Key Competencies in Medical-Surgical Nursing
27 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is a short-term complication associated with bariatric surgery?

  • Osteoporosis
  • Esophageal erosion
  • Band slippage
  • Anastomosis leak (correct)
  • What is the primary cause of dumping syndrome?

  • Rapid delivery of food into the duodenum (correct)
  • Slow emptying of the stomach
  • Insufficient absorption of nutrients in the small intestine
  • Inadequate production of digestive enzymes
  • Which of the following is NOT a potential symptom of dumping syndrome?

  • Dizziness
  • Fatigue
  • Constipation (correct)
  • Heart palpitations
  • Which of the following nursing interventions is MOST relevant for a patient recovering from bariatric surgery?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary purpose of incentive spirometry in the postoperative care of a bariatric surgery patient?

    <p>Improving respiratory function and preventing pneumonia (B)</p> Signup and view all the answers

    What is the purpose of interprofessional collaboration in healthcare?

    <p>To improve patient outcomes by promoting communication and shared decision-making. (A)</p> Signup and view all the answers

    What does the "teach-back" method involve?

    <p>Asking the patient to repeat back information or instructions in their own words to confirm understanding. (C)</p> Signup and view all the answers

    What are the key components of cultural humility?

    <p>Acknowledging your own biases and limitations, actively seeking to understand other perspectives, and being open to ongoing learning. (D)</p> Signup and view all the answers

    Which of the following factors can contribute to health disparities?

    <p>Social, economic, and environmental factors. (D)</p> Signup and view all the answers

    What is the term used to describe normal age-related changes in organ systems?

    <p>Senescence (C)</p> Signup and view all the answers

    What is the difference between dementia and delirium?

    <p>Delirium is an acute and reversible condition, while dementia is a progressive and irreversible decline in cognitive function. (A)</p> Signup and view all the answers

    Which of the following are safety considerations for reducing the risk of falls in older adults?

    <p>Removing throw rugs, ensuring adequate lighting, and promoting physical activity. (A)</p> Signup and view all the answers

    What is the main purpose of the Braden Scale?

    <p>To assess the risk of pressure injuries. (C)</p> Signup and view all the answers

    Which of these is a contagious skin condition?

    <p>Tinea corporis (C)</p> Signup and view all the answers

    What is the most sensitive indicator of pressure injury risk on the Braden Scale?

    <p>Mobility (A)</p> Signup and view all the answers

    What is a major benefit of bariatric surgery?

    <p>Improved weight loss, leading to reduced health risks. (D)</p> Signup and view all the answers

    What is a restrictive type of bariatric surgery?

    <p>Sleeve gastrectomy (B)</p> Signup and view all the answers

    What is a common symptom of delirium in older adults?

    <p>Sudden onset of confusion and disorientation. (C)</p> Signup and view all the answers

    Which of the following is a common coping strategy for chronic illness management?

    <p>Providing education and support resources to the patient and family. (A)</p> Signup and view all the answers

    What key factor is NOT related to the pathophysiology of obesity?

    <p>Increased expenditure of energy beyond intake. (C)</p> Signup and view all the answers

    Which term refers to the narrowing or constriction of a passage or orifice?

    <p>Stenosis (B)</p> Signup and view all the answers

    Which of these skin conditions is NOT contagious?

    <p>Psoriasis (B)</p> Signup and view all the answers

    Which of the following is NOT a primary focus of the HCAHPS survey?

    <p>Hospital resources, such as equipment and technology (B)</p> Signup and view all the answers

    Which component of the SBAR communication method focuses on the patient's current status or condition?

    <p>Situation (B)</p> Signup and view all the answers

    Which of the following is NOT a competency that QSEN focuses on?

    <p>Financial management (D)</p> Signup and view all the answers

    Which of the following is a key competency in Medical-Surgical Nursing, but NOT a component of the Nursing Process?

    <p>Pharmacology (C)</p> Signup and view all the answers

    In the context of hospital accountability for patient-centered care, what is the primary focus of The Joint Commission (TJC)?

    <p>Healthcare quality and safety (C)</p> Signup and view all the answers

    Flashcards

    Nursing Process Components

    Stages in nursing that guide patient care: recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, evaluating outcomes.

    HCAHPS

    Survey collecting standardized data from patients about their hospital experience focused on communication, staff responsiveness, and cleanliness.

    The Joint Commission (TJC)

    Independent organization that accredits U.S. hospitals, focusing on quality and safety through National Patient Safety Goals.

    SBAR Communication

    A structured communication method in healthcare consisting of Situation, Background, Assessment, Recommendation to ensure clarity.

