NURSING 210 FINAL EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
bioethical committees - Answer-serve as advisory capacity to assist hospital and
medical staff in policy development
bioethical problems - Answer-caring for HIV patients, abortion, organ transplantation,
gene therapy, end-of-life issues, truth-telling
value systems - Answer-an enduring set of principles and rules organized into a
hierarchy
what value is the most important to you?
advantages of thinking about values - Answer-allows us to be mindful, focus on and
defend what we truly care about
gives us purpose and drive for the future
opportunity for dialogue, understanding, and finding common ground; define
relationships
incorporating values in nursing - Answer-appreciate member's contributions
think about what you set to accomplish
consider my communication-how am I being perceived?
reflect in order to grow and mature
seek feedback from others
KSAs - Answer-K: building knowledge
S: developing skills to put knowledge to work
A: cultivate attitudes that value safety, patient-centeredness, teamwork and quality
improvement
expected behaviors of profession - Answer-accept fair share of work
respect privacy of others
be cooperative despite working conditions and feelings of dislike
address co-workers by name and eye contact
being willing to help
,asking for help and advise
not talking negatively about superior or other co-workers
communication issues - Answer-hierarchical relationships
oppressive communication patterns
concealment due to isolation
difficult behavior
failure to follow protocol
organizational failure to enforce code of conduct
teamwork and collaboration - Answer-foster communication, shared mental methods,
situation awareness (active scanning), mutual support, team structure and
leadership, patient advocacy, established safety strategies in place
CUS - Answer-I am concerned, I am uncomfortable, this is a safety hazard
SBAR - Answer-situation, background, assessment, recommendation
technique used to facilitate prompt and appropriate communicatoin
two-challenge rule - Answer-empowers all team members to "stop the line" if they
sense or discover an essential safety breach
critical language - Answer-"I need some clarity"
pre-briefing - Answer-informs team members of plan
cross-monitoring - Answer-members monitor each other and give immediate
feedback
debriefing - Answer-feedback, both positive or negative, should reflect events and
open the door to discuss evidence-based practice
de-escalation - Answer-maintaining civility in the face of incivility
importance of informed consent - Answer-part of legal preparation
protects patient, physician, hospital and staff
informed consent requirements - Answer-1. description of procedure and alternative
therapies
2. underlying disease process and natural course
, 3. name and qualifications of physician
4. explanation of risks and how often they occur
5. explanation that patient has right to refuse treatment or withdraw consent
legal requirements for informed consent - Answer-patient must be 18+ or older, or
emancipated
parents sign for dependent child
patient must be deemed competent to sign for him or herself
patient must be alert and oriented
not necessary if threat to life or if legally authorized person is absent
advance directives - Answer-legal document (18+) that provides instructions for
future treatment and appoints a healthcare representative
does not guide emergency medical personnel; guides inpatient treatment decisions
patient self-determination act of 1990 - Answer-all adults must be provided written
information on individual rights under state law to make decisions
polst (physician orders for life-sustaining treatment) - Answer-legal document that is
the result of conversation between ill patient and healthcare representative, providing
order for end-of-life care
guides action of emergency medical personnel and inpatient treatment decisions
patient bill of rights - Answer-1. considerate care
2. informed care (obtain information)
3. right to refuse
4. right to advance directive/surrogate
5. privacy
6. confidentiality
7. review of medical records
8. reasonable response of hospital
9. business relationships of hospital
QUESTIONS WITH COMPLETE
SOLUTIONS
bioethical committees - Answer-serve as advisory capacity to assist hospital and
medical staff in policy development
bioethical problems - Answer-caring for HIV patients, abortion, organ transplantation,
gene therapy, end-of-life issues, truth-telling
value systems - Answer-an enduring set of principles and rules organized into a
hierarchy
what value is the most important to you?
advantages of thinking about values - Answer-allows us to be mindful, focus on and
defend what we truly care about
gives us purpose and drive for the future
opportunity for dialogue, understanding, and finding common ground; define
relationships
incorporating values in nursing - Answer-appreciate member's contributions
think about what you set to accomplish
consider my communication-how am I being perceived?
reflect in order to grow and mature
seek feedback from others
KSAs - Answer-K: building knowledge
S: developing skills to put knowledge to work
A: cultivate attitudes that value safety, patient-centeredness, teamwork and quality
improvement
expected behaviors of profession - Answer-accept fair share of work
respect privacy of others
be cooperative despite working conditions and feelings of dislike
address co-workers by name and eye contact
being willing to help
,asking for help and advise
not talking negatively about superior or other co-workers
communication issues - Answer-hierarchical relationships
oppressive communication patterns
concealment due to isolation
difficult behavior
failure to follow protocol
organizational failure to enforce code of conduct
teamwork and collaboration - Answer-foster communication, shared mental methods,
situation awareness (active scanning), mutual support, team structure and
leadership, patient advocacy, established safety strategies in place
CUS - Answer-I am concerned, I am uncomfortable, this is a safety hazard
SBAR - Answer-situation, background, assessment, recommendation
technique used to facilitate prompt and appropriate communicatoin
two-challenge rule - Answer-empowers all team members to "stop the line" if they
sense or discover an essential safety breach
critical language - Answer-"I need some clarity"
pre-briefing - Answer-informs team members of plan
cross-monitoring - Answer-members monitor each other and give immediate
feedback
debriefing - Answer-feedback, both positive or negative, should reflect events and
open the door to discuss evidence-based practice
de-escalation - Answer-maintaining civility in the face of incivility
importance of informed consent - Answer-part of legal preparation
protects patient, physician, hospital and staff
informed consent requirements - Answer-1. description of procedure and alternative
therapies
2. underlying disease process and natural course
, 3. name and qualifications of physician
4. explanation of risks and how often they occur
5. explanation that patient has right to refuse treatment or withdraw consent
legal requirements for informed consent - Answer-patient must be 18+ or older, or
emancipated
parents sign for dependent child
patient must be deemed competent to sign for him or herself
patient must be alert and oriented
not necessary if threat to life or if legally authorized person is absent
advance directives - Answer-legal document (18+) that provides instructions for
future treatment and appoints a healthcare representative
does not guide emergency medical personnel; guides inpatient treatment decisions
patient self-determination act of 1990 - Answer-all adults must be provided written
information on individual rights under state law to make decisions
polst (physician orders for life-sustaining treatment) - Answer-legal document that is
the result of conversation between ill patient and healthcare representative, providing
order for end-of-life care
guides action of emergency medical personnel and inpatient treatment decisions
patient bill of rights - Answer-1. considerate care
2. informed care (obtain information)
3. right to refuse
4. right to advance directive/surrogate
5. privacy
6. confidentiality
7. review of medical records
8. reasonable response of hospital
9. business relationships of hospital
