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NCLEX Rn > Safety Unit 1 > Flashcards

Safety Unit 1 Flashcards

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NCLEX-PN® flashcards NCLEX-RN® flashcards
1
Q

Focuses on noncompliance, informed consent, right to refuse tx

A

Risk mgt

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2
Q

Identifies, evaluates, develops plan for potential risks

A

Risk mgt

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3
Q

Planned program of loss prevention & liability control

A

Risk mgt

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3
Q

Evaluates & improves d process

A

Team, headed by team leader

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4
Q

Provides for process and mgt health care team

A

Coordinator

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5
Q

Establishes policy

A

Senior mgt

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6
Q

Process: Senior mgt, Coordinator, Team leader

A

Continuous quality improvement

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7
Q

Managed by team of 5-10 people

A

Continuous quality improvement

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8
Q

Involves organized incident reporting

A

Continuous quality improvement

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9
Q

Prevention focused approach

A

Continuous quality improvement

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10
Q

Aka Care Maps

A

Managed Care

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11
Q

Critical pathways used as foundation of activities and guide services

A

Managed care

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12
Q

Emphasizes costs

A

Managed care

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13
Q

Uses interdisciplinary approach

A

Managed care

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14
Q

Goal is to reduced healthcare cost

A

Managed care

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15
Q

Be cautious to give info on d phone(hard to ID caller)

A

Privacy

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16
Q

Focuses on client outcomes

A

Managed care

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17
Q

Duty to warn of threatned suicide or harm others

A

Tarasoff Act

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18
Q

Limit the liability of professionals in emergency situations

A

Good Samaritan Laws

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19
Q

Define “reasonable care” in each state

A

Nurse practice acts

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20
Q

Nurse is responsible for using reasonable care in practicing nursing

A

Accountability

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21
Q

Rules of conduct established and enforced by authority

A

Laws

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22
Q

Intentional touching w/o consent

A

Battery

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23
Q

Intentional threat to cause harm

A

Assault

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24
Q

Release of info to an unathorized persons w/o clients consent

A

Invasion of privacy

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25
Q

4 Required Elements of Malpractice

A

Duty
Breach of duty
Causation
Injury

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26
Q

Professional negligence

A

Malpractice

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27
Q

Unintentional failure of individual

A

Negligence

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28
Q

Provides info abt needs & options so that clients can mke informed decisions

A

Advocacy

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29
Q

Safeguard clients autonomy and independence

A

Advocacy

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30
Q

Communicate clients needs to interdisciplinary teams

A

Advocacy

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31
Q

Defend clients in decisons affecting them

A

Advocacy

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32
Q

Actively supports clients rights

A

Advocacy

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33
Q

Cannot order restraints to be used as?

A

PRN

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34
Q

Requireed specifying duration & circumstances under restraints should be used

A

Physician’s order

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35
Q

Restraint of pt w/o informed consent or sufficient justification

A

False imprisonment

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36
Q

Is needed to use in restraints

A

Informed consent

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37
Q

Inaappropriate use causes deep sedation, agitation, combativeness

A

Chemical restraints

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38
Q

Can be used only for diagnoses-related condition

A

Chemical restraints

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39
Q

Cannot be used to control behavior

A

Psychotropic drugs

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40
Q

Provides pt w/ the right to be free from physical & chemical restraints imposed for the purpose of discipline or convenience and not required to treat medical symptoms

A

Omnibus Reconcillation Act

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41
Q

8 Bill of Rights

A 
Privacy
Respectful care
Current information
Informed consent
Confidentiality
Refusal of tx
Reasonable response to a request for services
Right to know hosp/clinic regulations
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42
Q

Permits pt to appoint surrogate or proxy in the event that pt becomes incompetent

A

Durable power of attorney

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43
Q

Indicates who is authorized to make health care decisons if indi becomes incapacitated

A

Living wills

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44
Q

Legal document signed by competent individual incase pt ability to make decisions is lost

