question

Professionalism

answer

application of ideal qualities of individual with in a specific profession field - attributes and behaviors of a nurse as a representative of the profession.

question

Collaboration

answer

Labor together - Nurses work with others (patients, families and health care workers) development of partnerships to achieve best possible outcomes that reflect the particular need of the patient, family or community requiring an understanding of what others have to offer

question

Clinical Judgment

answer

Interpretations and inferences that influence action in clinical practice - process of forming an opinion or evaluation by discerning or comparing where as the second definition denotes capacity for judging, discernment, or the exercise of this capacity - something believed or asserted.

question

Ethics

answer

Study or examination of morality (accepted set of social standards or morals that guide behavior) through a variety of different approaches. - Process involving critical thought and action.

question

Code of Ethics for Nurses of ANA

answer

establishes clear priorities in the ethical practice of nursing, such as compassion , respect, and primary commitment to the patient as well as advocacy for patient rights.

question

Veracity

answer

Principle of truth telling.

question

Nonmaleficence

answer

Avoid harm to others, even risk of harm.

question

Beneficence

answer

Obligation to do good by acting in ways that promote the welfare and best interests of others.

question

Justice

answer

Treating people equitable, fairly and appropriately.

question

Fidelity

answer

Loyal

question

Utilitarianism

answer

Moral action is one that results in the greatest good for the greatest number.

question

Leadership

answer

An interactive process that provides needed guidance and direction.

question

Autocratic

answer

Leader makes all decisions

question

Laissez - Faire

answer

Leader does not interfere with employees.

question

Democratic

answer

Leader involves followers.

question

Care Coordination

answer

A set of activities is purposefully organized by a team of personnel that includes the patient to facilitate the appropriate delivery of the necessary services and information to support optimal health and care across settings and over time.

question

Clinical Reasoning

answer

Thinking process by which a nurse reaches a clinical judgment.

question

Innovative

answer

Introduce something new or different.

question

Confident

answer

Sure of yourself.

question

Respect

answer

Esteem for a sense of worth or excellence of a person.

question

Accountability

answer

Being accountable - Report or justify something.

question

Autonomy

answer

Authority to make decisions.

question

Advocacy

answer

The act of pleading for, supporting or recommending endorsing.

question

Competence

answer

The quality of being competent - possession of required skill, knowledge, qualification or capacity.

question

Personal Identity

answer

Distinct personality of an individual.

question

Professional Identity

answer

Distinct professionalism of an individual.

question

Transformational

answer

Change

question

Transactional

answer

To carry on or conduct.

question

Inference

answer

Conclude or judge.

question

Critical Thinking

answer

Thinking that is clear, rational, open minded or informed by evidence.

question

Altruism

answer

Practice of unselfish concern for or devotion to the welfare of others.

question

Nursing Process

answer

A. Assess D. Diagnose P. Plan I. Implement E. Evaluate

question

Maslov's Hierarchy of Needs

answer

1. Physiological 2. Safety 3. Love & Belonging 4. Self Esteem 5. Self Actualization

question

Nursing

answer

Protection, promotion and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals, families, groups, communities and population.

question

Attributes of Professionalism

answer

Education, Clinical judgment, ethics, comportment and therapeutic communication - accountability, leadership, respect and self awareness

question

Attributes of Clinical Judgment

answer

Holistic view of the patient situation - consider all factors. Process orientation - deep understanding of the patient including backgrounds, experiences and values. Reasoning and interpretation - consider all possibilities and deduce the solution.

question

Attributes of Collaboration

answer

Values/Ethics, roles/responsibilities, communication and teamwork/team based practice

question

Scope of Professionalism

answer

Autonomy, knowledge, competence, professionhood, accountability, advocacy, collaborative practice and commitment

question

Social Identity Theory

answer

Describes group biases for its members and against non group members. Nurses identify themselves as skilled vs. other areas of nursing.

question

Delegation

answer

Transferring the authority or responsibility to perform a selected nursing task in a selected situation to a competent individual. 5 Rights - right task, right circumstances, right person, right direction and right supervision.

question

Patient Centered Care

answer

Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions.

question

Interrelated Concepts of Leadership

answer

Leadership development - the act of expanding the capacities of individuals, groups, and organizations to participate effectively in leadership roles and processes. Management - Maintaining order - plan, organize, staff directing and control. Communication - listening and clear communication

question

Interrelated Concepts of Professionalism

answer

Clinical judgment, leadership, ethics, and communication

question

Interrelated Concepts of Communication

answer

Listening, collaboration, care coordination, culture and critical thinking

question

Interrelated Concepts of Care Coordination

answer

collaboration, interprofessional, and transitional care

question

Interrelated Concepts of Team Work

answer

Collaboration, patient centered care, coordination of care, shared accountability, shared problem solving and shared decision making

question

Ethical Principles & Theories

answer

Respect for others, nonmaleficience, , beneficence, justice and fidelity - duty (right thing to do), consequence, character (based on life experiences & willingness to reflect on our actions), Relationship - nature and obligation inherent in human relationships

question

Ethics in Nursing

answer

Coverage, Compassion and Commitment - protecting patients, providing care with risks to the health of the nurse, using or not using chemical or physical restraints, understaffng, prolonging the living and dying process with inappropriate measure, policies that may threaten care, working with unethical or impaired colleagues

question

Ethical Problem vs Dilemma

answer

Ethical problem has clear solutions. Ethical dilemma involves a problem for which in order to do something right you have to do something wrong.

