NURSING 315 EXAM 1 QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS 100% CORRECT, Exams of Nursing

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aggressive communicators - CORRECT ANSWERS -loud, heated arguments -physically violent -blame others ++++++++++++++++++++++ -walk out on arguments prior to resolution -are demanding passive communicators - CORRECT ANSWERS -conceal their feelings -deny anger -feel that no one has the right to express anger -avoid arguments -are noncommittal assertive communicators - CORRECT ANSWERS -express their feelings without being nasty or overbearing -acknowledge emotions -stay open to discussion -express themselves while giving others the same opportunity -use "I" statements to defuse arguments -provide reasons as ask for the same in return tips for better listening - CORRECT ANSWERS 1. 3 minutes of silence

2. how many different sounds can i hear?
3. enjoy mundane sounds
4. listening positions. work to change your position based on what you're listening to.
5. RASA- Receive, Appreciate, Summarize, Ask empathy - CORRECT ANSWERS fuels connection, perspective taking, staying out of judgment, recognizing emotion in other people and then communication that. feeling WITH people. a connection can make something better, not always a response.

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professional behaviors - CORRECT ANSWERS effective nursing actions that form helping relationships based on technical knowledge and expertise. based on ethical principals and clinical reasoning. shifting nursing education from socialization to formation. individual development and actualization, inquiry and empowerment. linked with innovation Communication - CORRECT ANSWERS -human interaction -conveys thoughts and ideas -transmits feelings -exchange information

• half of communication is listening barriers to communication - CORRECT ANSWERS language stereotyping being defensive changing topics/subjects rejecting unwarranted reassurance giving common advice verbal communication - CORRECT ANSWERS spoken or written word non-verbal communication - CORRECT ANSWERS other forms, gestures, facial expressions, touch formation - CORRECT ANSWERS a process that facilitates the transformation of an individual from a lay person to a professional nurse. an evolutionary process. collaboration - CORRECT ANSWERS conflict resolution and case management, builds trust and prevents conflict, encourages respect of other nurses and healthcare team members expertise, allows more safe and effective client care communication - CORRECT ANSWERS assertive, promote reliability and accountability for information and the methods in which it is conveyed. establishes trust and rapport with

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clients and team members, ensures accurate and complete documentation and reporting, which decreases risk to client safety. ethics - CORRECT ANSWERS ethical dilemmas and patient rights, support nurses in maintaining an ethical nursing practice, ensures patients' rights are respected, recognize sexual harassment, abuses of power, and other unprofessional behaviors that contradict and diminish ethical nursing practice Benner's 5 levels - CORRECT ANSWERS Novice, Advanced beginner, competent, proficient, expert Novice - CORRECT ANSWERS no experience, relies on theory, guidelines and policies. Lacks discretionary judgement and focuses energy on task performance advanced beginner - CORRECT ANSWERS some task and situational experience, but the focus is the talk and rules with little ability to take the complexity of the situation into consideration competent - CORRECT ANSWERS actions are viewed in terms of long-term goals and feelings of mastery; the speed and flexibility of the proficient nurse are lacking proficient - CORRECT ANSWERS perceives the situation as a whole, rather than in parts; decision making is easier with a focus on the most important attributes as aspects of the problem expert - CORRECT ANSWERS an intuitive grasp of the situation and readily zeros in on the problem and solution without spending much time on problem solving. silence kills reading - CORRECT ANSWERS more than 50% of healthcare workers surveyed had occasionally witness broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect and micromanagement. healthcare workers who are more confident to raise these concerns observe better patient outcomes, work harder, are more satisfied and are more committed to staying. 7 most crucial concerns - CORRECT ANSWERS -broken rules

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-mistakes -lack of support -incompetence -poor teamwork -disrespect -micromanagement therapeutic nurse/ patient relationship - CORRECT ANSWERS in the middle of the continuum of professional behavior. need to remain professional but also have a caring relationship with your client boundary crossing - CORRECT ANSWERS inadvertent, purposeful and perceived to meet a therapeutic need. can occur in a therapeutic nurse/patient relationship. can lead to boundary violations boundary violations - CORRECT ANSWERS excessive personal disclosure by the nurse, secrecy, putting the nurses needs and desires before the patient's needs. EX accepting a loan from a patient. warning signs exhibited by a nurse - CORRECT ANSWERS -excessive disclosure -secretive -special treatment -flirtation -overprotective behavior AACN's 5 competencies for culturally competent care - CORRECT ANSWERS 1. apply knowledge of social and cultural factors that affect nursing

