Nursing as a Profession Flashcards
1
Q
what does professionalism require?
A
- critical thinking and critical judgement
- administer patient- centered care
- being responsible and accountable
2
Q
what is the meaning of health care advocacy groups?
A
being the voice for all healthcare groups
3
Q
what are the 2 health care advocacy groups?
A
- Robert Wood Johnson Foundation (RWJF) Future of Nursing: Campaign for Action
- Institute of Medicine (IOM) Publication on the Future of Nursing
4
Q
what does nursing require?
A
- current knowledge and practice standards
- insightful and compassionate approach
- critical thinking
5
Q
what is novice?
A
- a beginning student with no level of previous experience
- when switching specialties (Med surg to OB)
6
Q
what is an advanced beginner?
A
is when you graduate
7
Q
what is competent?
A
after 2-3 years of experience, you will become a charge nurse
8
Q
what is proficient?
A
- after 3 years of experience
- charge nurse –> preceptor
9
Q
what is an expert?
A
someone with diverse experience
10
Q
what is nursing?
A
Nursing is an art and science. It promotes health, prevents illness, and cares for ill, disabled, and dying people
11
Q
what are 2 examples of what nursing is?
A
- American Nurse Association (ANA)
- International Council of Nurses (ICN)
12
Q
what are the standards of being at a professional nursing practice?
A
- being at a competent level of nursing care
- be able to pass the NCLEX
13
Q
what are standards of professional performance?
A
- components of your professional role
- ex: being on time, following a code of ethics
14
Q
what are code of ethics?
A
knowing what is right and wrong
15
Q
what is the nursing process?
A
A Delicious Pie
A- Assessment
D- Diagnosis
P- Planning
I- Implementation
E- Evaluation
16
Q
what is assessment?
A
the RN collects data and information relating to the patient’s health or situation
- ex: doing a physical and interview on a lab partner
17
Q
what are the 2 forms of data?
A
- subjective data: what the patient says (you put in quotes)
- ex: “I am in pain”
- objective data: obtain through your senses
- ex: looking (heavy breathing), listening (heart sounds), touching (palpating), smelling (foul discharge)
18
Q
what is diagnosis?
A
the RN analyzes the assessment data to determine the diagnosis, problems, and issues
19
Q
what is planning?
A
- the RN develops a plan that prescribes strategies to attain expected, measurable outcomes
- the goal with the patient
- ex: a patient has really bad pain, we ask what the goal they want their pain level to be from 0-10
20
Q
what is implementation?
A
putting the plan into action: the nursing actions help the patient meet the goal
21
Q
what is coordination of care?
A
working with other people from other disciplines
- ex: other RNS, social workers, physicians, dietitian, physical therapists)
22
Q
what is health teaching and health promotion?
A
eating healthy, exercising to prevent serious medical problems from happening later in your life
23
Q
what is evaluation?
A
the RN evaluates progress toward the outcome
- going back to evaluate goals
- ex: if the patient’s goal is to be at a pain level of 3, but it is at a 7 we must go back and reevaluate what happened
24
Q
what is autonomy?
A
being independent
- independent: a mom wants to know how to breastfeed- the OB nurse can teach the mom without calling a physician
- dependent: asking a physician to administer medication
25
what does a caregiver do?
- learn to bathe a patient
- give an injection
- learn how to administrate medication
- put in a catheter
26
what is an advocate?
we are the patient's voice
- ex: a patient goes into surgery, the nurse must witness the consent to verify the patient was not being forced into surgery and that the patient understands the procedure
27
what does an educator do?
teaches the patient
- informal teaching
- formal teaching
28
if a patient asks a question about their IV, is it informal or formal teaching?
informal because it is not planned teaching
29
if a diabetic patient needs help taking their injection, is that informal or formal teaching?
formal because the patient asked a question on how to take their injection
- to develop a plan
30
what is a communicator manager?
working with a team and managing that team
31
nursing is defined as a profession because nurses:
A. perform specific skills.
B. practice autonomy.
C. utilize knowledge from the medical discipline.
D. charge a fee for services rendered.
B. practice autonomy
32
2. The nurse spends time with a patient and family reviewing a dressing change procedure for the patient’s wound. The patient’s spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
A. Educator
B. Advocate
C. Caregiver
D. Communicator
A. Educator
33
3. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with them. The nurse is acting as the patient’s:
A. Educator.
B. Advocate.
C. Caregiver.
D. Communicator.
B. Advocate
34
4. Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that apply.)
