Download Nur 103 Final Study Guide and more Exams Nursing in PDF only on Docsity!
1. Types of health care delivery **organi- zations
- How is continuity** **of care acheived?
- What does the state** board of nursing **do?
- What is the Missouri** **Nurse Practice Act?
- What is breach** **of duty?
- What is the ANA** **Code of Ethics?
- What 4 things** must be proven in **mal- practice?
- What is bioethics** au- tonomy? Hospitals Primary Care Centers Ambulatory Care Home Care Hospital to Home Extended Care Specialized (Mental Health Center) Hospice Does the patient know what the next step is when they leave your care... are all the pieces getting passed between care partners... avoid test duplications... Protect the Public Establish the Nurse Practice Act for each state. License graduates from accredited nursing schools. Controls all aspects of licensing- License can be sus- pended, censured, revoked Lawful rule book expectations of a nurse, conduct nursing education, and regulate nurses Nurse doesn't follow NPA, Standards of practice, or facility policy... Something was done that a reasonably, prudent nurse would not have done A guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. Damage
s D u t y B r e a c h o f D u t y C a u s a t i o n
- Deals with PATIENT (self-determination)
- Patient have the right to informed consent and full disclosure of treatment so they can make informed
all people
- The registered nurse It is important to enroll in a smoking cessation class. is teaching a com- munity health class
about illness pre- vention. Which of the following state- ments reflects un- derstanding the con- cept?
19. A nurse is ensur- ing a client on hospice can make an informed deci- sion about their own health and life. Which nursing role has this nurse per- **formed?
- Empathy vs.** **Sympa- thy
- SWAG communica-** tion Advocate In empathy, we understand the feelings of others. In sympathy, we feel the feelings of others. State the problem Wait for the response Ask for something moving forward Gain on both sides if agreed
- Content vs Context Content = subject Context = Situation 23. What are the goal of therapeutic **commu- nication?
- What is a non-direc-** tive role for **nurses?
- What is a directive** role for the nurse?
What situations would a nurse take a directive role?
27. intrapersonal vs **in- terpersonal
- What are some** blocks to communia- tion? Suicidal patients, Patient falls, Verbal de- escalation *used for safety purposes Intrapersonal aspect is awareness of one's own feel- ings Interpersonal aspect entails recognizing others' feel- ings and responding appropriately Giving false hope/ false assurance Giving advice Giving personal information Failure to actively listen Being judemental Closed Ended questions Pet Names Attitudes (even body language!)
- What is the ISBARR? Intro- who you are and what PT Situation- What is going on currently Background- Hx of current problem and med hx relat- ed to problem Assessment- What you see with your PT... V/S, Labs, etc. Recommendation- What you would recommend or like to be done Readback- Closed loop communication confirming what provider states 30. How do nurses **build rapport?
- What are therapeu-** tic communication techniques? Remain patient-focused, not task-focused! Accepting Broad- openings Consensual validation
E n c o u r a g i n g c o m p a r i s o n Encouragi ng descriptio n of perception s Encourage expression E x p l o r i n g Focusin g
R
e g r ession Repression Sublimation: substitute what is acceptable for what is not Suppression
- What is health? a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
- What is illness? response of the person to a disease
- What is wellness? Active state of well being
- What is morbidity? incidence of a specific notifiable disease
- What is mortality? death rate
- Acute vs. Chronic new onset vs. long standing 42. Stages of Illness Be- havior Stage 1: Experiencing symptoms Stage 2: Assuming the sick role Stage 3: Assuming a dependent role Stage 4: Achieving recovery and rehabilitation
- Examples of primary immunization clinics, family planning services, poi- **health promotion
- Examples of sec-** ondary health **pro- motion
- Examples of tertiary** **health promotion
- From bottom to top,** what is Maslow's Hi- erarchy of **Needs
- What are Erikson's** stages of psychoso- cial development?
48. What are blended **competencies?
- What is ADPIE (de-** finition and the **acronym)
- What is the** clinical judgement **model?
- Types of** **Assess- ment
- What is OLD-** **CARTS?
- What is a nursing** **di- agnosis?
- What is a medical** **di- agnosis?
- How do you** write cues?
Gener ativity vs. Stagn ation (30-
Integri ty vs. Despai r (65+) Critical Thinking
- Clinical Reasoning = Clinical Judgement It is the process for basic nursing care. Assess, diagnose, plan, implement and evaluate r e c o g n i z e c u e s analyze cues prioritize hypothesis generate solutions take action evaluate outcomes 1.Initial Assessment 2.Focus Assessment
- Time-Lapsed Reassessment 4.Emergency Assessment O - Origin L - Location D
- Duration C - Characteristics A - Aggravating R - Relieving T
- Timing S - Severity clinical judgement about the patient in response to an actual or potential health problem Identification of a disease condition based on specific evaluation of signs and symptoms PES Proble m Etiolog y
Signs and symptoms (do these support the problem and cause?) -Use Maslow's Hierarchy of Needs , patient prefer- ences, and anticipation of future problems. SMART S p e c i f i c M e a s u r a b l e A t t a i n able Realistic Time- bound No IV meds or initiate blood products No initial health assessment No initiating education Decision analysis Education Credentialing, regulation, and legislation Reimbursement Legal and historical documentation Public Health Activities (ex: tracking outbreaks) Law Enforcement and Judicial Proceedings (ex:child abuse) Deceased people (ex: organ donation) -U, u (for unit) -IU (International Unit) -Q.D, QD, q.d, qd (Daily) -Q.O.D, QOD, q.o.d, qod (write out every day or every other day) -Trailing Zero (X.0mg)^b -MS, MSO4 and MgSO4 (confused for one another) Neonate, Infant, Toddler, Preschooler, Older adult
63. What is RACE **and PASS?
- What must be docu-** mented with the use **of restraints?
- T/F Restraints do** not require a **physician order.
- What are the com-** ponents of spiritual **health?
- What is cultural as-** **similation?
- What is cultural** **blindness?
- What is ethnocen-** **trism?
- What is cultural im-** position? Remov e Alarm Confin e Extinguish/Evacuate Pul l Ai m Squeez e Spray Date & time applied Type Alternatives that were attempted prior Notification of family and physician Frequency of Assessment Assessment findings Regular intervals of removal and interventions at- tempted FALSE: All restraints must have a physician order Meaning & purpose Love & relatedness Forgiveness process that occurs when a minority group, living as part of a dominant group within a culture, loses the cultural characteristics that made it different
71. What population is prone to Gauch- er's disease and **Tay-Sachs' disease?
- What population** is prone to Tha- **lassemia?
- What population is** prone to sickle cell anemia and **keloids?
- What population is** prone to heart dis- ease, liver cirrho- sis, and fetal **alcohol syndrome?
- What population is** prone to breast can- cer and **obesity?
- What population is** prone to diabetes and lactose intoler- **ance?
- T/F Pain is** **subjec- tive.
- What spirituality** would present with resistance to emer- gency lifesaving ef- forts?
that their ideas are superior to those of another per- son or group Eastern European Jews Asian African American Native american Whites Hispanics True Jehovah's witness
