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NR 222 EXAM 1 STUDY GUIDE
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NR 222 EXAM 1 STUDY GUIDE
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NR 222 EXAM 1 STUDY GUIDEQUESTIONS AND ANSWERS
GRADEDA+
jWhich nursing interventions are appropriate to include in a plan of care to promote sleep for patients
who are hospitalized? (Select all that apply.)
1. Give patients a cup of coffee 1 hour before bedtime.
2. Plan vital signs to be taken before the patients are asleep.
3. Turn television on 15 minutes before bedtime.
4. Have patients follow at-home bedtime schedule.
5. Close the door to patients' rooms at bedtime. - 2. Plan vital signs to be taken before the patients are
asleep.
4. Have patients follow at-home bedtime schedule.
5. Close the door to patients' rooms at bedtime.
Professional Roles & Responsibility of Nurses
Autonomy & Give example - in nursing, it involves the initiation of independent nursing interventions
WITHOUT medical orders
EX: Independently advise pt to cough & suggest deep breathing exercises to clear lungs of pt
Professional Roles & Responsibility of Nurses
Accountability - Responsibility professionally & legally for the type & quality of nursing care provided.
Must remain current & competent in nursing scientific knowledge & technical skills
Professional Roles & Responsibility of Nurses
Caregiver - help pts maintain & regain health, manage disease & symptoms, and attain a maximal level of
function & independence through the healing process
Professional Roles & Responsibility of Nurses
Advocate - Protect pts human & legal rights & provide assistance in asserting those rights if needed.
Act on behalf of pt, such as safeguarding their case against errors, suggesting alternative care, securing
pt healthcare rights and facilitating personal & cultural preferences.
Professional Roles & Responsibility of Nurses
,Manager - Nurse managers direct groups of nurses by establishing an environment for collaborative
patient-centered care and safe, evidence-based quality care with positive patient outcomes.
-manager coordinates the activities of members of a nursing staff in delivering nursing care and has
personnel, policy, and budgetary responsibility for a specific nursing unit or agency
-uses appropriate leadership styles to create a nursing environment for patients and staff that reflects
the mission and values of the health care organization
Professional Roles & Responsibility of Nurses
Communicator - Communicating allows you to know your patients, including their preferences,
strengths, weaknesses, and needs.
- routinely communicate with patients and families, other nurses and health care professionals, resource
people, and the community.
-Effective communication strategies are fundamental to providing high-quality care, coordinating and
managing patient care, assisting patients in rehabilitation, advocating for patients, assisting patients and
families in decision-making, providing patient education
Professional Roles & Responsibility of Nurses
Educator - -Your ability to teach effectively improves patients' knowledge, skills, self-care activities, and
ability to make informed decisions.
-As an educator, you identify patients' willingness and ability to learn, explain concepts and facts about
their health, describe the reason for care activities, demonstrate procedures such as self-care activities,
reinforce learning or patient behavior, and evaluate the patient's progress in learning.
What are the Professional Roles & Responsibility of Nurses - Autonomy, Accountability, Advocate,
Educator, Communicator, Manager, Caregiver
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse
is acting as the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Communicator - Advocate
Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional
roles and responsibilities. Which of the following are examples of these roles and responsibilities? (Select
all that apply.)
1. Caregiver
,2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - Caregiver
Autonomy
Patient Advocate
Health promotion
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which
professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator - Educator
You are preparing a presentation for your classmates regarding the clinical care coordination conference
for a patient with terminal cancer. As part of the preparation, you have your classmates read the Nursing
Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is
important. Which statement best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - Defines the principles of right and
wrong to provide patient care
Continuing care types (2) - • Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
In a continuing care setting, you will apply __________ nursing principles to help patients adapt to
permanent health changes so that they can remain active and engaged. - gerontological
Discharge planning - is a coordinated, interprofessional process that develops a plan for continuing care
after a patient leaves a health care agency.
When does discharge planning start? - discharge planning with coordination of services must begin the
moment a patient is admitted to a hospital
, What is involved in discharge planning? - • Determining the appropriate post-hospital destination for a
patient usually done by case manager or social worker
• Identifying a patient's needs for a smooth and safe transition from the acute care hospital/post-acute
care agency to the patient's discharge destination
• Beginning the process of meeting a patient's needs while the patient is still hospitalized, with
approaches such as early mobility protocols, health education, and new medication regimens.
Healthcare Disparities (definition) - Health care disparities are the differences in health care outcomes
and dimensions of health care, including access, quality, and equity, among population groups
Disparities can be related to what variables? (6) - Disparities can be related to many variables, such as
race, ethnicity, gender, location, disability, or social determinants
Social determinants - They are the conditions in the environments in which people are born, live, learn,
work, play, worship, and age that affect health, functioning, and quality-of-life outcomes and risks
How many social determinant categories are there?
Where can you find this information? - 5
Healthy People 2030
What are the social determinant categories? - Economic Stability
Education Access and Quality
Health Care Access and Quality
Neighborhood and Built Environment
Social and Community Context
Healthy People - Healthy People identifies public health priorities to help individuals, organizations, and
communities across the United States improve health and well-being.
________, the initiative's ______ iteration, builds on knowledge gained over the first __________. -
Healthy People 2030
5th
4 decades
Healthy People 2030 aims to......... - Healthy People 2030 aims to promote the nation's health and create
a society in which all people throughout the life span can achieve their fullest potential for health and
well-being.
What are the goals of Healthy People 2030? - eliminate health disparities, achieve health care equity,
and attain health literacy to improve the nation's health and well-being
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