NURS 1020 Exam 2 Questions with 100% Verified Correct Answers
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Course
NURS 1020
Institution
NURS 1020
NURS 1020 Exam 2 Questions with 100% Verified Correct Answers
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paper work, the nurse needs to record
A. An interpretation of patient behavior.
B. Objective data that are observ...
NURS 1020 Exam 2 Questions with 100% Verified
Correct Answers
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When
completing the admission paper work, the nurse needs to record
A. An interpretation of patient behavior.
B. Objective data that are observed.
C. Lengthy entry using lay terminology.
D. Abbreviations familiar to the nurse. - Correct Answer B. Objective data that are observed.
A patient is experiencing Ineffective Breathing Pattern. The correct goal statement would be written
as
A. The patient will be comfortable by the morning.
B. The patient will breath unlabored at 12 to 20 breaths per minute by the end of the shift.
C. The patient will not complain of breathing problems within the next 8 hours.
D. The patient will have a respiratory rate of 12 to 20 breaths per minute. - Correct Answer B. The
patient will breath unlabored at 12 to 20 breaths per minute by the end of the shift.
are we allowed to use abbreviations when we record in legal documents? - Correct Answer don't use
abbreviations
do occurrence reports go in the patient record? - Correct Answer DO NOT DOCUMENT OCCURRENCE
REPORT Completed/Filed IN THE PATIENT RECORD: Document goes to Nurse Manager, Provider,
Facility Risk Manager
during which phase of the nursing process is the criterion-based evaluation? - Correct Answer
planing
example of "related to" on slide 26 - Correct Answer
For a student to avoid a data collection error, the student should : Select the Best Answer
A. Assess the patient and, if unsure of the finding, ask a faculty member to assess the patient.
B. Review his or her own comfort level and competency with assessment skills.
C. Ask another student to perform the assessment.
,D. Consider whether the diagnosis should be actual, potential, or risk. - Correct Answer A. Assess the
patient and, if unsure of the finding, ask a faculty member to assess the patient
how are student nurses expected to perform? - Correct Answer Nursing students are expected to
perform as professional nurses , RN'S, would in providing safe patient care. Different levels of
standards do not apply. Nursing students, just as nurses, provide safe, complete patient care, or they
don't. No standard is used for nursing students other than that they must meet the standards of a
professional nurse.
Standards SN = Standards RN
how can we modify an existing written care plan? - Correct Answer -Revise data assessment.
-Revise the nursing diagnoses.
-Revise specific interventions.
-Determine how to evaluate whether you have achieved outcomes.
*The NURSE modifies the care of the patient based on current assessment data*
how do the nursing interventions use implementation? - Correct Answer -Nurses initiate the nursing
interventions most likely to achieve the goals and that support or improve the patient's health status.
-Nursing interventions can be direct or indirect.
-Nursing interventions should be evidence based and should use the most up-to-date approaches to
solving patient problems.
how do we clarify an order? - Correct Answer -When preparing for physician-initiated or
collaborative interventions, do not automatically implement the therapy, but determine whether it is
appropriate for the patient.
-The ability to recognize incorrect therapies is particularly important when administering medications
or implementing procedures.
how do we classify priorities and what are examples? - Correct Answer *High*—Emergent (if left
untreated will result in harm to patient)
*Intermediate* - non emergent, non-life threatening
*Low*—Affect patients' future well-being and chronic healthcare needs
,how do we collaborate and evaluate for the most effective interventions? - Correct Answer -
Collaborate with the patient and family.
-If your patient meets a goal successfully, discuss your evaluation with the patient. If you and the
patient agree, discontinue that portion of the patient's care plan.
how do we communicate clearly? - Correct Answer -task, outcome, time
-closed loop communication
how do we document every call? - Correct Answer in narrative
how do we establish nursing priorities? - Correct Answer Ordering of nursing diagnoses or patient
problems uses determinations of urgency and/or importance to establish a preferential order for
nursing actions and helps nurses anticipate and sequence nursing interventions
-The order of priorities changes as a patient's condition changes.
-Priority setting begins at a holistic level when you identify and prioritize a patient's main diagnoses
or problems.
-Patient-centered care requires you to know a patient's preferences, values, and expressed needs.
how do we modify the care plan? - Correct Answer -Reassessment = Start Again
-Re-diagnose = Start Again
-Goals and expected outcomes = Review/Revise
-Time Frame = Patient requires more time to reach the goal, set a future date for the patient to
achieve the goal and evaluate at that time.
-Review Interventions - revise or develop new
how do we provide effective delegation? - Correct Answer -assess the knowledge and skills of the
delegatee
-match task to the delegatee's skills
-communicate clearly
-listen attentively
-provide feedback
how do we write a legal documents? - Correct Answer *Use correct spelling and grammar and JUST
the FACTS:*
, -Accurate record keeping requires objective interpretation of data with precise measurements,
correct spelling.
-Record all facts; do not enter personal opinions.(Pleasant, Rude, Demanding)
how does one assess the patient? - Correct Answer by collecting and analyzing data
how does one link key concepts a concept map? - Correct Answer you identify, graphically display,
and link key concepts by organizing and analyzing information
how does the "related to" in the E in Nursing diagnosing allow? - Correct Answer allow you to use the
same nursing diagnosis for many different patients but individuals it based on the cause
how does the joint commission require documentation? - Correct Answer to be within the context of
the nursing process, including evidence of patient and family teaching and discharge planning
how long do we evaluate a patient? - Correct Answer evaluation of the patient is an ongoing process
how must we prove malpractice? - Correct Answer the injured person must establish based on
evidence 4 elements of liability
if we use a paper record, what must be in the paper record? - Correct Answer -Must have the chart
to write in it
-Multiple interprofessional team members may want the same record at the same time: Key
information may be lost - unable to wait for the record (time)
if we use the RHR, what must be in the EHR record? - Correct Answer -A digital version of a patient's
medical record
-Integrates all of a patient's information in one record
-Improves continuity of care
Information regarding a patient's health status may not be released to non-health care team
members because
A. Legal and ethical obligations require health care providers to keep information strictly confidential.
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