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Sem 3 final > Prof Dev > Flashcards

Prof Dev Flashcards

1
Q

A group of jobs similar in type of work that are usually found throughout an industry or work environment.

A

Occupation

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2
Q

A type of occupation that requires prolonged preparation and formal qualifications higher lever criteria.

A

Profession

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3
Q

The approach that nursing most closely meets the criteria to be
deemed a profession. Defines profession based on common characteristics:
a. high intellectual level,
b. specialized body of knowledge,
c. EBP,
d. responsibility & accountability,
e. Code of ethics,
f. competency and professional licensure.

A

Trait approach

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4
Q

Based off successful data, and critical thinking. GOLD
STANDARD FOR NURSING PRACTICE.
a. Cost effective
b. Increases client safety
c. Improves clinical outcomes
d. Client and staff satisfaction.

A

EBP

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5
Q

the duty of a person to complete tasks and assignments that are within their power, control, and authority.

A

Responsibility

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6
Q

an obligation or willingness to be answerable for one’s own actions and or the action of others.

A

Accountability

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7
Q

Self-directed or independent and the ability to make decisions about
one’s future. Refers to the clients right to make healthcare decisions for themselves.
a. APRN (advance practice RN) exhibits the most autonomy.

A

Autonomy

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8
Q

Competency and professional license
a. State board of nursing
b. NCLEX: Minimum knowledge a nurse should have.
c. Regulation/registration

A

Code of ethics

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9
Q

The authority or power given to someone to do something
a. Nurse takes action to promote pt care/better pt care.
b. Nurses who are empowered will have a better attitude
c. Self-motivation and motivate others.

A

Empowerment

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10
Q

Establishing and maintaining a close personal relationship.
a. Used by establishing therapeutic relationships with patients and colleagues.
b. Ex: Doctors more willing to give wanted orders due to trust
c. Ex: Patient more willing to work with nurse on care due to trust.

A

Referent

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11
Q

Based on knowledge, skills, or expertise used or withheld.
a. Think of this power as knowing it all so that makes you an expert.
b. Ex: used to teach, counsel and motivate pt, coworkers, and students.

A

Expert powers

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12
Q

The ability of one person to grant another some type of reward
a. Ex: If you get up and walk around, I will take your catheter out.

A

Reward Power

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13
Q

Ability to reprimand, withhold rewards, and threaten punishment.
a. Damages therapeutic relationships
b. Can be considered unethical and or illegal.
c. Ex: giving IM medication when the pt refuses oral medication.

A

Coercive Power

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14
Q

Legislative or legal act that gives the indv. Or organization the
right to make decisions .
a. BON has legitimate powers due to the NPA.
b. Nurses become legitimate once they become liciensed.

A

Legitimate Power

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15
Q

Large group of indv. Who have similar beliefs, desires, or needs to become
organized.
a. Bigger in number makes the organization more heard
b. ANA helps make changed\s in the nursing field.

A

Collective

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16
Q

Aim to improve the standards of health access to
healthcare for everyone.
a. In 1964 wrote a paper stating BSN should be the basic level of preparation
for nurses
b. BSN in 10 years
c. Primary membership of the state board of nursing
d. Test and certify APRNs
e. Think of it as LPN/RNS

A

ANA American Nurse Association

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17
Q

Based off the IOM 5 competencies.
a. The project started due to the push for an improvement in the quality
and safety of patient care due to the large amount of medication/ medical
errors.

A

QSEN

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18
Q

The standard curriculum taught in NM nursing schools
a. 2020 12 schools with 1 curriculum

A

NMNEC

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19
Q

Florence Nightingale born & died

A

May 12, 1820 - august 13, 1920

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20
Q

Master of Science in nursing
a. Diagnoses illnesses, prescribe medications, conduct physical exams, refer clients to specialist
b. CNM (certified nurse midwife) & CRNA (certified RN anesthesiologist) oldest
APRNs

A

APRN

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21
Q

Ensures that nurses can function at a minimal level of competency and safety.

A

Licensure

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22
Q

Graduating nurse cannot use the letters RN

A

Permissive

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23
Q

Primary licensure in the US. Has to pass the NCLEX

A

Mandatory

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24
Q

Common within healthcare. No external
competence determines level of educations. EX: respiratory therapist.

A

Institutional

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25
Q

Granting of credentials that and individual who’s achieved a level of
ability higher than the minimal level of competence.
a. Has to have a RN in order to get more specialized training.
b. Ex: Wound care, chemo certification, advance life support, lactation.

A

Certification

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26
Q

Accredits nursing schools
a. ACEN: aims to maintain and improve the standards of nursing education.