2. use relevant data sources and best evidence
3. promote achievement of safe, quality outcomes
4. advocate for social justice
5. participate in continuous development

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equality vs. equity - CORRECT ANSWERS equality: everyone gets the same thing. equity: allocation of care/ resources. if someone needs more help they get more resources. if someone needs less help they dont get what they dont need. standards of culturally competent care - CORRECT ANSWERS 1. social justice

2. critical reflection
3. knowledge of cultures
4. culturally competent practice
5. cultural competence in health care systems
6. patient advocacy and empowerment
7. multicultural workforce
8. education and training in culturally competent care
9. cross-cultural communication
10. cross-cultural leadership
11. policy development
12. evidence based practice and research the nursing process - CORRECT ANSWERS assessment, nursing diagnosis, planning, implementation, evaluation assessment - CORRECT ANSWERS gathering info to determine what the problem is nursing diagnosis - CORRECT ANSWERS stating the specific problem to solve planning - CORRECT ANSWERS stating how to know when the problem is resolved implementation - CORRECT ANSWERS giving solutions to resolve the problems evaluation - CORRECT ANSWERS evaluating if the problem has been resolved

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Tanner's clinical judgment model - CORRECT ANSWERS "thinking like a nurse" includes: 1.Noticing

2. interpreting
3. responding
4. reflecting Lasater's clinical judgment rubric - CORRECT ANSWERS used to measure and evaluate clinical judgment using simulation. serves as a guide for learners to know specific characteristics to reach quality levels of clinical judgment performance. uses the 4 aspects of tanner's model inquiry - CORRECT ANSWERS a search for knowledge or facts examine objective information and find solutions to problems. reflection - CORRECT ANSWERS action of making sense of occurrences, situations or decision by carefully considering the totality of the experience value decisions - CORRECT ANSWERS regarding client confidentiality time management decisions - CORRECT ANSWERS taking the bed linens in while taking in meds as well scheduling decision - CORRECT ANSWERS bathing a client before visiting hours priority decision - CORRECT ANSWERS which intervention is most urgent and which can be delegated socialization - CORRECT ANSWERS process by which people learn to become members and social rules. primary responsibility/task/behavior is to always maintain client as focus sexual harassment - CORRECT ANSWERS a form of discrimination and violation of one's rights. unwelcome sexual advances, verbal/physical conduct of sexual nature.

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novice - CORRECT ANSWERS no experience and relies on theory, guidelines and policies. lacks discretional judgement. focuses energy on task performance patient -centered care - CORRECT ANSWERS nurses respect the client's autonomy regarding care decisions, assessing the client's experiences and preferences and enlisting the client's participation in care at every opportunity teamwork and collaboration - CORRECT ANSWERS client centered, promotes communication among care providers, and optimizes resources to ensure safe, effective, efficient client care evidence-based practice - CORRECT ANSWERS ensures the nurse maintains a practice rooted in current research and incorporates client values and practices while ensuring client autonomy regarding health care decisions quality improvement - CORRECT ANSWERS nurses analyze trends and processes that impact safe, effective client care safety - CORRECT ANSWERS nurses are accountable for ensuring client safety at all times and in all settings. nurses act to reduce risk and improve client outcomes. informatics - CORRECT ANSWERS use information technology to maintain current, evidence- based practice, collect, record and manage client health information, guard against errors and plan and modify client care as appropriate work ethic - CORRECT ANSWERS punctuality. well rested, gets flu shots, avoid unnecessary risks. complete work and doesn't rush out the door the moment a shift is done. reliable and accountable. avoids passing judgement on patient. attitude and enthusiasm generational differences - CORRECT ANSWERS 4 generations are working together. -oldest 1925-1944(70's&80's) -baby boomers 1945-1960(50's &60s)

