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Fundamentals Final Review Part I Flashcards | StudBud
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Fundamentals Final Review Part I
Fundamentals Final Review Part I
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1
Eriksons theory has how many stages?
8
7
9
6
2
What is the sequence for donning PPE?
Goggles, mask, gown, gloves
Gloves, gown, goggles, mask
Mask, gown, goggles, gloves
Gown, mask, goggles, gloves
3
Examples of complementary therapy
Massage
Acupuncture
Music
All of the above
4
Restraints in healthcare are defined as:
calling 911 for unruly patients
a physical or chemical way to restrict voluntary movement
a low risk way to keep a resident in bed
calling security
5
How is the informed consent signed if a patient is illiterate?
Patient marks an 'x'
Verbal consent of patient
Surgeon signs consent
Two physicians sign consent
6
What is the name of this exam position?
Lithotomy
Trendelenberg
Supine
Dorsal Recumbent
7
Evidenced Based Practice involves
using best evidence from research findings to make decisions
respecting patient's traditions
getting a consensus of opinion from staff
consistent routines in patient care
8
Florence Nightingale was called:
a lantern lady.
a lady with a light.
a lady with a lamp.
a lady with a candle.
9
The Nurse Practice Act is enforced by the
State Health Department
National League for Nursing
County Health Department
State Board of Nursing
10
Maslows hierachy of needs least important ?
Physiological needs air, water, food, shelter, sleep, clothingreproduction
self actualization, desire to become the most that one can be
love and belonging, friendship, intimacy, family, sense of connection
safety needs, personla security, employment, resources, health property
11
What does HIPAA do?
It improves the quality of life of nursing home residents.
It regulates nursing practice.
It protects the privacy/security of a person's health info
It affects what nursing assistants can do.
12
True or False: Student nurses are held to the same standards of care as an RN?
True
False
13
What does idiopathic mean?
disease stages
unknown cause
adverse condition developed after birth
Due to medical procedure or treatment
14
Common goals of nursing
all of the above
promote wellness
prevent illness
facilitate coping and restore health
15
In eriksons psychosocial theory what is the crisis for 65 and older
Intimacy vs isolation
Ego integrity vs despair
Autonomy vs shame & doubt
Identity vs role confusion
16
Jehovah witness is a religion against blood transfusion
False
True
17
Barriers to therapeutic communication include...
• Belittling
• Closed questions
All of the above
• Judgmental responses
18
In eriksons psychosocial theory what is the crisis for 18 months to 3 years
Trust vs mistrust
Autonomy vs shame & doubt
Identity vs role confusion
Intimacy vs isolation
19
The apical pulse should be taken
at the second to third intercostal space
at the third intercostal space, mid-clavicular line
at the sixth intercostal space mid-axilary line
at the fifth intercostal space, mid-clavicular line
20
In eriksons psychosocial theory what is the crisis for 40-65 year olds
Trust vs mistrust
Ego integrity vs despair
Initiative vs guilt
Generativity vs stagnation
21
What are three Transmission Based Precautions?
Infectious, Not Infectious, and possibly infectious
Droplet, Contact and Environment
Airborne, Droplet and High Touch
Contact, Airborne, Droplet
22
prevention of pressure injury includes:
giving hot showers to clean away urine/fecal matter after each episode
encourage nutrition and hydration
keep linen clean and dry
encouraging pts to lie in bed
23
2 advanced directives
living will & durable power of attorney
admission and discharge orders
OOB and NPO
morals and ethics
24
advanced directives
orders given by physician to all employees
medical records predicting patient outcomes
document communicating patient's end-of-life care wishes
research about end of life care
25
Homeostasis
conditions to maintain a relatively nice place to live.
conditions to maintain a relatively constant internal environment.
conditions to maintain a relatively good homie
26
Verbal Communication includes...
Proprioceptive forms
Physical forms
Oral forms
Written forms
27
In eriksons psychosocial theory what is the crisis for 21-39 year olds
Initiative vs guilt
Intimacy vs isolation
Trust vs mistrust
Industry vs inferiority
28
what is hospice care
A measure that helps to prolong life
after death care
a cure to multiple diseases
end of life care/ comfort care
29
What is the Joint Commission's most frequent cited cause of a sentinel event?
Negligence
Communication
Discrimination
Malpractice
30
Standards of Nursing Practice are there to ensure __________
knowledgeable safe comprehensive nursing
nurses obtain their licensure
Patients are protected
Nurse can be held liable if malpractice occurs
31
What is the name of this exam position?
Lithotomy
Sims'
Prone
Dorsal Recumbent
32
The Nurse Practice Act:
All of the above
Governs the laws represented in your licensure
Is determined, written, and changed by state legislature
Provides for the formation of the state board of nursing
33
prioritization?
power or right delegated or given
ability to function independently
to put in order of importance
the assignment of duties to another person
34
In eriksons psychosocial theory what is the crisis for 13-21 year olds
Identity vs role confusion
Ego integrity vs despair
Trust vs mistrust
Initiative vs guilt
35
The LPN stages a pressure ulcer as a stage II when
A blister and partial thickness skin loss
There is eschar
mottled skin and induration
full-thickness skin loss and a deep crater
36
Gastric pH should be what color and range?
