. Correct
C. Complete
D. Clear
Which of the 4 C’s of initial direction?
A

Answer: Clear

30
Q 
www.gccaz.edu
Library
Articles and Databases
Nursing, Medicine, and Health
CINAHL
Search for topic
What are these resources examples of in relation to nursing education?
A

Answer: Evidence-based Practice (EBP) Care Sheets

31
Q 
Structured time
Goal directed
Focus on client’s needs
Theory-based interaction
Part of a treatment team
Legal and ethical duties
Financial issues
Confidentiality
Documentation
What are these examples of in relation to social vs. professional relationships?
A

Answer: Professional

31
Q

The right __________ include the appropriate client setting, available resources, and other relevant factors are considered. In an acute care setting, clients’ conditions can change quickly. Good clinical decision making is needed to determine what to delegate.

A. direction
B. task
C. delegation
D. circumstance
E. supervision
A

Answer: D circumstance

32
Q

What part of SBAR is this?
Changes in mental status, skin color, neuro changes, musculoskeletal (joint deformity, weakness), respiratory rate/quality, pulse/BP rate/quality, pain, GI/GU (nausea/vomiting/diarrhea/output, retractions/use of accessory muscles, rhythm changes, wound drainage.

A. Situation
B. Background
C. Assessment
D. Recommendation

A

Answer: Assessment

Block 2 Week 1 & 2 F&E ANS Role Dev (10 decks)

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