• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/78

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

78 Cards in this Set

  • Front
  • Back
What is the role of the leader?
motivating and influencing others to strive for a vision, goal or to change behavior.
What type of leader makes all of the decisions?
autocratic

(democratic - involves group)
What is the role of the manager?
to oversee the implementation of a task the leader has given
What does autonomy mean?
the freedom to decide and act.

-RN can make an independent decision about the care of a patient
What person on the nursing team usually is the visionary?
Upper level management...nurse executive. They have both clinical and business roles
Which people on the nursing team are involved in day to day care of the client?
first level management (unit leader) and staff nurse
Describe Functional Nursing.
task focused
not client focused
not used frequently today
came out of WWI nurse shortage
one nurse takes on a task (feeding)
one nurse takes on medicines
Why is functional nursing not as popular today?
Because it leaves out the holistic side of nursing, it only focuses on the task thus becoming very mechanical
How is Team Nursing organized?
geographically, so can't really happen these days
Describe team nursing
-staff assigned to a group of clients
-RN leads a team of RN, CNA, LPN, SN
-organized by geographical location
What is modular nursing or care partners?
a form of team nursing where RN cares for client assisted by CNA
Which nursing care delivery model was designed by Florence Nightingale?
Total Patient Care
Describe total patient care.
RN responsible for all aspects of care

Shift based focused (so communication from shift to shift is very important)

Critical care setting (this type of model is used in a setting of 1:1, or 1:2)
Describe primary nursing as a nursing care delivery model.
RN responsible for caseload of clients

RN develops a 24 hour care plan

Ensures quality of care during all the shifts.

**Ms. Tyler doesn't think this is cost effective, nor is it used much
Describe the type of nursing care delivery model that we use today.
case managers coordinate care
they facilitate referrals
sometimes they are from HMO's and PPO's

they do not provide direct care. duh
Effective use of time entails.......

Efficient use of time entails......
Effective use of time entails doing the right things

Efficient use of time entails doing things right
Tasks are delegated, not ___________.
clients

assistive personnel should be at the nurse's side, not the bedside
What are the five rights to delegation?
Right TASK
Right CIRCUMSTANCES
Right PERSON
Right DIRECTION
Right SUPERVISION

TCPDS (the cute puppy died suddenly)
Which type of priority is a problem that the patient complains about?
second priority need
What level of priority is a problem that is only "potentially a problem, if not addressed soon".
third priority need
Define what a first level priority need is.
An immediate threat to a client's survival or safety

obstructed airway,
anxiety attack,
loss of consciousness
What level of priority is complaining of nausea?
second priority
What level of priority is comforting measures?
second priority
What level of priority is teaching client about side effects of drugs he is receiving while in the hospital?
third priority
What level of priority is teaching about self care in the home?
fourth priority
What is the focus of fourth priority needs?
Actual or potential problems the client may have in the future
List the professional responsibilities and roles of a nurse in client care:
caregiver
advocate
educator
communicator
manager

this is the same acacecm cheer one...but i am missing something
Give examples of how a nurse can advocate for a client.
provide additional information for a client who is tryin to decide on a treatment

assist with communication within the family

defend a client's rights in general by speaking out against policies or actions that might endanger their wellbeing or conflict with their rights

Advocating for their patient rights
The leadership skills of a student nurse slightly differ from the leadership skills of an RN. What are some of the skills of a student nurse?
decision making
priority setting
organizing/managing time
delegating
communicating
using resources
What is the end result of all managing as a nurse?
to care for the client in the best possible way
What tasks can an NA 1 do in regard to body mechanics?
turn and position

transfer - chair and stretcher

use of lifts

assist with ambulation
What tasks can an NA 2 do in regard to body mechanics?
same as NA 1

turn and position
transfer to chair or stretcher
use of lifts
assist with ambulation
Which NA can do an enema?
both
Which NA can do a catheter?
NA2
Which NA can do TCDB?
na1, na2
What type of cardiac things can an NA 1 do?
remove EKG
vitals
CPR
What type of nutrition can an NA 1 do?

