BSNC 2055 FINAL EXAM QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS.

BSNC 2055 FINAL EXAM QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS. What is technology? - CORRECT ANSWER describes the knowledge and use of tools, machines, materials, and processes to help solve human problems. It can be applied to a specific discipline such as educational technologies, medical technologies, or health technologies." "What is health information technology (health IT)? - CORRECT ANSWER provides the umbrella framework to describe the comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insurers" "What is health informatics? - CORRECT ANSWER It is the study of resources and methods for managing health information" "What is the difference between technology and informatics? - CORRECT ANSWER Technology is the knowledge and use of tools, machines, materials, and processes to help solve human problems, while informatics is the science that encompasses information science and computer science to study the process, management, and retrieval of information." "How is health informatics related to health information technology? - CORRECT ANSWER Currently, health informatics cannot exist without health IT. Health IT provides the essential antecedents for health informatics. Health informatics involves the use of technology and information systems to support the healthcare industry." "What is the intersection between health IT and health informatics? - CORRECT ANSWER They intersect with the science of health to provide powerful tools and processes for advancing health practices and serve as an infrastructure to support and promote a continuously learning healthcare system." "Who uses health IT and informatics tools? - CORRECT ANSWER Various groups including consumers, patients and their families, caregivers, healthcare professionals, administrators, and any personnel supporting the delivery of health care." "What is an electronic health record (EHR)? - CORRECT ANSWER an individual's official, digital health record and is shared among multiple facilities and agencies." "Which of the following indicators are included in the CASN entry-to-practice nursing informatics competency? - CORRECT ANSWER Performs search and critical appraisal of on-line literature and resources. 2) Advocates for the use of current and innovative information and communication technologies. 3) Describes the benefits of informatics to improve health systems, and the quality of inter professional patient care." "Which of the following statements about Virtual Care is true? - CORRECT ANSWER refers to the use of communications and information technology to deliver health and health care services and information over large and small distances." "Virtual Care provides alternative methods of providing care to the patients in various places. Which of the following legal issues might implicate this practice? - CORRECT ANSWER The license of a practitioner from one place may not be honored by in the area from where the client is residing" "Which of the following fields are affected by information technology? - CORRECT ANSWER 1) Nursing Education 2) Nursing Research 3) Nursing Administration" "Who received funding from Canada Health Infoway? - CORRECT ANSWER The Canadian Association of Schools of Nursing received funding from Canada Health Infoway." "What is the purpose of nursing students possessing foundational ICT skills? - CORRECT ANSWER ensure that they are able to use ICTs effectively in their nursing practice, which has become a routine part of Canadian daily life." "What are some examples of multimedia presentations that nursing students should be familiar with? - CORRECT ANSWER videos, podcasts, blogs, and YouTube." "What are some examples of social networking applications that nursing students should be familiar with? - CORRECT ANSWER Twitter, Facebook, and LinkedIn." "What are nursing informatics competencies? - CORRECT ANSWER complex know-act based on combining and mobilizing internal and external resources to apply appropriately to specific types of situations." "What are the three domains under which entry-to-practice nursing informatics competencies have been defined by CASN? - CORRECT ANSWER information and knowledge management, professional and regulatory accountability, and use of ICTs." "What are indicators in nursing informatics competencies? - CORRECT ANSWER assessable and observable manifestations of the critical learnings needed to develop nursing informatics competencies." "What is the purpose of nursing informatics competencies and indicators? - CORRECT ANSWER provide direction for curriculum development that builds on and does not replace other curriculum elements and to incorporate the minimum knowledge and skills new registered nurses require to practice in an increasingly technology-enabled environment." "hat is the over-arching competency that captures the essence of all three domains of nursing informatics competencies defined by CASN? - CORRECT ANSWER ability to demonstrate integrated competencies in nursing informatics." "Information and Knowledge Management - CORRECT ANSWER Uses relevant information and knowledge to support the delivery of evidence informed patient care." "information and knowledge management indicators - CORRECT ANSWER uses up to date evidence-based knowledge (what websites for research?) to support practice, assists clients to access information (=indicators" "Professional and Regulatory Accountability - CORRECT ANSWER Uses ICTs in accordance with professional and regulatory standards and workplace policies." "professional and regulatory accountability indicators - CORRECT ANSWER ufollows policies and guidelines of confidentiality in the use of technology, uses clinical judgement when using technology (questions the validity of data)." "Information and Communication Technologies - CORRECT ANSWER Uses information and communication technologies in the delivery of patient/client care" "information and communication technologies indicators - CORRECT ANSWER has required knowledge to navigate technology to deliver safe care." "EHR - CORRECT ANSWER electronic health record" "EMR - CORRECT ANSWER electronic medical record" "health information systems - CORRECT ANSWER A combination of vital and health statistical data from multiple sources, used to derive information and make decisions about the health needs, health resources, costs, use, and outcome of health care." "personal health record - CORRECT ANSWER A complete or partial health record under the custodianship of a person(s) (e.g. a patient or family member) that holds all or a portion of the relevant health information about that person over their lifetime" "Virtual care - CORRECT ANSWER is a way nurses can provide and deliver services and care to clients remotely using technology to communicate. As with any other practice setting, nurses providing virtual care services are expected to meet the BCCNM's standards of practice" "Virtual care technologies - CORRECT ANSWER include the use of telephone and cell phone communication, email, video and audio conferencing, instant messaging (e.g., texting, online chat.)" "Nurses in all practice settings practice virtual care to: - CORRECT ANSWER udeliver care, uprovide education, umonitor client progress, u access client records, u obtain information, and ufoster