Nursing and Patient Care Overview
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Questions and Answers

What is the primary role of a registered nurse in primary nursing?

  • A nurse is responsible for leading a team of nurses.
  • A registered nurse manages a group of patients from admission to discharge. (correct)
  • A nurse focuses on completing tasks quickly for better efficiency.
  • A registered nurse provides care solely assisted by nursing aides.

How many patients should a registered nurse typically manage in a primary nursing model?

  • 3 to 4 patients (correct)
  • 1 patient
  • 10 to 12 patients
  • 15 to 20 patients

What is an important benefit of primary nursing?

  • It requires less accountability from the nursing staff.
  • It increases the staffing cost significantly.
  • It fosters continuity of care and enhances trust between nurse and patient. (correct)
  • It creates fragmented care making interventions faster.

Which statement best describes the consequences of fragmented care in nursing?

<p>It often leads to faster and easier nursing interventions. (A)</p> Signup and view all the answers

In primary nursing, what management approach is stressed for the team leader?

<p>Increased autonomy and accountability for patient care. (A)</p> Signup and view all the answers

What does the term 'Totality of the Appearance and Behavior' most likely refer to?

<p>A combination of genetic and environmental influences (D)</p> Signup and view all the answers

In a situation where a patient is uncooperative when taking medication, what is the most appropriate initial action for a nurse?

<p>Provide counseling to the patient on medication adherence (C)</p> Signup and view all the answers

Which of the following is a valid reason to activate Code Blue in a clinical setting?

<p>A patient exhibits signs of cardiac arrest (A)</p> Signup and view all the answers

What is the primary focus of a Durable Power of Attorney?

<p>It authorizes another person to make medical decisions on behalf of an individual (D)</p> Signup and view all the answers

What is an appropriate response if an unethical situation arises among staff?

<p>Report the incident to the nurse supervisor immediately (C)</p> Signup and view all the answers

Which action represents a critical part of therapeutic communication with a patient experiencing lifestyle change challenges?

<p>Encouraging clients to reflect on barriers to change (A)</p> Signup and view all the answers

What is the primary purpose of a patient's Bill of Rights?

<p>To outline the legal rights related to health care (B)</p> Signup and view all the answers

What does the term 'valid signature' imply in a healthcare context?

<p>It affirms that consent is informed and legally binding (B)</p> Signup and view all the answers

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Flashcards

Primary Nursing

A model of care where one registered nurse is responsible for a group of patients from admission to discharge.

Patient Assignment

A nurse provides care for a specific number of patients throughout their stay.

Benefits of Primary Nursing

Primary Nursing aims to provide continuous care, building a strong relationship between the nurse and the patient.

Primary Nursing: Autonomy & Expertise

Primary Nursing empowers nurses to be independent and knowledgeable about their patients' needs.

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Patient Ratio in Primary Nursing

Primary Nursing can involve a larger number of patients assigned to a single nurse.

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What is the Patient's Bill of Rights?

A document outlining the rights of patients in healthcare settings, ensuring their informed consent, privacy, and autonomy.

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What is the Nurse's Code of Ethics?

A formal document outlining ethical principles and guidelines for nurses, emphasizing patient advocacy, responsibility, and ethical conduct.

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What is Phenotype?

The total outward expression of a person's personality, including their physical appearance, mannerisms, and behavior, shaped by a combination of genetic factors and environmental influences.

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What does Code Blue signify?

A medical emergency code indicating a cardiac arrest, requiring immediate attention and resuscitation protocols.

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What is a Living Will?

A formal declaration of a person's wishes regarding medical care in the event of their inability to make their own decisions, often used for end-of-life situations.

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How to obtain a sterile urine specimen from a urinary catheter

A procedure for obtaining a sterile urine specimen from a urinary catheter, ensuring proper technique to maintain sterility and prevent contamination.

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What is Stage of Change - Commitment?

The ability of a client to acknowledge their problem, understand its negative effects, and make a commitment to change their behavior.

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What is a Durable Power of Attorney?

A document that grants someone the legal authority to make decisions on behalf of another person regarding their financial and medical affairs, especially during incapacitation.

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Study Notes

Nursing and Patient Care

  • Ethical Considerations:

    • Patient's Bill of Rights: Protects patient's rights and needs.
    • Nurse's Code of Ethics: Outlines ethical principles for nurses.
    • Philippine Nursing Act of 2002: Legally defines the practice of nursing in the Philippines.
    • A. BON Resolution No. 220 Series of 2002: A specific resolution relevant to nursing.
  • Genetics and Environment:

    • Edna's Chromosomes: 46, XX (normal female karyotype).
    • Genetic Influence: Genetic makeup significantly impacts appearance, behavior and attitudes.
    • Environmental Influence: The environment also influences individual behavior and attitudes.
  • Emergency Situations:

    • Mang Carlos's Situation: Immediate action must be taken. Important choices include contacting a physician, activating the Code Blue protocol, and providing extraordinary measures to save a patient.
  • Communication and Conflict Resolution:

    • Disagreements in Workplace: Proper communication and conflict resolution methods should be employed.
    • A staff meeting can resolve disputes.
  • Professional Conduct and Reporting:

    • Reporting Misbehaviors: Unauthorized actions or misbehaviors should be reported to proper authorities.
  • Legal Documents:

    • Durable Power of Attorney, Wills, Living Wills: These documents specify choices regarding a person's care and assets.
  • Procedures and Techniques:

    • Specimen Collection: Methods for drawing specimens from patients using different approaches.
    • Catheter maintenance and specimen collection: Specific instructions and procedures.
  • Nursing Interventions:

    • Patient education: Examples include teaching diabetic clients about glucose monitoring.
    • Preventive care: Immunization, hypertension screening.
    • Patient Assessment: Assessment of patient needs and issues relating to medical care.
  • Patient Concerns:

    • Patient Concerns: Factors that influence patient behavior, include, alcohol problems, financial, and social issues.
    • Understanding Patient Needs: Assess the overall need of the patient and develop a care plan in line with them.
  • Specific Diseases/Conditions:

    • Specific aspects of the disease can contribute to patient concerns, including treatment costs, impending death, or social support.
    • Diseases or conditions that need additional care: This relates to different aspects of care that are influenced by the disease.
  • Laws & Policies:

    • Laws for Nurses: Laws like R 9173 and LOI 949 are regulations that affect nurses.
  • Nursing Models:

    • Primary Nursing: A nursing model emphasizing continuity of care among nurses for a specific group of patients. It contrasts with fragmented care.
  • Patient Load Management:

    • Nurse staffing levels and patient care. The number of patients a registered nurse can manage effectively for appropriate patient care.

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Description

This quiz covers essential topics in nursing and patient care, including ethical considerations like the Patient's Bill of Rights and the Nurse's Code of Ethics. It discusses genetic and environmental influences on behavior as well as protocols for emergency situations. Test your knowledge on these important subjects in nursing practice.

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