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N315 > Teamwork > Flashcards

Teamwork Flashcards

1
Q

Denotative vs connotative

A

Connotation refers to the wide array of positive and negative associations that most words naturally carry with them, whereas denotation is the precise, literal definition of a word that might be found in a dictionary

Tell me your thoughts on the definitions of each and why this concept is important to therapeutic communication.

Give an example that you may have come across either personally or professionally.

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2
Q

Non-therapeutic Communication Techniques

A 
Asking personal questions 
Giving personal opinions
Changing the subject
Automatic responses 
False reassurance 
Sympathy 
Approval or disapproval 
Defensive responses 
Passive or aggressive responses 
Arguing
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3
Q

Empathy

A

“The ability to understand and accept another person’s reality, accurately perceive feelings, and communicate this understanding to the other”

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4
Q

Empathy vs Sympathy

A 
Empathy 
Understand and reflect importance
Sensitive & Imaginative
Neutral
Nonjudgmental
Establish trust
“That sounds like a tough situation to be in, what can I do to help you right now?”  
Sympathy 
Sorry
Pity
Take on problem as own 
Subjective vs objective 
Less therapeutic 
Poor judgment 
Ineffective problem solving
“I’m so sorry that happened to you”
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5
Q

Forms of therapeutic communication

A 
Verbal 
Use of vocabulary 
Denotative & Connotative 
Pacing 
Intonation 
Clarity & Brevity 
Timing & Relevance 
Nonverbal 
Personal appearance 
Posture & Gait 
Facial expressions 
Eye Contact 
Gestures 
Sounds 
Personal space
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6
Q

Therapeutic Communication

A 
Promotes understanding 
Builds relationships 
Increased likelihood of positive patient outcomes 
Human Interaction 
Convey thoughts and ideas 
Transmit feelings

***Half of communication is being able to LISTEN effectively

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7
Q

Professionalism

A

The assimilation of nursing skills and knowledge integrated with DIGNITY and RESPECT for all human beings, incorporating the ASSUMPTIONS and VALUES of the profession while maintaining ACCOUNTABILITY and SELF-AWARENESS” (Giddens, 2013, p. 359).

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8
Q

Professional Identity

A

A sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse” (Giddens, 2017, p. 379)

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9
Q

Socialization

A

Part of your nursing education is going to include socialization as a student into the nursing profession – Experiential Learning.

Process by which people learn to become members and follow social rules.

Always maintain your client as your focus

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10
Q

Foundation of Professional Behaviors

A

ANA Standards of Practice
Critical Thinking Model – Nursing Process

ANA Standards of Professional Performance
Ethics, Education, EBP, Quality, Communication, Leadership, Collaboration, Professional Practice Eval, Resources, Environmental Health

Code of Ethics (American Nurses Association, 2001)
Details explanation for the professional nurse outlined in 9 provisions

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11
Q

Exemplars of professional identity

A

Integrity, Compassion, Courage, Humility, Advocacy, Human flourishing

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12
Q

You will progress through the following levels as you acquire skilled proficiency and professional behaviors consistent with the nursing profession.

A

Novice, Beginner, Competent, Proficient, Expert

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13
Q

Responsibilities and roles of a nurse

A

Autonomy and Accountability, caregiver, advocate, educator, communicator, manager

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14
Q

Abuse of Power

A

Sexual Harassment
A form of discrimination and violation of one’s rights

Improper use of Authority

Intimidation
Bullying/Lateral Violence
Threatening
Forcing

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15
Q

Definition of Social Justice

A

“….(a) the fair and equitable access to and delivery of services (b) recognition and reduction of power differentials (c) Attention to social determinants of health (d) Creation of institutional policies and procedures that promote health equity (e) Protection of human rights (f) Support of human development and self-actualization.”

Buettner-Schmidt & Lobo, 2011 as cited in Lor, Crooks & Tluczek (2016).

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16
Q

AACN’s five competencies

A

Apply, Use, Promote, Advocate, Participate

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17
Q

You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code?

  1. Improves self–health care
  2. Protects the patient’s confidentiality
  3. Ensures identical care to all patients
  4. Defines the principles of right and wrong to provide patient care
A

4

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18
Q

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?

  1. Diagnosis
  2. Evaluation
  3. Assessment
  4. Implementation
A

3

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19
Q

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?

  1. Planning
  2. Evaluation
  3. Assessment
  4. Implementation
A

4

20
Q

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with them. The nurse is acting as the patient’s:

  1. Educator.
  2. Advocate.
  3. Caregiver.
  4. Case manager.
A

2

21
Q

The nurse spends time with the patient and family reviewing the dressing change procedure for the patient’s wound. The patient’s spouse demonstrates how to change the dressing. The nurse is acting in which professional role?

  1. Educator
  2. Advocate
  3. Caregiver
  4. Case manager
A

1

22
Q

The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination:

  1. Guarantees safe nursing care for all patients.
  2. Ensures standard nursing care for all patients.
  3. Ensures that honest and ethical care is provided.
  4. Provides a minimal standard of knowledge for an RN in practice.
A

4

23
Q

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.)

