C. ducis How could that be explained? Societal ethics E. Nonmaleficence For medication administration, documentation should also include the name of the medication, the dose, the route of administration, the time of administration, and identification of the person . 35 year old women who is depressed E. Nonmaleficence B. Steps in Delegation Step One - Assessment and Planning Registered nurse expert, ______________ is probably the only role about which there is agreement as to what it means and how we do it. Values Being B - Organizational 3. A. dynamic, patient-centered, holistic view, decision making, collaborative. E. Evaluating, The nurse begins clustering the information within the client story and formulates an evaluative judgment about a client's health status is which phase in the nursing process Which of the following clients should the nurse asses first? C. Justice D. Implementation. D. Implementing A. ABC (airway, breathing, and circulation) When the nurse and client agree to work together, a contract should be established and the length of the relationship should be discussed in terms of its ultimate termination. B. Northern Coniferous D. It directs the health care team in daily care goals and improves outcomes. b. a client has multiple fainting episodes due to lack of proper nutrition. Select all that apply. Respect for persons This is an example of which ethical principle? the plan of nursing care in situations where the delegation of the task does not jeopardize the client welfare. C. Culture of zero tolerance for violence keeping promises and being trust worthy, Which principle of ethics would you need to consider if there was only one bed left on the floor and patient A is CEO of the hospital and patient B and been in the ER the longest F. Beneficence, D. Fidelity Formal--> administrative/ management position A. B. simulated experiences B. looking away A. Autonomy D. Implementing This is an example of which ethical principle? The American Nurses Association's Standards of Clinical Nursing Practice identifies planning as one of the essential principles for promoting the delivery of competent nursing care. Select All That Apply. Outcomes / PlanningBased on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining adequate nutrition by eating smaller, more frequent meals; resolving conflict through counseling, or managing pain through adequate medication. ImplementationNursing care is implemented according to the care plan, so continuity of care for the patient during hospitalization and in preparation for discharge needs to be assured. Which client assessment finding should the nurse document as subjective date? Professional ethics are the ethical standards of a particular profession, When the nurse is checking the "six rights prior to administering medications to a patient. D. Clinical ethics, D. Clinical ethics ( decisions made at the bed side ), Use of medications is an example of Although evaluation is considered the last of the nursing process steps, it does not indicate an end to the nursing process. B. compassion Click the card to flip Definition 1 / 44 Treating the child with respect The licensed practical nurse is directed in providing nursing care by the established nursing plan. B. Do not make decisions based on resolutions. The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration? Health promotion diagnosis/ three-part C. and peers, A nurse on the night shift asks a co worker to punch out to punch out for her because she has to leave early is an example of ? C. contactual variables (relationship between the people communicating D. An asthmatic client with difficulty of breathing, D. An asthmatic client with difficulty of breathing Which part of the nursing process are you setting goals for the patient ? Answer A " use a finger to apply pressure to the reddened area will help you asses the issuesit will tell you if this is a pressure ulcer and what grade. 2. right circumstance B. A. Delegation involves the assignment of specific tasks or activities related to patient care to another person. A. B. chief nurse executive the nurse is adhering to the principle of: D. Veracity, The nurse is ensuring privacy when preforming care that involves intimate body parts or functions. The acronym ADPIE is an easy way to remember the components of the nursing process. What is another name for the integrated model and give examples, holistic model A. nodding head B. The client may discuss termination during the working phase; however, the subject should initially be discussed during the orientation phase. A. a clients with a total knee replacement two-day postoperative complaining of a HA ADPIE The NCSBN and the ANA define "delegation" as the process during which a nurse directs another person to perform nursing tasks and activities. The nurse is adhering to which ethical principle Examples include transporting stable patients for testing, delivering . Delegated nursing tasks are specific to one resident and the staff member trained on the task by the delegating nurse. C. Planning True or False Autonomy Therefore, the nurse needs to establish an environment conducive to patient comfort. E. A, B, D, True or false: E. Providing patient education about the prevention of disease. It is also designated by the American Nurses Association as the second Standard of Practice. Monitor the person's performance and provide feedback. B. E. C & D, Which of the following is considered a NADA diagnosis? A. situation -interpreting B. Diagnosing This is an example of Rationale: A systematic approach to the delegation process fosters communication and consistency of the process throughout the facility. Unlicensed nursing personnel. C. Manager Which example indicates that the nurse is following evidence based practice? D. Fidelity B. Anxiety The specific number of years of job experience. These providers can include, but are not limited to, health-care aides, home support workers, and resident aides. Time When the nurse will not be able to complete all the steps of the delegation process, including The nursing process is cyclical in nature so that the nurse's actions respond to the patient's changing status throughout the process. -promote health and independence Nursing diagnoses should be prioritized first by immediate needs based on _____________________. In team care, UAPs are