Med-Surg. Ch.1 Questions and Answers Graded A

Med-Surg. Ch.1 Questions and Answers Graded A How do nurses function as coordinators of care? - ANS -By communicating and collaborating with members of the health care team Medical-surgical nursing requires what type of knowledge? - ANS -A broad knowledge base to meet the needs or adult pts in a variety of settings across the continuum Recipients of care in mutually trusting relationships with nurses and other members of the health care team. - ANS -Patients These require health care organizations to focus on specific priority safety practices - ANS -National Patient Safety Goals This requires that health care organizations create a culture of safety and offers peer evaluation for accreditation every 3 yrs for all health care agencies and more often for acute care hospitals - ANS -The Joint Commission What are collaborative nursing functions? - ANS -Those that are mutually determined by the nurse and physicial such as activity limitations & Those that are directed or prescribed by the health care provider, but require nursing judgement to perform (like meds) What are Independent nursing functions? - ANS -Those that are initiated and carried out without direction from the health care provider What are the 6 steps of the EBP? - ANS -1. Critically think 2. Access resources 3. Critically analyze 4. Integrate 5. Implement 6. Evaluate What are the five core competencies to ensure pt safety and quality care? - ANS -Provide pt-centered care; collaborate with the interdisciplinary health care team; implement evidence-based practice; use quality improvement in pt care; use informatics in pt care What are the four steps in the SBAR process? - ANS -Situation: describe what is happening at the time to require the communication; Background: explain any relevant background info that relates to the situation; Assessment: Provide an analysis of the problem or pt need based on assessment data; Recommendation: state what is needed or what the desired outcome is What are the primary roles of medical-surgical nurses? - ANS -patient caregiver, educator, and advocate What are the shortfalls of nursing research? - ANS -It is limited and often does not represent the highest or best level of evidence What are the three basic ethical principles that nurses and other care providers should use? - ANS -Self-determination, beneficence, & justice What do Rapid Response Teams (RRT) do? - ANS -provide care to pts before a respiratory or cardiac arrest occurs What does EMR stand for? - ANS -Electronic Medical Records What does PACE stand for? - ANS -Patient/Problem, Assessment/Actions, Continuing/Changes, and Evaluation What is another name for the Rapid Response Team (RRT)? - ANS -Medical Emergency Team (MET) What is caring? - ANS -a process, set of actions, and attitude that show genuine physical and emotional concern for others What is critical thinking? - ANS -purposeful, outcome-directed thinking that is used to make clinical judgments based on scientific evidence, rather than on tradition or conjecture (guesswork). What is Evidence-based practice? - ANS -The deliberate use of current best evidence to make decisions about pt care. It considers the pt preferences/values and one's own clinical expertise What is important to watch for in pts? - ANS -slow and sudden changes in pt condition, especially changes in vital signs and mental status What is Informatics? - ANS -A specialized computer science that is used to manage information and technology What is medical harm? - ANS -errors caused by all members of the health care team that lead to pt injury or death What is PACE? - ANS -A hands-off method used to share information between nursing shifts What is SBAR? - ANS -Formal method of communication between two or more members of the health care team, usually used when there is an unmet pt need or problem What is self-determination or self-management? - ANS -pts are treated as autonomous individuals capable of making informed decisions about their care What is the 1st step of the evidence based process? - ANS -1. Critically think about nursing or interdisciplinary practice to formulate important clinical questions. What is the 2nd step of the evidence based process? - ANS -2. Access resources to retrieve the most relevant and best evidence that may answer the clinical question What is the 3rd step of the evidence based process? - ANS -3. Critically analyze the evidence for validity, reliability, and utility to answer the clinical question. What is the 4th step of the evidence based process? - ANS -4. Integrate the evidence findings with one's own expertise and pt preferences and values to make clinical decisions to answer the question. What is the 5th step of the evidnce based process? - ANS -5. Implement the evidence-based practice change or seek appropriate channels for making the change in practice. What is the 6th step of the evidence based process? - ANS -6. Evaluate the practice change for its effectiveness in promoting pt safety and quality care. What is the best source of scientific research? - ANS -Research What is the highest level of evidence? - ANS -LOE-1: Systematic review or meta-analysis of all randomized controlled trials (RCTs) or evidence-based clinical practice guidelines based on systematic reviews of RCTs What is the lowest level of evidence? - ANS -LOE-7: Opinion of authorities and/or reports of expert committees What is the most commonly used level of evidence? - ANS -LOE-6: Single descriptive or qualitative study What is the primary concern of medical-surgical nursing? - ANS -To meet the biologic, psychosocial, cultural, and spiritual needs of the adult pt in a mutually trusting, respectful, and caring relationship What is the principle of beneficence? - ANS -It emphasizes the importance of preventing harm and ensuring the pts well-being What is the principle of justice? - ANS -That all pts should be treated equally and fairly What is the scope of medical-surgical nursing? - ANS -to promote health and prevent illness or injury in patients from 18 to older than 100