Leadership Ati

Front 1

Incident report AKA: Variance Report for opened medication not given.

Back 1

Report to provider and nurse manager, don't document in the medical record, disregard the medication, and file incident report.

Front 2

HIPPA violations

Back 2

Speaking about pts to other nurses in the cafeteria, elevators, restaurants, or other public areas

Front 3

False imprisonment

Back 3

Restraining a confused client

Front 4

Impetigo

Not contagious if safety precautions followed

Back 4

Superficial skin infection

Front 5

Communicable diseases

Contagious

Back 5

Fifths disease, chicken pox, rubella

Front 6

Noninvasive procedures

Back 6

MRI, CT scan, carotid ultrasound,

Front 7

Invasive

Back 7

Cerebral arteriogram

Uses contrast material. Get written consent

Front 8

Safety for older adults

Back 8

•Set water heater to 120°F

•Grab the plug when unplugging not the cord itself

• use microwave or electrical toaster instead of open flame like gas stove.

• Install a handrail on at least one side of stairs for decrease fall risk

Front 9

Teaching older adults

Back 9

•Allow frequent rest periods

• use white or buff-colored paper with matte finish to avoid glare

• present at 6th to 8th grade reading level 📚

• use 14-point font size when providing written material

Front 10

Root cause analysis

Back 10

Function of quality improvement in client care.

Front 11

Suspicions about other employees

Back 11

1. Gather data 2. Validate with another observer. 3. Take the appropriate actions to safeguard pts. Then document the incident

Front 12

Nursing Process

Back 12

Front 13

Negligence

Back 13

Exposed to Unreasonable risk of injury.

Example: forgetting to put up side rails on bed

Front 14

Battery

Back 14

Touching a client without consent

Front 15

Intentional tort

Back 15

Intentionally injures another in some manner.

Front 16

Slander

Back 16

Injury to reputation

Front 17

Health care proxy

Back 17

Person chosen to make end of life decisions in the event pt can not speak for themselves.

Front 18

Delegation

Back 18

LPN: Can do reality orientation for a pt with STABLE but disoriented, check daily weight, check NG input and output. Tube feedings, wound irrigation , irrigate indwelling catheter, tracheostomy care if (stable or not new) no ivs or push can hang antibiotic but not administer the med.

AP: Escort clients to other departments, can take blood to the lab. Cpr in cardiac arrest pts, CAN NOT check residual on gastrostomy tube, can add thickening agents to food for pts, ambulating, can do postmortem care

Front 19

Living Will

Back 19

It allows the client to express personal wishes regarding health care decisions

Front 20

End of shift report

Back 20

Include objective and measurements about the client's condition. No need to report routine care procedures or biographical information

Front 21

Beneficence

Back 21

Based on the principle that actions should be taken with the intent to do good.

Front 22

Autonomy

Back 22

Right to self determination, independence and freedom of choice

Front 23

Paternalism

"Health care provider thinks they know what is best"

Back 23

Principal that one person can assume responsibility for making the decisions of another person.

Front 24

Justice

Back 24

Everyone should be treated similarly and fairly

Front 25

Nonmaleficence

Back 25

Do no harm

Front 26

Accommodation

Back 26

One person puts aside her own goals to satisfy the needs of another

Front 27

Compromise

Back 27

Both individuals give up something

Front 28

Avoidance

Back 28

Uses passive behaviors and withdrawals from a conflict

Front 29

Collaboration

Back 29

Both individuals actively try to find a solution

Front 30

Child abuse always report.

Back 30

Don't wait

Front 31

Process audit

Back 31

Measures interventions used to facilitate expected and desired outcomes in pts.

Front 32

Strategic planning

Back 32

Is part of planning process. Examines purpose, mission, philosophy and goals of an organization

Front 33

Structure audit

Back 33

Evaluation of the relationship between quality care. Environment where Healthcare is delivered

Front 34

Outcome

Back 34

Evaluates how the pt health status changed as a result of the intervention

Front 35

Autocratic Leadership "Think all about me"

Back 35

Makes decisions independently and then notifies the staff after. Autocratic manager maintains a high degree of control over the staff and allows little freedom of staff members.

