Intro to Nursing Final Exam Review UTA

Lakukan tugas rumah & ujian kamu dengan baik sekarang menggunakan Quizwiz!

What is the delegatee responsible for

caring out the action that was delegated

Delegation and RN

professional nurses may delegate independent nursing practice activities (as well as medical functions that have been delegated to them) to other nurses

Requirements of licensure by endorsement

proof of license in another state licensure fee

What is the purpose of licensing?

protect the public health, safety, and welfare of the people - not the nurses

What is a second way to make sure that there are no malpractice suits

provide a caring and therapeutic relationship - make sure the patient likes you

What is the third phase of the nursing process

Planning

What is the most common reasons nurses are diciplined

Practicing under the influence of alcohol and drugs (RN & Morphine)

Term: Places life threatening problems first

Prioritization

What does the R stand for in a smart goal?

Realistic - is it a goal that your patient will be capable of achieving? Can your patient really complete this goal?

EX: The patient will walk in the halls three times a day for 15 minutes each time for three days

Smart Goal

What does the S stand for in a smart goal?

Specific - Provide specific details to describe what you want your patient to accomplish

What are the two types of data

Subjective and Objective

What can the nurse diagnose

response to bio/social/psycho stressors and health problems

The nursing evaluation may

reveal data, diagnose, goals, and nursing interventions indicate a need for change in the nursing care plan

The State board of nursing has the power to

sanction a nurse for preforming professional functions that are dangerous to the patient or general public

How do you write a smart goal

1) "The patient will" "The patient will be able to" 2) add a verb 3) outcome of the criteria 4) short/long term goal

What are the three major conditions of informed consent

1) Consent must be given voluntarily 2) Consent must be given by an individual with the capacity and competence to understand 3)The the patient must be given enough information

What can the Nurse Practice Act (NPA)

1) Define the practice of professional nursing -> what you can and can't do 2) set the minimal qualifications for education and other requirements for licenses 3) Determine the legal titles and abbreviations buses may use (RN/LPN/LVN) 4) Provide disciplinary actions for license for certain causes -In many states, the NPA is a stationary law affecting nursing practice within the bounds of the state

What are the four elements of a cause of action for negligence

1) The professional has assumed the duty of care (responsibility for the patients care) 2) The professional has breached the duty of care by failing to meet the standard of care 3) The failure of the professional to meet the standard of care was the proximate cause of the injury 4) The injury is proved

1 liter is equal to

1.057 qt

1 gram is equal to

15.43 gr

1 lbs is equal to

16 oz

1 pt is equal to

16 oz

1 ml is equal to

16.23 minimus

1 oz is equal to

2 tablespoons or 8 drams

1 kg is equal to

2.2 lbs

1 inch is equal to

2.54 cm

1 fl oz is equal to

29.57 ml

1 tablespoons is equal to

3 teaspoon

1 gal is equal to

4 qt

1 teaspoon is equal to

4.93 ml

What is equal to 1 teaspoon

5 mL

1 teacup is equal to

6 oz

1 dram (dr) is equal to

60 grains (gr)

1 dram (fl dr) is equal to

60 minims

1 grain is equal to

64.8 mg

1 cup (C) is equal to

8 oz

1 glass is equal to

8 oz

What is the second phase of the nursing process

Analysis/Diagnosis

Phase 1 of the nursing process

Assessment

This ethical principle states that individuals have the right to determine their own actions and the freedom to make their own decisions

Autonomy

To do only good EX: Choosing the treatment that does more good than harm, maintaining confidently of personal health information, acting in the best interest of the patient

Beneficence

Nurses have to qualify for these by working a certain number of hours in a specialty role but is not required to practice

Certifications

Who was the nurse who funded the American Red Cross

Clara Bartin

What are the part of the cultural checklist

Communication Method: What is preferred/do you need a translator? Language Barriers: Non-Verbal cues? identify the culture Any spiritual religious beliefs that affect care Check trust of care-givers: any biases? family dynamic: how they affect care view on recovery and treatment preference double check comprehension DIET

This includes examining your view points

Critical thinking

This is needed to establish boundaries of the nursing practice

Definitions of Nursing

An act was moral if its morals or intentions were good, regardless of the outcome EX: "always keep a promise" "never tell a lie" "Right/wrongness of an action depends on doing ones duty regardless of the consequences"

Deontology

This phase of the nursing process includes identifying actual or potential problems.

Diagnosis/Assessment

Who was the first superintendent of female nurses in the civil war

Dorothea Dix

Refers to faithfulness or honoring ones commitments EX: Taking care of a patient you are assigned and keeping nursing skills correct "Taking the patient to the play room on a promised day/time" "Keeping a promise"

Fidelity

What does "assessment", the first phase of the nursing process include?

