INTRO FINAL
intentional torts
acts that violate the rights of others in a deliberate way
a nurse at a provider's office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. which of the following client statements indicates that the client understands how to proceed?
"for now, i should continue to have a mammogram each year"
a nurse is discussing the nursing process with a newly hired nurse. which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process?
"i will determine the most important client problems that we should assess"
a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. which of the following statements by a nurse requires further instruction?
"i will go to the nurses' station for assistance"
a nurse educator is conducting a parenting class for new parents of infants. which of the following statements made by a participant indicates understanding of the instructions?
"once my infant starts to push up, i will remove the mobile from over the crib"
stages of the nurse-client relationship
1) pre-orientation 2) orientation 3) working 4) termination
master's degree
18-24 months an undergraduate research or evidence-based practice course
a security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. which of the following statements by a nurse indicates understanding of proper procedure?
-"i will listen for background noises"
a nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse make?
-"your daily routines will be different when you get home" -"tell me about your support system you'll have after you leave the hospital" -"let me tell you about a friend of mine with a colostomy who also enjoys swimming"
ISBARR
-I: introduction -S: Situation= what is going on with the patient -B: Background= what is the clinical background or context -A: Assessment= what do i think the problem is -R: Recommendation= what would i do to correct it or respond to it -R: Response= read back the orders
a nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. which of the following clients should the nurse commend for discharge?
-a client who is scheduled for elective surgery -a client who has chronic hypertension and blood pressure 135/85 mmHg
a nurse in a clinic is planning client promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. which of the following interventions should the nurse include?
-help the client see the benefits of her actions -identify the client's support systems -suggest and recommend community resources -teach stress management strategies
a home health nurse is discussing the dangers of food poisoning with a client. which of the following information should the nurse include in her counseling?
-immunocompromised individuals are at risk for complications from food poisoning -clients who are at high risk should eat or drink only pasteurized dairy products -handling raw ad fresh food separately can prevent food poisoning
a safe environment
-includes both physical and psychosocial factors -includes all places where patients receive care, such as home, community center, school, clinic, hospital, and long-term care facility
a nurse is caring for a client who fell at a nursing home. the client is orientated to person, place and time and can follow directions. which of the following actions should the nurse take to decrease the risk of another fall?
-make sure that the client's call light is within reach -provide the client with nonskid footwear -complete a fall-risk assessment
a nurse is providing discharge instructions to a client who has a prescription for oxygen yes at home. which of the following information should the nurse include about home oxygen safety?
-nail polish should not be used near a client who is receiving oxygen -a "no smoking" sign should be placed on the front door -a fire extinguisher should be readily available in the home
basic human needs
-oxygen: low concentration of oxygen can cause nausea, dizziness, headache, and fatigue. high concentrations can cause death within 1 to 3 minutes -nutrition:food needs to be stored, refrigerated, and properly prepared. clean drinking water is a must for food prep, cleaning and drinking. -temperature: normal range is between to 65-75F. Hyperthermia: occurs when the core body temp exceeds the normal core body range. can cause a heatstroke or heat exhaustion. hypothermia occurs when the core body temp falls below 95F.
risks in the health care agency
-patient-inherent:are classified as self-induced. You need to ascertain whether a patient-inherent accident is caused by seizure activity. -procedure-related:accidents occur during therapy; they include medication administration errors, IV therapy errors, improper use of external devices, and improper performance of procedures (such as IV insertion, nasogastric tube [NG] insertion, and Foley insertion). -equipment:accidents result from malfunction, disrepair, or misuse of equipment. Make sure that equipment has been well maintained and has undergone a safety inspection/check.
a nurse educator is discussing the facility protocol in the event of a tornado with he staff. which of the following should the nurse include in the instructions?
-place blankets over clients who are confined to beds -move beds away from the windows -draw shades and close drapes
which of the following actions should the nurse take when using the communication technique of acting listening?
