PNC Exam Questions And Answers With Verified Study Tests

Nursing Roles (4) from DEC - ANS-Member of the profession provider of patient centered care patient safety advocacy member of the health care team Competencies definition - ANS-An expected level of performance that integrates knowledge skills performance that integrates knowledge, skills, abilities; and judgements Competencies were designed to - ANS-Demonstrate progression of expectations across educational levels. DEC framework - ANS-Nursing Roles (4) Competencies (25) Knowledge Critical Judgement and Behaviors Building competency's three principals - ANS-1. Improve what we measure. 2. Need flexibility to adapt to complex environments with constrained resources. 3. Public needs assurance Competency 1 - member of the profession means to: - ANS-Function within the nurse's legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice. Assume responsibility and accountability for the quality of nursing care provided. Participate in activities that promote development. Demonstrate responsibility for continued competence in nursing practice through reflection, self-analysis, self care, and lifelong learning. Competency 2 - provider of patient centered care means you: - ANS-Use Clinical reasoning and evidence based decision making. Use of assessment data including physical and mental health status, needs, preference of culture, ethnicity, and socially diverse patients Provision of safe, compassionate, comprehensive nursing care Evaluate plan of care Use teaching plan Coordination of care Patient centered care involves: - ANS-The use of clinical reasoning Collecting and determining assessment data, Analyzing assessment data to identify problems, formulate goals, and develop plans of care for patients and their families using information from evidence based practice in collaboration with patients, family's and interdisciplinary health care team. Implementing the plan of care for patients and their families within legal, ethical, and regulatory parameters is providing what? - ANS-Patient centered care Competency 3 - patient safety advocate involves: - ANS-The nurse demonstrates knowledge of the Texas Nursing Practice Act (NPA) and the Texas board of Nursing Rules, that emphasize safety, as well as all federal, state, and local government safety requirements. Formulate goals and outcomes using evidence based data to reduce patient risks Implementing measures to promote quality and a safe environment for patients, self, and others is a competency of being what? - ANS-Patient safety advocate Patient safety advocates should do what? - ANS-Obtain instructions, supervision, or training as needed when implementing nursing practices. Comply with mandatory reporting requirements of the Texas Nursing Practice Act (NPA) Accept and make assignments and delegate tasks that take into consideration patient safety and policy Competency 4 - member of the health care team should include what? - ANS-Coordination, collaboration and communication with patients, families, and interdisciplinary health care teams to plan, reliever and evaluate patient centered care. Refer patients and families to resources that facilitate health promotion, maintenance, restoration and ensure confidentiality. Members of the health care team will: - ANS-Communicate and collaborate in a timely manner with members of the interdisciplinary team to promote and maintain optimal health for patient and families. Communicate and manage information using technology to support decision making to improve patient care. Supervise care provided by others for whom the nurse is responsible for using evidence based practice. DEC stands for - ANS-Differentiated Essential Competencies Patient safety requires effective - ANS-Communication Communication skills include - ANS-Critical thinking Perseverance and creativity Self-confidence Humility Integrity Levels of Communication - ANS-- intrapersonal - interpersonal - small-group - public -electronic Intrapersonal Communication - ANS-occurs within an individual Interpersonal communication - ANS-One on one interaction between two people Transpersonal Communication - ANS-interaction with a person's spiritual domain small group communication - ANS-interactions with a small number of people public communication - ANS-interaction with an audience interpersonal variables - ANS-Factors within both the sender and receiver that influence communication. Perception provides a uniquely personal view of reality formed by an individual's background and experiences. Each person interprets differently Referent - ANS-motivates one person to communicate with another Sender and receiver - ANS-One who encodes and one who decodes the message Messge - ANS-Content of the message Channels - ANS-means of conveying and receiving messages Feedback - ANS-Message the receiver returns Environment - ANS-the setting for sender-receiver interaction Orientation phase - ANS-when the nurse and the patient meet and get to know each other Working phase - ANS-when the nurse and the patient work together to solve problems and accomplish goals Termination phase - ANS-occurs at the end of a relationship preinteraction phase - ANS-occurs before meeting the patient motivational interviewing - ANS-a technique that holds promise for encouraging patients to share their thoughts, beliefs, fears, and concerns with the aim of changing their behavior The interviewing is delivered in a nonjudgmental, guided communication approach Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the: - ANS-orientation stage Elements of Professional Communication - ANS-courtesy, use of names, trustworthiness, autonomy and responsibility, assertiveness, appearance, and behavior Therapeutic Communication Techniques - ANS-Sharing observations Sharing empathy Sharing hope Sharing humor Sharing feelings Using touch Using silence Nontherapeutic Communication Techniques - ANS-Asking personal questions Giving personal opinions or advice Changing the subject Automatic responses False reassurance Sympathy - sorrow or pity felt for another person Asking why questions Approval or disapproval double blind messages - ANS-Sent to create meaning; can be defensively used to hide what is actually going on; intent is to create confusion. Mutually contradictory- usually given by person in power or attempting to establish power Clarifying techniques in communication - ANS-Paraphrasing Restating Reflecting Exploring Open-ended questions Close-ended questions Protective questions The "miracle" question Miracle Question - ANS-A goal setting question that helps patients see what the future would look like if a particu