NSG 3180: EXAM 1 REVIEW
QUESTIONS AND ANSWERS
General Systems Theory - Correct Answers -• Focuses on the interrelationships existing
with a given system.
- Interacts with other systems in the environment.
- An interactional process occurs when inputs are introduced into the system in the form
of information, energy, and resources.
• Throughput: information is processed internally as the system actively processes and
interprets its meaning.
• Output: result or product that leaves the system.
- Separated from its environment by boundaries that control energy, information, and
resources.
• Evaluations: output and feedback loops from environment informs changes needed to
have effective outputs.
Von Bertalanffy's Theory - Correct Answers -• Provides a conceptual foundation for a
family system model.
- A change in one family member affects the whole family dynamic.
Bowen's System Theory - Correct Answers -• Conceptualizes the family as an
interactive emotional unit.
- Once anxiety heightens, emotional process gets activated and emotional dysfunctional
communication patterns emerge.
- 8 concepts: differentiation of self; multigenerational transmission of behaviors and
roles; emotional relationship patterns; bring in third party to decrease anxiety; family
projection of feelings among another family member; sibling position; emotional cutoff;
societal emotional climate into the family.
Nursing Characteristics - Correct Answers -1. Historically nursing is as old as mankind.
2. Nursing became a distinct occupation in 1859 - Florence Nightingale.
3. Originally nursing was performed by female family members.
Culture of Safety - Correct Answers -• Creating a safe environment requires us to
communicate openly, to be vigilant, to be willing to speak up, to support peers, and to
be held accountable.
- Shared responsibility
- Nonpunitive reporting environment, staff are encouraged to report errors, mistakes,
and near misses
, - Standardized tools for clear communication to prevent harm to patients.
- SAFETY is always a PRIORITY
- ISBAR and TEAMSTEPPS: I (introduction), P (patient), A (assessment), S (situation),
S (safety), B (background), A (actions), T (timing), O (ownership), and N (next).
- Leadership is essential to developing this culture and team support.
Ethical Responsibilities - Correct Answers -• Explaining: procedures to patients before
implementing.
• Entering: Using knocking before entering or calling a name.
• Minimizing: body exposure that is only necessary for care.
• Using: Necessary number of people during procedure.
• Using: Using touch appropriately
Social Media - Correct Answers -• Consequences of posting without pt permission -
cyberbullying liability, criminal penalties, civil lawsuits, nursing license suspension.
- "A post is forever" is a useful mantra.
- We need to differentiate between our personal posts and our professional duty to
protect patient privacy and confidentiality, and to avoid potential harm to patients,
coworkers, or employers.
Acceptable Sharing of Patient Information - Correct Answers -Nursing change of shift
reports, interdisciplinary team meetings, one-on-one health professional conversations,
family consultations, insurance company, discussions in private room, and relevant
information specific to procedure.
Ethics - Correct Answers -• Autonomy: Patient has the right to be involved with their
care.
• Beneficence: consider what is good for the patient. "Do no harm."
• Justice: being fair or impartial and providing equality.
• Veracity: Being true, honest, or accurate (trust is priorty for building patient
relationships).
Ethnocentrism - Correct Answers -Defined as a belief that one's own culture is superior
to others.
Cultural Competence - Correct Answers -• A set of cultural behaviors and attitudes
integrated into the practice methods of a system, agency, or its professionals that
enables them to work effectively in cross-cultural situations.
- Cultural competence is not necessarily just learning the patient's language, like
becoming bilingual.
L.E.A.R.N Model - Correct Answers -• Frames clinical teaching and coaching for
culturally diverse patients.
• Listen
• Explain
• Acknowledge
QUESTIONS AND ANSWERS
General Systems Theory - Correct Answers -• Focuses on the interrelationships existing
with a given system.
- Interacts with other systems in the environment.
- An interactional process occurs when inputs are introduced into the system in the form
of information, energy, and resources.
• Throughput: information is processed internally as the system actively processes and
interprets its meaning.
• Output: result or product that leaves the system.
- Separated from its environment by boundaries that control energy, information, and
resources.
• Evaluations: output and feedback loops from environment informs changes needed to
have effective outputs.
Von Bertalanffy's Theory - Correct Answers -• Provides a conceptual foundation for a
family system model.
- A change in one family member affects the whole family dynamic.
Bowen's System Theory - Correct Answers -• Conceptualizes the family as an
interactive emotional unit.
- Once anxiety heightens, emotional process gets activated and emotional dysfunctional
communication patterns emerge.
- 8 concepts: differentiation of self; multigenerational transmission of behaviors and
roles; emotional relationship patterns; bring in third party to decrease anxiety; family
projection of feelings among another family member; sibling position; emotional cutoff;
societal emotional climate into the family.
Nursing Characteristics - Correct Answers -1. Historically nursing is as old as mankind.
2. Nursing became a distinct occupation in 1859 - Florence Nightingale.
3. Originally nursing was performed by female family members.
Culture of Safety - Correct Answers -• Creating a safe environment requires us to
communicate openly, to be vigilant, to be willing to speak up, to support peers, and to
be held accountable.
- Shared responsibility
- Nonpunitive reporting environment, staff are encouraged to report errors, mistakes,
and near misses
, - Standardized tools for clear communication to prevent harm to patients.
- SAFETY is always a PRIORITY
- ISBAR and TEAMSTEPPS: I (introduction), P (patient), A (assessment), S (situation),
S (safety), B (background), A (actions), T (timing), O (ownership), and N (next).
- Leadership is essential to developing this culture and team support.
Ethical Responsibilities - Correct Answers -• Explaining: procedures to patients before
implementing.
• Entering: Using knocking before entering or calling a name.
• Minimizing: body exposure that is only necessary for care.
• Using: Necessary number of people during procedure.
• Using: Using touch appropriately
Social Media - Correct Answers -• Consequences of posting without pt permission -
cyberbullying liability, criminal penalties, civil lawsuits, nursing license suspension.
- "A post is forever" is a useful mantra.
- We need to differentiate between our personal posts and our professional duty to
protect patient privacy and confidentiality, and to avoid potential harm to patients,
coworkers, or employers.
Acceptable Sharing of Patient Information - Correct Answers -Nursing change of shift
reports, interdisciplinary team meetings, one-on-one health professional conversations,
family consultations, insurance company, discussions in private room, and relevant
information specific to procedure.
Ethics - Correct Answers -• Autonomy: Patient has the right to be involved with their
care.
• Beneficence: consider what is good for the patient. "Do no harm."
• Justice: being fair or impartial and providing equality.
• Veracity: Being true, honest, or accurate (trust is priorty for building patient
relationships).
Ethnocentrism - Correct Answers -Defined as a belief that one's own culture is superior
to others.
Cultural Competence - Correct Answers -• A set of cultural behaviors and attitudes
integrated into the practice methods of a system, agency, or its professionals that
enables them to work effectively in cross-cultural situations.
- Cultural competence is not necessarily just learning the patient's language, like
becoming bilingual.
L.E.A.R.N Model - Correct Answers -• Frames clinical teaching and coaching for
culturally diverse patients.
• Listen
• Explain
• Acknowledge