communication and collaboration among themselves, their colleagues and their clients."" "Which of the following is NOT one of the 3 Professional competencies identified by CASN? - CORRECT ANSWER A.Clinical Judgment in Nursing Informatics" "what does MRI stand for - CORRECT ANSWER most respectful interpretation" "ODIS stands for what - CORRECT ANSWER observe describe interpret suspend judgment" "What is Task Conflict? - CORRECT ANSWER type of conflict that arises due to differences in work details and goals." "How does Task Conflict impact teams? - CORRECT ANSWER encourages teams to increase their knowledge and understanding of the task at hand." "What is Process Conflict? - CORRECT ANSWER conflict that arises from disagreements about how tasks are completed." "How can Process Conflict be resolved? - CORRECT ANSWER Encouraging team members to better understand each others' roles can help resolve" "What is Relationship Conflict? - CORRECT ANSWER type of conflict that develops due to interpersonal differences between individuals or groups." "What can happen if Relationship Conflict is not addressed? - CORRECT ANSWER it can lead to increased hostility and decreased collaboration in teams." "How should Relationship Conflict be addressed? - CORRECT ANSWER should be addressed separately from the team." "types of conflict styles - CORRECT ANSWER avoiding, accommodating, competing, compromising, collaborating" "What is interprofessional education according to WHO? - CORRECT ANSWER described as occurring "when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes"." "What is interprofessional conflict resolution? - CORRECT ANSWER refers to learners/practitioners actively engaging self and others, including the client/patient/family, in positively and constructively addressing disagreements as they arise." "what are the strategies to address conflict in a constructive manner? - CORRECT ANSWER team members consistently address conflict in a constructive manner by valuing the potential positive nature of conflict, recognizing the potential for conflict to occur and taking constructive steps to address it" "What are the three considerations that influence the way in which the framework is applied? - CORRECT ANSWER complexity, contextual issues, and quality improvement." "What does SBAR stand for? - CORRECT ANSWER Situation Background Assessment Recommendation" "What does ISBAR stand for? - CORRECT ANSWER Identify Situation Background Assessment Recommendation" "what is i pass the baton - CORRECT ANSWER Introduction Patient Assessment Situation Safety Concerns Background Actions Timing Ownership Next" "what is callout - CORRECT ANSWER Allows staff to stop & review, the provider calls out critical info so all team members can hear during urgent situations to help anticipate next steps." "what is check back - CORRECT ANSWER Using closed-loop communication to ensure that information conveyed by the sender is understood by the receiver as intended" "what does CUS stand for - CORRECT ANSWER I am Concerned I am Uncomfortable This is a Safety issue" "What does DESC stand for? - CORRECT ANSWER Describe Express Suggest Consequences" "Stages of Team Development - CORRECT ANSWER forming, storming, norming, performing, adjourning" "What is the forming stage? - CORRECT ANSWER group members get to know own another by sharing personal information" "storming stage - CORRECT ANSWER the second stage in group development, characterized by intragroup conflict" "norming stage - CORRECT ANSWER the third stage in group development, characterized by close relationships and cohesiveness" "performing stage - CORRECT ANSWER the fourth stage of group development when the group is fully functional and works on group task" "adjourning stage - CORRECT ANSWER the final stage in group development for temporary groups, characterized by concern with wrapping up activities rather than task performance" "cartesian view - CORRECT ANSWER based on the idea that knowledge is from an external source and knowing is a cognitive process where knowledge is acquired" "linear process - CORRECT ANSWER is based on the medical approach and is closely associated with the scientific method of inquiry" "cartesian epistemology - CORRECT ANSWER generate knowledge in treating illness and disease" "empirical knowledge example - CORRECT ANSWER physiologic effects of incontinence and the fluid dynamic and physics of absorbent materials" "An elderly Muslim woman is admitted to the hospital for a UTI. She refuses the care from male nurses. Which of the modes of inquiry should the team use? Choose the most appropriate answer: Empirical Ethical Aesthetic Socio-political - CORRECT ANSWER ethical" "A middle aged male is considering taking a B12 supplement as he has been reading, lately, that this is often lacking in men his age and could benefit his health in various ways. The man asks his health practitioner how he knows if this is the right health decision for him. This is a sample of which mode of inquiry? Empirical Ethical Aesthetic Socio-political - CORRECT ANSWER empirical" "A person who is diagnosed with schizophrenia is expected to attend a visit with his case manager two times per month in order to receive an injection of antipsychotic medication. He lives in a community where community mental health resources are limited and often uses illicit substances when he is not taking his antipsychotic medication.Which mode of inquiry is most appropriate to understand this person's situation? Empirical Ethical Aesthetic Socio-political - CORRECT ANSWER sociopolitical" "What are some examples of areas that empirical inquiry might focus on related to incontinence - CORRECT ANSWER physiology (e.g., muscle control), physiologic effects (e.g., impaired skin integrity), social effects (e.g., decreased socialization), and effects of treatment (e.g., decreased mobility)." "What are some nursing implications of empirical inquiry related to incontinence? - CORRECT ANSWER optimizing mobility, social connections, autonomy, and other factors that impact incontinence." "What is the focus of ethical inquiry? - CORRECT ANSWER clarifying values, commitments, and obligations." "What are some examples of values that might be considered in ethical inquiry related to incontinence? - CORRECT ANSWER Values that might be considered in ethical inquiry related to incontinence include respect, beneficence, autonomy, and justice." "What are some nursing implications of ethical inquiry related to incontinence? - CORRECT ANSWER minimizing shame, embarrassment, and humiliation related to incontinence." "What is the focus of aesthetic inquiry? - CORRECT ANSWER engaging the "art" of human existence including attending to deeper meanings, beauty, and creative resources." "What are some examples of aesthetic factors that might be considered in aesthetic inquiry related to incontinence? - CORRECT ANSWER embarrassment, shame, humiliation, odors, and appearance." "What are some nursing implications of aesthetic inquiry related to incontinence? - CORRECT ANSWER optimizing time use and influencing policy related to incontinence care." "What is the focus of sociopolitical inquiry? - CORRECT ANSWER developing analyses of power relations." "what are some examples of power dynamics that might be considered in sociopolitical inquiry related to incontinence? - CORRECT ANSWER diaper