Self-directed learning
You have been selected by your registering authority to undergo an audit of your continuing professional development activities for the past year. Below is a list of hypothetical CPD activities that you might accrue over 12 months' practice as a circulating nurse. For each activity, provide an example you might undertake (for C, select a real conference/seminar that you have attended or plan to attend in the coming year) and write a short reflection (100 words) on the reason you chose it (your rationale)
and the influence you expect this activity might have on your practice as a circulating nurse.
What will be an ideal response?
Answer:
Example: Watched the WHO videos on the Surgical Safety Checklist (SSC); reviewed my hospital policy on patient identification and the SSC.
Rationale: I'm regularly involved in this practice and I'd like to improve compliance in my allocated operating room.
Used knowledge in this way: I waited for an appropriate time to suggest to the team that we might be able to complete the SSC Time Out segment; I felt more confident about introducing myself and role as circulating nurse and introducing the student nurse to the rest of the team; advised the surgeon to wait until the anaesthetists were satisfied with the patient's airway; completed the documentation.
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What is the main difference between major depression and dysthymic depression?
A. Dysthymia is a short-term depression and major depression lasts for years. B. Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe. C. Dysthymia is more likely to be caused by psychological factors and major depression is caused by neurological dysfunction. D. Dysthymia is normally treated with psychotherapy only, while major depression is treated with antidepressants and psychotherapy.
A depressed patient repeatedly tells staff that he's evil and that his "insides are rotting" because God is punishing him. What would the priority nursing diagnosis for this patient be?
a. Spiritual distress b. Disturbed thought process c. Situational low self-esteem d. Ineffective health maintenance
An FTE works how many hours per year?
a. 1,040 c. 1,664 b. 2,080 d. 1,872
Which intervention would be most appropriate for a client who has undergone colostomy surgery?
A) Monitoring vital signs once a day. B) Taking temperature by rectal route. C) Monitoring the volume of gastric secretions. D) Minimizing the client's fluid intake.