NU 308 Week 1-13 Questions And Answers With
Verified Solutions
synergy
derives from greek word synergos , meaning to work together - according to the AACN, synergy
occurs when the needs/characteristics of a pt are matched w/ a nurses competencies
___ of a nurse's practice are guided by specific ___ of a pt and/or their family
components, needs
what does the synergy model draw from?
Virginia Henderson's theory
a technique called the ___ ___ is widely used in the RCA and focuses on ___ ___, ___, and ___
5 whys, critical thinking, reasoning, learning
asking why encourages us to ___ and ___ new interventions and approaches
propose, test
the synergy model is guided by what?
the why! - it is a nurse competencies framework
when pt characteristics and nurse competencies are in synergy - optimal pt ___ are more likely to
occur
outcomes
optimal pt outcome is contingent on the nurses ___, ___, and ___
knowledge, skills, experience
the synergy model promotes ___ NOT ___
PCC, nursing-centered care
what is the scale to describe each pt characteristic and nurse competency in the synergy model?
1-3-5
how many pt characteristics described in the synergy model?
8
can the 8 pt characteristics be viewed separately?
NO - they must be viewed as a whole
complexity
,entanglement of psychological/emotional states including family relations and environmental factors
- ranges from complicated lifestyle/family relations, to straightforward
is complexity intrinsic or extrinsic?
intrinsic
participation in care
Accessibility, availability, and willingness by patient and family to assist in care - ranges from no
participation to full participation
is participation in care intrinsic or extrinsic?
extrinsic
vulnerability
susceptibility to stressors that can endanger pt outcomes - ranges form medically fragile to fully
recovering
is vulnerability intrinsic or extrinsic?
intrinsic
resiliency
pt's ability to bounce back from illness/injury - based on age, overall health, and comorbid conditions
is resiliency intrinsic or extrinsic?
intrinsic
participation in decision making
Accessibility, availability, and willingness by the patient and family to understand the information
provided, ranging from no participation to full participation
is participation in decision making intrinsic or extrinsic?
extrinsic
resource availability
availability of support, including supportive and psychological care - ranges from few resources to
abundancy
is resource availability intrinsic or extrinsic?
extrinsic
predictability
expectations of a certain course of action - range from not predictable to highly predictable
is predictability intrinsic or extrinsic?
,intrinsic
stability
ability to maintain steady equilibrium - ranges from high risk of death to low risk
is stability intrinsic or extrinsic?
intrinsic
caring practices
using caring behaviors based on an individual pt's needs
advocacy and moral agency
working on another person's behalf
systems thinking
using tools/knowledge from across the healthcare system
collaboration
working w/ others to promote wellbeing
response to diversity
recognizing/appreciating differences for appropriate care
clinical judgement
assessing the situation based on education and experience (making decisions)
facilitator of learning
using knowledge to educate pts, families, caregivers, and other providers
clinical inquiry
asking/guided by the WHY
novice
beginner that lacks experience in situations where they're expected to perform - lacks confidence and
requires repeated cues
advanced beginner
demonstrates marginally adequate performance b/c the nurse has had prior experience - knowledge is
developing and requires occasional cues
competent
demonstrates efficiency and is coordinated/confident in their actions - can plan based on conscious,
intellectual, and critical contemplation
, proficient
perceives situations as whole rather than in terms of chopped up parts b/c they perceive its meaning
in terms of long term goals
expert
has intuitive grasp on each situation and is able to accurately identify the problem w/o inefficient
consideration of a large range of unproductive, alternative diagnoses/solutions
what are the 3 outcomes of the synergy model?
pt-derived outcomes, nurse-derived outcomes, system-derived outcomes
pt-derived outcomes
drawn from the pt and include function, satisfaction, comfort, and other pt-centered foci
nurse-derived outcomes
presence or absence of complications, extent to which care or treatment objectives were attained, and
physiological changes
system-derived outcomes
related to recidivism (readmission) and cost/resource utilization
TJC mandates that standards of care for pts and/or families are ___ and have ___ outcomes
objective, measurable
the nursing process
ADPIE - assessment, diagnosis, planning, intervention, evaluation
what makes up the ECF?
IVF and ISF
passive transport
the movement of substance through the cell membrane without the input of energy
diffusion
ensures movement of molecules/solutes that move from an area of higher concentration to one of
lower concentration
filtration
movement of H2O and dissolved substances across a semipermeable membrane over a pressure
gradient (like BP) - from area of high hydrostatic pressure to low
osmosis
