Test #1 Flashcards

1
Q

Describe the Joint Commission 2021 National Patient Safety Goal #1 (NPSG 01.01.01)

A

IDENTIFY PATIENTS CORRECTLY: Use at least 2 patient identifiers when providing care, treatment, and services. (Name and DOB preferred)

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2
Q

Describe the Joint Commission 2021 National Patient Safety Goal #7 (NPSG 07.01.01)

A

PREVENT INFECTION: Use hand hygiene guidelines recommended by CDC & WHO, set goals for improving hand hygiene, use goals to improve hand hygiene.

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3
Q

Describe the Joint Commission 2021 National Patient Safety Goal #9 (NPSG 09.01.01)

A

REDUCE THE RISK OF FALLS: Assess patient’s risk factors for falls, implement interventions to reduce risk, educate patient on reducing fall risk strategies, evaluate effectiveness.

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4
Q

According to the MORSE fall risk scale, a score of 52 would indicate what type of risk?

A

High Risk - (45 or higher)

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5
Q

Give examples of internal variables influencing illness and illness behavior.

A

Patient’s developmental stage, intellectual background, emotional status, spiritual factors.

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6
Q

Give examples of external variables influencing illness and illness behavior.

A

Family practices, psychosocial factors, socioeconomical factors, cultural background.

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7
Q

What are examples of the primary level of prevention?

A
  • Immunizations, child car seat education, nutrition and fitness activities, health education in schools.
  • Anything that promotes health and prevents disease w/specific protections.
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8
Q

What are examples of the secondary level of prevention?

A
  • Disease screenings/case finding, early detection/treatment, exercise programs for older adults.
  • Anything that focuses on identifying illness, providing treatment, and preventing a worsening health status.
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9
Q

What are examples of the tertiary level of prevention?

A
  • Begins after an injury/illness, promoting independence, referrals to support groups, rehabilitation center.
  • Prevents long-term consequences of a CHRONIC illness or disability and supports optimal functioning.
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10
Q

Describe the difference between wellness and illness.

A
  • Wellness is a person’s state of health that is progressing toward a higher level of functioning, a balance between internal/external environments.
  • Illness is when a person’s emotional, mental, physical, spiritual, developmental functioning or status is diminished (NOT A DISEASE, personal viewpoint)
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11
Q

What are the components of Health History/Nursing History?

A
  1. Demographic info: name, age, gender, race, occupation)
  2. Chief Concern/Complaint (CC): reason for seeking care
  3. HX of Present Illness: details about manifestation(s), location, quality/quantity, setting, timing (onset/duration), alleviating/aggravating factors.
  4. Past Health HX & Current Health Status: childhood illnesses, surgical & medical hx, current immunization status, allergies, current medications (including OTC and herbal supplements), lifestyle patterns, substance abuse/
  5. Family HX: any significant hx, family structure.
  6. Psychosocial HX: relationships, support system, etc.
  7. Health Promotion Behaviors: exercise/diet, awareness of any risks, use of walker, eyeglasses, etc.
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12
Q

Define nonmaleficence.

A

A commitment to do no harm.

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13
Q

What does SOLER stand for?

A

Sit close, observe, lean forward, eye contact, relax.

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14
Q

What does LIDQ stand for?

A

Location, intensity, duration, quality

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15
Q

What is difference between somatic, visceral, and referred pain

A

Visceral is related to large internal organs

Somatic is related to bones and ligaments

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16
Q

What does autonomy mean?

A

commitment to include patients in decisions

17
Q

What are the nursing code of ethics principles?

A

Advocacy, accountability, responsibility,

18
Q

What are the steps of the nursing process?

A

Assessment, planning, implementation, evaluation.

19
Q

What does SPICES stand for?

A
Sleep disorders
problems w/eating
incontinence
confusion
evidence of falls
skin breakdown
20
Q

What does ISBARR stand for?

A

Identify, situation, background, assessment, recommendations, read back orders.

21
Q

How do you calculate BMI?

A

Weight (lbs) / Height (inches, squared) X 703

22
Q

What BMI is considered overweight? Obese?

A

Obese = 30 and up

23
Q

What are the 4 phases of the nurse-patient relationship?

A

Preinteraction, orientation, working, termination