NUR 122 Med/Surg Chapter 1-8 Verified Study Questions And Answers
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NUR 122 Med/Surg Chapter 1-8 Verified
NUR 122 Med/Surg Chapter 1-8 Verified Study Questions And Answers
Specialty Practice of
Medical-Surgical Nursing - Answer-Nursing care for patients from 18 years old to more than 100 years old
Care is designed to promote, restore, or maintain optimal health
Work environments include hospitals...
NUR 122 Med/Surg Chapter 1-8 Verified Study Questions
And Answers
Specialty Practice of
Medical-Surgical Nursing - Answer-Nursing care for patients from 18 years old to more
than 100 years old
Care is designed to promote, restore, or maintain optimal health
Work environments include hospitals, SNFs, ambulatory care, and in the community
(e.g., patient's home)
/.Nurses must have knowledge, skills, and attitudes (KSAs) to be: - Answer-Care
coordinators and transition managers
Caregivers
Patient educators
Leaders
Advocates for the patient and family
/.Quality and Safety Education
for Nurses' Core Competencies(QUSEN) - Answer-Provide patient-centered care.
Collaborate with the interdisciplinary health care team.
Implement evidence-based practice.
Use quality improvement in patient care.
Use informatics in patient care.
/.Patient-Centered Care - Answer-Recognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
/.Patient-Centered Care Attributes - Answer-Non-Judgmental
Empathetic
CULTURAL COMPETENCE
Respect for Diversity
Empowerment of Patient
Coordination and integration of care
Information, communication, and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
Access to care
/.Special Considerations
and Populations - Answer-Older Adult Considerations
Gender Health Considerations
Veterans' Health Considerations
/.Integrative (Complementary and Alternative) Therapies - Answer-Pet therapy
• Massage therapy
• Guided imagery
• Biofeedback
• Exercise and fitness programs
• Nutritional supplements
Aromatherapy
• Health-focused television
• Music therapy
• Acupuncture
• Acupressure
• Disease management programs
/.Care Coordination - Answer-deliberate organization of patient care activities between
two or more participants (including the patient) involved in a patient's care to facilitate
the appropriate delivery of healthcare services
/.case management - Answer-Ensures quality and cost-effective services and resources
to achieve positive patient outcomes
/.Care transition - Answer-Actions designed to ensure safe, effective coordination and
continuity of care as patients experience a change in health status, primary health care
provider, or setting
/.The Joint Commission:
Effective Care Coordination and Transition Management - Answer-Understandable
discharge instructions for the patient and family
Explanation of self-care activities
Ongoing or emergency care information
List of community and outpatient (ambulatory care) resources and referrals
Knowledge of the patient's language, culture, and health literacy
Medication reconciliation (also a Joint Commission National Patient Safety Goal)
/.Medication Reconciliation - Answer-A procedure to maintain an accurate and up-to-
date list of medications for all patients between all phases of health care delivery.
/.Reconciles via drug name, dose frequency, route, and purpose on: - Answer-
Admission
Transfer
Discharge
/.Best Care Transition Processes - Answer-Educate and coach patients and their
caregivers.
,Use transition coaches, if available, to improve care coordination and transition
management.
Follow up with post-discharge visits or phone calls.
Improve communication handoffs from hospitals to ambulatory care or home care
settings.
/.Identify _________ for readmission based on age (over 80), number of comorbidities
(3 or more), number of prescription drugs (5 or more), and difficulty performing at least 1
activity of daily living (ADL). - Answer-high-risk patients
/.Address patient caregiver needs to prevent ________________. - Answer-caregiver
role strain
/.safety - Answer-The ability to keep the patient and staff free from harm and minimize
errors in care
Nursing Safety Priority boxes
Critical Rescue
Action Alert
Drug Alert
/.The Joint Commission:
A Culture of Safety - Answer-Blame-free approach
/.Nurses and team members should __________ to reports deviations in the standard of
care
Adverse event (variation)
Sentinel event (severe variation) that results in avoidable patient death or major harm -
Answer-not hesitate
/.IPEC competencies - Answer-Values/Ethics
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
/.______ communication causes medical errors and safety risks - Answer-Poor
/.TeamSTEPPS - Answer-Team Strategies and Tools to Enhance Performance and
Patient Safety
/.CUS - Answer-(I'm concerned; I'm uncomfortable; I don't feel like this is safe)
, /.Delegation - Answer-Process of transferring to a competent person the authority to
perform a selected nursing task or activity in a selected patient care situation
/.Supervision - Answer-Guidance, direction, evaluation and follow-up by the nurse to
ensure that a nurse task or activity is performed appropriately and safely
/.The nurse is ________ accountable for the task or activity that is delegated! - Answer-
always
/.Five Rights of Delegation - Answer-right task
right circumstance
right person
right direction/communication
right supervision/evaluation
/.Evidence-Based Practice (EBP) - Answer-Integration of the best current evidence and
practices to make decisions about patient care
Considers patient preferences and values
Considers one's own clinical expertise for delivery of optimal health care care
/.Quality Improvement - Answer-Process in which nurses and the interprofessional team
use indicators (data) to monitor care outcomes and develop solutions to change and
improve care
/.PDSA - Answer-Plan, Do, Study, Act
/.FOCUS-PDCA - Answer-Find Organize Clarify Understand Select Plan Do Check Act
/.DMAIC - Answer-Define, Measure, Analyze, Improve, Control
/.Med-Surg Nurse's Role in QI - Answer-Formulate PICOT question
Identify indicators (data) to monitor
Access and evaluate data
Recommend ways to improve care
Implement activities to improve care
/.Informatics are used to: - Answer-Communicate
Manage knowledge
Prevent errors
Support decision-making
/.Clinical Judgment - Answer-a judgment based on experience in observing and treating
patients
/.Systems Thinking - Answer-Is a dynamic system on a continuum
Has a holistic perspective including multiple aspects
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