Dimensions of Nursing Principles: Exam 3

1.What ethical principle refers to the clients’ right to make healthcare choices even if the health care provider does not agree with the decision?

AUTONOMY

2. When World War 1 was over, which nursing leader became a nursing educator, eventually serving as a dean at the Yale School of Nursing?

ANNIE GOODRICH

3. What is the most important element for the nurse navigator to include in the planning of care for a client?

THE CLIENT’S PERCEPTIONS AND BELIEFS ABOUT THE DISEAS PROCESS AND THE MODALITIES OF TREATMENT

4. What is the term that describes nurses’ opinions, results, or the decision they make?

CLINICAL JUDGMENT

5.The primary purpose of which legislative act was to allow client records to be transferred from one provider or institution to another provider or institution?

B.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

6. A nurse assessing a non- American client for cyanosis is struggling because she does not know the appropriate skin color for the client’s ethnic group. How should this nurse do… assessment?

EXAMINE THE CLIENT’S ORAL MUCOSA.

7. What process is used to track events leading to error. Identifies faulty systems and processes, and develop a plan to prevent further error?

ROOT CAUSE ANALYSIS

8. Which event in American history had significant impact on educational standards in nursing by shortening hospital-based nursing programs from 36 months to 30 months?

C.WORLD WAR II

9. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand to use some of the computer’s data?

INTEGRATION

10. What is one of the main steps in developing critical thinking?

GAIN INSIGHT AND SELF-AWARENESS.

11. What type of learner learns best by moving, experiencing, or experiencing?

B. KINESTHETIC

12. In nursing research, what is the critical link necessary to connect the researcher’s framework with the appropriate type of data collection?

RESEARCH DESIGN

13. Which elements are commonly a result of workplace incivility?

TOXIC WORK ENVIRONMENT, ANXIETY, PSYCHOLOGICAL PAIN

14. Why is disaster planning difficult for the elderly population?

THEY HAVE LIMITED MOBILITY AND CHRONIC DISEASE ISSUES.

15.What task may be delegated to a Licensed Practical Nurse (LPN) if each client is stable?

TURNING A CLIENT WITH A CEREBRAL VASCULAR ACCIDENT (CVA) EVERY 2 HOURS.

16. Why is it important for nurses in general practice to have an awareness of forensic knowledge?

NURSES ARE OFTEN IN POSITIONS TO REPORT CRIMES OR PRESERVE EVIDENCE

17. Who is universally regarded as the founder of modern nursing?

FLORENCE NIGHTINGALE

18. The nurse knows that recruiting and retaining minority nurses is a primary concern of the healthcare industry. Which group/s of minority nurses is the largest?

ASIAN, NATIVE HAWAIIAN

19. What is another name for a healthcare proxy?

MEDICAL DURABLE POWER OF ATTORNEY

20. The nursing profession tends to use which term when attempting to explain apparent relationships between observed behaviors and their effect’s health?

THEORY

21. What is the difference between a theory and a model?

A. A NURSING THEORY ATTEMPTS TO EXPLAIN APPARENT RELATIONSHIPS BETWEEN OBSERVED BEHAVIORS AND THEIR EFFECTS ON A CLIENT’S HEALTH, AND A MODEL IS A REPRESENTATION OF SOMETHING THAT EXISTS IN REALITY.

22. What specialized area of nursing below is considered a type of forensic nurse?

SEXUAL ASSAULT NURSE EXAMINER (SANE)

23.A nurse may be forced to decide between going to work and staying home with a sick child. The decision will be based on which of the following for the nurse?

VALUE

24.What is the federally funded national health insurance program in the United State for people older than 65 years?

MEDICARE

25.Joleen, a new graduate nurse is training with Mara, a senior nurse on the unit. Which of the following behaviors would support the idea that Mara is a persecutor? (select all that apply)

A. MARA CALLS JOLEEN ”JOJO”. DESPITE BEING ASKED NOT TO.

B. MARA HAS AN ANSWER TO EVERY QUESTIONS AND NEVER NEEDS TO LOOK ANYTHING UP.

D. MARA INSISTS THAT JOLEEN ASSESS CLIENTS EXACTLY THE SAME WAY SHE DOES.

F. MARA COMPLIMENTS JOLEEN ONE DAY AND CRITICIZES HER THE NEXT.

26. What three-phase project was created to improve the quality and safety of client care by focusing nursing education on student competency?

Quality and Safety Education for Nurses

27. The Situation, Background, Assessment, Recommendation (SBAR) tool helps prevent miscommunication among caregivers.

TRUE

28. What is the most obvious barrier to providing culturally competent care?

LANGUAGE

29. Why is civility in nursing important for making a positive impact on nursing care?

CIVILITY ENABLES NURSES TO MAKE CARING THE FOCAL POINT OF PRACTICE.

