UL Nursing 204 Final Questions And Answers | Complete Study Solutions | Graded A+

DESC: structured Format to Resolving Workplace Conflict - CORRECT ANSWER-D - Describe the behavior (problem) E - Express your concern S - Specify a course of action C - obtain Consensus professional nurse - CORRECT ANSWER--largest group of health care providers -spend more sustained time with clients and families than any other hospital care provider -roles are steadily evolving expanded professional nurse - CORRECT ANSWER-advanced practice and leadership roles for nurses are the wave of the future 4 core categories of advanced practice nurses: - CORRECT ANSWER--nurse practitioner NP -certified nurse midwife CNM -clinical nurse specialist CNS -certified registered nurse anesthetists CRNA APRN's also practice as? - CORRECT ANSWER--research -education -administration a significant issue yet to be resolved for APRN's is? - CORRECT ANSWER-lack of consistency surrounding the role responsibilities and scope of practice of APRNs the scope of practice for professional nurses has expanded to include..? - CORRECT ANSWER--reimbursed health screening and promotion -risk reduction -disease prevention strategies privacy advocate roles - CORRECT ANSWER-contemporary nurses are expected to advocate for health care transformations and to take a leadership role in addressing environmental, social, and economical determinate of health care professional role clarity issues: - CORRECT ANSWER--expanded scope of practice and expectations -lack of competency surrounding the role responsibilities and scope of practice for APRNs clarity is necessary to? - CORRECT ANSWER--communicate our value as health car provides to other professionals -support client safety initiatives that lead to improve client outcomes -a clear vision of their professional role causes them to stimulate confidence in others clinical nurse leader CNL - CORRECT ANSWER-- advanced generalist nurse: masters + certification -emphasizing clinical leadership skills and training in health care systems management at the clinical unit level doctor of nursing practice DNP - CORRECT ANSWER--a terminal practice degree for professional nurses -position nursing professionally on par with other major health professions interprofessional role relationship - CORRECT ANSWER-interprofessional education, role awareness, communication and interpersonal relationship skills are essential IOM "the future of nursing: leading change, advancing health" key messages: - CORRECT ANSWER--nurses should practice to full extent -nurses should achieve higher levels of education and training -nurses should be full partners with physicians and other health professionals -effective workplace planning and policy making require better data collection to achieve goals of IOM, nurses must: - CORRECT ANSWER--develop new partnerships -fully educate themselves -serve on advisory and policy committees -cross discipline -collaborative care models -education curriculum meet new century demands Collaborative teamwork and communication - CORRECT ANSWER--in addition to having different skill sets relevant to clients needs, each health care team consists if individuals with unique personalities, egos, and idiosyncrasies -creating and esprit de corps among team members provides a different form of synergy -simultaneous communication to multiple team members is common but can be a challenge develop support systems - CORRECT ANSWER--collegial relationships are an important determinant -people look for communication qualities in a developing support system -mutual support networks that share info, ideas, and strategies with colleagues add a collective strength to personal efforts interdisciplinary communication - CORRECT ANSWER--interdisciplinary groups are highly effective for enhancing collaboration and communication -group ideas include: collaborative rounds, huddles, team briefings, debriefings, and committees teamSTEPPS stands for? - CORRECT ANSWER-TEAM STRATEGIES and TOOLS to ENHANCE PREFORMING and PATIENT SAFETY team training program that emphasizes improving ______________ ______________ by improving _________________ using ________________-______________ techniques - CORRECT ANSWER--client outcomes -communication -evidence-based TeamSTEPPS key principles: - CORRECT ANSWER--team structure -communication -leadership -situation monitoring -mutual support TeamSTEPPS tools and strategies work towards? - CORRECT ANSWER-improving team function by improving communication clarity TeamSTEPPS: communication - CORRECT ANSWER--SBAR -call-out -check-back -handoffs TeamSTEPPS: leading teams - CORRECT ANSWER--brief -huddle -debrief TeamSTEPPS: situation monitoring - CORRECT ANSWER--STEP -cross-monitoring TeamSTEPPS: mutual support - CORRECT ANSWER--feedback -advocacy and assertion -two-challenge rule -CUS effective team leaders will: - CORRECT ANSWER-- organize a team -identify and articulate clear goals -assign tasks and responsibilities -monitor and modify the plan; this involves communicating changes in care plan -review team performance; provide feedback about performance to team members -manage and allocate resources -facilitate sharing of information -encourage team members to assist one another -facilitate conflict resolution strategies -be a model for effective teamwork briefing - CORRECT ANSWER-- "sharing the plan" -the leader presents the team with a brief overview of what procedure is about to happen, identifies roles and responsibilities of team members, plans for the unexpected, and increases each members awareness of the situation -the leader asks anyone who sees a potential problem to speak up huddle - CORRECT ANSWER--"monitoring and modifying the plan" -a brief, informal gathering of the team to decide on a course of action -reinforces the existing plan of care or alerts team members of changes to care plan -can be called by any team member debriefing - CORRECT ANSWER--"reviewing the teams performance" -occurs after the procedure or incident -its a call back or review during which each team member has the opportunity to voice problems that arose, identify what went well, and suggest changes that can be made -designed to improve the teams performance and effectiveness situation monitoring - CORRECT ANSWER--the process of continually scanning and assessing whats going on around you to maintain situation awareness situation awareness - CORRECT ANSWER-shared mental model components of situation monitoring: - CORRECT ANSWER--STEP -Cross-Monitoring S.T.E.P: - CORRECT ANSWER--Status of patient -Team members -Environment -Progress towards goals Cross-Monitoring: - CORRECT ANSWER--a human error reduction strategy that involves: "watching each others back" Mutual support: feedback - CORRECT ANSWER--can be given by an team member at any time feedback should be: - CORRECT ANSWER--clear and considerate -brief and specific -timely -complete and directed towards improvement sending technique: clear and considerate - CORRECT ANSWER-common language/terminology used sending technique: brief and specific - CORRECT ANSWER-communicate only info essential for the situation sending technique: timely - CORRECT ANSWER--verify message is received -respond quickly to request for additional info -provide frequent updates sending technique: complete and directed towards improvement - CORRECT ANSWER--give all relevant info -use standardized communication tools mutual support: CUS - CORRECT ANSWER--use of key word phrases understood by all team members to mean "stop! we may have a problem" teamwork and collaboration - CORRECT ANSWER--an expected core nursing competency -you are expected to be able to function effectively within nursing and an inter professional team teamwork and collaboration: QSEN definition - CORRECT ANSWER-for teamwork we need mutual respect, open communication, and shared decision making with all team members teamwork and collaboration: Knowledge - CORRECT ANSWER--know the scope of practice, analyze difference in communication styles teamwork and collaboration: Skill - CORRECT ANSWER--adapt your own style to the needs of the team in the current situation, communicate openly, share in decision making, and resolve potential conflicts teamwork and collaboration: Attitude - CORRECT ANSWER--respect contributions of every team member Handoff reports - CORRECT ANSWER--used during the transition of care -needs to be accurate, specific, clear, and allow time for questions -recommend the use of "I PASS the BATON" for handoffs "I PASS the BATON": - CORRECT ANSWER--Introduction -Patient -Assessment -Situation -Safety concerns -Background -Actions -Timing -Ownership -Next Interdisciplinary rounds and team meetings: - CORRECT ANSWER--increase communication among the whole team (physicians, pharmacists, therapists, nurses, and dietitians) -interdisciplinary team meetings and clinical teaching rounds are linked to decreased length of client hospital stay Interdisciplinary rounds and team meetings can include: - CORRECT ANSWER--huddles -callouts -time-outs callouts and timeouts - CORRECT ANSWER--allow staff time to stop and review current challenges in health care delivery: - CORRECT ANSWER--complex contemporary health care system -patient protection and affordable care act PPACA what reasons do the complexity of contemporary health care system requires a different care process to match new health realities? - CORRECT ANSWER--Demographics, economics, health disparities, globalization, provider shortages -Earlier discharges & sicker -Complex medication & treatment -Technology advances -Self-management of chronic diseases Patient protection and affordable care act PPACA - CORRECT ANSWER-- provides new urgency for development of coordinated community based COC health incentives Continuity of care: COC definition - CORRECT ANSWER-A multidimensional longitudinal construct in health care, which emphasizes seamless provision and coordination of client-centered quality care across the clinical setting Dimensions of COC: - CORRECT ANSWER--relational continuity -informational continuity -management continuity relational continuity - CORRECT ANSWER-a "therapeutic relationship with a practitioner that spans more than one episode of care" informational continuity - CORRECT ANSWER-refers to the use of data to tailor to current treatment and care to each clients evidenced needs management continuity - CORRECT ANSWER-refers to a consistent, coherent care management approach, which can be flexibly adjusted as client needs change Continuity of care constructs a _________ of connected client-care events both within health care institution and among _________ setting(s) - CORRECT ANSWER--series -multiple Continuity of care: Goal - CORRECT ANSWER-to ensure reliable coordinated transitions of clients from one health care setting to another, such that care in each setting continues to provide a secure health safety net for individuals and families to rely on COC contributes to the development of what? - CORRECT ANSWER--increased accessibility -personalization of care -informational data sharing -provide health services COC: collaboration and coordination - CORRECT ANSWER--concerned with the safety and quality of care as well as seamless coordination of services COC: Communication - CORRECT ANSWER--prescribed communication in the COC acts as a bonding agent to help the treatment process across multiple settings run smoothly COC means less: - CORRECT ANSWER--duplication, conflicts, gaps in services -Use of preventable acute care services -errors COC means more effective: - CORRECT ANSWER--Timely follow-up -Ease in transitions -HCP more familiar & can notice subtle changes COC for chronic health conditions: - CORRECT ANSWER--"health problems that require ongoing management over a period of years or decades" -chronic disorders typically have periods of exacerbations and remissions -based on an expended version of chronic care model chronic care model - CORRECT ANSWER-is designed to foster productive interactions between informed clients and families and prepare proactive practice teams leading to improve clinical outcomes relevance of COC in primary care: - CORRECT ANSWER--primary care is described as the hub of community based care, provided by a wide range of services delivered in a single community based setting -offer diagnosis and treatment of common undifferentiated illnesses -clients are considered active agents in a dynamic health care delivery process primary care key features: - CORRECT ANSWER--person centeredness -functions as a first contact point -comprehensive care -highly personalized form of care relational continuity - CORRECT ANSWER--interpersonal aspect of the COC model across time and care settings -requires strength for the relationship, respect for the client and family values, and trust in the relationship with the primary provider relational continuity: goal - CORRECT ANSWER-to develop sustained client-provider relationships in which informed, motivated clients interact with prepared, proactive professional health care teams to achieve identified health goals for chronic health conditions New roles in continuity of care - CORRECT ANSWER--hospitalist -medical home -team-based care hospitalist - CORRECT ANSWER-may be a physician or nurse practitioner employed by the hospital to clinically manage a hospitalized clients medical care medical home - CORRECT ANSWER--a concept as well as a "place" in primary care -accepts the responsibility for providing regular, accessible, comprehensive primary care services -clients depend on their medical home as a first line treatment source -external coordination of health care services with specialist and community agencies expand the capabilities of the medical home team-based care - CORRECT ANSWER--collaborative teams as a "small number of people with complementary skills who are committed to a common purpose" -describes an active, ongoing alliance between health care professionals from different disciplines -each team member addresses a different aspect of clients illness experience as an integrated unit Essential Elements of Relational Continuity (The 3 C's) - CORRECT ANSWER--Client Centered Care -Collaboration -Coordination Client Centered Care - C