    Signup and view all the flashcards

    QSEN Competencies

    Competencies focused on Quality and Safety Education for Nurses, emphasizing patient-centered care, teamwork, evidence-based practice, and quality improvement.

    Signup and view all the flashcards

    Malabsorptive procedures

    Surgical methods like jejunoileal bypass and biliopancreatic diversion that reduce nutrient absorption.

    Signup and view all the flashcards

    Roux-en-Y gastric bypass

    A combination surgical procedure that creates a small stomach pouch and bypasses part of the small intestine.

    Signup and view all the flashcards

    Dumping syndrome

    A condition where rapid stomach contents empty into the small intestine, causing various symptoms.

    Signup and view all the flashcards

    Post-bariatric nursing assessment

    Evaluation of complications, dietary changes, and nutritional deficiencies in post-surgery patients.

    Signup and view all the flashcards

    Symptoms of dumping syndrome

    Includes nausea, vomiting, and dizziness due to rapid digestion changes.

    Signup and view all the flashcards

    Interprofessional Collaboration

    Two or more healthcare professionals working together to solve problems or coordinate patient care.

    Signup and view all the flashcards

    Transitional Care

    Managing the transition from acute to post-acute care, ensuring clear communication and education for patients.

    Signup and view all the flashcards

    Teach-Back

    A method to confirm patient understanding by having them repeat information in their own words.

    Signup and view all the flashcards

    Cultural Humility

    A commitment to self-evaluate and understand one's own biases in patient interactions.

    Signup and view all the flashcards

    Health Disparities

    Inequities in health determined by social, economic, or environmental disadvantages.

    Signup and view all the flashcards

    Senescence

    Normal age-related changes in organ systems throughout life.

    Signup and view all the flashcards

    Delirium vs Dementia

    Delirium is acute and reversible; dementia is progressive and affects functioning.

    Signup and view all the flashcards

    Braden Scale

    A tool that evaluates pressure sore risk based on mobility, nutrition, and moisture.

    Signup and view all the flashcards

    Wound Assessment

    Evaluating the characteristics and status of a wound for better treatment.

    Signup and view all the flashcards

    Skin Conditions Education

    Importance of educating patients about their specific skin issues and proper care.

    Signup and view all the flashcards

    Obesity Risk Factors

    Conditions linked with obesity such as diabetes, heart disease, and sleep apnea.

    Signup and view all the flashcards

    Bariatric Surgery Benefits

    Weight loss and health improvements that lead to reduced risks of various diseases after surgery.

    Signup and view all the flashcards

    Restrictive Bariatric Procedures

    Surgical methods that limit food intake, like gastric banding or sleeve gastrectomy.

    Signup and view all the flashcards

    Patient-Centered Care

    Healthcare approach that respects and responds to individual patient preferences and needs.

    Signup and view all the flashcards

    Chronic Illness Management

    Strategies to support patients and families cope with chronic conditions effectively.

    Signup and view all the flashcards

    Study Notes

    Key Competencies in Medical-Surgical Nursing

    • Essential knowledge domains: Anatomy & Physiology, Pathophysiology, Chemistry, Pharmacology, Microbiology
    • Nursing Process components: Recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, evaluating outcomes
    • Key competencies: Clinical decision-making, evidence-based care, patient-centered care, quality & safety, interprofessional practice

    Accountability for Patient-Centered Care

    • HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems): A survey measuring patient experience. Key areas: communication with nurses/providers, staff responsiveness, medication communication, discharge info, care transition, cleanliness, quietness, overall rating, recommendation.
    • TJC (The Joint Commission): An organization accrediting most U.S. hospitals. Focus: healthcare quality & safety. National Patient Safety Goals: patient identification, safety risk identification, staff communication, health equity, medication safety, alarm safety, surgical safety, infection prevention.

    Communication & Collaboration

    • SBAR (Situation, Background, Assessment, Recommendation): A communication tool for safe communication in healthcare, critical in shift changes and transfers
    • Hand-off communication: Essential during every shift transition & transfer to ensure consistent patient care

    QSEN Focus

    • Quality & Safety Education for Nurses (QSEN): Emphasizes Patient-centered care, quality improvement, teamwork & collaboration, safety, evidence-based practice, informatics

    Interprofessional Collaboration

    • Definition: Two or more professionals working together to solve problems/coordinate care.
    • Effect on patient care: Improves patient outcomes, reduces adverse drug reactions, avoids emergency hospitalizations, optimizes medication dosages
    • Incorporating the patient: Communication, shared decision-making & comprehensive care plans

