Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Fundamentals of Nursing > Fundamentals Test #1 > Flashcards

Fundamentals Test #1 Flashcards

1
Q

What is the Nursing Process?

A

A dynamic, continuous, client-centered, problem-solving, and decision-making framework

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the first step in the Nursing Process?

A

Assessment/Data Collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the types of assessments?

A

Initial Assessment, Focused Assessment, and a Ongoing Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Subjective Data

A

Data that the client tells the nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Objective Data?

A

Data that can be quantified and is observed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Secondary Subjective Data?

A

Data collected from other sources based on what the client has told them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Secondary Objective Data?

A

Data that is collected from items such as pt chart, doctor, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the second step in the Nursing Process?

A

Analysis/Data Collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Analysis/Data Collection?

A

Using critical thinking skills to identify clients’ health status or problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the third step in the Nursing Process?

A

Planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When does discharge planning begin?

A

Immediately!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Maslow’s Hierarchy of Basic Needs?

A

Physiological -> Safety & Security -> Love and Belonging -> Self-Esteem -> Self-Actualization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is involved in the planning stage?

A

A nurse determines the plan of care for a client and sets goals that the client can reach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Difference in goals and outcomes?

A

Goals identify optimal status whereas outcomes identify the observable criterion that will determine success or failure of the goal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Requirements for a goal?

A

Client-Centered, Singular, Observable, Measurable, Time-Limited, Mutually Agreeable, and Reasonable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the end product of planning?

A

Nursing Care Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The fourth step in the Nursing Process?

A

Implementation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How do nurses select what procedures they perform?

A

Evidence-Based Rationale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is implementation?

A

Nurses provide the care they have planned for through interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the last step in the Nursing Process?

A

Evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is evaluation?

A

Evaluating how the client responded to treatment and examining if the goals are met

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What happens with goals?

A

Expected Outcome and Actual Outcome are compared

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If a client has not achieved satisfactory goal outcomes, what is the next step?

A

To reassess the client to determine the next set of actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the five nursing process steps?

A

Assessment -> Diagnose/Analyze -> Plan -> Implement -> Evaluate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What are vital signs?
Measurements of the body's most basic functions and are: Temp, Pulse, Respiration, and BP
26
Oral Temperature Ranges?
96.8 (36C) - 100.4 (38C)
27
Differences in Rectal, Oral, Axillary, and Temporal ranges?
Rectal: 0.5C/0.9F Higher; Axillary: 0.5C/0.9F Lower; Temporal 0.5C/1.0F Higher
28
Newborn Temperature Range?
97.7 - 99.5 (36.5-37.5)
29
Normal pulse range?
60-100 BPM
30
Normal respirations range?
12-20 Breaths per min
31
Normal Blood Pressure?
Below 120 / Below 80
32
Prehypertension Range?
120 to 139 / 80 to 89
33
Stage 1 Hypertension Range?
140 to 159 / 90 to 99
34
Stage 2 Hypertension Range?
Greater than 160 / Greater than 100
35
What are the ABC's of Nursing?
Airway, Breathing, Circulation
36
What is the A in ABC's of nursing mean?
A clear patient airway so oxygen will have a pathway into the lungs for gas exchange and carbon dioxide can be expelled from the body
37
What does the B in ABC's of nursing mean?
An effective breathing pattern and respiratory effort to take in enough oxygen to meet cellular demands for oxygen throughout the body
38
What does the C in ABC's of nursing mean?
An effective circulatory system to deliver oxygen throughout the body and allow carbon dioxide removal through the pulmonary circulatory network
39
What are the priorities levels?
Low, Medium, and High
40
What is a low priority problem?
Problems that can be resolved with minimal interventions and do not cause significants dysfunction; Ex. Client request for afternoon snack
41
What is a medium priority problem?
Problems that may result in unhealthy physical or emotional consequences but which are not life threatening; Ex. Spiritual Distress
42
What is a high priority problem?
Problems of life-threatening problems of airway, breathing, and circulation or conditions that have a potential to become life threatening within a short amount of time; Ex. Chest Tube Insertion (need to monitor)
43
Assessment Steps:
Collect Data -> Organize Data -> Validate Data
44
Diagnosis Steps:
Analyze Data -> Identify Health Problems, Risks, and Strengths -> Formulate Diagnostic Statements
45
Planning Steps:
Prioritize Problems/Dx -> Formulate Goals/Desired Outcomes -> Select Nursing Interventions -> Write Nursing Int.
46
Implementation Steps:
Reassess Client -> Determine Nurse's need for Assistance -> Implement the Nursing Int. -> Supervise Delegated Care -> Document Nursing Activities
47
Evaluation Steps:
Collect Data Related to Outcomes -> Compare Data with Outcomes -> Relate Nursing Actions to Client Goals/Outcomes -> Draw Conclusions -> Continue, Modify, or Terminate the client's care plan
48
What is the three step process to write a nursing diagnosis?
Problem -> Etiology -> Signs & Symptons
49
What is an independent intervention?
Activities that nurses are licensed to do within their scope; Ex. Physical Care, Assessment, Emotional Support, etc.
50
What is a collaborative intervention?
A combination of professionals performing one intervention
51
What are the five rights of delegation?
Task, Circumstance, Person, Direction & Communication, and Supervision & Evaluation
52
What procedures for the most part can be delegated?
Non-Invasive Procedures
53
What are Values?
Personal beliefs about idea that determine standards the shape behavior
54
What are Morals?
Personal Values and beliefs about behavior and decision/making
55
What are the basic principles of ethics?
Advocacy, Responsibility, Accountability, and Confidentiality
56
Advocacy is?
Support of clients' health, wellness, safety, and personal rights, including privacy
57
Responsibility is?
Willingness to respect obligations and follow through on promises
58
Accountability is?
Ability to answer for one's own actions
59
Confidentiality is?
Protection of privacy without diminishing access to high-quality care
60
What are the ethical principles for client care?
Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, and Veracity
61
Autonomy is?
Right to make one's own personal decisions
62
Beneficence is?
Action that promotes good for others without self interest
63
Fidelity is?
Fulfillment of promises
64
Justice is?
Fairness in care delivery and use of resources
65
Nonmaleficence is?
Commitment to do no harm
66
Veracity is?
Commitment to tell the truth
67
What are unintentional torts?
Negligence and Malpractice
68
What are Quasi-Intentional Torts?
Breach of Confidentiality and Defamation of Character
69
What are intentional torts?
Assault, Battery, and False Imprisonment
70
What is negligence?
Conduct that deviates from what a reasonable person would do in a circumstance
71
What is professional negligence?
Conduct deviating from the standard of practice dictated by the profession
72
Elements of malpractice?
Duty, Breach of Duty, Foreseeability, Causation, and form of injury/harm
73
What is Assault?
Action of creating an apprehension of offensive, insulting, or physically injurious touching
74
What is Battery?
Willful touching of another individual that is unwanted, embarrassing, or unwarranted
75
What is informed consent?
When a provider explains and the client understands
76
Nurse's role in informed consent?
Nurse can witness signature and can ensure that the provider has obtained informed consent responsibly
77
What must a client provide written informed consent for?
Invasive procedures
78
What is a living will?
A legal document that expresses the client's wishes regarding medical treatment in the event the client becomes incapacitated is facing end of life issues
79
What is a durable power of attorney?
A health care proxy designation to make decisions for their health if they are unable to do so
80
Nurse responsibility regarding abuse?
Must report abuse and communicable diseases
81
What are Clarifying Techniques?
Restating, Reflecting, Paraphrasing, and Exploring
82
What is "restating"
Using the client's exact words
83
What is "reflecting"
Directs the focus back to the client for him to examine his feelings
84
What is "paraphrasing"
Restate the client's feelings and thoughts for him to confirm what he has communicated
85
What is "exploring"
Allows the nurse to gather more information about important topics the client mentioned

Fundamentals of Nursing (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions