quality over quantity
6 QSEN competencies
1. Quality improvement
2. Teamwork and collaboration
3. Evidence-based practice
4. Informatics
5. Patient-centered care
6. Safety
type of relationship that is not spontaneously formed and involves and unequal sharing of information
What is a helping relationship?
the thought processes that allow healthcare providers to arrive at a conclusion
What is clinical reasoning?
How should a nurse position themself when communicating with a patient?
seated/at the same level as the patient
a. please speak more quietly so you don't disturb the other patients."
b. Let me help you with your transfer technique
c. When you are finished, please be sure to apologize for shouting.
d. When your patient is safe and comfortable, meet me at the desk
d. When your patient is safe and comfortable, meet me at the desk
3 blended competencies need for nursing care
1. cognitive
2. interpersonal
3. ethical/legal
Which type of relationship is NOT appropriate in the healthcare setting?
social relationship
What is clinical judgement?
term used to describe a mutual feeling of trust between a healthcare provider and a patient
What is rapport?
A public health nurse is leaving the home of a young mother who has an infant with special needs. The neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's best response?
a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation."
a. "New mothers need support."
A nurse demonstrates proficiency in _________________ when they are able to use information and technology to communicate, manage knowledge, mitigate error, and support decision making.
informatics
true or false: in a helping relationship, the helper is solely responsible for outcomes of the person being helped
true
Type of problem solving method that is cultivated with experience, used most by experienced nurses
Name 3 things a nurse should avoid when communicating with a patient
- cliches
- close-ended questions
- questions with words "why" or "how"
- questions that probe for info
- gossip/rumor
- leading questions
- advice
- changing subject
- false assurances
- elderspeak
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care center. During the admission interview, what question will the nurse ask the parents to elicit the most useful information?
a. "Watching your child in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child had anything to drink?"
d. "Could you tell me the color and approximate amount of vomiting?"
d. "Could you tell me the color and approximate amount of vomiting?"
When a nurse uses data to monitor the outcomes of the care process and is continuously designing and testing changes, the nurse is demonstrating which QSEN competency?
quality improvement
type of relationship in which the needs of both parties are considered
social relationship
true or false: trial-and-error problem solving is an effective way of figuring out the right solution and is commonly used in the clinical setting
FALSE!!!
What type of zone is typically used in the healthcare setting?
social zone
A nursing student is nervous and concerned about working at a clinical facility. Which action would best decrease anxiety and help ensure successful delivery of patient care?
a. determining the established goals of the institution
b. ensuring that verbal and nonverbal communication is congruent
c. engaging in self-talk to plan the day and decrease fear
d. speaking with fellow colleagues about how they feel
c. engaging in self-talk to plan the day and decrease fear
When a nurse focuses their care on minimizing patient harm, which competency is the nurse demonstrating?
safety
What do helping relationships and social relationships have in common?
care, concern, and need for trust
Steps of the nursing process and how they correspond to the clinical judgement task model
1. Assessment - recognizing cues and analyzing cues
2. Diagnosis - analyzing cues and prioritize hypotheses
3. Planning - prioritize hypothesis and generate solutions
4. Implementation - generate solutions and take action
5. Evaluation - take action and evaluate outcomes
range of social zone
4-12 feet
During a nursing staff meeting to discuss delayed documentation, the nurses unanimously agree that they will ensure all vital signs are reported and charted within 15 minutes following assessments. This decision is consistent with which of the following characteristics of effective communication? (SATA)
a. group decision making
b. group leadership
c. group power
d. group identity
e. group patterns of interaction
f. group cohesiveness
a, d, e, f