SG 2
How is the term beneficence in health ethics different from nonmaleficence?
Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt
Which is the most important skill of the nurse leader?
Clinical care coordination
What are the scopes of healthcare quality
Community/ society Marcrosystem (hospital or clinical system) Mesosystem (department) Mircosystem (unit) (Individual/ Family Health professional )
Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy? Select all that apply. One, some, or all responses may be correct.
Interventions to restore tissue integrity Interventions to optimize neurological functions Interventions to provide care before, during, and immediately after surgery
Which statement is true regarding leadership?
Leadership is an earned honor and an action-oriented responsibility
Which term refers to the nurse's ability to plan, direct, control, and evaluate others in different situations?
Manager
Partnering with the patient and their family in every aspect of care.
Patient center care
Which is the purpose of the failure mode effective analysis?
Prevent medical errors in a hospital
Which is the function of the Professional Standards Review Organizations (PSROs) set up by the federal government
To review the quality, quantity, and cost of hospital care
Leader that focus on daily operation of an organization and develop an exchange relationship with their followers
Transactional leaders
Which critical thinking skill will help a student nurse avoid making assumptions about clients?
Analysis
Which statement would be appropriate to include in a lecture for nursing students related to ethics and legal principles?
Beneficence emphasizes promoting good, actively seeking benefit, and ensuring the client's well-being.
Which theory states that leaders should expand and respond to a dynamic change rather than prescribing and approaching change as a lock-step, pre-prescribed method?
Complexity theory
Provide care that does not vary in quality because of gender, ethnicity, geographic location, and socioeconomic status. ( treating patients equally)
Equitable
Which professional standard is important for critical thinking?
Evaluation criteria
Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?
Explanation explanation requires knowledge and experience for choosing strategies for care of clients. Analysis is a critical thinking skill that requires open-mindedness while looking at the client's information. The skill of inference is associated with noticing relationships in the findings. Interpretation is associated with an ordered data collection.
Teamwork and Collaboration
Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care
Which factor is used to assess the quality of health care provided to a client?
Functional health status of the client after discharge
The nurse is teaching unlicensed assistant personnel about ways to prevent the spread of infection. The nurse decides to emphasize the need to break the cycle of infection. Which teaching would be priority?
Hand washing before and after providing client care
What are the three significant attributes in clinical judgment
Holistic view of the patient situation, Process orientation, Reasoning and interpretation
The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). To evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses by the UNP indicate effective understanding of the tasks? Select all that apply. One, some, or all responses may be correct
I must assist the client with oral care." I must give a sponge bath to the client every morning." I must record the blood pressure of the client at regular intervals."
Which are external barriers that can prevent a nursing professional from making morally correct actions?
Inadequate staffing Lack of organizational support Poor relationships with colleagues
Which action by the nurse leader is indicative of transactional leadership?
Inspiring the self-interest of the employees by offering external rewards
Which statement defines information gathered by the nurse?
It is the organization and interpretation of data.
A leader that stand aside and give full control to their followers
Lasissez- Faire Leader
Which nursing-sensitive indicator can be used to evaluate the process of nursing care? Select all that apply. One, some, or all responses may be correct
Nurse job satisfaction
Which concept refers to respecting the rights of others?
Open- mindedness
According to Avedis Donabedian, which is the most important validator of quality and effectiveness of health care in a hospital?
Patient outcomes acheived by the care
A client with diabetes mellitus experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any medications or a copy of a personal medical record. Which type of health information technology would be beneficial for this client
Personal health record (PHR)
Which is the role of the nurse administrator in a health care setting?
Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development
Which is the primary focus of the nurse when providing evidence-based care to the client?
Problem-solving approach
Which statement reflects a pairing approach to delegation of registered nurse (RN) and nursing assistive personnel (NAP) assignments?
RN and NAP only provide care together for a given set of clients during a given shift.
What is patient centered care?
Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs.
Leaders that uses approach that change or transform individuals.
Transformational Leaders
Arrange the stages of life in Erikson's theory of psychosocial development in the correct order.
