Unit 1 - Decision Making

Question 1

Definition: All of part of the process of questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity

Answer 1

Critical Thinking

Question 2

6 parts to Critical Thinking

Answer 2

1. Intellect
2. Creativity
3. Inquiry
4. Reasoning
5. Reflection
6. Intuition

Question 3

T/F: Critical Thinking is more than an education guess

Answer 3

T

Question 4

Definition: identifying the problem (open vs. closed questions)

Answer 4

Assessing

Question 5

Definition: labeling

Answer 5

Nursing Diagnosis

Question 6

Definition: focusing the direction of care

Answer 6

Planning

Question 7

Definition: focusing on Evidence Based Practice

Answer 7

Nursing Interventions

Question 8

Nursing Process:

Answer 8

1. Assess
2. Diagnose
3. Plan
4. Intervention
5. Evaluate
6. Documentation

Question 9

Definition: Did we meet the goal?

Answer 9

Evaluate

Question 10

What does UAP stand for

Answer 10

unlicensed assisted personal

Question 11

Definition: guide us to what care we will provide to pts medical diagnoses can help guide us to _____ _____

Answer 11

Nursing Diagnoses

Question 12

What is the difference between Nursing Research & Medical Research

Answer 12

Nursing care is based on intuition and experience

Question 13

What does IRB stand for

Answer 13

institutional research based

Question 14

What is the National Institute of Nursing Research (NINR)

Answer 14

• decrease costs by being more efficient
• provide grants/$ to do research which will over all decrease costs
• needs participants & criteria (age, wt, etc.)

Question 15

Definition: an evidence-based practice (EBP) provides scientific support for nurses in clinical thinking processes, making decision, and using clinical judgement

Answer 15

Clinical Decision Making

ex. pt. may be there for a dressing change, but as you talk with pt. you notice a greater problem & so you contact someone for more help (ex. pt. depressed, change in behavior, etc.)

Question 16

When is preoperative nursing done

Answer 16

before surgery

• pt. checklists: must be done before surgery
• informed consent
• removal of all metals: ALL piercings/jewelry
• wound care after surgery
• managing constipation
• deep breathing & coughing after surgery: teaching
• pain management
• safety after surgery (discharge instruction, making home a safe environment)
• a ride home: can’t drive home themselves
• teaching before surgery due to impaired thinking after

Question 17

What does PACU stand for

Answer 17

Post Anasthetic Care Unit

Question 18

What is the Intraoperative team

Answer 18

• who’s in the operating room
• *fewer people due to keeping things sterile**
• the surgeon
• anesthesia
• circulating nurse: RN
• scrub nurse/technician (can help hold retractor)
• first assistant
• manufacturer representative (specialty area such as ortho, some ENT, pacemakers, neuro, or other new specialty equipment)

Question 19

Who the classification surgery is determined by

Answer 19

the surgeon

emergent: life threatening
urgent: painful
elective: not life threatening

• determine which surgery goes first

Question 20

-ectomy

Answer 20

removal of an organ or body part

Question 21

-oscopy

Answer 21

and organ or body part is being viewed

Question 22

Definition: may be performed to restore lost or reduced appearance or function.

ex. Facial reconstruction following a motor vehicle crash

Answer 22

Constructive surgery

Question 23

Definition: conducted to determine or confirm diagnoses

ex. a biopsy os a mass

Answer 23

Diagnostic procedure

Question 24

Definition: a procedure that is the recommended treatment for a condition that is not life threatening

ex. hip replacement surgery

Answer 24

Elective surgery

Question 25

Definition: performed when a condition is life threatening ex. surgery to control internal hemorrhage is an example of emergency surgery

Answer 25

Emergency surgery

Question 26

Definition: may be performed to alleviate pain or symptoms associated with a disease. Does not cure or stop the course of the disease

Answer 26

Palliative Surgery

Question 27

Definition: surgery that replaces malfunctioning organs or other structures

Answer 27

Transplant surgery

Question 28

Definition: to speak up or act in the cause of another in support of individuals, families, systems, communities & issues

Answer 28

advcacy

Question 29

Definition: function effectively within nursing * inter-professional teams, fostering open communication, mutual respect, & shared decision-making to achieve quality pt. care

Answer 29

Collaboration

Question 30

Definition: preventing in advertent pain, injury, or loss (ex. pesiperative nursing care)

Answer 30

Safety

Question 31

Definition: interpretation or conclusion about a pt's needs, concerns, or health problems, &/or the decision to take (or not) action, use or modify standard approaches, or improvise new ones as deemed appropriate by pts response

Answer 31

Clinical Decision Making

Question 32

Definition: a process to solve problems in . clinical practice in using the best evidence, clinical experience, & pt. preference & values

Answer 32

Evidenced-Based Practice

Question 33

Definition: a healthcare delivery system in which the goal is to provide cost-effective, high-quality care that focuses on decreased costs and improved outcomes for groups of clients

Answer 33

Managed Care

Question 34

Purpose of ____ _____ is to coordinate, facilitate, and follow, over time, a client's use of a variety of health and social services

Answer 34

Case Manager

Question 35

Steps to a Delegation Process:

Answer 35

1. define the task 2. decide on the delegate 3. describe to task 4. reach agreement 5. monitor performance and provide feedback (The nurse remains accountable)

Question 36

Q: Parts to Four/Five Column Care Plan

Answer 36

1. Nursing Diagnoses 2. Goals/Desired Outcomes 3. Nursing Interventions 4. Evaluation * medications are NOT listed in plan of care

Question 37

Q: A nurse, who works in a clinic environment, places great emphasis on cost control, customer satisfaction, health promotion, and preventive services. The primary focus of this nurse is representative of which type of healthcare system? a. functional method b. client-focused care c. case method d. managed care

Answer 37

D. managed care

Question 38

Q: A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement. The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge. The client states, "I thought my doctor manages my care." Which is the best response by the nurse? A. "No, I manage your care." B. "You are correct; the doctor is responsible for managing your care." C. "A case manager coordinates everyone involved in your care to ensure your needs are met." D. "The case manager delegates your care to the nurse."

Answer 38

C. "A case manager coordinates everyone involved in your care to ensure your needs are met."

Question 39

Q: A nurse manager of an ICU can NOT be held legally responsible in a court of law for which action performed by the unit’s staff? A. A nursing assistant administers medications to a client in ICU B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client C. A nursing assistant attempts to initiate I.V. therapy D. A staff nurse fill ‘s client prescription at the hospital pharmacy because the pharmacist on duty is busy

Answer 39

B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client

Question 40

Q: Delegation is the process of transferring work to subordinates. A nurse manager can appropriately delegate which task? A. Scheduling staff assignments for the next month B. Terminating a nursing assistant for insubordination C. Deciding on Salary increases for licensed practical nurses after they complete orientation D. Telling a staff nurse to initiate disciplinary action against one of her peers

Answer 40

A. Scheduling staff assignments for the next month

Question 41

Q: A nurse working in the triage area of an emergency department sees that several pediatric clients arrive simultaneously. Which client should be treated first? A. A crying 4 year old child with a laceration on his scalp B. A 3 year old child with a barking cough and flushed appearance/ barking cough and fever should be suspected of having croup and should be seen promptly as should the child with the laceration C. A 3 year old child with Down syndrome who’s pale and asleep in his mother’s arms/ The nurse should need to gather information about the child with Down syndrome to determine the priority of care D. A 2 year old child with stridorous breath sounds, sitting up in his mother’s arms and drooling

Answer 41

D. A 2 year old child with stridorous breath sounds, sitting up in his mother’s arms and drooling