ULL Nursing 204 Final New Update 2024 Actual Test with complete solution

"I PASS the BATON": - -Introduction -Patient -Assessment -Situation -Safety concerns -Background -Actions -Timing -Ownership -Next 3 key factors of respect - -Positive climate of professional practice -Supportive manager -Positive relationships with others 4 core categories of advanced practice nurses: - -nurse practitioner NP -certified nurse midwife CNM -clinical nurse specialist CNS -certified registered nurse anesthetists CRNA 5 steps for nursing behaviors when dealing with an angry client to avoid violence - -control self -nonverbal body posture -verbal de-escalation discussion -containment -debrief immediately: analyze and report6 simple tips towards achieving effective communication - -listen before you speak -know what you're talking about -use your voice wisely -be open to different ideas -ask for feedback -work within the system a significant issue yet to be resolved for APRN's is? - lack of consistency surrounding the role responsibilities and scope of practice of APRNs A= Articulate - -articulate why the behavior is the problem -explain the institution policies accommodation - - we surrender our own needs in a desire to smooth over the conflict -A cooperative, but nonassertive style -Maintaining peace, but not actually dealing with the issue accommodation: results in ? - an i lose-you win situation anger continuum - anxiety--anger--aggression APRN's also practice as? - -research -education -administration arrange services - identify suitable agency(s) and verify financial or insurance coverage Assessing the presence of conflict - often our awareness of our own feelings of discomfort is an initial clueavoid ___________ comments that can affect the self esteem of the receiver - negative avoid these barriers to resolution - -physician-nurse conflict -nurse-to-nurse conflict -peer collaboration avoidance - -a common response to conflict - used to distance yourself, provide less support, withdraw, postpone dealing avoidance: leads to? - further problems, damaged relationships, and an I lose- You lose situation avoidance: why? - sometimes a situation make you so uncomfortable that you want to just avoid the situation or person at all costs, so you withdraw before you respond empathetically to the clients feelings, they will have to be ___________ - decoded brainstorm - -brainstorm new strategies briefing - - "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 C = Clarify - -clarify the behavior that is the problem -use communication skills, especially active listening skills, to identify issues of concern to the clientC.A.R.E. steps - C = Clarify A = Articulate R = Request E = Evaluate callouts and timeouts - -allow staff time to stop and review care coordination - a term used to decsribe "the management of interdependencies among tasks" care coordination activities - -establishing relationships based on trust -communicating with patients, families, provided, and community resources that lead to shared expectations of communication and care -providing health education -assessing strengths, challenges, needs, and goals -implementing POC, monitor progress and follow up -support self management -facilitate informed choice -facilitate transitions in care -link patients to community resources and align resources to patients needs -develop connectivity=effective flow of info care coordination: goal - to proactively guide patients through the barriers in complex health systems, decrease fragmentation, coordinate services, and improve health outcomes case management definition - a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals health needs through communication and available resources to promote quality cost-effective outcomes case management goal - to help clients function at their highest possible level in the least restrictive management is a ___________ __________ intervention, which assists clients to ________- ________ their health - -professional support -self-manage case management purposes - -to enhance the clients quality of life -to decrease fragmentation and duplication of health delivery processes -to contain unnecessary health care costs causes of conflict include: - -lack of communication/poor communication -differences in values, personality -multiple demands or issues causing high levels of stress -differences in your nursing care and your clients beliefs choose best next care setting - -nursing home -inpatient rehab -assisted living -home with home health care aide -home with family or alone chronic care model - is designed to foster productive interactions between informed clients and families and prepare proactive practice teams leading to improve clinical outcomes clarity is necessary to? - -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 clear roles - -an essential prerequisite for successful collaboration on interdisciplinary health care and community based family care teamsClient Centered Care - -clients should be key informants, active negotiators, final decision makers, and engaged participants in evaluating treatment outcomes -joint decision making is a key element here clinical nurse leader CNL - - advanced generalist nurse: masters + certification -emphasizing clinical leadership skills and training in health care systems management at the clinical unit level clinical situation constraints - emphasis on rapid decision making clinical summary - -course (diagnosis and treatment) -key date (lab reports, radiology) -care plans main elements (how to care for client)