Trust versus mistrust Autonomy versus a sense of shame and doubt Initiative versus guilt Industry versus inferiority Identity versus role confusion Intimacy versus isolation
Evidence to systematic approach STEPS
Step 1. Develop an answerable question Step 2. Search the literature Step3. Evaluate the evidence found Step4. Apply the evidence found Step5. Evaluate the evidence
A registered nurse is explaining the Quality and Safety Education for Nurses (QSEN) competencies to a nursing student. Which information would the nurse provide about the competency teamwork and collaboration?
"Work effectively within nursing and interprofessional teams by promoting open communication and shared decision-making to provide client care.
A leaders that is transparent and ethical in their dealings with followers. They are genuine, empathic, reliable, and believable.
Authentic Leader
A leader that make all the decision and are generally most concern about completing task
Autocratic Leader
What are the attributes of health care quality
1. Safe 2. Timely 3. Effectively 4. Efficiently 5. Equitable 6. Patient Center care
Which skill in critical thinking requires the nurse to be orderly in data collection?
Interpretation
Which is used for determining the hours of care and staff required for a group of clients?
Acuity records
Which is the most important nursing action involved in caring for a client receiving medications?
Administering the medications
What is the difference between living will and advance directive
Advance directives are oral and written instructions about future medical care should your parent become unable to make decisions (for example, unconscious or too ill to communicate). ... A living will is one type of advance directive. It takes effect when the patient is terminally ill.
The nurse finds that an 80-year-old client's family is not caring for the client properly. Which action of the nurse indicates leadership quality?
Advocating on behalf of the client
A leader that develop followers and involve followers in decision making
Democratic leader.
According to the nursing process, which would the nurse do after administering pain medication to a postoperative client?
Determine whether the pain medicine relieved the client's pain.
Health care base on offering evidence base services that address the most important health care concerns to individuals and the most vulnerable population group. (avoid underuse and overuse of healthcare service)
Effective
Healthcare delivery refers to avoiding waste of resources for care delivery, E.G Time, Cost, Supplies, and Treatment. (Reduces waste and improves value in the healthcare system)
Efficient
Which qualities would an effective leader exhibit?
Elicit a vision from people Bring out the best in people Inspire people to bring the vision into reality
The nursing manager wants to transfer the nurse to the intensive care unit (ICU) and describes the roles and responsibilities of the position in detail to the nurse. After disclosing all details, the nurse manager inquires about the nurse's decision. Which type of principle is the nurse manager following?
Veracity
Nursing Diagnosis
describes a health problem that can be treated by nursing measures; a step in the nursing process
evidence-based practice
integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care
Informatics
use information and technology to communicate, manage knowledge, mitigate error, and support decision making
Which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the Hospital Incident Command System (HICS)
Rapidly evaluating each person who comes to the hospital
A nurse diagnosis mus contain
SMAR; Specific, measurable, attainable, realistic, and Timed
Which of these is true about SOAP progress note method?
SOAP progress notes include assessment information.
What are Attributes of Health care Quality
Safe, Effective, Timely, Patient-centered, Efficient and Equitable
A type of leadership associate with work teams, an approach in which employees are empowered to distribute leadership skills within a group.
Shared Leader
What is the steps in making clinical judgment
Step 1. Nurse's Knowledge, experience, Ethical Perspective, Knowing the Patient Step 2. Expectation Step 3. Notice Step 4. Interpretation Step 5 Responding Step 6. Reflection
Which is true about prescriptive theory?
Focus on medication
What are some Attributes in Leadership
Followers , Vision, Communication, Decision-Making, Change, Social power
Which action would the nurse leader take to promote a health care climate where curiosity, reflection, and change are embraced?
Empowering staff to be lifelong learners and risk takers
Which is the primary focus of nursing care in the "family as context" approach
The health and development of an individual
Safety
The minimization of risk factors that could cause injury or harm while promoting high-quality care and maintaining a secure environment for clients, self, and others.
Quality Improvement
Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.
Which does the nurse understand by the Quality and Safety Education for Nurses (QSEN) competency called informatics?
Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
Describe the definition of LEADERSHIP
an interactive process that provides needed guidance and direction.