NR 410 Exam 2
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. What would you like to do?
What are Five Stages (Dr. Elizabeth Kübler-Ross)?
What are the types of greif?
What are Physiological Stages of Dying?
- -1 to 3 months prior to death
- -1 to 2 weeks prior to death
- -Days to hours prior to death
- -Moments prior to death
What does palliative care focus on?
- –Focuses on improving the patient’s quality of life
- –Focus on comfort
- –While continuing all other care
What is the focus of hospice care?
- –Termination of all “curative” treatments
- -Focus on comfort measures
What are advanced directives?
Are legal documents that allow you to convey your decisions about end-of-life care ahead of time.
What can you do to facilitate greif?
- -Perfect your listening skills
- -Encourage and accept expression of feelings
- -Reassure it is not wrong to feel anger, relief, or other “unacceptable” feelings
- -Respond to nonverbal cues with touch, eye contact
- -Increase your self-awareness
- -Continue to communicate, even in case of coma
What is the nurses role for post mortem care?
- -Validate death
- - Identify Potential Donors
- - Care of the Body S/P death
- - Autopsy
- - Nurse responsible for coordination of all aspects of care surrounding the death of a
- - Know and Follow policies and procedures of individual health care facility
- - Provide dignity and sensitivity that is culturally appropriate to the client and family
What are examples of negligence?
- •Unintended act (Commission)
- • Or failure to act (Omission) that leads to injury
- •Omission or commission of an act that the
- average prudent nurse would or would not do
What is the reasonable man standard?
-each person has a duty to act like others would in that situation
What is malpractice and what 4 elements must be met?
•Negligence by a person who is a member of the profession
- 4 Elements:
- •Breach of Duty
What does HIPPA stand for?
- Health Insurance Portability and Accountability Act
What actions fall under mandatory reporting?
- •Communicable disease
What are intentional torts?
- False imprisonment
- Assault and battery
- Invasion of privacy
What are the roles in obtaining informed consent?
- •The physician obtains the consent
- •Gives the client the information
- •States the risks and advantages
- •The nurse may be involved in the process by gaining signatures on the appropriate forms
When can you override informed consent?
- •Can’t consent and delay would cause harm
- •Law presumes consent
- •Therapeutic Privilege
- •Pt. Who cannot cope with full disclosure– full disclosure would hinder Rx inflict damage
What are common causes of negligence?
- •Client falls
- •Equipment injuries
- •Failure to monitor
- •Failure to communicate
- •Medication errors
- •Medical errors
What are the nursing standards?
- •Skills and learning commonly possessed by the profession
- •Established as guidelines for the profession to ensure quality of care
- •Also used as criteria to determine whether appropriate care has been delivered
- •Help determine liability for negligent acts
- •Job descriptions define duties at a specific agency & must be within the scope of practice of the NP Act
- •Policy statements describe specific policies about specific duties and procedures as they relate to specific agency
What are the two large violations leading to malpractice?
- •Altering or falsifying a record
- •Violation of an internal or external standard of practice
What do nursing diagnosis?
-provides the basis for all your nursing interventions to achieve outcomes for which you as the nurse are accountable.
What does ADOPIE stand for?
- -Outcome Identification
When is related to used?
- is the connecting phrase that connects the problem to
- the etiology
When is the phrase as evidenced by used?
adds the signs and symptoms that led you to that diagnosis (only used in actual not risk for)
What separates a nursing diagnosis from a medical diagnosis?
Nursing- focus on the patients response to disease
Medical- focus on treatment of disease
Why on the NCLEX do individuals not take the exact same exam?
- Because it adapts to level of candidate’s
- knowledge, skills, and ability
What standards are a nursing student held to?
The same as a professional nurse.
What are Gordon’s Functional Health Pattern Classifications?
- -Health Perception, health management
- - Self Perception
- -Role Relationship
- - Sexuality
What are the important factors to include in your outcome/goal statement?
Timed, measurable, specific, and realistic
What are Maslov's hierarchy of needs?
How do you explain a procedure to the patient?
- -Keep simple language
- -Explain what you will do and the potential outcomes
- -Do not use medical terminology
- -Example: “I will insert this tube through your nose into your upper lung to remove the
- fluid from your lung.”
Why document timely?
To minimize omission and distortion of facts, the nurse should record information as soon as it’s gathered.
What do you need to make sure you do when taking telephone orders?
Read them back
What does SOAP stand for?
What are the basic principles of charting?
- Easily retrieved
What does SBAR stand for?
What would you like to do?
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