Brainscape's Knowledge GenomeTM

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


See full index

NSG 310 > Topic 6 > Flashcards

Topic 6 Flashcards

1
Q

what are the characteristics of a therapeutic relationship?

A

client centered
partnership
professional boundaries/violations
involvement/active participation
use of self (authenticity, presence, self awareness)

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

client centered

A

includes clients individuals preferences, values, beliefs and needs

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

partnership

A

honors clients right to self-determination, giving client and family maximum control over health care decisions- advocate for client and encourage independence

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

professional boundaries

A

protect function integrity of alliance between nurse and client

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

violations

A

take advantage of clients vulnerability and represent a conflict of interest

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

involvement/ active participation

A

degree of nurses attachment and active participation in clients care

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

over involvement

A

loss of essential objectivity need to support client meeting health goals

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

authenticity

A

requires admitting mistakes and recognizing vulnerabilities

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

presence

A

in the moment

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

self-awareness

A

reflective process seeking to understanding ones values, feelings, attitude, motivations, strengths and limitations

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

What is effective communication?

A

a 2 way exchange of information among clients and health care providers, patients and families ensuring that the expectations and responsibilities of all care are clearly understood

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

who created the original 5 c’s

A

the Joint Commission

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

6 C’s

A

clear
concise
concrete
complete
courteous
correct

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

professional standards for effective communication are set by which organizations?

A

Institute of Medicine (IOM)
the Joint Commission (TJC)
World Health Organization (WHO)
International Council of Nurses (ICN)

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

what did the IOM create and its goals in regards to effective communication

A

5 reports for safety and equality of health care
accurate, complete communication is one of its goals

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

what did the TJC create and its goals in regards to effective communication

A

regulates hospitals and evaluates safety fro accreditation
effective communication (6 C’s)

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

what did the WHO create and its goals in regards to effective communication

A

offered 9 solutions for increased health care safety
includes correctly identifying the patient and better communication during patient hand off

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

what did the ICN create and its goals in regards to effective communication

A

set expectations for communication in nursing goals including “ensuring confidentiality”

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

the ANA scope and standard of practice model of professional nursing practice regulation includes…

A

quality of care
safety
evidence (EBP)

20
Q

Agency for Healthcare Research and Quality (AHRQ)

A

The branch of the US Public Health Service that is involved in patient safety by funding research and compiling evidence to publish best evidence-based standards of practice

21
Q

American Association of Colleges of Nursing (AACN)

A

makes recommendations for nursing curricula- standard hand off report (SBAR)

22
Q

what are the safety incidences? (where mistakes are made)

A

miscommunication
errors are usually system problems (multiple smaller events)
fatigue and hand off (up to 70% preventable)
high financial and human cost
under reporting med errors (90% go unreported)

23
Q

what are some examples of unprofessional nursing conduct?

A
  • breaching client confidentiality
  • assuming nursing responsibility for actions without having sufficient preparation
  • delegating care to unlicensed personnel, which could lead to client injury
  • following a doctor order that would result in client harm
  • failing to assess, report or document changes in client health status
  • falsifying records
  • failing to obtain informed consent
  • failure to question physicians orders, if not clear
  • failure to provide required health teaching
  • failure to provide for clients safety (like not putting up bed rails)
24
Q

what are some ways to ensure safer practices?

A

use of checklist
timely documentation
standardized tool for better communication (SBAR)
technology oriented solutions (electronic IDs, barcoding tech)
avoid work arounds
understand role relationships
EBP research and promote safer policies/procedures

25
Q

safer practices from team strategies

A

transforming care at bedside
interdisciplinary rounds
huddles
change of shift reports done at bedside
call outs and time outs (surgery)
TeamSTEPPS “IPASStheBATON”
resource management with other team members to promote concise effective communication
communicate with other HCP to creates a team culture of collaboration and cooperation

26
Q

SBAR

A

Situation
Background
Assessment
Recommendation

27
Q

situation

A

patient name, age, room #
attending and consulting physical involved in care
diagnosis and admission date
description of pt. current situation

28
Q

(SBAR) background

A

pertinent procedures/ test completed
allergies, code, most recent VS, BS, labs
basically head to toe assessment
current meds and comorbidities

29
Q

assessment

A

any changes in respiratory status most important (medical) any changes in mental status (psych)
what happened during todays shift
last pain med given
any meds held/rationale

30
Q

recommendation

A

suggestion of actions to be taken (plan of care, what patient needs, procedures/tests pending or to be scheduled)
any recommendation for discharge

31
Q

at the end of SBAR what should happen

A

ask receiving nurse if they have any questions

32
Q

therapeutic communication

A

-the purposeful use of communication to build and maintain helping relationships with the client, families, and significant others
-client centered: not social or reciprocal
-purposeful, planned, and goal-directed

33
Q

characteristics of professional conversation include

A

specific rules and boundaries relates to function and privacy
define therapeutic goals
pt. centered
individualized strategies related to health related goals

34
Q

nonverbal communication

A

tone of voice, inflections, facial expressional, body language, active listening (maintain eye contact, leaning forward, nodding, etc.)

35
Q

TeamSTEPPS model

A

emphasizes improving patient outcomes by improving communication and using evidence based practices
clear
brief
timely
complete

36
Q

the teamSTEPPS “I PASS the BATON” is used for..

A

more effective communication between health care teams and handoffs

37
Q

I PASS the BATON

A

Introduction
Patient
Assessment
Situation
Safety Concerns
Background
Actions
Timing
Ownership
Next

38
Q

introduction

A

introduce self and role

39
Q

assessment (I PASS the BATON)

A

chief complaint, VS, symptoms, diagnosis

40
Q

patient

A

patient name, identifiers, sex, location

41
Q

(IPASSBATON) situation

A

current status, level of certainty, recent changes, response to treatment

42
Q

safety concerns

A

critical labs, allergies, alerts (falls)

43
Q

(BATON) background

A

comorbidities, previous episodes, current meds, family history

44
Q

actions

A

what actions taken and why

45
Q

timing

A

level of urgency, explicit timing and priorities

46
Q

ownership

A

state who is resposible

47
Q

next

A

state the plan: what will happen next, any anticipated changes

NSG 310 (11 decks)

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