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NURSING: 1st QUARTER > EXAM 3 (Chapters 4, 24, 9, 10, 13) > Flashcards

EXAM 3 (Chapters 4, 24, 9, 10, 13) Flashcards

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1
Q

Final step in a complete assessment

A
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2
Q

Rationale for developing a RN diagnosis

A

“A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.”

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3
Q

What is the expected outcome of shortness of breath?

A

Maintain patent airway

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4
Q

How do you validate subjective data?

A

By asking the patient

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5
Q

Which step in the nursing process is collecting data in?

A

Nursing assessment

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6
Q

Who is the best source of information for an adult patient?

A

The patient

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7
Q

Orientation phase of an interview

A

Phase can last for a few meetings or extend over a longer period. It is the first time the nurse and the patient meet and is the phase in which the nurse conducts the initial interview

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8
Q

Who can develop a NANDA diagnosis?

A
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9
Q

What is the evaluation process?

A

Determine if goals met and expected outcomes achieved

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10
Q

Order of nursing process

A

Assess —> Dx —> Planning —> Implement —> Evaluate

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11
Q

Define SMART

A

Specific
Measureable
Attainable
Realistic
Timed

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12
Q

Different assessment approaches

A
  1. Collection and verification of data from a primary source (the patient) and secondary sources (e.g., family caregiver, friends, health professionals, medical record)
  2. Interpretation and validation of data to ensure a complete database.
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13
Q

Evaluation measures of a goal of pressure injury

A
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14
Q

Steps of review and revision during implementation phase

A
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15
Q

What is a preventative nursing action?

A
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16
Q

What can be adjusted during the evaluation phase?

A
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17
Q

What are some nurse-initiated intervention?

A
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18
Q

Possible outcomes for a patient after abdominal surgery

A
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19
Q

Examples of physician-initiated interventions

A
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20
Q

Appropriate outcome statements, what should be included?

A
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21
Q

Patient-centered care improves….

A
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22
Q

What type of questions would a nurse want to ask during the interview phase?

A
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23
Q

Can nurses use medical diagnosis for their nursing diagnosis?

A
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24
Q

What are the types of nursing diagnosis?

A
25
Q

Best way to document an abrupt and rude patient statement

A
26
Q

Who would be the best primary source of information for what comforts a child?

A
27
Q

Nurses are legally and ethically obligated to keep patient information confidential

A
28
Q

What does HIPAA require a provider to provide to a patient?

A
29
Q

Incident or occurrence reports when should they be documented?

A
30
Q

Top 10 reasons for sentinel events

A

Fall — 485 reported events
Delay in treatment — 97
Unintended retention of a foreign object — 97
Wrong surgical site — 85
Patient suicide — 79
Assault/rape/sexual assault of a patient — 55
Patient self-harm — 45
Fire — 38
Medication management — 35
Clinical alarm response — 22

31
Q

Who sets the standards for documentations?

A

American Nurses Association (ANA), Nurse Practice Act

Be Accurate. Write down information accurately in real-time. …
Avoid Late Entries. …
Prioritize Legibility. …
Use the Right Tools. …
Follow Policy on Abbreviations. …
Document Physician Consultations. …
Chart the Symptom and the Treatment. …
Avoid Opinions and Hearsay.

32
Q

Characteristics of quality documentation

A

Good Documentation is Up to Date. …
Good Documentation anticipates failure. …
Good Documentation does not contain specific terms without clear definitions. …
Good Documentation does not use words like “simply”. …
Good Documentation is extensive, and has many examples.

33
Q

How should a nursing student sign their name when documenting?

A
34
Q

What does SBAR stand for?

A

Situation
Background
Assessment
Recommendation

35
Q

Concepts included in informatics

A
36
Q

Correct nursing actions for a telephone order

A
37
Q

What does a problem-oriented medical record include?

A
38
Q

What actions require an incident or occurrence report?

A
39
Q

What are critical pathways?

A

A critical Pathway (CP) is a clinical management tool that helps medical care providers coordinate the delivery of patient care for a particular case type or condition.

40
Q

What is a telephone report?

A
41
Q

Interventions for a patient with Alzheimer’s disease

A
42
Q

The homeless population has a higher prevalence of what disease?

A

Mental health

43
Q

Which intervention should be completed first when working with a member of a vulnerable population?

A

Language behavior

44
Q

What does the nurse assess when looking at a community’s social system?

A
45
Q

Public health problems are influenced by……

A
46
Q

What groups are part of the vulnerable population?

A
47
Q

Know the terms for sexuality and self-concept.

A
48
Q

What would a nurse ask to assess patient perception of identity?

A
49
Q

What is role performance?

A
50
Q

Signs and symptoms of physical or sexual abuse

A

Sadness, crying, anxiousness.
Short attention span.
Change or loss of appetite.
Sleep disturbances, nightmares.
Becoming excessively dependent.
A fear of home or a specific place, excessive fear of men or women, lacks trust in others.

51
Q

What questions would a nurse ask to determine sexual health of an adolescent?

A
52
Q

Which age group is the most vulnerable to identity stressors?

A
53
Q

Instructions to discuss birth control with a female patient

A
54
Q

Ways in which the media has negative impact on body image

A
55
Q

Does cultural background directly influence self-concept?

A
56
Q

Does the capacity for sexuality diminish in older adults?

A
57
Q

Which behaviors may indicate an altered self-concept?

A

Manifestations of an altered self-esteem include self-negating verbalizations, reduced social interactions, lack of eye contact during interaction, and verbalization of feelings of guilt.

58
Q

What does PLISSIT stand for?

A

Permission
Limited
Information
Specific
Suggestion
Intensive
Therapy

59
Q

Different sexual orientations

A

NURSING: 1st QUARTER (9 decks)

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