Shared Flashcard Set

Details

PVC Final
Study Guide Review
73
Nursing
Not Applicable
09/12/2011

Additional Nursing Flashcards

 


 

Cards

Term
Ethics:
Definition
Study what right & wrong related human conduct. What right & what wrong varies depending individual, society, & situation.
Term
Morality:
Definition
One’s private & personal standards what right & wrong regarding conduct, character, & attitude.
Term
Basic premises ethics?
Definition
do good, do no harm, public trust
Term
Responsibility:
Definition
Accept being cause action. Condition being accountable your actions.
Term
Personal accountability:
Definition
accept consequences action
Term
Autonomy:
Definition
one’s right make own decisions
Term
Nonmaleficence:
Definition
duty do no harm
Term
Beneficence:
Definition
doing good
Term
Justice:
Definition
fairness
Term
Fidelity:
Definition
faith agreements or promises
Term
Veracity:
Definition
telling truth & maintaining trustworthiness
Term
Ethics?
Definition
typically “gray” & subjective
Term
Law?
Definition
usually black & white
Term
Ethical dilemma:
Definition
conflict/ opposition between personal values, moral principals, laws, personal & professional obligations, rights individual, society rights
Term
Current ethical dilemmas?
Definition
reproductive issues, birth control, abortion, alternative fertilization, genetic issues, stem cell research, organ transplants, death (removal life support, euthanasia, advanced directives)
Term
Ethical decision-making process?
Definition
collect facts, describe situation, describe dilemma, sort information, list all possible courses actions, make decision
Term
Ethical decision-making guidelines?
Definition
collect facts, what would happen everyone behaved this way?, discuss concerns with authority, examine your motivation
Term
Nurse’s duty patients?
Definition
do good & avoid harm
Term
Good Samaritan Law?
Definition
Done voluntarily & without payment. Protect people from prosecution who voluntarily render aid others emergency.
Term
Board discipline?
Definition
Based violation Nurse Practice Act (patient injury not prerequisite & results disciplinary action board). Nursing licenses can suspended/revoked.
Term
Lawsuit?
Definition
based malpractice definition (breach duty caused injury & results damages paid victim)
Term
Negligence:
Definition
neglect physician/nurse apply education & skills caring patient other physicians/nurses customarily apply caring similar patients similar circumstances; failing perform your duties any reasonable/prudent nurse done same situation
Term
Gross negligence:
Definition
act atrocious human life endangered/lost
Term
False imprisonment:
Definition
physical/ verbal restraint without consent patient/appropriate authority; confining/restricting patient against will except situations specified law
Term
Confidentiality & relationship HIPPA?
Definition
HIPPA regulations require medical information kept confidential
Term
Defamation character:
Definition
making false/malicious (intentionally harmful) statements someone may harm another person’s character/ reputation
Term
Informed consent:
Definition
fundamental right patients right make own decisions regarding their own health care; patients can accept or reject health care; patient who accepts health care said give consent; consent legal, must both voluntary (freely given) & informed (patient clearly understands alternatives)
Term
Assault:
Definition
threat touch without permission
Term
Battery:
Definition
touching another person without permission
Term
Fraud:
Definition
intentional deception prevent person receiving what lawfully his/hers
Term
Liability:
Definition
legal obligation person make good loss/damage something which responsible
Term
Informed consent violated?
Definition
NOT allowing patient right make own decision, accept/reject health care, freely give consent & informed, withdraw/ refuse treatment, keep patient informed/ ask permission, children under 18 given parent/legal guardian, legal guardian mentally incompetent client, obtain prior pre-op surgery procedures, inform client procedure
Term
Policies/procedures important health care facility?
Definition
identify acceptable standards care & cover wide range topics from safety to specific nursing procedures; employers develop avoid legal problems, state action expected specific situations
Term
Unrealistic patient?
Definition
how handle? Tell them what you can do, work meet their needs, educate, don’t promise what can’t deliver
Term
Non-compliant patient?
Definition
doesn’t follow advice, doesn’t take responsibility own treatment, blames others bad outcome; document what you told them & details about behavior
Term
Common reasons malpractice claims?
Definition
FAILURE evaluate/assess, identify/assure safety, recognize significant change, document/report symptoms, follow up, administer/document medication correctly, plan care based protocols/policies, implement plan care, educate/respond/communicate/document, act advocate, inappropriate/incomplete medical/discharge orders, impaired nursing, neglect
Term
Decrease risk being named malpractice claim?
Definition
work within scope practice, only accept assignment which qualified, delegate & supervise, continue educational training, report any errors supervisor appropriate action taken
Term
Characteristics appropriate documentation?
Definition
factual, to point, accurate, legible, relate plan treatment, approved abbreviations, approved chart corrections
Term
5 rights delegation?
Definition
right task, right circumstance, right person, right direction/communication, right supervision
Term
Legal responsibility regarding delegation?
Definition
Nurses delegate tasks appropriate skill & education level health care provider who receiving assignment. RNs cannot delegate nursing process, client education, tasks require nursing judgment LPNs/AP. Task factors- prior delegating client care, nurse should consider predictability outcome, potential harm, complexity care, need problem solving/innovation, level interaction with client. Delegatee factors- considerations selection appropriate delegate.
