NUR 195 exam 1,2&3 (weeks 5-6) questions with 100% correct answers 2024
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Course
NUR 195 - 1,2&3
Institution
NUR 195 - 1,2&3
5 rights of delegation
-Right task: Per policy, OBN law, stability of PT, training of STNA
-Right circumstance: Stable? Unstable? Do not delegate unstable
-Right person: Who is willing? Trained properly?
-Right supervision: Always follow up
-Right direction & communication: Must be specific (n...
NUR 195 exam 1,2&3 (weeks 5-6) questions with
100% correct answers 2024
5 rights of delegation
-Right task: Per policy, OBN law, stability of PT, training of STNA
-Right circumstance: Stable? Unstable? Do not delegate unstable
-Right person: Who is willing? Trained properly?
-Right supervision: Always follow up
-Right direction & communication: Must be specific (need weight by 9am)
Nursing process
A - Assessment: Always assess first
D - Diagnose: LPNS don't diagnose
P - Plan: LPN helps to gather information so the RN can plan
I - Implementation: Put plan into action
E - Evaluate: Evaluates the different outcomes, do we need a new plan
What is leadership?
- Action of leading a group of people or organization
Autocratic leadership
- Individual control over all decisions and little input from group members
- Dictator
- Emphasizes policies
- Task oriented
Democratic leadership
- Leadership style that promotes the active participation of workers in making decisions
Laissez-faire leadership
- Allows the group to function more or less on its own
- "LAZY"
- Gives away leadership to other
- Might ask for a volunteer
- Concerned w/ employee over policies/pts
Situational leadership
- Leader who adopts different leadership styles dependent on the situation at hand and development of
other team members
Authentic leadership
,- Self actualized individuals who are aware of their strengths, limitations, and their emotions
Shared leadership
- Maximizing all of the human measures in an organization by empowering individuals and giving them
the opportunity to take leadership in their areas of expertise
In healthcare, who helps ensure quality health development of patient safety standards?
- Joint Commision
Professional boundaries
- Avoid dual relationships, conflicts of interest, social media contacts
- Always take notes
Delegation versus assignment
- Delegation: LPN can do it but asks you to do it extra tasks
- Assignment: routine care, activities, and procedures authorized in scope/job description (STNA toilets
Pt)
NPSG - national patient safety goals
- Id patient correctly: 2 identifiers
- Improve staff communication: get test results to the right ppl on time
- Use Medications safely: b4 procedure label meds properly, take extra care of individuals on blood
thinners, record and pass along correct information
- Alarm safety: make improvements to ensure alarms on equip is heard and answered promptly
- Prevent infection: wash hands (WHO, CDC standard)
- Identify safety risks: reduce risk of suicide
- Surgery: right person, right place (mark on body), right surgery, pause for a Time-Out b4 surgery
HIPPA (Health Insurance Portability and Accountability Act)
- National standards that protect sensitive patient information
- Without patient consent or knowledge
S/S of seizures
- Change in LOC
- Involuntary movements
- Posturing
- Changes in perception, behaviors, or sensations
Seizure interventions
- Padded side rails
- Low bed
- Fall matts
- Suctioning equipment at bedside
,- Don't leave patient alone
- Environment should be low in stimuli
- After assess LOC
- Avoid alcohol
- Protect head
- Nothing in mouth
- Turn patient on side
- Know how long lasted & characteristics
- Antiseizure meds
FAST
F- Facial drooping
A- Arm weakness
S- Slurred speech
T- Time to get tx (3hrs) ***NOT 911!!!!!!
- Age
- Gender
- Ethnicity
- Family hx
- Heredity
- Previous TIA
Stroke interventions
- Control hypertension
- Maintain proper body alignment in bed
- Position client to minimize edema, prevent contractures, and maintain skin integrity
- Perform ROM 4x/day
- Monitor bladder elimination
- Speech therapy/OT/PT consultation
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