A

Living wills

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45
Q

May be witheld to avoid prolonging life w/o dignity

A

Aggressive tx

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46
Q

Extraordinary measures used to maintains individuals physiologic process

A

Aggressive tx

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47
Q

Federeal law abt written info abt d rights of clients to make decisions

A

Self determination act

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48
Q

2 Advanced Directives

A

Living wills

Durable power of attorney

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49
Q

3 Refusal of Treatment

A

Self determination act
Agressive tx
Advance directives

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50
Q

Not released to others w/o permission

A

Confidentiality

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51
Q

Info is used only for purpose of diagnosis & tx

A

Confidentiality

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52
Q

Right to privacy of records

A

Confidentiality

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53
Q

When nurse witness a signature it means

A

It means that theres a reason to believe that client is informed of incoming tx

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54
Q

Legal responsibility of informed consent Rest To Who

A

Rest With individual who Will Perform treatment

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55
Q

Informed consent includes (6)

A 
Explanation of tx and expected results
Anticipated risks andnp discomforts
Potential benefits
Possible alternatives
Answers to questions
Statements that consent can be withdrawn anytime
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56
Q

Cannot give own consent unless she fits to one of other exemptions

A

Mother

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57
Q

Who retains the right to provide consent for infant

A

Mother

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58
Q

Can sign consent for themselves and fetus

A

Pregnant minor

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59
Q

6 minors who can provide own consent for tx

A

Married
Over specific age for STD, HIV, AIDS or drug/alcohol tx
Emancipated and mature minors
Minors seeking birth control services
Minors seeking in/outpatient psych services
Pregnant minor

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60
Q

Info must be given in understandable form

A

Lay terminology

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61
Q

Freedom of choice w/o force, fraud, deceit, duress, coercion

A

Voluntary

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62
Q

Can make choices or understand consequences

A

Capacity

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63
Q

4 Informed consent requirements

A

Capacity
Voluntary
Info must be understandable
Cant sign if drunk or premedicated

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64
Q

For employees, can only verify employment & comply w/legal investigation

A

Privacy

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65
Q

Necessary to obtain pt permission to release info to familyorfriends

A

Privacy

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66
Q

Healthcare team cannot use data w/o permission frm client

A

Privacy

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67
Q

People involved in diagnosis and tx related to pt

A

Authorized personnel

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68
Q

Violated when info revealed to unathorized persons

A

Privacy

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69
Q

Right to have info kept confidential

A

Privacy

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70
Q

Right to make personal choices w/o interference

A

Privacy

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71
Q

Right to be left alone

A

Privacy

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72
Q

Nurse or client cannot be forced to reveal info between themselves

A

Protected relationship

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73
Q

6 Ethical Standards

A 
Respect for human dignity
Confidentiality
Competence
Advocacy
Research
Promotion of public health
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74
Q

Commited to local and global goals

A

Promotion of public health

75
Q

Participates in process of scientific inquiry

A

Research

76
Q

Protects clients from incompetent or unethical practice

A

Advocacy

77
Q

Has knowledge and skills to provide care

A

Competency

78
Q

Does not discuss condition with anyone not invoved with care

A

Confidentiality

79
Q

Give respectful service regardless of clients personality

A

Respect for human dignity

80
Q

Adheres to standards of practice

A

Autonomy and accountability

81
Q

Foundation of nursing science

A

Specific knowledge and skills

83
Q

Problem focused

A

Risk mgt

84
Q

Consists of clinical experts: nursing, medicine, physical therapy, social work

A

Collaborative practice team

85
Q

Determines expected outcomes

A

Collaborative practice team

86
Q

Determines appropriate interventions with a specified time frame

A

Collaborative practice team

87
Q

Involves specific patient diagnoses that are hig-volume (frequently seen), high-cost, high-risk (frequently develop complications)

A

Collaborative practice team

88
Q

Reduce complications

A

Critical pathways

89
Q

Reduce cost

A

Critical pathways

90
Q

Increase collaboration

A

Critical pathways

91
Q

Improve quality of care

A

Critical pathways

92
Q

Provide direction for care

A

Critical pathways

93
Q

Orient staff to expected outcomes for each day

A

Critical pathways

94
Q

Alteration in time frame or interventions is

A

Variance

95
Q

All variances are tracked to note ?

