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Evidence Based Nursing (NRSE-260-lect.) > Final Exam > Flashcards

Final Exam Flashcards

(55 cards)

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1
Q

What are the basic learning priniciples?

A

Motivation to learn depends on…
* ability to learn (based on physical, cognitive, developmental abilities)
* learning environment

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2
Q

What creates a good learning environment?

A
  • well-lite space
  • good ventilation
  • comfortable temperature/pain level
  • quiet, private environment
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3
Q

What is the teaching acronym?

A
  • Tune into patient
  • edit patient info
  • act on every teaching moment
  • clarify often
  • honor the patient as partner in education process
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4
Q

What is the COPE acronym stand for in the COPE model?

A
  • Creativity
  • Optimism
  • Planning
  • Expert information (getting second opinion)
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5
Q

What are Knowles 4 assumptions about adult learners?

A
  1. maturity = development of independence
  2. older adults w/experience are a great resource for learning
  3. readiness to learn depends on task/role
  4. knowledge learned now is only beneficial now (should be useful for the future as well)
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6
Q

What are special considerations when planning teaching for older adults?

A
  • identify learning barriers/reduce environmental distractions
  • accomodate for extra time/sensory deficits
  • plan short teaching sessions
  • relate new info to familiar activites/info
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7
Q

What are three questions you can ask yourself when teaching? (ask me three questions)

A
  • what is my main problem?
  • what do I need to do?
  • why is it important for me to do this?
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8
Q

What are the three learning domains?

A
  • cognitive
  • psychomotor
  • affective
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9
Q

What learning domain is used for storing and recalling of new knowledge in the brain?

A

cognitive

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10
Q

What learning domain is used for learning a physical skill?

A

psychomotor

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11
Q

What learning domain is used for changing attitudes, values and feelings?

A

affective

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12
Q

What are some examples of cognitive learning domains?

A
  • lecture
  • panel
  • discovery
  • written materials
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13
Q

What are some examples of psychomotor learning domains?

A
  • demonstration
  • discovery
  • printed materials w/images
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14
Q

What are some examples of affective learning domains?

A
  • role modeling
  • discussion
  • audiovisual materials
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15
Q

Should positive or negative reinforcement be used when carrying out successful patient teaching?

A

positive

avoid criticism or punishment

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16
Q

What are some important considerations for successful patient teaching that must be fulfilled for proper patient teaching?

A
  • comfortability (assessing/treating pain)
  • checking fatigue levels/making sure they are well-rested
  • considering time constraints/scheduling

not fulfilled/meet requirement = teaching must postponed

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17
Q

How should the teaching-learning process be documented?

A
  • identify learner (who was taught)
  • how (they were taught)
  • barriers to learning
  • evaluation (response to learning)
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18
Q

What provides a framework for making the best decision in any given situation where such dilemmas arise?

A

ethics

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19
Q

When do ethical dilemmas occur?

A

in the presence of conflicting ethical values

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20
Q

How can ethical dilemmas be resolved?

A

ADPIE!
* assess situation
* define ethical problem
* plan
* implement plan
* evaluate implemented plan

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21
Q

Having proper access to healthcare is an example of what ethical principle for patient care?

A

justice

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22
Q

A nurse not abandoning their patient based on their own personal belief is based on what ethical principle for patient care?

A

fidelity

promised to be a nurse and provide care to all

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23
Q

What ethical principle for patient care describes the right a patient has to make their own decisions on their healthcare/treatment?

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A

autonomy

right to self-determination

24
Q

What ethical principle for patient care describes the act of promoting good for others without any self interest?

25
What ethical principle for patient care describes the fulfillment of promises?
fidelity
26
What ethical principle for patient care describes the fairness in care delivery and use of resources?
justice
27
During COVID, resources were low and providers had to pick and choose where and who those limited resources would go to. This situation focuses on what ethical principle for patient care?
justice
28
What ethical principle for patient care describes a commitment to do no harm to the patient?
nonmaleficence
29
What professional ethic value describes the concern for welfare (restrictions or violations of the autonomy of an individual for the benefit of all) and well-being of others?
altruism
30
What professional ethic value describes the respect for inherent worth and uniqueness of individuals and populations?
human dignity
31
What professional ethic value describes acting according to the code of ethics and standards of practice?
integrity
32
What professional ethic value describes upholding moral, legal and humanistic rights?
justice
33
What describes a wrong committed by a person against another person or that person's property?
tort
34
What are the two types of torts?
* intentional (assault, battery, defamation, invasion of privacy, false imprisonment, fraud) * unintentional (negligence, malpractice)
35
What are the four elements of liability that must be fulfilled to categorize an act as being malpractice?
* duty * breach of duty * causation * damages
36
What are the elements of informed consent?
* disclosure (risks vs benefits) * comprehension (repeat understanding) * competence (complete understanding) * voluntariness
37
Who is liable when an nursing student commits a wrongdoing/malpractice?
* nursing student (themselves) * their instructor * hospital * their college/university
38
What was enacted that established protections for security and privacy of medical records and protected health information?
HIPPA
39
What includes any healthcare information relating to the past, present or future that can be used to identify a patient/individual?
protected health information (PHI)
40
What are a patient's rights in relation their health records?
* can see, copy, or update health record * request list of disclosures/uses
41
What does ISBARR stand for?
* identity/introduction * situation * background * assessment * recommendation * read back/response
42
What are incident reports used for?
risk management & quality improvement for patients | not intended for disciplinary action against staff
43
How long do providers have for cosigning a documented verbal or telephone orders?
24 hours
44
What are the four P's when performing rounding?
* pain * personal needs (bathroom needs) * positioning * fall prevention
45
What are the elements of documentation?
* accuracy/factual (charting on for yourself) * not leaving blank spaces, lines or boxes on charts * using black, nonerasable ink * making line through mistake & signing it * following policy
46
What are the two types of management structures?
* centralized * decentralized
47
What type of management structure makes their decisions from top-down?
centralized | think: senior manager making decisions for you
48
What type of management structure makes their decisions from bottom-up?
decentralized | made at staff level
49
What are stages of priority in healthcare?
* high priority * intermediate priority * low priority
50
What type of priority focuses on immediate threats to patient's survival/safety?
high priority
51
What type of priority usually includes prioritizing changes in ABCs, VS, labs, and acute or urgent problems?
high priority
52
What type of priority focuses on nonemergent, non-life threatening problems that are secondary to immediate threats to patient survival/safety?
intermediate priority
53
What type of priority usually includes prioritizing changes in mental status, untreated medical problems, pain, and urinary elimination problems?
intermediate priority
54
What type of priority focuses on actual or potential problems that may or may not be directly related to a patient's illness or disease?
low priority
55
What type of priority usually includes prioritizing changes in activity, rest, family, coping, and lack of knowledge?
low priority

Evidence Based Nursing (NRSE-260-lect.) (13 decks)

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