I like to move it, move it
Let's Get Physical
The Parkland Way
Nursing Legalese
Everybody Talks
100
What are the risks of poor mobility and not getting patients up, list 2
What is PNA, DVT, Skin Breakdown and further deconditioning of the muscles
100
Pen light
100
What should you do prior to entering or exiting any patient room?
What is Purell, pump, or clean your hands
100
What is the 6 Medication Rights?
- Right Patient
- Right Drug
- Right Dosage
- Right Route
- Right Time
- Right Documentation
100
What is the best communication when patient is confused:
A. Use simple, clear statements and repeat as needed
B. Give long explanations
C. Ignore confusion
D. Use medical jargon
A. Use simple, clear statements and repeat as needed
200
A nurse is providing range-of-motion exercises for a 53-year-old female patient who is recovering from a stroke. During the session, the patient complains that she is "too tired to go on." What would be priority nursing actions for this patient?
Stop exercises and reassess the care plan and check for further symptoms
200
What is the name of the
Apical, 1 full minute
200
You are leaving your documentation area or computer, what should you do?
what is make sure computer is shut off and PHI is not in an area where others can see.
200
What is the federal law that protects patients' health information and insurance coverage?
HIPAA : Health Insurance Portability and Accountability Act
200
What are the best techniques to show active listening?
A. Multitask while patient talks
B. Maintain eye contact, nod, and use verbal cues
C. Interrupt frequently
D. Look away
B. Maintain eye contact, nod, and use verbal cues
300
The nurse plans to ambulate a postoperative client. Which finding is a contraindication to using a gait belt?
- A Recent abdominal surgery with a midline incision
- B History of mild peripheral neuropathy
- C Obesity with a BMI of 36 kg/m²
- D Use of a rolling walker at home
A. Recent abdominal surgery with a midline incision
300
What are the benefits of calling a rapid response?
- Early Intervention: RRTs are designed to act before a situation escalates, which can significantly improve patient outcomes.
- Team Approach: These teams bring together various healthcare professionals, ensuring that patients receive comprehensive care tailored to their needs.
- Education and Support: Rapid response teams also provide an opportunity for staff to learn from each situation, fostering a culture of safety and continuous improvement in patient care.
- In summary, calling a rapid response is a proactive measure aimed at safeguarding patient health by addressing potential emergencies before they escalate. It is an essential component of modern healthcare aimed at improving patient safety and outcomes.
300
How does the nurse hand off a patient in a way that includes the patient in their care?
What is bedside shift report?
300
Name 3 ways to protect PHI
Computer sign off, don't talk in public about patients, shred anything with PHI, never post anything about your patients on social media.
300
This is one of the most effective methods of therapeutic communication because it involves showing genuine interest in what your patient has to say.
Active Listening
400
A client using a cane asks how to go up stairs safely. Which sequence is correct?
A Cane first, then weaker leg, then stronger leg
B Stronger leg first, then cane and weaker leg together
C Weaker leg first, then cane, then stronger leg
D Move both legs at the same time after placing the cane on the step
B. Stronger leg first, then cane and weaker leg together
400
At bedside shift report, name 3 things a nurse should Assess?
Lines, drains, wounds, operative sites, LOC, speech.
400
What is the communication tool we use at Parkland? What does the acronym stand for?
What is AIDET
Acknowledge, Introduce, Duration, Explain, Thankyou
400
This describes the services that a qualified health professional is deemed competent to perform and permitted to undertake – in keeping with the terms of their professional license. It includes direct patient care, health education, and disease prevention.
Nursing Scope of Practice
400
An 88-year-old client with dementia becomes agitated and says to the nurse, "I need to find my husband, George! He's supposed to pick me up." The nurse knows the client's husband died 10 years ago. What is the most therapeutic response?
A. Don't worry, you're safe here with us.
B. You miss your husband, George. Tell me about him.
C. George died a long time ago. You are in the hospital.
D. He's not here right now. Let's go to the activity room and see what's happening.
B. You miss your husband, George. Tell me about him.
The best approach for a client with dementia is to validate the emotion behind their words, not argue with the delusion. The client is expressing a feeling of loss and a need for a loved one. The correct response validates the feeling ("You miss your husband") and then redirects the client to a potentially comforting and engaging topic (reminiscence therapy).
500
When transferring a client with right-sided hemiplegia from bed to chair, which is the safest plan?
A. Pivot toward the weaker side to strengthen it
B. Have the client pull on the nurse’s neck for leverage
C. Place the chair on the client’s stronger side and pivot toward it
D. Lift under the client’s axillae to expedite transfer
C. Place the chair on the client’s stronger side and pivot toward it
500
What does ITRACE stand for?
- I – Identify: Accurately identify the IV access site and the type of line or solution being administered to the patient.
- T – Trace: Trace the IV line from the insertion site back to the source (e.g., IV bag or pump) to ensure the pathway is clear and unobstructed.
- R – Review: Review all connections, components, and pump settings to confirm they are secure and functioning correctly.
- A – Act: Administer fluids or medications only after confirming the line is properly traced and all protocols are followed.
- C – Communicate: Effectively communicate findings and any concerns with the healthcare team to maintain coordinated care.
- E – Evaluate: Evaluate the entire IV setup and the patient’s response to ensure safety and treatment effectiveness.
500
What are the 5 Ps of safety rounding and how Often do you check on your patients?
What is Pain, Potty, Possessions, Positioning and Pumps
Hourly Rounding during the day, every 2 hours at night
500
What is a serious, unexpected adverse event in healthcare that results in death, permanent harm, or severe temporary harm to a patient.
What is a Sentinel Event
500
A client who requested pain medication 20 minutes ago calls the nurse's station and says angrily, "I asked for my pain medicine forever ago! Why is it taking so long?" What is the nurse's most therapeutic response?
A. Calm down. Getting angry isn't going to make it come any faster.
B. You just need to be patient. We have a lot of other sick people here.
C. I can hear how frustrated you are. I will check on your medication right now and be back in 5 minutes with an update.
D. I'm very busy right now, but I'll get to it as soon as I can.
C. I can hear how frustrated you are. I will check on your medication right now and be back in 5 minutes with an update.
The most therapeutic response is to first validate the client's anger and frustration ("I can hear how frustrated you are"). It then provides a clear, actionable plan and a specific timeframe, which helps to de-escalate the situation and rebuild trust.