Gather information or data about the patient, family, or community.

If there is a 25 yo Hispanic patient and she is sick, what should you do?

Give her the option to wait for details when her family arrives

Cultural Competence

Having the attitude, knowledge, and skills necessary for providing quality care to diverse populations - focus on patient specific needs shaped by culture

This phase of the nursing process includes pain management, education, and nursing orders.

Implementation

What is the highest priority of Mastlows Hierarchy of Needs

Ineffective Airway Clearance ABC's

If there are markings on a child, what should you do?

Inquire about the marking and do not judge

Confidentiality

Is a legal and ethical concern protection of privet information gathered about a patient during provision of care

This ethical principle means equals should be treated the same or impartially to provide equality of service

Justice

Who founded the frontier nursing service and provided midwifery services in rural Kentucky

Mary Breckenridge

Who was a Jamaican business woman and nurse who was a Cholera expert

Mary Seacole

What does the M stand for in a smart goal?

Measurable - How will you know you have achieve your goal? How much/often/many/far?

Do LPN/LVN have the ability to delegate tasks

NO - state nursing practice acts of not give them the authority to delegate

The ethical principle where the nurse does no harm EX: carefully examining a patients medications before administration, the outcome outweighs the harm, considering the degree of risk permissible

Nonmaleficence

This applies to adult learning situations as nurses transition from inexpert to expert practitioners.

Novice to Expert Novel

Example of empathy

"This must be very hard for you"

What is the conversion equation for medication

(Dr.'s Orders/-) x (form on top-on hand/dosage in back) x (conversion)

1 qt is equal to

0.946 liters or 2 pts

1 minum is equal to

1 drop

When providing a diagnosis as a nurse, what type of diagnosis should you use?

Nursing diagnosis only, not a medical diagnosis Only provide symptoms the patient is experiencing

The absence of this is why nursing is considered an emerging profession

Only one standardized education entry level

This code provides nurse with ethical guidelines regarding human dignity and respect of the patient

ANA Code of Ethics

What is the type of question that you should ask patients when gathering information

Open ended questions

What does the A stand for in a smart goal?

Action Oriented - What specific action or steps will you take in order for your patient to meet your goal

When a RN delegates a task to another, what does the nurse have to make sure of before he/she is able to delegate?

The RN is responsible for determining that the delegated person is competent to preform the delegated action

Endorsement

The RN may practice in another state without having to take another license exam

What does the assessment of delegation require according the the ANA Code of Ethics: Provision 4.4

The assessment involves evaluating knowledge, skills, and experience of the individual to whom the care is assigned the complexity of the assigned tasks and the health status of the patient

ANA Code of Ethics: Provision 4.4 - Delegation of Nursing Activities

The nurse must make responsible efforts to asses individual competence when assigning selected competence of nursing care to other health care providers.

If a task is delegated, who is legally responsible?

The professional RN remains legally liable. However, for the nursing acts delegated to others, unless the delegates is also a licensed professional who's scope includes the assigned act

The Principle of Double Effect

The proposed action, independent of its consequence must be good or at least morally neutral. The good effects must outweigh the bad effects

Examples include when a nurse conveys acceptance, doesn't judge a patient, and uses touch only in a way that is acceptable to the patient.

Therapeutic Communication

What does the T stand for in a smart goal?

Timely - clearly specify a completion time (end of shift/day/week)

This is important to establish with a patient

Trust

Moral rightness of an action is determined by its consequence. EX: greatest good for the greatest number of people prioritize what helps the most, rather than what helps the the few

Utilitarianism

Defined as telling the truth or not lying EX: Honestly answering questions without opinion or guessing, not making excuses for mistakes "Gently telling the truth to the patient about his/her prognosis" "Tell the truth"

Veracity

Emphasizes the character of the decision maker EX: tendencies to act, feel, and judge that develop through appropriate training but come from natural tendencies

Virtue Ethics

P&E Framework: Implications and Consequences

What are the implications and are there any consequences?

P&E Framework: Assumptions

What assumptions am i using in my reasoning?

P&E Framework: Information

What info do i need to answer this question

P&E Framework: Interpretation and Inference

What is my conclusion? Does my data support? What are some other conclusions?

P&E Framework: Point of View

What is my point of view with respect to the issue? What is the patients point of view? Are there any other point of views to consider?

P&E Framework: Purpose

What is my purpose of asking this question

P&E Framework: Question at issue

What is the key question i am trying to answer

P&E Framework: Concepts

What is the most basic concept in this question? Am i clear about the concept i am using?

