221 EXAM 1

Beneficence

doing good, taking positive actions to help others

Negligence

failure to behave in a reasonable or prudent manner, conduct that falls below the standard of care (UNINTENTIONAL TORTS)

justice

fairness

Fideity

faithfulness/agreement to keep promises

examples of Assertive speaking style

firm voice, maintain eye contact, verbal and non verbal ,messages match, say what you mean and mean what you say

how to delegate

give direct information, follow up and thank them (nurse practice act)

Leadership Styles: what is AUTOCRATIC

- High job centered - Leader makes the decisions/assigns tasks - Employees cannot be trusted to work - Effective - PEOPLE SKILLS LOW LEVEL EMERGENCY- SOMEONE MUST BE IN CHARGE (characterized by individual control over all decisions and little input from group members) a system of government by one person with absolute power.!!!!!

Communication Styles: Aggressive Communication

- Mgnt through intimidation - May burn out from constant battling express their feelings and opinions and advocate for their needs in a way that violates the rights of others. aggressive communicators are verbally and/or physically abusive. Aggressive communicators will often: ▪ try to dominate others bully communication

Leadership Styles: what is DEMOCRATIC

- More employee centered - Staff participate in decision making final decision making remains with manger Advantage- staff ownership of the job Employees play a role in making important company decisions through extensive discussions and brainstorming

Communication Styles: Passive Communication

- Avoid conflict at all cost - Allows other to make decisions - Liked, but loses respects - Problems are not resolved - Work doesn't get done attempts to do it all (individuals have developed a pattern of avoiding expressing their opinions or feelings, protecting their rights, and identifying and meeting their needs. As a result, passive individuals do not respond overtly to hurtful or anger-inducing situations.)

Leadership Styles: what is LAISSEZ-FAIRE

- Control of staff is minimal - Self-functioning and solve problems themselves -Limited use in most health care facilities

Communication Styles: Assertive Communication

- Getting work done while meeting employee needs - Communication expectations without violating other - Doesn't take on others work/rule through intimidation leadership communication "I NEED" not "YOU MUST" (is the ability to express positive and negative ideas and feelings in an open, honest and direct way. It recognises our rights whilst still respecting the rights of others. It allows us to take responsibility for ourselves and our actions without judging or blaming other people.)

what are the 5 rights of delegation

1. Right task- one that is delegable for a specific pt 2. Right circumstances- appropriate pt setting available resources and other relevant factors considered 3. Right person 4. Right direction and communication 5. Right level of supervision

Criteria for nursing malpractice and professional negligence

1. The nurse (defendant) owed a duty to the pt - DUTY 2. The nurse did not carry out that duty- BREACH OF DUTY 3. The pt was injured- INJURY 4. The nurse fails to carry out that duty caused that injury- CAUSAL RELATIONSHIP

responsibility: 1. competence and 2. judgement

1. performance in a manner that satisfies the demands of the situation 2. the use of available evidence or facts to formulate a rational opinion or to make a socially acceptable choice

When did telehealth come about? A. 1950s B. 1989 C. 2000s D. 1970

A. 1950s

Incivility impacts patients in the following waysSelect all that apply A. Increased treatment times B. Increase in poor patient outcomes C. Decreased incidence of errors D. Decreased patient satisfaction E. Increased quality of care

A. Increased treatment times B. Increase in poor patient outcomes D. Decreased patient satisfaction

The nurse is discussing the current nursing shortage with a hospital administrator. The nurse explains that which trend is NOT a cause of the current nursing shortage? A. Larger number of young, inexperienced nursing educators in schools of nursing B. Salary issues, long hours, and increased responsibility for supervising unlicensed workers C. Increased aging on the population resulting in the increased need for nurses D. The increasingly wider career options available for women

A. Larger number of young, inexperienced nursing educators in schools of nursing

As the registered nurse, which tasks below should you NOT delegate to the LPN? Select all that apply A. Performing an assessment on a new admission B. Collecting a urine sample from an indwelling foley catheter C. Developing a plan of care for a patient who is admitted with Guillain-Barre Syndrome D. Educating a patient about how to monitor for side effects associated with warfarin E. Auscultating lung and bowel sounds F. Starting a blood transfusion

A. Performing an assessment on a new admission C. Developing a plan of care for a patient who is admitted with Guillain-Barre Syndrome D. Educating a patient about how to monitor for side effects associated with warfarin F. Starting a blood transfusion

