LVN 1304 exam 1 with complete solutions

ethics - Answer- the science relating to moral principles or standards that govern conduct values - Answer- are personal beliefs about the worth of an idea, object, or behavior values clarification - Answer- is a process of self-discovery in which people identify their own values and prioritize them integrity - Answer- acting on one's values standards of nursing care - Answer- ethical and legal expectations for practice; the level of work quality considered adequate by the profession 7 ethical principles - Answer- justice; beneficence; non-maleficence; autonomy; paternalism; veracity; fidelity justice - Answer- people have the right to be treated equally and fairly beneficence - Answer- to do good for others non-maleficence - Answer- doing no harm autonomy - Answer- person freedom and self-determination; the right to choose what happens to oneself paternalism - Answer- allows someone to act "in the best interest" of other people, making decisions for others when they lack the full information or ability on which to base decisions veracity - Answer- truth telling fidelity - Answer- keeping promises ethical dilemma - Answer- exists when there are conflicting moral alternatives to consider for action statutory law - Answer- law that is passed by a legislative body common law - Answer- law that is derived from previous court decisions torts - Answer- violations of civil law in which an individual has been wronged intentional - Answer- assault, battery false imprisonment, abandonment unintentional - Answer- malpractice, negligence civil commentment - Answer- extended involuntary hospitalization outpatient commitment - Answer- a court order requiring the mentally ill person to take medication and to comply with a treatment plan as a condition of release from the hospital l least restrictive treatment - Answer- treatment that restricts their personal freedom as little as possible; treatment settings include community outpatient clinics, foster care homes, respite care, day treatment programs, home health care, and a variety of levels of inpatient care (when clients act out violently, whether to restrain, seclude, or medicate a client involuntarily is such an issue) restraints - Answer- refers to leather or other secure restraining devices on all extremities and around the body of the client to prevent the client from harming self or others . competency - Answer- a legal assessment that a person is able to make reasonable judgments and decisions incompetence - Answer- must be determined by a court competency to stand trial - Answer- is a different issue Americans with Disabilities act of 1990 - Answer- makes it illegal to discriminate in employment against a qualified person with a mental or physical disability advanced directives - Answer- include living wills and/or powers of attorney for health care; the client and two witnesses must sign these directives malpractice - Answer- the failure of a professional person to act according to accepted professional standards, or failure to act as a reasonable member of the profession would act . documentation - Answer- clear, concise(keep it concise but simple), accurate, specific, descriptive, legible (penmanship is a communication issue) LVN scope of practice - Answer- 1) assume the accountability and responsibility for the quality of nursing care provided to clients 2) act as a client advocate to maintain a safe environment for clients 3) demonstrate behaviors that promote outcomes in relation to the practice of vocational nursing LVN scope of practice - Answer- is an advocate for the patient and the patient's family and promotes safety by practicing within the NPA and the BON Rules and Regulations uses a systematic problem-solving process in the care of multiple patients with predictable health care needs to provide individualized, goal-directed nursing care. (with focus on patient safety) is required to function with in the parameters of the legal scope of practice and in accordance with the federal, state and local laws, rules, regulations, and policies, procedures, and guidelines of the employing health care institution or practice setting is responsible for providing safe, compassionate and focused nursing care to assigned patients with predictable health care needs has the knowledge, clinical behaviors and judgment necessary for LVN entry into sage, competent and compassionate nursing care professional boundaries - Answer- are the spaces between the nurse's power and the client's vulnerability boundary violations - Answer- can result when there is confusion between the needs of the nurse and those of the client boundary crossings - Answer- are brief excursions across boundaries that may be inadvertent, thoughtless or even purposeful if done to meet a special therapeutic need the nurse should work within the zone of helpfulness - Answer- not over or under involved potential boundary violations - Answer- excessive disclosure, secretive behavior, "super nurse" behavior, singled-out client treatment or client attention to the nurse, selective communication, flirtations, you and me against the world behavior, failure to protect client PQRST - Answer- Preview Question Read State Test critical thinking skills - Answer- Analyzing Reasoning Evaluating Decision Making Problem Solving Style of test questions - Answer- 3 types- Case scenario- describes what is going on Stem- asks you a question Options- usually 4 but sometimes may be fill-in or select all that apply 4 essential steps - Answer- style- (stem) is + or; key words; rephrase in own words; rule out options positive style - Answer- may ask what the nurse should do negative style - Answer- may ask what the nurse should avoid negative - Answer- not, least, unlikely, inappropriate, unrealistic, lowest priority, contraindicated, false, except, inconsistent, untoward, all but, atypical, incorrect absolute - Answer- make answers wrong; always, never, only, all, never, none stem - Answer- another name for style of question; usually follows scenario find the key words - Answer- underline or circle key word remember MASLOW - Answer- order of meeting needs: lower level of needs met before higher level of needs can be addressed Maslow's order of needs - Answer- needs organized in hierarchal form. lower needs satisfied before we can attend to higher level needs. pysiological needs, safety needs, love and belonging, esteem, self actualization cue words - Answer- UNLIKE; most, or best, use log