company interests, trivializing nursing as "bedpan jockeys," and the relatively less power of elderly people." "What are some nursing implications of sociopolitical inquiry related to incontinence? - CORRECT ANSWER comprehensively optimizing time use and influencing policy related to incontinence care." "What is the linear process of knowledge? - CORRECT ANSWER based on the medical approach and is closely associated with the scientific method of inquiry." "What are the limitations of objective knowledge? - CORRECT ANSWER empirical, ethical, aesthetic, and sociopolitical knowledge." "What is the symbolic lens? - CORRECT ANSWER focuses on the meaning-making that people do as they engage with the world." "What is selective interest? - CORRECT ANSWER is the bias or attitude in each thought we have that determines the questions we ask and the way we answer things." "What is sociopolitical knowing? - CORRECT ANSWER addresses the broader context of assumptions, profession, and health policies in drawing attention to the "where" of knowledge." "According to Risjord (2010), what is the idea of standpoint? - CORRECT ANSWER can be traced to social/political theorists who contend that human activities (what people do) are shaped by power relations that are determined by those with the most power." "How do power relations manifest themselves in practical ways, according to Risjord (2010)? - CORRECT ANSWER assume that power is never equal; rather, it is manifested in the practical ways in which people relate to each other (Risjord, 2010)." "What is the intrapersonal level of inquiry? - CORRECT ANSWER focused on the individual's own evidence, values, aesthetics, and orientation to power." "What is the interpersonal level of inquiry? - CORRECT ANSWER focused on how evidence, values, aesthetics, and power dynamics inform and impact interactions with others." "What is the contextual level of inquiry? - CORRECT ANSWER focused on how evidence, values, aesthetics, and power dynamics are influenced by the context in which they occur." "What is the focus of contextual inquiry? - CORRECT ANSWER understanding the dominant evidence, values, aesthetics, and power dynamics in a given context." "intrapersonal - CORRECT ANSWER existing or occurring within your own mind" "interpersonal - CORRECT ANSWER between people (usually describing social activities)" "Hermeneutic Phenomenology - CORRECT ANSWER is interested in the subjective experience of triangularity - ranging from perception, thought, memory, imagination, emotion, desire, and self-awareness." "what does HP lens focus on - CORRECT ANSWER peoples living experiences and how those are meaningful and interpreted" "eurocentrism - CORRECT ANSWER the dominance of European (especially English) cultural patterns" "critical lens focuses on - CORRECT ANSWER how peoples lives shape their experiences and interpretations from power, oppression, culture, economic conditions, social change and emancipation" "critical feminist lens - CORRECT ANSWER draws attention to inequity with gender" "postcolonial filter - CORRECT ANSWER social conditions affected by colonialism and racism" "neocolonialism - CORRECT ANSWER Economic dominance of a weaker country by a more powerful one, while maintaining the legal independence of the weaker state. In the late nineteenth century, this new form of economic imperialism characterized the relations between the Latin American republics." "Which of the following examples is a marker of team resilience in a team that has received a very large project to complete with a tight deadline and no new team members to help with the project? A plan to schedule time off that meets the needs of each team member without compromising the deadline The development of standard operating procedures (SOP) after experience a challenging situation. Allowing all team members to work through job related cognitive/emotional/physical stress individually Putting standard or basic procedures on hold in the event of a crisis and until it is resolved. - CORRECT ANSWER A plan to schedule time off that meets the needs of each team member without compromising the deadline" "There has been a critical incident concerning a patient on the medical unit. After the incident has passed, what behavior indicates the team is in the process of 'mending'? The team leader encourages each of the health care providers involved to seek individual counselling The next team meeting is cancelled to allow individuals to take time off The manager reminds the team that emergency procedures take priority over existing standards of practice The team leader calls the team together to conduct a debrief before the end of the shift. - CORRECT ANSWER The team leader calls the team together to conduct a debrief before the end of the shift." "what is resilience - CORRECT ANSWER the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress" "3Ms of resiliency - CORRECT ANSWER minimize, manage and mend" "when does minimize during resiliency occur - CORRECT ANSWER before the crisis" "when does the manage during resiliency occur - CORRECT ANSWER during crisis" "when does the mend of resiliency occur? - CORRECT ANSWER mend" "Sometimes students ____, either through defocusing, disconnecting, or immobilizing, but this is to be expected and is normal - CORRECT ANSWER disengage" "Students enter the 1st phase of PT when they realize they are facing a ____ situation, perhaps one they have not encountered before - CORRECT ANSWER challenging" "Students use the 2nd part of the PT process, staying the course, to prevent themselves from veering awayfrom their plans of achieving their ____ aspirations - CORRECT ANSWER academic" "The last phase of PT is ____, and this begins when there is an awareness of one's self-transformation as aresult of experiencing adversity - CORRECT ANSWER acknowledging" "The arrow on the right end of Fig 1 shows the progressive ____ of PT. - CORRECT ANSWER trajectory" "Holding onto certain belief systems is part of ____. - CORRECT ANSWER anchoring" "It is important to study stress because it can affect the academic performance and ____ of nursing students. - CORRECT ANSWER health" "Seeking clarity involves clarifying ____. - CORRECT ANSWER expectations" "The first step of PT is ____ into. - CORRECT ANSWER stepping" "This study provided evidence to help understand the phenomenon of resilience as a dynamic, contextualprocess that can be learnt and developed, rather than a static trait or personality characteristic. True orfalse? - CORRECT ANSWER true" "Engaging in other activities in order to take a temporary break from reality is called ____, and this is anormal part of the PT process - CORRECT ANSWER releasing" "what is team resilience - CORRECT ANSWER capacity to withstand and recover from challenges, pressure or stressors" "Simply stated, resilience can be described using which of the following phrases? It is a personal characteristic It is a process of adaptation It is achieved after a challenging experience It refers to the enduring of hardships in life - CORRECT ANSWER it is a process of adaptation" "One of the strategies necessary to resilience in teams is: Individual resilience of each team member Having strict and constant deadlines to achieve Anticipating and planning for challenges Preserving resources by delaying responses to challenges - CORRECT ANSWER