Art of Nursing
Theory in Practice
Professional Standards
Safety Legislation
Nursing diagnosis
100
CAUTI, VAP, NS lavage
What is a problem in your area of practice that needs changed based on evidence in the nursing scientific literature.
100
• Recognize that all behavior has meaning and that the nurse needs to seek out the meaning behind the behavior
What is understanding the patient's value priority
100
performing or not performing CPR, removal or withdrawing of life support, aging and elderly person upon discharge no longer able to care for self
What are ethical concerns in the complex environment
100
You arrive to find your patient with sudden ALOC, pale and diaphoretic. What is your immediate action
What is calling a Rapid Response or Charge nurse for immediate assistance
100
SIDS, miscarraige, fetal demise, abortion
What is Anticipatory grieving related to loss of infant
200
The nurse who allows the family to have open visitation demonstrates high levels of clinical inquiry OR • Necessitates care of family, who will need support and updates of patient’s condition
What is a patient care situation that exemplifies use of the Synergy Model.
200
•Assess the patient’s need or desire to share his or her values, beliefs, faith •Explore ways to incorporate the patient’s spiritual needs into overall plan of care •Recognize that prayer is very important to this patient’s recovery process
What is provide spiritual support for this patient
200
DPAHC, living will
What is examples of advanced directives
200
An external disaster is announced over the hospital paging system. Triage, communication, staff and bed availability
What is your expected actions when you are in charge
200
pallor, weak peripheral pulses, strong central pulses, tachycardia, hypoxemia
What is altered tissue perfusion
300
Patients diagnosis is multi-system organ failure. Primary nurse coordinates a family meeting with the many physicians representing the different services managing the care of the patient. Other invited practitioners involved in patient care: social worker, respiratory therapist, and pharmacist
What is advocating for family of a patient with multisystem complex problems who was receiving conflicting information from various physicians involved in patient care
300
• Teach coping strategies (i.e.: relaxation, guided imagery) •Attempt to clarify misconceptions through education and discuss concerns in a realistic manner • Ask open-ended questions to allow the patient to express fears, concerns, feelings
What is patient/families understanding of illness
300
Nurses practice with compassion and respect for the inherent dignity, worth, and uniqueness of each individual AND Ethical and professional responsibility are examples of what written document?
What is ANA Code of Ethics
300
The 14-bed pediatric ICU is at full capacity. Three patients in the OR need ICU beds. The supervisor has called to tell you to float to the recovery room to care for these patients
What is knowing your limitations and keeping safety of patients as priority
300
tachycardia, agitation, ALOC, pulling at IV lines, 1 hour post ORIF femur
What is alteration in comfort
400
Body of evidence is written and presented to the directors of the departments to improve patient outcomes
What is evidence-based practice
400
• Be aware of nonverbal cues • Provide an interpreter • Determine, through the interpreter, what patient/family values as important practices during critical illness
What is honoring patient's cultural beliefs
400
A co-worker coming on shift reports to work smelling of alcohol. You are in charge. What are your legal obligations
What is protect patients from harm. Report to supervisor. Maintain dignity by talking/confronting co-worker in private. Follow policy of institution
400
A patient arrives on the unit from the OR, •Rapid Airway, Breathing, Circulation (ABC) assessment •Cardiopulmonary monitoring attachment
What is your immediate nursing actions
400
crying, withdrawal, criminal behaviors, anorexia, overeating, sleeplessness, sleeping all the time
What is altered coping behaviors
500
• Patient demonstrates physical, emotional or spiritual distress • uncontrolled pain, sedation, lack of sleep, a recent discussion of terminal illness .
What is the importance of appropriate timing for patient educational sessions
500
The family was approached with newly diagnosed and end-stage terminal illness by the provider. Behaviors such as crying, agitation, acting out, yelling, withdrawing are examples of what Humanbecoming concept in the complex environment
What is feeling overwhelmed
500
Respect for each other, team work, open communication, answering call lights when primary nurse is busy, understanding and supportive learning environment, adequate staff and training for professional transition into practice
What is examples of a healthy work environment
500
You are receiving a patient with history of dementia. • • Assist with frequent toileting • Arrange the room so that it is safe, wide open. • Set the bed height in low position • Avoid over medicating
What is National Patient Safety Goal-Preventing Falls
500
disbelief in God, anger, shame,
What is spiritual distress
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