CASAL 1 OA Remediation – Questions & Verified
Answers
Scope of practice involves Right Ans - defining nursing, setting credentials,
distinguishing between practices of nurses, physicians, other healthcare
providers
nurse practice act accomplishes at least four functions Right Ans - defining
practice of professional nursing, identifying scope of nursing practice, setting
educational qualifications, other requirements for licensure, determining legal
titles nurses may use to identify themselves
Nurse licensure compact Right Ans - allows mutual recognition of
generalist nursing licensure across state lines in compact state
Patient self determination act Right Ans - granted people the right to
determine medical care they wanted provided if they became incapacitated
Durable power of attorney for healthcare Right Ans - also known as
Healthcare Power of Attorney; a document that designates someone else
(known as a healthcare surrogate, agent, or proxy) to make decisions on the
patient's behalf if he or she is unable to do so.
Living will Right Ans - identifies what one would or wouldn't want if they
were near death, include CPR, artificial ventilation, artificial nutrition,
hydration
DNR Right Ans - actual order from a physician, other authorized healthcare
provider who instructs that CPR not be attempted in the event of cardiac,
respiratory arrest
Boundaries of practice regulated at Right Ans - the state level
Purpose of licensing certain professions is to Right Ans - protect public
heatlh, safety, welcare
,State boards of nursing Right Ans - regulatory bodies by which nursing
practice acts are administered, enforced, regulate nursing to protect the
public from harm by unprepared, incompetent practitioners
Nursing practice act Right Ans - statute that defines, controls nursing
NCSBN's model nursing practice act Right Ans - comprehensive document
developed to guide individual states development, revisions of their nurse
practice acts
Sanctions for causing danger to patients, general public Right Ans -
probation, predetermined period of time during which the nurse may not
have any further complaints against them, suspension of the nursing license
for a specific period of time, after which the nurse may resume practice,
revocation of the license if the infraction is especially egregious, nurse shows
pattern of unsafe practices
Professional negligence Right Ans - act, failure to act that leads to injury of
a client
First degree strain Right Ans - causes mild inflammation but little bleeding.
swelling, ecchymosis (bruising,) tenderness usually present
Second degree strain Right Ans - tearing of muscles, tendon fibers without
complete disruption. muscle function may be impaired
Third degree strain Right Ans - involves ruptured muscle, tendon with
separation of muscle from muscle, tendon from muscle, tendon from bone.
severe pain, disability result
Strain management Right Ans - cold, heat applications, exercise, activity
limitations
Treatment for mild sprain Right Ans - rest, ice, compression, elevation
Treatment for second degree sprain Right Ans - immobilization, partial
weight bearing while the tear heals
,Treatment for third degree sprain Right Ans - immobilization for 4-6
weeks is necessary, maybe need arthroscopic surgery
reaction to pain in patients who can't communicate Right Ans -
restlessness, anxiety, fearfulness
opioid withdrawal symptoms Right Ans - sweating, nausea, diarrhea,
irritability
negligence Right Ans - conduct that's lacking in care, typically concern
nonprofessionals, carelessness, deviation from the care that a reasonable
person would deliver
malpractice Right Ans - concerns professional actions, failure of a person
with professional education, skills to act in a reasonable, prudent manner
common causes of malpractice, negligence Right Ans - failure to follow
standards of care, communicate appropriately, access, monitor patients, act as
a patient advocate
six factors that must be presented in a successful malpractice suit Right
Ans - duty owed the patient, breach of duty owed, foreseeability, causation,
injury, damages
common actions with negligence, malpractice Right Ans - concern actions
that are a result of omission, commission, concern nonintentional actions
common areas concerning foreseeability Right Ans - medication errors,
patient falls, failure to enact physician orders
factors that affect a person's response to stress Right Ans - age, nutritional
status, genetic inheritence
what factors can buffer stress Right Ans - resilience, hardiness, sense of
coherence
anxiety Right Ans - response to stress that causes apprehension,
uncertainty, may manifest as vague nervousness, feeling of dread
, mild anxiety Right Ans - can be motivational, foster crativity, actually
increase ability to think clearly
moderate anxiety Right Ans - narrows focus, dulls perception, may
challenge the person to pay attention, use appropriate problem solving skills
severe anxiety Right Ans - inability to make decisions, solve problems
panic Right Ans - multitude of physiologic changes as well as subjective
feelings of extreme dread, terror. causes person to become immobilized,
unable to concentrate, communicate, think in a rational manner
panic attack symptoms Right Ans - diaphoresis, chest pain, difficulty
breathing, palpitations
generalized anxiety disorder Right Ans - unrealistic levels of worry, tension
with, without an identifiable cause
social anxiety Right Ans - fear of being judged by others, overwhelming self
consciousness in social situations
OCD Right Ans - immobilizing, interfere with daily activities by causing the
affected person to repeat ritualistic behaviors in an effort to avert unrealistic
concerns about harm
PTSD Right Ans - flashbacks, erratic behaviors that results from exposure
to a horrifying experience. may develop when the person's ability to cope is
exceeded by trauma that was experienced
unresolved anger leads to what Right Ans - physiologic changes, high BP, GI
upset, depression
depression Right Ans - anger turned inwards, may feel worthless, guilty,
hopeless. may have difficulty getting out of bed, insomnia, lack of energy for
ADLs, display flat affect, chronically tired/withdrawn, appear disheveled
manifestation of pain caused by pathophysiological changes in the brain
Right Ans - hitting, fearful expressions, combativeness, resistance to care