NUR 2048 Exam 4
What is domestic minor sex trafficking (DMST)? (3)
- The commercial sexual exploitation of American children (under the age of 18) within US borders - Typically through prostitution, pornography, and or erotic entertainment - Prostituted minors are often controlled by a pimp (trafficker) who recruits them by posing as a boyfriend/girlfriend, caretaker, fellow gamer, and/or protector.
What is collaborating?
Most time-consuming, most creative, requires people to be assertive and cooperate to find a solution that meets the goals
What is human smuggling? (2)
- Bringing illegal aliens into the United States or unlawful transportation and harboring of people that are already in the US. - Importation of people into the US, involving deliberate evasion of immigration laws
What are tag colors? (4)
- Green: walking wounded, get a bandaid and leave - Yellow: need to be seen but can be delayed - Red: need to be seen right now, bleeding - Black: deceased or are going to die
What is accommodating?
People neglect their own needs and goals, unassertive, while trying to satisfy the goals of others
What is competing?
People pursue their own needs and goals at the expense of others
What are causes of conflict?
- Miscommunication - Inaccurate information - Mistrust - Ambiguous Role Expectations - Ineffective Teamwork - Inadequate Project Planning - Ineffective Leadership - Resistance to Change
What are the elements of the trafficking victims protection act (TVPA)? (4)
- Prevention - Protection for foreigners & domestic victims - Prosecution - Partnership
What are the benefits of compromise?
- Supports a balance of power between self and others in the workplace - May require mediation - Involves an impartial helper - Both sides must acknowledge disparities - Not about winning or losing - Key: What works best in this situation?
The nurse leader as a manager makes a decision regarding the method of documentation that benefits the nursing team. Which type of decision-making style would the nurse leader use? 1. Autocratic 2. Informative 3. Paternalistic 4. Shared decision-making
3. Paternalistic,
After resolution of a conflict, the nurse leader provides encouragement to a team member involved in the conflict. As an effective leader, which action would the nurse leader avoid? 1. Telling the importance of unity within the team to achieve a vision 2. Telling success stories that are achieved by collective team works 3. Telling the team member to read about the life stories of inspirational leaders 4. Telling the team member that she or he will get legal punishments for conflicts in the future
4. Telling the team member that she or he will get legal punishments for conflicts in the future
What is the AMP model? (3)
- Action: induce, recruits, harbors, transports, provides, obtains - Means: force, fraud, coercion - Purpose: commercial sex, labor/services
What is preparedness?
- Before an emergency - Emergency planning
What is mitigation?
- Before and after an emergency - Identifying hazards and taking action to minimize effects
How would the nurse arrange the health care team members according to their job title from having the highest authority to the lowest authority?
1. Nurse director 2. Nurse manager 3. Registered nurse 4. Licensed vocational nurse
What are the 3 primary manifestations of child sex trafficking in America?
1. Pimp-controlled prostitution 2. Familial prostitution 3. Survival sex
What is an advanced directive?
Living will
What are the stages of conflict?
1. Frustration 2. Conceptualization 3. Action 4. Outcomes
What are the 12 patient rights?
1. Talk about informed consent 2. Find different consent forms in different languages 3. Get info that meets sensory needs 4. Make Decisions about your care 5. Refuse care-medications treatments 6. Know the names of your caregivers 7. Safe care 8. have your pain addressed 9. Know when something goes wrong 10. Get a list of all medications 11. Courtesy and respect 12. Personal representative
What is the average age of entry for DMST?
15 years old
Which intervention would be classified as an independent nursing care function? Select all that apply. One, some, or all responses may be correct. 1. Inserting a Foley catheter 2. Administering a medication 3. Starting an intravenous infusion 4. Preparing a client for diagnostic tests 5. Positioning a client to prevent pressure ulcer formation
5. Positioning a client to prevent pressure ulcer formation
Two clients in the same medical facility receive differing levels of care due to the lack of financial resources of the family of one of the clients. The nurse in charge tries to resolve the ethical dilemma at hand. The nurse collects all relevant information regarding the problem from multiple sources. Which would be the nurse's next course of action? 1. Verbalize the issue by agreeing to a clear statement of the problem at hand. 2. Analyze the situation at hand to determine whether it is an ethical dilemma. 3. Examine own values regarding the issue at hand based on the information obtained. 4. Negotiate the outcome of the possible course of action through proper group discussions.
