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NUR 211 Exam 1 Questions and Answers

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nurse-sensitive patient indicators - quality indicators that capture care or patient outcomes most affected by nursing care examples of nurse-sensitive indicators - patient falls, medication administration errors, hospital-aquired pressure ulcers, restraint use, mislabeled specimens, patient deterioration, pain management purpose of joint commission's national patient safety goals (NPSGs) - to promote specific improvements in patient quality and safety compliance with NPSGs ensures... - quality and safe care for patients responsibility - the obligation to act or direct to accomplish a goal accountability - being held to answer for personal actions and actions of others authority - ability or legitimate power to make decisions, implement strategies, or elicit work from others who does an RN delegate to? - nursing care technicians, LPNs, nursing students, volunteers, other nurses who retains the authority and accountability? - the RN who delegated the tasks what care can the RN delegate? - SAFE THINGS! routine tasks and skills, skills that the person has been taught, tasks in job description, routine care, care to STABLE patients with predictable outcomes never delegate... - assessment, teaching, or evaluations of interventions four rights of delegation - right task, right person, right communication, right feedback right task - routine tasks, skills included in training programs and orientation, skills and tasks in which they have demonstrated competency, tasks in job description right person - properly trained, in job description, demonstrated competency, licensed vs. unlicensed right communication - clear directions given, what to report back, safety precautions, verify understanding that they know what to do, be very clear with what information you need from them right feedback - monitor performance based on standards of care, policies, and procedures, RN is accountable, feedback on performance, documentation obligation in ethical decisions - always put the patient FIRST, maximize the client's well-being, balance client's need for autonomy with family members' responsibilities for the client's well-being, carry out hospital policies, protect nurse's standard of care how to enhance ethical decisions and practice? - know the dilemma, know the ethics and standards applied to it, familiarity with ANA code of ethics for nurses, respect values and opinions of other HCPs

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NUR 211


NUR 211 Exam 1 Questions and
Answers
nurse-sensitive patient indicators - quality indicators that capture care or patient outcomes
most affected by nursing care


examples of nurse-sensitive indicators - patient falls, medication administration errors,
hospital-aquired pressure ulcers, restraint use, mislabeled specimens, patient
deterioration, pain management


purpose of joint commission's national patient safety goals (NPSGs) - to promote specific
improvements in patient quality and safety


compliance with NPSGs ensures... - quality and safe care for patients


responsibility - the obligation to act or direct to accomplish a goal


accountability - being held to answer for personal actions and actions of others


authority - ability or legitimate power to make decisions, implement strategies, or elicit
work from others


who does an RN delegate to? - nursing care technicians, LPNs, nursing students,
volunteers, other nurses


who retains the authority and accountability? - the RN who delegated the tasks



NUR 211

,NUR 211


what care can the RN delegate? - SAFE THINGS! routine tasks and skills, skills that the
person has been taught, tasks in job description, routine care, care to STABLE patients
with predictable outcomes


never delegate... - assessment, teaching, or evaluations of interventions


four rights of delegation - right task, right person, right communication, right feedback


right task - routine tasks, skills included in training programs and orientation, skills and
tasks in which they have demonstrated competency, tasks in job description


right person - properly trained, in job description, demonstrated competency, licensed vs.
unlicensed


right communication - clear directions given, what to report back, safety precautions,
verify understanding that they know what to do, be very clear with what information you
need from them


right feedback - monitor performance based on standards of care, policies, and
procedures, RN is accountable, feedback on performance, documentation


obligation in ethical decisions - always put the patient FIRST, maximize the client's well-
being, balance client's need for autonomy with family members' responsibilities for the
client's well-being, carry out hospital policies, protect nurse's standard of care


how to enhance ethical decisions and practice? - know the dilemma, know the ethics and
standards applied to it, familiarity with ANA code of ethics for nurses, respect values and
opinions of other HCPs



NUR 211

,NUR 211


specific ethical issues - HIV/AIDS, abortion, organ transplantation, end-of-life issues,
management of personal health information (HIPPA)


ethical decision-making process - be informed and open, put the patient first, identify the
options, decide which option you can ethically defend


principles of nursing - autonomy, nonmaleficence, beneficence, justice, distributive
justice, fidelity, veracity, and privacy


autonomy - right to make one's own decisions


nonmaleficence - duty to do no harm


beneficence - doing good


justice - fairness; equal treatment


distributive justice - fairness in allocation of resources


fidelity - be faithful to agreements and promises


veracity - telling the truth


privacy - keeping patient information confidential


barriers to time management - procrastination, perfectionism, and inability to prioritize


NUR 211

, NUR 211




goal of the state boards of nursing? - protect the public


licensure is to... - verify that you are a safe practitioner


in order to be licensed by the state board of nursing... - successfully complete a nursing
program, successfully pass the NCLEX


standards compared to an RN - nursing students are held to the SAME standard of care as
the RN


differences? - the assignment and the level of responsibility


roles of the nurse - physical and psychological caregiver, perform skills, communicate
findings, teach, advocate, counsel, act as a change agent, leader


scope of nursing - promoting health & wellness, preventing illness, restoring health, care
of the dying


nursing process - assessment, diagnosis, planning, intervention, evaluation


diagnosis - independent nursing interventions, a statement or conclusion, NANDA-I are
the the standardized names for diagnoses, can be actual or potential, provides the basis
for selection of nursing interventions


prioritize diagnoses with... - ABCs (airway, breathing, circulation)




NUR 211

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