Module 1 Nursing Essentials Flashcards
What are standards of nursing practice?
Assessment, Nursing diagnosis, plan, implement, evaluate
A nurse is conducting an initial assessment for a new patient in the hospital. Which action should the nurse take first in the assessment process?
A) document patient medical history
B) Perform a focused physical exam
C) Establish a nurse patient relationship
D) begin teaching the patient about their condition
C) establishing nurse patient relationship and trust is the first step in the assessment process
The is conducting a health assessment for a o75 year old patient. Which of the following is the most important action for the nurse to prioritize during this assessment?
A) ask about the patients smoking history
B) assess the patients mental and cognitive status
C) obtain a list of the patients medications
D) Record the patients blood pressure
B) for older adults assessing mental and cognitive status is critical.
A nurse is preparing to complete a comprehensive health assessment of a patient . Which of the following actions is a key component of the assessment phase?
A) Identifying nursing diagnosis
B)Developing a care plan
C)collecting subjective and objective data
D) Implementing nursing interventions
C) subjunctive and objective data are essential for identifying health problems and planning care.
During the assessment phase, a nurse I reviewing a patients medical history. Which of the following is considered subjective data?
A) the patients blood pressure
B) the patients statement, “ I am feeling dizzy”
C) the nurse’s observation of the patients breathing pattern
D) the patients laboratory results indicating low potassium levels
B) subjective is anything that the patients reports that cannot be seen, such as symptoms, feelings, or experiences.
A nurse is conducting a comprehensive assessment of a patient who speaks limited English. Which action should the nurse take to ensure accurate assessment?
A) use family members as interpreters for accurate communication
B) Use a professional interpreter to gather data
C) ask the patient to write down their symptoms
D)complete the assessment in a written format only
B) interpreters ensure accurate communication
What two types of data should a nurse gather during assessment.
Subjective and objective data
A nurse is reviewing a patients assessment data and identifying potential health problems. Which action reflects the correct application of the nursing diagnosis?
A) developing a care plan based on the patients preferences
B) identifying a specific nursing diagnosis related to the patients condition
C) administering a prescribed medication to manage symptoms
D) documenting the patients progress in the medical record
B) application of nursing diagnosis involves identifying a specific nursing diagnosis
A nurse is developing a nursing diagnosis for a patient experiencing shortness of breath. Which is the most appropriate nursing diagnosis based on this symptom?
A) Impaired gas exchange related to shortness of breathe
B) anxiety related to shortness of breathe
C) risk for falls related to shortness of breathe
D) acute pain related to shortness of breathe
A) most appropriate nursing diagnosis, addresses the underlying physiological issue of impaired oxygen exchange, which can cause patient to feel short of breathe
A nurse is identifying a patients nursing diagnosis. Which Statement reflects the correct format for a nursing diagnosis
A)”patient report severe abdominal pain”
B) “Risk for infection related to postoperative incision”
C) “Patient has chronic pain and is in distress”
D) “administer analgesic for pain management”
B) the correct format for nursing diagnosis is a problem , related to , and evidence (sign and symptoms)
The nurse is developing a nursing diagnosis for a patient experiencing difficulty breathing. Which of the following is the most appropriate nursing diagnosis based on the patients condition?
A) anxiety related to difficulty breathing
B)impaired physical mobility related to difficulty breathing
C) Ineffective airway clearance related to difficulty breathing
D) risk for impaired skin integrity related to difficulty breathing
C) directly addresses the issue of the patients difficulty in breathing
A nurse is determining whether the nursing diagnosis is accurate for a patient. Which action best helps the nurse validate the diagnosis?
A) collect additional assessment data and confirm with her patient
B) write the diagnosis in the patients medical record
C) begin implementing interventions to address the diagnosis
D) educate the patient about the diagnosis and treatment plan
A) ensures that the diagnosis is accurate and reflects the patients condition
What is the difference between nursing diagnosis and medical diagnosis?
Nursing diagnosis addresses the patients response to a health condition or life process while medical diagnosis identifies specific disease or condition
A nurse is developing a care plan for a patient with chronic pain. Which of the following is the most important consideration when writing nursing interventions?
A) focus on interventions that are specific , measurable, and achievable
B) prioritize interventions that are based on nurses personal experience
C) focus on interventions that only address the patients physical needs
D) write interventions that are based on doctors orders
A) nursing interventions should be specific measurable and achievable to ensure they are effective and tailored to the patients needs
A nurse is planning care for a patient with a new diagnosis of diabetes. Which of the following would be most appropriate short term goal for the patient?
A) patient will demonstrate improved blood glucose control with 3 months
B) patient will understand the importance of a diet and exercise within one week.
C) patient will experience no further complications from diabetes within one month
D) patient will be able to manage their diabetes independently within 6 months
D) should be achievable in shorter time frame and focus on understanding of condition
During planning phase the nurse involves patient in decision making. Why is this important?
A) it ensures the plan is developed quickly and efficiently
B) It fosters patient autonomy and promotes adherence to the care plan
C) it allows the nurse to complete their documentation requirements
D) it reduces the nurses work load
B) decision making promotes patient autonomy and adherence to care plan
A nurse is developing a care plan for a patient with frequent falls. Which of the following would be the best nursing intervention to include?
A) administer pain medication before ambulation
B) place the patient on bed rest until their condition improves
C) teach patient how to use a walker properly
D) increase the patients daily fluid intake to prevent dehydration
C) directly addresses the risk of falls and empowers the patient to safely move
A nurse is developing a care plan for a patient with respiratory distress. The nurse is prioritizing interventions based on patient immediate needs . Which of the following interventions would the nurse prioritize first?
A) administer oxygen as ordered
B) teach the patient deep breathing exercises
C) provide education open respiratory health
D) assess the patients understanding of their condition
A) priority intervention should focus on patients immediate physiological needs
What are the 6 components of QSEN?
QSEN- quality and safety education for nurses
Teamwork and collaboration
PCC
Quality improvement
Safety
Informatics
Evidence based practice
What does PCC do?
Provides individualized care and restores an emphasis on personal relationships