Term
5 stages grief?
Definition
denial, anger, bargaining, depression, acceptance
Term
Denial example?
Definition
Unable believe/comprehend loss occurred.
Term
Anger example?
Definition
resists loss, strikes out others
Term
Bargaining example?
Definition
subtle/overt, promises make some type change order event not occur
Term
Depression example?
Definition
occurs when full impact apparent, grieving at fullest, sometimes leads withdrawal, focused on loss
Term
Acceptance example?
Definition
accepts loss, starts making plans future
Term
Loss:
Definition
someone/something value gone, unavailable/changed
Term
Grief:
Definition
whole range feelings, thoughts, behaviors related loss; individual’s experience loss
Term
Mourning:
Definition
process follow loss, involves working through grief
Term
Anticipatory grief:
Definition
applicable cases terminal illness, process disengaging/letting go, loved ones may withdraw, patients may find themselves without emotional support death nears
Term
Signs/symptoms impeding death?
Definition
decrease muscle tone, jaw sags (speech difficult), swallowing decreases, loss gag reflex, decrease peristalsis (loss sphincter control), decrease pulse/BP, cheyne-stokes, death rattle, decrease circulation, increase skin fragility, extremities mottle (bluish color, cool), temp may increase, decrease pain/touch/taste/smell, blurred vision, hearing last sense intact
Term
Nurse’s responsibilities providing post-mortem care?
Definition
make presentable for family, supine, place arms sides or across stomach, elevate HOB slightly, insert dentures/groom hair/ close eyes, blanket shoulders, remove inserted tubes/lines if no autopsy, return valuable family
Term
Palliative care:
Definition
comfort care, treat symptoms disease, address physical/emotional/spiritual needs, focus improve quality life, death natural process should not hasten/prolong, minimizes diagnostic tests/invasive procedures, discourages use “heroic” measures, right dose narcotics provide maximum pain relief/minimum side effects, client expert whether or not pain/symptom relief adequate, food& drinks offered but not forced, care individualized & based goals client & family
Term
Hospice care:
Definition
Example specific palliative care. Making inevitable death terminally ill patients dignified & humane. Provides compassionate care & understanding settings comfortable & familiar.
Term
Chemical impairment workplace affect U.S. economy?
Definition
Costs billions dollars annually because lowers productivity, increased absenteeism, use sick leave, injuries, workman’s comp claims
Term
LPNs responsibility if suspects co-worker chemically impaired?
Definition
follow policy, no policy, report supervisor, be objective
Term
Sign & symptoms chemical impairment?
Definition
Odor (alcohol) breath, slurred speech/unsteady gait, rhinorrhea, weight loss/gain, decline personal appearance, N&V/diarrhea, diaphoresis, multiple complaints/illness, frequent trips ER, pupil changes, insomnia/amnesia, isolation, marriage/family problems. Mood swings, elaborate excuses, unpredictable/unreliable
Term
Behaviors/signs workplace chemical impairment?
Definition
disorganized, inaccessible patients/staff, errors, patient complaints, frequent trips bathroom, exaggerated interest pain control/storage, prefers shifts where less supervision, illogical/dishonest charting, job changes, incorrect narcotic counts, discrepancies reports pain relief patients/ physician’s orders narcotic records, increase narcotic waste, numerous corrections narcotic records
Term
Do’s intervening chemical impairment?
Definition
Establish levels acceptable performance, record absenteeism/unacceptable performance/tardiness, be firm, be honest, speak with authority, be ready resistance/hostility, excuses (no excuse prolonged impairment), responsible own behavior, pan improvement, monitor
Term
Don’ts intervening chemical impairment?
Definition
diagnose, moralize (performance/attendance), cover up for friend, accept excuses, ask why (invites excuses)
Term
Cultural sensitivity:
Definition
knowledgeable about cultures prevalent area practice
Term
Ethnocentrism:
Definition
belief one’s culture superior others
Term
Hope:
Definition
concept includes anticipation & optimism & provides comfort during times crisis
Term
Spiritual distress:
Definition
challenge belief systems or spiritual well being
Term
Spirituality:
Definition
play important role clients’ ability achieve balance life, maintain health, seek health care, & deal with illness & injury
Term
Religion:
Definition
system beliefs practiced outwardly express one’s spirituality
Term
Stereotyping:
Definition
assume everyone same & acts like another
Term
Key prerequisite enable nurse deliver culturally based care?
Definition
nurses’ understanding & awareness their own culture & any cultural biases that might affect care delivery.
Term
General cultural tendencies English-based culture U.S.?
Definition
express positive & negative feelings freely, prefer direct eye contact when communicating, address people casual manner, prefer strong handshake way greeting
Term
Culture evolve?
Definition
knowledge, values, beliefs, art, morals/law, customs/habits
Term
Diversity culture?
Definition
age, gender, sexual orientation, marital status, family structure, income, education level, religious views, life experiences
Term
Assessment & data collection?
Definition
meet client’s cultural needs, nurse must first perform cultural assessment identify those needs. Perform cultural assessment language common both nurse & client, or use facility-approved medical interpreter. Inform interpreter questions may be asked. Assess clients gestures, vocal tones, & inflections.
Term
Collaborative care?
Definition
death rituals, pain, nutrition, communication, family patterns/gender roles, culture/life transitions, repatterning, using interpreter, addressing spirituality
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