Lecture 2 Exam Review Week 6 Flashcards

Question

Rationalization

Answer 1

Person tries to give a logically or socially acceptable explanation for questionable behavior.

Answer 2

Person develops conscious attitudes and behavior patterns that are opposite to what they would really do.

Answer 3

Person returns to an earlier method of behaving

Answer 4

Person voluntarily excludes an anti- anxiety producing event from conscious awareness

Answer 5

Person subs. a socially acceptable goal for one whose normal channel of expression is blocked

Answer 6

Person uses an act or communication to negate a previous act or communication.

Answer 7

Initiated based on stimulus Sender-(Encoder) Begins the process Message Communication product from the source Channel Communication \Auditory, visual, kinesthetic Receiver( Decoder) Translates and interprets the message being received Confirmation of the message provides feedback

Answer 8

Depends on understanding language

Answer 9

Facial Expressions, gestures, eye contact, touch, Space, time, boundaries Body movements, posture, and gait General Physical Appearance and mode of dress or grooming Sounds Moaning, crying, gasping, sighing

Answer 10

Electronic Communication\ Social Media Email and Texts Telehealth and telemedicine

Answer 11

Social Media Both the ANA and NCSBN have issued guidelines for RNs regarding the use of social media Emails and Texts Risk for violating patient privacy and confidentially exists any time a message is sent electronically Health care agencies usually have security measures in place to safeguard e-mail and text communications

Answer 12

Intrapersonal Self- talk, communication within a person Calming, soothing with nerves Interpersonal Occurs between two or more people with a goal to exchange messages Patient family members, health care team Group Small group Patient- care conferences, teaching sessions, support groups Organizational Communication

Answer 13

Developmental Level Sociocultural Differences Roles and Responsibilities Space and territorially Physical, mental, and emotional state Values Environment

Answer 14

S situation B background A assessment R recommendation

Answer 15

Set the climate for participants to move toward common goals Does NOT occur spontaneously Characterized by an unequal sharing of information Built on the Pt needs The nurse is the caregiver and the patient is the person being cared for Communication is the means used to establish rapport and trusting, therapeutic relationships

Answer 16

Caring Person Centered relationship Dynamic Both people involved are active participants Purposeful and time limited The person providing the assistance is professionally accountable for the outcomes Goals are determined cooperatively and defined in terms of the PTs needs

Answer 17

Orientation Phase PT will call the nurse by name PT will accurately describe the roles of the participants in the relationship PT will establish an agreement about: Goals of relationship Location, frequency, and length of contacts During relationship Working Phase PT will: Actively participate in the relationship Cooperate in activities that work toward achieving mutually accepted goals Express feelings and concerns to the nurse Termination PT will participate in identifying goals accomplished or progress made toward goals PT will verbalize feelings about the termination of the relationship

Answer 18

Dispositional Traits Warmth and friendliness Openness and respect Empathy Honesty, trust, and authenticity Caring Competence Rapport Builders Specific objectives Comfortable environment Privacy Confidentiality PT versus Task focus Using Nursing observations Optimal Pacing

Answer 19

Control the tone of your voice Be knowledgeable about the topic of conversation Be flexible Be clear and concise Avoid words that might have different interpretations Be truthful Keep an open mind Take advantage of available opportunities

Answer 20

Sit when communicating with the patient Be alert and relaxed and take your time Keep the conversation as natural as possible Maintain eye contact if appropriate Use appropriate facial expressions and body gestures Think before responding to the patient Do not pretend to listen Listen for themes Use silence, therapeutic touch, and humor appropriately

Answer 21

Open Ended What did your health care provider tell you about your need for this hospitalization? Closed What medications have you been taking at home Validating At home, you have been taking BP pill and water pill every day. Did you take them today Clarifying I have never needed this med.. Is this the first health problem you have had? Reflective You've been upset

Answer 22

Involves asserting one's rights in negative manner that violates the rights of others Can be verbal or physical Communication is marked by tension and anger, inhibiting the formation of good relationships and collaboration Characteristics include using an angry tone of voice, being condescending, and threatening Focus is usually " winning at all costs"

Answer 23

Failure to perceive the patient as a human being Failure to listen Nontherapeutic comments and questions Using cliches Using closed questions Using leading questions Using comments that give advice Using judgmental comments Changing the subject Giving false assurance Using gossip and rumors

Answer 24

Incivility Horizontal Violence Lateral Violence Nurse Bullying Professional Activity Organizational response to disruptive behaviors

Answer 25

Workplace Violence Verbal harassing, threatening, yelling, bullying, hostile sarcasm Nurses should: Respond by maintaining a professional demeanor, responding assertively, addressing the issue directly with those involved See guidance and support through nurse managers or other appropriate channels

Answer 26

Violent acts, including physical assaults and threats of assault, directed toward persons at work on duty Includes verbal harassing, threatening, yelling, bullying, and hostile sarcasm

Answer 27

Effective Honest and direct flows freely Ineffective Communication is sparing and or one way , self serving roles and may be unchecked

Answer 28

Effective Meets desired aims, participation and leadership are distributed among members Ineffective Leadership delegated on authority.

