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Fundamentals of Nursing 1 > Unit 2 Test > Flashcards

Unit 2 Test Flashcards

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1
Q

Why is it important to understand normal growth and development?

A

It helps prevent predict and detect deviations from patients own expected patterns and help us identify abnormal

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2
Q

Physical changes that occur from the prenatal period too older adulthood; it demonstrates advancement and deterioration ; Includes measurable changes in the physical body

A

Growth

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3
Q

Refers to the biological cognitive and socioeconomic changes that begin at conception and continue throughout a lifetime ; Behavioral changes in functional abilities and skills

A

Development

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4
Q

Theory in which individuals need to accomplish a particular task before successfully mastering that stage and moving onto the next one ; Each stage has opposing conflicts ; Established tasks can be challenged again in the future

A

Erikson’s eight stages of development

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5
Q

Trust versus mistrust, autonomy versus shame and doubt, initiative versus guilt, industry versus inferiority, identity versus role confusion, intimacy versus isolation, generativity versus stagnation, integrity versus despair

A

Eight stages of development

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6
Q

Stage in which you develop the ability to trust others it requires a constant caregiver results in faith/optimism ; Ages birth to one year

A

Trust vs mistrust

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7
Q

Stage in which they gain self-control and independent; ages one through three

A

Autonomy versus shame and doubt

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8
Q

Stage in which children are highly imaginative it results in direction and purpose if successfully pass; Ages three through six years

A

Initiative versus guilt

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9
Q

Age in which children love to be engaged in tasks and activities ; ages six through 11 years

A

Industry versus inferiority

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10
Q

Identity development begins if successfully passed results in devotion and fidelity ; Occurs during puberty

A

Identity versus role confusion

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11
Q

Stage in which people search for friendships And or marriage or partners ;if it fails isolation occurs; Occurs In young adulthood

A

Intimacy versus isolation

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12
Q

Parenthood ,teaching ,community involvement Occur during this stage ;inability results in stagnation ; Middle age

A

Generativity versus stagnation

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13
Q

Engaged in retrospective appraisal ;search for the meaning of life; lose independence ; physical and social loss; Occurs during old age

A

Integrity versus despair

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14
Q

Statutory law; regulatory law; common-law

A

Sources of law

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15
Q

Created by legislative bodies ; defines legal boundaries and practice ; Example -nurse practice act

A

Statutory law

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16
Q

Protect the rights of individuals within society; Occurs when harm to an individual happens or property damage Occurs ; usually awarded by monetary funds

A

Civil law

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17
Q

Protect society as a whole provide punishment for crime defined by municipal state or federal legislation; Includes felonies and misdemeanors

A

Criminal law

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18
Q

Reflect decisions made by administrative body such as the State Board of nursing when they pass rules and regulations

A

Regulatory law

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19
Q

Judicial decisions made in courts when individual legal cases are decided including informed consent cases

A

Common-law

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20
Q

Legal requirement for nursing practice that describes the minimum acceptable nursing care

A

Standard of care

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21
Q

Develop standards for nursing practice policy statement and similar resolutions

A

American nurses Association

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22
Q

Defines the scope of nursing practice ;distinguishes between nursing and medical practice ;establishes education/licensure requirements for nurses; protect public and is different in each state

A

The nurse practice act

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23
Q

Defines practice of nursing more specifically. For that state

A

State Board of nursing

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24
Q

Requires accredited hospitals to have written nursing policies and procedures is a voluntary action

A

The joint commission

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25
Q

Have their own policies and procedures

A

Healthcare agencies

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26
Q

A civil wrong made against a person or property

A

Tort

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27
Q

Willful acts that violate another person’s right such as assault , battery or false imprisonment, or insurance fraud

A

Intentional tort

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28
Q

Intent is lacking but Direct causation occurs and involves injury; Example would be invasion of privacy or defamation of character

A

Quasi-intentional Tort

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29
Q

Negligence or malpractice

A

Unintentional tort

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30
Q

Assault, battery or false imprisonment

A

Intentional torts

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31
Q

Any action that place the person in apprehension of a harmful or offensive contact without consent ;contact is not necessary

