NUR195 final Questions and Answers
Pt. dx with terminal cancer sharing a room with another patient. Both are from
different diverse backgrounds and express pain levels in different ways. Why is that?
✓ ~~~ People respond to the sensation of the pain in culturally diverse ways
Which patient would get the most benefit in care coordination?
✓ ~~~ 87 year old who just had a CV resulting in dysphasia and right sided weakness
(stroke)
You are assisting the RN with care coordination on pt. with hip replacement. Which
person would be included in the care coordination?
✓ ~~~ Physical therapist, social services professional, patient spouse
Patient transferred from acute facility to long term facility. Considering the elements
of care coordination. What should be included in the receiving facility report?
✓ ~~~ Patient's fear of sleeping without oxygen, including a plan for follow up 24 hours
after the transfer, ADL's, recent breakdown of skin over an extremity.
Which groups of these tiers of people requires care coordination?
✓ ~~~ Children with special healthcare needs, people at the end of life.
At a hospital and making arrangements to transport critical patient to larger hospital.
Providing traditional care to the patient. What would you do?
✓ ~~~ Give report to the EMS that will be accompanying the patient by ambulance
, 84 year old who broke their hip. Alert and oriented answering all the questions app.
What questions are important to implement?
✓ ~~~ Contact social services, Suggest the patient wear an emergency notification device,
Discuss safety issues with the patient and help the patient plan for those issues.
Examples of cost effective care
✓ ~~~ looking to reduce the cost and pass the value of savings to the patient. Reducing
cost reduces waste. Checking orders and IV labels before pulling them and opening them
Adverse event
✓ ~~~ Unintended harm. Something harmful happened, but not extreme. (ex: giving wrong
med to patient with no serious outcome) Accidentally administer 4 mg hydro when only 1
mg prescribed
Near miss event
✓ ~~~ someone came in for surgery and reveals she did not stop taking warfarin. Surgery
was rescheduled. No harm happened, no mistakes happened. Patient with last name of
Smith and in reviewing MAR, and realized there are 2 Mrs. Smith's. Realizing that this
order was a mistake before it happened.
Sentinel event
✓ ~~~ unexpected harm happened, and patient experienced extreme harm and or died.
Administering meds and you gave several anti-hypertensive drugs to wrong patient.
Patient goes into shock. You attempt to restore blood flow and are unsuccessful. The
client therefore passes away.
Adverse event
✓ ~~~ gave diazepam to wrong patient. Patient was drowsy and difficult to arouse, but
later returned to the normal state.
Caring for patient 12 hours post on R knee. Patient reports being fine and doesn't
need anything. You observe the patient wincing when moving in bed. Nurse asks
Pt. dx with terminal cancer sharing a room with another patient. Both are from
different diverse backgrounds and express pain levels in different ways. Why is that?
✓ ~~~ People respond to the sensation of the pain in culturally diverse ways
Which patient would get the most benefit in care coordination?
✓ ~~~ 87 year old who just had a CV resulting in dysphasia and right sided weakness
(stroke)
You are assisting the RN with care coordination on pt. with hip replacement. Which
person would be included in the care coordination?
✓ ~~~ Physical therapist, social services professional, patient spouse
Patient transferred from acute facility to long term facility. Considering the elements
of care coordination. What should be included in the receiving facility report?
✓ ~~~ Patient's fear of sleeping without oxygen, including a plan for follow up 24 hours
after the transfer, ADL's, recent breakdown of skin over an extremity.
Which groups of these tiers of people requires care coordination?
✓ ~~~ Children with special healthcare needs, people at the end of life.
At a hospital and making arrangements to transport critical patient to larger hospital.
Providing traditional care to the patient. What would you do?
✓ ~~~ Give report to the EMS that will be accompanying the patient by ambulance
, 84 year old who broke their hip. Alert and oriented answering all the questions app.
What questions are important to implement?
✓ ~~~ Contact social services, Suggest the patient wear an emergency notification device,
Discuss safety issues with the patient and help the patient plan for those issues.
Examples of cost effective care
✓ ~~~ looking to reduce the cost and pass the value of savings to the patient. Reducing
cost reduces waste. Checking orders and IV labels before pulling them and opening them
Adverse event
✓ ~~~ Unintended harm. Something harmful happened, but not extreme. (ex: giving wrong
med to patient with no serious outcome) Accidentally administer 4 mg hydro when only 1
mg prescribed
Near miss event
✓ ~~~ someone came in for surgery and reveals she did not stop taking warfarin. Surgery
was rescheduled. No harm happened, no mistakes happened. Patient with last name of
Smith and in reviewing MAR, and realized there are 2 Mrs. Smith's. Realizing that this
order was a mistake before it happened.
Sentinel event
✓ ~~~ unexpected harm happened, and patient experienced extreme harm and or died.
Administering meds and you gave several anti-hypertensive drugs to wrong patient.
Patient goes into shock. You attempt to restore blood flow and are unsuccessful. The
client therefore passes away.
Adverse event
✓ ~~~ gave diazepam to wrong patient. Patient was drowsy and difficult to arouse, but
later returned to the normal state.
Caring for patient 12 hours post on R knee. Patient reports being fine and doesn't
need anything. You observe the patient wincing when moving in bed. Nurse asks
