NUR 210 Exam 2 Flashcards

1
Q

competent communication

A

maintain relationships across all professions and meets legal, ethical, and clinical standards of care

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2
Q

theraputic communication

A

healing relationships between nurse and patient

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3
Q

critical thinking + clinical judgment = _____________

A

best communicators

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4
Q

intrapersonal

A

talking to yourself

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5
Q

interpersonal

A

talking to others

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6
Q

metacommunication

A

nonverbal communication that alters the meaning of what youre trying to convey

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7
Q

is the EHR legally binding?

A

yes

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8
Q

what system provides justification for financial billing + reimbersment of care?

A

EHR

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9
Q

what is the PHI

A

Protected Health Information

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10
Q

what is the purpose of an acuity rating system?

A

used to determine number of staff required for a group of patients for every shift every 24 hours

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11
Q

who governs documentation?

A
  • individual state regulations
  • The Joint Commision
  • Centers for Medicare and Medicaid Services
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12
Q

nurse practice act is an example of what kind of law?

A

civil law

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13
Q

two types of statutory law

A
  • civil
  • criminal
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14
Q

Patient Protection and Affordable Care Act

A
  • affordable health care
  • increased access to care
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15
Q

Emergency Medical Treatment and Active Labor Act

A

cant transfer a patient anywhere until proper screening and stabilization has been done

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16
Q

Health Information Technology Act

A

Nurse must make sure PHI is protected

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17
Q

Mental Health Parity and Addiction Equity Act

A

requires health insurance companies to cover mental health and drug abuse treatment

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18
Q

what does consitutional law mean for the patient?

A

patient can refuse treatment

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19
Q

Patient Self Determination Act

A

informed consent

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20
Q

Uniform Anatomical Gift Act

A

organ donation

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21
Q

The Omnibus Budget Reconcilliation Act (1986)

A

changed how health care is provided for older adults

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22
Q

What law would protect a nurse if she helps at the scene of an accident?

A

Good Samaritan Laws

23
Q

Laws that are intended to help people and affect individuals, communities, and populations

A

Public Health Laws

24
Q

two types of laws that vary by state:

A
  1. Termination of Pregnancy laws
  2. Physician-assisted suicide laws
25
Q

Uniform Determination of Death Act

A

determines actual death

26
Q

what is restraints with no orders considered?

A

illegal detention

27
Q

what are the 6 reasons to refuse an assignment?

A
  1. lack of knowledge
  2. exceeds NPA
  3. risk to nurses unborn child
  4. orientation to unit not completed
  5. conscientious objection; moral, ethical, or religious
  6. clinical judgment impaired due to fatigue
28
Q

what do you do if there is a fire?

A

close all doors

29
Q

most important thing for a patient experiencing seizures

A

protect the head

30
Q

when a disaster occurs what should the hospital immediately do?

A

triage patients

31
Q

what is triage

A

sorting patients based on severity

32
Q

what should you always have when you go into a potentially violent patients room alone?

A

exit plan

33
Q

what is HAI

A

healthcare aquired infections

34
Q

safety guidline mneumonic AITI

A

Anticipate
Involve
Try
Implement

35
Q

6 chains of infection

A
  1. infectous agent
  2. reservoir
  3. portal of exit
  4. modes of transmission
  5. portal of entry
  6. suseptible host
36
Q

3 responses of inflammation

A
  • vascular and cellular responses
  • inflammatory exude
  • tissue repair
37
Q

can nurses delegate vital signs?

A

yes

38
Q

when is it your responsability to reassess vital signs?

A

when theyre abnormal

39
Q

how is medical dosage calculated?

A

using vital signs

40
Q

what is body temp?

A

heat produced - heat lost

41
Q

hypothermia

A

below 95 degrees

42
Q

hyperthermia

A

above 100

43
Q

how is hyperthermia verified?

A

using rectal temp

44
Q

electronic thermometer

A

displays 15-30sec

45
Q

tympanic thermometer

A

probe in ear, widely varying results

46
Q

temporal artery thermometer

A

infared technology, high accuracy

47
Q

when should you give supplemental oxygen to a patient?

A

when o2 sat drops to 88 or lower

48
Q

which artery is most used to assess HR

A

radial

49
Q

what is the kortokoff sound?

A

first sound heard when taking BP

50
Q

how do womens BP change after puberty?

A

lower than mens

51
Q

how does womens BP change after menopause?

A

higher than mens

52
Q

idiopathic pain

A

unknown location

53
Q

neuropathic pain

A

chronic nerve damage

54
Q

which organization requires that spiritual history be taken from every patient in the hospital?

A

TJC