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-generation X 1961-1980(30's&40's) -Millennials 1981- -Gen Y (teens-early 30s_ There are many differences in attitudes. causes a diverse work env't Provision 1 - CORRECT ANSWERS nurse practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by consideration of social or economic status, personal attributes or the nature of health problems Provision 2 - CORRECT ANSWERS the nurse's primary commitment is to the patient, whether an individual, family, group or community Provision 3 - CORRECT ANSWERS the nurse promotes, advocates for, and strives to protect the heath, safety and rights of the patient Provision 4 - CORRECT ANSWERS the nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care provision 5 - CORRECT ANSWERS the nurse owes the same duties to self as others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth provision 6 - CORRECT ANSWERS the nurse participates in establishing, maintaining and improving healthcare env'ts and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action provision 7 - CORRECT ANSWERS the nurse participates in the advancement of the profession through contributes to practice, education, administration and knowledge development provision 8 - CORRECT ANSWERS the nurse collaborates with other health professionals and the public in promoting community, national, and international effors to meet health needs

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provision 9 - CORRECT ANSWERS the profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy axis of identity - CORRECT ANSWERS examines how various biological, social, and cultural categories such as race, class, gender and other "axes of identity" interact on multiple, simultaneous, and conflicting levels and platforms. standards of practice for culturally competent care - CORRECT ANSWERS 1. social justice 2.critical reflection 3.knowledge of cultures 4.culturally competent practice

5. cultural competence in health care systems and organizations
6. patient advocacy and empowerment
7. multicultural workforce 8.education and training in culturally competent care
8. cross cultural communication
9. cross cultural leadership
10. policy development
11. evidence-based practice and research social justice - CORRECT ANSWERS guide nurses' decisions related to the patient, family, commnity and other health care professionals. nurses will develop leadership skills to advocate for socially just policies critical reflection - CORRECT ANSWERS think about their own values, beliefs and cultural heritage to have an awareness of how these qualities and issues can affect culturally congruent nursing care. knowledge of cultures - CORRECT ANSWERS gain understanding of the perspectives, traditions, values, practices and family systems of culturally diverse individuals, families communities and populations they care for, as well as knowledge of the complex variables that affect the achievement of health and well being

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culturally competent practice - CORRECT ANSWERS use cross-cultural knowledge and culturally sensitive skills in implementing culturally congruent nursing care cultural competence in health care systems and organizations - CORRECT ANSWERS should provide structure and resources necessary to evaluate and meet the cultural and language needs of their diverse population patient advocacy and empowerment - CORRECT ANSWERS recognize the effect of healthcare policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. advocate for the inclusion of their patient's cultural beliefs and practices in all dimensions of their health multicultural workforce - CORRECT ANSWERS actively engage in the effort to ensure a multicultural workforce. do this through strengthening recruitment and retention effort in the hospital and academic setting education and training in culturally competent car - CORRECT ANSWERS need to be educationally prepared. knowledge and skills necessary for assuring that nursing care is culturally congruent. mandate formal training cross cultural communication - CORRECT ANSWERS use competent verbal and nonverbal communication skills to identify client values, beliefs, practices, perceptions and unique health care needs. cross cultural leadership - CORRECT ANSWERS influence individuals, groups, and systems to achieve outcomes of culturally competent care for diverse population policy development - CORRECT ANSWERS have the knowledge and skills to work with public and private organizations, professional associations, and communities to establish policies and standards for comprehensive implementation and evaluation of culturally competent care critical thinking - CORRECT ANSWERS intuition reasoning

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intellect creativity inquiry reflection clinical decision making - CORRECT ANSWERS which client should i see first? when can i do patient education? what is most important? Tanner's clinical judgement model - CORRECT ANSWERS Noticing, interpreting, responding and reflecting noticing - CORRECT ANSWERS have a sense about what is happening in the client situation. recognition of or absence of expected significant cues. interpreting - CORRECT ANSWERS using logical reasoning to gain understanding about a situation and determine appropriate action responding - CORRECT ANSWERS analyze a situation and choose the best course of action use past experiences responsive action reflecting - CORRECT ANSWERS cognitively review a clinical situation. consider appropriateness of assessment data obtained learn from actions nursing plan of care - CORRECT ANSWERS written or electronic guideline that organizes information about an individual client's care.