Professional Nursing Midterm Exam Questions and Answers

Professional Nursing Midterm Exam Questions and Answers Goldmark Report: (1923)- Separate schools of nursing from hospitals, require a high-school diploma fir entry into program Brown Report: (1948); Led to accreditation of nursing schools Robert Wood Johnson/ IOM Report: (2010); Nurses should practice to the full extent of licensure and education, involved in policy PhH in Nursing: Research based Curriculum: Plan that describes the program's philosophy, levels, competencies, and course content Accreditation: How a program meets established standards Difference between training and education? Training: Fixed habits and skills, repetition, authority, coercion, emphasized dependency Education: Self-discipline, responsibility, accountability, self-mastery Communication: Successful transfer of a message and meaning from one person or group to another SBAR: Situation Background Assessment Recommendation Team STEPPS: Strategies and tools to enhance performance and patient safety Collaboration: All people are listened to and decisions are made together Coordination: Organizing patient care activities and sharing information along all of the participants concerned with a patient's care to achieve safer and more effective care Therapeutic Communication: Communication between health care provider and patient (and patient family) that takes place to advance the patient's well-being and care Is Therapeutics Communication different or the same as the communication we have with family/ friends? Different Assertiveness: "I" statements, without controlling and bossing Interdisciplinary: All of one provider working together (Ex: Nurses) Multidisciplinary: A variety of providers working together (Ex: Nurses, PT, Nutrition, Physician) What are the team member roles? Coordinator Critic Idea person Implementer External contact Inspector Team builder What is the role of the coordinator? Pulls the work of the team together What is the role of the critic? Keeps eye on team effectiveness What is the role of the idea person? Encourages innovation What is the role of the implementer? Ensures effective team functioning What is the role of the external contact? Looks after external contacts What is the role of the inspector? Ensures standards are met What is the role of the team builder? Cheerleader; develops team spirit What are the phases of team building? Forming, Storming, Norming, Performing, Adjourning What happens during the Forming phase? Team members are polite and excited. Getting to know other team members What happens during the Storming phase? Members push boundaries, conflict between members, frustration develops, unclear of goals, challenge leader's authority What happens during the Norming phase? Conflicts are resolved, members know one another and appreciate talents, develop commitment to the team goal, make progress toward goals What happens during the Performing phase? Working effectively and getting the job done Conflict Resolution: Leadership and participation from team members Respect Compromise Collaborative resolution Peer to Peer Incivility: Rude or unsociable speech or behavior toward peers What are the five steps of communication? The sender has an idea to communicate The sender encodes the idea in a message The message travels over a channel The receivers decodes the message The receiver understands the message and send feedback to sender What is the purpose of Therapeutic Communication? To collect information about patient To provide feedback in form of education and training To assess the patient's behavior Difference between assertiveness and aggression: Assertiveness: "I" statements without controlling and bossing Aggression: Ordering people around Just Culture: Ability to be assertive and admit to making a mistake Barriers to coordination of care: Lack of clear plan of care Limited leadership Team members are overworked Don't include patient and family in planning care Competition amongst team members to control decisions For-Profit Organizations: Extra money is distributed in the form of bonuses for the higher-ups Non-Profit Organizations: Re-invest extra money into the care provided for the patients rather than bonuses Organizational Structure: How the organizations is configured Vertical Structure: Bureaucratic and highly centralized, certain people report to certain people (Ex: most hospitals) Horizontal Structure: Decentralized, everyone is on the same playing field Matrix Structure: Individuals report to multiple people (Ex: college of nursing) What does the state Board of Nursing do? ENFORCES what nurses can and cannot do What does the Nurse Practice Act (NPA) do? DECIDES what nurses can and cannot do Chain of Command: Upper level (CNO, CNE, VP) Middle level (Service line directors) First level (Unit managers) What is the upper level responsible for? (CNO, CNE, VP) Establishing goals and objectives, accountability for service line director's actions What is the middle level responsible for? (Service line directors) Budgeting, hiring, discipline, supplies, policies, procedures