NURSING 204 FINAL EXAM Q AND A

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NURSING 204 FINAL EXAM Q AND A

ANAnjScopenjandnjStandardsnjofnjPractice
Standardnj9:njCommunicationnj-njanswer--"ThenjRNnjcommunicatesnjeffectivelynjinnjallnjareasnjofnjpractice."
Somenjcompetenciesnjinclude:
-
Maintainsnjcommunicationnjwithnjinterprofessionalnjteamnjandnjothersnjtonjfacilitatenjsafenjtransitionsnjandnjc
ntinuitynjofnjcarenjdelivery.nj
-
Contributesnjthenjnursingnjperspectivenjinnjinteractionsnjwithnjothersnjandnjdiscussionsnjwithnjinterprofessio
njteam.nj
-
Exposesnjcarenjprocessesnjandnjdecisionsnjwhennjtheynjdonjnotnjappearnjtonjbenjinnjthenjbestnjinterestnjofnjthe
ealthcarenjconsumer.
-
Disclosesnjconcernsnjrelatednjtonjpotentialnjornjactualnjhazardsnjandnjerrorsnjinnjcarenjornjthenjpracticenjenviro
mentnjtonjthenjappropriatenjlevel.

ANAnjScopenjandnjStandardsnjofnjPractice
Standardnj10:njCollaborationnj-
njanswer--"ThenjRNnjcollaboratesnjwithnjthenjhealthcarenjconsumernjandnjothernjkeynjstakeholdersnjinnjthenjc
nductnjofnjnursingnjpractice."
Somenjcompetenciesnjinclude:
-Identifiesnjthenjareasnjofnjexpertisenjandnjcontributionnjofnjothernjprofessionalsnjandnjkeynjstakeholders.
-Clearlynjarticulatesnjthenjnurse'snjrolenjandnjresponsibilitiesnjwithinnjthenjteam.nj
-
Usesnjthenjuniquenjandnjcomplementarynjabilitiesnjofnjallnjmembersnjofnjthenjteamnjtonjoptimizenjattainmentnj
desirednjoutcomes.nj
-Usesnjeffectivenjgroupnjdynamicsnjandnjstrategiesnjtonjenhancenjteamnjperformance.

NursenjRolesnj-njanswer--ProfessionalnjNurses
•LargestnjgroupnjofnjHCPs
•Spendnjmorenjtimenjwithnjclients/families
•Rolesnjsteadilynjevolving

ExpandednjProfessionalnjRoles
•AdvancednjPracticenjNurse
•Leadershipnjroles

FournjCorenjCategoriesnjofnjAdvancednjPracticenjNursesnj(APRN)nj-njanswer--1.njNursenjPractitionernj(NP)
2.njCertifiednjNurse-Midwifenj(CNM)
3.njClinicalnjNursenjSpecialistnj(CNS)
4.njCertifiednjRegisterednjNursenjAnesthetistnj(CRNA)

ExpandednjProfessionalnjRolesnj-njanswer--•APRNsnjalsonjfunctionnjas:nj
nj-researchers
nj-educators
nj-administrators

,•Scope njand
Chapter njPractice
gk12: njExpansions
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•PublicnjAdvocacynjRoles ath
•CaringnjLeadershipnjandnjTechnology

ProfessionalnjNursingnjRolenjCorenjCompetenciesnj-njanswer--•Patientnjcenterednjcare
•Communication
•Systemnjbasednjpractice
•Professionalism

-EBP
-Safetynj
-QualitynjImprovement
-Informaticsnj
-interdisciplinarynjteamworknjandnjcollaboration

ProfessionalnjRolenjClaritynj-njanswer--Issues:nj
•Expandednjscopenjofnjpracticenjandnjexpectationsnj
•Lacknjofnjconsistencynjsurroundingnjrolenjresponsibilitiesnjandnjscopenj-njAPRNs

Claritynjisnjnecessarynjto:
•Communicatenjournjvalue
•Supportnjclientnjsafetynjinitiatives
•Stimulatenjconfidencenjinnjothers

