Vocational Exam 2 Review 2023 with complete solution
When a patient becomes a danger to you or themself, what is one thing
you SHOULDN'T do?
Do not block their exit
*they could harm you
Accountability
you are answerable to yourself, to your assigned client and their family, to your
supervisor, the health care team, and to your instructor who evaluates your work.
*You are responsible for all the nursing actions you perform
What is the nurse accountable for if they forget to give the patient medication?
Malpractice (professional negligence)
They are accountable for the acts of omission- forgot to give medication.
Insidious on the Job Aggression
aggressive behavior in the work place.
Issues of this type of behavior involve incivility, interpersonal issues, hostile acts,
bullying.
Do Not Resuscitate (DNR)
a type of advance directive that instructs medical professionals not to perform CPR if a
person's heartbeat or breathing stops.
You as the nurse and any other healthcare personal on your floor should know which
patients are DNR.
Is it ethical to refuse care for to a patient with AIDs?
NO!!!
This behavior is called abandonment (refusing to give care when needed)
The night shift nurse knows the patient has a procedure scheduled for the day,
what should the night nurse be reporting to the day nurse?
The night nurse should inform the day nurse about the procedure the patient has for the
day.
Situation, Background, Assessment, Recommendation (SBAR)
First developed in the military, used by many healthcare institutions to facilitate clear
communication. Useful for shift report, reporting off when you leave the clinical unit, or
transferring a client to another unit.
SBAR stands for:
Situation
Background
Assessment
Recommendation
Situation (SBAR)
-Identify yourself
-Your Unit
-Client Name and Room #
, -What the problem is (briefly), when it started, and how severe it is
Background (SBAR)
- Clients diagnosis
- date of admission
-Vital signs and oxygen
-Current medications
-Allergies, etc.
Assessment (SBAR)
(Collaborate with an RN as needed)
- What do yo think is going on based on the evidence
-If appropriate, based on the signs and symptoms, if you believe the problem is life
threatening.
Recommendation (SBAR)
involves what you need from the health care provider
-Do you want to transfer the client to a higher level of care.
-What do you want the patient/prescriber to do?
-What action do you propose?
-What do you need?
How do you demonstrate active listening?
receives messages, processes them, and responds so as to encourage further
communication.
Make eye contact with speaker
listen when speaker is talking
ask questions
How do you respond to someone while demonstrating active listening?
-Restating
-Clarifying
-Paraphrasing
-Reflecting
Assertiveness
*Another name for this is honesty
a way to live the truth from your innermost being and to express this truth in thought,
word, and deed.
Why is it bad to talk about others/gossip?
This is destructive behavior that can ruin the reputations of both clients and personnel
(reputations are at stake).
Beneficence
"do good" with your nursing actions and is the basis of trust in nursing. It also involves
preventing harm and removing harm.
When a patient becomes a danger to you or themself, what is one thing
you SHOULDN'T do?
Do not block their exit
*they could harm you
Accountability
you are answerable to yourself, to your assigned client and their family, to your
supervisor, the health care team, and to your instructor who evaluates your work.
*You are responsible for all the nursing actions you perform
What is the nurse accountable for if they forget to give the patient medication?
Malpractice (professional negligence)
They are accountable for the acts of omission- forgot to give medication.
Insidious on the Job Aggression
aggressive behavior in the work place.
Issues of this type of behavior involve incivility, interpersonal issues, hostile acts,
bullying.
Do Not Resuscitate (DNR)
a type of advance directive that instructs medical professionals not to perform CPR if a
person's heartbeat or breathing stops.
You as the nurse and any other healthcare personal on your floor should know which
patients are DNR.
Is it ethical to refuse care for to a patient with AIDs?
NO!!!
This behavior is called abandonment (refusing to give care when needed)
The night shift nurse knows the patient has a procedure scheduled for the day,
what should the night nurse be reporting to the day nurse?
The night nurse should inform the day nurse about the procedure the patient has for the
day.
Situation, Background, Assessment, Recommendation (SBAR)
First developed in the military, used by many healthcare institutions to facilitate clear
communication. Useful for shift report, reporting off when you leave the clinical unit, or
transferring a client to another unit.
SBAR stands for:
Situation
Background
Assessment
Recommendation
Situation (SBAR)
-Identify yourself
-Your Unit
-Client Name and Room #
, -What the problem is (briefly), when it started, and how severe it is
Background (SBAR)
- Clients diagnosis
- date of admission
-Vital signs and oxygen
-Current medications
-Allergies, etc.
Assessment (SBAR)
(Collaborate with an RN as needed)
- What do yo think is going on based on the evidence
-If appropriate, based on the signs and symptoms, if you believe the problem is life
threatening.
Recommendation (SBAR)
involves what you need from the health care provider
-Do you want to transfer the client to a higher level of care.
-What do you want the patient/prescriber to do?
-What action do you propose?
-What do you need?
How do you demonstrate active listening?
receives messages, processes them, and responds so as to encourage further
communication.
Make eye contact with speaker
listen when speaker is talking
ask questions
How do you respond to someone while demonstrating active listening?
-Restating
-Clarifying
-Paraphrasing
-Reflecting
Assertiveness
*Another name for this is honesty
a way to live the truth from your innermost being and to express this truth in thought,
word, and deed.
Why is it bad to talk about others/gossip?
This is destructive behavior that can ruin the reputations of both clients and personnel
(reputations are at stake).
Beneficence
"do good" with your nursing actions and is the basis of trust in nursing. It also involves
preventing harm and removing harm.