anticipating and planning for challenges" "Which of the following examples is a marker of team resilience in a team that has received a very large project to complete with a tight deadline and no new team members to help with the project? A plan to schedule time off that meets the needs of each team member without compromising the deadline The development of standard operating procedures (SOP) after experience a challenging situation. Allowing all team members to work through job related cognitive/emotional/physical stress individually Putting standard or basic procedures on hold in the event of a crisis and until it is resolved. - CORRECT ANSWER A plan to schedule time off that meets the needs of each team member without compromising the deadline" "When the integrity of nurses is compromised by patterns of institutional behavior or professional practice that erode the ethical environment and the safety of persons receiving care (generating moral distress), nurses express and report their concern individually or collectively to the appropriate authority or committee - CORRECT ANSWER Promoting Health and Well-Being" "nurses, along with other health-care providers and substitute decision makers, consider and respect the best interests of the person receiving care and any previously known wishes or advance care planning that applies in the situation - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "For any person that is considered incapable of consenting to care, nurses promote that person's participation in discussions and decisions regarding their care in a manner that is adapted to the person's capabilities. - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "If a person receiving care is clearly incapable of consent, the nurse respects the law on capacity assessment and substitute decision-making in the nurse's jurisdiction - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "When family members disagree with the decisions made by a person receiving care, nurses assist families in gaining an understanding of the person's decisions - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses provide education to support the informed decision-making of capable persons. They respect the decisions a person makes, including choice of lifestyles or treatment that are not conducive to good health, and continue to provide care in a non-judgmental manner. - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses advocate for persons receiving care if they believe the health of those persons is being compromised by factors beyond their control, including the decision-making of others. - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses are sensitive to the inherent power differentials between care providers and persons receiving care. They do not misuse that power to influence decisionmaking - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses ensure that nursing care is provided with the person's informed consent. Nurses recognize and support a capable person's right to refuse or withdraw consent for care or treatment at any time (College of Registered Nurses of British Columbia [CRNBC], 2017a). Nurses recognize that capable persons receiving care may place a different weight on individualism and may choose to defer to family, cultural expectations or community values in decision-making while complying with the law of consent. - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses respect the wishes of capable persons receiving care to decline to receive information about their health condition - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses provide persons receiving care with the information they need to make informed and autonomous decisions related to their health and well-being. They also work to ensure that health information is given to those persons in an open, accurate, understandable and transparent manner. - CORRECT ANSWER Promoting and Respecting Informed Decision-Making" "Nurses, in their professional capacity, relate to all persons receiving care with respect. - CORRECT ANSWER Honouring Dignity" "Nurses support persons receiving care in maintaining their dignity and integrity - CORRECT ANSWER Honouring Dignity" "In health-care decision-making, in treatment and in care, nurses work with persons receiving care to take into account their values, customs and spiritual beliefs, as well as their social and economic circumstances without judgment or bias. - CORRECT ANSWER Honouring Dignity" "Nurses intervene, and report when necessary,9 when others fail to respect the dignity of a person they are caring for or a colleague (including students), recognizing that to be silent and passive is to condone the behaviour. They speak up, facilitate conversation and adjudicate disputes, as appropriate/required - CORRECT ANSWER Honouring Dignity" "Nurses respect the privacy of persons receiving care by providing care in a discreet manner and by minimizing intrusions. - CORRECT ANSWER Honouring Dignity" "Nurses utilize practice standards, best practice guidelines, policies and research to minimize risk and maximize safety, well-being and/or dignity for persons receiving care - CORRECT ANSWER Honouring Dignity" "Nurses maintain appropriate professional boundaries and ensure their relationships are always for the benefit of the person. They recognize the potential vulnerability of persons receiving care and do not exploit their trust and dependency in a way that might compromise the therapeutic relationship. They do not abuse their relationship for personal or financial gain and do not enter into personal relationships (romantic, sexual or other) with persons receiving care. - CORRECT ANSWER Honouring Dignity" "Working with people and advocating for expanding the range of available health-care choices. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Collaborating with other health-care team members and professional organizations to advocate for changes to unethical health and social policies, legislation and regulations. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Recognizing that vulnerable groups in society are systemically disadvantaged (which leads to diminished health and well-being), and advocating to improve their quality of life while taking action to overcome barriers to health care. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Promoting the participation of persons considered incapable in consenting to care in the health-related discussions and decisions that affect them - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Calling on all levels of government to acknowledge the current state of Indigenous health in Canada and to implement health-care rights and take actions with Indigenous people to improve their health services - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Supporting environmental preservation and restoration while advocating for initiatives that reduce environmentally harmful practices in order to promote health and well-being. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Advocating for the discussion of ethical issues among health-care team members, persons receiving care and students, encouraging ethical reflection and working to develop their own and others' awareness of ethics in practice. