ATI MEDICAL SURGICAL RNSG 1126 FINAL EXAM REVIEW

A staff nurse reports a medication error, failure to administer a medication at the scheduled time. An appropriate response of the charge nurse would be We’ll do a root cause analysis. To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. The human factor primarily addressed with this consideration is/are Conforms to standards Sound decision making ldentifies adverse events workload fluctuations. Patient Centered Care (6 questions) The patient’s perception of his or her care is not as important as the outcome of the care. False Two nurses are discussing health care quality. They agree on the statement that health care quality requires collaboration of multiple health care agencies. A student nurse is talking with his instructor. The student asks how quality of care is evaluated. The best response by the instructor is Quality of care is evaluated on the basis of process and outcomes. 4. The focus for The Joint Commission (TJC) is and in the delivery of health care. safety; quality A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student says, Quality is seen and unseen in health care. The focus of quality health care should be on which of the following items? (Select all that apply.) Excellent services Comprehensive communication Health team collaboration Culturally competent care What are the major attributes of health care quality? (Select all that apply.) A nurse is working in a health care clinic. She loves her work because of all the different people she meets. She professes to care for all of them and states that she understands them because she realizes which of the following is true? Each person has a unique background. Madeleine Leininger identifies the concept of care as the essence and unifying domain that sets nursing apart from other health care disciplines. Which of the following is true in her view? Caring depends on communication. Nurses care for a variety of patients. What is an activity that best demonstrates the caring role of a nurse? Staying with a patient and developing a plan of care before surgery Which of the following would indicate that the nurse has established a level of mutual problem solving? The nurse helps the patient develop questions to ask the health care provider. The patient was hospitalized with pneumonia. He had always been very healthy and was concerned that now his family would have to take care of him. During one conversation the nurse said to him, This gives the ones who love you a chance to show you how much they care for you. The comment that the nurse made best demonstrated which behavior? Encouraging manner A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients. He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments. This is an example of which of the following behaviors? Healing environment A registered nurse who worked in an extended care facility could see that a patient was in the process of dying. The lab technician came to draw his blood. The nurse requested that the blood draw be postponed for a while so that the patient’s wife, who was at his bedside, could spend some quiet time with her husband. This is an example of which caring behavior? Providing presence A female patient has just found a large lump in her breast. The health care provider needs to perform a breast biopsy. The nurse assists the patient into the proper position and offers support during the biopsy. What is the nurse doing? Providing a sense of presence A nurse enters a patient’s room and is very methodical in her assessment skills and in providing a safe environment, but only speaks with the patient when necessary to gather data. This nurse is: most likely a product of a less caring environment. The patient was admitted to the hospital with advanced–stage cancer. As the nurse was admitting her, the patient told her about how her little dog learned a new trick and could play dead when she said bang–bang. Why did the nurse listen attentively to the patient’s story? She knew it was a way to know and respond to what matters to the patient. When individuals become ill, there may be a story about the meaning of the illness. When a nurse listens, the patient is: able to break the distress of illness. One of the five caring processes described by Swanson (1991) is knowing the patient. The concept comprises both a nurse understanding of a specific patient and subsequent selection of interventions. To become adept at knowing patients early, what should the nurse do? Reflect about your patient interactions and evaluations. The relief of pain and suffering give a patient comfort, dignity, respect, and peace. To enhance the therapeutic environment, what should the nurse do? Make the environment a place to soothe mind, body, and spirit