-use an open posture -establish and maintain eye contact -respond positively when giving feedback
associate degree education
1st and only program developed from research and experimentation obtains degree through junior college (SCC) diverse student population designed for a "nurse technician" with an emphasis on bedside nursing
Baccalaureate degree education
4 to 5 years critical decision making, exercising independent nursing judgement, acquiring research skills improves mortality rate
the sutdy of altered drug resppinses that relate to single gene variations is called
pharmacogenetics
Clarity and Brevity
simple, brief and direct, not so short its rude
who currently has the responsibility for credentialing advanced genetic nurses
ANCC
Fidelity
Agree to keep promises, won't abandon patients.
pre- orientation
BEFORE MEETING THE PATIENT. includes the thoughts, ideas, and exchange of info that occurs prior to first contact.
continuing education
CE's or CEU's
vocabulary
Careful with technical word, and words with multiple meanings.
termination
DURING THE ENDING OF THE RELATIONSHIP -successful termination always includes plan for continuation of care.. a seamless transition -SBAR is an accepted method of sharing info
Non-maleficence
Do no harm. Lease harmful intervention...guides discussions about controversial treatment. Commitment to continue education for current practice standards
CCNE and AACN are the two accrediting bodies
FALSE- NLNAC and AACN are AACN is a branch off of CCNE
which scientific approach seeks to connect specific genetic variations with specific disease
GWAS
before surgery patients must be assessed specifically for a fmaily history of
MH
organization that provide nursing program accreditation
NLNAC- national league for nursing accrediting CCNE- commission on collegiate nuring education, offshoot of AACN may be a prereq for a graduate nursing program
does patient-centered care include education? how?
Patient-centered care integrates educational approaches that acknowledge patients' expertise with their own health. Take into account the patients' own education and experience, their desire to actively participate in the educational process, and their psychosocial, spiritual, and cultural values.
Beneficence
Promoting the greatest possible good. Taking positive action to help others. Guides us in difficult decisions to consider the client interest as more important than self interest.
PASS
Pull the pin Aim at the base Squeeze handle Sweep side to side
RACE
Rescue patients Activate alarm Confine fire Extinguish
joint commission created SPEAK UP
S- speak up if you have questions or concerns. if you still do not understand, ask again. it is your body and you have the right to know P-pay attention to the care you get. Always make sure that you are getting the right treatments and medicines by the right healthcare professionals. do not assume anything E-educate yourself about your illness. learn about the medical tests that are prescribed and your treatment plan A-ask a trusted family member or friend to be your advocate, adviser, or supporter K- know which medications you take and why you take them. medication errors are the most common health mistakes U- use a hospital, clinic, surgery center, or other type of healthcare organization that has been carefully evaluated P- participate in all decisions about your treatment. you are the center of the health care team
SBAR
S=Situation B=Background A=Assessment R=Recommendation
which of these has been used to help predict response to drugs and susceptibility to environmental
SNP
Autonomy
Self determination/freedom of choice. The reason we always include clients in all aspects of making decisions about their care.
foundation of relationships:
Social professional: breakdown among the health care team is major cause of workplace errors therapeutic: means of esatblihing a health care, healing relationship
nursing program philosophy
The Division of Nursing subscribes to a philosophy that is based upon Biblical principles supplemented by the educational writings of Ellen G. White, one of the founders of the Seventh-day Adventist (SDA) church. Her health message promotes health and wellness through meeting basic human needs such as: nutrition, exercise, water, sunlight, temperance, air, rest, and trust in God. The Division of Nursing promotes evidence-based, compassionate patient care incorporating these principles. Christian nursing care is grounded in the essential values of faith, respect, social justice, ethics, and integrity. Nursing is based on providing patient-centered care that is focused on the individual's preferences, values, and needs. Patients may be individuals, families, or communities. The generalist nurse demonstrates mutual respect, open communication, and shared decision making in collaboration with the interprofessional team. Professional nurses integrate evidence-based practice, quality improvement, informatics, and safety design principles to provide system effectiveness and quality individual performance. Baccalaureate nursing education, with its integration of arts and science courses, is valued as preparation for the generalist nurse to function within a changing health care system. A baccalaureate nursing program fosters life-long learning and provides a foundation for graduate education. Education of the adult learner enhances the ability to connect nursing concepts to patient-centered care based on a foundation of life experiences and knowledge. The faculty fosters the adult learner's need to be self-directed, outcome driven, and relevancy oriented. Faculty members are dedicated to fostering in students a culture of servant leadership to influence the future with faith, confidence, and integrity.
