pnc103 exam 1 study grid Flashcards
nonverbal communication
- involves a person’s actions, tone of voice, the way they use their body, and their facial expressions
- has a greater influence (about 70%) on how the message we sent (intentionally or not) is received
nurse practice act
- in each state provides for the formation of the state board of nursing, the organization that develops and enforces the rules and regulations of nursing practice in the state
- the state board of nursing can enforce only the rules and regulations that are in the nurse practice act
- the act itself is a set of laws that are determined to, written, and changed by the state legislature
a major responsibility of the state board of nursing is…
disciplinary action
- it is possible for a state board of nursing to withdraw licensure from a nurse, put a nurse on probation, require a nurse to be in substance abuse program before having the license reinstated, and enact other forms of discipline
- without exception, the state board of nursing is the power organization regarding nursing in every state
the nurse practice act is established into law to assist the nurse to…
remain within the legal scope of practice for that state
- it does not provide a list of skills and knowledge an LPN must have to prctice
- provides a framework that the nurse can use along with knowledge, skills, education preparation, and facility policies and procedures to make legally correct decisions regarding nursing practice
the nurse practice act dictates that the nurse has a legal duty to…
carry out orders given by a healthcare provider as licensed nurse
- as a licensed nurse, there also is a legal and ethical duty to use individual nursing judgment in the delivery of nursing care
to demonstrate understanding of the nurse practice act
- dictates the acceptable scope of nursing practice for the different levels of nursing
- when a nurse is questioning whether or not to perform a certain skill or perhaps is accused of wrongdoing, the NPA typically is consulted to find out if that nurse is performing at the accepted level of preparation
confidentiality
so important that is mentioned in both federal and state patient rights
- marked by intimacy or willingness to confide
- the doctrine of privileged information is a bond between patient and physician. under this doctrine, the physician has the right to refuse answer certain questions and can cite “privileged physician patient information”
- nurses are usually not included in this relationship. if information is requested of nurses in a legal situation, they must answer as truthfully as they can
explain what HIPAA is and its role in healthcare delivery
- HIPAA provides national standards pertaining to the electronic transmission and communication of medical information between patients, providers, employers, and insurers
- HIPAA allows more control on the part of the patient as to what part of their information is disclosed. it addresses the security and privacy involved with medical records and how that information is identified and passed between care providers
involuntary admission
- this action is reserved for people exhibiting behavior that makes them potentially dangerous to themselves or others - should be as a last resort
- the average LOS for involuntary commitment is approx 48-72 hours, but it can be more or less depending on state law. during this time, the person is observed and examined by the medical and nursing staff
voluntary commitment
- most patients who are hospitalized for some type of mental illness are there voluntarily; that is at some point they realized they needed help. patients who agreed to voluntary treatment may sometimes be allowed to sign themselves out
- the staff can institute an involuntary commiment for a patient who is voluntarily committed if they consider the person potentially dangerous to others or themselves
cultural competence/sensitivity
- communication
- personal space
- social organization
- time
- environmental control
- biological variation
therapeutic/nontherapeutic relationship
appropriate vs inappropriate communication
- boundary setting
- discussing expectations collaboratively up front
- transference and countertransference
good samaritan laws
- good samaritan laws offer immunity from prosecution for citizens who stop to assist someone in need of medical help. these laws may not always protect nurses, physicians, and other medically trained personnel especially if they are on duty
- a third party cannot be carged w/ negligence unless help is given recklessly or that person makes the situation significantly worse, according to teh guidelines for that particular state
therapeutic communication
- communication between a hcp and a pt that is aimed at improving the pts physical or psychological health and wellbeing
- active and reflecting listening, using nonverbal as well as verbal communication
- types: reflecting, clarifying terms, open ended questions, asking for what you need or want, identifying feelings and thoughts, using empathy, silence, giving information, using general leads, stating implied thoughts and feelings
code of ethics
- provision 1: the nurse practices with compassion and respect for the inherent dignity, worth and unique attributes of every person
- provision 2: the nurse’s primary commitment is to the pt, whether an individual, family, group, community, or population
- provision 3: the nurse promotes, advocates for, and protects the rights, health, and safety of the patient
- provision 4: the nuse has authority, accountability and responsibility for nursing practice; makes decisions; and takes action consistent with teh obligation to provide optimal patient care
- provision 5: the nruse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth
- provision 6: the nurse, through ndividual and collective effort, establishes, maintains and improves the ethical environment of the work settings and conditions of employment that are conducive to safe, quality health care
- provision 7; the nruse in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy
- provision 8: the nruse collaborates with other health professionals and teh public to protect human rights, promote health diplomacy, and reduce health disparities
- provision 9: the profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy
