Complete Solutions
__________________ of the standard is not an arguable legal
defense. Correct Answer IGNORANCE
-acuity records
-standardized care plans
-discharge summaries Correct Answer Commonly seen
forms/screens
-Agains Medical Advice (AMA)
-Restraints
-incident reporting: falls, needles sticks, medication errors, loss
of patient belongings Correct Answer Special documentation
-ANA standards of practice
-ANA code of Ethics
-NCSBN
-NCLEX licensure
-State Boards of Nursing
-Specialty areas
-Institutional policies and procedures Correct Answer Legal
Standards
-based on nursing assessment
-customized for patients Correct Answer Standardized care
plans
-body movement
-appearance
,-personal space
-touch Correct Answer Nonverbal communication
-bottom number
-pressure on vessels when heart is at rest b/w beats Correct
Answer Diastolic
-call when a pt. needs physician orders
-likely receive a telephone order
-must repeat-back to physician
-orders over the phone need to be verbally signed within 24 hrs.
Correct Answer Communication with a physician/provider
-CDC
-OSHA
-JCAHO
-HIPAA
-NCSBN Correct Answer Organizations that impact the
nursing profession
-chemo patients
-immunocompromised
-protecting the patient from microorganisms because their
immune system is too weak
-in addition to standard precautions
-private room
-we wear PPE to protect the patient
-filtered air Correct Answer Reverse/Protective Isolation
-clean vs. sterile technique
-infection control
, -vital signs
-military time
-blood glucose monitoring Correct Answer Basic skills of
Fundamental Nursing
-clear, concise, simple
-do not rush, all time
-Ok to as yes/no Q's
-redirect/modify neg behavior
-do not argue Correct Answer Communicating with
cognitively impaired patients
-communication with colleagues
Situation
Background
Assessment
Recommendation Correct Answer SBAR Report
-continuity of care
-maintenance of standards
-decrease errors Correct Answer Purpose of communication
in health care facility?
-cuff size
-cuff at heart level
-feet flat on the floor, legs uncrossed Correct Answer Factors
affecting BP
-different from medical Dx
-identify client's prob
-interpret and analyze data by grouping