NR 222 EXAM 1 STUDY GUIDE questions
fully solved & updated
Which nursing interventions are appropriate to include in a plan of care to
promote sleep for patients who are hospitalized? (Select all that apply.)
1. Give patients a cup of coffee 1 hour before bedtime.
2. Plan vital signs to be taken before the patients are asleep.
3. Turn television on 15 minutes before bedtime.
4. Have patients follow at-home bedtime schedules.
5. Close the door to patients' rooms at bedtime. - ANSWER- 2. Plan vital signs to
be taken before the patients are asleep.
4. Have patients follow at-home bedtime schedules.
5. Close the door to patients' rooms at bedtime.
Professional Roles & Responsibility of Nurses
Autonomy & Give example - ANSWER- in nursing, it involves the initiation of
independent nursing interventions WITHOUT medical orders
EX: Independently advise pt to cough & suggest deep breathing exercises to
clear lungs of pt
Professional Roles & Responsibility of Nurses
Accountability - ANSWER- Responsibility professionally & legally for the type &
quality of nursing care provided. Must remain current & competent in nursing
scientific knowledge & technical skills
Professional Roles & Responsibility of Nurses
Caregiver - ANSWER- help pts maintain & regain health, manage disease &
symptoms, and attain a maximal level of function & independence through the
healing process
,Professional Roles & Responsibility of Nurses
Advocate - ANSWER- Protect pts human & legal rights & provide assistance in
asserting those rights if needed.
Act on behalf of pt, such as safeguarding their case against errors, suggesting
alternative care, securing pt healthcare rights and facilitating personal & cultural
preferences.
Professional Roles & Responsibility of Nurses
Manager - ANSWER- Nurse managers direct groups of nurses by establishing an
environment for collaborative patient-centered care and safe, evidence-based
quality care with positive patient outcomes.
-manager coordinates the activities of members of a nursing staff in delivering
nursing care and has personnel, policy, and budgetary responsibility for a
specific nursing unit or agency
-uses appropriate leadership styles to create a nursing environment for patients
and staff that reflects the mission and values of the health care organization
Professional Roles & Responsibility of Nurses
Communicator - ANSWER- Communicating allows you to know your patients,
including their preferences, strengths, weaknesses, and needs.
- routinely communicate with patients and families, other nurses and health care
professionals, resource people, and the community.
-Effective communication strategies are fundamental to providing high-quality
care, coordinating and managing patient care, assisting patients in rehabilitation,
advocating for patients, assisting patients and families in decision-making,
providing patient education
Professional Roles & Responsibility of Nurses
Educator - ANSWER- -Your ability to teach effectively improves patients'
knowledge, skills, self-care activities, and ability to make informed decisions.
-As an educator, you identify patients' willingness and ability to learn, explain
concepts and facts about their health, describe the reason for care activities,
demonstrate procedures such as self-care activities, reinforce learning or patient
behavior, and evaluate the patient's progress in learning.
What are the Professional Roles & Responsibility of Nurses - ANSWER-
Autonomy, Accountability, Advocate, Educator, Communicator, Manager,
Caregiver
A nurse is caring for a patient with end-stage lung disease. The patient wants to
go home on oxygen and be comfortable. The family wants the patient to have a
,new surgical procedure. The nurse explains the risk and benefits of the operation
to the family and discusses the patient's wishes with them. The nurse is acting as
the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Communicator - ANSWER- Advocate
Contemporary nursing requires that the nurse have knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are
examples of these roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - ANSWER- Caregiver
Autonomy
Patient Advocate
Health promotion
The nurse spends time with a patient and family reviewing a dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to
change the dressing. The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator - ANSWER- Educator
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation, you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the class why this
document is important. Which statement best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - ANSWER-
Defines the principles of right and wrong to provide patient care
Continuing care types (2) - ANSWER- • Long-term care: assisted living, nursing
centers
, • Psychiatric and older-adult day care
In a continuing care setting, you will apply __________ nursing principles to help
patients adapt to permanent health changes so that they can remain active and
engaged. - ANSWER- gerontological
Discharge planning - ANSWER- is a coordinated, interprofessional process that
develops a plan for continuing care after a patient leaves a health care agency.
When does discharge planning start? - ANSWER- discharge planning with
coordination of services must begin the moment a patient is admitted to a
hospital
What is involved in discharge planning? - ANSWER- • Determining the
appropriate post-hospital destination for a patient usually done by case manager
or social worker
• Identifying a patient's needs for a smooth and safe transition from the acute
care hospital/post-acute care agency to the patient's discharge destination
• Beginning the process of meeting a patient's needs while the patient is still
hospitalized, with approaches such as early mobility protocols, health education,
and new medication regimens.
Healthcare Disparities (definition) - ANSWER- Health care disparities are the
differences in health care outcomes and dimensions of health care, including
access, quality, and equity, among population groups
Disparities can be related to what variables? (6) - ANSWER- Disparities can be
related to many variables, such as race, ethnicity, gender, location, disability, or
social determinants
Social determinants - ANSWER- They are the conditions in the environments in
which people are born, live, learn, work, play, worship, and age that affect health,
functioning, and quality-of-life outcomes and risks
How many social determinant categories are there?
Where can you find this information? - ANSWER- 5
Healthy People 2030
What are the social determinant categories? - ANSWER- Economic Stability