NU 311 Final Exam Test Questions
And Answers |Verified 100% Correct|
Updated
What are the ANA scope of standards? - ANSWER -they are not laws but
influence policy development
NCBSN guidelines for professional boundaries - ANSWER -• Professional sexual
misconduct is an extreme form of boundary violation; includes seductive behavior,
sexual demeaning, harassing or reasonably interpreted as sexual by the patient
• Boundary violations can result when there is confusion between the nurses needs
and those of the patient
• Avoid repeated boundary crossings
• Avoid personal or business relationships to the patient
• Don't discuss personal problems with patient
• Don't show favoritism
• Don't keep secrets with patient
What is SBAR? - ANSWER -• Situation: The problem
- State your name and unit
- I am calling about (patient name and room number)
- The reason for calling
• Background of patient: Brief and to the point
- State admission diagnosis and date of admission
- State pertinent medical history
- Brief synopsis of the up to date treatment
• Assessment: Vital signs, O2 sat, pn, mental status
- What you found, what you think
•
Recommendation: What you want to happen or think should happen
Barriers to communication - ANSWER -• Asking too many questions
,• Providing false reassurance or assurance
• Asking "why", it suggests criticism
• Interrupting or changing the subject
• Using leading or biased questions, "you didn't do that, did you?"
• Failing to listen
• Offering approval or disapproval
• Offering advice
• Avoid yes or no questions
• Stereotyping- conclusions are influenced based on personal beliefs or biases
• Using patronizing language- "you know better than that"
What are the state nurse practice acts? - ANSWER --defined as the scope of
practice in each state
-protected by the public
-law that regulates the practice of nursing: to have a nursing licensure and pass the
NCLEX-RN exam in order to practice. (RN, LPN, APN)
-establishes the Alabama Board of Nursing (ABON) and gives the board authority
over nursing practice. They have the right to give and take away nursing liscense
How do you be assertive? - ANSWER -use a nonthreatening tone, respect
others,use direct statements of feeling
What is the difference between assigning, delegating, and supervising? -
ANSWER -Assigning - transferring the authority, accountability, and
responsibility of client care to another
Delegating - transferring the authority and responsibility to another team member
to complete a task, while retaining the accountability
Supervising - directing, monitoring, and evaluating the performance of tasks by
another. RNs are responsible for supervising delegated tasks to an LPN or AP
What is an appropriate delegation? - ANSWER --The transfer of responsibility for
the performance of a task from one individual to another while retaining
accountability and authority for the outcome
,-The individual receiving the assignment is responsible for the performance of the
task
The individual delegating the task retains accountability for the outcome.
Can you delegate responsibility? - ANSWER -yes
Can you delegate accountability? - ANSWER -no
Can a nurse say "no" to an assignment? - ANSWER -Yes... if assignment is
unsafe for patients
-Talk with charge nurse
-Take up the Chain of Command
-Document Practice Situation and file with Administration
-Failure to follow the steps above may result in a charge of patient abandonment -
reportable to the BON
Five rights of delegation - ANSWER --Right direction/communication
-Right supervision
-Right circumstances
-Right task
-Right person
Delegation: Right direction/communication - ANSWER -Clear, concise, correct,
and complete initial and ongoing directions. (Include time, expectations, follow-up
communication etc.)
Delegation: Right Supervision - ANSWER -Oversee assigned/delegated tasks
(Huddles/checkpoints - solicit team members opinion; credit team for
accomplishments
, Delegation: Right circumstance - ANSWER --Long term vs. acute vs home
health?
-Knowledge and skill of delegatee
-Verification of clinical competence
-Stability of patient's condition
-Availability of resources (including human)
Delegation: Right task - ANSWER -is it safe? Does it require little supervision?
Delegation: Right person - ANSWER -License, certification and role description;
strengths, experience, competence?
Who are considered assistive personnels? (NAP) - ANSWER -CNA or CMA
Monitor Techs
Dialysis Techs
Phlebotomists
Orderlies/House Attendants
Nursing Students
Who can delegate to NAP's? - ANSWER -RN's and LPN's
(know your state policy in regards to delegations)
What can RN's NOT delegate to an NAP? - ANSWER --Nursing Process:
Assessment, Diagnosis, Planning, and Evaluation
-Patient Education: (LPNs may reinforce education)
-Tasks that require clinical judgment and critical thinking
The decision of whether or not to delegate or assign is based upon what? -
ANSWER -the judgment concerning the condition of the patient, the competency
of the members of the nursing team, and the degree of supervision that is required
of the RN if a task is delegated.