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Maintaining awareness of broader global health concerns, such as violations of human rights, war, world hunger, gender inequities and environmental changes, and working and advocating (individually and with others) to bring about change locally and globally - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Advocating for excellence in palliative and end-of-life care and for palliative care options that are available to all — at home, in long-term care, acute care and hospice care. - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "Becoming well-informed about laws (e.g., safe contraception, medical assistance in dying) and advocating for and working with others to create policies and processes that provide ethical guidance to all nurses - CORRECT ANSWER Ethical Endeavours Related to Broad Societal Issues" "What do the following questions help nurses with? • Did I report it through the appropriate channels? • Were the outcomes of this action acceptable? • Was the process of decision-making and action acceptable? Did all involved feel respected and valued? • How was the person/family/community affected? How were the care providers affected? • Were harms minimized and was good maximized? • What did I do well? • What might have been done differently? - CORRECT ANSWER Reflecting on and reviewing this ethical action" "What do the following questions help nurses with? Am I acting according to the Code? • Am I practising the way a reasonably prudent nurse would practise in this situation? • Am I acting with care and compassion in my relationships with others in this situation? • Am I meeting professional and institutional expectations in this action? - CORRECT ANSWER Engaging in ethical action" "What do the following questions help nurses with? • What do I believe is the best action? • Can I support the patient's/family's/community's choice? The choice of other care providers? If not, what actions do I need to take? • Are there constraints that might prevent me from taking ethical action? • Do I have the kind of virtues required to take ethical action? Do I have the necessary knowledge and skill? • Do I have the moral courage to carry out the action I believe is best? Will I be supported in my decision? - CORRECT ANSWER Selecting an ethical action: Maximizing the good" "What do the following questions help nurses with? What expectation does the person/family/community have for care? What actions do the person/family/community think will do the most good? Have I helped this person/family/community become clear about what they value and the actions they think will be taken? • What action(s) do I think will do the most good? What do other health-care providers think? • What action(s) will cause the least amount of value conflict and/or moral distress? What are the potential consequences of the actions? How will key persons be affected? • What values does society view as important in this situation? What are societal expectations of care? • What economic and political factors play a role in the person's care? What actions are possible given the existing resources and constraints? 30 Canadian Nurses Association Canadian Nurses Association • What legislation applies to this situation in - CORRECT ANSWER Reflecting on and reviewing potential actions: Recognizing available choices and how these choices are valued" "What do the following questions help nurses with? • What relationships are inherent in the situation? • Who is significant in this care situation, and how could they be involved? • Are my relationships with others in this care situation supportive and nurturing? • What are the goals of care in this situation? • Are these goals shared by the person in care, the nurse and others? • What are my beliefs and values? • What values in the Code are inherent in this situation? • What values are important for others in the situation, including other health-care providers? • Do the individuals involved in the situation have different values? Do the differences create conflict? - CORRECT ANSWER Assessing the ethics of the situation, relationships, goals, beliefs and values" "Is accountable and takes responsibility for own nursing actions and professional conduct. - CORRECT ANSWER professional responsibility and accountability" "Functions within own level of competence, within the legally recognized scope of practice and within all relevant legislation. - CORRECT ANSWER professional responsibility and accountability" "Assesses own practice and undertakes activities to improve practice and meet identified learning goals on an ongoing basis (3,4). - CORRECT ANSWER professional responsibility and accountability" "Takes action (5) to promote the provision of safe, appropriate and ethical care to clients. - CORRECT ANSWER professional responsibility and accountability" "Advocates for and/or helps to develop policies and practices consistent with the standards of the profession. - CORRECT ANSWER professional responsibility and accountability" "Maintains own physical, psychological and emotional fitness to practice. - CORRECT ANSWER professional responsibility and accountability" "Maintains current registration. - CORRECT ANSWER professional responsibility and accountability" "Understands the role of the regulatory body and the relationship of the regulatory body to one's own practice. - CORRECT ANSWER professional responsibility and accountability" "Bases practice on current evidence from nursing science and other sciences and humanities. - CORRECT ANSWER knowledge based practice" "Knows how and where to access information to support the provision of safe, competent and ethical client care. - CORRECT ANSWER knowledge based practice" "Uses critical thinking when collecting and interpreting data, planning, implementing and evaluating nursing care. - CORRECT ANSWER knowledge based practice" "Collects information on client status from a variety of sources (6) using assessment skills, including observation, communication, physical assessment and a review of pertinent clinical data. - CORRECT ANSWER knowledge based practice" "Identifies, analyzes and uses relevant and valid information when making decisions about client status. - CORRECT ANSWER knowledge based practice" "Communicates client status, using verifiable information, in terminology used in the practice setting. - CORRECT ANSWER knowledge based practice" "Develops and communicates plans of care that include assessment data, decisions about client status, planned interventions and measurement of client outcomes. - CORRECT ANSWER knowledge based practice" "Sets client-centred priorities when planning and providing care. - CORRECT ANSWER knowledge based practice" "Uses decision support tools appropriately to assess and make decisions about client status and plan care. - CORRECT ANSWER knowledge based practice" "Implements the plan of care, evaluates client's response and revises the plan as necessary. - CORRECT ANSWER knowledge based practice" "Documents timely (7) and appropriate reports of assessments, decisions about client status, plans, interventions and client outcomes. - CORRECT ANSWER knowledge based practice" "12. Shares nursing knowledge with clients, colleagues, students and others. - CORRECT ANSWER knowledge based practice" "Communicates appropriately (8) in interactions with clients, colleagues, students and others. - CORRECT ANSWER knowledge