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PN2 > Test 1 > Flashcards

Test 1 Flashcards

1
Q

Define therapeutic communication

A

Face to face process of interacting and active listening

Focuses on advancing the physical and emotional well being of a patient

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2
Q

The ability to understand and share the feelings of another. (Or to put yourself in their shoes)

A

Empathy

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3
Q

Feelings of pity and sorrow for someone else’s misfortune

A

Sympathy

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4
Q

What is the first step in the nursing care plan ?

A

Assessment

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5
Q

The assessment step of the care plan consists of what :

A

Collection of data

Research of pt chart

Pt history

Reason for admission

Current meds, labs, and health status

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6
Q

What is the second step of the nursing care plan?

A

Diagnosis

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7
Q

THE diagnosis step of the care plan consists of what? And what should you begin with?

A

Clinical judgements about actual or potential problems a it may be facing

North American nursing diagnosis association (NANDA)

Beginning with the highest priority

Actual diagnosis

Risk for diagnosis

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8
Q

What is the third step of the nursing care plan ?

A

Planning

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9
Q

What consists of the planning step of the nursing care plan?

A

Decide which care measures are appropriate for your patients

Make your intervention specific to your patients

Be aware of The use of pronouns in your interventions

Use evidence/research based practice

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10
Q

What is the fourth step of the nursing care plan?

A

Implement

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11
Q

What does the implementation step of the nursing care plan consist of?

A

Tearing out the interventions you have identified as being necessary for your patient care

Ensure efficient, Safe, effective nursing care

Includes direct care, counseling, teaching, and prevention of complications

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12
Q

What is step five of the nursing care process?

A

Evaluate

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13
Q

What consists of the evaluation step in the nursing care plan step process?

A

Determine if the nursing process was effective

Determine whether the expected outcomes were achieved NOT if they were carried out or helpful

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14
Q

What does QSEN stand for ?

A

Quality Safety Education for Nurses

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15
Q

KSA stand for?

A

Knowledge Skills Attitudes

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16
Q

The verbal and nonverbal interaction between one or more people

A

Communication

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17
Q

Successful communication requires what?

A

Appropriate feedback mechanisms

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18
Q

Key aspects of the communication process

A

The sender

The message

The receiver

The response

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19
Q

Ways a message can be shared ?

A

Verbal
Written
Electronic - use in heath care
Non verbal

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20
Q

Factors that can affect communication include?

A

The patient’s age, developmental level, gender, ethnicity, and culture

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21
Q

What is the biggest barrier to communication?

A

Language

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22
Q

What is the purpose of therapeutic communication?

A

To foster communications that supports the patient’s health and wellness rather than give advice or opinions

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23
Q

What are other barriers to effective communication?

A

Physical impairments, Thor patient’s condition, ineffective listening, lack of trust, and cultural factors related to communication

The impact of illness or hospitalization can also disrupt normal communication patterns between patients and healthcare providers

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24
Q

Linear process of sending a message

A

Theoretical links

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25
Q

Positive attributes of communication styles

A

Active listening, Honesty, acceptance, flexibility, openness, sense of fairness, sense of trust, respect

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26
Q

How may HospitalizationOr illness contribute to poor/ negative communication attributes?

A

Defensiveness, power struggle, conflict avoidance, lack of trust, suppression of emotions, angry outbursts, verbal abuse, dishonesty, negativity, denial, hidden agendas, desire to win every argument or to always be right

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27
Q

5 related concepts of communication?

A

Collaboration, listening, culture, care coordination, critical thinking

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28
Q

Examples of therapeutic communication?

A 
Interviewing
Effective listening
Patient education and evaluation of learning
Conflict management
Effective listening
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29
Q

Examples of professional communication?

A

SBAR
Documentation
Electronic records
End of shift report

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30
Q

What is the purpose of providing cultural competent care?

A

Provide safe quality care

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31
Q

The concept can be defined as shared socially transmitted behavior patterns, arts, believes, values, customs, lifeways, and all of their products of human work and thought characteristics of a population that guides worldview and decision-making that are primarily learned within the family

A

Culture

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32
Q

The shared foundation or ancestry of a group with common values, beliefs, customs, traditions and it times religious beliefs.