A. Caregiver
B. Autonomy
C. Patient advocate
D. Health promotion
E. Genetic counselor
A. Caregiver
B. Autonomy
C. Patient Advocate
D. Health promotion
35
provider of care:
- gave care at homes in olden days, but developed in the hospitals
- now we are going back to hospitals to homecare because how expensive it is
36
clinical nurse specialist
- when graduating from your program, you will become an expert in that area
- you can become an expert depending on the disease (Diabetes), in setting (Critical care), population (Geriatrics), in a certain type of care (Rehabilitation), in a certain type of problem (chronic pain)
- can work as an educator, consultant, or researcher
37
nurse practitioner
- usually employed in Primary Care Settings, Physicians office, University clinics, school nurses
- certain states require to collaborate with a physician
-ex: in Georgia, a N.P wasn't allowed to give out prescriptions without a physician cosigning it
38
where is the first point of entry a patient seeks out for help?
in a primary care setting
39
what does a certified midwife nurse do?
- perform pap smears
- prescribe birth control
- only see healthy women with a normal pregnancy (if patient develops a complication: preterm labor or preeclampsia see a physician)
- only develops normal babies
40
tips to get in as a certified registered nurse anesthetist
- GPA of a 3.5 or higher
- when graduate: work in the intensive care unit or ER
- have at least one year experience
41
nurse educator
- can teach at a university or hospital
- have 2 degrees higher than who you teach
- ex: teaching bachelor students, they would want a Doctorate degree
- work in a hospital: have a master's degree
42
nurse administrator
- needs a bachelor's degree
- budgeting, make the schedule for who is working on what shift, evaluate the employees (yearly evaluation- writing a summary, employee development)
43
nurse researcher
- work at universities, hospitals and conduct research
- want a doctorate degree
44
1. Ming is particularly drawn to the idea of becoming an advanced practice registered nurse (APRN). Ming’s career options for becoming an APRN include which of the following? (Select all that apply.)
A. Physician assistant (PA)
B. Clinical nurse specialist (CNS)
C. Certified nurse midwife (CNM)
D. Certified RN anesthetist (CRNA)
B. Clinical nurse specialist (CNS)
C. Certified nurse midwife (CNM)
D. Certified RN anesthetist (CRNA)
45
2. If Ming decides to choose a career as a critical care CNS, then his specialty is identified by which means?
A. Population
B. Setting
C. Disease specialty
D. Type of care
E. Type of problem
B. Setting
46
3. The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure injury risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career?
A. Clinical nurse specialist
B. Nurse administrator
C. Nurse educator
D. Nurse researcher
D. Nurse researcher
47
Historical Nurse Influences
- respond to needs of patients
- are very important in war
- important during disease outbreaks
- actively participate in determining best practices
- knowledge of the history of the nursing profession increases your ability to understand the social and intellectual origins of the discipline
48
who is Florence Nightingale?
- established first nursing philosophy based on health maintenance and restoration in notes of nursing
- developed the first program for training nurses at St. Thomas' Hospital in London
- first practicing epidemiologist
- looked into sanitary situations (handwashing, wound cleaning) looked at nutrients of the soldiers, kept great records, decreased the mortality rate (went to 42% to 2% in 6 months)
- improved sanitation in battlefield hospitals
- practices remain a basic part of nursing today
49
who is Clara Barton?
- founder of the American Red Cross
- took care of soldiers in the war by cleansing their wound, good handwashing, covered them when soldiers died
50
Who is Dorothea Lynde Dix and mother Bickerdykye ?
-organized ambulances and hospitals
-cared for the soldiers in the war
-made sure they got supplies to the troops
51
Who is Harriet Tubman?
- was with the underground railroad
- Helped 300 slaves get to freedom
52
who is Mary Mahoney?
The first African American Nurse
53
who is Isabel Hampton Robb?
- Founded the Nurses Associated Alumnae of the US and Canada in 1896 (ANA)
-Also authored textbooks and found the American Journal
54
who is Lillian Wald and Mary Brewster?
- Found the Henry Street Settlement
-They offer Nursing care to poor people who lived in apartments of New York City
55
Who is Mary Adelaide Nutting (1906)?
-First nursing professor At Columbia Teacher's college
-Took nursing schools to universities
-Wanted nurses to be educated at a university level (4 year education)
56
when did nursing specialization begin?
in the 1920s
57
when did the ANA establish Center for Ethics and Humans Rights?
