Role Development Lecture 2 Flashcards
A nurse never _______ a task that he or she dislikes doing or would not do independently because this can create negative feelings and poor working relationships.
Answer: delegation
Ex. if a nurse is in the room when a client asks to be placed on a bedpan, the nurse should assist the client rather than leave the room to find the nurse assistant.
“Professional _____________ are the spaces between the nurse’s power and the patient’s vulnerability”
- National Council of State Boards of Nursing
Answer: Boundaries
Boundary crossings are brief excursions across professional lines of behavior that may be __________ while attempting to meet a special therapeutic need of the patient.”
- National Council of State Boards of Nursing
Answer: inadvertent, thoughtless, or even purposeful
What part of SBAR is this?
Most recent vital signs. The client is on or off oxygen. Any changes from prior assessments such as: mental status, skin color, neuro changes, musculoskeletal (joint deformity, weakness), respiratory rate/quality, pulse/BP rate/quality, pain, GI/GU (nausea/vomiting/diarrhea/output, retractions/use of accessory muscles, rhythm changes, wound drainage.
Answer: Assessment
Right _____________is appropriate monitoring, evaluation, intervention as needed, and feedback are provided. Assistive personnel should feel comfortable to ask questions and seek assistance
Answer: supervision
Is it ______?
- Is what I am saying understood?
Answer: clear
Right ____________ is a clear, concise description of the task, including its objective, limits, and expectations, is given. Communication must be ongoing between RN and assistive personnel during a shift of care.
Answer: direction/communication
“Boundary violations can result when there is _______ between the needs of the nurse and those of the patient.”
Answer: confusion
“_____________ is an extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harassing, or reasonably interpreted as sexual by the patient.”
Answer: Sexual Misconduct
What part of SBAR is this?
Do you think we should (state what you would like done). Examples: Transfer the client to the ICU. Come to see the client at this time. Talk to the client and/or family about code status. Ask for a consultant to see the client now. Other suggestions. Are any tests needed: CXR, ABG, EKG, CBC, BNP, others. If a change in treatment is ordered, then ask how often do you want vital signs? If the client doesn’t improve, when do you want us to call again?
Answer: Recommendation
Is it _______?
- Does it give all the information necessary to complete the task?
Answer: complete
The right person will __________ the right tasks to the right person to be performed on the right patient.
Answer: delegate
Unstructured time frame Not goal directed Non-theoretical Independent Relationships Informal Duties No financial concerns What are these examples of in relation to social vs. professional relationships?
Answer: Social Relationships
Structured time Goal directed Focus on client’s needs Theory-based interaction Part of a treatment team Legal and ethical duties Financial issues Confidentiality Documentation What are these examples of in relation to social vs. professional relationships?
Answer: Professional
The right __________ include the appropriate client setting, available resources, and other relevant factors are considered. In an acute care setting, clients’ conditions can change quickly. Good clinical decision making is needed to determine what to delegate.
Answer: circumstance
Is it _________?
- Do the directions follow policy, procedure, job description, and the law?
Answer: correct
A. Library resources B. PDA C. Electronic health record - Computer literacy D. Online/Web based data bases - http://rncre8r.wetpaint.com - Preferred sites end in “org,” “gov,” or “edu.” - WebMD - PDRHealth - healthline.com - medscape.com - dictionary.com - Use caution with sites such as Wikipedia. Avoid personal blogs, commercial sites selling miracle products, etc. What are these resources examples of in relation to nursing education?
A: Life-long Learning
Name the skills needed for delegation?
Answer: Assessment Planning Communicating clear messages Matching job to what is delegated Providing clear goals Giving responsibility and accountability Providing feedback Evaluating
www.gccaz.edu Library Articles and Databases Nursing, Medicine, and Health CINAHL Search for topic
What are these resources examples of in relation to nursing education?
Answer: Evidence-based Practice (EBP) Care Sheets
The right _______is one that is delegable for a specific client, such as tasks that are repetitive, require little supervision, and are relatively noninvasive.
Answer: task
“The _________ is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
Answer: American Nurses Association (ANA)
What part of SBAR is this?
State your name and unit. I am calling about: client name and room number. The problem I am calling about is: briefly state the problem: what it is, when it happened, or started and how severe.
Answer: Situation
Name the Five Rights of Clinical Delegation?
- Right task
- Right circumstances
- Right person
- Right direction/communication
- Right supervision
Is it _________?
- Have I confused the direction by giving too much unnecessary information?
Answer: concise