A

Ethnicity

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33
Q

This refers to social classifications based on outward characteristics of skin color and other biological factors

A

Race

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34
Q

A lack of understanding ethnic city and race or incorrectly applying beliefs about a person or a group

A

Stereotyping

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35
Q

Negative believes and that’s about those who are different than the mainstream

A

Prejudice

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36
Q

The pattern of believes that one’s own cultural believes are correct and all others are incorrect or inferior

A

Ethnocentrism

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37
Q

What are the four concepts of understanding cultural diversity in Purnell’s model

A

Global society
Community
Family
Person

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38
Q

What are the 12 domains That consist of aspects of a persons life which may be based on cultural beliefs

A

Overview and heritage-country of origin-current residents -migration reasons

Communication
Family roles
Workplace issues

Bio cultural ecology-genetic,diseases -skin color

High-risk behaviors
Nutrition
Pregnancy
Death rituals
Spirituality
Healthcare practices
Healthcare providers
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39
Q

Being aware of and sensitive to cultural differences

A

Culturally competent

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40
Q

Being unaware of an insensitive to cultural differences

A

Unconsciously incompetent

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41
Q

Having Inc. cultural awareness and sensitivity to theExtent that is addressed automatically

A

Unconsciously competent

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42
Q

5 Related concepts of culture

A

Coping, family dynamics, healthcare disparity, healthcare benefits, communication

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43
Q

How to become culturally competent

A

Develop cultural awareness and sensitivity

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44
Q

What are culturally based healthcare practices and beliefs

A

Symptoms, causes it builders, treatment, preferences, diet, nutrition, religious and spiritual healing practices, pharmacology and medication

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45
Q

How to become culturally competent of devElemental/family roles

A

Gender roles, childbearing practices, death and dying believes

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46
Q

How To become culturally competent ofPatient to provider communication

A

Eye contact, personal space, touch, language preferences, expression of emotion

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47
Q

What does QSEN stand for

A

Quality and safety education for nurses

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48
Q

What are QSeN and competencies based on?

A

Attitude

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49
Q

How does one learn and develop attitudes about nursing judgment safety or quality of care?

A

A

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50
Q

What are the QSEN competencies

A

Patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics

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51
Q

Who developed the QSEN and how often is it updated

A

The joint commission

Annually

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52
Q

This is a set of universal expectations and goals to support and enhance safety in all aspects of patient care

A

National patient safety goals NPSG

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53
Q

What are the goals that are involved with the NPSG

A

—-Improve accuracy a patient identification

Improve the safety of using medications

Reduce the risk of healthcare associated infections

Prevent mistakes in surgery

Identify the patient safety risks (most likely suicidal)

Improve staff communication

Use alarm safely

Prevent patient from falling

Identify patient safety risks

Prevent bedsores

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54
Q

The process of using evidence-based practice, critical thought in judgment, the nursing process, and application of theory to practice in order to develop clinical intuition that fosters safe quality care to all clients in all settings

A

Nursing judgment

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55
Q

Maintaining the knowledge, Skills, and attitudes necessary to ensure that a patient,staff , and the healthcare systemIs protected from potential harm (most important)

(Reducing risk individual)

A

Safety

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56
Q

Use of dataTo monitor the outcomes of care processes in use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems (closing gaps)

A

Quality improvement

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57
Q

In order to demonstrate that we are providing quality care there are systems in place to continuously assess and evaluate that care

A

Quality of care

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58
Q

By establishing a connection with the patient and family by understanding the culture of both the overriding ethnicity and diversity, as well as the family unit, the shared decision making team can develop an appropriate plan of care which is acceptable and age-appropriate

The plan of care should be based on sounds nursing judgment in the nursing process, developed using therapeutic communication skills and cultural, spiritual and patient family preferences

A

Patient centered care

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59
Q

Function effectively with in nursing and inter Fessional teams, I think medication, mutual respect, and sharing decision-making to achieve quality patient care (how we work well together)

A

Teamwork and collaboration

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60
Q

The use of information and technology to communicate, management of information, and support decision-making

A

Informatics

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61
Q

Do you know where that one is lacking knowledge about another culture

A

Consciously incompetent

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62
Q

A frequently used phrase that gives the impression that no further discussion is needed

A

Cliche

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63
Q

A hostile or argumentative meeting or situation between opposing parties

A

Confrontation

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64
Q

Communication technique used In a respectable tactical And nonthreatening manner in order to help someone move toward self examination and growth

A

Productive confrontation

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65
Q

Producing or giving rise to

A

Productive

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66
Q

Any situation event or agent that produces stress

A

Stressors

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67
Q

An expression of concern about another person situation that may hinder therapeutic communication with the client

A

Sympathy

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68
Q

What are the roles of the medical surgical nurse?