question

Advance Directive

answer

allows individual to state their preferences - Power of Attorney or Living Will

question

HIPPA

answer

Protects patients privacy

question

Interrelated Concepts of Ethics

answer

Professionalism, leadership, technology and information, collaboration, evidence, safety, quality, health care policy, health care law, and health care economics

question

A nurse with associates or baccalaureate degree who meets licensing requirements is qualified to practice as:

answer

An entry level generalist

question

When nurses disagree about the effectiveness of a commonly used nursing intervention, the best evidence for solving the question related to an intervention is:

answer

a systematic review of randomized controlled trials

question

The nurse establishes priorities and determines outcomes for an individual patient during the:

answer

planning phase of the nursing process

question

A nurse is monitoring all of the patients in outpatient procedure area for complication of IV fluid administration. What type of function is the nurse demonstrating?

answer

Collaborative nursing function

question

A 40 year old female patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care?

answer

Registered Nurse (RN)

question

When the nurse encourages a patient with heart failure to alternate rest and activity periods to reduce cardiac workload, what phase of the nursing process is being used?

answer

Implementation

question

When planning care for a patient, the nurse may use a visual diagram of patient problems and interventions to illustrate the relationships among pertinent clinical data. What is the format called?

answer

Concept map

question

A nurse is providing care for a patient who had transurethral resection of his prostate this morning. The patient is receiving continuous bladder irrigation, but his urinary catheter is now occluded. The nurse is now planning to phone the patient's health care provider and communicate using the SBAR format. Which statement is a component of communication using SBAR?

answer

"I think that we should manually irrigate his catheter."

question

What factor has been most clearly identified as an influence on the future of nursing practice?

answer

Aging of the American population and increases in chronic illnesses.

question

A group of nurses have a plan to implement evidence based practice for care of patients with pressure ulcers. What will this change in practice encompass?

answer

Consulting with the wound care and ostomy nurse, the preferences of patients and their particular circumstances, nurses' expertise and their bodies of experience and knowledge, journal articles that address the care of patients with pressure ulcers.

question

A registered nurse (RN) has delegate the administration of IV medications to a licensed practical/vocational nurse (LPN/LVN). Which statement describes delegation?

answer

The RN is still accountable for the quality of care and procedures that the patient receives.

question

Nurses deliver patient centered care in collaboration with interdisciplinary health care team within the framework of a care delivery model. In which care delivery model does the nurse plan and coordinate the aspects of patient care with other disciplines with a focus on continuity of care and interdisciplinary collaboration even when the nurse is absent?

answer

Primary nursing model

question

Which interventions are independent nursing actions?

answer

IV insertion, assessing lung sounds

question

Telehealth includes using devices to provide which types of care for the patient?

answer

Evaluation of weight loss, video assessment of wounds, monitoring peak flow meter results, real time blood pressure assessment

question

What is a medical diagnosis?

answer

Acute renal failure

question

What is a NANDA diagnosis?

answer

Activity intolerance

question

What is the cause or etiology?

answer

Impaired skin integrity r/t physical immobilization.

question

What is 2.5 cm partial thickness open wound to the sacrum, the defining characteristic is?

answer

Objective - Impaired skin integrity r/t physical immobilization aeb by 2.5 partial thickness open wound to the sacrum.

question

The related to guides which part of the nursing process?

answer

Nursing implementations/ interventions

question

What is a wellness nursing diagnosis?

answer

Readiness for enhanced knowledge is an example of a nursing diagnosis

question

What is a non-acceptable nursing diagnosis?

answer

Impaired gas exchange r.t. COPD aeb O2 Sat decreased to 88% with activity - shouldn't use medical diagnosis

question

What is an acceptable nursing diagnosis?

answer

NANDA nursing diagnosis is subjective and objective data supports the nursing diagnosis - impaired gas exchange r.t. aveolar capillary membrane changes aeb: patient states "I get short of breath when I get OOB." Respirations 28, O2 sat decreased to 88% when walking to the bathroom

question

What is an independent nursing intervention?

