NURS 290 Think Like a Nurse Final

#allwaysthinkinglikeanurse

Nursing is a _____.

profession!

What group is the largest workforce in the healthcare industry?

RNs

What is the pathway to professionalism for nurses?

• specialized knowledge

• formal education and training

• ethical education and training

• autonomy and authority

• self-regulation

• community/service orientation

• lifelong learning

• theoretical body of knowledge

What is professionalism in nursing?

• providing safe and competent patient care; standard of maintaining professionalism as nurses, includes implementing principles for safety and care

What are the 8 Characteristics of Profession by Kelly?

• services vital to humanity

• special body of knowledge

• intellectual activities and accountability

• education in higher learning

• autonomy and self regulation

• motivated by service (altruism)

• code of ethics

• professional organization

What are the steps of the Nursing Process?

• assessment

• diagnosis

• planning

• implementation

• evaluation

What are professions that act under the title of nurse?

LPN, RN, LVN (although the scope of practice varies)

What is the purpose of the Code of Ethics?

primary purpose is to guide nurses in their ethical decision making

Where does the Code of Ethics come from?

the American Nurses Association (ANA)

What are the elements of cultural competency?

1. perform cultural assessment

2. cultural imposition

3. barriers to culturally competent care (stereotyping)

4. cultural humility (a lifelong commitment to self-evaluation)

5. cultural nutritional assessment (preferences, common foods) — just ask!

6. consider the patient’s cultural beliefs and practices in education and teaching the patient

7. accommodate and record the preference (so then other nurses or health care professionals can know too)

our goal is helping the patient the best we can!!

Who wrote “To Err is Human”

the Institute of Medicine

What is the purpose of patient education?

• enhance the patient’s quality of life and self care abilities (so they can understand why they are doing the things that they do to help them get better)

• minimize the effects of chronic disease through management

  • we can really only do so much in the hospital setting— most management is up to the patient

What is the first step in education effectiveness?

assessing the patient’s current knowledge and learning barriers

What percent of errors that occur in the hospital setting are due to communication? Where do most of these errors occur?

70% of errors! most often occur during handoff

What are elements of effective communication?

• speaking in short sentences

• basic health literacy check when talking to patients

• clear dosages and instructions

• listen and respond to the patient’s wishes

What communication techniques make effective leadership?

• communicating openly

• encouraging others to speak up

• creating a safe environment

• safe and effective communication (specific and relevant)

What is the nurse’s role in consent?

• witness the patient’s signing

• advocate for the patient

• determine all that needs to happen to get valid consent (level of consciousness or pediatric patient— which person is the bes

What are methods a nurse should use to communicate with those with disabilities?

• reduce environmental noise

• use communication aides

• determine intellectual level

What is detrimental to effective communication?

yes or no questions!

Not reporting bullying _______.

perpetuates the behavior

Lateral violence is…

bullying between coworkers; when a senior nurse bullies a junior nurse

What communication methods should a nurse use when talking about suicide with a patient?

• ask direct questions (clarify and be very specific)

• close ended questions (are effective in this situation)

• explore the details of any plan

• document verbatim quotes and identified risk factors

• short clear and direct phrases with a tone of calmness and acceptance

• validate their feelings— express that it isn’t unheard of to feel the way that they felt or are still feeling; they aren’t alone and can work through these feelings!

What are methods a nurse should use when resolving conflict?

• use I statements to avoid blaming

• not raising your voice to assert your point

• discussing alternative solutions

• acknowledge and validate the other person’s feelings

• negotiate a solution

• summarize (“we agreed on doing x,y,x…”)

• follow through— do your end of things and check and see if they did theirs

What are some strategies for effective time management?

• prioritizing tasks based on importance or urgency

• scheduling activities and setting reminders

• eliminating distractions

• avoiding procrastination, especially on non-essential tasks

• first step: identify goals and priorities

• max productivity: block time for focused spurts of work

• to-do list: provides organization and prioritization

What is the main way to promote self care in yourself?

to manage stress!

What are some methods for managing stress?

• practice relaxing techniques like deep breathing (meditation, journaling, prayer)

• maintain a healthy lifestyle (for better resilience and coping)

• engage in regular exercise

• balance in between work and leisure

• mindfulness

• yoga

• avoid ergonomic injury (also known as repetitive strain disorder)

• taking a sick day to tend to emotional health is considered self-care

What is the nursing educator’s role?

• assessing the patient’s learning needs and readiness

• individualization (what specific things are needed to teach the patient the nurse has)

• demonstrating procedures NOT performing medical procedures

What is workforce advocacy for?

the nurses rights and practice environment

Who is the leader in advocating for nurses?

the ANA

What issues are addressed in workforce advocacy?

• nursing shortages and adequate staffing

• active decision making: shared governance model (making decision quickly and in the right way)

Who does the Nursing Practice Act protect?

the patients

What does the Nursing Practice Act say?

• states that the act must evolve alongside the changing roles of the nurse

• basically is the scope of practice

True or false? Every healthcare system must train their employees on HIPAA.

True

Can patients ask for their own information anytime according to HIPAA?

yes!

When is the only time that it is okay to break HIPAA?

when abuse is suspected (usually in vulnerable populations— geriatrics or pediatrics)

True or false? Verbale abuse towards an annoying patient is considered malpractice.

TRUE

Are nursing textbooks law governing nursing practice?

NO! Nursing textbooks are NOT law governing nursing practice

What is a whisteblower?

people that report a workplace concern to a state agency responsible for regulation of the hospital (usually are protected, though they can’t full be protected — if you can’t fix the problem in house, need to go outside and to the state agency

What is shared governance?

nurses controlling their professional nursing practice