Nursing 111 Unit 2 Test Questions and Correct Answers

Determine age appropriate assessment findings for a sensory assessment? Children: infants senses hard to determine, superficial tactile sensation (by age 2), superficial pain sensation (sharp vs dull) Adults: easier to assess, different tests, senses decline as we age Identify risk factors and populations at risk for sensory disturbances? -congenital/hereditary conditions -illness -smoking -UV light exposure -medication -stress -isolation -injuries Identify and describe specific diagnostic tests and expected findings to be performed on clients with common hearing disorders? -Rinne/Webber test -hearing aids -pg 1292 for hearing assessment Identify nursing strategies utilized for hearing impaired clients? -assess hearing/external ear -hearing aids -assess, diagnose, plan, implement, and evaluate -make sure clients can hear you, make sure they are social and not isolated, turn head/cup ear to hear you Determine the plan of care for a patient experiencing hearing loss? -hearing aids -additional tests/check-ups -doctor's orders -prevent further damage by instructing patient Discuss the components of the NC Nursing Practice Act? -series of statutes that define the scope of practice, standards of education programs, licensure requirements, and grounds for disciplinary actions for nurses (pg 2664: box 49-5) -NCBON makes these requirements/rules Verbalize the legal responsibilities of nursing students? -as responsible for actions as RN -Ensure client safety -Know facility's policies/procedures before clinicals -Ensure you are knowledgable about patient's condition, interventions, meds, and treatments -Never perform a procedure you are unprepared for; ask instructor for help -seek help, ask nurse to perform procedure if instructor isn't available Discuss the elements of professional negligence and malpractice in nursing? -negligence: conduct that deviates from what a reasonable person would do in a certain situation (unintended harm) -malpractice: conduct deviating from the standard of practice dictated by a profession -can be both negligent and malpractice Examples of malpractice include? -failure to follow standards of care -failure to use equipment the right way -failure to communicate -failure to document -failure to assess and monitor patient -failure to act as client advocate Elements of malpractice are? -client must be owed a duty -nurse much breech duty -element of foreseeability -injury for causation -harm resulted Identify specific areas of the HIPAA and it's impact on nursing practice? -protected health information -be confidential and private with info, unless a healthcare professional needs it -obtain info, disclose info, and advocate for confidentiality Discuss and identify the components of an Advanced Directive? -legal document executed by an individual that expresses their desires for medical treatment if they cannot verbalize it later on Part of an Advanced directive may contain? -withholding food/fluids -resuscitation/DNR -who makes medical decisions What is a living will? specific instructions about accepting or refusing medical treatment What is a durable power of attorney? power to make healthcare decisions for patient if unable to do so