1990
58
changes in the twenty- first century
- changes in curriculum to meet changing societal needs
- ex: 9/11, covid
- advances in technology and informatics
59
the reason for early discharge?
healthcare is extremely expensive, so we keep them until we need too, as soon as they are ready, we send them to home health care or rehab nursing
60
what is the last acts campaign?
- end of life care, and practices added to nursing curricula
- end of life issues- people who are in hospice care
61
some ways a nurse should take care of themselves is by:
- eating good food
- exercise
- stress reduction
62
what are the types of compassion fatigue?
- burnout: mentally and physical exhausted
- secondary traumatic stress: you develop trauma of taking care of sick people (cancer patients or chemotherapy)
- symptoms: anxiety, hopelessness, don't enjoy activities as they used to
63
what is lateral violence?
- incivility (bullying)
- coworkers not giving you information that you need to take care of a patient, making facial expressions when asking questions
64
health care reform and costs
- remove from acute illness to health promotion, illness prevention models and community base settings
- use supplies sparingly- transferring a patient from one unit to another, making sure they have everything they need (personal supplies) so they don't use anymore supplies
- be cautious how much you're charging a patient
- follow laws and procedures
65
by what year will 1 out of 5 patients be over the age of 65
by 2030 so more Geriatric nurses are needed
66
what is medically underserved?
coordinate services for mental illness and homelessness so they can go to appropriate housing
67
what is the meaning of low health literacy?
people do not understand the health care system and don't understand what the doctor is saying, so they will be less likely to participate in their care and have poor outcomes
68
1. Health care reform will bring changes in the emphasis of care. Which of these models is expected from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from an illness prevention to a health promotion model
C. Moving from hospital-based to community-based care (can also be a good answer)
D. Moving from an acute illness to a disease management model
A. Moving from an acute illness to health promotion, illness prevention model
C. Moving from hospital- based to community- based care (can also be a good answer)
69
what are examples of evidence- based practice?
- using research in nursing practice
- help reduce medical errors
- improves patient safety
70
what is the magnet recognition?
- recognizes excellences in nursing practices
- ex: Morristown Medical Center
71
what is an example of patient- centered care?
in the olden days, nurses would sit in a room and give a report, while today nurses give a report by the bedside
72
what is teamwork and collaboration?
- function effectively within nursing and interprofessional teams
- having open communication
- mutual respect
- shared decision- making to achieve quality patient care
73
what is an example of teamwork and collaboration?
- working with other disciplines
- OB working with physicians, midwife, nurse anesthesiologists, dietitians
- learning how to effectively communicate
- learning how to resolve conflict
74
what is evidence based practice?
problem solving approach to clinical practices that incorporates the best evidence from well-designed studies, patient values and preferences, and making decisions about a patient's care
75
what is quality improvement?
using data to monitor the outcomes of the care process
76
what is an example of quality improvement?
- looking at the best practices
- when patients had an IV in their hand, it would be flushed with heparin, but through research we learned that heparin is not necessary so now we use normal saline
77
what is safety?
- minimizing the risk of harm to patients and providers through both system effectiveness and individual performance
- to prevent medical errors
78
what is information?
to communicate, manage knowledge, to support decision making and reduce errors
79
what are examples of information?
- a variety of ways to get information: interviewing a patient/ charting
- maintain confidentiality/ protect the information
- ex: logging out of the computer
- taking the computer on wheels to the patient's room making sure family members can't see the information
80
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which QSEN competency.
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Quality improvement
C. Teamwork and collaboration
81
A critical care nurse is using a new research-based intervention to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which QSEN competency.
A. Patient-centered care
B. Evidence-based practice
C. Teamwork and collaboration
D. Quality improvement
B. Evidence-based practice
82
what is computerized provider order entry (CPOE)?
when the provider enters in the order, a warning will come up when a patient is allergic to a medication
- a great way to catch errors/ great reminders
83
what is the impact of emerging technologies (EHR)?
- computerized provider order entry
- telehealth
- a lot of technologies used in the homes: glucose machines
84
what is genomics?
interactions of a person's genes with the environment
-ex: a person has a family of colon cancer before the age of 50 so it is important they have a regular colonoscopy
85
what is hospital compare?
it compares the outcomes of different hospitals
- ex: it compares to heart failure, pneumonia, heart attacks, surgery survival rate to other hospitals
86
what is hospital consumer assessment of healthcare providers system (HCAHPS)?
after the patient is discharged from the hospital a paper survey will be given for results
87
what is the impact of nursing on politics of health policy?
