MGCCC Fundamentals Final Exam
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Advocacy - Answer Providing patients with the information they need to make decisions
and supports the patients in whatever decisions they make
Autonomy - Answer Autonomy refers to a person's independence. Represents an
agreement to respect a patient's right to determine a course of action. For example,
before surgery a patient is required to sign a consent form. The purpose of the consent
is to ensure in writing that the health care team respects the patient's independence by
obtaining his or her permission to proceed. Respect for autonomy becomes
complicated when the patient is a child or when he or she is cognitively impaired by
disease, age, or trauma. Although the health care team turns to whoever is identified as
legally responsible for the patient, the ethical goal remains to try to determine the best
interests of the patient from the patient's point of view.
Patient's Bill of Rights - Answer Informs patients about what they should expect during
their hospital stay
Patient Self-Determination Act - Answer Requires federally funded hospitals to inform
adult patients in writing about their rights to make treatment choices ask make sure the
patient has a living will or power of attorney.
Responsibility - Answer the duties and activities that an individual is employed to
perform. A professional nurse's responsibili ties in a given role are outlined in a position
description describing the nurse's duties in client care and in participating as a member
of the nursing unit.
Authority - Answer the official power to act in areas in which an individual has been
given and accepts responsibility.
Accountability - Answer refers to liability or individuals being answerable for their
actions. It involves follow-up and a reflective analysis of one's decisions to evaluate their
effectiveness.
Decentralized Decision Making - Answer Decisions made at the staff level.
Advantages - Increased morale and improved interpersonal relationships among staff.
Staff members feel more important and are more willing to contribute. Also promotes
creativity in problem solving.
Collaborative Care - Answer Nurses collaborate with other members of the healthcare
team to plan, provide, and evaluate patient care.
The primary goal of each member of the healthcare team is to promote and restore
health.
, Example: Nurse consults with the dietitian for a patient who is not eating well or who
needs to lose weight.
Physicians - Answer primarily responsible for the diagnosis of illness and the medical or
surgical tx of that illness
Nurse Practicioner/Physicians's Assistant - Answer responsibilities usually depend on
the supervising physician and might include conducting physical examinations and
rounding on patients.
Physical Therapist - Answer seeks to restore function or to prevent further disability in a
patient after an injury or illness.
Respiratory Therapist - Answer trained in techniques that improve pulmonary (lung)
function and oxygenation.
Pharmacist - Answer Responsible for providing drug therapy for positive client
outcomes; activities include drug information services, Client and health care staff
education, dispensing medications and client monitoring, adverse drug reaction
reporting, research, concurrent drug use evaluation, and consultative services in areas
such as pain management and nutritional support.
Occupational Therapist - Answer assists physically challenged patients to adapt to
limitations (ADLs)
Speech Therapist - Answer trained to help hearing-impaired patients speak more
clearly, to assist patients who have had a stroke to relearn how to speak, and to correct
or modify a variety of speech disturbances in children and adults.
Dietician - Answer manages and plans for the dietary needs of patients, based on
knowledge about all aspects of nutrition
Social Worker - Answer counsels patients and family members and also informs them of
and refers them to various community resources
Unlicensed Assistive Personnel - Answer Help nurses provide direct care to patients.
You CAN NOT delegate any EAT to them. (evaluation, education, assesment, or
teaching)
Collaborative Interventions - Answer interventions that require the coordination of
multiple health care professionals, all directed toward the long-term goal of maintaining
the patient's present level of health.
Purposes of Physical Assesment - Answer On admission--baseline data
Supplement, confirm, or refute subjective data obtained in health history.
Identify/confirm nursing diagnoses.
Make clinical decisions about a change in health status.
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