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Professional Roles: Test Review #2! Flashcards | StudBud
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Professional Roles: Test Review #2!
Professional Roles: Test Review #2!
70 terms
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#professional #roles in #practical #nursing at #loyalistcollege
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Answers
1
Cultural safety session: "Who is a metis person?" - what is instructors best response?
somone who self identifies as metis & IDG ancestry
someone half IDG & half French
someone who is mixed IDG ethnicity & other ethnicity
someone who lives in a metis community
2
Which of the following charting entries is most accurately written?
pt ambulated in hall w assistance exercise tolerated
pt ambulated 15m up & down w assistance, spouse accompanied
pt ambulated 15m w assistance pre-exercise HR 88, post HR 94
pt ambulated 15m up & down hall, exercise tolerated
3
Pt falling out of bed bc side rails are down when they were ordered is which type of liability?
false imprisonment
negligence
battery
assault
4
Students who provide good messages about themselves demonstrate what level of communication?
interpersonal
public
transpersonal
intrapersonal
5
IDG pt is on strict diet but nurse catches pt with bottle of 'traditional medicine'
response:
nurse asks to take it to have it tested in lab
nurse asks contents & explains worry of mixing hospital meds
nurse worried might be alcohol & discusses with head nurse
nurse reiterates to not eat/drink bc diet & hand it over
6
Disparities in health outcomes between rich and poor pts is an example of:
biological and sociocultural health risks
influence of socioeconomic factors in morbidity & mortality
combination of naturalistic & religious modalities
attribution of illness to natural, impersonal, & biology
7
SPN1 is a pt where another SPN2 has plcment. What should SPN2 do when he sees SPN1 in transfer?
access SPN1s health record to see if well enough for a visit
visit SPN1 during lunch break
keep the information private
advise SPN1's friends so they can visit
8
IDG pt has problems being affectionate w her kids bc she was never taught - which of the follow
cultural trauma
cultural genocide
historical trauma
colonialism
9
Pt must learn to administer subcutaneous injection, nurse knows pt is ready when:
has dexterity needed to prepare & inject medication
pt has been given intructions
expresses the importance of learning the skill
can see & understand the markings on the syringe
10
Nurse is planning to teach pt about importance of exercise - when is the best time to teach?
when pt is talking about current stressors in their life
when pt indicates being pain free
when visitors are in the room
just before lunch, when pt is most awake & alert
11
Cultural awareness involves in depth self examination that requires:
recognizing social cultural, and biophysical factors
acknowledgment of background & recognizes bias + prejudices
engagement in culturally safe interactions
motivation & commitment to caring
12
Pt thats hospitalized discovers diabetes -whats the best way to teach how to give an injection?
group instruction
simulation
one-on-one discussion
demostration
13
Coworker says that they know all bout IDG for culturally safe care, what should they know?
in order to understand, you need to know a medicine wheel
most IDG who went to residentials schools have passed
IDG pt's don't all have traditional beliefs
one should not attend their sweet grass ceremonies
14
When is it acceptable for a nurse to post info about a pt on social media?
if the site has privacy controls
if the posting is done anonymously
it is inappropriate to post pt info online
if the pt's name is not provided
15
Community nurse on reserve plans health promotion activity - which is the best use of her time?
ensuring info is made available to families about nutrition
agree to help band council with IDG language program
buying a weight set for recreation room in community hall
planning smoking cessation program with weekly mtg & posters
16
Nurses demonstrate active listening by:
assuming relaxed posture, eye contact, & leaning toward pt
agreeing with the pt
repeating everything the pt says to clarify
smiling & nodding continuously throughout the interview
17
Pt w learning disability is taking new meds, in teaching pt, the nurse should:
expect the pt to understand info quickly
present the info several times
provide written material only
demonstrate measuring dosages & ask for return demonstration
18
"I dont get what you mean by 'sicker than usual' what's different?" reflects therapeutic skill?
paraphrasing
clarifying
focusing
providing information
19
Which of these would be an example of cultural safety?
asking IDG pt which residential school they went to
asking IDG pt which first nation they're from
calling IDG leader to come to unit & help w new admission
giving IDG pt a braid of sweet grass
20
Pt having chest pain is about to undergo emerge surgery - most appropriate teaching approach?
entrusting
participating
telling
selling
21
Which of the following is a nursing action producing a written account of pt?
