VEEB Nursing Fundamentels Mid-Term Study Guide

Question 1

Health

Answer 1

A state of complete physical, mental and social well being not only the absence of disease.

Question 2

Illness

Answer 2

Is disease of the body or the mind. It is largely subjective (what a person feels). It is a dimished or impaired stae of health due to disease, deterioration or injury.

Question 3

Negligence

Answer 3

(basically a tort - civil) Failure to do what a responsible and prudent (wise) person would do or not do. Which results in injury or harmful to another individual. You didn’t follow standards and you harmed someone.

Question 4

Malpractice

Answer 4

is negligence on a professional level. Negligence that occurred while performing as a professional.

Question 5

Assault

Answer 5

Is a threat to tuoch or harm another without consent.

Question 6

Battery

Answer 6

actual or physical contact that is carried out without their permission. If you perform a procedure on a person without consent it is considered battery.

Question 7

Slander

Answer 7

is the spoken words that are untrue about a person and damages their reputation. (ORAL)

Question 8

Libel

Answer 8

Written words about a person that are untrue and damages their reputation (WRITTEN)

Question 9

Patient Bill of Rights

Answer 9

It lists the rights the patient can expect and the responsibilities the hospitals can’t violate. These must be posted for patients to see. They have a right to high quality care, respect and dignity. They have a right to have info about their illness and right to make decisions for theirselves. They have a right to consent to certain procedures. They have the right to refuse care. The have a right to complain about their care. They have a right to confidentiality. Only those taking care of the patients can see the charts or the proxy. Your obligation is to the patient.

Question 10

Nurse Practice Act

Answer 10

Defines and limits the scope of nursing practice. It wells you what the nurse can or cannot do. Every state has its own Nurse Practice Act. As a LPN you MUST let the RN know everything.

Question 11

Licensure/Endorsement

Answer 11

at the completion of a program you take a test NCLEX to get licensed. It is good throughout the USA.

Question 12

Liability Protection

Answer 12

Malpractice insurance. Individual coverage when the nurse is off or on duty. It is an important consideration before beginning nurse practing.

Question 13

Good Samaritan Act

Answer 13

It provides immunity from liability in certain circumstances. It protects the nurse if they help someone on the soutside. The goal is to encourage assistance in emergencies so you cant get sued.

Question 14

Maslow’s Hierarchy of Needs

Answer 14

1) Physiological 2)Safety & Security 3) Love & Belonging 4) Self Esteem 5) Self-actualization

Question 15

Code of Ethics

Answer 15

Serves as a way to regulate the actions of Nurses and guidelines of theical behaviors.

Question 16

Purpose of a Chart

Answer 16

It provides a record of the history of the patient, the treatment, the care and response of the patient while they were there. Communicates pertinent data to the healthcare team in order to provide continous care of the patient. It is a teaching tool. Serves as a legal record for both the patient & healthcare provider. “if it wasn’t documented, it wasn’t done!!” Serves as a record of accountability for quality assurance for accreditation & reimbursement benefits.

Question 17

Source Oriented Record

Answer 17

an organized type of data uning specific forms for each designated with a label.

Question 18

Problem Oriented Record

Answer 18

everyone writes on the same list. Plan of care & Progess Notes. Everyone can see what everyone is doing.

Question 19

SOAPIER Charting

Answer 19

may be used on the source or the problem oriented record. S-Subjective, O-Objective, A-Assessment, P-Plan, I-Intervention, E-Evaluation, R-Revision

Question 20

Pie Charting

Answer 20

Pie charting is much shorter and documents fewer data than the SOAPIER charting style. Drawback is only addresses the patient’s problem, holistic treatment is lost. P-Problem, I-Intervention, E-Evaluation

Question 21

Focus Charting

Answer 21

is foucused on the patient and patient concerns, problems, and strengths. DAR - D-Data (Subjective or Objective) A-Action (Interventions), R-Response (patient’s response to the intervention)

Question 22

DARE Charting

Answer 22

D-Data, A-Action, R-Respone, E-Evaulation

Question 23

Charting by exception

Answer 23

All activities of daily living, vital signs, and assessment findings are charted on checklist-type flow sheets rather than writing them out as individual entries. Only exceptions from the norm are written as entries.

Question 24

Narrative Charting

Answer 24

Tells the story of the patient’s experiences during the hospital stay. It is written in chronological order and relates the patient’s health status from admission and through all changes in condition, up to and including his or her discharge status. The advantage is that it provides nore details than most charting styles and a better time line of the patient’s changing conditions, especially during life-threatening emergencies such as cardiac and respiratory arrests,

Question 25

Computerized Charting

Answer 25

Saves time. Easier to read.

Question 26

Cardex

Answer 26

The card systrem for each patient keep in each folder on in front of the medical record. It is a quick method of reference.