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TEST #1 Flashcards

1
Q

How does the NPA relate to the legal and ethical boundaries of the student nurse?

A

The SN is legally responsible for the quality of care that they provide.

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2
Q

What organization sets forth standards and who enforces them

A

The NPA sets forth standards and the BON enforces them

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3
Q

NPA (nurse practice act)

A

establishes regulations for nursing practice within each state and defines the scope of practice

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4
Q

BON (board of nursing)

A

state specific licensing and regulatory body that sets standards for safe nursing care and issues licenses to qualified candidates

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5
Q

What are the standards of professional nursing practice?

A

AD(O)PIE

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6
Q

What does AD(O)PIE mean

A

Assessment
Diagnosis
Outcome
Planning
Implementation
Evaluation

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7
Q

What are the 12 standards of professional practice?

A

Ethics
Advocacy
Respectful and Equitable practice
Communication
Collaboration
Leadership
Education
Scholarly Inquiry
Quality of Practice
Professional practice evaluation
Resource stewardship
Environmental health

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8
Q

Different settings where LPNs work

A

Work under supervision of RNs, APRN or a practicioner.
They work anywhere they can provide basic nursing care

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9
Q

What is basic nursing care

A

Care that can be predictable with minimal modification (LTC)

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10
Q

Different levels of educational nursing programs

A

Diploma (hospital based) - 3 years
Associate - 2 years
Bachelors - 4 years
Masters - more than 4 years

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11
Q

ANA (american nursing association)

A

guides professional nursing practice with publications, establishes the ANA scop of practice and standards of practice, as well as the ANA code of ethics

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12
Q

NLN (national league for nursing)

A

Promotes excellence in nursing education. establishes standards and evaluates nursing education programs, promotes faculty development, funds nursing education research and publishes nursing education perspectives.

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13
Q

ANCC (american nurses credentialing center)

A

credentials both organizations and individuals

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14
Q

ACEN (accreditation commission for education in nursing)

A

provide accreditation for nursing programs that have met or exceeded standards and criteria for educational quality

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15
Q

CCNE (commission on collegiate nursing education)

A

ensures the quality and integrity of baccalaureate, graduate and residency programs

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16
Q

NSNA (national student nurses association)

A

mentor students preparing for initial licensure as RN’s, to convey the standards, ethics and skills that students will need as responsible and accountable leaders in the profession

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17
Q

Quality

A

the degree to which health services increase the likelihood of desired outcomes and are consistent with current professional knowledge

Every nurse is responsible to provide quality care by following standards as well as incorporating evidence-based pratice

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18
Q

Quality Improvement

A

Combined and unceasing efforts of everyone to make the changes that will lead to better pr outcomes(health) better system performance (care) and better professional development (learning)

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19
Q

Evidence-based practice

A

lifelong problem solving approach that integrates the best evidence from well-designed research studies and evidence-based theories, clinical expertise and evidence from assessment of pt history and condition, as well as HC resources, and pt preferences and values

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20
Q

Negligence

A

GENERAL TERM that indicates conduct lacking in due care, carelessness, and a deviation from the standard of care that a reasonable person would use in a particular set of circumstances

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21
Q

Malpractice

A

SPECIFIC TERM that looks at a standard of care, as well as the status of the caregiver.

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22
Q

What do you need to prove malpractice?

A

Duty owed by the pt
Breach of duty
Injury
Causation
Foreseeability
Damages

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23
Q

Examples of breach of duty that can be viewed as negligence

A

Failure to assess

Insufficent monitoring

Failure to communicate (which can be lack of documentation or lack of provider notification)

Failure to follow protocols

24
Q

Patient confidentiality

A

Keeping your pt protected health information (PHI) protected and known only by those directly providing care

25
Medicare
program for those over 64
26
Medicaid
joint federal and state program that gives coverage to some people with limited income and resources
27
The Joint Commission (TJC)
mission is to continuously improve healthcare for pt's by inspiring HC organizations to excel in providing safe and effective care
28
TJC standards
ID pts correctly Improve staff communication Use meds safely Use alarms safely Prevent infection ID pt safety risks Prevent sx mistakes
29
Assessment
collect data pertinent and relative to the HC consumers health or the situation
30
Diagnosis
assessment data is analyzed to determine actual or potential diagnoses, problems, and issues
31
Planning
develop a collaborative plan encompassing strategies to achieve expected outcomes
32
Implementation
implement the identified plan
33
Evaluation
RN evaluates progress toward attainment of goals and outcomes
34
Difference between nursing and medical diagnoses
MEDICAL: focuses on diseases or other medical problems that have been identified by the physician NURSING: focuses on the human response to health condition and life processes and are made independently by RN's. This Dx considers the pt's and families needs, attitudes, strengths, challenges and resources to provide individualized care to each pt.
35
ABC
Airway, breathing, circulation
36
Public zone
over 10 ft
37
social zone
4-10 ft
38
personal zone
18 in - 4 ft
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intimate zone
less than 18 inches
40
Therapeutic communication
The purposeful, interpersonal information-transmitting process through words and behaviors based on both parties knowledge, attitude, and skills, which leads to pt understanding and participation
41
Assertive communication
a way to convey information that describes the facts, the senders feelings and explanations without disrespecting the receivers feelings. Uses "I" statements
42
Non-assertive communication
puts rights of others before themselves
43
WHAT IS ISBARR
Introduction: your name, role, agency Situation: Pt name, location, why youre calling, recent VS, and status of pt Background: pt background infor, admitting medical Dx's, code status, relevant labs and allergies Assessment: share abnormal findings and your evaluation of the current pt situation Request/Recommendation: state what you would like the provider to do, such as reassess the pt, order a lab/test, prescribe/change meds Repeat back: (if receiving orders) repeat them back to confirm accuracy. Document communication with provider in pt chart
44
CBE (charting by exception)
after assessment, RN confirms normal findings, and writes brief descriptions on abnormal findings
45
DAR (data, action, response)
Each note is focused on only one patient problem
46
SOAPIE
Subjective : what pt said Objecting: observable and measurable data Assessment: interpretation of S and O categories Plan: outlines the plan of care based on the A section, including goals and planned interventions Interventions: describes actions implemented Evaluation: describes pt response to interventions and if planned interventions were met
47
MDS (minimum data set)
SKILLED NURSING FACILITIES federally mandated assessment tool to track pr goal progress as well as to coordinate the efforts of the HC team to optimize residents QOC and QOL
48
How long can you restrain each age group
Adult - 4 hours 9-17 - 2 hours under 9 - 1 hour
49
measures to take to minimize use of restraints
minimization of medications that cause aggression routine daily schedules regular feeding times easing ADL's reducing pain diversionary techniques
50
Never event
adverse events that are clearly identifiable, measurable, serious(death/injury) and preventable
51
Sentinel event
unexpected occurrence involving death or injury or the risk thereof
52
Near event
an error that has the potential to cause and adverse event, but fails to do so because of chance or being intercepted
53
What is the chain of infection
Infectious agents Reservoirs Portals of exits Modes of transmission Portals of entry Susceptible host
54
Interventions to disrupt chain of infection
Disinfection/sterilization standard/transmission based precautions hand hygiene
55

Nursing Fundementals (2 decks)

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