Emergency Nursing Overview
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Questions and Answers

What is one key responsibility of an emergency nurse in a high-pressure care environment?

  • Conducting surgical procedures independently
  • Prescribing medications for chronic conditions
  • Conducting routine check-ups on stable patients
  • Teaching patients and families (correct)
  • Which type of patient is NOT typically considered within the scope of emergency nursing?

  • Patients with traumatic injuries
  • Patients with cardiovascular disorders
  • Patients with undiagnosed health problems
  • Patients requiring routine follow-up visits (correct)
  • What is a significant characteristic of the emergency care environment?

  • Planned patient admissions
  • Limited working hours
  • Unpredictable numbers of patients (correct)
  • Predictable patient outcomes
  • What common issue has been increasingly reported among emergency nursing staff?

    <p>Physical assaults and violence</p> Signup and view all the answers

    Which of the following does NOT represent a common medical condition seen in the emergency department?

    <p>Regular health screenings</p> Signup and view all the answers

    Which role of the emergency nurse specifically involves ensuring patient care after discharge?

    <p>Planning and facilitating follow-up care</p> Signup and view all the answers

    What is a primary focus when treating patients in the emergency department?

    <p>Immediate and intensive nursing care</p> Signup and view all the answers

    In the emergency department, patients with minor problems are typically considered to be:

    <p>Stable and requiring minimal nursing care</p> Signup and view all the answers

    What is the primary focus of emergency nursing?

    <p>Caring for patients who require urgent medical attention</p> Signup and view all the answers

    Which of the following best describes the scope of emergency nursing?

    <p>Care for patients of all ages with acute health issues</p> Signup and view all the answers

    Which of the following characteristics is essential for an emergency nurse?

    <p>Strong communication skills</p> Signup and view all the answers

    What type of conditions do emergency nurses commonly encounter?

    <p>Acute injuries and sudden illnesses</p> Signup and view all the answers

    What is a primary cause of violence in the emergency department?

    <p>Overcrowding and extended wait times</p> Signup and view all the answers

    Which of the following is NOT a measure to overcome health risks in the emergency department?

    <p>Removing access to communication devices</p> Signup and view all the answers

    Emergency nursing primarily involves which of the following?

    <p>Episodic care until definitive treatment is available</p> Signup and view all the answers

    What role does an emergency care nurse play in the healthcare system?

    <p>They deliver immediate care to acutely ill or injured patients.</p> Signup and view all the answers

    What is one of the key factors contributing to violence in the emergency department?

    <p>Overcrowding</p> Signup and view all the answers

    Which safety measure specifically addresses access control in the emergency department?

    <p>Metal detectors</p> Signup and view all the answers

    What approach should be taken when managing agitated patients in the emergency room?

    <p>Assume all violent patients are armed</p> Signup and view all the answers

    Which of the following is NOT a verbal technique to manage agitated patients?

    <p>Command the patient to calm down</p> Signup and view all the answers

    What can help de-escalate an agitated patient according to the management techniques?

    <p>Seeing the patient right away</p> Signup and view all the answers

    What is the primary focus of non-verbal techniques when managing agitated patients?

    <p>Avoiding direct confrontation and maintaining personal space</p> Signup and view all the answers

    Which method can be combined with continuous surveillance to enhance security in the emergency department?

    <p>Early intervention strategies</p> Signup and view all the answers

    What is a crucial element when removing a violent patient from a situation?

    <p>Keep the clinician near the exit</p> Signup and view all the answers

    What should be avoided when interacting with an agitated patient?

    <p>Direct eye contact</p> Signup and view all the answers

    What is a key consideration when using physical restraints on an agitated patient?

    <p>Address possible violence directly and calmly</p> Signup and view all the answers

    Which safety measure uses technology to monitor the environment in the emergency department?

    <p>Continuous surveillance with cameras</p> Signup and view all the answers

    In what scenario are chemical restraints typically administered?

    <p>While physical restraints are being applied</p> Signup and view all the answers

    Which action is recommended to manage personal space during an encounter with an agitated patient?

    <p>Maintain a distance of at least two arm lengths</p> Signup and view all the answers

    Which of the following values is NOT associated with emergency nursing?

    <p>Prioritizing personal judgment over established standards</p> Signup and view all the answers

    What characteristic is essential for an emergency nurse to handle high-pressure situations?

    <p>Staying flexible in tricky situations</p> Signup and view all the answers

    Which action illustrates an emergency nurse’s collaborative care approach?

    <p>Engaging with pre-hospital care providers actively</p> Signup and view all the answers

    What is one key responsibility of an emergency nurse during a crisis situation?

    <p>Assessing and identifying patients’ healthcare problems</p> Signup and view all the answers

    An emergency nurse must demonstrate which of the following behaviors?

    <p>Engaging in professional development and behavior</p> Signup and view all the answers

    Which of the following describes an expected outcome in emergency nursing?

