FUNDA LEC NURSING AS SCI (2)

Question 1

because it involves the systematic application of scientific principles and methods to promote health, prevent disease, and alleviate suffering. Nursing science is based on the study of the principles and application of nursing, which includes the understanding of human physiology, psychology, and sociology, as well as the development of theories and models that guide nursing practice.

Answer 1

nursing as a science

Question 2

Nursing involves a systematic approach to client care, which includes assessment, diagnosis, planning, implementation, and evaluation. This systematic approach is characteristic of scientific inquiry.

Answer 2

systematic approach

Question 3

Nursing practice is grounded in evidence from research and theory, ensuring that interventions are informed by the best available knowledge.

Answer 3

evidence-based practice

Question 4

Nursing science is built on theoretical foundations that provide the framework for understanding human behavior, health, and disease. These theories are developed through rigorous research and testing, ensuring that they are grounded in empirical evidence.

Answer 4

theoretical foundations

Question 5

Nursing science applies scientific principles from various disciplines, such as biology, psychology, sociology, and physics, to understand and address the complex needs of clients.

Answer 5

application of scientific principles

Question 6

Nursing science is a dynamic field that is constantly evolving through ongoing research, testing, and refinement of theories and practices. This continuous improvement ensures that nursing practice remains evidence-based and effective.

Answer 6

continuous improvement

Question 7

purpose of assessment

Answer 7

to identify the client’s health problems and determine their needs

Question 8

Gathering information from the client, family, and caregivers through interviews, questionnaires, and other communication methods.

Answer 8

subjective information

Question 9

Conducting physical examinations, laboratory tests, and other diagnostic procedures to gather objective data about the client’s health status.

Answer 9

objective information

Question 10

is the process of gathering information about the client’s health status. It is a critical step in the nursing process, as it provides the foundation for developing a comprehensive plan of care.

Answer 10

assessment

Question 11

the purpose of assessment is to

Answer 11

gather information,identify health problems, develop plan of care

Question 12

subjective assessment involves

Answer 12

health history, interviews and questionnaires

Question 13

SCENARIO: A client is admitted to the hospital with a diagnosis of pneumonia. The nurse conducts the following assessment:

 Health History: The client reports a history of chronic obstructive pulmonary disease (COPD) and has been experiencing shortness of breath for several days.
 Interviews: The client reports feeling fatigued and experiencing chest pain.
 Questionnaires: The client reports a pain level of 8 out of 10.

Answer 13

SUBJECTIVE ASSESSMENT

Question 14

objective assessment includes

Answer 14

physical examination and diagnostic test

Question 15

SCENARIO: A client is admitted to the hospital with a diagnosis of pneumonia. The nurse conducts the following assessment:

 Physical Examination: The client’s vital signs are: temperature 38.5°C, pulse 120 beats per minute, and blood pressure 140/90 mmHg. The client’s lung sounds are wheezy, and the client has a cough.
 Diagnostic Tests: The client’s laboratory tests show elevated white blood cell count and C-reactive protein levels, indicating an infection.

Answer 15

OBJECTIVE ASSESSMENT

Question 16

is the process of identifying the client’s health problems and determining the focus of nursing interventions. It is a critical step in the nursing process, as it helps nurses to prioritize their care and develop effective interventions to address the client’s needs.

Answer 16

nursing diagnosis

Question 17

the purpose of nursing diagnosis

Answer 17

to identify the client’s health problems and determine the focus of nursing interventions

Question 18

is a standardized classification system used to categorize and prioritize nursing diagnoses. It provides a framework for nurses to identify and classify client health problems using a standardized set of diagnostic labels and definitions. NANDA Taxonomy II is widely used in healthcare settings and provides a common language for nurses to communicate about client health problems.

Answer 18

NANDA TAXONOMY

Question 19

is the process of identifying the client’s health problems and developing a clear and concise statement of the problem. This involves:
Identifying the problem: Accurately identifying the client’s health problem and determining its severity.
Developing a clear and concise statement: Developing a clear and concise statement of the problem that accurately reflects the client’s health status.

Answer 19

nursing diagnosis

Question 20

Developing an initial plan based on the assessment and nursing diagnosis.

Answer 20

initial planning

Question 21

Continuously revising and refining the plan as
new information becomes available.

Answer 21

ongoing planning

Question 22

Developing a plan for the client’s discharge
from the healthcare setting

Answer 22

discharge planning

Question 23

Interventions that can be performed by
the nurse independently, such as providing education and support.

Answer 23

independent interventions

Question 24

Interventions that require collaboration
with other healthcare professionals, such as medication
administration.

Answer 24

dependent interventions

Question 25

Interventions that require
collaboration with the client and other healthcare professionals, such as wound care.

Answer 25

interdependent interventions

Question 26

Evaluating the plan at specific intervals, such as during a patient’s hospital stay.

Answer 26

planned evaluation

Question 27

Continuously monitoring and assessing the
client’s progress throughout the healthcare process.

Answer 27

ongoing evaluation

Question 28

Evaluating the plan to determine its
effectiveness in achieving the desired outcomes.

Answer 28

purposeful evaluation

Question 29

is the process of recording and maintaining accurate and detailed information about a client’s health status, care, and treatment. It is a critical component of the nursing process, as it provides a comprehensive and accurate record of the client’s care.

Answer 29

documentation

Question 30

the purpose of documentation is

Answer 30

to provide a comprehensive record, support decision making, improve comm

Question 31

what is used in documentation

Answer 31

SOAPIE

Question 32

SCENARIO: A client is admitted to the hospital with a diagnosis of pneumonia. The nurse documents the client’s care using the SOAPIE framework:
 

  
Subjective Information: The client reports a history of chronic obstructive pulmonary disease (COPD) and has been experiencing shortness of breath for several days.
Objective Information: The client’s vital signs are: temperature 38.5°C, pulse 120 beats per minute, and blood pressure 140/90 mmHg. The client’s lung sounds are wheezy, and the client has a cough.
Assessment: The client has a diagnosis of pneumonia and is at risk for respiratory failure.
Plan: The client will receive antibiotics and oxygen therapy to manage the infection.
Implement: The client will receive antibiotics and oxygen therapy as ordered.
Evaluate: The client’s vital signs will be monitored regularly to assess the effectiveness of the treatment plan.

Answer 32

SAMPLE OF DOCUMENTATION IN SOAPIE

Question 33

what is FDAR

Answer 33

focus, data, action, response

Question 34

What is EHR

Answer 34

electronic health record

Question 35

A system for organizing and documenting patient data based on the client’s health problems, rather than the date of service.

Answer 35

problem oriented medical record (POMR)

Question 36

An electronic system for storing and managing patient data, including medical history, test results, and treatment plans.

Answer 36

Electronic health record (EHR)

Question 37

is the process of communicating information about a client’s health status, care, and treatment to other healthcare providers, caregivers, or family members. It is a critical component of the nursing process, as it ensures that all stakeholders are informed and involved in the client’s care.

Answer 37

reporting

Question 38

To communicate accurate and timely
information about the client’s health status, care, and treatment to
other healthcare providers, caregivers, or family members.

Answer 38

communicate information

Question 39

To ensure continuity of care by providing a
clear and concise report of the client’s health status and care.

Answer 39

ensure continuity of care

Question 40

To support decision-making by providing a
comprehensive and accurate report of the client’s health status and care.

Answer 40

support decision making

Question 41

isbarr meaning

Answer 41

situation, backround, assessment, recommendations, read back

Question 42

A report provided by the nurse at the end of their shift to the nurse taking over the client’s care, summarizing the client’s health status, care, and treatment.

Answer 42

change of shift report

Question 43

is a document used to record and document incidents or adverse events that occur during the provision of healthcare services. It is a critical tool for identifying and addressing potential safety issues, improving patient safety, and reducing the risk of future incidents.

Answer 43

incident report

Question 44

the purpose of an incident report

Answer 44

document the incidents,

Question 45

A report documenting a medication error, such as a wrong dose, wrong medication, or wrong route of administration.

Answer 45

medication error report

Question 46

A report documenting a fall or near-fall incident, including the cause, severity, and any injuries sustained.

Answer 46

fall report

Question 47

A report documenting an infection control incident, such as a patient contracting an infection or a healthcare worker being exposed to an infectious agent.

Answer 47

infection control report

Question 48

A report documenting any incident that poses a risk to patient safety, such as a medication error, fall, or equipment failure.

Answer 48

patient safety incident report

Question 49

is a crucial component of healthcare systems, ensuring that patients receive the necessary care and services from the appropriate healthcare providers.

Answer 49

referral system

Question 50

is a set of activities undertaken by healthcare providers in response to their inability to provide diagnostic and therapeutic interventions. It involves a two-way relationship between health facilities, ensuring continuity and complementation of health services.

Answer 50

referral system

Question 51

Referrals made by individuals themselves to higher centers (hospitals) by-passing lower-level facilities based on perceived inadequacy at the lower level.

Answer 51

self-referral

Question 52

This system ensures that services needed are delivered at the lower level, with competent personnel assigned and roles clearly defined to avoid duplication.

Answer 52

functional referral system

Question 53

Referrals from lower to higher levels or vice versa, ensuring that patients receive the necessary care and services

Answer 53

external vertical referral

Question 54

refer to electronic systems designed to store and manage patient data, facilitating the efficient and secure collection, analysis, and sharing of healthcare information. These databases play a crucial role in modern healthcare, enabling healthcare providers to make informed decisions, improve patient outcomes, and enhance the overall quality of care.

Answer 54

health care electronic databases

Question 55

_____ store information related to patient claims, including billing and insurance data.

Answer 55

claims databases

Question 56

store medical images, such as X-rays, MRIs, and CT scans, facilitating timely access to imaging studies and aiding in diagnosis.

Answer 56

imaging databases

Question 57

store genetic information from individuals, populations, and various organisms, contributing to advancing personalized medicine.

Answer 57

genomic databases

Question 58

centralize information on ongoing and completed clinical trials, facilitating transparency and patient access to experimental treatments.

Answer 58

clinical trial databases

Question 59

centralize information on ongoing and completed clinical trials, facilitating transparency and patient access to experimental treatments.

Answer 59

clinical trial databases