- a nurse got needlestick from a patient who was HPV +, the result of this experience was that the nurse got a law passed so now we have a needle system
- professional organization (ANA) and the state board of nursing they send lobbyist to congress to change laws to make healthcare better
88
What is the Professional Registered Nurse Education
- by 2020 they wanted 80% of the nurses prepared at baccalaureate level
- must take the NCLEX after you graduate in order to become an RN
89
what profession needs a master degree?
- Advanced Practice Nurse
- Midwife
- Clinical Nurse Specialist
- Nurse Practitioner
90
What is a PhD?
it is mostly for research and academia
91
what is DNP (Doctor Nurse of Practice)?
- Advanced practice nurse
- Nurse Practitioner
- Midwife
- Nurse Anesthetist
92
what is CEU stand for, and what do you need it for?
Continuous Education Units and you need it for any renewal certification
93
what is in service education?
- training given by your employer
- ex: learning how to use a special device on the unit
94
What are the nurse practice acts?
- overseen by State Boards of Nursing
- regulate scope of nursing practice (what you can and can not do)
- protect public health, safety, and welfare
- protects the public from unsafe nurses
95
how do you get your nursing license?
- by taking the NCLEX
- the purpose is to have minimum knowledge/concepts for nursing
- before starting clinical they will check your criminal background (can't have speeding tickets)
- they will also check your credit score: people who can't manage their money won't be a good employee
96
what are the requirements to get your certification?
- when you graduate, you can take your certification usually within 2 years of full time practice
- once you become certified you will be an expert which increases your chances of getting a job
97
1. The examination for RN licensure is the same in every state in the United States. This examination:
A. Guarantees safe nursing care for all patients.
B. Ensures standard nursing care for all patients.
C. Provides a minimal standard of knowledge for an RN in practice.
D. Guarantees standardized education across all prelicensure programs.
C. Provides a minimal standard of knowledge for an RN in practice
98
what is the purpose to be in a professional nursing organization?
- to deal with concerns of the nurses practicing in that profession
- improves standard of practice, they expand nursing roles (what we can and cannot do), and improves the welfare of nurses
- helps with networking: meeting with people to get jobs and continuing education
99
Professional nursing specialty organizations seek to:
A. improve standards of practice.
B. expand nursing roles.
C. improve the welfare of nurses in specialty areas.
D. all of the above.
D. all the above
100
why is the healthcare delivery system important?
- US health care system is complex and constantly changing
- People we need to worry about is the uninsured
- if you don't have insurance, you will push off going to the doctor
- will die prematurely
- Nurses should be prepared and work together to improve access
- free health clinics
- Maintain quality and safety
- ex: QUES and occupancy
- Lessening health care costs
- following policies and procedures
- bringing patients equipment when transferring to another unit
101
what is primary?
- health promotion
- disease prevention
- ex: patients are at risked for pneumonia, need to turn the patient every 2 hours, coughing and deep breath, IS- inhale to expand their lungs
102
what is secondary?
- curing the disease
- ex: if the patient still develops pneumonia after doing those preventions, the patient would be given an IV antibiotic
103
what is tertiary?
- reducing complications
- ex: to monitor the patient for signs and symptoms of adverse reaction to the antibiotic
104
what is primary healthcare?
- the first place you go to get help
- ex: nutrition, immunizations, prenatal care, family planning (birth control)
- focuses on improved health outcomes for an entire population
- requires collaboration
105
what are the benefits of primary healthcare?
- health promotion programs lower the overall costs
- reduces incidence of disease
- minimizes complications
- reduces the need for for more expensive resources
106
what is preventive care?
- reduces and controls risk factors for disease
- ex: occupational health programs
107
what is secondary and tertiary care?
- focus: diagnosis and treatment of illness
- used when the primary care is insufficient
- going into the doctor's office, the doctor will refer us to a secondary health care provider
108
what is secondary care?
- doesn't use a lot of technology
- rural hospital
- referred to a specialist by a primary health care provider
- ex: a patient complains of having shortness of breath, the provider will refer you to a cardiologist specialist
109
what is tertiary care?
- primary health provider --> cardiologist ---> heart surgery
- when you use a ton of technology
110
hospitals provide:
- secondary and tertiary care to acutely ill
- intensive care
- advanced technology
- mental health facilities
111
what is critical access hospitals?
