REVISION QUESTIONS WEEK 6

QUESTIONS:

1. State how the Medicines and the Misuse of Drugs Act govern the nurse’s role in the administration of medicines.
2. State what the nurse must do to ensure safe practice in accordance with standard 8 of the ‘Standards for practice of administration of medicines’ (NMC 2007).
3. In your own words write what the NMC (2007) standards state in relation to transportation and disposal of drugs, unlicensed medicines, complementary and alternative therapies and the management of adverse events.
4. How do records protect the welfare of patients/clients?
5. What are the key factors that the nurse/student should consider when writing patient records relating to content and style to ensure her records are effective?

ANSWERS:

1.
2.
3. NMC (2008) state the healthcare professional can transport drugs including controlled drugs if patients or caregivers are not able to get them. The drugs should be disposed according to legislation. Morover, for unlienced medication the proffesional adminsteration it should obtain informed consent from the patient. For complementary and alternative therapies must be undertaken by proffesionals who are competentant and have had the training to do so. In addition, the standards for management of adverse events is by reporting to the prescirber and documenting the actions taken by the adminsterator.
4.
5. The proffessional should:
· Avoid jargon
· Avoid abrrievations
· Be factual and not include opinions
· Blank ink
· Formal and in language so that the patient is able to understand
· Sign,date and time the document
· As soon after event as possible
· Accurate and clearly written
· Try to quote patient and relatives
· Proffesional judgement

REVISION QUESTIONS WEEK 5

QUESTIONS:

1. Define lack of competency.
2. In your own words define accountability.
3. Write a brief description of the main points/recommendations of the Kennedy Report.
4. Describe the differences between legislation and case law.
5. In your own words define negligence.
6. Write a short paragraph to identify the relevance of the main points of the Bolam case to your own nursing practice.

ANSWERS:

1. Lack of competency is not having the knowledge, skill or judgement that a health professionals requires to practice. However, not having competence makes them unfit and unsafe to practise effectively. Examples include unable to work in a team and finding it difficult in communicating with colleagues and patients/clients.

2. Accountability is taking responsibility for your actions, omissions, decisions, and behaviour even though others may have directed you.

3. Main points from the Kennedy Report were:
· Respect and honesty
· Health service well led by competent health professionals
· Safety of care
· Care of a suitable standard
· Public involvement through empowerment
· Care of children

4. Legislation is through parliament and needs to be read three times, whereas case law is judgement in court. For example the g
Gillick case where the daughter wanted contraception.

5. Neglience is being unprofessional which involves failing to exercise the level of care that a reasonable nurse possessing the same knowledge would have exercised under the same circumstances.

6. bolom claimed the doctor was being negligent

REVISION QUESTIONS WEEK 4

Module content:
· Ethical principles and decision making in everyday dilemmas within the context of the Code of Conduct
·Human Rights

QUESTIONS:
1. In your own words define the ethical principle of beneficence.
2. State several ways of how the ethical principle of beneficence is applied to patient/service user care.
3. In your own words define the ethical principle of nonmaleficence.
4. State how the ethical principle of nonmaleficence is applied to patient/service user care.
5. In one sentence state the main purpose of the Human Rights Act.
6. Identify four Articles of the Human Rights Act that are particularly relevant to nursing practice. Write one sentence on each Article to demonstrate how it is important to your practice.
7. State the role and responsibilities of the nurse in relation to The Human Rights Act.


ANSWERS:

1. Benefience is doing good- looking/acting in the best interests of patients. It should be patient centred and way out the benefits and the risks of the treatment.

2. NMC, policies and NICE

3. “Do no harm”, risks and benefits of the treatment- harm should not be unbalanced to the benefits of the treatment.