A

NLN national league for Nursing

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27
Q

Aims to improve standards for
higher education for professional nursing
a. BSN curricula

A

AACN American association of colleges of nursing

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28
Q

the right of self-determination, independence and freedom

A

Autonomy

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29
Q

right to be treated equal.
i. Not based of race, gender, martial status, religion, ect

A

Justice

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30
Q

includes ideas of equal access to health care for all.
i. Equal pay for equal work. Access to healthcare around the world.

A

Distributive Justice

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31
Q

the obligation of an individual to be faithful to commitments made
to self and others.
i. Stay true to what we say we are going to do. Do no harm, show up to
work.

A

Fidelity

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32
Q

To do good

A

Beneficence

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33
Q

Do no harm intentionally or unintentionally

A

Nonmaleficence

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34
Q

Be truthful the right to know

A

Veracity

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35
Q

decision made about the clients health care when
the client is unable to make informed decision for themselves.
i. If pt unable to make decision a POA will make them
ii. If no POA is appointed to patient the state will then make the
decision.

A

Standard of best interest

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36
Q

Willful act that violates another person’s right or property.

A

Intentional torts

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37
Q

unjustifiable attempt to touch another person or the threat of doing so

A

Assault

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38
Q

actual harmful or unwarranted contact with another person without his or her consent

A

Battery

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39
Q

When a competent client is confined or restrained with intent to prevent him or her from leaving.

A

False Imprisionment

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40
Q

spoken communication discussing another person that harms that person’s reputation

A

Slander

41
Q

written communication where statements or language is used that harms another person’s reputation. Medical record document is a primary source of defamation of character.

A

Liable

42
Q

Federal statute that protects private patient information from being disclosed.

A

HIPPA

43
Q

Federal statute that mandates patients be informed about their rights regarding decisions toward their own medical care.

A

Patient self-determination Act

44
Q

Made when pt in competent to make decisions. Who gets what when I pass away

A

Living Will

45
Q

who the pt assigns to make decisions when they are not longer able to

A

POA

46
Q

Type of medical care you are going to receive such as DNR/ DNI.

A

Advanced directive

47
Q

Whats included in a living will?

A

Statement of intention
Section specifying general health care measures to be excluded from care
Witness selection statement
Signature and date
Notary seal

48
Q

Permissive, nondirective, passive, Lazy. Allows group members to determine their own goals and methods to achieve

A

Laissez-faire

49
Q

Works well in research lab setting. Members have the same level
education.Low relationship low task.

A

Laissez-faire

50
Q

Controlling, directive, or autocratic.

A

Authoritarian

51
Q

Low relationship High task

A

Authoritarian

52
Q

Essential part of the team that make up the group

A

followers

53
Q

Communication is sharing of information that requires a

A

the message, and the receiver

54
Q

What is the receiver responsible for?

A

Listening to the message then process and understand the info which is encoding

55
Q

Factors that interfere with sender encoding

A

Unclear speech
Convoluted confused message
MonotoneSentence structure
Terminology/ jargon
Lack of knowledge

56
Q

Factors that interfere with receiver encoding

A

Attention
Prejudice/bias
Preoccupation
Physical factors

57
Q

What is another name for non assertive communication

A

Submissive communication

58
Q

Allows rights to be violated
Protective mechanism that helps insecure people maintain their self-esteem. Can
also be a mean of manipulation
I lose you win situation every time

A

Non assertive communication

59
Q

Known as the tone, pitch and volume

A

Paraverbal communication

60
Q

SOILER?

A

Sit
open posture
invite client to speak
Lean toward client
Eye contact
Relax

61
Q

Duck and cover behavior

A

Some complainers have become adept at disguising their complaints by intertwining them with real problems so that it is difficult to separate the two. Because they cannot fix the problem themselves, they try to place the responsibility for both the problem and solution on another person.

62
Q

Beyond help

A

Sometimes when people complain it can appear that they are seeking help and support with a problem they are facing; however they immediately reject the helping offer without even considering it, their goal is to gain attention and sympathy from others they dont really wanna solve the problem

63
Q

Actions are performed correctly the first time and each time after that.