    <p>Evaluating care against identified goals</p> Signup and view all the answers

    In emergency nursing, which aspect is linked to the core value of respecting patient autonomy?

    <p>Offering choices and respecting patient decisions</p> Signup and view all the answers

    What is a primary goal of an emergency nurse's ongoing evaluation after care delivery?

    <p>To ensure care continues to meet patient outcomes</p> Signup and view all the answers

    Study Notes

    Emergency Nursing Scope

    • Emergency nursing focuses on the care of patients who require urgent medical attention to prevent long-term disability or death.
    • Emergency nursing deals with human responses to trauma or sudden illness that demands immediate intervention.
    • Emergency nursing involves the episodic care of people of all ages with physical or psychological health problems.
    • Emergency nursing is provided to acutely ill or injured patients by an Emergency Care Nurse in a Specialized Emergency Environment.

    Emergency Nurse Values

    • Emergency nurses provide comprehensive, accurate, and ongoing care.
    • Emergency nurses utilize clinical judgment to analyze assessment data and make nursing diagnoses.
    • Emergency nurses identify expected outcomes and evaluate the care provided against them.
    • Emergency nurses proactively modify care plans to ensure they meet a patient's needs.
    • Emergency nurses recognize their learning needs and engage in professional development.
    • Emergency nurses ensure open and timely communication with patients, families, and other staff.
    • Emergency nurses provide patient-centered and collaborative care, wherever possible.
    • Emergency nurses adhere to accepted practice standards and laws.
    • Emergency nurses engage in professional activities and behavior.
    • Emergency nurses value life, dignity, worth, autonomy, and individuality.

    Emergency Nurse Characteristics

    • Emergency nurses remain calm in high-stress and high-pressure situations.
    • Emergency nurses are flexible.
    • Emergency nurses are vigilant.
    • Emergency nurses are critical thinkers and decision makers.
    • Emergency nurses are responsible.
    • Emergency nurses demonstrate caring and sympathetic behaviors.
    • Emergency nurses are detail oriented.
    • Emergency nurses are stable and can cope with emergencies and other stressors.
    • Emergency nurses possess a body of knowledge.
    • Emergency nurses have awareness of social services.
    • Emergency nurses collaborate effectively with pre-hospital care providers.
    • Emergency nurses are patient advocates.
    • Emergency nurses are team collaborators.
    • Emergency nurses understand cultural diversity.

    Roles of Emergency Nurse

    • Emergency nurses assess and identify patients' health problems.
    • Emergency nurses establish priorities.
    • Emergency nurses apply life-support measures.
    • Emergency nurses continuously monitor and assess acutely ill and injured patients.
    • Emergency nurses support and attend to families.

    Emergency Care Environment

    • The emergency department (ED) is a medical facility specializing in the acute care of patients without prior appointments.

    Characteristics of the Emergency Care Environment

    • Unpredictable numbers of patients with unknown patient variables.
    • Unanticipated situations requiring immediate intervention.
    • Limited resources, and need for immediate care.

    Common Illnesses and Injuries Seen in the Emergency Department

    • Traumatic organ injuries
    • Orthopedic injuries
    • Injuries from violence and abuse
    • Spinal trauma
    • Cardiovascular disorders such as chest pain
    • Respiratory disorders such as asthma, pulmonary embolism, respiratory failure, shock, etc.

    Common Issues in the Emergency Department

    • Violence
    • Ethical and legal issues

    Factors Contributing to Violence in the Emergency Department

    • Overcrowding
    • Long wait times
    • Pain
    • Alcohol and Drug abuse
    • Large numbers of psychiatric patients
    • Gang-related violence

    Safety Measures to Overcome Violence in the Emergency Department

    • Limit access to the department
    • Metal detectors
    • Visitor's policy with visitor passes or badges
    • Visible uniformed security guards or police officers
    • Continuous surveillance with closed-circuit cameras
    • Panic buttons for staff to call for security assistance
    • Early identification and early intervention

    Managing the Violent Patient in the Emergency Room

    • Assume all violent patients are armed until proven otherwise.
    • Ensure the patient is not armed.
    • Remove the patient to a quiet area.
    • The setting should be private but not isolated.
    • Nothing should be between the clinician and the door/exit.

    Management of Agitated Patients

    • Verbal Techniques: set limits, offer choices, use concise and simple language, avoid commanding or criticizing the patient.
    • Non-Verbal Cues: try verbal techniques first, be attentive without conveying weakness, avoid direct eye contact, address the violence directly, maintain personal space.
    • Physical Restraints: use only as a last resort.
    • Chemical Restraints: administer whenever possible.

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    Description

    This quiz covers the scope and values of emergency nursing. It emphasizes the critical role of emergency nurses in providing urgent care to patients with acute medical conditions. Participants will explore the necessary skills and competencies required in emergency nursing practice.

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