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This nursing professional influenced the way people were cared for during wartime and founded the profession of nursing.
Who is Florence Nightingale?
This source of knowledge that influences nursing practice can be defined as "We've always done it this way."
What is Traditional knowledge?
This theory provides a framework for nursing assessment and for understanding the needs of patients at all levels, so that interventions to meet priority needs become a part of the care plan.
What is Maslow's hierarchy of needs?
A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act?
a. Invasion of privacy
b. Negligence
c. Assault
d. Defamation of character
a. Invasion of privacy
Used by healthcare facilities to document the occurrence of anything out of the ordinary that results in, or has the potential to result in, harm to a patient, employee, or visitor. These reports are used for quality improvement and should not be used for disciplinary action against staff members. They are a means of identifying risks.
What is an incident report?
What is SBAR used for?
Discuss an example of each step of SBAR.
Situation
Background
Assessment
Recommendation
Which learning domain is identified when a client states to the nurse "I understand when you explain the complications of my illness."
Cognitive
Affective
Psychomotor
Cognitive
The leadership style involves the leader assuming control over the decisions and activities of the group. It is often an efficient process, yet many people may resent this leadership approach when used regularly.
What is autocratic leadership?
Family planning centers
Primary care centers
Urgent care centers
Employment Health Centers
What is Primary Level Healthcare?
List some healthcare team roles that the nurse collaborates with when caring for clients and describe the role.
Physician, Advanced Practice Nurse, Physician Assistant, Physical Therapist, Occupational Therapist, Speech Therapist, Social Worker, Pharmacist, Respiratory Therapist, Dietician, Chaplain/Spiritual Care Provider, Unlicensed Assistive Personnel (UAP)
What does the acronym ADPIE stand for?
Why do nurses use it?
Is it based on science (or) traditional practice?
Assessment, Diagnosis, Planning, Implementation & Evaluation
Why do nurses use it? to help nurses committed to thoughtful person-centered practice manage each patient’s care scientifically, holistically, and creatively.
Is it based on science (or) traditional practice? Science
These laws: 1. are established in each state in the United States to regulate the practice of nursing, 2. protect the public by defining the legal scope of nursing practice, 3. create a state board of nursing or regulatory body having the authority to make and enforce rules and regulations concerning the nursing profession, and 4. define important terms and activities in nursing, including legal requirements and titles for RNs and LPNs, and 5.establish criteria for the education and licensure of nurses.
What are Nurse Practice Acts?
This source of knowledge that influences nursing practice is described as knowledge that comes from an expert and is accepted as truth-based on the person's perceived expertise.
What is Authoritative knowledge?
The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs? (Select all that apply.)
A. Preventing falls in the facility
B. Changing a patient’s oxygen tank
C. Providing materials for a patient who likes to draw
D. Helping a patient eat his dinner
E. Facilitating a visit from a spouse
F. Referring a patient to a cancer support group.
B. Changing a patient’s oxygen tank
D. Helping a patient eat his dinner
A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mmHg to 196/98 mmHg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the health care provider, and the client experiences a cardiac arrest. What tort has the nurse likely committed?
a. Negligence
b. Battery
c. Invasion of Privacy
d. False improvement
a. Negligence
Provide an example of a "never" event.
Surgery performed on the wrong body part (or) on the wrong patient, leaving a foreign object inside a patient after surgery, or discharging an infant to the wrong person.
A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care for this client?
a. Arrange for a sign language interpreter when discussing treatment.
b. Talk with the client’s children to determine needs.
c. Consult the oncology nurse specialist
d. Use a text-telephone device (TTD) for daily communication.
a. Arrange for a sign language interpreter when discussing treatment.
Which learning domain is identified when a client states to the nurse "I am nervous about what insulin does to my body".
Cognitive
Affective
Psychomotor
Affective
This leadership style is based on a philosophy and set of practices that enrich the lives of individuals, builds better organizations, and ultimately creates a more just and caring world. It begins with the natural feeling that one wants to serve.
What is servant leadership?
Cardiovascular surgeons
Pediatric hematologists
Rare and complex disease management
What is Tertiary Level of Healthcare?
A process by which healthcare providers give appropriate, uninterrupted care and facilitate the patient’s transition between different settings and levels of care. Continuity of care ensures a smooth transition between ambulatory or acute care and home health care or other types of health care in community settings.
What is Continuity of Care?
A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
Assessment
What is the American Nurses Association (ANA)?
This source of knowledge that influences nursing practice is described as knowledge obtained through the scientific method (through research). New ideas are tested and measured systematically using objective criteria.
What is Scientific knowledge?
List factors that affect vulnerable populations regarding access to basic needs and healthcare in the following categories:
Economic Stability
Neighborhood and Physical Environment
Education
Food
Community and Social context
Health Care System
Economic Stability; debt, medical bills, unemployment
Neighborhood and Physical Environment: lack of safety, walkability, crime
Education: lack of access to education, literacy
Food: hunger, access to healthy options
Community and Social context: discrimination
Health Care System: lack of health care coverage, access to care
A nurse incorporates the “five values that epitomize the caring professional nurse” (identified by the American Association of Colleges of Nursing) into a home health care nursing practice. Which attribute is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice?
a. Altruism
b. Autonomy
c. Human dignity
d. Integrity
d. Integrity
List some ways a nurse can prevent malpractice.
Monitor patients in a timely manner consistent with facility policy and the changing needs of the patient.
Question treatments that you believe are improper. Know your facility’s policy for questioning a problematic order.
