UTA NURS 3632 FOUNDATIONS Test #1 Review
Advanced Directive Correct Answers legal documents that
allow patients to specify instructions for health care treatment
should they be unable to communicate these wishes
postoperatively
ex: living wills & power of attorney
Advocacy Correct Answers -act in best interest of the patient
and set aside own values and beliefs
-Nursing ethics: analyzing nursing practice to make ethical
judgements
Apply hot and cold therapy effectively and safely Correct
Answers Heat : dilates blood vessels, increases tissue
metabolism, reduced blood viscosity and increases permeability,
releases muscle tension, relieves pain
Cold: constricts blood vessels, reduces muscle spasm, promotes
comfort, pain reduction by decreasing release of pain-producing
substances; reduces edema and inflammation
Assess body alignment, mobility, and activity tolerance, using
appropriate interview and assessment skills Correct Answers
General ease of movement (gait): tremors, tics, dyskinesia
Posture: hemiparesis, abnormal gait, assistive devices
,Alignment: inability to maintain alignment correctly
Joint structure & function: limited ROM, crepitation
Muscle Mass, tone, and strength: atrophy, hypertrophy
Endurance: SOB, weakness, pallor, confusion, vertigo
Assess the adequacy of hygiene practice and self-care behaviors
using appropriate interview/physical assessment techniques
Correct Answers *How often do you shower?
*Has anything (recent or past) interfered with your hygiene
practices
*Does pain interfere with ability to perform self-hygiene?
*Do you sunbathe? use sunscreen?
*Any previous skin problems such as rashes, lumps, itching,
dryness?
Assess the condition of the patient's skin, oral cavity, hair, and
nails using appropriate interview and physical assessment skills
Correct Answers Skin: bilateral symmetry, identify variables
known to cause problems (immobility, dehydration, decreased
sensation, sun exposure, vascular problems, chemical exposure
oral cavity: color, moisture, lesions, nodules, edema, texture,
intactness, movement of uvula
,Hair: texture, cleanliness, oiliness, scaling, lesions,
inflammation, infection
Nails and Feet: Intactness and cleanliness, capillary refill,
redness, swelling, bleeding, discharge, tenderness, swelling,
lesions, orthopedic problems
autonomy Correct Answers self-determination; being
independent and self-governing
Beneficence Correct Answers do good for the patient
bioethics: Correct Answers ethics that encompass all those
perspectives that seek to understand human nature and behavior,
the domain of social science, and the natural world
Classifications of Surgery Correct Answers Elective surgery -
pre-planned and based on patient's CHOICE and availability of
scheduling ; non-urgent procedure
Urgent Surgery (done with 24-48 hrs) - must be done within a
reasonable short time frame to preserve health, but NOT an
emergency
Emergency surgery (immediately) - must be done immediately
to preserve life, a body part, or function
conscientious objection Correct Answers refusal to participate
in certain types of treatment and care based on the fact that these
activities violate the nurse's personal and professional ethical
beliefs and standards
, Deontologic Correct Answers ethical system in which actions
are wright or wrong independent of the consequences they
produce
Deontological Ethics Correct Answers The idea that actions are
right and wrong in themselves independently of any
consequences
Describe 3 typical concerns for the nurse advocate Correct
Answers 1. Representing patients when there are conflicting
family ideas about treatment
2. Recognizing the principle of autonomy and helping the
patient make an informed decision or delegate duties; should not
force autonomy onto patients who do not want to make their
own healthcare decision
3. Speaking up/reporting unsafe patient care that jeopardizes
well-being
Describe 7 steps in the valuing process Correct Answers 1.
choose freely
2. choose from alternative
3. choose after considering consequences
4. Prizing (reward) with pride & happiness
5. Prizing (reward) with public affirmation
6. Acting with incorporation of choice into behavior
7. Acting with consistent and regularity