A

Trends

96
Q

Change in established plan that include more, different, or fewer services to client to achieve desired outcome

A

Variance

97
Q

Deviations from specific plans

A

Variance

98
Q

Is included in a database and is used to evaluate services provided

A

Variances

99
Q

Are used to monitor variances

A

CQI strategies

100
Q

Usually has advanced degree and considerable experience

A

Case Manager

101
Q

Doesn’t provide direct patient care

A

Case manager

102
Q

Supervises care provided by licensed and unlicensed personnel

A

Case manager

103
Q

Coordinates, communicates, collaborates, solve problems

A

Case manager

104
Q

Facilities client care for a group of patient (10-15)

A

Case manager

105
Q

Follows client through the system from admission to discharge

A

Case manager

106
Q

Notes variances from expected outcomes

A

Case manager

107
Q

Identifies, coordiantes, monitors implementation of services needed to achieve desired outcomes within specified period of time

A

Case management

108
Q

Involves principle of CQI

A

Case management

109
Q

Promotes professional practice

A

Case management

110
Q

Allocating to health care team members work required to care for groups of individuals

A

Assignment

111
Q

Responsibility and authority for performing a task (function, activity, decision) is transferred to another individual who accepts that responsibility and authority

A

Delegation

112
Q

Remains accountable for task

A

Delegator

113
Q

Is accountable to delegator for responsibilities assumed

A

Delegatee

114
Q

Can only delegate tasks for which the nurse is responsible

A

Delegation

115
Q

Obligation to accomplish a task

A

Responsibility

116
Q

Accept ownership for results or lack of results

A

Accountability

117
Q

Responsibility is transferred

A

Delegation

118
Q

Responsibility is shared

A

Accountability

119
Q

(6) Don’t delegate

A 
Total control
Discipline issues
Confidential tasks
Technical tasks
Controversial task
During a crisis
120
Q

Assist with implementation of defined plan of care

A

LVN

121
Q

Perform procedures according to protocol

A

LVN

122
Q

Differentiate normal from abnormal

A

LVN

123
Q

Care for physiologically stable patients with predictable outcome

A

LVN

124
Q

Has knowledge of asepsis and dressing changes

A

LVN

125
Q

Ability to administer medications varies with educational background and state nurse practice act

A

LVN

126
Q

Assists with direct patient care activities

A

UAPs

127
Q

Includes nurses aides, assistants, technicians, orderlies, nurse extenders

A

UAPs

128
Q

Scope of nursing practice is limited

A

UAPs

129
Q

Designed to promote smooth functioning within a large and complex organization

A

Organizational hierarchy

130
Q

Emphasis on vertical relationships

A

Chain of command

131
Q

Involves creativity, problem solving, decision-making

A

Critical thinking

132
Q

Purposeful and goal oriented; nurse identifies and selects options and alternatives

A

Decision making

133
Q

4 types of decision making

A

Prespective
Behavioral
Sayisficing
Optimizing

134
Q

Involves routine decisions with objective information

A

Prescriptive decision making

135
Q

Options are known and predictable

A

Pescriptive decision making

136
Q

Decisions are made according to standard procedures or analytical tools

A

Pscriptive decison making

137
Q

Involves nonroutine and unstructured information

A

Behavioral decision making

138
Q

Options are unknown and unpredictable

A

Behavioral decision making

139
Q

Decisons made by obtaining more data, usingpast experiences, using creative approach