A

Quality Assurance

64
Q

unexpected occurrence that involves death or serious injury, loss of limb or
function of limb

A

Sentinel Event
Not all events are due to errors and not errors cause sentinel events

65
Q

reasonably preventable medical errors that occur in the hospital

A

Never event

66
Q

a. hold staff accountable for at risk or reckless behaviors
and does not tolerate them
b. A blame free nursing environment contributes to quality by analyzing
system errors to identify possible improvements

A

just culture

67
Q

RN Transfer responsibility to another team member to perform task beyond
their role

A

Delegate

68
Q

Five rights of delegation

A

i. Right task
ii. Right person
iii. Right direction/communication
iv. Right supervision/feedback
v. Right circumstances

69
Q

Never delegate your MEATUS

A

i. Medication (IV)
ii. Evaluation
iii. Assignment/admission
iv. Teaching
v. Unstable pts
vi. Skills (complex or steril)

70
Q

IOM 6 aims for improvment

A

Safe
Effective
Patient-centered
Timely
Efficient
Equitable

71
Q

the allocation of tasks that each staff member is already authorized to perform during a given shift

A

Assignment

72
Q

specifics decision made by the RN

A

Direct Delegation

73
Q

list of task produced by the facility

A

Indirect delegation

74
Q

LPNs cannot be delegated

A

i. do admission assessments
ii. give IV push medication
iii. write nursing diagnosis
iv. do most teaching
v. do complex skills
vi. take care of acute conditions
vii. take care of unstable clients

75
Q

CNA’s are to be delegated the following:

A

ii. Look for the lowest level of skill required for the task
iii. Look for least complicated task
iv. Most stable patient
v. Client with chronic illness

76
Q

Lateral Violence/ Horizontal violence

A

Same characteristics as bullying takes place in the workplace.

77
Q

Overt (obvious violence)

A

i. Name calling
ii. Threatening body language
iii. Physical hazing
iv. Bickering
v. Fault finding
vi. Negative criticism
vii. Indimidation

viii. Gossip
ix. Shouting
x. Blaming
xi. Put downs
xii. Rolling of the eyes
xiii. Sarcasms

78
Q

Covert: not obvious violence

A

i. Unfair assignments
ii. Refusing to help someone
iii. Ignoring someone
iv. Making faces
v. Refusing to work with certain people
vi. Whining
vii. Sabotage
viii. Exclusion

79
Q

Vertical Violence

A

a. Bottom up: staff bullying boss or higher ups
b. Top down: higher ups bullying staff

80
Q

centered on feelings and emotions
Interest, values, attitudes, appreciations, and methods of adjustment
necessary for a positive effect on the client life
b. Reduces client stress by encouraging them to verbalize feelings openly

A

Affective Domain

81
Q

Cognitive domain

A

based off knowledge, recall of facts and concepts
a. Comprehension: understanding of what concepts mean
b. Application: use of of concept
c. Analysis: ability to examine or explain a concept
d. Synthesis: integration of a concept with other learning
e. Evaluation: judging or comparison or concepts

82
Q

Psychomotor Domain

A

Teaching psychomotor skills
a. Demonstrating and modeling skills needed for self-care
b. Psychomotor domain objectives assess learning of motor skills such as
i. Giving injections
ii. Use of mobility devices
iii. Changing colostomy bag
iv. Changes in diet

83
Q

What is START

A

simple triage and rapid treatmen

84
Q

For start pts need to have?

A

radial pulse, neuro assessment, RR assessment, cap refill

85
Q

SAVE?

A

Secondary victim endpoint: save who is likely going to survive

86
Q

Category 1

A

Those who will die anyway
Pallative care only

87
Q

Category 2

A

i. Those who will survive whether treated or not
ii. Move on and come back once we know what the damage is

88
Q

Category 3

A

i. Those who can be helped and gain long-term benefits
ii. Work on the patients first.

89
Q

white tag

A

i. Dismiss
ii. Not treatment needed
iii. Identified as category 2

90
Q

black tag

A

i. No chance of survival
ii. Category 1

91
Q

Green tag

A

i. Will survive with minimal treatment
ii. Walking wounded
iii. Wait tag
iv. Category 2

92
Q

Red tag

A

i. ABC assistance or unresponsive
ii. Immediate attention need tx ASAP
iii. RR >30 breathing but no radial pulse
iv. Category 3

93
Q

yellow tag

A

ii. Unable to walk can delay tx
iii. Will be re-triage later
iv. Stable
v. Catergory 3.
vi. Ex: 2nd degree burn

94
Q

Nerve Agent

A

i. Most toxic
ii. Inhibit production of acetylcholinesterase causing paralysis
iii. Mimic heart attack
iv. Primary tx is decontamination and administer atropine sulfate IV

95
Q

Blister agent

A

i. Mustards gas
ii. Burns and blisters the skins
iii. Decontamination asap
iv. No vagarious scrubbing or hot water damages skin more

96
Q

Choking agents

A

i. Causes massive pulmonary edema
ii. Tx: ventilation with PPE , osmotic diuretic
iii. Terrorist more likely to use this one

97
Q

What to do if a shooter is in the building

A

RUN HIDE FIGHT

98
Q

intruder safety?

A

Golden rude for survival is to get out of the building

Sem 3 final (1 decks)

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