Clinical CHP 1 Chronic, Questions and answers. 2022/2023. 100% verified.

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Clinical CHP 1 Chronic, Questions and answers. 2022/2023. 100% verified. Which of the following provides nursing interventions that are selected to achieve patient outcomes for which nursing is... accountable? - ✔✔Nursing diagnosis The nursing diagnosis provides nursing interventions that are selected to achieve patient outcomes for which nursing is accountable. NANDA-I is the organization that develops and maintains the standard classification system for nursing diagnosis. The nursing assessment is part of the nursing process. The NOC is a list of patient outcomes developed to evaluate the effects of interventions provided by nurses. A nurse reviewing charts is participating in what part of the system of quality improvement? - ✔✔Data collection plan A nurse reviewing charts is participating in the data collection plan part of the quality improvement system. Measures refer to the assessment of how well the healthcare team performed. Aim is a measurable description of the desired improvement. Goals are the proficiencies that need to be met. The registered nurse (RN) is delegating tasks to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP). Which statement reflects inappropriate delegation? - ✔✔RN delegates to LPN: Complete admission assessment and documentation on a new patient. The RN cannot delegate an admission assessment to an LPN, as this is not within the LPN's scope of practice. LPNs can gather data but cannot assess a patient. All admission assessments must be done by the RN. Obtaining and recording vital signs is within the scope of practice for the UAP. The LPN is legally permitted to administer oral medications, intramuscular medications, subcutaneous medications, simple intravenous (IV) fluids, and IV antibiotics. The UAP can assist a patient in ambulating to the bathroom. A nurse is caring for a patient on the cardiac care unit. A cardiologist who lives in another city consults with the health care team through videoconferencing. What is this process known as? - ✔✔Telehealth Telehealth is the use of technology such as videoconferencing to provide care when patients and their health care providers are geographically separated. Electronic health records are health records maintained by clinics or hospitals in an electronic format. Evidence-based practice is a problem-solving approach used to answer clinical questions. Online health management is the use of the Internet and technology for managing health. In the Medicare program, the payment for hospital services is based on flat fees. These are determined by the diseases and problems treated during the hospital admission. For example, the hospital will receive a fixed amount of $45,000 for the care of a patient who had a total knee replacement. What is the term for this type of payment? - ✔✔Prospective payment system A prospective payment system was established in the Medicare program to reimburse hospitals using a flat fee based on the disease and problems treated during the admission. Value-based purchasing programs base reimbursement to health care providers on their performance on certain quality measures. Preferred provider organizations and health maintenance organizations are programs through which charges are negotiated in advance of the delivery of care using predetermined reimbursement rates or capitation fees. What communication tool will the nurse utilize to provide safe, effective care when reporting a change in a patient's condition? - ✔✔Situation-Background-Assessment-Recommendation (SBAR) tool The SBAR tool is a structured technique that provides a way for members of the healthcare team to talk about a patient's condition. A nursing diagnosis provides a basis for selecting nursing interventions to achieve patient outcomes for which a nurse is accountable. A nursing care plan is a guide for routine nursing care. A clinical pathway is an interprofessional nursing care plan that specifies care and desired outcomes during a specific time period for patients with particular diagnoses or health conditions. Telehealth nursing is using the nursing process to provide nursing care to patients and increase access to care to those who may not be able to afford transportation to the nearest health care facility. What methods are considered telehealth nursing? Select all that apply. - ✔✔Telehealth nursing provides nursing care to patients through telecommunication technologies, such as satellite, wireless, video communications, and high-speed Internet. Telephone conversation is not a method for telehealth nursing. A patient with a diagnosis of aggression secondary to psychosis has been admitted to the critical care unit. The nurse consults with the mental health team to provide a set of planned interventions to meet certain goals regarding the aggression. This is an example of what type of care plan? - ✔✔Patient care protocols Patient care protocols are developed to provide a consistent application of nursing to ensure outcomes are met. Nursing diagnosis, evaluation, and SMART goals should be developed for each patient to individualize patient care. When planning care for a patient, the nurse may use a visual diagram of patient problems and interventions to illustrate the relationships among pertinent clinical data. What is this format called? - ✔✔Concept map A concept map is another method of recording a nursing care plan. In a concept map, the nursing process is recorded in a visual diagram of client problems and interventions. A clinical (critical) pathway is a prewritten plan that directs the entire health care team in the daily care goals for select health care problems. A nursing care plan is a documented plan of care for a patient. The nurse is assigned to care for a newly admitted patient. Place the steps in the correct order for using the nursing process to provide care. - ✔✔1. Collect patient data 2. Diagnose any health problems 3. Decide on a plan of action 4. Implement the plan of action 5. Evaluate the plan's effectiveness The basic order of the nursing process is assessment, diagnosis, planning, implementation, and evaluation. "Protecting and maintaining patient privacy and confidentiality are basic obligations." Which of the following organizations has defined this code of ethics for nurses? - ✔✔American Nurses Association (ANA) The ANA has defined the code of ethics for nurses that states that protecting and maintaining confidentiality is a basic obligation. The NDNQI provides data on nursing-sensitive measures to evaluate the impact