Follow health care provider orders regarding monitoring of patients unless changes in the patient’s condition necessitate a change in the frequency of monitoring
Verify any questionable medical orders.
Know your facility’s procedures.
This phase of the helping relationship between the nurse and client occurs when the nurse introduces oneself and informs the client how long the nurse will be caring for the client.
What is the orientation phase?
Which learning domain is identified when a client states to the nurse "I can now give myself insulin."
Cognitive
Affective
Psychomotor
Psychomotor
This leadership style is considered nondirective leadership, the leader relinquishes power to the group, such that an outsider could not identify the leader in the group. This approach encourages independent activity by group members.
What is laissez-faire leadership?
Care provided for caregivers of homebound ill, disabled, or older adults. The main purpose is to give the primary caregiver some time away from the responsibilities of day-to-day care.
Government-funded health insurance for people of any age who have low incomes; for the blind, older adults, and disabled covered by supplemental security benefits; and for beneficiaries of Aid to Families with Dependent Children.
What is Medicaid?
A nurse takes the vital signs of a new hospital client admitted for severe abdominal pain. The nurse administers pain medication for the client. Which is the next step of the nursing process for the nurse?
Evaluation
A national exam that ensures all newly-graduated nurses possess the knowledge and ability of the nurse to make competent nursing judgments.
What is the NCLEX?
This is a method of research conducted to gain insight by discovering meanings. At its core is the idea that reality is based on perceptions, which differ for each person and change over time.
What is Qualitative research?
A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating?
a. Tertiary
b. Secondary
c. Primary
d. Promotive
c. Primary
A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. The nurse’s action reflects which principle of bioethics?
a. Autonomy
b. Beneficence
c. Justice
d. Fidelity
e. Nonmaleficence
e. Nonmaleficence
This situation arises when attempted adherence to basic ethical principles results in two conflicting courses of action.
What is an ethical dilemma?
This phase of the helping relationship between the nurse and client who requires dialysis includes: the nurse assessing the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization.
What is the working phase?
Put the following steps of the teaching-learning process in the correct order
1. Diagnose the Client's Learning Needs
2. Develop Learning Outcomes
3. Evaluate Learning
4. Develop a Teaching Plan
5. Implement Teaching Plan & Strategies
6. Assess learning Needs and Learning Readiness
Assess learning Needs and Learning Readiness
Diagnose the Client's Learning Needs
Develop Learning Outcomes
Develop a Teaching Plan
Implement Teaching Plan & Strategies
Evaluate Learning
This style of leadership is characterized by a sense of equality among the leader and other participants. Decisions and activities are shared. Participants are encouraged to develop their skills and strengths within the group.
What is democratic leadership?
May be given in conjunction with medical treatment and in all types of health care settings, is patient- and family-centered care that optimizes the quality of life by anticipating, preventing, and treating suffering.
What is palliative care?
Government-funded health insurance for individuals 65 and older.
What is Medicare?
Giving medication occurs in which step of the nursing process?
Implementation
Provide an example of a sentinel evet.
Wrong-side surgery, suicide, and operative and postoperative complications.
This method of research involves the concepts of basic and applied research and the process of collecting and analyzing numerical data.
What is Quantitative research?
Nurses perform health promotion activities at a primary, secondary, or tertiary level. Which nursing actions are considered tertiary health promotion? (Select all that apply.)
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
The nurse caring for families in a free health care clinic identifies psychosocial risk factors for altered family health. Which example describes one of these risk factors?
a. The family does not have dental care insurance or resources to pay for it.
b. Both parents work and leave a 12-year-old child to care for his younger brother.
c. Both parents and their children are considerably overweight.
d. The youngest member of the family has cerebral palsy and needs assistance from community services.
b. Both parents work and leave a 12-year-old child to care for his younger brother.
The formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make and evaluate ethical judgments.
What is nursing ethics?
This phase of the helping relationship between the nurse and the client includes reviewing the goals of the nurse-client relationship to understand if the goals were achieved.
What is the termination phase?
A nurse manager who is attempting to institute the SBAR process to communicate with health care providers and transfer patient information to other nurses is meeting staff resistance to the change. Which action would be most effective in approaching this resistance?
a. Containing the anxiety in a small group and moving forward with the initiative
b. Explaining the change and listing the advantages to the person and the organization
c. Reprimanding those who oppose the new initiative and praising those who willingly accept the change
d. Introducing the change quickly and involving the staff in the implementation of the change
b. Explaining the change and listing the advantages to the person and the organization
Describe Lewin's three stages of change:
Unfreezing
Moving
Refreezing
Unfreezing - the need for change is recognized
Moving - change is initiated after a careful process of planning
Refreezing - change becomes operational
A program of supportive care services providing physical, psychological, social, and spiritual care for dying people with less than 6 months to live, their families, and other loved ones.
What is hospice care?
An RN on a surgical unit is behind schedule administering medications. Which of the RN’s other tasks can be safely delegated to a UAP?
a. The assessment of a patient who has just arrived on the unit
b. Teaching a patient with newly diagnosed diabetes about foot care
c. Documentation of a patient’s intake and output in the client's electronic medical record
d. Helping a patient who has recently undergone surgery out of bed for the first time
c. Documentation of a patient’s intake and output in the client's electronic medical record
The nurse is caring for a client in a critical care unit. The client's cardiac monitor alarms, and the nurse recognizes the rhythm as atrial flutter. What two skills did the nurse use to interpret this cardiac rhythm?
a. Cognitive and technical
b. Interpersonal and ethical
c. Cognitive and ethical
d. Interpersonal and technical
a. Cognitive and technical