A

Director of care

Educator

Client advocate

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69
Q

What does a nurse need to be knowledgeable regarding?

A

Evidence-based practice, quality and safety competencies, informatics, and genetics

70
Q

What does I-SBAR stand for?

What does it do or promote for the client?

A

Identification of self and client

Situation

Background

Assessment

Recommendation

Read-back

It promotes Safety and continuity of care and organizes/ prioritizes important client data

71
Q

What should be on the end of shift checklist?

A

Check on your clients

Make sure all your work is done and charted

Make sure all medications are administered and charted on

Report to oncoming shift

72
Q

The process of taking information and facts and processing it in to find an acceptable resolution to problems

A

Problem solving

73
Q

The process of uncovering and clarifying information to make accurate judgment or belief

A

Critical thinking

74
Q

This provides subjective and object of information and includes taking the clients vital signs, acquiring data by visualizing the client physically and watching for a client actions and responses, touching the client, and smelling for orders.

A

Assessment

75
Q

Formulated by gathering physical psychological social emotional and spiritual data

A

Nursing diagnosis

76
Q

This can also be defined as goalsetting

A

Planning

77
Q

A detailed specific statement describing the methods to be used to achieve the goal

A

Expected outcome

78
Q

Requires the nurse to plan client activities in such a way as to promote goal attainment

A

Implementing

79
Q

This provides a judgment about an outcome and requires the nurse to measure factual results against land expectations to determine success

A

Evaluation

80
Q

This results when factual data is used to draw conclusions

A

Clarity

81
Q

Attention to truth within the understanding

A

Accuracy

82
Q

When all clues or evidence supporting the data are confirmed

A

Precision

83
Q

This is the importance of data in relation to the problem

A

Relevance

84
Q

A measurement from the beginning of a matter to the end

A

Depth

85
Q

A comprehensive understanding or understanding from another individual’s point

A

Breadth

86
Q

This is being applied when data are categorized as important or not important to promote the best outcomes

A

Logic

87
Q

The importance of data

A

Significant

88
Q

When individuals are treated equally without bias

A

Fairness

89
Q

What does ASSURE stand for ?

A

Analyze the learner

States objectives

Selects methods

Utilize media and materials

Require learner performance

Evaluate and revise

90
Q

Guidelines that have been developed to direct nursing care from the nursing practice acts.

A

Standards of care

91
Q

Nursing care that uses current and best practice by relevant valid research

A

Evidence based practice

92
Q

This is the study of individual genes and their transmission of traits

A

Genetics

93
Q

The study of all genetic material and how the genes interact with each other in the environment

A

Genomics

94
Q

A field of research that validates how changes in genetic structure can affect individuals response to a certain drug

A

Pharmacogenomics

95
Q

What can alter drug response

A

Genetic make up

96
Q

How do you test for AMD and how many or what percent of people are traceable to a genetic inherited condition

A

Swab the cheek

80%

97
Q

What characteristics are required to be a medical surgical nurse

A

Prioritization, organization, critical thinking, problem-solving

98
Q

What are the five in nursing priorities from Maslows Hierachy?

A

Self actualization (hope,growth,spirituality)

Self esteem

Love and belonging

Safety and security

Basic physiological needs

99
Q

What is the biggest problem with communication

A

Illusion that it has occurred

100
Q

What is used as part of effective coping mechanisms and to help deal with stressors

A

Communication skills

101
Q

What can happen in a difficult situation when someone has been effective communication skills?

A

I can make the situation much harder and unrecognized

102
Q

This is listening to what the client says and attempting to understand the situation from the clients perspective

A

Active listening

103
Q

What are the qualities that make communication effective

A

Compassion, discernment, and trust

104
Q

This can be an important part of the communication process between the nurse and client if used in a respectful tactful and nonthreatening manner which can help client moved toward self examination and growth

A

Productive confrontation

105
Q

The purpose of this includes promoting the personal, spiritual, and psychosocial growth and development of an individual in a supportive and safe environment

A

Family

106
Q

Throughout each stage of life the family is confronted with what they can be managed productively

A

Stressors

107
Q

What is the nursing process used to help ?