A

Behavioral decision making

140
Q

Solution minimally meets objectives

A

Satisficing decision making

141
Q

Expedient; use when time is an issue

A

Satisficing decision making

142
Q

Goal is toselect ideal solution

A

Optimizing decision making

143
Q

Best decision comes from this process but is the most time consuming

A

Optimizing decision making

144
Q

Focus is trying to solve immediate problems; includes decision making

A

Problem solving

145
Q

3 Methods of Problem Solving

A

Trial and error
Experimentation
Purposeful inaction

146
Q

Repeated attempts at different solutions until it is identified that one solution works best

A

Trial and error

147
Q

Used by inexpereinced staff

A

Trial and error

148
Q

Study problem using trial periods or pilot projects to determine best outcome

A

Experimentation

149
Q

Will have greater probability of achieving best outcome if sufficient time devoted to the process

A

Experimentation

150
Q

Do nothing approach

A

Purposeful inaction

151
Q

Use when problem is judged to be insignificant or outside a person’s control

A

Purposeful inaction

152
Q

Gives an individual what he /she deserves regardless of race, color, creed, gender, or socioeconomic status

A

Distribution of justice

153
Q

Provides equal access to care for all

A

Distribution of justice

154
Q

Designed to manage health care according to need rather than provide care for everyone

A

Distribution of justice

155
Q

Primary principle is to provide the greatest good for the greatest number of people

A

Allocation of resources

156
Q

Decision about how limited resources will be used

A

Rationing

157
Q

Judiciously use resources to achieve identified client goals

A

Nursing management

158
Q

Guide nursing activities

A

Standard of sre and practice

159
Q

Used to evaluate quality of care

A

Standard of care and practice

160
Q

Determine the facts

A

Resolution of conflict

161
Q

Promotes communication

A

Documentation

162
Q

Maintains a legal record

A

Documentation

163
Q

Meets requirements of regulatory agencies

A

Documentation

164
Q

Reqired for third party reimbursement

A

Documentation

165
Q

Statement of fact and patient’s physical response

A

Incident reports

166
Q

Accurate and comprehensive report on any unexpected or unplanned occurence that affects or could potentially affect the client, family member, or staff person

A

Incident reports

167
Q

Regularly scheduled, structured exchange of information

A

Change of shift report

168
Q

Group of individuals’ values and beliefs that strongly influence individual’s actions and behaviors

A

Cultural norms

169
Q

Personal preferences, commitments, motivations, patterns of using resources, objects, people, or events that have special meaning and influence individual’s choices, behaviors, actions

A

Values

170
Q

Basic assumptions or personal convictions that the individual thinks are factual or takes for granted

A

Beliefs

171
Q

Used to determine values

A

Beliefs

172
Q

Include cultural traditions

A

Beliefs

173
Q

Principles of right and wrong, good and bad

A

Ethics

174
Q

Decision-making framework for solving ethical problems

A

ANA Code of Ethics

175
Q

Support of client’s independence to make decisions and take action for themselves

A

Autonomy

176
Q

Duty to help others by doing what is best for them; for refusal of care, autonomy overrides beneficence

A

Beneficence

177
Q

” do no harm”; act with empathy toward patient and staff without resentment or malice

A

Nonmaleficence

178
Q

Violated by acts performed in bad faith or with ill will, or when making false accusations about patient or employee

A

Nonmaleficence

179
Q

Use available resources fairly and reasonably

A

Justice

180
Q

Communicate truthfully and accurately

A

Veracity

181
Q

Safeguard the client’s privacy

A

Confidentiality

182
Q

Following through on what the nurse says will be done

A

Fidelity

183
Q

7 Ethical principles of nursing

A 
Autonomy
Beneficence
Nonmaleficence
Justice
Veracity
Confidentiality
Fidelity
184
Q

Process of learning

A

Patient education

185
Q

Begins with first encounter

A

Discharge planning

NCLEX Rn (2 decks)

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