orientation
WHEN THE NURSE AND PATIENT MEET rapport developes assess health status trust measures attended to clarify patient and your role -prioritize patient problems and identify his/ her goals -make agreements and set structure of relationship: when, where, why, how and how long
working phase
WHEN THE NURSE AND PATIENT WORK TOGETHER TO SOLVE PROBLEMS AND ACCOMPLISH GOALS -real work of the relationship -provide info patient needs to improve health and change behavior
a nurse is caring for multiple clients during a mass casualty event. which of the following clients is the priority?
a client who has partial-thickness and full-thickness burns to his face, neck, and chest
which types of patients can cause challenging communication situations?
a female patient who is outgoing and flirty an older adult patient which is demanding a teenager frightened by the prospect of impending surgery a child who is developmentally delayed
Peplau's model of Nurse-patient interpersonal framework
a good way to look at the importance of communication to nurses -therapeutic relationships are the primary method utilized by nurses to implement the nursing process with patients.
domains of learning Psychomotor
acquiring skills that require the integration of mental and muscular activity. includes perception, set, guided response, mechanism, adaption, origination teaching methods: demonstration, practice, return demonstration, independent projects
SOLER
active listening skills
the nursing student can best develop critical thinking skills by doing which of the following?
actively participating in all clinical experiences
preconventional
all about rules and authority imposing them (external control) no concept of right and wrong only determining factor is reward/punishment
cognitive application
all learning cannot be observed; information must be interalized use multisensory teaching stratgies adjust environment to minimize distractions assess attitude toward learning, past experiences with similar situations, culture, maturity, developmental level, and physical ability before designing a plan identify learning style focus learner on what is to be learned and provide support and guidance
a charge nurse is assigning rooms for the clients to be admitted to the unit. to prevent falls, which of the following clients should the nurse assign to the room closest to the nurses' station?
an older adult who is postoperative following a below-the-knee amputation
kinesics
another word for body movements that are considered in communication
it is true that advanced practice nursing? a)prescribe medication only in collab with a medial dr b)base their practice primarily on health promotion interventions c)are considered expert clinicians in the specialty area d) have earned a doctorate-level degree
are considered expert clinicians in the specialty area
examples of intentional tort
assault-conduct on one person makes another person fearful and apprehensive battery- intentional or wrongful physical contact with a person that involves injury or offensive contact false imprisonment- a person in confined or restrained against his will and without justification
a newly licensed nurse is reporting to the charge nurse about the care she gave to a client. she states "the client said his leg pain was back, so i checked his medical record, and he last received his pain medication 6 hours ago. the prescription reads every 4 hours PRN for pain, so I decided he needs it. i asked the unit nurse to observe me preparing and administering it. i checked with the client 40 minutes later, and he said his pain is going away." the charge nurse should inform the newly licensed nurse that she left out which of the following steps in the nursing process?
assessment
A
assessment subjective -what the client says objective -what the nurse sees -lab values -diagnostic tests very important to be comprehensive to the clients needs always start with the basic ABC -airway -breathing -circulation
which of the following program takes place at a junior college
associated program
accreditation
assures standard, above legal requirements guarantees quality education
you just need to what the doctor says
automatic response
a nurse is caring for a client who is 24 hour postoperative following an inguinal hernia repair. the client is tolerating clear liquids well, has bowel sounds, and is expressing a desire for "real food." the nurse tells the client that will call the surgeon and ask. the surgeon hears the nurse's report and prescribes a full liquid diet. the nurse used which of the following levels of critical thinking?
basic
conventional
begin to internalize right and wrong, conform to expected social/ religious morals pleasing self and others desire to be a 'good boy" "good person" want to please others, be helpful, show respect for authority
learning theories
behaviorist cognitive change humanistic
an occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. which of the following interventions should the nurse include in the plan of care?
brush the chemical off the skin and clothing
which of the following is a monogenic
cystic fibrosis
freedom
capacity to exercise choice
a home health nurse is discussing the dangers of carbon monoxide poisoning with a client. which of the following information should the nurse include in her counseling?
