NURS 309 Exam 1 (Sarah Caswell)
Questions With Complete Solutions
what project was initiated in 2005 that outlined the necessary
knowledge, skills, and attitudes for nursing through their six
initiatives? - correct Answers ✔✔ -the quality and safety
education for nurses project (QSEN)
what are KSA's? - correct Answers ✔✔ -knowledge, skills, and
attitudes
what are the six major initiatives of QSEN? - correct Answers ✔✔ -
patient centered care
teamwork and collaboration
evidence-based practice
informatics
safety
quality improvement
which QSEN competency involves doing everything for the good
of the patient? - correct Answers ✔✔ -patient centered care
which QSEN competency involves working with other health care
professionals such as other nurses, NP's, physicians, dieticians,
social workers, and housekeepers? - correct Answers ✔✔ -
teamwork and collaboration
which QSEN competency is constantly changing and requires
nurses to take continuing education courses each year? - correct
Answers ✔✔ -evidence-based practice
which QSEN competency involves taking all the information we
gather about a patient and analyzing/documenting it? - correct
Answers ✔✔ -informatics
which QSEN competency involves prioritizing safety of the
patient over everything else? - correct Answers ✔✔ -safety
which QSEN competency involves always looking for the best way
to provide care in order to create the best outcomes possible for
the patient? - correct Answers ✔✔ -quality improvement
why does the nursing process require critical thinking? - correct
Answers ✔✔ -you have to be able to look at the entire picture in
order to assess and revise treatment
,what are the five steps of the nursing process? - correct Answers
✔✔ -assessment
nursing diagnosis
planning
implementation
evaluation
what step of the nursing process involves data collection and
analysis? - correct Answers ✔✔ -assessment
what are the 9 parts of a nursing assessment? - correct Answers
✔✔ -medication profile
health status
lifespan
gender
lifestyle/habits
diet/nutrition
environment
culture
inherited traits
why is assessment of the patient's lifespan important in the
nursing process when it comes to medications? - correct Answers
✔✔ -treatment varies with the very young and very old
why is assessment of a patient's culture important in the nursing
process when it comes to medications? - correct Answers ✔✔ -
their beliefs may prohibit certain treatments, or their alternative
remedies may interact with drugs
why is assessment of a patient's inherited traits important in the
nursing process when it comes to medications? - correct Answers
✔✔ -these traits may cause them to react differently to certain
drugs
what are the 6 aspects of assessment of a patient's health
status? - correct Answers ✔✔ -chronic medical conditions
acute medical conditions
current medications
allergies
current laboratory values
vital signs
which of the following is the correct way to assess whether a patient has
allergies?
1- ask "do you have any allergies?"
2- ask "are you allergic to _____________?"
3- ask "what are you allergic to?"
,4- give them the prescribed treatment regardless since the
doctor gave the order and should have checked the patient's
allergies themselves - correct Answers ✔✔ -3
why is it important to assess the patient's developmental level
when it comes to medications? - correct Answers ✔✔ -to
determine whether they have the capacity to take the
medications in a safe manner
why is it important to assess the patient's ability to read and
write when it comes to medications? - correct Answers ✔✔ -they
may not be able to read the medication label
why do we need to assess a female patient's reproductive status
before administering medications? - correct Answers ✔✔ -any
woman of child-bearing age (has begun menstruation) can be
potentially pregnant, and medications may be contraindicated if
they can negatively impact the fetus
why is it important to ask a patient if they are taking any
supplements or complementary medicines? - correct Answers ✔✔
-they may fear judgement or they may not consider these drugs,
so we have to ask to make sure they aren't taking anything that
could interact with medications
why is it important to ask a patient if they use alcohol, illicit
drugs, tobacco, or nicotine? - correct Answers ✔✔ -these
substances may interact with medications
why must we avoid asking a patient if they smoke, and instead
ask them if they use tobacco or nicotine? - correct Answers ✔✔ -
these products come in many forms other than cigarettes
why must we assess a patient's occupation before giving
medications? - correct Answers ✔✔ -we must determine how the
medications will affect them at work
why is it important to ask a patient about their
finances/insurance when it comes to medications? - correct
Answers ✔✔ -they may be embarrassed to mention it to the
nurse, and they will not follow their prescribed treatment since
they're unable to afford it
why is it important to assess a patient's activity/exercise when
giving medications? - correct Answers ✔✔ -this may affect the
drugs' absorption rates
why is it important to assess a patient's sleep/rest when giving
medications? - correct Answers ✔✔ -drugs may alter their
sleeping pattern, and lack of sleep can lead to more problems
why is it important to assess a patient's diet/nutrition when
giving meds? - correct Answers ✔✔ -drugs can interact with some
foods and malnutrition can affect absorption and distribution
, why is it important to assess a patient's living environment when
giving medications? - correct Answers ✔✔ -the medications may
affect school/work, they may be in a rural area with no access to
a pharmacy, or they may live/work in an area with pollutants
what is compliance? - correct Answers ✔✔
-implementation/fullfillment of a prescriber/caregiver's prescribed
course of treatment
what is a medication error? - correct Answers ✔✔ -any
preventable adverse drug event involving inappropriate involving
inappropriate medication use by a patient or HCP; may or may
not cause harm
what is noncompliance? - correct Answers ✔✔ -informed decision
not to adhere to therapeutic plan/suggestion
what is missing from the following prescriber order?
"tylenol, 2 tablets PO, every 4 hours as needed for pain or fever"
- correct Answers ✔✔ -the dose is missing the strength (ex. 325
mg tablet or 500 mg tablet)
what organization forms and approves nursing diagnoses that
nurses utilize in everyday practice? - correct Answers ✔✔ -north
american nursing diagnosis association international (NANDA-I)
what are the three most common ND's related to drug therapy? -
correct Answers ✔✔ -deficient knowledge
risk for injury
noncompliance
what are the three parts of a nursing diagnosis? - correct
Answers ✔✔ -response, related factors, and data cues
in the following ND, what is the response?
confusion R/T effects of opioids on the central nervous system
AEB does not know the date and keeps asking where they are -
correct Answers ✔✔ -confusion
in the following ND, what is the related factor?
confusion R/T effects of opioids on the central nervous system
AEB does not know the date and keeps asking where they are -
correct Answers ✔✔ -effects of opioids on the central nervous
system
in the following ND, what are the data cues?
confusion R/T effects of opioids on the central nervous system
AEB does not know the date and keeps asking where they are -
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