Pain, dyspnea, and thirst are three of the most prevalent, intense, and distressing symptoms of intensive care unit ICU patients.In this report, the.Nutrition Conferences, Food Conferences, Public Health Global Events, Congress Meetings and Workshops in 2018 Dietitians Summit Asia Europe USA Middle East Expo.Your source of nanda diagnoses nursing interventions of ncp care plans.Nursing Fundamentals Exam 1 Practice Test Flashcards.Questions are taken directly from the Potter textbook from the end of each chapter.Covers legal aspects of nursing chapter 2.There are no rationales for the answers, but the chapter that each question comes from will be listed in at the end of the question.For questions that have more than one answer, like selectA nurse is caring for a patient who recently had coronary bypass surgery.Which are legal sources of standards of care the nurse uses to deliver safe healthcare Select all that apply.Nursing Care Plan Activity Intolerance Evaluation Form' title='Nursing Care Plan Activity Intolerance Evaluation Form' />Information provided by the head nurse.Policies and procedures of the employing hospital.State Nurse Practice Act.Regulations identified in the Joint Commissions manual.The American Nurses Association standards of practice.A nurse is sued for failure to monitor a patient appropriately after a procedure.Which of the following statements are correct about this lawsuit Select all that apply 2.The nurse represents the plaintiff.The defendant must prove injury, damage, or loss.The person filing the lawsuit has the burden of proof.The plaintiff must prove that a breach in the prevailing standard of care caused an injury.A nurse stops to help in an emergency at at the scene of an accident.The injured party files a suit and the nurses employing institution insurance does not cover the nurse.What would probably cover the nurse in this situationThe nurses auto insurance.The nurses homeowners insurance.The Good Samaritan laws, which grant immunity from suit if there is no gross negligence.The Patient Care Partnership, which may grant immunity from suit if the injured party contends.A nurse is planning care for a patient going to surgery.Who is responsible for informing the patient about the surgery along with the possible risks, complications, and benefits Family member.Surgeon.Nurse.Nurse Manager.A woman who is a Jehovahs Witness has severe, life threatening injuries and is hemorrhaging following a car accident.The healthcare provider ordered 2 units of packed red blood cells to treat the womans anemia.The womans husband refuses to allow the nurse to give his wife the blood.What is the nurses responsibility Obtain a court order to give the blood.Coerce the husband into giving the blood.Call security and have the husband removed from the hospital.Abide by the husbands wishes and inform the healthcare provider.The nurse notes that an advance directive is on a patients medical record.Which statement represents the best description of an advance directive guideline the nurse will followA living will allows an appointed person to make health care decisions when the patient is in an incapacitated state.A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state.The patient can not make changes in the advance directive once admitted to the hospital.A durable power of attorney for health care is invoked only when the patient has a terminal condition or is in a persistent vegetative state.A nurse notes that the health care unit keeps a listing of the patient names at the front desk in easy view for health care providers to more efficiently locate the patient.The nurse talks with the nursing manager because this action is a violoation of which actMental Health Parity Act.Patient Self Determination Act PSDA3.Health Insurance Portability and Accountability Act HIPPA4.Emergency Medical Treatment and Active Labor Act.Which of the following actions, if performed by a registered nurse, would result in both criminal and administrative law sanctions against the nurse Select all that apply.Taking and selling controlled substances.Refusing to provide health care information to a patients child.Reporting suspected abuse and neglect of children.Applying physical restraints without a written physicians order.The nurse received a hand off report at the change of shift in the conference room from the night shift nurse.The nursing student assigned to the nurse asks to review the medical records of the patients assigned to them.The nurse begins assessing the assigned patients and lists the nursing care information for each patient on each individual patients message board in the patient rooms.The nurse also lists the patients medical diagnoses on the message board.Later in the day, the nurse discusses the plan of care for a patient who is dying with the patients family.Which of these actions describes a violation of the Health Insurance Portability and Accountability Act HIPPA Discussing the patient conditions in the nursing report room at the change of shift.Allowing nursing students to review patient charts before caring for patients to whom they are assigned.Posting medical information about the patient on a message board in the patients room.Releasing patient information regarding terminal illness to family when the patient has given permission for information to be shared.The patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied.The patient experiences decreased sensation and a cold feeling in the toes of the affected leg.The nurse observes that the patients toes have become pale and cold but forgets to document this because one of the nurses other patients experienced cardiac arrest at the same time.Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee.Which of the following statements regarding a breach of duty apply to this situationSelect all that apply.Failure to document a change in assessment data.Failure to provide discharge instructions.Failure to follow the six rights of medication administration.Failure to use proper medical equipment ordered for patient monitoring.Failure to notify a health care provider about a change in the patients condition.A homeless man enters the emergency department seeking health care.The health care provider indicates that the patient needs to be transferred to the City Hospital for care.This action is most likely a violation of which of the following lawsHealth Insurance Portability and Accountability Act HIPPA2.Americans with Disabilities Act ADA3.Patient Self Determination Act PSDA4.Emergency Medical Treatment and Active Labor Act EMTALAYou are the night shift nurse and are caring for a newly admitted patient who appears confused.The family asks to see the patients medical record.What is the first nursing action to take Give the family the record.Give the patient the record.Discuss the issues that concern the family with them.Call the nursing supervisor.A home health nurse notices significant bruising on the 2 year old patients head, arms, abdomen, and legs.The patients mother describes the patients frequent falls.What is the best nursing action for the home health nurse to takeDocument her findings and treat the patient.Instruct the mother on safe handling of a 2 year old child.Contact a child abuse hotline.Discuss this story with a colleague.A new graduate nurse is being mentored by a more experienced nurse.They are discussing the ways nurses need to remain active professionally.Which of the statements below indicates the new graduate understands ways to remain involved professionallySelect all that apply 2.I am thinking about joining the health committee at my church.I need to read newspapers, watch news broadcasts, and search the Internet for information related to health.I will join nursing committees at the hospital after I have several years of experience and better understand the issues affecting nursing.Nurses do not have very much voice in legislation in Washington, D.C.You are floated to work on a nursing unit where you are given an assignment that is beyond your capability.What is the best nursing action to take firstCall the nursing supervisor to discuss the situation.Discuss the problem with a colleague.Leave the nursing unit and go home.Say nothing and begin your work.The nurse is having difficulty reading a physicians order for a medication.He or she knows that the physician is very busy and does not like to be called.What is the most appropriate next step for the nurse to takeCall the pharmacist to interpret the order.Call the physician to have the order clarified.Consult the unit manager to help interpret the order.Course Content 3.Burnout Impact on Nursing and Quality of Care.Healthcare professionals certainly fall into the category of human services professionals and so are especially vulnerable to burnout 1.In addition to the emotional strain of dealing with people who are sick or dying and who have extreme physical andor emotional needs, the evolving state of health care has created additional stress for healthcare professionals.The economic constraints related to health care reform often hamper the ability of healthcare professionals to deliver high quality care according to their standards 1.Burnout has been studied in populations of all types of healthcare professionals around the world, including allied healthcare professionals, medical students and residents, and dentists 5.The rates of burnout vary among these subgroups, but in general, the rates are higher among healthcare professionals than among individuals in nonhelping occupations.In addition, the most recent research suggests that rates of severe burnout among healthcare professionals are even higher 5.Burnout has been studied most extensively in physicians and nurses.According to the most recent studies published in 2.The 2.United States 6.As with physicians, the rate of burnout among nurses is higher.According to the most recent data for nurses, the.Among nurses, burnout is directly linked to work related stress and job dissatisfaction.A systematic review demonstrated that work related stress is significantly related to job satisfaction, with higher stress levels associated with less job satisfaction 7.In addition, low job satisfaction is associated with burnout 7.Given these facts, an understanding of the prevalence and causes of job dissatisfaction among nurses can help to define the sources of stress and burnout.Studies have indicated that among nurses, factors within the work environment are greater predictors of job dissatisfaction than factors related directly to the care of patients 7.It is important to distinguish between job