answer

Nurse will elevate the clients head of the bed to optimize lung expansion

question

What is an independent nursing intervention

answer

Nurse will auscultate breath sounds every 1-4 hours

question

What is a dependent nursing intervention?

answer

Administer bronchodilator (Ventolin) aerosol treatment every 4 hours as ordered

question

What is a collaborative nursing diagnosis?

answer

Consult with dietician to see client regarding diabetic food choices consistent with ADA diet

question

What is evidence based practice?

answer

In the Ackley Nursing Diagnosis handbook after the intervention is rationale. The rationale for performing the interventions is based upon

question

What is client centered?

answer

In order for the nursing care plan to be effective this must occur

question

What is the nursing process?

answer

A systematic problem solving process that guides all nursing actions

question

What is assessment

answer

The 1st part of the nursing process where the nurse gathers subjective and objective data

question

What are nursing interventions?

answer

This art of the nursing process will assist the nurse in achieving the client's outcomes/goal

question

T/F This is an appropriately written client outcome. The client will inspect and monitor skin integrity at least once a shift for color changes and signs of infection.

answer

False - This is a nursing intervention not a client outcome/goal

question

What is SMART?

answer

Specific, Measurable, Attainable, Realistic, & Time Framed

question

Which of the following social issues have been championed by nurses throughout nursing's history

answer

Safe & affordable housing, women's right to vote, and advocating for the under deserved and their needs

question

The new nurse understands that the purpose of the ANA includes which of the following activities?

answer

Safe & quality patient care, code of ethics, social policy and standards

question

What is the main reason for nurses to participate in organizations such as the ANA?

answer

Nursing organizations influence policies affecting nursing, nursing practice and the health of the community

question

"Nurses advancing our procession to improve health for all" is the mission statement of the

answer

American Nurses Association

question

To enter the nursing profession, an individual must successfully complete

answer

Licensure examination

question

What group is primarily protected under the laws that regulate nursing practice?

answer

The Public

question

The goal of the professional nurse in the team leader role is

answer

positive outcomes and patient satisfaction

question

Professionalism exemplars related to leadership include

answer

Influential

question

The nurse teaches a student nurse about how to apply the Tanner Model of Clinical Judgment when providing patient care. Which statement made by the student nurse indicates that teaching was successful?

answer

The Tanner Model has four aspects of clinical judgment

question

The nurse uses clinical judgment to compare actual nursing outcomes to the expected nursing outcomes to:

answer

Determine if progress is made or to determine if revisions are needed.

question

Nurses design interventions that are:

answer

Based on clinical reasoning and expected to help the patient meet goals quickly

question

An interpretivist nurse is caring for a patient in the hospital setting. Which of the following factors will the interpretivist consider when care for this patient?

answer

Context of care, Information from the chart, information from significant others and friends, the nurse's previous experiences, values, and emotions.

question

A nurse wishes to obtain data about a new patient's self esteem. To gain the clearest picture, the nurse uses the assessment technique of:

answer

Interviewing the patient in an unstructured format, observing for relevant verbal and nonverbal clues

question

A nurse is caring for a patient in a long term care facility who has not been sleeping well. She notes that the patient is new to the facility, has been refusing therapy, and is also not eating well. The nurse interprets tis to mean that the patient has been having trouble adjusting. The nurse decides to meet with the patient's care team. The team decides to assess the patient's willingness to participate in group recreational activities. The patient agrees to participate. After 1 week, the nurse reevaluates the plan of care and notes that the patient has been sleeping much better. Which of the following terms best describe processes used in the nurse's plan:

answer

Clinical judgment, the nursing process, and collaborative care planning

question

Your are a new graduate nurse working with a nurse who has been out of school for 10 year. The seasoned nurse states, "I don't see the difference between this clinical reasoning and the nursing process." Which of the following statements would be an appropriate response?

answer

Clinical reasoning involves reflecting on interventions and reevaluation the plan of care based on the results of reflection, Clinical reasoning is the thinking process by which a nurse reaches a clinical judgment, Clinical reasoning is a process of noticing, interpreting, and responding - reasoning in transition with a fine attunement to the patient and how the patient responds to the nurse's actions.

question

Which of the following statements are included in the clinical reasoning communication category?

answer

The thinking process by which a nurse reaches a clinical judgment, relying heavily on analytic reasoning that requires systematically breaking a situation down into parts, examining alternatives, and weighing options

question

A nurse manager reviews the rules and policies with the staff and explains what is expected of the staff. This is an example of which type of management

answer

Bureaucratic

question

The nurse manager assesses the staff members' knowledge base and maturity level prior to delegating assignments. This is an example of which type of leadership?

answer

Situational leadership

question

The nurse understands that in the transformational leadership style, the nurse manager exhibits which of the following leadership behaviors?

answer

Allows staff independence

question

Hospital leadership seeking Magnet status implemented a new governance structure, including a clinical nursing council that governs clinical nursing standards and care for the organization. This is an example of which leadership style?