4. Policies and procedures

5. Protection to individual by setting standards & how people want to be treated.

6. Article 8- right to respect private and family life- justice
Article 3- prohibition of torture
Article 2- right to life
Article 7- no punishment without law

7. Nurses should not breach human rights act, nurse should be patient advocacy if patient’s human rights threaten.

REVISION QUESTIONS WEEK 3

Module content:
Ethical principles and decision making in everyday dilemmas within the context of the Code of Conduct

QUESTIONS:
1. In your own words define Autonomy.
2. State several ways of how the ethical principle of autonomy is applied to patient/service user care.
3. In your own words define Justice.
4. State several ways of how the ethical principle of justice is applied to patient/service user care.

ANSWERS:
1. Personal rule of self whilst remaining free from controlling interference by others and personal limitations, for example adequate understanding prevents meaningful choice. Additionally, health professionals should respect patient’s wishes even if they do not agree with the choice they make.

2. Consent, respecting choices, being the patients advocate, dignity and respect, providing patients with information and treating them as individuals.

3. justice is to be fair by not discriminating and distributing care fairly for example not spending all your time with patients you like.

4. no judgement= care
not taking bribes from patients

REVISION QUESTIONS WEEK 2

Module content:
· Introduction to goal setting
· Methods of evaluating care interventions
· Ethical principles and decision making in everyday dilemmas within the context of the Code of Conduct

QUESTIONS:

1. List the types of patient documentation that might exist.
2. Name six methods that the nurse can use to evaluate the care that she has given.
3. Name four ethical principles. In relation to Mrs Mary Hance identify how the principles can be applied to her nursing care.

ANSWERS:

1. Care plans,
charts,
GP records,
reports (insurance and data purposes),
baby health records.

2. Patient giving information,
Observations,
Waterlow assessment- risk assessment,
Wound assessment- colours, size, smell,
Handovers,
Multi-displinary team meetings- MDM.

3. JUSTICE- non discrimination
AUTONOMY- gaining consent, giving choices, confidentiality, privacy and dignity.
NON MALAFICENCE- benefits of long term goals against short term risks.
BENEFICENCE- “best intreasts”, competence

REVISION QUESTIONS WEEK 1

Module content:
· Introduction to systematic approaches to patient/service-user care
· Introduction to care planning

QUESTIONS:

1. Please state what the nursing process is and identify how this relates to care planning.
2. Make a record of the knowledge, skills and personal values that assist the nurse with care planning.
3.Name the main components that a good problem statement will always include.
4.State what the acronym SMART stands for. Write one sentence to explain each aspect/word as it applies to writing a goal statement.

ANSWERS :

1. The nursing process is:
• ASSESSMENT- identification of patient/service user problems
Involves looking at the patients needs (physical, intellectual, emotional, environmental, spiritual, sexual, social, economic)
• PLANNING– setting patient/service user goals
Should be patient centred, time frame to achieve goal (SMART)
• IMPLEMENTATION– nursing care/provision (providing)of care to patient/service user
Giving the care
• EVALUATION– measuring outcomes/assessment of goals
How it’s been achieved? Any improvements?

2.----------------------------------------------------------------------------------------------

3. Components a good problem statement will include are:
· Be patient centered
· Be specific
· Written formally, clearly and in sufficient detail
· Contain a rationale
· Logical
· Factual

4. SPECIFIC: The goal must relate to the specific problem
MEASURABLE: Recordable signs/symptoms, change/reduce/disappear.
General Measurable and Non-Measurable Verbs:
• Understand
• Appreciate
• Think
• Feel
• Accept
• Know
• Increase/decrease
• Stand/walk/sit
• Perform/Demonstrate
• Describe/state

ACHIVEABLE:
REALSTIC: The goal should be relevant in relation to the problem and individual patient/service user
– Need to consider ability of patient/service user
– Need to consider degree of ill health
– Need to consider what patient/service user wants
– Need to consider resources available
– Need to consider care setting

TIME: The goal set must include a time period when the goal should be reached.
Ø Short term goals – now, today, a few days.
Ø Long term goals – usually weeks or months.