Exam With Most Tested Exam
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when a nurse receives an unsafe assignment -Answer -bring the assignment to the
attention of the scheduling/charge nurse and negotiate a new assignment
-if unresolved take it up chain of command
-file a written protest to the assignment
>>assignment despite objection
>>document of practice situations
-failure to accept the assignment without following the proper channels can be
considered client abandonment
inappropriate use of restraints -Answer *assualt*: threatening to place a NG tube in a
pt who is refusing to eat
*battery*: restraining a pt and administering an injection against his wishes
*false imprisonment*: using restraints on a competent client to prevent his leaving the
health care facility
reporting information to the provider (ch. 2) -Answer should be fostered to create a
climate of mutual respect and collaborative practice
*-assessment data integral to changes in client status
-recommendations for changes in the plan of care
-clarification of prescriptions*
*Qualities*:
-good communication
-assertiveness
-conflict negotiation skills
-leadership skills
-professional presence
-decision-making and critical thinking
Decision-making styles:
*decisive* -Answer the team uses a minimum amount of data and generates one
option
,Decision-making styles:
*flexible* -Answer the team uses a limited amount of data and generates several
options
Decision-making styles:
*Hierarchical* -Answer the team uses a large amount of data and generates one
option
Decision-making styles:
*integrative* -Answer the team uses a large amount of data and generates several
options
breach of confidentiality (ch. 3) -Answer -nurses who disclose client information to an
unauthorized person can be liable for invasion of privacy, defamation, or slander
-*HIPAA rights of pts*
>>client is able to obtain a copy of their medical record and to submit requests to
amend erroneous or incomplete information
>>a requirement for health care and insurance providers to provide written information
about how medical information is used and how it is shared with other entities
-->permission must be obtained before information is shared
>>the pt has the right to privacy and confidentiality
*components of privacy rule* -Answer -only healthcare team members directly
responsible for the client's care are allowed access to the patients records.
>>nurses may not share information with other clients or staff not involved in the patient
care
-clients have a right to read and obtain a copy fo their medical record, and agency policy
should be followed when the client requests to read or have a copy of the record
-no part of the client record can be copied except for authorized exchange of documents
between health care institutions
>>transfer from a hospital to an extended care facility
>>exchange of documents between a general practitioner and a specialist during a
consult
-client records must be kept in a secure area to prevent inappropriate access to
information
-client information may not be disclosed to unauthorized individuals, including family
members who request it and individuals who call on the phone
>>many hospitals use a code system in which information is only disclosed to
individuals who can provide the code
>>nurses should ask any individual inquiring about a client's health status for the code
and disclose information only when that code is
-communication should only take place in a private setting where it can not be
overheard by unauthorized people
,>>change of shift reports are to be done at the bedside as long as the patient does not
have a roommate and no unsolicited visitors are present
>>*DO NOT* use:
-->walking rounds or taped rounds
referral for home oxygen therapy (ch. 2) -Answer -begin discharge planning upon the
client's admission
-evaluate the client/family competencies in relation to home care prior to discharge
-involve the client and family in care planning
-discharge referrals are based on client needs in relation to actual and potential
problems and can be facilitated with the assistance of social services, especially if there
is a need for:
>>specialized equipment:
-->cane, walker, wheelchair, grab bars in bathroom
>>specialized therapies
care of a client following a transfer (ch. 2) -Answer
strategies for cost containment (ch. 4) -Answer
priority nursing action for discharge (ch. 2) -Answer
pacemaker education (ch. 4) -Answer
principles of surgical asepsis
>>Fundamentals (ch. 10) -Answer
time management (p. 7) -Answer *WASTERS*:
-documenting at end of shift
-making repeated trips to the supply room for equipment
-providing care as opportunity arises regardless of other responsibilities
-missing equipment when preparing to perform a procedure
-being reluctant to delegate or underdelegate
-not asking for help when needed or truing to procide all client care independently
time savers (p. 7) -Answer -documenting throughout shift
-group activities
-estimate time needed and plan accordingly
-plan non-essential tasks
-delegate
-complete one task before beginning a second
Maslows -Answer
, interfacility transfer form -Answer
transfer report form -Answer
discharge summary -Answer
float nurse assignments -Answer
client's rights -Answer -right to be respectful, considerate, and competent care
-right to participate fully in the decision-making process
-right to accept, refuse, or request modification in the plan of care
advocacy -Answer the nurse supports the client in the decisions she makes about
her own health care
responsibility -Answer the nurse upholds obligations
accountability -Answer the nurse Answers for personal actions
confidentiality -Answer the nurse protects the privacy of the client and her health
care information
quality monitoring tools -Answer -
transformation leadership -Answer gives group members responsibilities that will
enhance their professional development
participative leadership -Answer *democratic*
-serves as a resource person and facilitator and is non-directive
-guides staff toward reaching an objective and shares responsibilities with the staff
-allows creativity and development of many strategies
autocratic -Answer direct and issues commands necessary for *emergency
situations*
-makes decisions idependently and then notifies the staff of the decisions made
-maintains a high degree of control over the staff and allows little freedom of staff
members
laissez-faire -Answer demonstrates a non-productive approach
-exerts little or no leadership and control
-