A

To help guide the nurse in promoting the best outcome

108
Q

critical thinking and problem-solving be taken to a higher level by incorporating what?

A

Clarity, accuracy, precision, relevance depth, breadth logic significance, in fairness

109
Q

This helps/motivates healthcare professionals to maintain and elevate professional standards

A

Code of ethics

110
Q

When is nursing informatics used?

A

Education, research, administration, and nursing practice

111
Q

Was the purpose of the human genome project?

A

To sequenced the genome, mapped the location of jeans on all chromosomes and increase our understanding of the human genome

112
Q

What is the nurses role with a client who has a genetic disorder?

A

To support the client and family, relate our current facts about the genetic disorder, and refer the client to reliable resources for assistance

113
Q

How can the nurse be effective with diverse families?

A

Show acceptance to all types of family units

114
Q

In these types of families basic human needs are not met and members have poor communication techniques with ill defined roles. Also family members are not treated with equal respect or value

A

Distressed families

115
Q

The distraction of the family unit or the start of a pattern of using unhealthy defense mechanisms

A

Family crisis

116
Q

What are the three styles of parenting

A

authoritarian, authoritative and permissive

117
Q

What type of person will cope the best when faced with the new stresses of parenting?

A

Someone who can adjust easily too many changes and has a naturally easy-going approach to life

118
Q

How does a healthy functioning family communicate?

A

Openly, honestly, kindly, and with a candor in a trusting environment

119
Q

In some families of poor interaction passed from generation to generation set the stage for what

A

Dysfunction

120
Q

Defective communication between the nurse and the client is based on what type of relationship?

A

A warm and genuine relationship

121
Q

This is defined as the socially transmitted behavioral patterns, believes, values, custom, lifeways, arts, and all other products of human work and thought characteristics of a population

A

Culture

122
Q

This is the process of getting to know oneself personality values and believes

A

Self aware

123
Q

This is genetic and includes physical characteristics of among members of the same group such as skin color blood type in here and I color

A

Race

124
Q

Developing an awareness of one’s own existence sensations thoughts and environment of those from other backgrounds

A

Cultural competence

125
Q

Personal attitudes and not seen things that might be offensive to someone cultural or ethnic background

A

Cultural sensitivity

126
Q

This is used as a guide for assessing the culture of a patient

A

Purnell’s model for cultural competence

127
Q

What are the three qualities that make a good nurse

A

Compassion -show empathy
discernment -judge situations well
and trust- honesty and rappor

128
Q

What is SBAR?

A

Situation
Back ground
Assessment
Recommendation

129
Q

What are the eight principles of patient centered care?

A

Respect for patients preferences

Coordination and integration of care

Information and education

Physical comfort

Emotional support

Involvement of family and friends

Continuity and transition

Access to care

130
Q

Practice of caring for patients and their families in ways that are meaningful and valuable to the individual patient

A

Patient centered care

131
Q

This is a principle of patient centered care of that involves patients in decision making, recognizing their individual with their own unique values and preferences

A

Respect for patients preferences

132
Q

What are the three identified areas in which care coronation can reduce feelings of vulnerability? In patient centered care

A

Coordination of clinical care, coordination of support services, coordination of frontline patient care

133
Q

Some patients express that they feel like they are not being completely informed about their condition or prognosis. What Type of communication can we use as a nurse to counter this fear?

A

Information on clinical status, progress and prognosis

Information on processes of care

Information to facilitate self-care and health promotion

134
Q

Physical comfort has a significant impact on a patient experience, what are the three areas reported most important to patients?

A

Pain management, assistance with activities of daily living needs, hospital surroundings and environment

135
Q

What should nurses be paying attention to when it comes to emotional support, fear, and Anxiety in patients?

A

Anxiety over physical status, treatments and prognosis

Anxiety over the impact of the illness on themselves and family

Anxiety over the financial impact of illness

136
Q

How should the nurse involve family and friends in patient care?

A

Provide accommodations for family and friends,

involve family and close friends in decision-making,

support family members as caregivers,

recognize the needs of family and friends

137
Q

What are patients often concerned about when speaking of their ability to care for themselves after discharge? (Continuity and transition)

A

Information regarding medications, physical limitations, dietary needs,

Coordination and planning of ongoing treatment and services

Providing information regarding access to clinical, social, physical and financial support on a continuing basis

138
Q

What do patients need to know about their access to care?