A

Assault

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32
Q

Any unintentional touching without consent ; Giving an injection without consent

A

Battery

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33
Q

Unjustified restraint of a person without legal warrant ; Restraining a conscious patient

A

False imprisonment

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34
Q

Invasion of privacy or defamation of character

A

Quasi-intentional tort

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35
Q

Protects from unwanted intrusion into his or her private affairs ; Hippa

A

Invasion of privacy

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36
Q

Publication of false statements that damages reputation

A

Defamation of character

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37
Q

Person is aware what is written or said is false but proceeds anyway

A

Malice

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38
Q

Speaking false about someone

A

Slander

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39
Q

Written defamation of character

A

Libel

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40
Q

Conduct that fall below the standards of care ; a breach of duty

A

Negligence

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41
Q

Professional negligence ;four steps ; 1)nurse had a duty to patient 2) didn’t carry out that duty 3) patient was injured 4) nurses failure caused the injury

A

Malpractice

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42
Q

Informed consent ; contracts and collective-bargaining; documentation; incident report; professional liability insurance

A

Legal safeguards for nurses

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43
Q

Agreement to allow something to happen; written confirmation after exclamation has been given an individual understands; violations could result in battery

A

Informed consent

44
Q

Evidence of care

A

Documentation

45
Q

Database for further investigation in an attempt to determine deviations from standard of care

A

Incident report

46
Q

Contracts between a nurse and an insurance company

A

Professional liability insurance

47
Q

Living will and durable power of attorney

A

Advanced directives

48
Q

Protects people with disabilities which includes mental or physical impairments

A

ADA ;Americans With Disabilities Act

49
Q

Basis for privacy and confidentiality

A

HIPPA health insurance portability and accountability act

50
Q

The right to be free of unnecessary and inappropriate restraint

A

Restraints

51
Q

Encourages health professionals to assist in emergencies outside of work ;limits their liability and offers legal immunity for nurses to help at the scene of an accident with in their Scope of practice

A

Good Samaritan act

52
Q

Encourages identification and discipline of practitioners to engage and unprofessional conduct

A

National practitioner data Bank

53
Q

That’s legal standards for healthy workplace

A

OSHA

54
Q

Child elder abuse impaired nurses communicable diseases

A

Reporting obligations

55
Q

Narcotics

A

Controlled substances

56
Q

Study of conduct and character ;what is right and wrong based on moral reasoning and reflects value

A

Ethics

57
Q

Formal statement that States a profession’s guidelines for ethical behavior; Set standards for the professional to achieve

A

Code of ethics

58
Q

Refers to freedom from external control ; protects patient’s independence ;Example would be a self-determination act

A

Autonomy

59
Q

Taking positive actions to help others; Example would be getting a different Form of a medication

A

Beneficence

60
Q

Avoidance of harm or hurt; Oath taken at graduation

A

Non-maleficence

61
Q

Fairness

A

Justice

62
Q

Obligation to tell the truth

A

Veracity

63
Q

Agreement to keep promises

A

Fidelity

64
Q

Support of a particular cause

A

Advocacy

65
Q

Willingness to respect one’s professional obligations and follow through on promises

A

Responsibility

66
Q

Ability to answer for one’s own actions

A

Accountability

67
Q

Protect someone’s information; keep it private ;example HIPPA

A

Confidentiality

68
Q

Personally about the worth of a given idea attitude customer object that set standards that influence behavior

A

Values

69
Q

Begins in childhood ;shaped by experience ;Government ,school ,religion ,social institutions all play a role

A

Value formation

70
Q

Distinguish among value fact and opinion

A

Values clarification

71
Q

Ask the question is this an ethical dilemma; gather information relevant to the case; clarify values; verbalize the problem; identify possible courses of action; negotiate a plan; evaluate the plan overtime

A

Seven steps of processing an ethical dilemma

72
Q

Multidisciplinary; serves several purposes including education policy recommendation and case consultation

A

Ethics committee

73
Q

Initiate dialogue concerning the client wishes. Do more listening than talking. Assess clients understanding of illness and available treatment options. Allow time to explore values and communicate. Facilitate communicating of clients desires to family and other healthcare providers.