expected to perform many low risk nursing care tasks under the direction of a RN. C. It is a plan of care used by health care providers to prescribe medications The following are three of the top reasons why the implementation phase is so important. Ensure that the person delegated has the necessary knowledge and skills. Relocation assistance. Only the Registered Nurse can delegate tasks and provide training/oversight of . Delegation is a process in which authority is transferred from one party to another. problem? read back order, meta communication factor that will affect the way messages are received as well as interrupted include risk? A. D. Emphasis on inconsistent job performance, What are the roles of an unlicensed assistive personnel in skin care? A. Assessing B. Collaborator C. To report changes in the skin appearance Which activities should the nurse instruct the parents to perform in order to provide security for the child? -Categorizing data Delegate appropriate tasks. -likely to have significant physical or psychosocial problems, Which factor is known to threaten the nurse's ability to triage and prioritize client care accurately? Communicate the expectations for the task. A CNA's core job includes: Restock rooms with essential supplies. Problem solving based on assessment This phase of the nursing process has the following objectives. advocate D. Fidelity C. Planning Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. $V=2.03 \mathrm{~L}$ at $24^{\circ} \mathrm{C} ; V=3.01 \mathrm{~L}$ at $?^{\circ} \mathrm{C}$, What is the conjugate acid of $\text{HSO}_4\phantom{}^-$. The nurse documents the date gathered during the assessment in a client's medical record. The following are a few reasons why the assessment phase is important for nurses to provide care. Impaired gas exchange R.T. C.O.P.D. - leadership -working with unethical or impaired colleagues, Example of ethics that will be seen in the clinical setting this semester, Issues such as abortion, embryonic stem cell research, and physician assisted suicide, are all example of what type of ethics? B. Orientation phase, when a contract is established -Engage in Reflection The unlicensed assistive personnel (UAP) may be delegated activities that do not require nursing judgment. Problem focused diagnosis/two-part Which patient situations support the need for care coordination? Leadership C. Fidelity An unlicensed staff member who has been "certified" by the employing agency to monitor telemetry: Monitoring cardiac telemetry No. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. a. D. Asthma Here are a few examples of challenges that may occur during the diagnosis phase of the nursing process and some suggestions on how to overcome them. Planning Administer oral meds, IM, or SQ * Patient teaching * * Apply cold or war. The highest priority should also be determined by using _________________________. A nurse is assessing different situations on the basis of Maslow's hierachy of needs. Which tasks can be delegated to and/or performed by which team. The process of delegation requires the nurse to make perfect judgment with regard to the duties that are to be delegated. -Interventions to Achieve PI Formation. Societal ethics Sanitizing and clean patients' areas. Societal ethics A. Assessing The planning phase of the nursing process has five main objectives, all of which focus on nursing interventions to promote positive patient outcomes. D. Requires reasoning and interpretation of data, B. a. B. Anxiety Effective delegation is based on one's state nurse practice act and an understanding on all of the following concepts EXCEPT: Delegation is based upon: The needs of the patient and the stability of the patient's condition; The RN assessment of the potential for patient harm; The complexity of the task; The predictability of the outcomes; -Recording data (Observation, Interview & Examination), -Expert - Intuition becomes prominent in thinking - change Which role of the nurse is the priority at this time? A. The format for recording nursing assessment data may vary from one facility to another. Nurses utilize many of the same skills for each of the nursing process steps. FALSE: The final phase of the nursing process is evaluation. recommendation B. environment stimuli Acceptable nursing diagnosis? If the depth $d$ of flow is $1.7 \mathrm{~m}, u_{\max }=9 \mathrm{~m} / \mathrm{s}$, and $n=1 / 6$, what is the discharge in cubic meters per second per meter of the width of the channel? Demonstration of a personal bias The American Nurses Association's Scopes of Practice Advocacy Maslow's hierarchy of needs, True or False: B. D. Document your observations. This is an example of ? B. abandoning her patient C. Professional ethics - Novice - Relies on rules to perform correctly, nursing practice act, the scope of practice, and accreditation standards, and other laws are all examples of Correct Response: A -prolonging the living or dying process with inappropriate measures D role modeling Define the task to be delegated. When used appropriately, delegation is safe and effective and does . It occurs due to difference in opinions with others. E. Evaluating. d. irrigate the wound with 100 ml normal saline until clear"n6am-2pm-8pm. A - Ethical problem Assume that the population growth is described by the BevertonHolt recruitment curve with growth parameter R and carrying capacity K . It arises when a discord about policies and procedures exists. 1 The Five Rights of Delegation include the right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback. risk? b. the nurse reads current nursing journals and uses the latest scientific methods. What definition of the nursing process should be included in the presentation. Activities can be assigned only to someone who has the required skill, knowledge, and judgment as well as legal authority for that scope of practice. Risk for fall fidelity, Treating each patient with value and dignity is an example of which ethical principle? What does this nurse's comment reflect? Essential Components of Delegation F. Beneficence, how someone is treated and finical practices is knowns as Etiology: r/t imbalance between oxygen supply and demand A. real experiences D. It directs the health care team in daily care goals and improves outcomes C - Personal A. 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