Nursing sensitive outcomes

Question 1

critical thinking

Answer 1

ability to reason
to make and to reflection on rational, legal, and profession decisions founded on nursing knowledge 
to reflect
to contemplate 
to consider all information and knowledge 
to rationalize
to analyze all that you know 
to consider alternatives

Question 2

ability to analyze and evaluate information and thinking

Answer 2

to be self-motivated and self-improving
to develop your knowledge, inquiry, reflection, and decision making
to be open minded and collaborative

Question 3

requisite skills and abilities for becoming a registered nurse in alberta

Answer 3

cognitive 
behavioural 
communication 
interpersonal 
physical 
sensory perceptual 
environmental

Question 4

cognitive

Answer 4

exercise critical inquiry skills to develop professional judgement

Question 5

behavioural

Answer 5

manage own behaviour well enough to provide safe, competent and ethical nursing care (self regulation)

Question 6

communication

Answer 6

speak and understand english well enough to avoid mixing up words and meanings including complex medical and technical terminology

Question 7

interpersonal

Answer 7

maintain interpersonal (professional) boundaries

Question 8

physical

Answer 8

having ability to perform activities needed to provide the care your patients require
eg- lifting, dexterity, coordination

Question 9

sensory perceptual

Answer 9

sight, hearing, touch, smell

being able to assess your patients and situations

Question 10

environmental

Answer 10

need to be able to function in situations with “commonly encountered and unavoidable environmental factors”

Question 11

nursing sensitive outcomes

Answer 11

patient care outcomes responsive to the actions of the registered nurse
specific patient results which occur as a consequence of specific nursing interventions

Question 12

nursing role effectiveness model

Answer 12

independent role = nursing interventions
medical care related role = care initiated in response to a medical order
interdependent role = interprofessional and multidisciplinary team communication, coordination of care
all of these lead to nursing sensitive patient outcomes

Question 13

what do registered nurses do to positively impact the health and quality of life of the patient

Answer 13

independently as the registered nurse delivering patient care
inter-professionally/collaboratively as part of a multidisciplinary team delivering patient care

Question 14

evidence for nursing practice

Answer 14

available information to support/demonstrate that a practice/intervention is the best means of achieving the desired outcome

Question 15

tanner’s model

Answer 15

clinical judgement
clinical knowledge
clinical reasoning

Question 16

clinical judgement

Answer 16

understanding of patient needs and selecting the appropriate interventions
application of clinical knowledge

Question 17

clinical knowledge

Answer 17

textbook or researched
objective data = measurable, observable, see, hear, feel, smell
subjective data = patient information, what the patient says

Question 18

clinical reasoning

Answer 18

the process undertaken to arrive at clinical judgments

integrating the knowledge and information with “knowing” the patients values and beliefs to determine best action

Question 19

clinical judgement influenced by

Answer 19

context, background, relationship
decisions made are impacted by the culture and standards of the unit
decisions made include an understanding of the specific patient and his/her uniqueness
decisions made are shaped by the functioning and working relationship of the different healthcare professionals on the unit

Question 20

4 phases of tanner’s model

Answer 20

noticing
interpreting
responding
reflecting

Question 21

noticing

Answer 21

a perceptual grasp of the situation at hand

must know “norm” or baseline

Question 22

interpreting

Answer 22

developing a sufficient understanding of he situation to respond
attending to most pertinent and relevant information
achieving understanding of information
developing appropriate plan

Question 23

responding

Answer 23

deciding on a course of action deemed appropriate for the situation
having a planned action but being flexible and modifying as needed to adapt to patient responses

Question 24

reflecting

Answer 24

attending to the patients responses to the nursing action while in the process of acting
being aware and carefully thinking about the patients response to your interventions

Question 25

reflection-in-action

Answer 25

being cognizant of how your patient is responding to your intervention and modifying and adapting to that response as needed

Question 26

reflection-on-action

Answer 26

thinking on the situation after the experience
gaining learning and using the experience to develop/improve personal practice
personal responsibility to critically reflect

Question 27

SBAR

Answer 27

situation
background
assessment
recommendation

Question 28

situation

Answer 28

concern, diagnosis, treatment plan and patients wants and needs 
what is occurring with the patient 
what are the acute changes 
what is the concern 
This is \_\_\_\_ im calling about \_\_\_

Question 29

background

Answer 29

vital signs, mental and code status, list of medications and lab results
pertinent history (admitting diagnosis/pertinent comorbidities) and objective data that provides relevant information on patient situation
the patient has ___

Question 30

assessment

Answer 30

current providers assessment of the situation
what do you see
what do you think is going on 
what do you think the issue is 
how severe is the problem 
a diagnosis is not necessary 
i think the problem is \_\_\_

Question 31

recommendation

Answer 31

identify pending lab results and what needs to be done over the next few hours and other recommendations for care 
what do you think needs to be done 
what action do your propose 
state what the patient needs and when 
i request that you \_\_\_

Question 32

what is documentation

Answer 32

any written or electronically generated information about a client that describes client status or the care or services provided to that client

Question 33

CARNA and documentation

Answer 33

professional obligation
part of standards of practice and ethics code
legislative obligation
documentation is not optional

Question 34

documentation is done

Answer 34

by the nurse
the nurse documents timely, accurate reports of data collection, interpretation, planning, implementation and evaluation of nursing practice

Question 35

purpose of documentation

Answer 35

to communicate and provide continuity of care
to ensure accountability
legal implications of documentation
for quality improvement and risk management
facilitating evidence-informed practice and clinical decision support

Question 36

principles of charting

Answer 36

precise, concise, accurate
objective data
subjective data
do not express opinion
should be clear, legible, accurate and should use proper terminology
chart chronologically at the time of occurrence or as soon as possible

Question 37

narrative charting

Answer 37

written in sentence form

not a checklist

Question 38

focus charting

Answer 38

a focus is identified which is based on client concerns or behaviours determined during the assessment

Question 39

focus charting: DARP

Answer 39

focus column
data
action 
response
plan

Question 40

focus column

Answer 40

identifies the content or purpose of the narrative entry and is separated from the body of the notes in order to promote easy data retrieval and communication

Question 41

data

Answer 41

is the subjective and objective information supporting the stated focus or describing the observations at the time of a significant event

Question 42

action

Answer 42

describes past or present interventions of the health team member

Question 43

response

Answer 43

describes the patient outcome/response to interventions or describes how goals have been attained

Question 44

plan

Answer 44

describes future actions that are to be carried out at a later date or time
short or long term goals are clearly outlined

Question 45

medication administration

Answer 45

requires nursing knowledge and critical thinking

safe, competent and ethical medication administration is expectation of nursing practice

Question 46

safe medication administration includes

Answer 46

appropriate documentation
patient education documented
knowledge of medication actions, interactions, usual dose, route, side effects, and adverse effects
calculation of dosage and medication preparation
appropriateness of medication
know why patient is on medication
monitoring patient before, during, and after medication administration
evaluating impact of medication on patient status

Question 47

3 checks of medication

Answer 47

while removing medications from medication drawer
while preparing medication
before giving it to patient