based practice" "Communicates, collaborates and consults with clients and other members of the health care team (10) about the client's care. - CORRECT ANSWER client focused provision of service" "Coordinates client care in a way that facilitates continuity for the client. - CORRECT ANSWER client focused provision of service" "Assigns (11) clients and client care activities to other members of the health care team to meet client care needs. - CORRECT ANSWER client focused provision of service" "Delegates appropriately to other members of the health care team. - CORRECT ANSWER client focused provision of service" "Provides appropriate regulatory supervision of student activities. - CORRECT ANSWER client focused provision of service" "Instructs and guides other members of the health care team to meet client care needs. - CORRECT ANSWER client focused provision of service" "Participates in changes that improve client care and nursing practice. - CORRECT ANSWER client focused provision of service" "Reports incompetent or impaired practice or unethical conduct to appropriate person or body. - CORRECT ANSWER client focused provision of service" "Understands and communicates the role of nursing in the health of clients. - CORRECT ANSWER client focused provision of service" "Assists clients to learn about the health care system and accessing appropriate health care services - CORRECT ANSWER client focused provision of service" "Makes the client the primary concern in providing nursing care. - CORRECT ANSWER ethical practice" "Provides care in a manner that preserves and protects client dignity. - CORRECT ANSWER ethical practice" "Demonstrates honesty and integrity. - CORRECT ANSWER ethical practice" "Clearly and accurately represents self with respect to name, title and role. - CORRECT ANSWER ethical practice" "Protects client privacy and confidentiality. - CORRECT ANSWER ethical practice" "Recognizes, respects and promotes the client's right to be informed and make informed choices. - CORRECT ANSWER ethical practice" "Promotes and maintains respectful communication in all professional interactions (14). - CORRECT ANSWER ethical practice" "Treats colleagues, students and other health care workers in a respectful manner. - CORRECT ANSWER ethical practice" "Recognizes and respects the contribution of others on the health care team. - CORRECT ANSWER ethical practice" "Makes equitable decisions about the allocation of resources (15) under one's control based on the needs of clients. - CORRECT ANSWER ethical practice" "Identifies the effect of own values, beliefs and experiences in carrying out clinical activities; recognizes potential conflicts and takes action to prevent or resolve. - CORRECT ANSWER ethical practice" "Identifies ethical issues; consults with the appropriate person or body; takes action to resolve and evaluates the effectiveness of actions. - CORRECT ANSWER ethical practice" "Initiates, maintains and terminates nurse- client relationships in an appropriate manner. - CORRECT ANSWER ethical practice" "what do the code of ethics define as social media - CORRECT ANSWER form of electronic communication such as websites, for social networking, blogging for users to share info online" "social media - CORRECT ANSWER refers to form of digital communication that support gathering, communicating and collaborating" "blog - CORRECT ANSWER a web journal to share thoughts, info, or convey interests" "email - CORRECT ANSWER formal communications sent to specific individuals using email addresses and email account providers" "text - CORRECT ANSWER short comments using shortered word forms, sent to specific people" "tweeet - CORRECT ANSWER character limited comments, observations, questions sent to general group of followers" "vlog - CORRECT ANSWER video journal depicting topics of interest, educational focus or life in general" "skype - CORRECT ANSWER free service for video communication with individuals or groups" "apps - CORRECT ANSWER online applications that offer information, tools, entertainment or other specific functions" "what is professionalism - CORRECT ANSWER behaviors, skills and attributes required or expected of members of the profession." "key characteristics of professionalism - CORRECT ANSWER profession led regulation, professional ethics and personal health and fitness to practice" "legal dimension where does is come from - CORRECT ANSWER contract between society and the nursing profession" "where does the ethical dimension come from - CORRECT ANSWER moral commitment to uphold the values of the nursing profession while exploring the experience of another person" "The best definition of civility is which of the following? A sincere intention to seek common ground An agreement to take on the perspective of the other A negotiation for a division of resources The context in which behaviors occur - CORRECT ANSWER a sincere intention to seek common ground" "During interdisciplinary rounds, the social worker expresses frustration with the length of time it is taking to discharge a patient who already has community supports in place. The social worker's behaviour is an example of: Mild disruptive behavior Serious disruptive behavior Intimidation of a colleague An expressed difference of opinion - CORRECT ANSWER an expressed difference of opinion" "A nurse has been 10-15 minutes late for work 6 times. The manager tells the nurse that they will need to establish a performance management plan to deal with the recent pattern of showing up late. Which of the following actions should the nurse take? Collaborate with the manager to establish the performance management plan Seek support from a union representative to protect her rights Review the Occupational Health and Safety policy on bullying and harassment Request a third party investigation into the manager's plan to establish a plan - CORRECT ANSWER collaborate with the manager to establish the performance management plan" "A nurse has recently taken several sick days at work due to health problems. Her co-worker Tom has told several of the staff that she is off work due to early days of a pregnancy. The nurse has not confided this information in Tom. Tom's actions are an example of which of the following? Making a personal attack Making an aggressive gesture Sabotaging the nurse's work Spreading a rumor - CORRECT ANSWER spreading rumor" "Quality safe client care is heavily reliant on which factors? Efficient team performance Effective respectful communication Constructive conflict management All of the above - CORRECT ANSWER all of the above" "Uncivil encounters between health care providers may: (select all that apply) Lead to uncertainty and self-doubt Diminish capacity to advocate for clients Impair critical thinking and clinical judgment Lower nurses self-confidence - CORRECT ANSWER all of the above" "intrapersonal professionalism - CORRECT ANSWER refers to the self and being able to meet professional obligations" "interpersonal professionalsim - CORRECT ANSWER is when health professionals from different professions work together to provide person centered care and the health care system" "fitness to practice - CORRECT ANSWER all the qualities and capabilities of an individual relevant to his or her capability to practice as a nurse, including but not limited to freedom from any cognitive, physical, psychological