Week 1 lecture

Question 1

Where is medsurg practiced?

Answer 1

Practiced in hospitals, same-day surgery centers, acute rehab centers, ambulatory care settings, long term care agencies and patient’s homes.

Question 2

What does med surg focus on?

Answer 2

Focus on the management of acutely ill adult patients

Question 3

Medical Surgical Nursing Competencies include:

Answer 3

Nursing process
Clinical decision making
Evidence-based care
Patient-centered care
Quality and safety
Interprofessional practice

Question 4

Evidence-Based Practice includes:

Answer 4

Develop the question
Search and collate the best evidence
Evaluate the quality of the evidence
Integrate evidence into practice
Evaluate outcomes of practice change
Disseminate the evidence

Question 5

What is the benchmark of evaluation of nursing care?

Answer 5

Patient-centered care

Question 6

What is patient-centered care composed of?

Answer 6

Effective communication skills
Empathy
Caring
Compassion

Question 7

What is the goal of healthcare?

Answer 7

Goal: Care that is coordinated, safe, patient-centered

Question 8

What is the struggle of healthcare?

Answer 8

Struggle: Elderly, chronically ill, vulnerable populations

Question 9

How is patient education done?

Answer 9

Teach-back

Question 10

How does teach-back provide patient education?

Answer 10

Providing patient education in understandable, plain language, avoiding medical jargon

Question 11

What do you do for teach-back?

Answer 11

Asking patients to repeat back what they understood in their own words in a nonshaming fashion—it is not a quiz!

Question 12

For teach back, what should you avoid?

Answer 12

Avoiding the use of close-ended questions, such as “Do you understand?” or “Do you have any questions?”

Question 13

Teach back (more info)

Answer 13

Re-explaining any areas of confusion
Reassessing understanding by asking the patient to repeat back again
Talking slowly and teaching in chunks, frequently assessing understanding

Question 14

What is interprofessional collaboration?

Answer 14

Partnership between healthcare team and patient

Question 15

What occurs during interprofessional collaboration?

Answer 15

Shared decision making
Communication
Mutual respect
Shared responsibility

Question 16

Who makes up the interprofessional care team?

Answer 16

Registered Nurse
Unlicensed Assistive Personnel
Providers
Rehabilitation therapy
Respiratory therapist
Registered Dietitian/Nutritionist
Case Manager
Pharmacist
Ad-H o c members

Question 17

What is the nursing process?

Answer 17

Assess
Diagnose
Plan
Implement
Evaluate

Question 18

What do unlicensed assistive personnel do?

Answer 18

Vital signs
Assist with A D L’s

Question 19

Five Rights of Delegation?

Answer 19

Right task
Right circumstance
Right person
Right direction and communication
Right supervision and evaluation

Question 20

List of Providers

Answer 20

Physician
Certified Registered Nurse Practitioner
Physician Assistant
Social Worker

Question 21

List of Ad-Hoc Members

Answer 21

Interpreter
Chaplain
Community Health Worker
Legal Counsel
Palliative Care Coordinator
Substance Abuse Counselor
Post-discharge Call Nurse

Question 22

Cultural awareness

Answer 22

The realization and recognition that personal beliefs and values

Question 23

Cultural Sensitivity

Answer 23

An understanding and kindness that leads to inclusivity

Question 24

Cultural competence

Answer 24

The ability of an individual to understand and respect values, attitudes, and beliefs

Question 25

Communication

Answer 25

Exchange of information and ideas Language differences Cultural differences in communication

Question 26

Space

Answer 26

A person’s personal space Boundaries Varies depending upon relationship

Question 27

Social Organization

Answer 27

Family unit Wider organization: Community, religion, e t c. Gender roles Roles determined by age (i.e., older adults)

Question 28

What serves as a guide to the moral traditions, values and behaviors of professional nursing?

Answer 28

Ethical principles

Question 29

Ethical Principles include:

Answer 29

Beneficence Autonomy Justice Fidelity Nonmaleficence Privacy Confidentiality Paternalism Veracity

Question 30

Palliative Care

Answer 30

Palliative care (PC) is a specialized form of care for patients of any age that focuses on relief of discomfort, pain, stress, and other symptoms associated with a severe illness.

Question 31

Hospice Care

Answer 31

hospice care, which focuses on the care of a patient with a terminal illness who has less than 6 months to live.

Question 32

What is a patient's plan of care composed of?

Answer 32

Patient’s goals, preferences, and values Travels with patient across healthcare settings Hospice education when death may occur within a year

Question 33

What are social aspects of care?

Answer 33

Regular patient and family conferences with interprofessional team Regular assessment of support

Question 34

What occurs during regular patient and family conferences with interprofessional team

Answer 34

Goals of care Prognosis Advanced care planning

Question 35

Regular assessment of support includes what kind of support?

Answer 35

Social network, cultural, legal and financial concerns, caregiver availability, coping skills, access to medications and equipment

Question 36

What should be incorporated in plan of care?

Answer 36

Incorporating spiritual, religious, and existential concerns and practices into the plan of care

Question 37

Care of the Imminently Dying: What does it entail?

Answer 37

Symptom management Family support Postmortem care

Question 38

Care of the Imminently Dying: What does symptom management include?

Answer 38

Pain/discomfort Respiratory distress Delirium

Question 39

Care of the Imminently Dying: What does family support include?

Answer 39

Include an opportunity to participate in care Maintain communication Offer family private time

Question 40

Ethical and Legal Aspects of Care: What does it identify?

Answer 40

Identify patient’s decision making capacity Identify patient’s surrogate decision maker Patient’s right to full disclosure of information Patient’s right to refuse treatment

Question 41

American Nurses Association Code of Ethics

Answer 41

Reflects the social contract that nursing has with the public, encompassing the moral traditions, values, and trust that the public has come to associate with nursing