Nursing Concepts and Practices, Exams of Nursing

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NUR 425: Final Exam- Study Guide questions well answered already passed When do RNs renew their license? - correct answer ✔✔each state is different IN is 2 yrs What do RNs have to do for their license when they change their name? - correct answer ✔✔submit name change document to the state What is the most important thing to look for in a child post-tonsillectomy? - correct answer ✔✔swallowing is a sign of bleeding What came from Henrietta Lacks? - correct answer ✔✔HeLa Cells Who oversees nursing education? - correct answer ✔✔Each state board of nursing Also, the Commission on Collegiate Nursing Education (CCNE) Who takes the NCLEX? - correct answer ✔✔BSN, RN NOT LPN The Indiana Nurse Practice act applies to.... - correct answer ✔✔RNs and LPNs Describe the impact of the affordable care act: - correct answer ✔✔meant that everyone got treated caused a heavier workload for nurses changed the way hospitals are paid What is benchmarking? - correct answer ✔✔comparing one organization to another for the sake of quality improvement What is Magnet recognition and who awards it? - correct answer ✔✔awarded when a hospital has standards that denote a culture of excellence that results in quality patient care American Nurses Credentialing Center (ANCC) What is an organization's philosophy? - correct answer ✔✔a written statement that reflects the values, mission, and vision of the organization What is bureaucracy? - correct answer ✔✔a form of organization that functions in accordance with the rules and guidelines of that organization enacted by a higher authority Describe shared governance: - correct answer ✔✔when an environment is created in which the professional nurse has ownership of their own practice nurses becoming apart of the decision-making process an attempt to empower nurses Describe primary health care: - correct answer ✔✔where patients go for preventative and basic care services is gatekeeper for access to specialized services Ex: different job descriptions for nurses who are graduates of PSN and ASN programs. The BSN would supervise is completely based on level of education What is a critical pathway? - correct answer ✔✔an expected plan for a patient from the time of admission to discharge is a person fails to meet the goals on the plan, the case manager should be notified Describe transactional theory of leadership: - correct answer ✔✔this leader is concerned with the day- to-day operations, not long term goals/planning aim to maintain equilibrium Describe transformative theory of leadership: - correct answer ✔✔this leader focused on the long term and seek to help others achieve more than they think they can inspire and motivate followers with an emphasis on the importance of interpersonal relationships focus of merging the motives, desires, values, and goals of leaders and followers into a common cause Describe authoritarian leadership: - correct answer ✔✔exerts strong control over the group may be dictatorial or benevolent gives orders and expects them to be obeyes Describe democratic leadership: - correct answer ✔✔encourages and supports group involvement in decision making creativity is encouraged Describe laissez-faire leadership: - correct answer ✔✔is passive and non-directive most control and decision making are left to the group works for people who know that they're doing and are motivated, but not good for new grads Describe situational leadership theory: - correct answer ✔✔a workers willingness and readiness to perform specific tasks is a factor that will affect the actions of the leader What is servant leadership? - correct answer ✔✔based on the idea that leadership originates from a desire to serve and that in the course of serving, one may be called to lead These leaders have specific qualities: empathy, awareness, persuasion appealing because it fits with nursing principles What is shared leadership? - correct answer ✔✔Essential principles include: relationships, dialogues, partnership, understanding of boundaries Describe Chaos Theory: - correct answer ✔✔leader is not following any particular style or method of leadership the leader is constantly changing the leadership style to fit the situation Describe theory X and Y: - correct answer ✔✔X- manager believes employees are lazy and treats them as such, so thats how they act Y- manager believes team is competent and motivated and treats them as such, so thats how they act If you must send a nurse to another unit and you have pool/house nurses in addition to your own, always..... - correct answer ✔✔try and keep your own nurses and return pool nurses back to the house Describe Lewin's Theory of change: - correct answer ✔✔change has 3 phases: unfreezing, moving, & refreezing Describe the 6 behavioral patterns in Roger's theory of change: - correct answer ✔✔Innovator: people who like change & adapt quickly, may even be cause of change Early adopters: open to change, adopt change quickly Early majority: adopt to change sooner than the average person Late majority: hesitant, negative, and question change Laggards: last to adopt change Rejectors: never adopt change & advocate against it Describe quality management: - correct answer ✔✔focus on the improvement of organizational process to prevent potential problems Describe root cause analysis: - correct answer ✔✔when you take a problem/mistake/result and work backwards to exam all the events leading to the error goal is to come up with a cause/reason Describe incident reports: - correct answer ✔✔is needed whenever an incident (expected or unplanned) happens that could potential affect patients or staff What is a disadvantage of group problem solving? - correct answer ✔✔group thinking: a negative phenomenon that occurs in highly cohesive groups that become so isolated they all tend to think alike, so they have similar prejudice and blind spots Definition of risky shift: - correct answer ✔✔the tendency to make a decision that is more extreme than the group would normally think Describe the difference between group thinking and brainstorming: - correct answer ✔✔group thinking is when a group of people think alike and do not want others in their group/resist change brainstorming is throwing out lots of ideas from different people If you need to talk to a coworker or patient about sensitive information, it is best.... - correct answer ✔✔to talk in person What should you never do when your patient speaks a different language than you? - correct answer ✔✔use their family to interpret Describe SBARR: - correct answer ✔✔Situaiton Background Assessment Recommendation Read-back With delegation, who has the ultimate responsibility for the patient care provided? - correct answer ✔✔THE RN WHO MADE THE DELEGATION Who regulated nursing practice in each specific state? - correct answer ✔✔the individual State Board of Nursing What is one of the biggest reasons people don't delegate? - correct answer ✔✔Fear of competition or criticism, liability, and loss of control Confrontation is best done in ____ and _______ from when the incident occures. - correct answer ✔✔private; ASAP What is collaborating? - correct answer ✔✔mutual attention to the problem where talents of all parties are used to focus on solving the problem and addressing the needs of both parties important when the goals of the two parties are took important to just compromise What is the biggest tip for time management: - correct answer ✔✔to-do lists Describe a variance report: - correct answer ✔✔is made when a difference in cost form what was predicted to what actually happened completed by nurse manager Important things to remember about evaluations: - correct answer ✔✔must be done in writing & in person you are not required to sign the evaluation the signature on the evaluation does not mean that you agree with it, it means it was shown to you do not leave the room unless you have a copy of the evaluation Describe discipline: - correct answer ✔✔goal is to help change behavior need to provide a paper trial and opportunity to make corrections Describe central tendencies r/t evals: - correct answer ✔✔everyone is rated the same & average saves time What is the second most common type of violence? - correct answer ✔✔physician to nurse What are some violent behaviors? - correct answer ✔✔rolling eyes, huffing, sighing, moving into personal space, facial expressions Describe RACE: - correct answer ✔✔steps to take during a fire Rescue Alarm Contain Extinguish When do you call rapid response (RR)? - correct answer ✔✔when patient condition is declining and emergent situation is developing Describe RN role when their patient is coding: - correct answer ✔✔call for help/alert operator to call code blue call for a crash cart adjust bed to proper position and start CPR until the code team arrives When should the patient's assigned RN do once the code team arrives? - correct answer ✔✔delegate other patients and stay in the room as the historian Who was Mary Ezra Mahoney? - correct answer ✔✔became the first black woman to become an RN in 1879