management
documentation
communication
monitoring
22
It would be most helpful for nurse working w pt who has expressive aphasia to:
speak loudly & use simpler sentences
ask open-ended questions
encourage a family member to answer for the pt
allow extra time to respond
23
Which of the following are sustainable development goals (SDG's)?
align with a planetary perspective on health
target health risks of prosperous countries
address the health of persons of all ages
focus on ending poverty
24
Which enviro risk factors should nurses know contribute to diseases & injuries worldwide?
climate change
ultraviolet radiation
chemical exposure
air, water and soil pollution
25
The best definition for the term
multiculturalism
:
person that adapts and adopts to a new culture
experience with a new or different culture that is negative
person who gives up ethnic identity for dominant culture
person who maintains culture & interacts peacefully w others
26
A nurse working with older persons is advised to avoid:
asking the pt how they feel
shifting from subject to subject
touching the pt
allowing pt to reminisce
27
The nurse completing a pt's health history should acknowledge the zone of personal space as:
4m or farther from pt
45cm - 1m from the pt
1m - 4m from the pt
0 - 45cm from the pt
28
Pts request copies of health records - Which statement is true regarding pt access to records?
pts have the right to read those records
only the families may read the records
pts are not allowed to read those records
only the health care workers have access to the records
29
Which of the following actions would require intervention if they're inappropriate?
enter data into record using computer on wall in pt's room
documents a medication given by another nursing student
leave a slip of paper with PN username & password in pt room
includes date & time of entry into medical record
30
Which of the following have been shown to be effective deterrent to suicide in IDG communities?
teaching youth how to make traditional IDG art
having discussion with IDG youth about suicidal thoughts
having info nights& posters about suicide in the community
ensuring there is a suicide prevention team flown in commune
31
Use SOAP. "Left lower abdom incision, 7.5cm long, closed, sutures intact, pain when palpated"
plan
assessment
subjective
objective
32
Nurses assessed global burden of disease, what is the next step?
analyze the DALY indicator
document the health status data
validate the data with the country
assign the DALY indicator with a number
33
Which is a "record of a single encounter created in hospitals or outpatient centres"?
rehabilitation record
health team record
medical record
health record
34
Which indicates that the nurses understand the major advantage of using CPOE?
CPOE reduces time nurses use to communicate with nurses
CPOE reduces time needed for nurses to write orders
CPOE reduces transcription errors
CPOE eliminates verbal & telephone orders from nurses
35
IDG pt cant get care bc he doesnt live in the city where its provided, an example of which?
cultural genocide
colonialism
personal racism
institutionalism
36
Incidence of COPD & asthma is higher for IDG ppl - what social determinants contribute to this?
family health, work environment, colonialism
gender, biology, social status
personal health practices, coping skills, environment
genetics, biology, social status
37
Nurse's sued for negligence for failure to properly monitor pt after surgery -which statement?
nurse doesn't need any representation
pt must show the nurse provided substandard care
pt must show nurse's action/inaction caused the injury
pt must prove that harm/injury occurred
38
Nurse needs to teach asthma to a newly diagnosed pt, which topic does she cover first?
how to use an inhaler during asthma attack
importance of maintaining healthy diet & excercising regular
where to purchase a medical alert bracelet (w asthma on it)
the need to avoid ppl who smoke, to prevent attacks
39
Pt with cancer is going home, pt is avoiding education, in teaching pt the nurse should:
teach the pt's spouse
convince the pt that learning about her health is necessary
provide only the info the pt needs to go home
focus on knowledge the pt will need in a few weeks
40
Use SOAP. "The pain increases every time I try to turn on my left side"
plan
assessment
objective
subjective
41
What should you do if the pt doesn't understand procedure when being asked for consent?
ask a family member to give consent
send the pt for the procedure & discuss it afterwards
don't be concerned if the consent is already signed
notify the nursing supervisor or physician
42
"Lets look closely at trouble youre having when taking meds" reflects what therapeutic skill?
clarifying
paraphrasing
providing information
focusing
43
Use SOAP. "Repositioned pt on right side. Encouraged pt to use pt-controlled analgesia"
objective
plan
subjective
assessment
44
Pt says "IDK what's going on, I want results & something done" which is doc of emotion status?
pt has a defiant attitude & demands test results
pt states they're frustrated by lack of info about results
pt is demanding and complains frequently
pt appears to be upset with doctor about test results
45
What is the purpose of acuity ratings?