The Hospital Consumer Assessment of Healthcare Providers and Systems(HCAHPS) survey would include which of the following topics? Select all the apply A. Responding to patient needs B. Cleanliness of roomC. Niceness of staff D. How doctors and nurses communicate with patient E. Personal overall rating F. How much time staff spends with you

A. Responding to patient needs B. Cleanliness of roomC. Niceness of staff D. How doctors and nurses communicate with patient E. Personal overall rating

The healthcare provider prescribes orders for a client with newly uncontrolled seizure activity. When reviewing the prescriptions, the nurse correctly identifies the which prescription, if followed puts him at risk for negligence charges? A. Retrains all 4 extremities B. Apply oxygen at 2L C. Administer Diazepam D. Asses neurological activity q2h

A. Retrains all 4 extremities

A nurse is caring for four patients and is preparing to do rounds. Which client should the nurse assess FIRST? A. 16 y/o being discharged today B. 35 y/o male with a tracheostomy and copious secretions C. Teenager scheduled for PT D. 78 y/o female with pressure ulcer that needs a dressing change

B. 35 y/o male with a tracheostomy and copious secretionsC

The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to provide an example of the concept of acculturation. The nurse educator should make which most appropriate response? A. A group of individuals identifying as a part of the Iroquois tribe among Native Americans B. A person who moves from China to the US and learns about and adapts to the culture in the US. C. A group of individuals living in the Azores that identify autonomously but are part of the larger population of Portugal. D. A person who has grown up in the Philippines and chooses to stay there because of the sense of belonging to his or her cultural group

B. A person who moves from China to the US and learns about and adapts to the culture in the US.

The nurse is developing a plan of care for a client who is at risk for falls. Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply A. Apply physical restraints if the client gets out of bed B. Assess the clients vision and make sure he is utilizing any prescribed eyewear C. Utilize side rails on clients bed D. Keep frequently used items within easy reach

B. Assess the clients vision and make sure he is utilizing any prescribed eyewear C. Utilize side rails on clients bed D. Keep frequently used items within easy reach

A nurse exits the room of a confused patient without raising the side rails on the bed. The failure to raise the side rails would be which of the following elements of liability related to malpractice? A. Causation B. Breach of duty C. Duty D. Damages

B. Breach of duty

The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is understaffed and needs additional nurses to care for clients. The nurse has never worked in the ICU. The nurse should take which best action? A. Refuse to float to the ICU based on lack of unit orientation B. Clarify with the team leader to make a safe ICU client assignment C. Ask the nursing supervisor to review the hospital policy on floating D. Submit a written protest to nursing administration, and then call the hospital lawyer

B. Clarify with the team leader to make a safe ICU client assignment

The best goal for a client learning relaxation technique is that the client will...A. Confront the source of anxiety directly B. Experience anxiety without feeling overwhelmed C. Report no episodes of anxiety D. Suppress anxious feelings

B. Experience anxiety without feeling overwhelmed

What is the difference between telehealth and telemedicine is that telehealth includes? A. Patient Care B. E-Visits C. Education D. Video

C. Education tele medicine is clinical

A nursing student is experiencing horizontal violence from a staff nurse at her clinical site. Which step should the student take in addressing this problem? A. Ignore it and go about her day B. Confront the nurse in front of the floor staff at the nurses station C. Inform her instructor or floor manager and ask for assistance in handling this issue D. Avoid the staff nurse for the rest of the day

C. Inform her instructor or floor manager and ask for assistance in handling this issue

Read the case study below and answer the following: question:Stephanie is an experienced nurse working on an oncology unit. One of her patients Jane, keeps an online blog outlining her battle with cancer. In one of Jane's recent posts she stated "I'm frustrated that nothing seems to treat my pain effectively. With nothing alleviating my pain, I feel like my depression is only worsening." Stephanie saw Jane's post and responded "I understand your last feee days have been difficult. Hopefully the new depression medication in combination with the increased dose of pain medication will provide you with some relief. I look forward to seeing you at your appointment on Thursday." The next day it occurred to Stephanie that she may have violated Jane's private patient information. Considering the case study above, what should Stephanie's first step be? A. Nothing. She was only supporting and showing empathy towards Jane's situation. Not to mention, the blog is only accessible by people Jane selected B. Attempt to delete the post as soon as possible C. Report herself immediately to her employer's board of nursing D. Get Jane's verbal permission to share those aspects of her health information

C. Report herself immediately to her employer's board of nursing

As a nurse in an ambulatory care area, you see a new client enter with a cane that appears too short for the client. What should you do? A. Place the client in a wheelchair to protect their safety B. Remove the cane from the client to protect their safety C. Teach the client about the proper length of a cane D. Have the client use a wheelchair rather than a cane