or emotional condition or a dependence on alcohol or drugs, that impair his or her ability to practice nursing" "constructivism - CORRECT ANSWER A theory of identity group formation that argues that identities are created through a complex process usually referred to as social construction" "social identity theory - CORRECT ANSWER theory in which the formation of a person's identity within a particular social group is explained by social categorization, social identity, and social comparison" "inquiry based learning - CORRECT ANSWER approach to teaching and learning that places students questions ideas and observations at the center of the learning experience" "active learning - CORRECT ANSWER learning by acting on the world, rather than passively observing objects and events" "jurisprudence - CORRECT ANSWER anything associated with legal stuff" "workplace bullying institute is - CORRECT ANSWER bullying as a repeated health harming mistreatment of one or more persons by one or more people" "civility - CORRECT ANSWER ethical principle of respect for people" "why does civility matter - CORRECT ANSWER treating one another with respect is helpful in communicating" "examples of civility in nursing - CORRECT ANSWER uKnow people's names uApologise uAcknowledge your mistakes uWelcome newcomers uPraise others, be positive uListen to others uBe professional: well-dressed, fragrance-free uBe polite, do not swear uRespect other's feelings and opinions uSay 'hello', 'please' and 'thank you' uFollow the rules uDo your workload AND help others uBe on time uRefuse to participate in gossip uClean after yourself, clean others' dishes" "what does DESC stand for - CORRECT ANSWER Describe the situation Express what you think and feel Specify your request Consequences" "Civility is an important ethical issue for nursing mostly because? a.Nurses are expected to be ethical b.Nurses get assaulted c.Nurses are accountable for client's safety d.Civility enhances nurses' job satisfaction - CORRECT ANSWER c" "bullying is not a: A. Repeated behavior B. Power-over situation C. Targeted behavior D. Random act of intimidation - CORRECT ANSWER d" "commission - CORRECT ANSWER doing the wrong thing like giving the wrong medication" "omission - CORRECT ANSWER failing to do the right thing, no ensuring of safety" "3 reasons for nursing mistakes - CORRECT ANSWER execuation errors, rule violation and wrong plan" "11 rights of medication administration - CORRECT ANSWER 1. Right medication 2. Right reason 3. Right dose 4. Right route 5. Right patient 6. Right time 7. Right assessment data using the 8. Right education 9. Right to refuse 10. Right documentation 11 Right evaluation" "sentinel event - CORRECT ANSWER when patient safety event that reaches a patient and results in death, harm or severe temporary harm" "hazardous ccondition - CORRECT ANSWER any set of circumstances that increase serious adverse events" "root cause analysis - CORRECT ANSWER process for identifying deep underlying causes of mistakes" "failure mode effect analysis - CORRECT ANSWER systemic proactive approach to error prevention" "where do breakdowns in communication safety occur? - CORRECT ANSWER precautions, medications, good rapport with others, shift change, during rounds, high stress" "communication errors account for ____% of adverse events - CORRECT ANSWER 70" "attributes of communication - CORRECT ANSWER process of complimentary exchange, context and learned skill" "what does SBAR stand for - CORRECT ANSWER Situation Background Assessment Recommendation" "what does CUS stand for - CORRECT ANSWER I am Concerned I am Uncomfortable This is a Safety issue" "when patients are harmed what is the % due to commmuniation failure - CORRECT ANSWER 70%" "metacommunication - CORRECT ANSWER consists of factors that comprise the context of the message" "what is EHR - CORRECT ANSWER Health information about patient can be seen by more than one healthcare organization" "what is quality - CORRECT ANSWER the assessment and provision of safe, respectful, appropriate, accessible, effective equitable and efficient care" "what is safety - CORRECT ANSWER defined as reduction and mitigation of unsafe acts within the health care system and the use of best practices shown to lead to optimal patient safety" "What is the structure, process, and outcome framework used for? - CORRECT ANSWER quality assessment in nursing" "What do the structure, process, and outcome framework help with? - CORRECT ANSWER diagnosis, treatment, rehab, prevention and client education" "what are the 13 psychological factors that create a safe workplace/ - CORRECT ANSWER psychological and social support, organizational culture, clear leadership and expectations, civility and respect, psychological demands, growth and development, recognition and reward, involvement and influence, workload management, engagement, balance, psychological protection, protection of physical safety" "what is psychological and social support - CORRECT ANSWER all staff taught to support others, workers feel supported by boss, everyone has good understanding of mental health, feel supported after a mental health leave" "What is organizational culture? - CORRECT ANSWER accountable to their actions, feel part of the community, trust and difficult situations dealt with immediately" "what is clear leadership and expectations? - CORRECT ANSWER workers know what they need to do to do their jobs, changes are communicated in a timely manner, supervisors provide helpful feeback and organization provides clear communication" "what is civility and respect? - CORRECT ANSWER diversity, everyone shows care, respect, use acceptable behaviours" "what is psychological demands? - CORRECT ANSWER assessments include time stressors, breaks and task variety and repetition, works supported with technical skills, emotional intelligence" "what is growth and development? - CORRECT ANSWER feedback, opportunity to advance in the organization" "what is recognition and reward? - CORRECT ANSWER appreciate efforts or workers, leaders are trained to provide good feedback, recognition is authentic, timely and personal" "What is involvement and influence? - CORRECT ANSWER employees talk to supervisor about how work is done, innovative practices explored, workers ideas thoughtfully considered" "what is workload management? - CORRECT ANSWER talk to boss about of work they can do, work is free from disruption, have control over priorities, work is disrupted fairly" "what is engagement - CORRECT ANSWER employees motivated, thick work is important and involved in setting goals" "what is balance - CORRECT ANSWER works to take breaks and vacation, meet demands of life and work, talk to manager if trouble balancing life and work, leaders to promote work life balance" "psychological protection - CORRECT ANSWER managers care about workers wellbeing, employees believe they can raise new ideas" "protection and physical safety - CORRECT ANSWER workers feel safe to report hazards, organization cares bout physical safety, workplace works to prevent injury" "top 3 reasons nurses do not speak up - CORRECT ANSWER fear of being viewed negatively, feeling as if they do not have enough experience, feel that the organizations hierarchy is intimidating or unsupportive" "just culture - CORRECT ANSWER refers to an explicit value of reporting errors