document the pt admission
guide all nursing care
establish guidelines for pt care
determine hours of care needed
46
During orientation phase of the helping relationship, a nurse:
works together w the pt to establish goals
reviews the pts history to identify possible health concerns
discusses the cards and flowers in the room
uses therapeutic communication to manage pt's confusion
47
A pt must learn to use an inhaler. Acquisition of skill requires which domain?
psychomotor
attentional
affective
cognitive
48
Nurse: "Pt is difficult to care for & refuses advice for appetite" what action should occur?
draw a single line through it and initial it
use white out to remove the entry
enter only objective & factual info about the pt
avoid rushing when charting an entry
49
Use SOAP. "Acute pain related to tissue injury from surgical incision"
subjective
objective
plan
assessment
50
The concept of global health is best defined as:
issues that directly/indirectly affect health's boundaries
prevention programs for populations
issues that affect the health of the population of community
issues that affect the health of a few disciplines
51
The nurse is obligated to follow a prescriber's orders unless :
order is an error, violates hospital policy, or detrimental
its a verbal order
order hasn't been transcribed
prescriber's order is illegible
52
Asthma is under reported in IDG communities - what are some factors?
medical personnel don't report bc of their racism
IDG families have decreased access to health care
no treatment is available for asthma
IDG medicine is effective for asthma
53
Pt bed is at 20 degrees Alert appears on computer that the bed isn't elevated enough what type?
computerized physician order entry
electronic health record
clinical documentation
clinical decision support system
54
When giving a telephone order to a nurse, which of the following is NOT required?
description of any unresolved & current interventions
discussion of pt allergies to food & medications
nurse receiving order is needy & on the call light too much
pt's name, age & admitting diagnoses
55
Communication for the pt's plan of care requires that the nurse:
collaborate w interprofessional colleagues & pt's family
work independently to plan care & not depend on other staff
depend on the latest literature to complete care plan for pt
consult doctor for direction in making goals for the pt
56
Nurse is organizing disease prevention program for culture group -to meet the needs she should:
assess the needs of the community in general
use simple educational materials with lots of pictures
assess commonly held beliefs among cultural group
involve those affected by the problem in planning process
57
What is the appropriate way for nurse to dispose of information from electronic health record?
place papers w pt info in secure bin marked for shredding
rip papers up into small pieces & place into standard trash
ask unit clerk to dispose of the papers at their convenience
place all papers in pt binder located in nurses station
58
Nurses are to provide culturally safe care for their pt, & is important for the nurse to:
review cultural assessment models
deliver care that is based on knowledge of pts values
influence treatment and care of pts
learn about vast cultures
59
Pt tells nurse "I have stomach cramps & feel sick" what type of data is this?
assessment
historical
subjective
objective
60
Community health nurse to teach gr 12 nutrition class, to achieve best learning outcomes:
provide info using a lecture
use simple words to promote understanding
explore understanding of nutrition to determine their needs
complete extensive literature search focusing on disorders
61
The nursing practice acts are an example of:
common law
criminal law
statute law
public law
62
When a pt is harmed bc of SPN's action/inactions liability is held by the:
student
all of the above
hospital or health care facility
student's instructor or preceptor
63
Which of the following is the best definition for
ethnocentrism
?
stereotypes, biases & predjudices
meanings by which people make sense of their experiences
individualism & selfreliance achieving + maintaining health
cultural beliefs
64
Nurse stops to help in emerge-if injured party file suit & no employ insurance, who covers cost
National Care Act, grant immunity if injured party consents
nurse's homeowner insurance
nurse's auto insurance
Good Samaritan laws, grant immunity if no gross negligence
65
Which descrip match the def?
"Learning about the nature of an illness & the response of the pt"
research
education
communication
monitoring
66
Cree man wants spiritual ceremony from elder - what does nurse have to take into consideration?
holistic view of health, including spirituality
pt's individualism & self-determination
circular view of health, including individualism
historical trauma & spiritual genocide
67
Communication not how message is intended, but received - what's the best explanantion?
authenticity is comm is responsibility of sender & receiver
attention to personal space can minimize misinterpretation
contextual factors -values/beliefs influence capacity & comm
clear comm can ensure pt will receive the message intended
68
Match to definition.
"describe exactly what happened to pt and follows standards"
education
monitoring
legal documentation
management
69
Treating a pt without their consent is considered:
battery
implied consent
expressed consent
negligence
70
Nurse teaching parenting class to preg women gave dolls to bathe & talk to-this is an example:
an analogy
role playing
demonstration
simulation