Kaplan Management of Care/Professional Issues MINE 2

Patient bill of rights

Where the nurse gives the Placebo ; answer

Good Samaritan Law

held to a standard consistent with education

Cultural diversity

Charge nurse must first accept their own cultural values

Pre Op Informed Consent Education

Surgery does NOT guarantee results

Beneficence

Promoting good & preventing harm

Performance Review

Look at the file; past supervisors

Joint Custody Consent - minor getting surgery and parents have shared custody, who signs?

Both parents need to sign and be present

Which patient DOES NOT need consent for surgery

answer; 17 year old

Health Care Financing

third party provider sets predetermined amount

Hospital is going to undergo a change in their admissions procedure this is what? (Change Theory) / change in policy

PLANNED LINEAR CHANGE

Break in pt Confidentiality

Nurse talking about care at lunch

What standard do they measure Negligence to?

what a normal competent prudent nurse would/would not do in the same situation

Negligence

heart cath; doesn't check the pedal pulses in two hours

negligence

failure to act causing harm

social barrier of access to health care

POVERTY

Organ donation

Nurse approaches family at time of death

Which order is written correctly?

NG tube q 2h

Going through charts

Quality assurance

Spiritual Considerations

VEGAN

Continuity of care

detailed shift change report

Understaffing concerns

FIRST talk to the nursing supervisor

What does the case manager do?

Follows the pt from admission to discharge

Referent Power

Looks up to someone above them; it is a clinical specialist or something/ staff member identifies w/ SOME PERSON on floor

shift change report; priority to report

lab values; it says lab values indicating pt is anemic

Restraints

put on if agitated/confused, take off in AM / *not the longest answer choice

Informed Consent from non-english speaking pt

DR/translator go in room TOGETHER

Informed Consent - what does the nurses signature signify?

Nurse can witness the pt signing

Time Management

I see you have a hard time saying no to others

Assault & Battery

Hold pt down to insert foley

DNR

12 rescue breaths - do not give

Living will

can indicate of pt would want to get blood products

Right to Refuse Treatment

make sure the pt understands the risks and/or ask patient why

Incorrect charting by Nurse

"pt seems good, pleasant to all"

Floating nurse should what when coming to the unit??

ask for orentation & let them know she has not been with these kinds of pts in a few years

Priority for charge nurse to do when they get a FLOATER

assign the lowest acuity pts

Most damaging to a new idea in change theory

THE REJECTOR

Delphi (theory)

time consuming, hard to coordinate, difficult to see participation, lots of testing & resubmission. (a lot of pt you don't meet with)

Durable power of attorney

CAN MAKE ALL DECISIONS r/t health care

conflict resolution; charge says wait until everyone comes back from vacation

avoiding

Mentor

Share your goals

find pt on the floor what next?

stay w pt call for help

fall prevention survey

identify what medications have been taken prior / # of UAP to pt ratio?? (our answer)

teaching/learning

identify and assess pt stress and anxiety first before trying to educate

Worker is stressed, how do you know?

nurse omits 3 patients meds

nurse w substance abuse

taking care of ALL the pts w pain meds / wants to check on all pts with pain meds

teaching/learning (scrubbing technique question)

demonstrating

risk management

what do they do? they work with other nurses to ensure something / Policies and procedures (our answer)

UAP/CNA

all have different skill sets

incident report; walk in and find pt on the floor

don't document pt fell

shift report

do report pt has been on the phone all night since surgery

therapeutic communication

gourmet cook, ask about food

variance

more/fewer services

allocations

greatest good for greatest number of people

Nurse Practice act

legal boundaries/standards for practice

Advance directive into action

when they can no longer make their own decisions

opinion seeker is

the one asking how they feel about changes (communication styles)

medicare

number of people/illness provider treats is determined in advance

advocacy

representing community; something about reforms or something at the preschool / Example of being a patient advocate not in healthcare setting? - advocacy legislation

inactive resolved conflict

Nurse approaches nurse manager and says coworker is being rude. NM tells talk to the peer and find out why they are being rude

Florence Nightingale

manipulate environment

delegation ; considerations you would think about prior to LPN OR CNA taking the pt

unstable pt that had complications from surgery the night before

cancer pt declines treatment

report to nursing supervisor

conflict resolution ; doesn't like new staffing schedule

scheduling committee and talk about it

health care delivery; med nurse, treatment nurse, 30 pts

Functional nursing

Change agent

driving forces / answer that says "drive"

accountability

cardiac cath, not checking pedal pulses for 2h

New worker

determine skills and competencies

critical pathway

answer about physician

Pt leaving AMA

document reasons for wanting to leave

self care

lives at home with sibling