of nursing care on patient outcomes. The NPSGs address patient safety concerns that have been initiated by The Joint Commission. The SBON protects the public's health and welfare through the licensing and monitoring of registered nurses. A patient with coronary artery disease is admitted to the hospital. An electronic health record (EHR) is generated for the patient. Which information will be present in the EHR? Select all that apply. - ✔✔Medications Laboratory data Medical and surgical history The electronic health record (EHR) is a computerized record of protected health information (PHI). It includes information such as patient demographics, progress notes, problems and medications, vital signs, medical history, immunizations, and laboratory and radiology reports. The educational qualifications of the patient are not included in EHR. Similarly, the financial background of the patient is not mentioned in the EHR. A patient diagnosed with psychosis is complaining of being anxious on a newly prescribed medication. Which action by the nurse promotes the patient's psychosocial integrity? - ✔✔Provide time for the patient to verbalize his or her complaint. The nurse should first provide time for the patient to verbalize his or her complaint to help the patient better understand his or her feelings; this promotes psychosocial integrity. Yelling at other patients is not acceptable and should be discouraged. A letter may help the patient express him or herself, but this is not an example of patient advocacy. If the nurse or patient feels the medication may be causing anxiety, the doctor should be notified but this is less about promoting psychosocial integrity. At the end of a very long day involving the death of a patient, the nurse uses her social media account to share her experience and find some support. According to the Health Insurance Portability and Accountability Act (HIPAA), which posting would be acceptable? - ✔✔"It was a very difficult day for me due to the death of one of my favorite patients." The Health Insurance Portability and Accountability Act (HIPAA) prohibits the sharing of any health information which could potentially identify a patient. Stating that the nurse had a difficult day due to the death of a favorite patient does not contain any personally identifying information and generally would not be considered a violation. Sharing any information pertaining to location (Affinity Hospital), age (27), or diagnosis (cancer) could aid in identification of the individual and is thus prohibited by HIPAA standards. The student nurse asks the instructor where to find information about tasks that are legally permitted to be completed by a registered nurse (RN). Where does the instructor tell the student the nurse's scope of practice is described? - ✔✔State Nurse Practice Act The State Nurse Practice Act defines the scope of practice for nurses. Each state has a nurse practice act specifically defining the state's scope of nursing practice. The ANA Code for Nurses serves as a guide for carrying out nursing responsibilities in an ethical, professional manner. The NLN position statements that address issues and trends in nursing education. The AACN white papers cover a variety of current concerns in professional nursing practice. The nurse is giving a report using situation-background-assessment-recommendation (SBAR). Which statement is an appropriate example of "B - Background"? - ✔✔"The patient's current medications are..." "The patient's current medications are..." refers to pertinent background or circumstances leading up to the situation. "The patient needs to be seen now" is a recommendation or request. "I am concerned about..." is the situation to be discussed. "The patient's condition is worsening..." is an assessment. What organization is a primary professional organization for nursing? - ✔✔American Nurses Association American Nurses Association is a primary professional organization for nursing. The AACN, OCN, and AORN are three of the numerous specialty nursing organizations. The nurse is writing a plan of care for a patient admitted with chronic obstructive pulmonary disease (COPD). Which planning method is likely to increase patient compliance with the plan of care? - ✔✔Include the patient in the development of the goals and interventions in the plan of care. The patient is more likely to be compliant with the plan of care when he or she is actively involved in the development of goals and interventions. It is not the responsibility of the health care provider to assign nursing goals and desired outcomes. The nurse is responsible for identifying patient diagnoses, goals of care, evidence-based interventions, and desired patient outcomes founded on the nursing process. As such, asking other health care team members to write at least one intervention is not appropriate. Prewritten plans of care may be used; the nurse should review any plan and individualize it to the patient's unique needs before placing it on the medical record for use by others caring for the patient. However, these do not contribute to increased patient compliance. The student nurse knows leadership includes Quality and Safety Education for Nurses (QSEN) competencies. Which are QSEN competencies? Select all that apply. - ✔✔Quality improvement Patient-centered care Evidence-based practice QSEN competencies include quality improvement, evidence based-practice, patient-centered care, teamwork and collaboration, safety, and informatics. Nursing diagnosis is a phase in the nursing process. Nursing outcomes classification is a list of patient outcomes developed to evaluate the effects of interventions provided by nurses. In health care, value-based purchasing programs base reimbursement to hospitals on their performance and quality measures. When an adverse event that is considered preventable happens to a patient, the insurance company can withhold payment. What is this type of event called by the National Quality Forum (NQF)? - ✔✔Serious reportable event A serious reportable event is an event that happens to a patient that is considered preventable and can affect reimbursement to the health care organization from insurance companies. Health care error event, adverse health care event, and serious preventable event are not terms that refer to an event that happens to a patient and is considered preventable. What is an individual, family, or community state, behavior, or perception that is measured along a continuum in response to a nursing intervention? - ✔✔Nursing-sensitive patient outcome [Show More]

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