carbon monoxide binds with hemoglobin in the body
which nursing role is basic to the nursing profession? a)leader and management b)client advocate c)care provider d)change agent
care provider
tort
civil wrong or injury committed by one against another person or property
Which of the following is not an essential element of informed consent?
compete, accurate, and understandable information
a nurse is caring for a client who has a history of falls. which of the following actions is the nurse's priority?
complete a fall-risk assessment
a nursing instructor needs to evaluate students' abilities to synthesize data and identify relationships between nursing diagnoses. which learning assignment is best suited for this instructor's needs?
concept mapping
altruism
concern for the welfare of others
unintentional torts
conduct that falls below the conduct expected and does cause harm or injury
critical thinking characteristics include
considering what is important in a given situation
messages
content of the message; includes verbal, nonverbal, and symbolic language
online (web-based) program
courses and entire program is on the web
role of technology in learning
credibility content disclosure links design interactivity caveats
passive aggressive
defend their rights with indirect aggression -indirect aggression
no one here would lie to you. this hospital has a fine reputation
defending
agressive
defends own rights by violating others rights - defends basic human rights by violating others rights -heavy use of put down -demanding, loud
what factors may stand in the way of effective teaching?
delivery of effective patient education include: shorter hospital stays, increased demands on nurses' time, increase in the number of chronically ill patients, and the need to give the acutely ill patients meaningful education.
a nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention?
determine risk factors
quality and safety education for nurses (QSEN)
developed to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the health care systems within which they work -minimizes risk of harm to patients and providers by 1)system effectiveness and 2)individual performance
D
diagnosis based on assessment data most important are the basic physiologic needs these are called nursing diagnoses and we will discuss more in detail later
which of the following programs is usually associated with a hospital?
diploma program
I don't want to hear about that today
disapproval, approval
a nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. which of the following critical thinking attitudes did the nurse demonstrate?
discipline
nonassertive
do not stand up for basic human rights -opposite of aggressive communicators -poor communicators
enzymes produced from cytochrome p450 genes affect
drug metabolism
the patient that will cause the greatest communication concerns for a nurse is the patient who is
dyspneic (hard time breathing), has a tracheostomy, and is anxious
what is an important role of the nurse
education
which of the following strategies should a nurse use to establish a helping relationship with a client?
encourage the client to communicate his thoughts and feelings
the study of chemical compounds and proteins that attach to DNA and effect gene expression is
epigenomics
E
evaluation may succeed or not if the evaluation is that the plan was not met the nurse and client need to review the plan and maybe decide on a new course of action critical aspect of the nursing process. if evaluation does not occur how do we know anything worked?
domains of learning Affective
expression of feelings and acceptance of attitudes, opinions, or values. includings receiving, responding, valuing, organizing, characterizing teaching methods: role play, group discussion, one on one discussion
E
eye contact
interpersonal variables
factors that influence communication. could be perception, the receiver's expectation, education or developmental level, sociocultural background, physical health, roles or relationships
truth
faithfulness to fact or reality
you are just feeling too busy to have surgery now
paraphrase
career-ladder program
focuses on articulation without loss of credit RN to BSN LPN to ADN
phD (doctor of philosophy in nursing
focuses on creating knowledge that will influence and alter the health of individuals, groups, and populations, using current theories of nursing science
"what one thing has hurt you most?"
focusing
accelerated program
for people with an undergraduate degree in another discipline accelerate to a BSN or master's degree
proprietary nursing school
for profit school (kaplan University
epigenetics refers to heritable changes that influence
gene expression
the mnemonic family genes is helpful in looking for
genetic red flags
the study of particular genes is termed
genetic research
equality
having the same rights, privileges, or status
which type of insurer is prohibited by the GINA from making decisions based on genetic risk
health
postconventional
highest levels of development; internal control that are the result of personal standards or beliefs hard to reach not all people reach this level They are autonomous thinkers who are committed to a moral code that is beyond what authority requires or is expected by others
a nurse educator is presenting a module on basic first aid for newly licensed home health nurses. the nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?
hypotension
values
ideals or concepts that give meaning to the individuals life
the nursing process involves which of the following steps in the clinical decision-making process?
identifying patient needs determining priorities of care setting goals performing nursing interventions
what things will put you on academic probation?