NewnjDifferentiatednjPracticenjRolesnj-njanswer--ClinicalnjNursenjLeadernj(CNL)
•Advancednjgeneralistnjnurse:njmastersnj+njcertification
•Clinicalnjleadershipnjskillsnj+njHCnjsystem

DoctornjofnjNursingnjPracticenj(DNP)
•Terminalnjpracticenjdegreenj
•Positionsnjnursingnjprofessionally

InterprofessionalnjRolenjRelationshipsnj-njanswer--
•Interprofessionalnjeducation,njrolenjawareness,njcommunicationnjandnjinterpersonalnjrelationshipnjskillsnjr
uired.nj
nj•IOMnj2011njReport:njThenjFuturenjofnjNursing:njLeadingnjChange,njAdvancingnjHealth
•Teamnjapproach

NewnjExpectationsnjfornjInterprofessionalnjRolenjRelationshipsnj-njanswer--
TonjachievenjgoalsnjofnjIOM,njnursesnjmust:
•Developnjnewnjpartnerships.
•Educatenjthemselvesnjfully.
•Servenjonnjadvisorynjandnjpolicynjcommittees.
•Crossnjdiscipline/collaborativenjcarenjmodels
•Educationnjcurriculumnjmeetnjnewnjcenturynjdemands.

CollaborativenjTeamworknjandnjCommunicationnj-njanswer--
•Differentnjdisciplinesnjhavenjdifferentnjskillnjsets,njpersonalities,njegos,nj&njidiosyncrasies.nj
•Neednjtonjcreatenjannjespritnjdenjcorpsnj
•Communicationnjchallenges

DevelopnjSupportnjSystemsnj-njanswer--•CollegialnjRelationships

, •Communication
ISM:gkFinitegkM njQualities Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
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•Collective njStrength
odels


OrganizationalnjClimatenjofnjMutualnjRespectnj-njanswer--InterdisciplinarynjCommunicationnj(Groups)
•CollaborativenjRounds
•TeamnjBriefings
•Committees

OrganizationalnjSystemnj-njanswer--ChainnjofnjCommand
•Ordernjofnjauthoritynj&njpowernj
•Instructionalnjflownjvsnjaccountabilitynjflowsnj
•Rulesnjaboutnjsocialnjprocesses

TeamnjTrainingnj-njanswer--TeamSTEPPS
•TeamnjStrategiesnjandnjToolsnjtonjEnhancenjPerformancenjandnjPatientnjSafety
•Anjteamnjtrainingnjprogramnjthatnjemphasizesnjimprovingnjclientnjoutcomesnjbynjimprovingnjcommunication
usingnjevidence-basednjtechniques.

TeamSTEPPSnjKeynjPrinciplesnj-njanswer--Overview:nj
-TeamnjStructure
-Communication
-Leadership
-SituationnjMonitoring
-MutualnjSupport

TeamSTEPPSnjToolsnj&njStrategies:nj-njanswer--
Improvenjteamnjfunctionnjbynjincreasingnjcommunicationnjclarity.
SBAR:
njleadingnjteams-njBriefnj
njsituationnjmonitoring-njSTEP
njMutualnjsupport-Feedback
Call-out:
njLeadingnjteams-Huddlenj
njSituationnjMonitoring-njCrossnjmonitoringnj
njMutualnjsupport-njAdvocacynjandnjassertionnj
ChecknjBack:
njLeadingnjteams-njdebriefnj
njMutualnjsupport-njTwonjchallengenjrule
Handoff:
njCUS


TeamnjLeadershipnj-njanswer--Effectivenjteamnjleaders:nj
•Organizenjthenjteam
•Identifynj&njarticulatenjclearnjgoals
•Assignnjtasksnj&njresponsibilities
•Monitornj&njmodifynjplan;njcommunicatenjchanges
•Reviewnjteamnjperformance;njprovidenjfeedback
•Managenj&njallocatenjresources
•Facilitatenjinformationnjsharing
•Encouragenjteamnjmembersnjtonjassistnjonenjanother
•Facilitatenjconflictnjresolutionnj
•Modelnjeffectivenjteamwork