ANCC Med-Surg Certification exam questions with 100% correct answers

Nursing Code of Conduct (4) 1)Participation in intra-professional collaboration 2) Avoiding Conflicts of Interest 3) Maintaining respect for human dignity 4) Integrating professional values with personal values Nursing Ethics (definition) Moral principles that govern behavior, ideal, standards Autonomy Duty to allow patient to make independent decisions Veracity Duty to tell the truth Fidelity Duty to keep promises and commitments Justice Duty to provide equal and fair distribution of resources Beneficence Duty to promote good and take positive actions Nonmaleficence Duty to do no harm and avoid negative actions Confidentiality Duty to keep some information from disclosure without consent Privacy Duty to protect physical body or information from unauthorized view Advocacy ( general definition) Action or series of actions that argues for, speaks in favor of, recommends, or supports another person, place, or thing. Nursing Advocacy Components (2) 1) Integrates individuality, professionalism, and empowerment 2) Involves a process of analyzing, counseling, responding, and shielding Autocratic Leadership Unilateral, dictatorial, works toward single goal; meets resistance from mature, experienced staff Democratic Leadership Team approach, staff participation; retains responsibility for outcomes Laissez-faire Leadership Little control; leaves decisions to others; works well with committed, motivated staff who can analyze well Charasmatic Leadership Triggers emotional responses; eloquent communicator and persuader Transformational Leadership Connection between the leader and the follower increases motivation for problem solving Transactional Leadership Compliance via reward/punishment system Quantum Leadership Flexible, non-controlling; analytical, empathetic, visionary team player Situational Leadership Match style to situation; high stress situations are best handled by task-oriented leaders; moderate situations are best handled by relationship-based leaders Kubler-Ross Stages of Grief ( 5) 1) Denial - avoiding the inevitable 2) Anger - expressing emotions previously bottled up 3) Bargaining - Trying to find a way out 4) Depression - Acknowledging the inevitable 5) Acceptance - moving forward Shared Governance (Definition) A model of nursing practice designed to improve work environment, satisfaction, and nurse retention by giving staff equal footing with leaders in the creation of policies, procedures, and other decision-making processes that directly affect nursing practice and the organization. Tenets of Shared Governance (3) 1) Champions staff as the most important asset of the organization 2) Encourages autonomy, empowerment, involvement, and participation 3) Teams and groups are designed to be self led and self managed. Basic Learning Styles (3) 1) Visual: reading instructions or watching demonstrations 2) Hearing: listening to instructions while performing 3) Tactile: hands-on The Teach-Back Method Doing and saying is more effective than reading and hearing. Patient demonstrates competence to the teacher. Learning Needs Patient goals met through instruction Non-learning Needs Patient goals met through something other than instruction Maslow's Hierarchy of Needs (5) 1) Physiological - basic needs including comfort ( free from pain) 2) Safety - free from harm or threat. Stability 3) Love - friendship, acceptance, affection; a support system 4) Esteem - self-respect, self-confidence; rewarding work/relationships 5) Self-actualization - truth, justice, beauty, personal growth; "born to do" These needs are met in order. Nursing Diagnoses, Domains (13) 1) Activity/Rest 2) Comfort 3) Coping/Stress Tolerance 4) Elimination 5)Growth/ Development 6)Health Promotion 7) Life Principles 8) Nutrition 9) Perception/Cognition 10) Role Relationships 11) Safety/Precautions 12) Self-Perception 13)Sexuality Three categories of Nursing Interventions 1) Illness Prevention 2) Illness Treatment 3) Health Promotion How many interventions are there listed in the NIC? 554 Seven Domains of Nursing Interventions 1) Physiological; basic 2) Physiological; complex 3) Behavioral 4) Safety 5) Family 6) Health System 7) Community Format of Nursing Diagnoses Diagnosis - Related to - Evidenced By - Expected Outcomes - Nursing Interventions - Evaluation Nursing Outcomes Classification A system which describes patient outcomes sensitive to nursing interventions; includes 490 outcomes; a means of standardizing nursing language. Problem Prioritization A means of focusing nursing interventions on the most important problems; usually follows Maslow's Hierachy and the ABCs Core Measures (Diseases) 1) Acute MI 2) Heart Failure 3) Pneumonia 4) Venous thromboembolism (VTE) 5) Stroke 6) Children's Asthma Care Core Measures ( Definition) Standards of Care that improve patient care and outcomes; data is submitted to CMS and TJC Collaboration ( Definition) A dynamic process that produces a synthesis of perspectives and shared responsibilities to address a problem set that cannot be handled by a single person Core Measures: Prevention (3) 1) Immunization 2) Tobacco Cessation 3) Substance Abuse