NUR 215 MODULE 1-2 EXAM QUESTIONS WITH LATEST UPDATE
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Course
Nur 218
Institution
Nur 218
ABC's - Answer-airway, breathing, circulation
WHAT TYPES OF THINGS CAN A NURSE DO WITHOUT A DOCTORS ORDER? - Answer--TURNING A PATIENT
-PROVIDNG COMFORT
-GROOMING/BATHING
-PATIENT EDUCATION
-PREVENTING FALLS
-ICEPACKS/HEAT PADS
What can a nurse do if he/she is asked to do something out ...
NUR 215 MODULE 1-2 EXAM
QUESTIONS WITH LATEST UPDATE
ABC's - Answer-airway, breathing, circulation
WHAT TYPES OF THINGS CAN A NURSE DO WITHOUT A DOCTORS ORDER? -
Answer--TURNING A PATIENT
-PROVIDNG COMFORT
-GROOMING/BATHING
-PATIENT EDUCATION
-PREVENTING FALLS
-ICEPACKS/HEAT PADS
What can a nurse do if he/she is asked to do something out of their scope? - Answer-
nurses should refuse to practice beyond their legal scope of practice and use the formal
chain of command to verbalize concerns related to these assignments
primary - Answer-First or most significant(designed to prevent or slow the onset of
disease)
secondary - Answer-Screening activities and education for detecting illnesses in the
early stages
territory - Answer-Focuses on stopping the disease from progressing and returning the
individual to the pre-illness phase
5 steps of the nursing process - Answer-1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessment - Answer-Involves gathering data about the patient and their health status;
Info is related to the physiological, psychological, sociocultural, developmental, and
spiritual status of the individual
Analysis/Diagnosis - Answer-use information/data from the assessment phase to
identify the specific problem
, planning - Answer-encompasses identifying goals and outcomes, choosing
interventions, and creating nursing care plans
Nursing Diagnosis vs Medical Diagnosis - Answer-*Nursing Diagnosis: Focus on patient
response & Identify potential problems
*Medical Diagnosis:Disease process
Primary emphasis on identifying
the current problem
*Both use physical assessment, interviewing and observing as ways
to derive the diagnosis
*Both are designed for planning patient care
Inital Planning - Answer-Begins with the first patient contact; Refers to the development
of the initial comprehensive care plan
ongoing planning - Answer-Changes made in the plan; Allows you to prioritize the
problem(s) the patient has
discharge planning - Answer-Process of planning a self-care and continuity of care after
the patient leaves the healthcare setting
subjective data and objective data - Answer-subjective: what the patient says/tells you
objective: what you see for your self
nursing care plan - Answer-includes nursing diagnoses, goals and/or expected
outcomes, specific nursing interventions, and a section for evaluation findings so any
nurse is able to quickly identify a patient's clinical needs and situation.
Implementation - Answer-Involves performing/delegating planned interventions; Carry
out the care plan
"It's doing, documenting, and delegating"
evaluation - Answer-Last step of the nursing process; Involves making judgements
about the patient's progress towards desired health outcomes, the effectiveness of the
nursing care plan, and the quality of nursing care in the healthcare setting
structure evaluation - Answer-focuses on the environment in which care is provided;
also known as an audit
process evaluation - Answer-determines whether a program is being implemented as
intended
outcomes evaluation - Answer-Focuses on observable or measurable changes in the
patient's health status that result from the care given
Maslow's Hierarchy of Needs - Answer-(level 1) Physiological Needs
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