Front 36

Democratic leadership

"Think nice and open" encourages communication

Back 36

Guides staff toward reaching an objective and shares responsibility with the staff. Example: asks staff for there input

Front 37

Laissez-faire Leadership

"Think hand off" Jerk

Back 37

Exerts little or no leadership and control.

Front 38

Transactional

"Focused on tasks"

Back 38

Focuses on getting work done.

Front 39

Capital Budget

Back 39

Expenditure of money for equipment and major purchases. Example replacing cardiac monitors

Front 40

Variance analysis

Back 40

Difference between the planned budget and results of actual results

Front 41

40 watt is low wattage

Back 41

This is a safety hazard

Front 42

Declining delegation

Back 42

A float can decline tasks if she does not feel comfortable and it's a safety issue. Example: hanging blood

Front 43

Assault

Back 43

Verbal threatening

Front 44

Case managers are for long term care

Back 44

Example: Refer stroke pts that need cared for because of neurological deficits

Front 45

Critical pathway

Back 45

A multidisciplinary tool that guides client care and bases outcomes on an externally imposed timeline

Front 46

Preparing a pt for a long term facility

Back 46

Provide a written summary of the client's nursing plan of care to the long-term facility

Front 47

Disciplinary process

Back 47

Verbal admonishment is the first step. Written is the second step

Front 48

Transformational leadership

Back 48

One who motivates employees by creating a work environment in which the goals of the leader are shared by the employees

Front 49

Fire

Back 49

Always remove pt first.

Front 50

Delegation

Back 50

Directions need to be clear: Frequency (number) what the task is, the duration ( how long), and mechanics of the action

Front 51

Restraining Forces

Back 51

Can impede change. Staff resistance can be a restraining force

Front 52

Fidelity

Back 52

Be faithful

Front 53

Informed consent

Ask pt to explain the procedure that is being performed to verify the pt gave informed consent

Back 53

The person performing the procedure is legally responsible for obtaining informed consent.

Front 54

Utility

Back 54

Good of many people

Front 55

Hip arthroplasty

Back 55

Teach do not cross legs, inspect incision every 4 hrs, do not flex hip past 90° angle. Make sure to let AP know of the weight-bearing if helping to ambulate

Front 56

Authoritarian approach to managing issues

Back 56

Gives penalties to promote behavior changes

Front 57

Democratic approach

Back 57

Gives constructive feedback

Front 58

Laissez-faire

Back 58

"Suggestion box" places emphasis on group decision making

Front 59

Emergency situations think which pts will survive

Back 59

Pts with head wounds and respiratory rates of 4 are probably not going to make it. Pick pts that will make it

Front 60

Key words in delegation of tasks "Tell me"

Back 60

5 rights of delegation; provide specific information, expectations and time-frame and when to report the information back to the RN

Front 61

State nurse practice act

Back 61

Administrative laws that provide guidelines for nursing

Front 62

Patient self determination act

Back 62

Helps pts make informed decisions about care. Like end of life

Front 63

Emtala: Emergency medical treatment and active labor act

Back 63

Gives treatment regardless of financial status

Front 64

Good Samaritan

Back 64

Protects health care professionals

Front 65

Obtaining consent for surgery

The nurse has the responsibility to make sure the pt has an understanding of the procedure. Have the pt repeat. If client has questions once consent is signed refer to the dr

Back 65

1. Clients can not give consent under narcotics. Get a consent from a relative

If client relative is not available and surgery is critical surgery can proceed. Do not delay surgery if pt is critical

Front 66

National notifiable disease

Back 66

Varicella

Front 67

Psych

Displacement " Move from dis place to dat place"

Back 67

Pt has anxiety about test result and says they have received horrible care from nurse

Front 68

Turn, cough and deep breath is priority after surgery

Back 68

TCDB

Front 69

Altruism

Back 69

Putting others first

Front 70

Mental health

Dissociation

Back 70

Separates painful events from the conscious mind and describes events as if they happened to another person

Example: A client who was abused as a child describes it like it happened to someone else

Front 71

Hospice nurse

Back 71

Hospice care includes bereavement services after a family members death.

Teaches family how to administer medication, includes respite care also

Front 72

3 hr glucose tolerance test for pregnancy

Back 72

Fast the night before, blood samples collected every hr

Front 73

Appendicitis

Back 73

Sudden relief in pain indicates a burst appendix