NUR 210 Exam 2 Flashcards
competent communication
maintain relationships across all professions and meets legal, ethical, and clinical standards of care
theraputic communication
healing relationships between nurse and patient
critical thinking + clinical judgment = _____________
best communicators
intrapersonal
talking to yourself
interpersonal
talking to others
metacommunication
nonverbal communication that alters the meaning of what youre trying to convey
is the EHR legally binding?
yes
what system provides justification for financial billing + reimbersment of care?
EHR
what is the PHI
Protected Health Information
what is the purpose of an acuity rating system?
used to determine number of staff required for a group of patients for every shift every 24 hours
who governs documentation?
- individual state regulations
- The Joint Commision
- Centers for Medicare and Medicaid Services
nurse practice act is an example of what kind of law?
civil law
two types of statutory law
- civil
- criminal
Patient Protection and Affordable Care Act
- affordable health care
- increased access to care
Emergency Medical Treatment and Active Labor Act
cant transfer a patient anywhere until proper screening and stabilization has been done
Health Information Technology Act
Nurse must make sure PHI is protected
Mental Health Parity and Addiction Equity Act
requires health insurance companies to cover mental health and drug abuse treatment
what does consitutional law mean for the patient?
patient can refuse treatment
Patient Self Determination Act
informed consent
Uniform Anatomical Gift Act
organ donation
The Omnibus Budget Reconcilliation Act (1986)
changed how health care is provided for older adults
What law would protect a nurse if she helps at the scene of an accident?
Good Samaritan Laws
Laws that are intended to help people and affect individuals, communities, and populations
Public Health Laws
two types of laws that vary by state:
- Termination of Pregnancy laws
- Physician-assisted suicide laws
Uniform Determination of Death Act
determines actual death
what is restraints with no orders considered?
illegal detention
what are the 6 reasons to refuse an assignment?
- lack of knowledge
- exceeds NPA
- risk to nurses unborn child
- orientation to unit not completed
- conscientious objection; moral, ethical, or religious
- clinical judgment impaired due to fatigue
what do you do if there is a fire?
close all doors
most important thing for a patient experiencing seizures
protect the head
when a disaster occurs what should the hospital immediately do?
triage patients
what is triage
sorting patients based on severity
what should you always have when you go into a potentially violent patients room alone?
exit plan
what is HAI
healthcare aquired infections
safety guidline mneumonic AITI
Anticipate
Involve
Try
Implement
6 chains of infection
- infectous agent
- reservoir
- portal of exit
- modes of transmission
- portal of entry
- suseptible host
3 responses of inflammation
- vascular and cellular responses
- inflammatory exude
- tissue repair
can nurses delegate vital signs?
yes
when is it your responsability to reassess vital signs?
when theyre abnormal
how is medical dosage calculated?
using vital signs
what is body temp?
heat produced - heat lost
hypothermia
below 95 degrees
hyperthermia
above 100
how is hyperthermia verified?
using rectal temp
electronic thermometer
displays 15-30sec
tympanic thermometer
probe in ear, widely varying results
temporal artery thermometer
infared technology, high accuracy
when should you give supplemental oxygen to a patient?
when o2 sat drops to 88 or lower
which artery is most used to assess HR
radial
what is the kortokoff sound?
first sound heard when taking BP
how do womens BP change after puberty?
lower than mens
how does womens BP change after menopause?
higher than mens
idiopathic pain
unknown location
neuropathic pain
chronic nerve damage
which organization requires that spiritual history be taken from every patient in the hospital?
TJC