And Answers |Verified 100% Correct|
Updated
What are the ANA scope of standards? - ANSWER -they are not laws but
influence policy development
NCBSN guidelines for professional boundaries - ANSWER -• Professional sexual
misconduct is an extreme form of boundary violation; includes seductive behavior,
sexual demeaning, harassing or reasonably interpreted as sexual by the patient
• Boundary violations can result when there is confusion between the nurses needs
and those of the patient
• Avoid repeated boundary crossings
• Avoid personal or business relationships to the patient
• Don't discuss personal problems with patient
• Don't show favoritism
• Don't keep secrets with patient
What is SBAR? - ANSWER -• Situation: The problem
- State your name and unit
- I am calling about (patient name and room number)
- The reason for calling
• Background of patient: Brief and to the point
- State admission diagnosis and date of admission
- State pertinent medical history
- Brief synopsis of the up to date treatment
• Assessment: Vital signs, O2 sat, pn, mental status
- What you found, what you think
•
Recommendation: What you want to happen or think should happen
Barriers to communication - ANSWER -• Asking too many questions
,• Providing false reassurance or assurance
• Asking "why", it suggests criticism
• Interrupting or changing the subject
• Using leading or biased questions, "you didn't do that, did you?"
• Failing to listen
• Offering approval or disapproval
• Offering advice
• Avoid yes or no questions
• Stereotyping- conclusions are influenced based on personal beliefs or biases
• Using patronizing language- "you know better than that"
What are the state nurse practice acts? - ANSWER --defined as the scope of
practice in each state
-protected by the public
-law that regulates the practice of nursing: to have a nursing licensure and pass the
NCLEX-RN exam in order to practice. (RN, LPN, APN)
-establishes the Alabama Board of Nursing (ABON) and gives the board authority
over nursing practice. They have the right to give and take away nursing liscense
How do you be assertive? - ANSWER -use a nonthreatening tone, respect
others,use direct statements of feeling
What is the difference between assigning, delegating, and supervising? -
ANSWER -Assigning - transferring the authority, accountability, and
responsibility of client care to another
Delegating - transferring the authority and responsibility to another team member
to complete a task, while retaining the accountability
Supervising - directing, monitoring, and evaluating the performance of tasks by
another. RNs are responsible for supervising delegated tasks to an LPN or AP
What is an appropriate delegation? - ANSWER --The transfer of responsibility for
the performance of a task from one individual to another while retaining
accountability and authority for the outcome
,-The individual receiving the assignment is responsible for the performance of the
task
The individual delegating the task retains accountability for the outcome.
Can you delegate responsibility? - ANSWER -yes
Can you delegate accountability? - ANSWER -no
Can a nurse say "no" to an assignment? - ANSWER -Yes... if assignment is
unsafe for patients
-Talk with charge nurse
-Take up the Chain of Command
-Document Practice Situation and file with Administration
-Failure to follow the steps above may result in a charge of patient abandonment -
reportable to the BON
Five rights of delegation - ANSWER --Right direction/communication
-Right supervision
-Right circumstances
-Right task
-Right person
Delegation: Right direction/communication - ANSWER -Clear, concise, correct,
and complete initial and ongoing directions. (Include time, expectations, follow-up
communication etc.)
Delegation: Right Supervision - ANSWER -Oversee assigned/delegated tasks
(Huddles/checkpoints - solicit team members opinion; credit team for
accomplishments
, Delegation: Right circumstance - ANSWER --Long term vs. acute vs home
health?
-Knowledge and skill of delegatee
-Verification of clinical competence
-Stability of patient's condition
-Availability of resources (including human)
Delegation: Right task - ANSWER -is it safe? Does it require little supervision?
Delegation: Right person - ANSWER -License, certification and role description;
strengths, experience, competence?
Who are considered assistive personnels? (NAP) - ANSWER -CNA or CMA
Monitor Techs
Dialysis Techs
Phlebotomists
Orderlies/House Attendants
Nursing Students
Who can delegate to NAP's? - ANSWER -RN's and LPN's
(know your state policy in regards to delegations)
What can RN's NOT delegate to an NAP? - ANSWER --Nursing Process:
Assessment, Diagnosis, Planning, and Evaluation
-Patient Education: (LPNs may reinforce education)
-Tasks that require clinical judgment and critical thinking
The decision of whether or not to delegate or assign is based upon what? -
ANSWER -the judgment concerning the condition of the patient, the competency
of the members of the nursing team, and the degree of supervision that is required
of the RN if a task is delegated.
