Collaborative practice (EXAM 1)

Early civilization (Rome)

1st military hospital, practice advance hygiene

the acronym AIDET, developed by the Studor group stands for

Acknowledge, Introduce, Duration,Explain, and Thank you

Dorothea Dix

Activist who helped improve conditions of mental patients

Early civilization (Greece)

Aesculapius, God of healing Hippocrates, attributed disease to natural causes, known as the Father or Medicine

Margaret Sanger

American leader of the movement to legalize birth control during the early 1900's. As a nurse in the poor sections of New York City, she had seen the suffering caused by unwanted pregnancy. Founded the first birth control clinic in the U.S. and the American Birth Control League, which later became Planned Parenthood.

What is the first step in the resolution of an ethical dilemma?

Ask the question, Is this an ethical dilemma?

A fully functioning alert and oriented adult patient is diagnosed with prostate cancer. The treatment team orders a series of treatments for the patient, but the patient responds that he will not accept the treatments. Which ethical principle is the patient demonstrating?

Autonomy

A parent provides consent for a 12 year old child to receive an injection of rocephin (antibiotic) for a serious infection despite the 12 year old's refusal. The medication is ordered by the health care provider. The RN administers the injection against the child's wishes. The parent is using which ethical principle in considering this decision?

Beneficence,

A patient arrives in active labor and exhibits imminent labor. The client is uninsured. Which act would prevent the client from being transferred to another facility?

Emergency Medical Treatment and Active Labor Law EMTALA

Florence Nightingale

Established sanitary nursing care units. Founder of modern nursing. began professional education of nursing.

T or F: The nurse understands the difference between slander and libel: slander is the written deformation of a person and libel is the verbal deformation.

False

A nurse is at the end of working three twelve hour shifts are very busy unit, And has not had a single break for over nine hours. The nurse is aware that they are at risk for a medical air at this time. What would be a clear contributing factor to an error made at this time?

Fatigue

Affordable Care Act (ACA)

Federal legislation passed in 2010 that includes a number of provisions designed to increase access to healthcare, improve the quality of healthcare, and explore new models of delivering and paying for healthcare to over 32 million previously uninsured people

NOT an attribute of a professional nurse:

Following the instruction of a physician, under every circumstance

What is a current challenge that is impacting nursing and health care in the US?

Generational differences in an aging nursing workforce

Which of the following is a good reason for health team members to develop good communication skills?

Good communication skills help to prevent medical errors

A nurse is checking orders at the front desk when a visitor asks the room number of a patient. The nurse leaves the chart open while looking up the room number, allowing the visitor to read information from the chart. Which law would protect this client from having other people view or access their medical information?

Health Insurance Portability ad Accountability Act

A healthcare team is working in the operating room and a student nurse identifies a safety issue, which is related to the RN in the room. The RN verbalizes the safety hazard, but the anesthesiologist and it is not their concern to worry about. Which of the following factors was a barrier to affective team performance?

Hierarchy (the anesthesiologist has more power in the situation)

One of the major trends that is currently a problem in nursing education and practice is

Incivility or disregard of others' rights in social interactions

Mary Seacole

Jamaican nurse Who cared for the wounded on the battlefields during the Crimean War and used her knowledge of tropical diseases to help control cholera?

Early civilization (Palatine)

Mosaic code; first organized methods of disease control and prevention

The American Nurses Association Code of Ethics includes statements about the protection of a patient's privacy. If an RN had a rare photograph of an unusual wound (with no other identifiers), could the nurse post the photo on a social media sharing site for educational purposes?

No, since this is a violation of HIPAA and the patient's right to privacy

A factor contributing to the negative, stereotypical image of the nurse is:

Nurses engage in activities that sabotage our professional image such as deferential positioning in meetings, inappropriate dress.

Clara Barton

Operated a war relief program; Founded the American Red Cross

I'm TeamSTEPPS, SBAR Communication is one of the first structured "hand off" communication tools that is used. SBAR Stands for which of the following:

Situation, background, assessment, recommendation/request

In TeamSTEPPS, SBAR Communication is one of the first structured "hand off" communication tools that is used. SBAR Stands for which of the following:

Situation, background, assessment, recommendation/request

True

T or F. Closed loop communication is the process of acknowledgement Of the receipt of info and verifying or clarifying with the sender that the communicated message was the same as the receive message

false

T or F: the nurse should aim to keep a conversation going by verbally responding every time the patient says something

What is one characteristic of an affective and high-performing team?

The team engages in a regular discipline of feedback

the RN displaying assertive communication would be likely to communicate by using which technique

Using "i" messages combined with self assurance

Early civilization (India)

Vedas (accident hindu scripture), surgery, prenatal care, hospitals with male nurses practiced

Clara Maas

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

Early civilization (China)

acupuncture, yin and yang beliefs, massage, hydrotherapy, Teaching of confucius

Susie King Taylor

although hired in the laundry, worked full time as a nurse on the battlefront with no pay or pension; not considered an official Union Army nurse

TeamSTEPPS has five Key principles. Which of the following principles is not a part of TeamSTEPPS?

appeal to emotion

As a nurse in the emergency department you will be working with many different people, sometimes all in one patient together. When this occurs, using TeamSTEPPS, The leader ship which they verbally seek a status report by saying some thing, such as "blood pressure?" The person response states loudly enough for the team to hear, "100 over 56." This technique is called:

call out

Harriet Tubman

cared for wounded soldiers and conducted an "underground railroad" to lead slaves to freedom

Which type of abuse are the nurse required to report or be subject to fines and imprisonment for not reporting?

child

the nurse is communicating with and anxious patient and responds by stating, "I am not sure i understand exactly what you mean when you say you are nervous. could you tell me more about this?" this technique is called

clarifying

Mary Eliza Mahoney

first trained African American nurse in the US

listening is not only taking in what the patient says, but also includes:

interpreting and understanding what the patient means

Sojourner Truth,

known for her abolitionist efforts, as well as her nursing efforts, was an advocate of clean and sanitary conditions so patients could heal

The new graduate nurse observed a situation in which a homeless person was treated with disrespect and with inadequate medical and nursing care. The nurse experiences anguish over this experience, recognizing patient suffering and feeling powerless to do anything about it. This would be called:

moral distress

Early civilization (Egypt)

pharmacopoeia that classified more than 700 drugs, nurses used by kings, laws of cleanliness and food preservation

preinteraction phase, orientation, working, termination

the four phases of the helping relationship

The nurse who is providing a SENSE OF PRESENCE with the patient would be likely to show which behavior

the nurse is highly attentive to patients feelings and needs

T or F. The three primary components of communication are: Sender, receiver, and message

true

face the patient, be sure your mouth is visible to the patient, do not chew gum

what intervention should the nurse use to communicate with the patient who is hearing impaired

Don't worry, my girl. we will make everything all right

when working with a patient in the emergency department, the patient stated, " I am in so much pain i can hardly stand it." A NON therapeutic response