NURS101: Fundamentals of Nursing - Exam 5
Fundamentals of Nursing Chapters 16, 17, 32, 38, 39, 41
Questions With Complete Solutions
Compromised ethical agency: what is moral distress and moral
outrage? Correct Answer Moral distress
▪Inability to carry out a moral decision
▪Perceived constraints (feel they may be punished)
▪Physicians; nurse administrators; other nurses
▪The law; threat of lawsuit
Moral outrage
▪Unresolved moral distress leads to anger, disgust,
powerlessness
▪Powerlessness
▪Cannot prevent a "wrong"
▪Respond with "whistleblowing"
**BURNOUT
Documentation Do's and Don'ts Correct Answer •Be accurate
and nonjudgmental.
•Adhere to the requirements for reimbursement.
•Provide details about the client's condition, nursing
interventions provided, and client response.
•Document legibly and as soon as possible.
•Record significant events or changes in condition.
•Record any attempts you have made to contact the primary care
provider.
•Chart teaching performed.
•Chart use of restraints, including reason for use, type of
restraints, and frequent checks of the client.
,•Do not chart that you have filled out an occurrence report.
•Chart any client refusal of treatment or medication.
•Document any spiritual concerns expressed by the client and
your interventions.
•Always use black or blue ink for handwritten notes.
•Date, time, and sign all notes.
•Avoid subjective terms.
•Use proper spelling and grammar.
•Use only authorized abbreviations.
•Document complete data about medications.
•Record on the medication administration record in narrative
form if a client refuses medication, and chart the reason given.
•Do not leave blank lines.
•If you make a mistake, draw a single line through the entry and
place your initials next to the change.
•Sign all your charting entries.
How are electronic health records used ethically? Correct
Answer Privacy
•Confidentiality
•Security
-> Use of passwords
Audit trails
HIPAA regulations
•Keep patient information private
•Do not display patient information in open view
•Obtain consent before disclosing health information
How are wounds classified? Correct Answer Open vs closed
,Acute vs chronic
-> Timing of wound
Clean vs contaminated vs infected
-> Uninfected, at risk for infection, infected
Superficial vs partial or full thickness
-> Epidermal layer, extends to epidermis, extends into
subcutaneous and beyond
Penetrating
How can nurses minimize malpractice risk by using proper
documentation? Correct Answer •Observe standards of
practice.
•Use nursing process; follow professional standards.
•Avoid medication and treatment errors.
•Report and document accurately.
•Obtain informed consent.
•Attend to client safety.
•Maintain client confidentiality.
•Provide education and counseling.
•Delegate, assign, and supervise properly.
•Accept appropriate assignments.
•Participate in continuing education.
•Observe professional boundaries.
•Observe mandatory reporting regulations.
•Be aware of legal safeguards for nurses.
, How can the nurse evaluate a client's learning? Correct Answer
•Tests and written exercises
•Oral questions
•Interviews
•Questionnaires
•Checklists
•Direct observation of performance
•Client report
•Client records
How do computers help nursing informatics?
What does the power of the computer rely on? Correct Answer
•Electronic means of processing information/data
•Functions
-> Input
-> Process
-> Output
-> Storage
The Power of the computer relies on:
•Speed, accuracy, reliability
•Data storage capability
How do electronic/computer tools help reduce errors in
healthcare? Correct Answer ▪Increases ability to share critical
patient information
-> Prevents errors of omission
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