  1. Caregiver
  2. Autonomy and accountability
  3. Patient advocate
  4. Health promotion
  5. Lobbyist
A

1,2,3,4

24
Q

Match the advanced practice nurse specialty with the statement about the role.

  1. Clinical nurse specialist
  2. Nurse anesthetist
  3. Nurse practitioner
  4. Nurse-midwife
    a. Provides independent care, including pregnancy and gynecological services
    b. Expert clinician in a specialized area of practice such as adult diabetes care
    c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions
    d. Provides care and services under the supervision of an anesthesiologist
A

1b - 2d - 3c - 4a

25
Q

Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform?

12
1. Moving from an acute illness to a health promotion, illness prevention model

  1. Moving from an illness prevention to a health promotion model
  2. Moving from an acute illness to a disease management model
  3. Moving from a chronic care to an illness prevention model
A

1

26
Q

A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?

  1. Patient-centered care
  2. Safety
  3. Teamwork and collaboration
  4. Informatics
A

3

27
Q

A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?

  1. Patient-centered care
  2. Safety
  3. Teamwork and collaboration
  4. Informatics
A

4

28
Q

The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career?

  1. Clinical nurse specialist
  2. Nurse administrator
  3. Nurse educator
  4. Nurse researcher
A

4

29
Q

Nurses in an acute care hospital are attending a unit-based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?

  1. Continuing education
  2. Graduate education
  3. In-service education
  4. Professional Registered Nurse Education
A

3

30
Q

Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply.)

  1. WebMD
  2. Hospital Compare
  3. Magnet Recognition Program
  4. Hospital Consumer Assessment of Healthcare
  5. The American Hospital Association’s webpage.
A

2, 4

31
Q
  1. C ____
  2. L ____
  3. A ____
  4. R ____
  5. A ____
    a. The nurse acknowledges that it is absolutely reasonable for patients to expect that their health care providers care about their situations and that it is disappointing when they have experiences that make them feel like they do not.
    b. The nurse uses a relaxation technique before responding to the patient’s concerns. Calm yourself. Take a deep breath. Check your pulse.
    c. The nurse says, “I want to help you. I can do that better if you tell me what’s making it difficult for you to come to your appointments and take your medicine each day.”
    d. The nurse maintains eye contact and allows the patient to discuss her perspective while remaining attentively quiet.
    e. The nurse explains, “One thing I want you to understand is that your blood pressure medicine will only work if you take the same amount each day. Your follow-up appointments are important so we can get this blood pressure under control. Let me get a social worker who can help you figure out these transportation issues or see if he can find a doctor closer to your house.”
A

1b, 2d, 3a, 4c, 5e

32
Q

Which of the following are considered social determinants of health? (Select all that apply.)

  1. Lack of primary health care providers in a zip code
  2. Poor-quality public school education that prevents a person from developing adequate reading skills
  3. Lack of affordable health insurance
  4. Employment opportunities that do not provide paid vacation or sick leave
  5. The number of times a person exercises during a week
  6. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home
A

1,2,3,4,6

33
Q

Which of the following changes can help create a more inclusive environment for lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.)

  1. Explicitly including sexual orientation and gender identity into nondiscrimination policies
  2. Displaying art that reflects LGBT community
  3. Modifying health care forms to provide opportunities for gender identity and sexual orientation disclosure
  4. Not asking patients about their gender identity and sexual orientation to avoid making them uncomfortable
  5. Ensuring access to unisex or single-stall bathrooms
A

1,2,3,5

34
Q

Which of the following are examples of problems with the health care system that contribute to health disparities? (Select all that apply.)

  1. A health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits.
  2. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she has communicated the discharge instructions clearly.
  3. A community hospital lacks an adequate staff of social workers who are able to ensure patients’ access to resources they need to take care of their health.
  4. A hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow-up appointment.
  5. A nurse uses a family member as an interpreter to explain the patient’s medications.
  6. The hospital conducts quality improvement without stratifying data by race, ethnicity, language, socioeconomic status, sexual orientation, and other axes of social group identities.
A

1,3,4,5,6

35
Q

Match each letter of the RESPECT mnemonic with a statement that describes the concept the letter represents.

  1. R. ____
  2. E. ____
  3. S. ____
  4. P. ____
  5. E. ____
  6. C. ____
  7. T. ____
    a. Ask about and try to understand barriers to care and adherence, and then offer resources to help the patient overcome them, involving family members if appropriate, and reassuring the patient that you are and will be available to help.
    b. Patients may have different reasons for not disclosing important information. Earn a patient’s confidence through actions and attitude that demonstrate respect, compassion, and your interest in partnership.
    c. Work closely together with the patient by being flexible with regard to issues of control, negotiating roles when necessary, and stressing that you will be working together to mutually address medical problems.
    d. Provide explanations for the process and your action, checking often for understanding and using verbal clarification techniques such as Teach Back.
    e. Approach each encounter thinking about cultural competence and how you can demonstrate respect for the patient and his or her culture and beliefs.
    f. Approach the encounter with empathy, remembering that the patient has come to you for help. Seek out and understand the patient’s rationale for his or her behaviors or illness, verbally acknowledging and legitimizing his or her feelings.
    g. Connect on a social level, seeking the patient’s point of view; consciously attempt to suspend judgment; and avoid making assumptions.
A

1g, 2f, 3a, 4c, 5d, 6e,7b

36
Q

A patient is admitted through the emergency department (ED) after a serious car accident. The nurse assesses the patient and quickly learns that he speaks little English. Spanish is his primary language. The nurse speaks some Spanish. Which interventions would be appropriate at this time? (Select all that apply.)