C. Teach the client about the proper length of a cane

After a change of shift, you are assigned to care for the following patients. Which patient would you assess FIRST? A. 60 y/o on a vent for whom a sterile specimen must be sent to the lab B. 55 y/o with COPD and pulse ox at 90% C. 70 y/o with pneumonia who must be started on IV antibiotics D. 50 y/o with asthma who complains of shortness of breath after using bronchodilator

D. 50 y/o with asthma who complains of shortness of breath after using bronchodilator

A nurse is employed in a long-term care facility is planning assignments for the clients on a nursing unit. The nurse needs to assign 4 clients and has a LPN and 3 assistive personnel (APs) on a nursing team. Which client would the nurse most appropriately assign to the LPN? A client who requires a bed bath B. An older clients requiring frequent ambulation C. A client who requires hourly v/s D. A client requiring abdominal wound irrigations and dressing changes every 3 hours

D. A client requiring abdominal wound irrigations and dressing changes every 3 hours

A nurse was frustrated about her day at work and went home and vented on Facebook about her incompetent co-workers: which area(s) was she non-compliant? A. HIPAA B. Facility policies where you work C. State common law and regulatory protections for patient confidentiality D. ANA code of Ethics E. Both B and D

E. Both B and D

A nurse is providing teaching for a patient scheduled to have same-day surgery. Which teaching method would be most effective in preoperative teaching for ambulatory surgery? A. Lecture B. Discussion C. Audiovisuals D. Written instructions

D. Written instructions

Each morning, a nurse-manager assigns clients and additional tasks for the staff nurses to complete that day. During the shift, a crisis develops and one staff nurse doesn't complete the additional tasks. The next day, the nurse-manager reprimands this nurse. When the nurse tries to explain, the nurse-manager interrupts, saying that the nurse should have completed the tasks no matter what happened. Which leadership style is the nurse-manager exhibiting? A. democratic B. permissive C. laissez faire D. autocratic

D. autocratic

What can be done by the medical profession to help alleviate the shortage and recruit more nurses? A. Additional scholarships B. Reduce mandatory overtime C. Better pay D. Child care subsidies E. All of the above

E. All of the above

informed consent

a person's agreement to allow something to happen

malpractice

a specific type of negligence that is applied to the negligent acts of professional persons like nurses, dr, and lawyers (UNINTENTIONAL TORTS)

Leadership Styles: what is SITUATIONAL (CONTINGENCY)

Used whatever style fits the situation

tort

a civil wrong made against a person or property

To promote sleep in a patient, a nurse suggests what intervention? a) Follow the usual bedtime routine if possible. b) Drink two or three glasses of water at bedtime. c) Have a large snack at bedtime. d) Take a sedative-hypnotic every night at bedtime

a) Follow the usual bedtime routine if possible.

examples of assertive behaviors

accept less than perfection, disagree with ideas and with respect, confront difficulties, learn to say no, learn to recognize manipulation

battery

an intentional act of touching of a person, clothing or object attached to a person that may or may not cause harm AKA- CARRYING OUT THE THREAT

assault

an intentional act that is described as an attempt or threat to touch a person without consent AKA- A THREAT

Nonmaleficence

avoidance of harm or hurt

autonomy

independent nursing interventions

veracity

is accuracy or conformity to the truth= truthfulness

standard of care

legal guidelines of nursing practice and provide minimum acceptable nursing care

tort law: unintentional

negligence, malpractice, medication error, IV errors, burns

malice

person publishing knows information is false but does it anyways

Criminal Law

prevent harm to society and provide punishment for crimes ex- misdemeanors and felonies

Accountablility

responsible, professionally and legally for the quality of care you provide answer for one's actions

how do you have effective communication

state you own feelings and needs, listen to and acknowledge other feeling and needs, accept responsibility for your statements, encourage problems-solving

advocacy

support the cause health and safety rights

libel

the defamation (writing) of a person in print or use pictures

slander

the defamation of a person through oral words or statements

Confidentiality

the maintenance of privacy by not sharing or divulging to a third party privileged or entrusted information = HIPPA

Civil Law

the system of law concerned with private relations between members of a community rather than criminal, military, or religious affairs. (usually involves violation of one's individual rights by another court disputes)

Tort Law: Intentional

willful acts that violates another's rights! Assault= threat, Battery= touching, invasion of privacy, deformation of character= publication of false statements that result in damage to a person's reputation, malice= person publishing knows information is false but does it anyways, slander= false oral statement, libel= false written statement