- located in a rural area
- 35 miles away from a hospital
- provide 24 hour of care
- small hospital (25 beds)
- can provide care for 96 hours until the patient is transported to a larger hospital facility
112
1. Which of the following are examples of a nurse participating in primary care activities? (Select all that apply.)
A. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester
B. Assessing the nutritional status of older adults who come to the community center for lunch
C. Working with patients in a cardiac rehabilitation program
D. Providing home wound care to a patient
E. Teaching a class to parents at the local grade school about the importance
A. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester
B. Assessing the nutritional status of older adults who come to the community center for lunch
E. Teaching a class to parents at the local grade school about the importance of immunizations
113
2. Which of the following nursing activities is provided in a secondary health care environment?
A. Conducting blood pressure screenings for older adults at the Senior Center
B. Teaching a patient with chronic obstructive pulmonary disease purse-lipped breathing techniques at an outpatient clinic
C. Changing the postoperative dressing for a patient on a medical-surgical unit
D. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit
C. Changing the postoperative dressing for a patient on a medical- surgical unit
114
what is discharge planning?
- the average los (length of stay) is 2-3 days, we must start discharge planning the day they are admitted into the hospital
- because patients are discharged so quickly, errors result medical prescription errors
- poor communication with the healthcare team
- lack of coordination with community health services
these can all lead to an unsuccessful discharge for the patient
115
what are developing plans for continuing care?
- determines post-hospital destination
- where the patient goes after they are discharge
- based off how they can take care of themselves (if the patient is independent, we can easily send them home and not worry about them)
- based off their insurance
- where they live (need to coordinate services close to where they live)
116
identifies patient needs
- the healthcare teams identify the patients need
- early mobility protocol: get the patient up and walking, we want the physical therapist immediately walking with them
- teaching: teach back
- ex: in clinical we will teach the patient how to give an injection, so the patient needs to teach it back or explain it back to you
117
1. A nurse is assigned to care for an 82-year-old patient who will be transferred from the hospital to a rehabilitation center. The patient and her husband have selected the rehabilitation center closest to their home. The nurse learns that the patient will be discharged in 3 days and decides to make the referral on the day of discharge. The nurse reviews the recommendations for physical therapy and applies the information to fall prevention strategies in the hospital. What discharge planning action by the nurse has not been addressed correctly?
A. Patient and family involvement in referral
B. Timing of referral
C. Incorporation of referral discipline recommendations into plan of care
D. Determination of discharge date
B. timing of referral
118
2. Which of the following are common barriers to effective discharge planning? (Select all that apply.)
A. Ineffective communication among providers
B. Lack of role clarity among health care team members
C. Sufficient number of hospital beds to manage patient volume
D. Patients’ long-term disabilities
E. The patient’s cultural background
A. Ineffective communication among providers
B. Lack of role clarity among health care team members
119
what are restorative services?
- serves patients recovering from an acute or chronic illness/disability
- helps individuals regain maximal function and enhance the quality of life
- stroke, spinal cord injury, sports medicine would use this service
120
what is acute illness?
short term
- ear infection
121
what is chronic illness
taken place over a long period of time
- ex: diabetes
122
what is home care?
- you can't do this fresh out of school, need experience because you are on your own
- home services for health maintenance, education, illness, prevention, diagnosis and treatment of disease, palliation, and rehabilitation
- durable medical equipment
- medical product that has been adapted for homes
- highly individualized care
- people who work in homecare will have their own patient loads, and you will get to know your patient very well and give individual care
123
what is rehabilitation?
- A lot of students are getting jobs at rehab
- Process aimed at enabling people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels.
- Rehabilitation services after acute care include physical, occupational, and speech therapy and social services.
- Settings include rehabilitation institutions within acute care centers, free-standing outpatient settings, and the home.
124
what is extended care?
- basically a nursing home
- elderly and people that experience traumatic injuries come here
- ex: brain injury
125
what is extended care facility?
provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities
126
what is intermediate care/ skilled nursing facility
- they offer more higher tech care then a nursing home
- can administrate iv fluids, need complex wound care, physical rehab
- provide care around the clock
- provides care for patients until they can return to their community or residential care location
127
what is assisted living?
- long term care setting
- home environment
- encourages resident autonomy
- very expensive- $3,750 a month to go here
128
what is respite care?
- provides short term relief for family members with disabilities or elderly: to give the family member a break
- can be provided by a friend, another family member, volunteer, or paid service, can go to an adult day care
129
what is adult day care centers?
- people who are frail
- people with disabilities that can't be left home by themselves
130
what is palliative care?
goal of improving the quality of life of patients and families who are experiencing problems related to life-threatening illnesses
- ex: comfort care
131
what is hospice care?
focuses on palliative (not curative) care
- people who are dying (cancer)
132
A patient who needs nursing and rehabilitation following a stroke would most benefit from receiving care at a:
A. primary care center.
B. restorative care setting.
C. assisted-living center.
D. respite center.
B. restorative care setting
133
what is medicare?