The applicant for licenser must graduate from

a state approved nursing education program

What does ABC stand for?

airway, breathing, circulation - most important to treat

how do you get subjective data

ask the patient open ended questions and then organize the data

What can nurses not delegate

assessments and evaluations

Why does the nursing diagnosis not have universal support from the various continents of the discipline and profession?

critics believe that the nursing diagnosis obscures rather than clarifies patient problems

The Nursing Practice Act

defines and controls nursing

The RN is responsible for _____________

determining if the elements for valid consent are in place providing feedback if the patient wished to change the consent communicating the patients need for further info to the primary provider

Malpractice commission

do something that should not have been done

What is the fifth phase of the nursing process

evaluation

Store Knowledge in a highly evolved manner

expert

aware of resources and how to use them

expert

collect relevant and in depth data

expert

known when to bend the rules

expert

more self confident

expert

rethink procedures

expert

think about actions before you do them

expert

understand policies

expert

Malpractice omission

failing to do something that should have been done

What is the significance of the data to the patient

formulate a diagnosis and identify the problem

What is the first thing you should do as a nurse before providing a nursing diagnosis?

gather data - gather VS, history, and use a cluster map

The State Board of Nursing can

give licenser review everyones licenses make sure licenses are up to date can put restrictions on licenses revoke license

What does planning, the third phase of the nursing process include

goals that are agreed upon by both the patient and the nurse

What is the main focus of a nursing diagnosis

help the patient achieve maximum level of wellness and highest level of independence

What does analysis/diagnosis, the second phase of the nursing process include

identify the problems the patient is having as a result of the disease process, human response to illness, injury, or threat.

What is the fourth phase of the nursing process

implementation

What are some methods of collecting data

interview physical examination consultation

Diversity helps the workplace how

making a more diverse workforce

What can the primary care provider diagnose?

medical diagnosis disease process treatments to death, disease, and curing

Describe the licensure exam

min question: 75 max question: 265 6 hours Critical thinking questions

focus on actions: what do i need to do

nocive

follow standards and policies by flow

nocive

lack of self confidence

nocive

need clear cut rules

nocive

organize knowledge into separate facts

nocive

pampered by unawareness of resources

nocive

rely on step by step procedures

nocive

superficial data collection

nocive

uncomfortable with patient needs during procedures

nocive

What does implementation, the fourth phase of the nursing process, include

nursing orders are carried out, continually asses the patients, notes responses to care plan, documents findings

Malpractice

occurs when a professional fails to act as a reasonably prudent professional would have acted under the same circumstances

What kind of professionals can practice nursing?

only licensed nurses, RN, LVN, and LPN can practice nursing

If you are a RN and you have a patient that does not speak the same language as you, what should you do?

only use touch that is agreed upon by the patient

Research shows that this is increased when hospitals have more BSN than APN prepared nurses

patient safety/quality of care

The RN is not responsible for evaluating if the ________

physician has truly explained the significant risks, benefits, and alternative treatments

A nurse demonstrated this when respecting team members, identifying others strengths

player/collaboration

A way to systematically use patient data

prioritization

The State boards of nursing has the authority to

set and enforce minimum criteria for nursing education criteria and has the authority to put schools on probation

What is objective data

signs - something you can physically see example: HR BP

How do you use mastlows

stare form the bottom and go up - the bottom is the highest priority

What is subjective data

symptoms - opinion form a patient and what they say to you

What can nurses delegate

tasks

What kind of questions does the licensure exam have

tests critical thinking and nursing competence in all phases of the nursing process

In order for there to be a malpractice suit

the injury has to be proven -> there has to be harm done to the patient "laying the bed down and the patient inhaled the tube feeding"

what does evaluation, the fifth and final phase of the nursing process include

the nurse evaluates the patients progress in relation to the goals and outcome criteria to determine weather the problem is relieved, in the process, or unresolved

All states have a mandatory licensure law for

the practice of nursing to safeguard the public every state has their own laws

Culture

traditions, values, norms

What does BID mean

twice a day

How often is the licensure exam updated

updated regularly

A nurse may _________ but is not responsible for __________

whiteness a patients signing & explaining the proposed treatment


Set pelajaran terkait

Nutrition Midterm Review Chapter 2

View Set

Biology 1202 Mastering Biology Questions Exam One

View Set

Tech 4 to 5 Streamline with Quiz

View Set

managing people final exam (past test questions)

View Set

Intermediate Accounting 2 - Exam 1 Chap. 15, 16, & 17

View Set