30.What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?

THEY HAVE AN INTERNAL CONFLICT IN COPING WITH THEIR OWN FEARS OF DEATH.

31.Which habit does not promote critical thinking?

BEGIN WITHOUT AN END IN MIND

32.A nurse has forgotten to renew his or her nursing license by the expiration date and report for duty, and works the shift. What is the nurse violating?

CRIMINAL LAW

33. What is the primary goal of the nurse navigator?

ELIMINATION OF THE BARRIERS TO CARE TO MAKE MOVING THROUGH THE TREATMENT MAZE EASIER.

34. The nurse recognizes cultural awareness as an important aspect to caring for clients. When do nurses develop cultural awareness?

WHEN VALUING ALL ASPECTS OF A CLIENT’S CULTURE.

35. When does the encoding process of communication take place?

THE RECEIVER THINKS ABOUT THE INFORMATION, UNDERSTANDS IT, AND FORMS AN IDEA BASED ON THE MESSAGE.***

36. What is considered the preferred strategy for dealing with and resolving conflict?

CONFRONT THE CONFLICT.

37. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engage in which type of practice?

EVIDENCE-BASED PRACTICE

38. The Institute of Medicine (IOM) published report in 2000, To Err Is Human: Building a Safer Health System, stated what was the cause of the estimated that 98,000 people die per year?

ADVERSE EVENTS AND MEDICAL ERRORS IN HOSPITALS

39. Which communication style involve interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the right of others?

ASSERTIVE

40. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling second- language care?

SIMULTANEOUS INTERPRETING

41. What is the process used to think about issues when deciding how to prevent client problems? CRITICAL THINKING

42. What is the most effective method that nurses can use to impact change to the profession and nursing practice?

JOIN PROFESSIONAL ORGANISATIONS IN LARGE NUMBERS.

43. Which client is the most appropriate for the Registered Nurse (RN) to assign to the unlicensed assistive personnel (UAP)?

A CLIENT WITH DIFFICULTY WALKING AND REQUIRES ASSISTANCE TO THE BATHROOM ADDING POTASSIUM TO AN INTRAVENOUS (IV) BAG OF D6W THAT WAS ALREADY HANGING.

44. What is the most accurate description of case management?

CASE MANAGEMENT INCLUDES OVERSEEING THE CLIENT’S CARE WHILE THEY ARE IN THE HOSPITAL AND FOLLOWING CLIENTS THROUGH VARIOUS PHASES OF CARE AFTER DISCHARGE

45. What is the term used when analyzing a client’s issues and problems, which includes reasoning outside and inside the clinical setting?

C. CLINICAL THINKING

46. What is the federally funded program known for financing a large portion of maternal and childcare for the poor?

MEDICAID

47. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in…

D. INTEGRATION

48. A nurse who is off duty discussing a client's medical information with her neighbor is an example of what type of ethical principle?

BREACH OF CONFIDENTIALITY

49. What does an ethical code provide for nurses?

FRAMEWORK FOR DECISION-MAKING

50. Novice critical thinkers demonstrate which of the following skills?

RELY HEAVILY ON RESOURCES AND NEED CLEAR-CUT RULES.

51. What organization provides nursing with a code of ethics?

AMERICAN NURSES ASSOCIATION

52. A Registered Nurse (RN) on duty is working past a client’s room and notices the client on the floor after what appears to have been a fall. Immediately the nurse thinks, “How can I help?” “What focused assessment should I provide to determine if the client is hurt?” “I need to call for assistance right away.” What type of thinking is the nurse displaying?

THINKING-IN-ACTION

53. Which situation is the nurse allowed to breach a client’s right of confidentiality?

A 32-YEAR-OLD COMES TO THE EMERGENCY ROOM FOR WOUNDS SUSTAINED BY A KNIFE.

54. A family comes into a health care provider's office and requests genetic testing due to a family member being diagnosed with BRAC II. The physician places a verbal order while other clients enter the office so the clients have the ability to over hear the conversation. What should the nurse be concerned that the physician potentially violating?

BREACH OF CONFIDENTIALITY

55. What is an example of covert lateral violence?

MAKING FACES BEHIND THEIR BACK

56. What is the first step in the delegation process?

DETERMINING THE SKILL LEVEL OF THE PERSON TO WHOM THE TASK IS TO BE DELEGATED.

57. What attribute is best described as a “sense of knowing without conscious use of reason?”

INTUITION

58. What are the goals for Healthy People 2020 to promote across the lifespan? (Select all that apply.)

A. QUALITY OF LIFE

B. HEALTHY DEVELOPMENT

C. HEALTHY BEHAVIORS

59. What is the SBAR’S primary focus in healthcare?

OUTLINE COMMUNICATION OF CRITICAL INFORMATION.

