Priority Problems
Cultural
Competence
Lateral Violence
Legal Issues
Grab Bag
100

Examples of these types of interventions might include: teaching a patient relaxation techniques for anxiety, repositioning a patient every 2 hours to prevent skin breakdown, resting and elevating an edematous ankle to relieve pain. 

What are independent nursing interventions?

100

This would be the best action taken by a nurse to take a health history on a patient who cannot speak English.

What is obtain an interpreter?

100

This unfortunate workplace phenomenon similar to bullying can have great costs to individuals, organizations, and professions.

What is Lateral Violence?

100

Laws created by elected officials such as the Nurse Practice Act, HIPPA, and the Good Samaritan law.

What are Statuatory laws?

100

Considered a type of lateral violence, this catty behavior may be described as failure to resolve conflicts directly by complaining to others about a person but not speaking directly to that person.

What is passive-aggressive behavior?

200

While not the same as direct care like giving pain medication or changing a dressing, this type of care often focuses on organization or documentation such as arranging for physical therapy or charting wound measurements. 

What is indirect care?

200

Look at the patient when talking, utilize facility provided translation services, provide handouts in pt's primary language. 

What are things to do with a non-English speaking patient.

200

These are the two main costs of lateral violence for an individual.

What are job dissatisfaction and psychological distress?

200

Laws that are created by administrative bodies like the Board of Registered Nursing.

What are Regulatory laws?

200

The unfortunate phenomenon in nursing when a brand new nurse is afraid to ask questions or stand up to a mean experienced nurse. Better to be NPO.

What is "nurses eat their young"?

300

Examples of these types of interventions might include: obtain an order for new pain medication for increased pain, consult with a wound care specialist for a pressure ulcer.

What are dependent nursing interventions?

300

A nurse is aware that this type of community group would have the most health disparities and trouble accessing care.

What is a low socio-economic community?

300

It can cost an organization several thousands of dollars to train a new nurse. A toxic work environment makes nurses quit often with a high turnover rate. 

What is an organizational cost of lateral violence?

300

You are a nurse in Butte County and the apocalypse is happening yet again. If you leave prior to another nurse relieving you and taking over your patients, you may be charged with this.

What is patient abandonment?

300

Clinical practice guidelines and science give nurses standardized ways to provide the best care for their patients based on this.

What is evidence?

400

A nurse is striving to give better culturally competent care. This self-reflective practice should be the first step in recognizing that how you view others affects the care you give them. 

What is assess your own biases and attitudes?

400

Learning about cultural issues involved in the patient’s health care belief system and enabling patients and families to achieve meaningful and supportive care demonstrates what concept?

What is Culturally Competent care?

400

This type of communication that may include raising eyebrows, rolling eyes, or making faces may be a part of lateral violence.

What is non-verbal communication?

400

When a nurse signs as a witnesses it means the patient appears competent, their signature is authentic, and was given voluntarily. 

What is informed consent?

400

This legal term reflects the fact that a nurse must be the one to perform physical assessments and interpret data collected by UAP. It also defines what is appropriate for a nurse to delegate to UAP.

What is scope of practice?

500

This is a high priority problem for your post-op patient even if their surgical incision is clean because if left untreated, it could lead to immediate harm.

What is RISK FOR INFECTION?

500

A nurse is assessing a culturally diverse population group for their risk of suicide. Asking "How is suicide viewed in your culture?" is an example of what type of question that gives you the most informative response?

What is an open ended question?

500

Stress from lateral violence can cause weight fluctuations, hypertension, racing heart rate, and bowel irregularities which can be grouped together as this type of symptom.

What are physiological symptoms of stress?

500

A patient is refusing his injectable medication even after being educated about it. He's alert, oriented, and capable of making their own decisions. You decide to give it anyways and have just committed this crime.

What is battery?

500

S: 88 y/o F admitted for SOB 

B: Hx of COPD, wears O2 PRN

A:• T 99.7°F, HR 93, RR 30, 130/82(O2 Sat) 93% on room air 

R: Pt just got here and this is your priority

What is further assess breathing and respiratory status based on RR. ABC's!