Exam 1 - Role of RN

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  1. A person's unique function in relation to others' functions

    A socially expected behavior pattern, determined by status in society
  2. Growth that occurs when you learn the functions, expectations and behaviors
    Role Development
  3. Type of role in which there is no choice - genetic or social
  4. Type of role you take on over a lifetime - some by choice, some are not
  5. Name the steps of Role Transition
    • Unfreezing (Ending one role - LVN)
    • Moving (Neutral - sense of loss, unsure..)
    • Refreezing (Beginning - taking on RN role)
  6. What is the role of the RN?
    • Provider and Manager of Care
    • Member of the discipline
  7. As a provider and manager of care what are the responsibilities?
    • communicator
    • teacher
    • advocate
  8. As a member of the discipline, what are the responsibilities?
    • professional
    • researcher
  9. Name the standards of effective communication (TeamStepps):
    • Complete - relevant info
    • Clear - plainly understood
    • Brief - concise manner
    • Timely - appropriate timeframe
  10. What does SBAR stand for?
    • Situation
    • Background
    • Assessment
    • Recommendation
  11. What is the 2 challenge rule?
    assertively voice your concern at least two times if you are uncomfortable with an order. If ignored, take a stronger course of action
  12. What does CUS stand for?
    • I am Concerned
    • I am Uncomfortable
    • This is a Safety issue!
  13. What does DESC stand for?
    • Describe the situation
    • Express your concerns about the action
    • Suggest other alternatives
    • Consequences should be stated
  14. What does ADPIE stand for?
    • Assessment
    • Diagnosis
    • Planning
    • Implementation
    • Evaluation / Outcome is also in the standards of care
  15. What is the difference between critical thinking and clinical reasoning?
    • Critical thinking: defines pt's problem, examine EBP in caring and making choices for pt.
    • Clinical reasoning: uses strategies to gather and analyze pt information, evaluate and decide on nursing actions to improve pt's outcomes
  16. Clinical reasoning uses what questions?
    • Why?
    • What else?
    • What if?
    • Why did you do what you did?
  17. What is the main priority (Urgent)?
    • Airway
    • Breathing
    • Circulation
    • V/S
  18. What is the 2nd priority (Serious)?
    • changes in mental status
    • untreated medical issues
    • acute pain
    • acute elimination problems
    • ABN test results
  19. What is the 3rd priority (Minor)?
    • long term care issues
    • health ed
    • rest
    • coping
    • spirituality
    • comorbid conditions
  20. What are the 5 rights of delegation?
    • Right task
    • Right circumstance
    • Right person
    • Right direction/communication
    • Right supervision/evaluation
  21. What can RN's NOT delegate?
    • Assessment
    • teaching
    • anything needed nursing judgement
  22. What are the ONLY activities that UAP's can perform?
    • trach care on established stoma
    • obtain blood from blood bank
    • non-medicated enema
    • mattress overlays/specialty beds
    • obtain V/S
    • personal hygiene
    • non-med dressing chg with skin intact
    • collect specimen (urine, stool, expectorant sputum)
  23. What are the only activities that LVN's CANNOT perform?
    • Meds into IV, peripheral cath, central venous, Maintain/monitor epidural infusions 
    • Meds into artificial airways
    • Administer chemo, CAPD, peritoneal dialysis
    • Plan of Care, evaluation
    • Assessments (initial / transfer of care)
    • Report for transfer of care
    • Report changes to MD
Card Set:
Exam 1 - Role of RN
2017-07-09 20:02:39
Nursing 280
Nurs208 - Exam 1
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