3. Examine own values regarding the issue at hand based on the information obtained.
What is interorganizational conflict?
>arises when discord exists about policies and procedures, personnel codes of conduct, or accepted norms of behavior and patterns of communication
As the nurse prepares to have a client sign her abdominal hysterectomy with a bilateral oophorectomy surgical consent, the client asks the nurse how long she should wait to become pregnant after the surgery. Which action would the nurse take at this time? 1. Have the client sign the informed consent form. 2. Ask the client if she understands what the surgery entails. 3. Tell the client that she will not be able to get pregnant after the surgery. 4. Call the primary health care provider immediately and hold preoperative medications.
4. Call the primary health care provider immediately and hold preoperative medications.
The spouse of a comatose client refuses to allow transfusions of whole blood because they are Jehovah's Witnesses. The client does not have a durable power of attorney for health care (DPAHC). Which action by the nurse is correct? 1. Institute the prescribed blood transfusion because the client's survival depends on volume replacement. 2. Clarify the reason why the transfusion is necessary and explain the implications if there is no transfusion. 3. Phone the primary health care provider for an administrative prescription to give the transfusion under these circumstances. 4. Give the spouse a treatment refusal form to sign and notify the primary health care provider that a court order now can be sought.
4. Give the spouse a treatment refusal form to sign and notify the primary health care provider that a court order now can be sought.
What is beneficence?
Actions should promote good
What is respect for others?
Allowing patients and families the rights to make decisions and to live by these decisions
What is paternalism?
Belief that healthcare provider knows best, information is provided or withheld based on this belief
Who can make an advanced directive besides the patient?
Chaplin
What is nonmaleficence?
Do no harm
What is justice?
Equal treatment
What is veracity?
Telling the truth
What is an ethical dilemma?
The collision of two ethical principles
What is human trafficking? (5)
The recruitment, transportation, transfer, harboring or receipt of persons: - Sex trafficking - Labor or services - Commercial sex act - Minors
What is avoiding?
Withdrawing, unassertive, uncooperative, conflict is postponed, and can escalate
What is emergency preparedness?
act of making plans to prevent, respond to, and recover from emergencies
What is a pandemic?
an infection that spreads rapidly around the world
What is surge capacity?
community's ability to rapidly meet the increased demand for qualified personnel and resources, including healthcare resources, in the event of a disaster
What is bureaucratic leadership?
concerned with procedure at expense of efficiency
What is an autocratic leader?
one person with absolute power
What is organ trafficking? (2)
- Trafficking in human organs for profit - Issues of supply & demand
What are the steps to revealing a conflict?
1. Name the conflict (identify the problem) 2. Identify your reaction to it 3. Search for cause 4. Identify a common goal 5. Generate solutions 6. Select and plan innovative solution 7. Implement 8. Evaluate 9. Repeat as needed
What is a transactional leader?
focuses on specific tasks & uses rewards & punishments
What is the recovery phase? (3)
- After the emergency - Restoration and Mitigation - Rebuilding, return to employment and government operations
What are advocacy interventions & assessments?