dissatisfaction and career dissatisfaction.In a 2.Although work environment factors are more predictive of job dissatisfaction, stress, and burnout than demographic factors, a brief discussion of demographic differences is warranted 7,7.In the 2.An earlier survey showed a similar pattern of job dissatisfaction increasing with age.A 2.United States demonstrated that moderate job dissatisfaction was high among nurses younger than 2.The highest rate of extreme dissatisfaction only was found for nurses 5.In terms of burnout, studies have shown that burnout levels are high among nurses high scores on the MBI, and age was a factor 7.In one study, researchers found that levels of burnout were higher among nurses younger than 3.Differences in job satisfaction, stress, and burnout according to gender are not well known because of the great predominance of women in nursing 9.Limited data have indicated that the rates of job satisfaction do not differ between male and female nurses 7.No studies were found in which rates of burnout were compared for male and female nurses working in the United States.However, one meta analysis demonstrated that the rates of emotional exhaustion were higher for women than men in female typed occupations 2.Similarly, data are limited on racialethnic differences in job satisfaction, stress, and burnout among nurses.An analysis of the 2.American IndianAlaska Native, and multiracial nurses than for white nurses 7.No clear difference in job satisfaction could be found among Hispanic, Native HawaiianPacific Islander, and white nurses 7.Nurses job dissatisfaction varies according to position and setting.In the 2.With regard to setting, the highest rates of job dissatisfaction have been reported among nurses in nursing homes and hospitals, even for nurses who do not provide direct patient care 6.In a survey of more than 9.Salarywages and benefits health, retirement, tuition reimbursement have also been common sources of dissatisfaction, but have had little influence on burnout 6.Rates of burnout are also highest among nurses who provide direct patient care in hospitals and nursing homes 6.Approximately one third of nurses providing direct patient care in a hospital said they were burned out, and nearly 4.As has been reported for physicians, many studies have.Factors contributing to stress and burnout.Download Do Filme O Segredo Dos Animais Dublado 1986 '>Download Do Filme O Segredo Dos Animais Dublado 1986 .For example, substandard staffing was associated with.Several studies, including a systematic review, have identified a variety of work related stressors associated with one or more dimensions of burnout among nurses across settings 1.The most common source of burnout is work overload, and others include Inadequate nurse staffing.Overtime work. Chris Rock Never Scared Vostfr Download Adobe . Fear of not completing tasks.Job demands.Job complexity.Lack of professional recognition, respect, or reward.Role conflict, insufficiency, andor ambiguity.Poor peer relationships.Ineffective managers, supervisors, andor leaders.Inadequate communication with physicians.These sources of dissatisfaction can be correlated with four of the mismatches identified by Maslach, namely, work overload, lack of control, insufficient reward, and absence of community Table 5 1.An additional factor that should be considered is the emotional demands of nursing.CORRELATION OF SOURCES OF DISSATISFACTION AND AREAS OF MISMATCHArea of Mismatch.Dissatisfaction.Specific Factors.Work overload.Low nurse staffing.Overtime work.Job complexity.Fear of not completing tasks.Work hoursschedule.Imbalance in patient acuity.Lack of control.Role conflic, insufficiency, andor ambiguity.Job functions defined by non nurses.Lack of voice on policies affecting direct patient care.Insufficient reward.Lack of professional recognition or reward.Inadequate salary.Lack of opportunities for advancement.Absence of community.Poor relationships with other healthcare professionals.Nonsupportive relationships with peers.Inadequate communication with physicians.Low support from managers.Many of these sources of dissatisfaction are directly related to nursing turnover, as they have been given as the reason for nurses leaving their job or position.In the 2.Respondents were allowed to choose more than one reason, and approximately 2.A low salary was also one of the more common reasons for leaving Table 6 7.REASONS GIVEN FOR LEAVING A NURSING JOB OR POSITION IN THE 2.NATIONAL SAMPLE.SURVEY OF REGISTERED NURSESSpecific Work Related Reason.Percentage.Too many hours.Low salary.Inadequate staffing.Lack of good managementleadership.Lack of collaborationcommunication.Lack of advancement opportunities.The most common source of burnout, work overload, is.A 2.Other studies. have shown that the mean patient to nurse ratio in U.S.Nurses have consistently reported that these ratios are inadequate.In a study of 5.In a. survey of nearly 1.Other.Increased patient to nurse.In a study of more than 1.Increased workload is related to other factors besides patient to nurse ratios, including a high number of work hours per week, extended shifts, overtime often mandatory, many consecutive days of work, rotating shifts, weekend work, and on call requirements.Among 3,4.
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