Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

S4 2138 > M1 Clinical Judgement/Communication > Flashcards

M1 Clinical Judgement/Communication Flashcards

1
Q

Tort

A

intentional or unintentional act of wrong doing

depending on severity, can be held in both a civil and criminal trial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Intentional tort examples

A

Assault
Defamation
Invasion of privacy
False imprisonment (putting up all the safety bars)
Fraud

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Unintentional tort examples

A

Negligence
Malpractice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Negligence

A

Omission or commission of actions that a reasonably prudent person would or would not do

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Malpractice

A

Negligence by professional personnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

4 elements of liability

A

Duty
Breach of duty
Causation
Damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Components of informed consent

A

Disclosure
Comprehension
Competence
Voluntariness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who obtains informed consent

what are we responsible for

A

Dr.

Dr. Pt. and witness signature. (witness preferably not you the nurse)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Before giving med verify

A

Name
Date of birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If pt has med questions

A

resolve issues before giving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

dosage
side effect
reaction

questions can be addressed via

A

drug reference hand book

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What to do if wrong med is given

A

Immediately stop med
Assess pt
Notify provider
Document

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Never event

A

an event for which there already are safety checks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sentinel event

A

death
permanent injury
long lasting/severe injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Critical pathway

A

a relatively standardized prediction of a patients prognosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

5 rights of delegation

A

Right task
Right circumstance
Right person
Right direction/communication`
Right level of supervision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Improper delegating involves

A

wrong time
wrong person
wrong reason

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Are RNs liable for work they delegate to NAPs
Nursing assistive personnel

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Can NAPs do invasive sterile treatment

A

NO
only noninvasive and nonsterlie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What reports can NAPs collect and document

A

Vitals
Height
Weight
Intake/Output
Capillary blood
Urine test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What movement tasks can NAPs assist with

A

Ambulation
Positioning
Turning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Can NAPs help transport clients within facility

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What hygiene can NAPs assist with

A

Personal hygiene
Bed washes
Elimination
Vaginal irrigation
Cleansing enemas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Can NAPs assist with eating

what if pt has breathing or swallowing problems

A

YES
feeding
cutting food
placing meal tray

then NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Can NAPs assist with ADLs

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

7 criteria for a task to be deligated

A

Task is frequent
There are steps
Little modification from 1 client to the next
Predictable outcome
NO assessment interpretation or decision making
Does not endanger client
Task is allowed by policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

If a task involves _ , _ , or _ you CAN NOT delegate it

A

Assessment
Interpretation
Decision-making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Cultural phenomena to consider when delegating

A

Communication
Space
Social organization
Time
Environmental control
Biological variations

29
Q

Communication aspects to consider

A

Touch
Volume
Eye contact

30
Q

Time aspects to consider

A

is culture past present or future oriented

31
Q

Environmental control

A

Internal or external locus

32
Q

Communication can be

A

Written
Nonverbal
Verbal

33
Q

Sender and receiver of message are both influenced by their own

A

Internal climate
External climate

34
Q

Internal climate

A

Values
Feelings
Temperament
Stress level

35
Q

External climate

A

Weather
Temperature

Timing
Status
Power Authority
Organizational climate

36
Q

Communication must be

A

clear
simple
precise

37
Q

after sending a message, the sender should seek

A

feedback

38
Q

Upward communication

A

from subordinate to superior

39
Q

Downward communication

A

superior to subordinate

40
Q

Horizontal communication

A

peer to peer

41
Q

Diagonal communication

A

Between individuals at different hierarchys

42
Q

Grapevine communication

A

informal random chatter

43
Q

To be more clear and firm in verbal communication use _ statements

A

I

44
Q

How to respond to aggressive communiation

A

Repeat the message back in your own words

Ask inquisitive questions

45
Q

ISBAR

A

I am _
Situation
Background
Assessment
Recommendation

46
Q

IPASS

A

Illness severity
Patient summary
Action list
Situational awareness and contingency planning
Synthesis (read back)

47
Q

GRRRR listening

A

Greeting
Respectful listening
Review
Recommend or request more info
Reward

48
Q

Is the EHR specific to one facility

A

NO

49
Q

Stage of a group process

A

Forming
Storming
Norming
Performing

50
Q

Group process forming

A

Testing of boundaries

51
Q

Group process storming

A

resistance to influence
polarization into subgroups

52
Q

Group process norming

A

Consensus evolves as group cohesion develops
Conflict is overcome

53
Q

Group process performing

A

Structure focuses on task completion

54
Q

Triage categories

A

Emergent
Urgent
Non -emergent
Expecting

55
Q

Sepsis red flags to watch for

sepsis is about TIME

A

Temperature - high or low
Infection - s/s
Mental decline - confusion, difficult to arouse
Extremely ill - pain, discomfort, SOB

56
Q

Medication reconciliation

A

Develop list of current meds
Develop list of meds prescribed
Compare
Make clinical decision on comparison
Communicate list to care giver

57
Q

Med management complications

A

Med interactions
Overdose
Appropriateness of treatment
Side effect
Patient teaching

58
Q

Maslow’s hierarchy

A

5 self actualization
4 esteem
3 love/belonging
2 safety
1 physiological

59
Q

Different ways to prioritize care

A

Actual vs potential
Acute vs chronic
Least invasive first

60
Q

5 rights of delegation
CPSTD

A

Circumstance
Person
Supervision
Task
Direction

61
Q

Delegation errors

A

Under delegation
Over delegation
Improper delegation - 5 rights

62
Q

what can APs do

A

vitals height weight i&o, specimen collection

food (without swallowing precaution)

ADL

positioning

transport

63
Q

When to contact physician

use

A

When there is a noticeable change in pt status

SBAR

64
Q

What to do before call

Assess Review Focus Report

A

Assess pt

Review record - report allergies, meds, IV fluids, lab and test results

Focus on problem - report the issue, not the whole patient outline

Report

65
Q

4 modes of communication

A

Written - sbar, notes, emails
Face to face - discussion, bedside, meetings
Telephone - telemedicine
Nonverbal - gestures, body language

66
Q

Written communication issue

A

OPEN TO INTERPRETATION

67
Q

Face to face comms issue

A

limited time

68
Q

Nonverbal communication is more _ than verbal

A

Communicative

speaks volumes

S4 2138 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions