NUR 202 Intro to Professional Nursing EXAM 2 Questions and answers

NUR 202 Intro to Professional Nursing EXAM 2 Questions and answers What's the nurse's role regarding an informed consent? The role of nurses in informed consent is to collaborate with the primary provider. They can witness the a patient's signing of informed consent documentation, not responsible for explaining the proposed treatment however. They are responsible for determining that the elements for valid consent are in place and provide feedback if patient wishes to change consent. What's the purpose of the nursing process? It is a standard by which problems are addressed and solved. A method of critical thinking focused on solving patient problems in professional practice. Allows student or practicing nurse to think systematically and process pertinent information about the patient. Name characteristics of a critical thinker. Open-minded, reflective, inquisitive. Raises questions and problems and formulates clearly and precisely. Gathers and assesses relevant information. Arrives at conclusions and solutions that are well reasoned. Recognizes that there are alternative ways to see problems. Communicates effectively. What patient right is guaranteed by HIPAA? Privacy and Confidentiality. HIPAA requires all health care providers to ensure the privacy and confidentiality of patients. In the nursing process, the evaluation phase is used to determine WHAT? Effectiveness of nursing interventions Nurse examines patient's progress in relation to the goals and outcome criteria to determine whether a problem is resolved. When should you NOT obtain an informed consent from a patient? If the patient is a minor, under the effects of drugs or alcohol, under the influence of preoperative medications, have mental deficits or competency to give consent is in question. How does the analysis of patient data relate to the nursing process? It helps a nurse to know the problem and cluster and organize data to determine the appropriate nursing diagnosis and interventions. Results in identification of one or more problems that are amenable to nursing intervention. What's the best way to obtain a patient history? During the patient interview. If you over hear your fellow nursing students talking openly about a patient they are caring for what should you do? Remind the nursing student of HIPAA and the patient's right to privacy and confidentiality. The patient's medical information should only be discussed with other health care providers for that patient and in relation to care for the patient. Never discuss patient medical information publicly. What is the first step in the ethical decision-making model? The first step is to clarify the ethical dilemma. Is an RN legally responsible for care delegated to an LPN or CNA? Yes. They are responsible for supervision of the LPN and CNA. If either were to make an error the nurse would be responsible. The nurse educates the patient on coughing and breathing technique, what phase of the nursing process would this be considered? This would be the phase: Implementation since this is a nursing intervention. Setting and accomplishing goals related to a patient's nursing diagnosis should be a collaboration between the nurse and? The patient. What does the Patient Self-Determination Act of 1991 provide for patients? The PSDA of 1991 provides patient with the option to consider which life prolonging treatment options they desire and to document their preferences in case they should alter become incapable of participating in decision making process. Can create an advanced directive which allows them to state how they would like their care to be handle in a case they are unable to make a decision. What is the difference between an independent and dependent nursing intervention? Independent nursing interventions are any that do not require help, supervision or a providers order. Dependent nursing intervention are those that require an order from a provider. Difference between a nursing and medical diagnosis. Nursing Diagnosis: identifies the problems the patient is experiencing as a result of the disease process, human response to the illness, injury or threat; will label a problem based on signs and symptoms Medical Diagnosis: will focus on the disease and how it effects the patient, will label a specific disease based on symptoms and signs Difference between Subjective and Objective. Subjective: obtained from patient as given description of needs, feelings, strengths, and perceptions of the problem. Objective: other types of data that the nurse will collect through observation, examination , or consultation; able to be observed through senses. Does a states nurse practice act determine the educational requirements for licensure and maintaining an RN license? Yes, they set the minimum educational qualifications and other requirements for licensure. They all define the practice of professional nursing, determine the legal titles and abbreviations nurses may use as well as provide disciplinary action of licensees for certain causes What are the stages of Benner's Stages of Nursing Proficiency? Stage 1: student has little background on which to base their clinical behavior, depend on rules and principles, skills are limited Stage 2: performance is marginally competent, base actions on theories or priceless but struggle to establish priorities Stage 3: 2-3 years experience in the setting, competent, organized, and efficient. Can prioritize and set goals efficiently Stage 4: 3-5 years in practice, able to see patient holistically, likely to be a leader on the unit Stage 5: nurses perform intuitively, move fluidly through tasks, have extensive practical experience What's the difference between informal and formal socialization as related to nursing? Formal socialization: is the orderly, building block fashion to gain new information, more organized and structured. Informal socialization: is the lessons that happen on the go, unplanned observations of other nurses, students spend time in the work setting to become accustomed to the nursing culture. The Nurse Practice Act is a state law, WHAT 4 components does it outline? Defines the practice of nursing, set education qualifications and requirements for licensure, determine legal title and abbreviations that a nurse may use, and provide disciplinary action of licensees for certain causes. Who administers the Nurse Practice Act? State Boards of Nursing(SBNs) are the regulatory bodies by which nursing practice acts are administered. What is The Code of Ethics for Nurses with Interpretive Statements? The nursing profession's expressions of its ethical values and duties to the public. What is Nursing: Scope and Standards of Practice Focuses on defining and delimiting clinical practice and its safe implementation, generic and specialty standards of nursing practice. What is veracity, fidelity, autonomy, justice, beneficence, and nonmaleficience? Veracity: telling the truth or not lying Fidelity: faithfulness and honoring of one's commitments or promises Autonomy: individuals have the right to determine their own actions and the freedom to make their own decisionsJustice: equals should be treated the same and unequals should be treated differently Beneficence: "the doing of good" Nonmaleficience: the duty to no harm Should a nurse give a patient a medication they refuse? Why or why not? No, it is the patient's right to be able to refuse medication or treatment, even if it is for their benefit. They always reserve the right to refuse treatment even after they signed a consent. Difference between Assault vs Battery. Assault: threatening or an attempt to make bodily contact with another person without their consent. Battery: follow through of assault, impermissible, unprivileged touching of one person by another.