  1. The nurse requests a professional interpreter.
  2. Since this is an emergent situation, the nurse will interpret and identify the patient’s priority needs.
  3. The nurse determines the interpreter’s qualifications and makes sure that the interpreter can speak the patient’s dialect.
  4. The nurse uses short sentences to explain the treatments provided in the ED.
  5. The nurse directs questions to the patient by looking at the patient instead of at the interpreter.
A

1,3,4,5

37
Q

A new nurse is caring for a hospitalized obese patient who is homeless. This is the first time the patient has been admitted to the hospital, and the patient is scheduled for surgery. Which of the following is a universal skill that will help the nurse work effectively with this patient?

  1. The nurse shifts her focus to understanding the patient by asking her, “Describe for me the course of your illness.”
  2. The nurse tells the patient, “Your choices of foods and unwillingness to exercise are adding to your health problems.”
  3. The nurse asks the patient, “Tell me about the main problems you have had with your health from not having a home.”
  4. The nurse explains, “Because you have obesity, it is important to know the effects it has on wound healing because of reduced tissue perfusion.”
A

3

38
Q

Which statement made by a new graduate nurse about the teach-back technique requires intervention and further instruction by the nurse’s preceptor?

  1. “After teaching a patient how to use an inhaler, I need to use the Teach Back technique to test my patient’s understanding.”
  2. “The Teach Back technique is an ongoing process of asking patients for feedback.”
  3. “Using Teach Back will help me identify explanations and communication strategies that my patients will most commonly understand.”
  4. “Using pictures, drawings, and models can enhance the effectiveness of the Teach Back technique.”
A

1

39
Q

In the United States, there has never been a president of Asian or Hispanic culture. This is an example of:

  1. Social inequality
  2. Marginalization
  3. Under inclusion
  4. Social location
A

2

40
Q

A nurse has worked in a home health agency for a number of years. She goes to visit a patient who has diabetes and who lives in a public housing facility. This is the first time the nurse has cared for the patient. The patient has four other family members who live with her in the one-bedroom apartment. Which of the following, based on Campinha-Bacote’s (2002) model of cultural competency, is an example of cultural awareness?

  1. The nurse begins a discussion with the patient by asking, “Tell me about your family members who live with you?”
  2. The nurse asks, “What do you believe is needed to make you feel better?”
  3. The nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient.
  4. The nurse uses a therapeutic and caring approach to how she interacts with the patient.
A

3

41
Q

Match the following definitions with the key terms related to intersectionality.

  1. Under inclusion
  2. Social inequality
  3. Social location
    a. Groups have unequal access to resources, services, and positions.
    b. A group has been overlooked in research and the design of interventions.
    c. One’s place in society is based on membership in a social group that determines access to resources
A

1b, 2a, 3c

42
Q

A nurse is preparing to perform a cultural assessment of a patient. Which of the following questions is an example of a contrast question?

  1. Tell me about your ethnic background.
  2. Have you had this problem in the past?
  3. Where do other members of your family live?
  4. How different is this problem from the one you had previously?
A

4

43
Q

How can a nurse work on developing cultural awareness? (Select all that apply.)

  1. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation
  2. Develop greater self-knowledge about personal biases
  3. Recognize consciously the multiple factors that influence his or her own world view
  4. Engage in an in-depth self-examination of his or her own background
  5. Learn as many facts as possible about an ethnic group
A

1,2,3,4

44
Q

During an encounter with an elderly patient, the nurse recognizes that a thorough cultural assessment is necessary because the patient has recently come to the United States from Russia and has never been hospitalized before. The nurse wants to discuss cultural similarities between herself and the patient. Which step of the LEARN mnemonic is this?

  1. Listen
  2. Explain
  3. Acknowledge
  4. Recommend treatment
  5. Negotiate agreement
A

3

45
Q

When you care for a patient who does not speak English, it is necessary to call on a professional interpreter. Which of the following are proper principles for working with interpreters? (Select all that apply.)

  1. Expect the interpreter to interpret your statements word-for-word so there is no misunderstanding by the patient.
  2. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter.
  3. Pace a conversation so there is time for the patient’s response to be interpreted.
  4. Direct your questions to the interpreter.
  5. Ask the patient for feedback and clarification at regular intervals.
A

2,3,5

N315 (3 decks)

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