Nursing Concepts test #2

Critical & Clinical

100

What are the two Nursing Process conceptual models?

What is: the Roy adaptation model and the Neuman systems model

200

What is the definition of clinical judgment?

What is: The NCSBN has defined clinical judgment for the nursing profession as "the observed outcome of critical thinking and decision-making." 

300

Which AACN domain is centered around "(Person-Centered Care)"?

What is: Domain #2

400

This type of reflection focuses on looking at the immediate effects of what treatment was distributed to the patient.

Reflection IN action

500

What is step #5 out of the NCSBN Clinical judgment measurement model and what does that step entail?

What is: 

Take action: implementing the solutions that address the highest priorities

Critical & Clinical cont.

100

The keywords for AACN Domain #10 are?

What is: (Personal, Professional, & Leadership Development)

200

What are the 4 components that make up the Tanners Clinical judgment model?

What is: 

-Noticing

-Interpreting

-Responding

-Reflecting

300

This conceptual model works to best retain, attain, and maintain optimal client health by "Looking at the patient as a whole system and not pieces of a system"

What is the Neuman systems model

400

What are cons of the nursing process?

• Some say it is un-realistic to the real world practice
•  
• The nursing process is a very     linear process but in the real world, these processes are never linear
• 
  
• It can be time consuming
•  
• Differs from the holistic     approach; tends to focus on the specific problem of the patient

500

Describe the ANA Code of Ethics: Provision #5

What is: The nurse owes the same duties to self as to others, including the responsibility to promote health & safety, preserve wholeness of character and integrity, maintain competence, and continue personal & professional growth

 

Law

100

What is the difference between morality and ethics?

What is:

Morality is personal values, character, or conduct of individuals or groups within communities and societies

BUT

Ethics is the formal  STUDY of morality from a wide range of perspectives

200

What is the difference between a contract and a tort?

What is: 

Contracts: binding written, verbal, or implied agreements

Tort: a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.

300

We are looking for a term with this following definition:

______ is a specific term used for negligence committed by a professional with a license.

What is malpractice?

400

The Nurse Practice Act is an example of what type of law?

What is: Statutory law?

500

Applicational Question:

A nursing student is working during their clinicals and they forget to take the patient's vitals every hour even though they were instructed to do so due to the patient having CVD.

The nursing student gave an example of what type of unintentional tort? (The tort resulted from the acts of _____)

What is: Omission

Ethics

100

We are looking for a term:

_______ is an ethical theory based on rules that distinguish right from wrong.

What is: Deontology?

200

Describe provision #4?

What is:

Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and provide optimal care.

300

We are looking for a term:

_______ results from a conflict of competing values and requires a decision to be made from equally desirable or undesirable options.

 

What is: 

Ethical dilemma

400

What is the difference between Moral outrage and moral distress?

What is:

Moral distress: Feelings occur when correct ethical action is identified but the individual feels constrained by competing values of an organization or other individuals. 

Moral outrage: Feelings occurring when an individual witnesses immoral acts or practices they feel powerless to change.

500

Applicational Question: 

There are two students who are having a debate. 

Student A says  "Abortion is unnecessary because you aren't preserving life, you're ending a life.

Student B says: "Well in the act of someone getting raped, incest, an unwanted pregnancy, or if the pregnancy is at risk to the mother, abortions need to be available to the general public."

Which student showed an argument that was an example of a consequential viewpoint? 

What is: Student B?

Ethics & Random

100

Describe a Moral Injury

What is: 

refers to the distressing psychological, behavioral, social, and sometimes spiritual aftermath of exposure to events that contradict deeply held moral beliefs and expectations.

200

Identify strategies the nurse can use to reduce legal exposure.

What is:

• Practice within the requirements of your state’s Nurse Practice Act, in compliance with organizational policies and procedures, and within the national standard of care
• Recognize one’s limitations and ask for assistance when needed. 
• Document as close to the time of care provision as possible. (In court, if it is not documented, it is     considered not done.)
• Never alter, delete, or falsify information. 
• Never leave medication unattended. 
• Always double and triple-check when administering medication 
• Perform accurate counting and documentation of controlled substances per agency policy. 
• Seek assistance if you are experiencing challenges with substance use
• Participate in accurate and thorough handoff reports according to agency policy. 
• Lock up patient valuables per agency policy. 
• Follow agency policy regarding receipt of gifts from clients or family. 
• Report suspected abuse of children, elders, and other vulnerable populations.

300

Name the provision:

The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.

What is: Provision #6

400

Which COMPONENT of the "FOUR Quadrant Response" is missing?

1. Quality of Life (Benefinance & nonmaleficence)

2. Medical Indications (Benefinance & nonmaleficence)

3. Contextual Features (Loyalty & Fairness)

4. _________________

What is: Patient preferences (Respect for Autonomy)

500

What are the seven steps of the "PLUS ethical decision making model"?

What is:

• Define the problem using PLUS filters 
• Seek relevant assistance, guidance, and support
• Identify available alternatives 
• Evaluate the alternatives using PLUS to identify their impact
• Make the decision 
• Implement the decision 
• Evaluate the decision using PLUS filters