In one nursing care delivery model, one nurse is assigned responsibility for planning, directing, and evaluating care for a patient from admission through discharge even though other nurses may be performing nursing interventions when that main nurse is off duty. What is this nursing care delivery ...
In one nursing care delivery model, one nurse is assigned responsibility for planning, directing,
and evaluating care for a patient from admission through discharge even though other nurses
may be performing nursing interventions when that main nurse is off duty. What is this nursing
care delivery model? - ANS Primary Nursing
A patient is being transferred from the emergency department to the cardiology floor. What is
the most important action the emergency room nurse must take to ensure continuity of care as
part of this transfer? - ANS Provide a verbal report to the nurse on the cardiology floor.
An ICU nurse is charged in a malpractice lawsuit. The prosecuting attorney calls a second nurse
who works for a different hospital and does not know the nurse being charged to testify in the
case. This second nurse is a highly respected and experienced nurse on an ICU similar to the
unit where the incident occurred. What is the role of the second nurse in that case? - ANS
Expert Witness
An alert, oriented, and competent client is being prepared for an elective surgical procedure.
The consent form has not been signed. Who should the nurse contact to obtain consent for the
procedure? - ANS The healthcare provider performing the procedure
The nurse inserts an ordered urinary catheter into the client's urethra after the client has refused
the procedure and the client suffers an injury. The client may sue the nurse for which type of
intentional tort? - ANS Battery
A state's nurse practice act is an example of which source of law? - ANS Statutory law
teach back method - ANS assesses health literacy, seeking to confirm that the learner
understands the health information received from the health professional. Patients and
caregivers have the opportunity to repeat back to the health care provider the key points they
understand from a teaching session
How to use/Strategies with using a medical interpreter - ANS §Look at the client when
talking; seat the interpreter next to or slightly behind client
§Allow for sentence-by-sentence interpretation; limit to key points or words
§Do not ask the medical interpreter to witness consent (use uninvolved party)
§Use "you" and "I" statements
§Do not ask family members or friends to interpret medical discussions and decisions
, §OK for family members to translate non-medical, non-critical, and non-personal discussions
(e.g., "Are you hungry?")
OK to ask medical interpreter to leave a "cheat sheet" with phonetically spelled key phrases -
"do you have any pain? Where? Do you have to go to the bathroom
Newest Vital Sign - ANS Health Literacy Assessment Tool that Uses a nutrition label &
asks 6 questions about the content on the label to assess health literacy
Ex: (looking at an ice cream nutrition facts label and asking) "If you eat the entire container, how
many calories will you eat?"
What are the 3 learning domains? - ANS Cognitive: Thinking, understanding; knowledge
Psychomotor: Physical task or behavior; skill
Affective: Emotions, values, feelings; attitudes
What are teaching strategies for the cognitive learning domain? - ANS Lecture
One-to-one instruction
Computer assisted instruction
Simulation & gaming
What are teaching strategies for the psychomotor learning domain? - ANS Demonstration
Return demonstration
Simulation & gaming
Computer assisted instruction
What are teaching strategies for the affective learning domain? - ANS Group discussion
Role-playing
Role-modeling
Simulation & gaming
Questioning
Computer assisted instruction
What are some behaviors suggesting a literacy challenge? - ANS §Reacting to complex
learning situations by withdrawal or avoidance
§Using the excuse of being too busy, not interested, too tired, or not feeling well enough to read
instructional materials
§Claiming they lost, forgot, or broke their reading glasses
§Insisting on reading the information at home or with a spouse or friend present
§Asking someone to read information for them
§Becoming nervous when asked to read
§Acting confused or talking out of context about the topic of conversation
§Trying to memorize spoken information
What is a strategy used to increase compliance with teaching? - ANS include the client and
family
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