NUR 210 Exam 2

Question 1

competent communication

Answer 1

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

Question 2

theraputic communication

Answer 2

healing relationships between nurse and patient

Question 3

critical thinking + clinical judgment = _____________

Answer 3

best communicators

Question 4

intrapersonal

Answer 4

talking to yourself

Question 5

interpersonal

Answer 5

talking to others

Question 6

metacommunication

Answer 6

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

Question 7

is the EHR legally binding?

Answer 7

yes

Question 8

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

Answer 8

EHR

Question 9

what is the PHI

Answer 9

Protected Health Information

Question 10

what is the purpose of an acuity rating system?

Answer 10

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

Question 11

who governs documentation?

Answer 11

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

Question 12

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

Answer 12

civil law

Question 13

two types of statutory law

Answer 13

• civil
• criminal

Question 14

Patient Protection and Affordable Care Act

Answer 14

• affordable health care
• increased access to care

Question 15

Emergency Medical Treatment and Active Labor Act

Answer 15

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

Question 16

Health Information Technology Act

Answer 16

Nurse must make sure PHI is protected

Question 17

Mental Health Parity and Addiction Equity Act

Answer 17

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

Question 18

what does consitutional law mean for the patient?

Answer 18

patient can refuse treatment

Question 19

Patient Self Determination Act

Answer 19

informed consent

Question 20

Uniform Anatomical Gift Act

Answer 20

organ donation

Question 21

The Omnibus Budget Reconcilliation Act (1986)

Answer 21

changed how health care is provided for older adults

Question 22

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

Answer 22

Good Samaritan Laws

Question 23

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

Answer 23

Public Health Laws

Question 24

two types of laws that vary by state:

Answer 24

1. Termination of Pregnancy laws
2. Physician-assisted suicide laws

Question 25

Uniform Determination of Death Act

Answer 25

determines actual death

Question 26

what is restraints with no orders considered?

Answer 26

illegal detention

Question 27

what are the 6 reasons to refuse an assignment?

Answer 27

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

Question 28

what do you do if there is a fire?

Answer 28

close all doors

Question 29

most important thing for a patient experiencing seizures

Answer 29

protect the head

Question 30

when a disaster occurs what should the hospital immediately do?

Answer 30

triage patients

Question 31

what is triage

Answer 31

sorting patients based on severity

Question 32

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

Answer 32

exit plan

Question 33

what is HAI

Answer 33

healthcare aquired infections

Question 34

safety guidline mneumonic AITI

Answer 34

Anticipate Involve Try Implement

Question 35

6 chains of infection

Answer 35

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

Question 36

3 responses of inflammation

Answer 36

- vascular and cellular responses - inflammatory exude - tissue repair

Question 37

can nurses delegate vital signs?

Answer 37

yes

Question 38

when is it your responsability to reassess vital signs?

Answer 38

when theyre abnormal

Question 39

how is medical dosage calculated?

Answer 39

using vital signs

Question 40

what is body temp?

Answer 40

heat produced - heat lost

Question 41

hypothermia

Answer 41

below 95 degrees

Question 42

hyperthermia

Answer 42

above 100

Question 43

how is hyperthermia verified?

Answer 43

using rectal temp

Question 44

electronic thermometer

Answer 44

displays 15-30sec

Question 45

tympanic thermometer

Answer 45

probe in ear, widely varying results

Question 46

temporal artery thermometer

Answer 46

infared technology, high accuracy

Question 47

when should you give supplemental oxygen to a patient?

Answer 47

when o2 sat drops to 88 or lower

Question 48

which artery is most used to assess HR

Answer 48

radial

Question 49

what is the kortokoff sound?

Answer 49

first sound heard when taking BP

Question 50

how do womens BP change after puberty?

Answer 50

lower than mens

Question 51

how does womens BP change after menopause?

Answer 51

higher than mens

Question 52

idiopathic pain

Answer 52

unknown location

Question 53

neuropathic pain

Answer 53

chronic nerve damage

Question 54

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

Answer 54

TJC