if you don't pass a nursing class or have a nursing GPA of less than 2.5
I
implementation this is the action phase follow through on planning may need to adjust depending on the client and how things are going flexibility is key performing, assisting, or directing the performance of activities of daily living counseling and teaching the client and family providing direct care to achieve client-centered goals delegating, supervising, and evaluating the work of other staff members recording and exchanging information relevant to the clients continued care
which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?
improves a plan of care while thinking back on interventions performed
nurse practice acts
include patient education in the scope of nursing practice
human dignity
inherent worth and uniqueness of an individual
Domains of learning cognitive
intellectual behaviors and required thinking. includes knowledge, comprehension, application, analysis, synthesis, and evaluation teaching methods: discussion, lecture, questions, and answer sessions, role play, discovery, independent project
levels of cumminication
intrapersonal: with an individual.. inner thoughts, self talk interpersonal: one to one interaction between nurse and another person small group: occurs when groups gather for teaching, or staff meetings public: interaction with an audience, i.e health education
examples of quasi-intentional torts
invasion of privacy malice means that the person publishing the info knows it is false and publishes it anyway slander occurs when one makes a false statement libel is written defamation of character
the role of generalist nurse in genomic care
is to idenetify patients at risk
a nurse is caring for a client who has a new prescription for antihypertensive medication. prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. which of the following components of critical thinking is the nurse using when he reviews the medication information?
knowledge
barriers to learning
lack of time stress related to learning negative influences personal characteristics lack of support
which of the following isn't a career pathway for nursing education
ladder-employment
L
lean toward the patient, conveys interest and involvment
cognitive
learners construct new ideas based on previous knowledge and experiences major theorists: piaget; lewin; gagne; Bloom; Johnson, Johnson, & Stanne
humanistic
learning is self-motivated, self-directed, and self-evaluated teacher provides information and support to help learners increased their cognitive and effective functioning
what level on ATI do you have to achieve to not retake it?
level 2, if you get a level 3 you exceeded and get extra credit
purpose of teaching to patients
maintenance and promotion of health and illness prevention (Lamaze/childbearing classes) restoration of health (recovery from a surgery) coping with impaired functions (permanent changes in function after a stroke)
increasing professional and personal responsibility has been identified as an issue influencing the education of today's nursing profession. which of the following has the greatest impact on client safety in the acute care setting?
meets orientation expectations 1 week ahead of schedule
joint commission patient safety standards
patient safety standards for the programs that exist in health care
who will be the data source for genomeconnect
patients
if I were you I would try talking more openly with him
personal opinions/advising
Kohlberg's theory
moral development 3 levels of development
a nurse observes smoke coming from under the door of the staff's lounge. which of the following actions is the nurse's priority?
move clients who are nearby
examples of unintentional torts
negligence malpractice
an example of an second degree relative is a persons
niece
A nurse says, "I want to make sure I know how to use this equipment. I do not want to hurt a patient." What ethical principle is the nurse using
nonmaleficence
external degree program
nontraditional program-obtain degree without attending classes (online education with very few meeting in class) HYBRID
what things will put you on non-academic probation?
not going to class, cheating, not showing up to clinical, not showing up prepared (have to have 3 and a consistent pattern)
BSN completion program
nurse receives transfer credit in basic education courses take at other institutions
a nurse is talking with a client who recently attended a cholesterol screening event and a heart-healthy nutrition presentation at a neighborhood center. the client's total cholesterol was 248/mg/dL. after seeing the provider, the client started taking medication to lower his cholesterol level. the client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. which of the following activities for the client is an example of primary intervention?
