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78 Cards in this Set
- Front
- Back
What is the role of the leader?
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motivating and influencing others to strive for a vision, goal or to change behavior.
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What type of leader makes all of the decisions?
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autocratic
(democratic - involves group) |
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What is the role of the manager?
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to oversee the implementation of a task the leader has given
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What does autonomy mean?
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the freedom to decide and act.
-RN can make an independent decision about the care of a patient |
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What person on the nursing team usually is the visionary?
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Upper level management...nurse executive. They have both clinical and business roles
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Which people on the nursing team are involved in day to day care of the client?
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first level management (unit leader) and staff nurse
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Describe Functional Nursing.
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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 |
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Why is functional nursing not as popular today?
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Because it leaves out the holistic side of nursing, it only focuses on the task thus becoming very mechanical
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How is Team Nursing organized?
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geographically, so can't really happen these days
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Describe team nursing
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-staff assigned to a group of clients
-RN leads a team of RN, CNA, LPN, SN -organized by geographical location |
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What is modular nursing or care partners?
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a form of team nursing where RN cares for client assisted by CNA
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Which nursing care delivery model was designed by Florence Nightingale?
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Total Patient Care
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Describe total patient care.
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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) |
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Describe primary nursing as a nursing care delivery model.
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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 |
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Describe the type of nursing care delivery model that we use today.
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case managers coordinate care
they facilitate referrals sometimes they are from HMO's and PPO's they do not provide direct care. duh |
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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 |
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Tasks are delegated, not ___________.
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clients
assistive personnel should be at the nurse's side, not the bedside |
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What are the five rights to delegation?
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Right TASK
Right CIRCUMSTANCES Right PERSON Right DIRECTION Right SUPERVISION TCPDS (the cute puppy died suddenly) |
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Which type of priority is a problem that the patient complains about?
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second priority need
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What level of priority is a problem that is only "potentially a problem, if not addressed soon".
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third priority need
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Define what a first level priority need is.
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An immediate threat to a client's survival or safety
obstructed airway, anxiety attack, loss of consciousness |
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What level of priority is complaining of nausea?
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second priority
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What level of priority is comforting measures?
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second priority
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What level of priority is teaching client about side effects of drugs he is receiving while in the hospital?
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third priority
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What level of priority is teaching about self care in the home?
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fourth priority
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What is the focus of fourth priority needs?
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Actual or potential problems the client may have in the future
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List the professional responsibilities and roles of a nurse in client care:
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caregiver
advocate educator communicator manager this is the same acacecm cheer one...but i am missing something |
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Give examples of how a nurse can advocate for a client.
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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 |
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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?
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decision making
priority setting organizing/managing time delegating communicating using resources |
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What is the end result of all managing as a nurse?
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to care for the client in the best possible way
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What tasks can an NA 1 do in regard to body mechanics?
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turn and position
transfer - chair and stretcher use of lifts assist with ambulation |
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What tasks can an NA 2 do in regard to body mechanics?
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same as NA 1
turn and position transfer to chair or stretcher use of lifts assist with ambulation |
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Which NA can do an enema?
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both
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Which NA can do a catheter?
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NA2
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Which NA can do TCDB?
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na1, na2
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What type of cardiac things can an NA 1 do?
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remove EKG
vitals CPR |
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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 |
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What must a RN do for the NA 2 in regard to nutrition activities?
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they have to verify placement of a NG tube
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Main difference between NA 1 and NA2 in regard to IV fluid.
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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 |
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Who can suction?
What can they suction? |
NA2
oropharyngeal nasopharyngeal **na1 can maintain gastric suction |
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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 |
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Who can unimpact a patient?
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NA2 (totally something to delegate the crap out of....excuse the pun)
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When you see irrigation, who can be the delegee?
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NA2
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When you see the word "care", who usually can do it?
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NA1
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In order to delegate any task, you have to be able to say YES to these four questions:
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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. |
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Monitor IV flow-rate
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NA2
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Plans care based on complexity of client's care needs and qualification sof personnel
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RN
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Limited participation in nursing assessment if qualified
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LPN
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Removal of oral or NG feeding tubes, clamping tubes
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NA2
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Vital signs, CPR/Heimlich
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NA1
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Discontinuing peripheral IV infusions
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NA2
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Reviews or modifies plan of care
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RN
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Catherizations
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NA2
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Collect/test specimens
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NA1
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Enema
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NA1
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Insert rectal tubes/flatus bag
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NA1
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Ostomy care, irrigation of urinary catheter tubing
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NA2
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Who is the first trained nurse?
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Linda Richards
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Who made the associates degree program for nursing?
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Mildred Montag
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What are the four central concepts that all nursing theories include?
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person
environment health nursing |
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Gordon's Functional Health Patterns is based on what theory?
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Holism
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What is the name of the legislation that states use to define nursing?
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Nursing Practice Act
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What is the name of the NC agency that oversees the Nursing Practice Act?
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NC Board of Nursing
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Nursing board does not do this.
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Accredit schools
They do: investigate complains of nursings maintain registry of nurse aids/RNs Issue interpretations of Nursing Practice Act |
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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 |
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Which one is written:
slader or libel? |
Libel is written
Slander is verbal |
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List 6 intentional torts:
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assault
battery defamation of character (libel/slander) fraud invasion of privacy false imprisonment |
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List 2 unintentional torts:
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negligence
malpractice |
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Term used to describe avoiding doing harm, preventing harm or removing from harm.
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Nonmaleficence
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What are three ways to avoid being sued?
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1. Follow standards of care and know agency and state regulations.
2. Document meticulously 3. Keep current with advances in practice. |
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What are 5 themes currently affecting healthcare?
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increased longevity (people living longer)
technological advances rising consumerism legislation access to healthcare |
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What are the three levels of healthcare?
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Primary
Secondary Tertiary |
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List 6 items that would be considered primary care.
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*health promotion
*health education *specific protection (immunization) *early detection and tx *environmental protection (seat belt use, gun laws *preventitive care (screening programs) |
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List 3 examples of Secondary Care.
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1. Emergency care
2. Acute Care 3. Elaborate dx and tx |
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What are 3 examples of tertiary care?
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-Advanced specialized dx and tx (bone marrow unit)
-Rehabilitative care -Long-Term care |
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Where does most secondary care take place?
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hospital or acute care/emergency care setting
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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 |
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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 |