    Patient Education and Cultural Considerations

    • "Teach-back": Ensuring patient understanding by asking them to repeat information/directions.
    • Cultural humility: Self-evaluating biases, self-critique and reflection toward flexibility and openness for patient interactions
    • Cultural awareness: Recognizing how personal beliefs influence views of others' cultural health beliefs.
    • Cultural sensitivity: Person-centered care grounded in appreciating one's own and others' cultural practices/beliefs
    • Health disparities: Disadvantages stemming from social, economic, or environmental factors. Disadvantage categories include age, disability, economic instability, education level, gender, income inequality, language proficiency, mental health condition, race, sexuality, geography

    Managing Language Barriers

    • Solution: Interpreters or resources in different languages
    • Senescence: Normal age-related organ system changes.
    • Common terms: Sclerosis (hardening), Stenosis (narrowing), Atrophy (wasting), Calcification (calcium deposits), Decreased elasticity
    • Impact: Difficulty maintaining homeostasis (body's balance). Homeostenosis = failure of homeostasis.
    • Important tables: Review tables 6.1, 6.2, 6.3, 6.4, 6.5, 6.8 in Chapter 6

    Patient Safety & Falls

    • Risk factors for falls (older adults): Impaired eyesight, slower body systems, stairs, rugs, poor lighting, pets, lack of clear walkways
    • Prevention: Community resources, encourage physical activity, be aware of environmental hazards

    Dementia vs. Delirium

    • Delirium: Acute, reversible, commonly found in older adults.
    • Dementia: Progressive cognitive decline, impacting social/occupational function.

    Chronic Diseases

    • Patient management: Empowering patients, educating individuals and their families, encouraging health promotion and including caregivers for support.
    • Impact on patients & family: Family strain, caregiver strain, financial strain, chronic sorrow, spiritual distress, powerlessness
    • Coping strategies: Educate, encourage, offer help, include family/caregivers, offer resources

    Skin Assessment & Wounds

    • Important factors in medical history: Medications, family history, environmental/social history
    • Braden Scale: Assessing risk of pressure injuries. Higher scores are better. Scores of 1 or 2 in mobility are sensitive indicators. Scores of 18 or lower necessitate clinical decision-making for prevention strategies.
    • Wound bed assessment terms: (Specific terms should be reviewed from Chapter 50)
    • Skin conditions:(Specific descriptions should be reviewed from Chapter 50)
    • Psoriasis patient education: Educate on medications, side effects, skin assessment during phototherapy, handwashing, adverse reactions, infection signs, sunlight avoidance (if applicable), daily skin checks
    • Contagious skin conditions: Fungal infections (e.g., tinea capitis, corporis, cruris, faciei, pedis, versicolor)

    Obesity

    • Pathophysiology: (Review chapter's description)
    • Risk factors: DM2, heart disease, metabolic syndrome, airway obstruction, chronic kidney disease, NAFLD, infertility issues, GERD, cancer, increased medication use, stroke, sleep apnea, osteoarthritis, decreased glomerular filtration and psychosocial health
    • Bariatric surgery benefits: Weight loss, improved health/mental health, reduced medication/risk, increased physical activity/fertility.
    • Surgical procedures: Restrictive (adjustable banding, sleeve gastrectomy, duodenal switch, inflatable intragastric balloon), malabsorptive (jejunileal bypass, biliopancreatic diversion), combination (Roux-en-Y gastric bypass)
    • Complications: (Short-term and long-term). Review specific complications for each type of procedure
    • Post-op assessment: Monitoring for complications, supporting dietary/lifestyle changes, nutritional deficiencies, and advocacy for social support
    • Dumping syndrome: Rapid emptying of stomach contents into small intestine. Symptoms: nausea, vomiting, cramps, diarrhea, dizziness, etc. Nursing education: incentive spirometry, compression devices, ambulation, lifting restrictions, recovery activity, diet restrictions, medication side effects, wound & drain care, support groups

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz explores essential competencies in medical-surgical nursing, covering crucial knowledge domains such as anatomy, pharmacology, and patient-centered care. It also discusses the nursing process and accountability measures like HCAHPS and TJC. Test your understanding of clinical decision-making, interprofessional practice, and quality assurance in healthcare.

    More Like This

    Medical Surgical Nursing Overview
    8 questions
    Overview of Medical Surgical Nursing
    8 questions
    Medical-Surgical Nursing Overview
    8 questions

    Medical-Surgical Nursing Overview

    EquitableSydneyOperaHouse avatar
    EquitableSydneyOperaHouse
    Use Quizgecko on...
    Browser
    Browser