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NFDN 1002 midterm review
NFDN 1002 midterm review
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NFDN 1002 midterm reviewimpact how arts and sciences may impact the care of a client in continuing care -
CORRECT ANSWER-Scientific advantages happen when people think creatively
and look beyond established norms. Therefore, could stimulate new understanding
of problems that were once considered irresolvable
5 concepts of the nursing Metaparadigm - CORRECT ANSWER-client, health,
environment, nursing and social justice
Client - CORRECT ANSWER-Sickness and wellness, families, groups, communities;
individuals body, feels and situation
Health - CORRECT ANSWER-improved health of individuals and society. State of
optimal health or total well-being
Environment - CORRECT ANSWER-Persons family, societies, community, health
care system, geopolitical issues
Nursing - CORRECT ANSWER-Understanding of the persons life, environment,
health care system, geopolitical issues
Social Justice - CORRECT ANSWER-Rooted in notions of societal responsibility and
fairness (social advantage of individual or social group)
Describe the various types of clients you may see in continuing care - CORRECT
ANSWER-all sorts of people, from young to old. with a variety of independence to
dependence.
-different types of ethnicities
therapeutic communication - CORRECT ANSWER-Encourage the expression of
feelings and ideas and convey acceptance and respect
-you develop awareness by learning these techniques
*active listening, sharing observations, sharing empathy, sharing hope, sharing
humour, sharing feelings, using touch, silence
Non-therapeutic - CORRECT ANSWER-Hinder or damage professional relationships
discourage further expression of feelings and ideas, may engender negative
responses or behaviours in other people
patients with speaking challenges - CORRECT ANSWER-simple questions, be
patient, allow time, visual cues, one person speaking at a time, do not shout,
,encourage, let them know If you dont understand, collaborate with a speech
therapist, use communication aids
Patients who are unresponsive/dying - CORRECT ANSWER-call by name, use
verbal and touch, speak as though they can hear you, explain everything, provide
orientation to person, place, time and self, don't talk about them to others where they
could hear you, always assume they can hear you
Patients with cognitive challenges - CORRECT ANSWER-Reduce environmental
distractions, capture attention before you speak, simple sentences, one question at a
time, allow time, be an attentive listener, include family and friends in conversations
Patients with vision challenges - CORRECT ANSWER-check for use go glasses or
contacts, identify yourself when you enter or exit a room, speak at normal volume, do
not rely on gestures and nonverbal communication, use indirect sunlight, appropriate
font size
Patients with hearing challenges - CORRECT ANSWER-Check for presence of
hearing aids, reduce environmental noise, get attention before you speak, face the
patient, do not chew gum, speak at a normal volume, rephrase rather than repeat,
provide sign language interpreter
Patients with linguistic challenges - CORRECT ANSWER-speak in normal tone of
voice, establish a method to signal communication (call bell), provide interpreter as
needed, develop communication board, pictures or cards, translate words from
English to their language, ensure a dictionary is available for them to read
describe how to report information to the interdisciplinary health-care team in a
professional manner - CORRECT ANSWER--create a shared understanding through
an exchange of knowledge, skills and expertise within a moral/ethical framework of
practice
-SBAR
-each member of health care team need to document patient information
Identify the purposes of effective documentation in nursing - CORRECT
ANSWER-Accurate, purpose is to provide proof of health cause provided, so tasks
are repeated care isn't fragmented, no delays or omissions In care
identify responsibilities related charting including a nurses responsibility to maintain
confidentiality of records and reports - CORRECT ANSWER--electronic
documentation has legal risks
-protection of info and computer systems is top priority
-Only the health care team directly involved in care can access medical records
-keep client info confidentiality
, -using health care records-need granted permission
Charting - CORRECT ANSWER-factual, accurate, common record keeping from
including computerized documentation and the electronic health record
record- keeping - CORRECT ANSWER-admission nursing history form, flow sheets
and graphic records, patient care summary of Kardex, standardized care plans,
discharge summary summary forms
purpose of an incident report - CORRECT ANSWER-They are an important part of
the quality improvement program of a unit
- analysis of incident reports helps identify trends in an organization that provide
justification for changes in policies and procedure or for in service programs
how to properly correct a mistake on documentation - CORRECT ANSWER-Write a
line through the error, write "mistaken entry", and write your initials
different methods used to receive an order - CORRECT ANSWER--written
-verbal "VO" in person
-by telephone "TO"
-electronic
how to process an order - CORRECT ANSWER--Verify
-clarify
-transcribe
Verifying an order - CORRECT ANSWER-clearly determine patient name, room
number and diagnosis
Clarifying an order - CORRECT ANSWER-Repeat any prescribed orders back to the
physician or HC provider
-use clarification questions to avoid misunderstandings
Transcribing an order - CORRECT ANSWER-Write telephone order "TO" and verbal
order "VO" including date and time, name of patient, and the complete order, sign
the names of the physician or other HC provider and the nurse
Safety hazards a client may encounter - CORRECT ANSWER-falls, procedure
related accidents, equipment related accidents
describe assessment activates to determine a clients risk for injury - CORRECT
ANSWER-health history, patient home environment, health care environment, risk for
falls, risk for medical errors, patient expectations
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