60. What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?

FOCUS NURSING EDUCATION ON COMPETENCIES TO REDUCE THE NUMBER OF MEDICAL ERRORS.

61. In health care, what is are the attempts to guarantee when an action is performed by a healthcare professional is performed correctly the first time and every time thereafter is called?

QUALITY ASSURANCE

62. Which grouping represents the six quality and safety education for nurses (QSEN)

CLIENT-CENTERED CARE TEAMWORK AND COLLABORATION INFORMATION EVIDENCE BASED PRACTICE QUALITY IMPROVEMENT SAFETY.

63. When does the organ donation professional become involved in the care of the client?

AFTER DEATH HAS BEEN DECLARED BY A PHYSICIAN

64. Which principle is based upon Nightingale’s spirituality?

A SENSE OF A DIVINE INTELLIGENCE WHO CREATES AND SUSTAINS THE COSMOS AS WELL AS AN AWARENESS OF HER OWN INNER CONNECTION WITH THIS HIGHER REALITY.

65. Which individual can the charge nurse delegate the task of completing the admission assessment for a newly admitted client?

REGISTERED NURSE (RN)

66. Where would a nurse look to find their scope of practice as defined by state law?

NURSE PRACTICE ACT

67. What is an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury, including loss of limbs or function?

SENTINEL EVENT

68. What are five phases of the nursing process?

ASSESSMENT, DIAGNOSE, PLAN, IMPLEMENT, EVALUATE

69. A Registered Nurse (RN) just finished assisting a client to the restroom. Before leaving the patient’s room. The above displays knowledge and skills of which Quality and Safety Education for Nurses (QSEN) competency?

SAFETY

70. What does SBAR stand for?

SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION

71. What is one of the roles of a parish nurse?

SERVE AS HEALTH EDUCATORS AND COUNSELORS IN THE CHURCHES

72. A physician writes a DNR order for a competent client. Which individual may give permission for this order?

THE CLIENT

73. What are the four concepts that are common in most nursing theories?

CLIENT, HEALTH, ENVIRONMENT, NURSING

74. How does the Institute of Medicine (IOM) define quality?

THE DEGREE TO WHICH HEALTH SERVICES FOR INDIVIDUALS AND POPULATIONS INCREASE THE LIKELIHOOD OF DESIRED HEALTH OUTCOMES AND ARE CONSISTENT WITH CURRENT PROFESSIONAL KNOWLEDGE.

75. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

END-STAGE RENAL DISEASE

Module 01 Content

1.

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Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.

In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:

· Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.

· More women than men receive prescription medications.

· Antidepressant prescriptions are more common among women than men and are most common among women ages 50 to 64.

When people take multiple medications, there is a greater risk of confusion about which medications are taken when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.

Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.

In this written assignment, you will be interviewing a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.

The three parts of this assignment are:

Interview with a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “My assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) are comfortable and you are comfortably seated facing the client. If possible, interview in a quiet place. Ask questions slowly giving the client time to answer. Pay attention to the client's hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

1. What medications are you taking?

1. Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

For the following questions, paraphrase the client's answers for your written paper.

1. How long have you taken each of these medications?

1. Do you know why you are taking these medications?

1. Who told you about the medications and why do you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?

1. How do you feel about taking these medications?

1. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it?

1. How and when do you take your medications?

1. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties?

1. Have you ever felt any uncomfortable feelings and body reactions to taking these medications? If so, what were they and how were they handled?

1. If you had the above reaction, did they take you off the medication and replace it with another medication? Were you told why this happened?

1. Do you have any reason not to take the medications?

1. Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the interview results. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

1. List one goal for this teaching plan

1. Describe two to three teaching resources that might be used

1. Identify two teaching strategies that can be used based on the client interviewed

1. List specific client instructions regarding the medications what adverse reactions they should be aware of/and what to do

1. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome

1. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime

Bottom of Form

Collegiality how to

DIAGNOSIS: TENSION HEADACHE

32 YEAR-OLD FEMALE

AFRICAN AMERICAN

2 KIDS DELIVERED VIA C-SECTION

MEDICAL HISTORY: GASTRITIS, ANEMIA

VACCINES: HPV, COVID, 

PLEASE USE THE TEMPLATE AS A REFERENCE GUIDE TO ANSWERING EACH SECTION. PLEASE DELETE ALL REFERENCE INFORMATION ON THE TEMPLATE. 

For this assignment, you will write an introduction for postoperative pain control assignment as previously assigned. 

***PLEASE SEE ATTACHED FOR INSTRUCTIONS***