A

They need to know if they can access care when it is needed:

Access the location of hospitals, clinics and physician offices

Availability of transportation

scheduling appointments

Availability of appointments

Accessibility to specialist or specialty services when A referral is made

Clear instructions provided on when and how to get referrals

139
Q

What is patient centered care based on?

A

Understanding, and sound nursing judgment

140
Q

Universal expectations to support and enhance safety in all aspects of patient care

A

NPSG

141
Q

Nurse to patient communication

A

Therapeutic

142
Q

QSEN competency to -help provide quality of care

A

Knowledge

143
Q

Variety of different cultural ethnic backgrounds

A

Diversity

144
Q

I shared foundation or ancestery of groups who share the same values and believes

A

Ethnic city

145
Q

Verbal communication which can impede communication at times

A

Language

146
Q

This is the communication between healthcare providers regarding patient status

A

SBAR

147
Q

Incorrectly applying characteristics to groups

A

Stereotyping

148
Q

What is the best way A nurse can reach patient care expectations?

A

Positive attitude

149
Q

The most important QSEN competency?

A

Safety

150
Q

A specialty that integrates nursing science, computer science and information science to manage and communicate data information knowledge and wisdom in nursing practice

It is used in education, research, administration, and nursing practice

A

Informatics

151
Q

What are the characteristics of a medical surgical nurse

A

Prioritization ,organization, critical thinking, problem-solving

152
Q

What are the roles of the medical surgical nurse?

A

Director of care, caregiver, educator, client advocate

153
Q

What do nurses need to be knowledgeable in because of the continuing changes of the healthcare delivery system

A

Evidence-based practice, quality and safety competencies, informatics, and genetics

154
Q

What does CAB stand for

A

Circulation airway breathing

155
Q

Are the categories of communication better essential to basic human social interaction

A

Verbal, nonverbal, electronic

156
Q

Interviewing, patient education, conflict management, effective listening are all what type of communication

A

Therapeutic

157
Q

S bar, documentation, electric records, and a shift reports are examples of what type of communication

A

ProFessional communication

158
Q

Culture can be adapted or changed true or false?

A

True

159
Q

What is one vital skill and coping with health and other life crisis

A

Good communication

160
Q

Active listening, honest, security and acceptance, flexibility, openness, encouraging, sense of fairness, trust, love and kindness, respect is all characteristics of what type of family?

A

communicative traits in healthy families

161
Q

Lack of trust, suppression of emotion, angry outburst, verbal abuse, dishonesty, negativity, denial, hidden agendas, desire to always be right our communicative traits and what type of families?

A

Distressed families

162
Q

In some families, what patterns of interactions maybe passed from generation to generation that set the stage for dysfunctional family?

A

Abuse, authoritarian, or mental illness

163
Q

What are four major traits or tendencies seen very commonly and distressed families?

A

Passive aggressiveness, defensiveness, power struggles, conflict avoidance

164
Q

Negative or aggressive feelings that are expressed in directly such as pouting, giving the cold Shoulder, giving the silent treatment, stubbornness, intentional forgetfulness

A

Passive aggressive tendencies

165
Q

This behavior seen one a person quickly assumes others are blaming or confronting them

A

Defensiveness

166
Q

Ignoring uncomfortable confrontations or disagreements in order to not risk an argument

A

Conflict avoidance

167
Q

If a patient has unresolved concerns what are some good ways to get them to talk about what they may be feeling?

A

Active listening skills -

What else is on your mind?

Are you still concerned about?

There are many things to consider. What else do you Feel needs to be discussed or explored?

168
Q

What is used when somebody has a lack of compliance

A

Productive confrontation

169
Q

What are some special communicative challenges for nurses

A

Not enough time spent with each client,
attempting to guess or judge what the problem may be in order to save time,
not taking the time to observe important nonverbal cues the client may have,
making assumptions,
Giving quick advice rather than offering to discuss other options,
jumping to conclusions about with the clients needs are,
clichés

170
Q

What are some important things to remember when communicating with people from different cultures?

A

Don’t make Assumptions that everyone wants to be treated the way you want to be treated (like being told bad news)

Different cultures Are different when it comes to comfort of eye iContact, touch, personal space when communicating

Determine what the client who they wish to be involved when discussing important matters (many cultures like the entire family involved)

Not all cultures view Western medicine has the final authority. Discuss with your client what alternative forms of medicine they may be using.

PN2 (10 decks)

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