Quiz 1 Flashcards

1
Q

Banners stages of nursing proficiency

A

Novice
Advanced beginner
Competent
Proficient
Expert

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2
Q

Nursing responsibilities and roles

A

Autonomy and accountability
Caregiver
Advocate
Educator
Communicator
Manager

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3
Q

Types of APRN’s

A

Clinical nurse specialist
Nurse practitioner
Certified nurse midwife
Certified registered nurse anesthetist

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4
Q

Florence nightingale

A

Established first nursing philosophy based on health marine education and restoration
Organized first program for training nurses
First practicing epidemiologist
Improved sanitation in battlefield hospitals
Practices remain a basic part of nursing today

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5
Q

Ever changing needs of society

A

Aging population
Cultural diversity
Bioterrerism
Emerging infections
Disaster management

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6
Q

Contemporary concerns

A

Nurses self care
Health care reform and costs
Demographic changes
Medically underserved

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7
Q

Trends in nursing

A

Evidence based practice
Quality and safety education of nurses
Impact of emerging technologies
Genomics
Public perception of nursing
Impact of nursing on politics and health policy

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8
Q

Nursing practice acts (NPA’s)

A

Overseen by state boards of nursing
Regulate the scope of nursing practices
Protect public health, safety, and welfare

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9
Q

Code of ethics in nursing

A

Advocacy
Responsibility
Accountability
Confidentiality

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10
Q

Values

A

Deeply held beliefs
Clarifying values include yours, the patients, and your co workers

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11
Q

Approaches to ethics

A

Deontology
Utilitarism
Casuistry
Feminist ethics
Ethics of care

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12
Q

Processing an ethical problem

A

Is this an ethical problem
Gather information that is relevant to the case
Identify the ethical elements and examine your values
Name the problem
Indetify possible courses of action
Evaluate the action plan

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13
Q

Issues of health care ethics

A

Social media
Quality of care
Care at the end of life
Access to health care

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14
Q

Clinical judgement

A

Observed outcome of critical thinking and decision making

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15
Q

Model of clinical judgement

A

Help explain concepts
Explains many variables involved making decisions and clinical judgements about patients

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16
Q

Critical thinking

A

The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process
Aim is to focus on most important issues to produce most desired patient outcome

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17
Q

Critical thinking competencies

A

Scientific method
Problem solving
Decision making
Diagnostic reasoning
Clinical decision making

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18
Q

Levels of critical thinking

A

Basic critical thinking
Complex critical thinking
Commitment

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19
Q

Components of critical thinking

A

Competence
Knowledge based
Experience
Environment

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20
Q

Critical thinking attitudes

A

Confidence
Thinking independently
Fairness
Responsibility and accountability
Risk taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility and self awareness

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21
Q

Evaluation of critical thinking

A

Reflection
Meeting with colleagues
Concept mapping
Critical thinking synthesis

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22
Q

Clinical decision making steps

A

Assessment
Diagnosis
Planning
Implementing
Evaluation

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23
Q

Tanner model

A

Recognizes role of nursing background
Circumstances of situations
Nurses relationship with patient

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24
Q

Range of knowledge in clinical judgement

A

Derived from since and theory, practice, knowing individual patients, and human understanding

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25
Q

Analytic processes

A

Breaking down situations into its elements to: gain knowledge, address mismatches between what is expected and what happens, and determining action when there are multiple choices

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26
Q

Intuition

A

Immediate understanding of clinical situation

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27
Q

Narrative thinking

A

Review the experience as a story of the patient and one’s response to the patient

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28
Q

Reflection

A

In depth review of a clinical experience, intent to learn from breakdowns of practice

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29
Q

Noticing in clinical

A

Patient responses
Similar patients from practice
Textbooks and resources
Awareness of excellence
Values and connections
Comfort with patterns of care

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30
Q

Interpreting and responding

A

Interviewing clinical reasoning into data

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31
Q

Reflection in vs on action

A

In: a ability to read the patient and his they are responding
On: learning what us gained in that clinical experience

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32
Q

Critical thinking 2 steps

A

Collect information from primary and secondary sources
Interpret and validate information to se if more is needed

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33
Q

Types of assessments

A

Patient centered interview
Periodic assessments- ongoing contact w patients
- each are either comprehensive or focused

34
Q

Phases of assessment interview

A

Orientation
Working
Termination

35
Q

Interview techniques

A

Oberservation
Open ended questions
Closed ended questions
Leading questions
Back channeling
Probing

36
Q

Planning

A

Asses patient
Identify problems
Prioritize problems
identify desired outcomes
Identify interventions
Prioritize interventions
Deliver patient care
Evaluate interventions

37
Q

Establishing priorities

A

Consider each patient situation
Avoid classifying only physiological nursing diagnoses as high priority
Time management and plan execution

38
Q

Writing expected outcomes

A

Specific
Measurable
Attainable
Realistic
Timed

39
Q

Types of interventions

A

Direct care measures
Indirect care measures
Dependent and independent nursing interventions
Provider interventions

40
Q

Things to consider in planning interventions

A

Desired outcomes
Characteristics of nursing diagnosis
Research based knowledge of intervention
Feasibility of intervention
Acceptability of patient
Nurses competency

41
Q

Systems of planning

A

Care plans
Hand off reporting
Concept maps
Critical pathways

42
Q

How to consult with health care professionals

A

Identify general problem
Choose appropriate professional
Provide relevant information
Do not influence consultants
Be available for discussion
Incorporate their recommendations

43
Q

Goals of Quality and Safety Education for Nurses

A

Prepare nurses to constantly improve quality and safety of care

44
Q

Implementation process

A

Avoid adverse events
Reassessing patient
Reviewing and revising existing care plans