- people who are older then 65 years old
- very complex: 4 components a,b,c,d
Part A: hospital insurance
Part B: medical insurance
Part C: pays for vision and dental care
Part D: pays for your prescriptions
134
what is Medicaid
a federal state program for low- income individuals, blind and disabilities
135
what is the affordable care act?
one positive thing: is children of the age of 26 years old are covered under your parent's health plan
136
what is hospital readmissions reduction program?
If a patient is discharged and readmitted within 30 days: hospitals will have reduced medical payments if there are to many
137
what is patient satisfaction?
After patients are discharged from the hospital, a paper survey is mailed to them. If they get poor scores, they will get lower imbursement
138
Nursing shortage
- was triggered by COVID
- baby boomers are retiring
- nursing schools struggle to increase capacity (have to turn students away because there is not enough faculty to teach students)
139
what is Bureau of Labor Statistics Employment Projections
#1 job profession: nursing has a promising job growth by 2024
140
Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health
- the goal is to have an 80% of the nurses to have a bachelor's degree, right now we are at 55%
- encourage nurses to also get their doctorate's degree
141
Passage of Patient Protection and Affordable Care Act
32 million Americans now have access to health care
142
what is competency
- Ongoing competency is your responsibility as you become a RN
• QSEN and The Massachusetts Nurse of the Future Nursing Core Competencies©
• Need to know most current practice standards
143
Which activity performed by a nurse is related to maintaining competency in nursing practice?
A. Asking another nurse about how to change the settings on a medication pump
B. Regularly attending unit staff meetings
C. Participating as a member of the professional nursing council
D. Attending a review course in preparation for a certification examination
D. Attending a review course in preparation for a certification examination
144
what is patient centered care?
- Respect for patient’s values, preferences, and expressed needs
- Encouragement in the decision-making: more likely to comply with the plan
- Coordination and integration of care with other disciplines
- Information and education
- Good communications with patients and families
- Ex: if a patient asks a question, and the nurse does not know, ask, and follow up
- Physical comfort
- Pain management and assisting in ADL (activities of daily living)- feeding, walking
145
what is patient centered care pt. 2?
- Provide emotional support and alleviation of fear and anxiety
- Involvement of family and friends
- Continuity and transition
- Have resources after discharge: room care, physical therapy
- Access to care
- Ambulatory care: places where patients can walk in- primary care setting
146
what is intentional rounding?
every hour you need to check on your patient, and ask them the 4 P's
- Pain: assess the patient's pain: what is your pain from a scale from 0-10
- Potty: do you need to go to the bathroom
- Position: reposition every 2 hours to prevent bed sores and pneumonia
- Possessions: need anything (blanket, water, tissues, pillows)
- improves patient satisfaction, reduces patient falls and reduces the use of call light
147
A nurse newly hired at a community hospital learns about intentional hourly rounding during orientation. Which of the following are known evidence-based outcomes from intentional rounding? (Select all that apply.)
A. Reduction in nurse staffing requirements
B. Improved patient satisfaction
C. Reduction in patient falls
D. Increased costs
E. Reduction in patient call light use
B. Improved patient satisfaction
C. Reduction in patient falls
E. Reduction in patient call light use
148
what is the Magnet Recognition Program?
- Recognizes health care organizations that achieve excellence in nursing practice.
- Morristown is an example of a Magnet hospital because they recognize the excellences in nursing practice
- Has transformational leadership, the decisions are made by the staff nurse as oppose of the nurse manager
- Have structural empowerment- empowering the staff
- show appreciate to nurses
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Which of the following statements is true regarding Magnet® status recognition for a hospital?
A. Nursing is run by a Magnet manager who makes decisions for the nursing units.
B. Nurses in Magnet hospitals make all of the decisions on the clinical units.
C. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need.
D. Magnet is a special designation for hospitals that achieve excellence
D. Magnet is a special designation for hospitals that achieve excellence
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technology in health care
- Use robots to perform surgeries
- the EHR (Electric health records)
- telehealth
- technologies do not replace critical thinking skills
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Technological advances in health care:
A. make the nurse’s job easier.
B. depersonalize bedside patient care.
C. threaten the integrity of the health care industry.
D. do not replace sound personal judgment.
D. do not replace sound personal judgment