without fear of punishment" "group norms - CORRECT ANSWER set of rules or guidelines that a team establishes to shape the interaction of its members with one other" "psychological safety is the founcation for - CORRECT ANSWER effective collaboration and patient safety" "which zone is ideal for psychological safety - CORRECT ANSWER the learning zone" "transformational leadership - CORRECT ANSWER provides a framework for understanding the leadership practices required to achieve healthy work environment" "What is an electronic medical record (EMR)? - CORRECT ANSWER is an individual's health record within a healthcare provider's facility." "What are examples of health IT and informatics tools for patients and consumers? - CORRECT ANSWER mobile health tools such as wellness monitoring devices, personal health records, patient portals, physiologic monitoring, and sensors." "What are infrastructure health information technologies? - CORRECT ANSWER include health information exchanges (HIEs), data warehouses, and communication networks." "What is the purpose of health information exchanges (HIEs)? - CORRECT ANSWER support the sharing of health data across healthcare institutions." "What is the purpose of data warehouses? - CORRECT ANSWER store data" "What is the goal of using health IT and informatics tools? - CORRECT ANSWER engage consumers in health care and create a connected health system." "What is an informatician? - CORRECT ANSWER is a person who works in the field of informatics, sometimes called an informaticist." "What is information science? - CORRECT ANSWER interprofessional science primarily concerned with the analysis, collection, classification, manipulation, storage, retrieval, and dissemination of information." "What is computer science? - CORRECT ANSWER branch of engineering that studies computation and computer technology, hardware, and software, as well as the theoretical foundations of information and computation techniques." "What is information science based on? - CORRECT ANSWER based on statistics and mathematical theories concerned with methods of coding, transmitting, storing, retrieving, and decoding information." "What are the methods used in information science? - CORRECT ANSWER data transmission, encryption, compression, and other information processing techniques." "Q: What is cognitive science? - CORRECT ANSWER interprofessional study of mind, intelligence, and behavior from an information processing perspective." "Q: What does cognitive science encompass? - CORRECT ANSWER how people think, understand, remember, synthesize, access, and respond to stored information and knowledge." "How does cognitive science relate to technology? - CORRECT ANSWER provides the scaffolding for the analysis and modeling of complex human performance in technology-mediated settings." "What is organizational science? - CORRECT ANSWER field that studies the behavior of organizations, including topics such as individual, group, and organizational decision making, human resources management, and design of organizations and networks." "What is translational bioinformatics? - CORRECT ANSWER refers to the development of storage, analytic, and interpretive methods to optimize the transformation of biomedical and genomic data into proactive, predictive, preventive, and participatory health." "What is the end product of translational bioinformatics? - CORRECT ANSWER newly found knowledge from integrative efforts that can be disseminated to a variety of stakeholders, including biomedical scientists, clinicians, and patients." "clinical research informatics? - CORRECT ANSWER relates to informatics whose objective is to advance the biomedical/health sciences through the humane and ethical use of informatics. Included are issues relating to the use of information and knowledge, as well as the sound and socially appropriate collection and maintenance of person-specific and/or deidentified patient data." "What is Consumer Health Informatics (CHI)? - CORRECT ANSWER form of health IT that aims to improve healthcare decisions from the consumer's perspective." "What disciplines does CHI intersect with? - CORRECT ANSWER stands at the crossroads of other disciplines such as nursing informatics (NI), public health, health promotion, health education, library science, and communication science." "What is Nursing Informatics (NI)? - CORRECT ANSWER is the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice." "What is Public Health Informatics? - CORRECT ANSWER the application of information, computer science, and technology to public health science to improve the health of populations." "What are some examples of public health functions that can be improved with informatics? - CORRECT ANSWER Biosurveillance, outbreak response, and electronic laboratory reporting are some examples of public health functions that can be improved with informatics." "Informatics nursing is distinguished from other nursing specialties by its focus on: - CORRECT ANSWER data and information content and representation." "An electronic health record is defined as - CORRECT ANSWER A record available electronically to authorized health care providers and the individual anywhere, anytime in support of high quality care. The record provides each individual in Canada with a secure and private lifetime record of their key health history and care within the health system." "An electronic medical record is defined as - CORRECT ANSWER A record specific to a clinician's (e.g. physician) practice or organization. It is the record that clinicians maintain on their own patients, and which detail demographics, medical and drug history, and diagnostic information such as laboratory results and findings from diagnostic imaging. It is often integrated with other software that manages activities such as billing and scheduling." "What is nursing informatics? - CORRECT ANSWER Nursing informatics is defined as a "science and practice [which] integrates nursing, its information and knowledge, and their management, with information and communication technologies to promote the health of people, families and communities worldwide"" "What are the three objectives of the project by the Canadian Association of Schools of Nursing? - CORRECT ANSWER 1) To promote a national dialogue among nurse educators, informatics experts, and nursing students on integrating nursing informatics into entry-to-practice competencies; 2) To increase the capacity of Canadian nurse educators to teach nursing informatics; and 3) To engage nursing's key stakeholders in developing nursing informatics outcome-based objectives for undergraduate nursing curricula." "Who is part of the Task Force formed by CASN? - CORRECT ANSWER nurse educators and practitioners with expertise in nursing informatics, employers, nursing students, and representatives from other relevant national provincial/territorial associations." "What was the first activity of the project by CASN? - CORRECT ANSWER delineate the list of nursing informatics competencies that all registered nurses should possess upon graduating from an undergraduate nursing program in Canada." "Who formed the Competency Development Working Group? - CORRECT ANSWER Members of the Task Force with experience in competency development" "What did the Competency Development Working Group do? - CORRECT ANSWER engag