- Educating patients about their legal rights regarding informed decision making - Ensuring patients have a voice - Monitoring patients' care to safeguard patient rights. - Evaluating Policies and Procedures to ensure the protection of patients' right - Intervening if the care given is unsafe, against the patients' wishes, or the patient is not competent - Assess the patients' ability to make decisions - Assess the reliability of the information being given
What is emergency response? (2)
- Initiation of emergency preparedness plans - Triage, search and rescue, repairing utility infrastructures
Who are the buyers of DMST? (3)
- Many are men, but they can be young and old, locals and tourists, military and civilian, students and professionals, family and strangers - BUYERS CAN BE ANY ONE! - Prosecution for buyers
What are objective red flags for trafficking? (9)
1. Accompanied by a controlling person 2. Does not speak English 3. No identification documents or patient not in control of documents 4. Story does not match clinical assessment 5. Well rehearsed story/scripted history 6. Patient will not make eye contact 7. Vague medical complaints 9. Clothing is not appropriate for the season
What are the mental red flags of trafficking? (14)
1. Anxiety 2. Panic attacks 3. Depression 4. Suicide 5. PTSD 6. Substance abuse 7. Addictions 8. Aggression 9. Low self esteem 10. Poor eye contact 11. Distant 12. Flat affect 13. Disoriented 14. Confused
What are the physical red flags of trafficking? (15)
1. Bruising 2. Bite marks 3. Burns 4. Strangulation marks 5. Lacerations 6. Broken bones 7. Hair pulled out in spots 8. Signs of torture 9. Poor dental hygiene 10. STD's 11. Pregnant/multiple pregnancies 12. Malnourishment 13. Acute illness 14. Untreated chronic disease 15. Tattoos/branding
Which characteristics would the nurse possess as a leader, according to theories of transformational leadership? Select all that apply. One, some, or all responses may be correct. 1. Empowering staff 2. Creating enthusiasm for practice 3. Promoting scholarship of practice at the client side 4. Providing specific feedback about positive performance 5. Using positive reinforcement to motivate followers to repeat constructive behaviors
1. Empowering staff 2. Creating enthusiasm for practice 3. Promoting scholarship of practice at the client side
The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. Which might be the expected organizational outcomes with this type of leadership? Select all that apply. One, some, or all responses may be correct. 1. Increased loyalty 2. Deadlines met 3. Increased performance 4. Low-to-stable levels of commitment 5. Work supervised and completed according to the rules
1. Increased loyalty 3. Increased performance
What are the 4 phases of emergency management?
1. Mitigation 2. Preparedness 3. Response 4. Recovery
The nursing manager wants to implement transformational leadership qualities. Which actions best describe this style of leadership? Select all that apply. One, some, or all responses may be correct. 1. Providing intellectual stimulation 2. Intervening only when problems exist 3. Performing experiments with system redesign 4. Using motivation to inspire work performance 5. Monitoring performance and taking corrective action
1. Providing intellectual stimulation 3. Performing experiments with system redesign 4. Using motivation to inspire work performance
What are the 3 attributes of the nurse advocate?
1. Safeguard patients' autonomy 2. Acting on behalf of patients 3. Championing social justice in the provision of health care
What are the 5 aspects of empowerment (the patient)?
1. Self-Efficacy 2. Self-Awareness 3. Confidence 4. Coping skills 5. Health literacy
After communicating with the follower of the nurse leader, the senior nurse assumes that the nurse leader is following the transactional leadership approach. Which statements of the follower support the senior nurse's assumption? Select all that apply. One, some, or all responses may be correct. 1. "I have increased job satisfaction." 2. "I have to face penalties for poor performance." 3. "I have to meet the deadlines of my work at any cost." 4. "I am getting my errors corrected in a reactive manner." 5. "I am doing challenging and meaningful work every day."
2. "I have to face penalties for poor performance." 3. "I have to meet the deadlines of my work at any cost." 4. "I am getting my errors corrected in a reactive manner."
A critically injured client was brought to the hospital after a car accident, and the client needs immediate triage for determining the nature and acuity of the injuries. Which health care team member would this task be delegated to? 1. Nurse manager 2. Registered nurse 3. Licensed practical nurse 4. Primary health care provider
2. Registered nurse
What is compromising?
Involves both assertiveness and cooperation on the part of everyone, requires maturity and confidence, negotiation and compromise
What is fidelity?
Keeping a promise
What is transformational leadership?
encourage, inspire, & motivate to innovate & create change
What is situational leadership?
leader adapts their style to current environment
What is laissez-faire leader?
letting things take their own course without interfering
What is intrapersonal conflict?
occurs within a person when confronted with the needs to think or act in a way that seems at odds with one's sense of self
What is a democratic leader?
participative/shared leadership, group involved
What is a disaster?
public emergency necessitating assistance from outside the affected community
What is autonomy?
right to self-determination
What is an emergency?
sudden, often unforeseen event that threatens health or safety
What is interpersonal conflict?
transpires between and among patients, family members, nurses, physicians, and members of other departments
What is charismatic leadership?
uses communication skills, persuasive, and charms others