What type of nutrition can an NA 2 do?
feed
prepare for feed
i/o
force and restrict fluids


na2
oral/nasogastric infusions
gastrostomy feedings
clamping tubes
removing oral/nasogastric feeding tubes
What must a RN do for the NA 2 in regard to nutrition activities?
they have to verify placement of a NG tube
Main difference between NA 1 and NA2 in regard to IV fluid.
NA 1 can not do IV fluid assistive activities

NA 2 can do....
**assemble/flush tubing during setup
**monitor flow-rate
**site care/dressing change
**discontinue peripheral IV infusions
Who can suction?

What can they suction?
NA2

oropharyngeal
nasopharyngeal

**na1 can maintain gastric suction
Delegate wound care....

NA1 can do:

NA2 can do:
NA1:
-prevent and care for decubitus ulcers
-clean dressing changes

NA2
-sterile dressing chang for wounds over 48 hours old
-wound irrigation
Who can unimpact a patient?
NA2 (totally something to delegate the crap out of....excuse the pun)
When you see irrigation, who can be the delegee?
NA2
When you see the word "care", who usually can do it?
NA1
In order to delegate any task, you have to be able to say YES to these four questions:
1. Is task a frequently performed task
2. Is task performed according to an established sequence of steps
3. Is task performed with predictable outcome?
4. Is task performed not part of assessment, interpretation or decision making that can't be logically separated from the task itself.
Monitor IV flow-rate
NA2
Plans care based on complexity of client's care needs and qualification sof personnel
RN
Limited participation in nursing assessment if qualified
LPN
Removal of oral or NG feeding tubes, clamping tubes
NA2
Vital signs, CPR/Heimlich
NA1
Discontinuing peripheral IV infusions
NA2
Reviews or modifies plan of care
RN
Catherizations
NA2
Collect/test specimens
NA1
Enema
NA1
Insert rectal tubes/flatus bag
NA1
Ostomy care, irrigation of urinary catheter tubing
NA2
Who is the first trained nurse?
Linda Richards
Who made the associates degree program for nursing?
Mildred Montag
What are the four central concepts that all nursing theories include?
person
environment
health
nursing
Gordon's Functional Health Patterns is based on what theory?
Holism
What is the name of the legislation that states use to define nursing?
Nursing Practice Act
What is the name of the NC agency that oversees the Nursing Practice Act?
NC Board of Nursing
Nursing board does not do this.
Accredit schools

They do:
investigate complains of nursings
maintain registry of nurse aids/RNs
Issue interpretations of Nursing Practice Act
An act of omission is....

An act of comission is....
neglecting to do something that a reasonably prudent person would do

doing something that a reasonably prudent person would not do
Which one is written:

slader or libel?
Libel is written

Slander is verbal
List 6 intentional torts:
assault
battery
defamation of character (libel/slander)
fraud
invasion of privacy
false imprisonment
List 2 unintentional torts:
negligence
malpractice
Term used to describe avoiding doing harm, preventing harm or removing from harm.
Nonmaleficence
What are three ways to avoid being sued?
1. Follow standards of care and know agency and state regulations.

2. Document meticulously

3. Keep current with advances in practice.
What are 5 themes currently affecting healthcare?
increased longevity (people living longer)

technological advances

rising consumerism

legislation

access to healthcare
What are the three levels of healthcare?
Primary

Secondary

Tertiary
List 6 items that would be considered primary care.
*health promotion

*health education

*specific protection (immunization)

*early detection and tx

*environmental protection (seat belt use, gun laws

*preventitive care (screening programs)
List 3 examples of Secondary Care.
1. Emergency care

2. Acute Care

3. Elaborate dx and tx
What are 3 examples of tertiary care?
-Advanced specialized dx and tx (bone marrow unit)

-Rehabilitative care

-Long-Term care
Where does most secondary care take place?
hospital or acute care/emergency care setting
A patient that is at risk, would most likely be treated at what level of care?

primary
secondary
tertiary
primary....at risk

secondary...already dx

tertiary...already dx
What are the 5 stages of illness behavior?

Describe them in the proper order.
1. Symptom Experience

2. Assumption of Sick Role

3. Medical Care Contact

4. Dependent Client Role

5. Recovery/Rehab