A

Strategies for providing ethical care

74
Q

The first of the recording of information relevant to data collection planning implementation and client response to care given

A

Documentation

75
Q

Communication, legal documentation, financial billing, education, research, auditing/monitoring,

A

Purposes of patient records

76
Q

One way that the healthcare team communicate through Charting. Tracks patient Progress education discharge planning

A

Communication

77
Q

Best defense is for legal claims associated with nursing care

A

Legal documentation

78
Q

DRGs are basis for establishing reimbursement For patient care. Document supplies used in treatment done and help support reimbursement

A

Financial billing

79
Q

Helps anticipate the type of care the patient will need

A

Education

80
Q

Gather data for the frequency of clinical disorders complications etc.

A

Research

81
Q

Quality improvement

A

Auditing/monitoring

82
Q

Be factual, be accurate, be complete, keep current, Be organized

A

Guidelines for quality documentation and reporting

83
Q

Say what you mean and be descriptive. Do not use words appears or apparently. Quantify measurements accurately. Avoid catch all phrases such as patient comfortable, Record only what you see in here.

A

Factual Documentation

84
Q

If using paper documentation write neatly and legibly. use proper spelling and grammar. be precise. use military time do not Prepay sentence with patient as the record is only the one patient. Do not use blank space on paper chart. Amend mistakes correctly

A

Accurate documentation

85
Q

Do not omit significant information

A

Complete documentation

86
Q

Chart promptly.

A

Current charting

87
Q

Narrative charting should flow and tell a story. Documentation should follow a logical pattern

A

Organize documentation

88
Q

Do not document someone else’s notes. Do not document care provided by another staff member. Do not criticize other healthcare professionals in the chart. Document noncompliant behavior to defend yourself

A

Miscellaneous guidelines for charting

89
Q

Narrative charting, problem oriented charting, focus charting, charting by exception, critical pathways

A

Methods of charting

90
Q

Traditional method. Story like format to document findings. Specific to patient condition/nursing care

A

Narrative charting

91
Q

SOAP - Subjective, objective, assessment, plan

PIE -Problem, intervention, evaluation

A

Problem oriented charting

92
Q

DAR- Data, action, response

A

Focus charting

93
Q

Documenting deviations from established norm ;reduces documentation time/highlights changes; Flow records specific to disease; usually kept at bedside; does not always paint the picture

A

Charting by exception

94
Q

Interdisciplinary care plan that includes problems intervention and expected outcomes within an established timeframe; DRGs

A

Critical pathways

95
Q

Detailed form; Guides nurse through holistic care; provide the claimant embarrassment

A

Admission database

96
Q

Allow you to quickly/easily enter assessment data i.e. vital , meals, ADLs; notes for abnormal

A

Flow sheet

97
Q

Have activity and treatment section; a nursing care plan Demographics, meds ,diagnosis and rate of fluids included

A

Kardex

98
Q

On paper/PC; list medicine/time/history; must be verified for accuracy. Read everything

A

MAR medication administration Record

99
Q

Specialty that integrates nursing science computer science and information science to manage and communicate data information and knowledge and nursing practice

A

Nursing informatics

100
Q

Support the way we function ;support/enhance nursing practice

A

Two goals of nursing informatics

101
Q

Increase of time spent with patients, better access to information, enhanced quality of documentation, reduced errors of omission, lower hospital costs, increased nurse job satisfaction, compliance with requirements of accrediting agencies, development of a common clinical database

A

Advantages of nursing informatics system

102
Q

Secure reliable in real time, episode of/longitudinal, primary information resources, evidence-based practice, CQI UR risk management and performance management, reimbursement, research, clinical trials

A

Attributes of an Electronic health record

103
Q

Ranking patient based on need used for staffing

A

Acuity

104
Q

Sharing essential information about the patient or changes in their condition; The bedside rounding

A

Change of shift Report

105
Q

Use of SBARidentify self and validate the message

A

Telephone report

106
Q

Repeat order back to healthcare provider; follow agency policies ;verified by the physician within 24 hours

A

Telephone/verbal orders

107
Q

Must document who you spoke to

A

Transfer reports

Fundamentals of Nursing 1 (9 decks)

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