45
Q

Direct care

A

Activities of daily living
Instrumental activities of daily living
Physical care techniques
Lifesaving measures
Counseling
Teaching
Controlling for adverse reactions
Preventative interventions

46
Q

Indirect care

A

Delegating
Supervising
Evaluating work of other staff members

47
Q

Achieving patient outcomes

A

Implement interventions in a timely manner
Time management
Organization skills
Appropriate use of resources
Priority setting
Promote patient adherence

48
Q

Evaluation

A

Examine results
Compare achieved outcomes with expected outcomes
Recognize errors
Understand, reflect, and fix errors

49
Q

The evaluation process

A

Recognize errors and unmet outcomes
Correcting errors
Revising the care plan
Discontinuing a care plan
Redefining diagnosis’s
Revising expected outcomes
Revising interventions

50
Q

Preventable adverse outcomes

A

Severe pressure injuries
Falls and trauma
Catheter associated UTI’s
Central line associated blood stream infections

51
Q

Critical thinking can be applied

A

During any patient interaction
Helps to overcome biases and stereotypes that interfere with perceiving and interpting messages from others

52
Q

Levels of communication

A

Interpersonal
Intrapersonal
Small group
Public
Electronic

53
Q

Elements of communication process

A

Referent
Sender
Receiver
Message
Channels
Feedback
Interpersonal values
Environment

54
Q

Aspects of verbal communication

A

Vocabulary
Denotative and connotative
Pacing
Intonation
Clarity and brevity
Timing and relevance

55
Q

Aspects of nonverbal communication

A

Personal appearance
Posture and gait
Facial expression
Eye contact
Gestures
Sounds
Territoriality
Meta communication

56
Q

Professional communication

A

Courtesy
Use if names
Trustworthiness
Autonomy and responsibility
Assertiveness

57
Q

Therapeutic communication techniques

A

Active listening
Sharing observations
Sharing empathy
Sharing hope
Shairing humor
Sharing feelings
Using touch and silence
Providing information
Clarifying
Focusing
Paraphrasing
Validation
Asking revenant questions
Summarizing
Self disclosure
Confrontation

58
Q

Nontherapuetic communication techniques

A

Asking person questions
Giving personal opinions
Changing the subject
Automatic responses
False reassurance
Sympathy
Asking for explanations
Approval/disapproval
Defensiveness responses
Passive/ aggressive
Arguing

59
Q

Primary goal of patient education

A

To help individuals families and communities achieve optimal levels of health

60
Q

Teaching and learning

A

Teaching- giving knowledge through direct activities
Learning- understanding and apply new concepts
Effectiveness involves teach back from nurses and patients

61
Q

Domains of learning

A

Cognitive
Affective
Psychomotor

62
Q

Ability to learn aspects

A

Developmental capability
Learning in children
Adult learning
Health literacy and learning disabilities
Physical capability
Environment

63
Q

For patient learning

A

Learn needs
Motivation to learn
Readiness and ability to learn
Environment
Resources for learning
Health literacy

64
Q

Purpose of health care records

A

Facilitates inter professional communication
Provides a legal record of care
Provides justification for financial billing and reimbursement or care
Supports the precise of needed for quality and perform care imporbment
Serves as a resource for education and research

65
Q

Inter professional communication with EMR

A

Legal document
Resibirstment
Auditing and monitoring
Education
Research
Maintains privacy confidentiality and security

66
Q

Standards of documentation

A

Factual
Accurate
Appropriate use of abbreviations
Current
Organized
Complete

67
Q

Methods of documentation

A

Flow sheets
Progress notes
Charting by exception

68
Q

Common records in the EHR

A

Admission nursing history information
Patient care summary
Care plans
Discharge summary forms

69
Q

Documenting communication w health care providers

A

Phone calls
Verbal orders
Incidence of occurrence report

70
Q

Acuity rating system

A

Used to determine hours of care and number of staff required for a group of patients every shift

71
Q

Patients acuity level

A

Based on the type and number of nursing interventions required by that patient over a 24hr period

72
Q

Long term health care setting governed by

A

Individual state regulations
The joint commission
Center for Medicare and Medicaid services

73
Q

Case management and use of clinical pathways

A

Incorporates inter professional approach
Interprofession care plans identify patient problems and expected outcomes
Document and eve layer outcomes and unmet goals

74
Q

Nursing clinical information systems

A

Nursing model and critical pathway
Advantages: better information access, better documentation, reduced errors, reduced hospital costs, increased job satisfaction
Clinical database development

75
Q

Nursing informatics

A

Specialty area of practice
Integrated nursing science, computer science and information science

76
Q

Informatics and information management

A

Health care information technology ( HIT)- enhance quality and efficiency of care
Health care information system (HIS) - clinical and administrative system
Clinical information system (CIS)-

77
Q

Scientific knowledge based

A

Environmental safety
Common hazards: motor vehicle accidents , poison, falls, fire, disaster, transmission of pathogens, immunizations

78
Q

Factors influencing patient safety

A

Infant, toddler, and preschooler
School aged child
Adolescent
Adult
Older adult
Work place culture
Lifestyle
Impaired mobility
Sensory, cognitive, or communication impairment
Economic resources
Lack of safety awareness

79
Q

Analysis and problem identification

A

Risk for injury
Impaired cognition
Lack of knowledge
Risk for poisoning

80
Q

Acute and restorative care

A

Fall prevention
Restraints
Side rails
Fires
Electrical hazards
Seizures
Disaster
Preventing workplace violence

81
Q

Safety guidelines for nursing skills

A

Anticipate fall risks
Involve patients and families in fall prevention strategies
Always try restraint alternatives before using a restraint
Implement fall prevention protocols