nutrition presentation
timing
often best time for interaction is when patient expresses an interest in communicating
diploma education
oldest form emphasis on skills no longer any diploma program in NE oldest educational path to become a RN this was dominant in the 1872 to mid 1960s not an academic degree; courses often did not earn college credit 10 years ago Bryan changed from a diploma program to a BSN program close relationship with hospitals
O
open posture
behaviorist application
opportunity for problem-solving adequate practice time with repeated demonstration avoid unnecessary information reward learner for correct behavior continued praise and reinforcement proceed from simple to complex assess prior experiences with topic of study
HRO's (high-reliability organizations)
organizations that have achieved inspiring safety records -achieved by systems that produce consistent results and quickly detect deviations and/or potential errors that are quickly detected before the error reaches the patient
hierarchy of needs
physiological air, water, food safety and security physical or psychological love and belonging friendship, social relationships, sexual esteem and self-esteem self-confidence, usefulness, achievement, and self worth self actualizations fully achieving potential, ability to solve problems and cope realistically with life's situations
P
planning involve the client when both the nurse and the client are involved there is more likelihood of follow through encourage family participation be sure to include client preferences two phases: planning outcomes planning interventions
which initiative seeks to create a voluntary national reasearch cohort to use individual differences in genes, envronments, and lifesyle to reduce adverse reactions and improve cancer survival
precision medicine iniative
behaviorist
presents objectives and content in a step-like progression from basic to complex information with minimal learner engagement in the experience major theorists: Thorndike, Pavlov, Skinner, Wolpe, and Lazarus;bruner
safety in the healthcare setting
prevent extended length of stay improve or maintain functional status increases patient's sense of well-being
relationship comparisons
professional: to help the client, to solve problems, to learn, to grow, unilateral benefit, relationship exists for the benefit of the client only, systematic arrangement, set times to begin and end sessions, clients expression of feelings, ideas and action is not limited to socially acceptable behavior, expect that integrity is present at all times, focus on client problem solving, open communication about health problems and needs.
change application
provide incentives set goals and expectations that match motivators use repetition, reward, and reinforcement assist learners in identifying their own risks
which educational intervention demonstrates the most acceptable application of technology as a trend that is currently influencing nursing education as well as client safety?
providing a list of acceptable internet sites to use as resources for medication administration
A patient needs to learn to use a walker. Which domain is required for learning this skill?
psychomotor domain
learning
purposeful acquisition of new knowledge attitudes, behaviors, and skills
esthetics
quality of objects, events, and persons that provide satisfaction
what are you thinking about this new development
question
by the second postoperative day, a client has not achieved satisfactory pain relief. based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
reassess the client to determine the reasons for inadequate pain relief
"don't worry. everything will be okay."
reassuring
a nurse is caring for a client who states, "i have to check with my wife and see if she thinks i am ready to go home." the nurse replies, "how do you feel about going home today?" which clarifying technique is the nurse using to enhance communication with the client?
reflecting
you sound really frustrated because the treatment is taking so long
reflection
R
relax.. convey that you have time and feel it is important to have this conversation
professional standards influence a nurse's clinical decisions by
requiring the nurse to use critical thinking for the highest level of quality nursing care
a charge nurse is reviewing the steps of the nursing process with a group of nurses. which of the following data should the charge nurse identify as objective data?
respiratory rate is 22/min with even, unlabored respiration skin is pink, warm, and dry the assistive personnel reports the client walked with a limp
a nurse receives a prescription for an antibiotic for a client who has cellulitis. the nurse checks the client's medical record, discovers that she is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. which of the following critical thinking attitudes did the nurse demonstrate?
responsibility
the critical thinking skill of evaluation in nursing practice can be best described as
reviewing the effectiveness of nursing actions
I'm not sure I follow what your thinking. can you tell me more..
seeking clarification
I had an experience like that with like that too, it was so hard.. was it that way for you
self disclosure
sender/receiver
sender encodes and delivers the message and the receiver who decodes (understands) the message
joint commision
sets standards for patient and family education
connotative
shade or interpretation of the meaning of a word influenced by the thoughts, feelings, or ideas that people have about the word.. "that's sick"- to a nurse that is probably not good, to a teen it may mean something is cool
you seem uncomfortable when you talk about your family
sharing oberservation
a charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. which of the following interventions should the charge nurse include?
showing a client how to use progressive muscle relaxation performing a daily bath after the evening meal repositioning a client every 2 hours to reduce pressure ulcer risk
guidelines for an outcome statement
singular goal or outcome observable-you need to be able to see if the change will happen measureable-must have specific criteria time-limited-must be a timeframe mutual factors-mutually set goals/outcomes-nurse and patient must agree realistic-set goals/outcomes that the patient will be able to reach
a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take?