answer

Shared leadership

question

Which of the following statements are true?

answer

Task leaders will communicate the most effective was to accomplish the work.

question

A leader exhibiting the attribute of change is best portrayed by which of the following descriptions?

answer

The leader communicates the vision and goals of the organization and how the departmental goals will serve these goals.

question

The formal nursing leadership model

answer

Adapts to the size and needs of the health care system.

question

Which of the following statements is false?

answer

Leadership in health care is an act reserved only for designated administrators and managers.

question

The nurse teaches a student nurse about how to apply the ethical principle of autonomy. Which of the following selection demonstrates an understanding of this principle?

answer

The nurse explores alternative solutions and then makes a choice

question

The nurse is concerned about the use of bed alarms and restraints. Which ethical principle most clearly applies to this situation?

answer

Justice

question

The nurse enters a patient's room with the morning medications and forgets to get the patient's scheduled pain medication. The nurse gets busy with other duties and signs the pain medication out as given. What is the legal significance of a nurse's action?

answer

The nurse has been negligent

question

A homeless man presents to he emergency room with hypothermia. He tells the nurse that he is HIV positive and sought revenge by deliberately having sex with his mate, who does not know of his HIV status. This patient is violating the ethical principles of ____________.

answer

Beneficence

question

A patient and her husband used in vitro fertilization to become pregnant. The unused sperm were frozen so the couple could have more children later. They bore a little girl who was diagnosed with Leukemia when she was 5 years old. The child now needs a bone marrow transplant (BMT). The best chance of a match for the BMT is a sibling. The couple would like to use the sperm to have another child s that they can increase the likelihood of a match. The nurse realizes that the unborn child poses an ethical dilemma involving?

answer

Human dignity

question

A drug addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics?

answer

Autonomy, Utilitarianism and Beneficence

question

Which of the following ethical terms matches this statement: A problem for which in order to do something right you have to do something wrong.

answer

Ethical dilemma

question

The nurse believes that a patient who states he is in pain is "faking it" and is hoping to get "high." The nurse decides to give the patient a placebo instead of the pain medication that was ordered for the patient. The nurse is violating which principle of ethics?

answer

Autonomy, Utilitarianism, & Beneficence

question

A nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input. The patient asks, "how is this different from what the doctor does?" Which response by the nurse is most appropriate?

answer

In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health.

question

What factors have led to the need for increased collaboration in the health care system?

answer

Polypharmacy, the increased number of people who have chronic diseases, and care that is not congruent to diagnosis

question

The nurse is teaching a patient how to use the automatic blood pressure cuff. How can the nurse be assured that the patient will be adherent to the plan and understands the information?

answer

By obtaining feedback from the patient that indicated accurate comprehension

question

Which of the following statements by a nursing student demonstrates an understanding of collaboration?

answer

Collaboration with patients has been used by nurses throughout the history of nursing.

question

A nurse working in a free clinic has recognized that health promotion for teenager who are pregnant is needed. The nurse works to develop a team of health are experts in several disciplines from across the region to work toward improving the nutrition of pregnant teenager. This is an example of what type of collaboration?

answer

Interorganizational collaboration

question

Which of the following behaviors by a nurse indicates the effective use of collaboration with other professionals?

answer

Negotiates with others

question

A nurse is explaining why collaboration is valued to a new nurse during her orientation to the unit. Which of the following outcomes is a key patient care outcome that occurs when collaboration is correctly used?

answer

There are fewer errors that occur in patient care

question

A nurse mentor is explaining the benefits of collaborative practice to a nurse new to a facility. Which of the following research based benefits is the nurse likely to identify as positive outcomes of collaboration?

answer

Decreased length of stay for patients, Decreased staff resignations, Increased job satisfaction of the staff

question

The provision of guidance or direction, evaluation, and follow-up by the licensed nurse for accomplishment of a nursing task delegated to unlicensed assistive personnel (UAP) is:

answer

Supervision

question

Which of the following is considered a major disadvantage to group decision making?

answer

Disruptive conflicts

question

A nurse and a student nurse are talking about health care coordination. Which of the following statements would the nurse make about the subject?

answer

Community health nurses coordinate care for the patient.

question

When coordination and continuity of health care are transferred between different locations or different levels of care within the same location, this identified as

answer

Transitional care

question

Two nurses are discussion the important attributes of care coordination. They both know that care coordination should be

answer

Team based

question

A student nurse asks why care coordination is now a top priority for health system redesign. The nursing instructor's best response is

answer

Every patient will need coordinated care services at some time in life

question

Coordination of health care services is complicated by which of the following:

answer

Involving one or more services, Poorly funded social programs, Authority for managing services, and lack of health care systems

Nursing 1 Unit 1 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards