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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
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.
Certification
26
Accredits nursing schools a. ACEN: aims to maintain and improve the standards of nursing education.
NLN national league for Nursing
27
Aims to improve standards for higher education for professional nursing a. BSN curricula
AACN American association of colleges of nursing
28
the right of self-determination, independence and freedom
Autonomy
29
right to be treated equal. i. Not based of race, gender, martial status, religion, ect
Justice
30
includes ideas of equal access to health care for all. i. Equal pay for equal work. Access to healthcare around the world.
Distributive Justice
31
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.
Fidelity
32
To do good
Beneficence
33
Do no harm intentionally or unintentionally
Nonmaleficence
34
Be truthful the right to know
Veracity
35
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.
Standard of best interest
36
Willful act that violates another person’s right or property.
Intentional torts
37
unjustifiable attempt to touch another person or the threat of doing so
Assault
38
actual harmful or unwarranted contact with another person without his or her consent
Battery
39
When a competent client is confined or restrained with intent to prevent him or her from leaving.
False Imprisionment
40
spoken communication discussing another person that harms that person’s reputation
Slander
41
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.
Liable
42
Federal statute that protects private patient information from being disclosed.
HIPPA
43
Federal statute that mandates patients be informed about their rights regarding decisions toward their own medical care.
Patient self-determination Act
44
Made when pt in competent to make decisions. Who gets what when I pass away
Living Will
45
who the pt assigns to make decisions when they are not longer able to
POA
46
Type of medical care you are going to receive such as DNR/ DNI.
Advanced directive
47
Whats included in a living will?
Statement of intention Section specifying general health care measures to be excluded from care Witness selection statement Signature and date Notary seal
48
Permissive, nondirective, passive, Lazy. Allows group members to determine their own goals and methods to achieve
Laissez-faire
49
Works well in research lab setting. Members have the same level education.Low relationship low task.
Laissez-faire
50
Controlling, directive, or autocratic.
Authoritarian
51
Low relationship High task
Authoritarian
52
Essential part of the team that make up the group
followers
53
Communication is sharing of information that requires a
the message, and the receiver
54
What is the receiver responsible for?
Listening to the message then process and understand the info which is encoding
55
Factors that interfere with sender encoding
Unclear speech Convoluted confused message MonotoneSentence structure Terminology/ jargon Lack of knowledge
56
Factors that interfere with receiver encoding
Attention Prejudice/bias Preoccupation Physical factors
57
What is another name for non assertive communication
Submissive communication
58
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
Non assertive communication
59
Known as the tone, pitch and volume
Paraverbal communication
60
SOILER?
Sit open posture invite client to speak Lean toward client Eye contact Relax
61
Duck and cover behavior
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
Beyond help
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
Actions are performed correctly the first time and each time after that.
Quality Assurance
64
unexpected occurrence that involves death or serious injury, loss of limb or function of limb
Sentinel Event Not all events are due to errors and not errors cause sentinel events
65
reasonably preventable medical errors that occur in the hospital
Never event
66
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
just culture
67
RN Transfer responsibility to another team member to perform task beyond their role
Delegate
68
Five rights of delegation
i. Right task ii. Right person iii. Right direction/communication iv. Right supervision/feedback v. Right circumstances
69
Never delegate your MEATUS
i. Medication (IV) ii. Evaluation iii. Assignment/admission iv. Teaching v. Unstable pts vi. Skills (complex or steril)
70
IOM 6 aims for improvment
Safe Effective Patient-centered Timely Efficient Equitable
71
the allocation of tasks that each staff member is already authorized to perform during a given shift
Assignment
72
specifics decision made by the RN
Direct Delegation
73
list of task produced by the facility
Indirect delegation
74
LPNs cannot be delegated
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
CNA's are to be delegated the following:
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
Lateral Violence/ Horizontal violence
Same characteristics as bullying takes place in the workplace.
77
Overt (obvious violence)
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
Covert: not obvious violence
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
Vertical Violence
a. Bottom up: staff bullying boss or higher ups b. Top down: higher ups bullying staff
80
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
Affective Domain
81
Cognitive domain
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
Psychomotor Domain
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
What is START
simple triage and rapid treatmen
84
For start pts need to have?
radial pulse, neuro assessment, RR assessment, cap refill
85
SAVE?
Secondary victim endpoint: save who is likely going to survive
86
Category 1
Those who will die anyway Pallative care only
87
Category 2
i. Those who will survive whether treated or not ii. Move on and come back once we know what the damage is
88
Category 3
i. Those who can be helped and gain long-term benefits ii. Work on the patients first.
89
white tag
i. Dismiss ii. Not treatment needed iii. Identified as category 2
90
black tag
i. No chance of survival ii. Category 1
91
Green tag
i. Will survive with minimal treatment ii. Walking wounded iii. Wait tag iv. Category 2
92
Red tag
i. ABC assistance or unresponsive ii. Immediate attention need tx ASAP iii. RR >30 breathing but no radial pulse iv. Category 3
93
yellow tag
ii. Unable to walk can delay tx iii. Will be re-triage later iv. Stable v. Catergory 3. vi. Ex: 2nd degree burn
94
Nerve Agent
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
Blister agent
i. Mustards gas ii. Burns and blisters the skins iii. Decontamination asap iv. No vagarious scrubbing or hot water damages skin more
96
Choking agents
i. Causes massive pulmonary edema ii. Tx: ventilation with PPE , osmotic diuretic iii. Terrorist more likely to use this one
97
What to do if a shooter is in the building
RUN HIDE FIGHT
98
intruder safety?
Golden rude for survival is to get out of the building

Sem 3 final (1 decks)

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