sit at eye level with the child
S
sit facing your patient
relationship comparisons
social: enjoyment, mutual benefits, sharing of feelings and experiences, spontaneous and sometimes random. no contracts, expect socially acceptable behavior, no obligation of honesty exist, pleasant social interactions
assertive
stands up for rights and protects right of others -stands up for ow right and protects the right of others -uses I statements
change
strategies that empower the patient to exercise healthy behaviors that do not conflict with the patient's value system major theorists: Rosenstock; Bandura; Rotter; Restinger; Prochaska & DiClemente
ethics
study of what is good and valuable for people
before we go on, I would like to go over with you what we have accomplished so far
summarizing
the "s" in family genes stands for
surprising
Pacing:
talking fast is often associated with being nervous, or pulling something over on one
quasi-intentional torts
there is no intent of wrong doing but an act of wrong doing goes occur and there is harm
two key processes fundamental to patient safety
teamwork communication
Veracity
telling the truth/ client's right to know
a nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. the client tells the nurse that he has not seen a doctor since high school. which of the following health screenings should the nurse expect the provider to perform for this client?
testicular examination
teaching
the act or process of imparting knowledge. an interactive process that promotes learning. consists of conscious, deliberate set of actions that help individuals gain new knowledge, changes attitudes, adopt new behaviors, or perform new skills.
a nurse is caring for a client who is 24 hour postoperative following abdominal surgery. the nurse suspects the client's pain management is inadequate. which of the following data reinforce this suspicion?
the client is non adherent with coughing, deep breathing, and dangling the client may have pain medication every 4 to 6 hours but accepts it every 6 to 7 hours the client's vital signs are heart rate 110/min, respiratory rate 20/min, temperature 37 C (98.6 F), and blood pressure 136/80 mmHg
moral behavior
the conduct and decisions that results from serious critical thinking and reasoned judgments about how individuals ought to treat others
which situation will cause the nurse to intervene and follow up on the nurse aide's behavior
the nurse aide is calling the older adult patient "honey"
A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient's ability to perform the examination?
the patient will perform breast self- examination correctly on herself before the end of the teaching session
the statement that best explains the role of collaboration with others for the patient's plan of care is which of the following?
the professional nurse works with colleagues and the patient's family to provide combined expertise in planning care
referent
the reason one persons chooses to speak with another (hungry, chest pain, need to get up)
deontology
the science of duty actions are right or wrong based on their inherent rightness or wrongness, not judging outcomes
environment
the setting for interaction. must be comfortable, physically and emotionally; reduced tension and privacy.
a member of a state board of nursing explains to senior nursing students that liberal arts, communication, and health care policy are all appropriate subjects for study in a BSN program because
they are prepared to assume entry level leadership entry level leadership positions in various settings
feedback
this is the message the receiver returns in response to the message. indicated understanding of the message
relationship comparisons
to help the client, to solve problems, to learn, to grow, unilateral benefit, relationship exists for the benefit of the client only, systematic arrangement, set times to begin and end sessions, clients expression of feelings, ideas and action is not limited to socially acceptable behavior, expect that integrity is present at all times, focus on client problem solving, open communication about health problems and needs.
justice
upholding moral and legal principles
teaching process
use patient request for information or perceive a need for information identify specific learning outcomes to describe what the learner will be able to do after successful instruction nurse is the sender of the information and the patient/family receives information evaluate the educational process and provide feedback
utilitarianism
value determined by usefulness, based on
patients of asain descent are more liekly to have variations in CYP enzymes function and may require a lower dose of
warfarin
peplau
was the nursing theorist to first examine the professional/therapeutic relationship and compare the to social relationships --> to determine differences
channels
whatever means of conveying message: visual (facial expressions), spoken message, touch which would be tactile. can be written, telephone, message.
channgels
whatever means of conveying message: visual (facial expressions), spoken message, touch which would be tactile. can be written, telephone, message.
The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.)
when the patient's pain medications are working and just before lunch, when the patient is most awake and alert
DNP (doctor of nursing practice)
will be the new MSN benefits are some think it will help with the nursing faculty shortage and improve EBP must have 3 letters of recommendation
intonation
you are going to BED YOU are going to bed you ARE GOING to bed
