Intro Nursing Final Exam - UTMB Questions With 100% Correct Answers

5 fundamentals of knowing - empirical - facts ethical - moral values personal -knowing oneself aesthetic - immediate situation synthesizing - pulling them all together 5 steps of PICO/t - - identify question - collect best evidence relevant to the question - critically appraise evidence - integrate the evidence - evaluate practice decision Ad hoc - touch base meetings to regain situation awareness Administrative/ Regulatory Law - Decisions are made by administrative bodies ex: BON rules and regulations; a nurse's responsibility to report unethical practice Adverse event - injury from medical intervention ie wrong medication Assault - action that places a person in apprehension of a harmful or offensive contactie: performing surgery without signed consent Autonomy - having the right to make your own decision Battery - intentional touching w/o consent ie: threatening to give injection and actually doing it Beneficence - doing good BON - protects public from unsafe nursing practice -provides approval for nursing education programs - issues licenses - provides nursing practice and education guidance to current nurses - subject to TX Sunset Act Burnout - Results form excessive & prolonged stress - feelings of senselessness or hopelessness - feelings of failure - loss of a sense of personal identity Call Out - Used to communicate critical information ie Airway status?airway clear breath sounds breath sounds decreased on right Case/ Common Law - Decisions made in court - informed consent - patients right to refuse treatment - negligence - malpractice Check back - used to validate and verify information exchanged ie; medication repeat Civil laws - - protects the right of individuals - provides fair and equal treatment - damages lead to fines or public service Ex: Nurse is negligent Clara Barton - - American red cross and army nurse corps - passed the geneva convention Criminal Laws - - protect society as a whole - felony - crime that has penalty of imprisonment for more than 1 yr or death - misdemeanor - less serious crime with a fine or imprisonment less than 1 yr Ex: nurse is misusing controlled substancesCross monitoring - Strategy to reduce errors - watching each others back CUS method - Concerned Uncomfortable Safety Issue allows team members to clearly understand the issue and the magnitude DESC script - describe express suggest consequences - used to communicate during conflict and very effective in personal conflict Dorthea Orem - Match client with appropriate intervention based on self care needs Ethics - the study of moral principles of our interaction with other people Experimental - Eliminates bias and controls variables so that afterwards the researchers knows if the intervention leads to better outcomes - has a control & treatment group ex; drug tests or medical treatmentsExternal variables - - family practices - socioeconomic factors - cultural backgrounds Fiedlity - honoring ones commitment "ill be right back" Handoff - Transfer of info and authority/responsibility during transitions in care - ie shift change Harm scores - The higher the number the worse the outcome Health belief model - Addresses the relationship between a person's beliefs and behaviors - internal & external variables - can positively or negatively influence health behaviors Healthy people 2020 - A vision that society is a place where all people live long healthy lives. Prevent health problems before they arise. - obesity rates are increasing - which often leads to a lower social well being Hospital acquired complications - - falls - decubiti - performing wrong surgery - air embolism - CAUTI - foreign object retained after surgeryI PASS the BATON - Introduce - name and job Patient - name, sex,age Assessment - chief complaint Situation - current status Safety concerns - lab values The Background - family hx,meds Actions - most important info Timing - level of urgency Ownership - why is resp. Next - anticipated changes