Answer 29

Written or electronic legal record of all pertinent interactions with the patient Includes data related to assessing, diagnosing, planning, implementing, and evaluating Facilitates quality, evidence- based patient care Serves as financial and legal record Helps in clinical research Supports decision analysis

Answer 30

Consistent with professional and agency standards Complete Accurate Concise Factual Organized and Timely Legally prudent Confidential

Answer 31

Content Timing Format Accountability Confidentiality Using 24 hr military time

Answer 32

All information about patients written on paper, spoken aloud, saved on computer Name, address, phone, fax, social security number Reason the person is sick Treatment PT receives Information about past health conditions

Answer 33

Displaying information on a public screen and not logging out of the computer Sending confidential email messages via public networks Sharing printers among units with differing functions Discarding copies of the PT information in trash cans Holding conversations that can be overheard Faxing confidential information to unauthorized persons

Answer 34

Patients have the right to: See and copy their health record Update their health record Get a list of disclosures Request a restriction on certain uses or disclosures Choose how to receive health information

Answer 35

Must be given directly by physician or NP to a registered nurse or registered professional pharmacist Record the orders in PTs medical record with intials VO Read back the order to verify Date and note the time orders were issued Record verbal order and name of the physician or NP , followed by nurse's name and initials Should be limited to urgent situations

Answer 36

Review orders for accuracy Sign orders with name, title, and page number Date and note time orders signed

Answer 37

Computerized Documentation EHRs Source Oriented Records Progress notes, narrative notes Problem Oriented Medical Records SOAP notes PIE Charting Problem Intervention Evaluation Focus Charting Charting by Exception

Answer 38

Initial nursing assessment Care plan, patient summary Critical Collaborative Pathways Progress Notes Flow Sheets and graphic records MAR record Acuity Record Discharge and transfer summary Home Health Care documentation Long Term Documentation

Answer 39

Change of shift/ handoff report ISBARR Telephone? Telemedicine Report Transfer and Discharge reports Reports to family members or significant others Incident/ Variance Reports

Answer 40

Identify/ Introduction Situation Background Assessment Recommendation Read back of Orders/ response

Answer 41

Basic identifying information about each patient: name, room, number, bed designation, diagnosis, and attending and consulting physicians Current Appraisal of each Patient's health status Current Orders Abnormal occurrences during your shift Any unfilled orders that need to be continued onto the next shift PT/ Family questions, concerns, needs Reports on transfers/discharges

Answer 42

Identify yourself and the patient and state your relationship to the patient Report and accurately the change in PTs condition that is of concern and what has already been done in response to this condition Report the PTs current vital signs and clinical manifestations Have the PT record at hand to make knowledgeable responses to any physician's inquiries Concisely record time and date of the call, what was communicated, and physician's response

Answer 43

Consultations and referrals Nursing and interdisciplinary team care conferences Nursing Care Rounds Purposeful Rounding

Answer 44

Use Opening Kew Words ( C-I-CARE) with PRESENCE Accomplish scheduled tasks Address four Ps Address additional personal needs, questions Conduct environmental assessment Ask: is there anything else I can do for for you? I have time Tell the PT when you will be back Document the round

Answer 45

Improves quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination and population and public health Maintain privacy and security of PT health information

Answer 46

Better Clinical rotations Improved population health outcomes Increased transparency and efficiency Empowered individuals Most robust research data on health systems

Answer 47

The specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice.

Answer 48

Analyze and Plan Design and develop Maintain Evaluate Test, Train, Implement

Answer 49

What is the purpose of this new technology or change to the current technology? What problem do we hope to solve? What data do we have to indicate the current state of the issue? How will its use be incorporated into the current workflow of the nurse? Will it streamline nursing documentation or will it increase the burden of documentation? Will it improve the overall usability and experience with the EHR? What technologic options are available if there are more than one?

Answer 50

System usability System optimization Standard terminologies Interoperability Security and Privacy Blockchain

Answer 51

Patient Portals Health Care Analytics Data Visualization Predictive Analytics Big Data

Answer 52

Use of electronic information and telecommunications technologies to support and promote long distance clinical health care, patient and professional health education, public health, and health administration

Answer 53

Use of telecommunications technologies to support the delivery of all types of medical, diagnostic, and treatment- related services, usually by physicians and NPs

Answer 54

refers to technology that allows consumers to stay safe and independent in their own homes

Answer 55

Access medical history and other health information Complete various forms and questionnaires Communicate securely and conveniently with providers Schedule appointments Receive reminders for appropriate screenings Enter clinical data, such as blood pressure, glucose levels, weight, fitbit data and other activity tracking data Review progress notes

Answer 56

Better health outcomes Chronic condition management Timely access to care Patient Retention Patient Centered medical home recognition

Answer 57

Clinical Populations Administrative Financial

Answer 58

Precision Medicine The field of genomics has the potential to significantly change the way health care is delivered Genomics play a role in 9n out of 10 leading causes of death, including heart disease, cancer, stroke, diabetes, and Alzheimer's disease Because genomic health care is heavily dependent on data storage and interpretation, no other area is better suited than informatics to support this evolving work .

Lecture 2 Exam Review Week 6 Flashcards

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