NUR 122 Med/Surg Chapter 1-8 Verified Study
Questions And Answers
Specialty Practice of
Medical-Surgical Nursing ANS Nursing care for patients from 18 years old to more than 100
years old
Care is designed to promote, restore, or maintain optimal health
Work environments include hospitals, SNFs, ambulatory care, and in the community (e.g., patient's
home)
Nurses must have knowledge, skills, and attitudes (KSAs) to be: ANS Care coordinators and
transition managers
Caregivers
Patient educators
Leaders
Advocates for the patient and family
Quality and Safety Education
for Nurses' Core Competencies(QUSEN) ANS Provide patient-centered care.
Collaborate with the interdisciplinary health care team.
Implement evidence-based practice.
Use quality improvement in patient care.
Use informatics in patient care.
Patient-Centered Care ANS Recognize the patient or designee as the source of control and full
partner in providing compassionate and coordinated care based on respect for patient's preferences,
values, and needs.
Patient-Centered Care Attributes ANS Non-Judgmental
Empathetic
CULTURAL COMPETENCE
,Respect for Diversity
Empowerment of Patient
Coordination and integration of care
Information, communication, and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
Access to care
Special Considerations
and Populations ANS Older Adult Considerations
Gender Health Considerations
Veterans' Health Considerations
Cultural/Spiritual Considerations
Genetic/Genomic Considerations
Integrative (Complementary and Alternative) Therapies ANS Pet therapy
• Massage therapy
• Guided imagery
• Biofeedback
• Exercise and fitness programs
• Nutritional supplements
Aromatherapy
• Health-focused television
• Music therapy
• Acupuncture
• Acupressure
• Disease management programs
,Care Coordination ANS deliberate organization of patient care activities between two or more
participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of
healthcare services
case management ANS Ensures quality and cost-effective services and resources to achieve
positive patient outcomes
Care transition ANS Actions designed to ensure safe, effective coordination and continuity of
care as patients experience a change in health status, primary health care provider, or setting
The Joint Commission:
Effective Care Coordination and Transition Management ANS Understandable discharge
instructions for the patient and family
Explanation of self-care activities
Ongoing or emergency care information
List of community and outpatient (ambulatory care) resources and referrals
Knowledge of the patient's language, culture, and health literacy
Medication reconciliation (also a Joint Commission National Patient Safety Goal)
Medication Reconciliation ANS A procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery.
Reconciles via drug name, dose frequency, route, and purpose on: ANS Admission
Transfer
Discharge
Best Care Transition Processes ANS Educate and coach patients and their caregivers.
Use transition coaches, if available, to improve care coordination and transition management.
Follow up with post-discharge visits or phone calls.
, Improve communication handoffs from hospitals to ambulatory care or home care settings.
Identify _________ for readmission based on age (over 80), number of comorbidities (3 or more),
number of prescription drugs (5 or more), and difficulty performing at least 1 activity of daily living
(ADL). ANS high-risk patients
Address patient caregiver needs to prevent ________________. ANS caregiver role strain
safety ANS The ability to keep the patient and staff free from harm and minimize errors in care
Nursing Safety Priority boxes
Critical Rescue
Action Alert
Drug Alert
The Joint Commission:
A Culture of Safety ANS Blame-free approach
Nurses and team members should __________ to reports deviations in the standard of care
Adverse event (variation)
Sentinel event (severe variation) that results in avoidable patient death or major harm ANS not
hesitate
IPEC competencies ANS Values/Ethics
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
______ communication causes medical errors and safety risks ANS Poor
Questions And Answers
Specialty Practice of
Medical-Surgical Nursing ANS Nursing care for patients from 18 years old to more than 100
years old
Care is designed to promote, restore, or maintain optimal health
Work environments include hospitals, SNFs, ambulatory care, and in the community (e.g., patient's
home)
Nurses must have knowledge, skills, and attitudes (KSAs) to be: ANS Care coordinators and
transition managers
Caregivers
Patient educators
Leaders
Advocates for the patient and family
Quality and Safety Education
for Nurses' Core Competencies(QUSEN) ANS Provide patient-centered care.
Collaborate with the interdisciplinary health care team.
Implement evidence-based practice.
Use quality improvement in patient care.
Use informatics in patient care.
Patient-Centered Care ANS Recognize the patient or designee as the source of control and full
partner in providing compassionate and coordinated care based on respect for patient's preferences,
values, and needs.
Patient-Centered Care Attributes ANS Non-Judgmental
Empathetic
CULTURAL COMPETENCE
,Respect for Diversity
Empowerment of Patient
Coordination and integration of care
Information, communication, and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
Access to care
Special Considerations
and Populations ANS Older Adult Considerations
Gender Health Considerations
Veterans' Health Considerations
Cultural/Spiritual Considerations
Genetic/Genomic Considerations
Integrative (Complementary and Alternative) Therapies ANS Pet therapy
• Massage therapy
• Guided imagery
• Biofeedback
• Exercise and fitness programs
• Nutritional supplements
Aromatherapy
• Health-focused television
• Music therapy
• Acupuncture
• Acupressure
• Disease management programs
,Care Coordination ANS deliberate organization of patient care activities between two or more
participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of
healthcare services
case management ANS Ensures quality and cost-effective services and resources to achieve
positive patient outcomes
Care transition ANS Actions designed to ensure safe, effective coordination and continuity of
care as patients experience a change in health status, primary health care provider, or setting
The Joint Commission:
Effective Care Coordination and Transition Management ANS Understandable discharge
instructions for the patient and family
Explanation of self-care activities
Ongoing or emergency care information
List of community and outpatient (ambulatory care) resources and referrals
Knowledge of the patient's language, culture, and health literacy
Medication reconciliation (also a Joint Commission National Patient Safety Goal)
Medication Reconciliation ANS A procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery.
Reconciles via drug name, dose frequency, route, and purpose on: ANS Admission
Transfer
Discharge
Best Care Transition Processes ANS Educate and coach patients and their caregivers.
Use transition coaches, if available, to improve care coordination and transition management.
Follow up with post-discharge visits or phone calls.
, Improve communication handoffs from hospitals to ambulatory care or home care settings.
Identify _________ for readmission based on age (over 80), number of comorbidities (3 or more),
number of prescription drugs (5 or more), and difficulty performing at least 1 activity of daily living
(ADL). ANS high-risk patients
Address patient caregiver needs to prevent ________________. ANS caregiver role strain
safety ANS The ability to keep the patient and staff free from harm and minimize errors in care
Nursing Safety Priority boxes
Critical Rescue
Action Alert
Drug Alert
The Joint Commission:
A Culture of Safety ANS Blame-free approach
Nurses and team members should __________ to reports deviations in the standard of care
Adverse event (variation)
Sentinel event (severe variation) that results in avoidable patient death or major harm ANS not
hesitate
IPEC competencies ANS Values/Ethics
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
______ communication causes medical errors and safety risks ANS Poor