Greenish and pH between 1-4
Greenish and pH above 6
Yellowish and pH 1-4
Off-white or tan and pH above 6
37
Non-verbal communication includes;
Body language, eye contact and gestures
Spoken words, signs and symbols
Writing
Yelling
38
In eriksons psychosocial theory what is the crisis for 5-13 years
Industry vs inferiority
Identity vs role confusion
Intimacy vs isolation
Ego integrity vs despair
39
What was the impact of Dorthea Dix and her reform efforts?
32 hospitals for the mentally ill, deaf, and blind
21st Amendment
Public Education
Workers received higher pay
40
Check on a person in restraints at least
every 30 minutes
every 15 minutes
every 4 hours
every 2 hours
41
holistic nursing recognizes that a change in one aspect of the patients life will bring changes in the pt whole life
True
False
42
The LPN must take the roles of:
caregiver,educator and collaborator
nursing assistant,delegator,environmentalist
medication dispenser,collaborator,transporter
dietician,manager,housekeeper
43
Kublar-Ross stages of coping with death
Bargaining, Denial, Anger, Depression and Acceptance
Depression, Anger, Denial, Bargaining and Acceptance
Denial, Anger, Acceptance, Deression and Bargainaing
Denial, Anger, Bargaining, Depression and Acceptance
44
What is purpose of therapeutic communication?
to encourage expression of feelings
to gather information about the patient's family
to encourage yes and no answers
to speed up the discharge process
45
Name ways to prevent post-op constipation.
deep breathing exercises
increase dietary fiber intake
early ambulation
increasing pain medicine
46
An educational pathway for an LPN is:
learning on the job & being promoted for more responsibility
moving from a maternity unit to a complicated surgical unit
advancement requires consistent work & commitment
obtaining additional education & move 1 level to another
47
Unable to sign informed consent
lack of insurance coverage for procedure
emancipated
cognitively impaired
advanced age
48
What is a terminal illness?🤔
A disease that can be cured over a few years
A disease that can be cured over some long treatment
an injury that can affect you for a life time
A disease that can’t be cured and can lead to death
49
Physical restraints
are not allowed by OSHA
can be removed easily by the person
are safer than chemical restraints
require a doctor's order
50
Maslows Hierarchy of Needs are
Physiological,Safety, Social. Esteem and Self- actualization
Sensorymotor, Preoperational, Concrete Operations and Formal Operations
Operant Conditioning
Preconventional, Conventional and Post Conventional
51
what is Holistic Nursing defined as?
healing the whole person as its goal
healing the whole family
healing a specific part of the body
healing via allopathic medicine
52
Which complications below are physiological risks associated with immobility?
pneumothorax and pleural effusion
atelectasis and pneumothorax
deep vein thrombosis (DVT) and pleural effusion
deep vein thrombosis (DVT) and atelectasis
53
Who’s theory is psychosocial development?
Sigmund Freud
Lev Vygotsky
Erik Erikson
Jean Piaget
54
Define: Nosocomial Infection
Bacteria which causes severe watery diarrhea
Infection acquired in a hospital or other healthcare setting
A bacterial infection that affects the lungs
A disease of the human immune system
55
what is the most common injury for healthcare worker?
ulcers
Arms
leg
Back
56
Clara Barton?
Founder of nursing
Established the American Red Cross
Discovered penicillin
57
The nursing team includes
doctors
physical and occupational therapists
RNs, LPN/LVNs and nursing assistants
pharmacists
58
C10: Stage this pressure injury
Stage 3
Stage 4
Stage 2
Unstageable
59
The World Health Organization defines health as
mental or psychological well being only
The absence of disease or infirmity
physical well being only
physical, mental and social well-being
60
How did Florence nightingale revolutionized nursing
started the Red Cross
Keeping records and statistics
making sure all patients had a lamp at night
Reading the Bible to patients
61
A sentinel event is:
“2020”
Something that happens at the turn of the century
"an event that results in death or serious physical or psychological injury
A cause for celebration
62
An Alternative Therapy
is often more helpful than traditional medicine
is something done along with traditional medicine
is often more helpful than complementary therapy
is something done instead of traditional medicine
63
What signs are indicative of fluid volume deficit?
Skin tenting
Flat neck veins
Thready pulse
Shortness of breath
64
What is the Major difference between ethics and laws?
Ethics and Laws do not need to be followed
Ethics do not apply to healthcare workers, only laws do.
Ethics tell us what we should do, while laws tell us what we must do.
They are the same; here is no difference
65
Systematic effects of immobility include
Depression
Stagnation
Constipation
Laziness
66
Judaism diet is also know as
Kosher
Halal
Vegetarian
Vegan
67
NANDA is a group of nursing diagnoses that are used by nurses internationally.
False
True
68
HAI stands for
Helicopter Association International
Human- Animal Interaction
Hospital Acquired Infection / Healthcare Associated Infection
Human-Centered Artificial Intelligence
69
Which of these is a chronic disease?
Swine flu
Diabetes
The common cold
Ebola
70
What are the 3 parts of the communication process?
Nurses, residents, and nursing assistants
Sending, receiving, and feedback
Taking, listening, and laughing
Pointing, laughing, and drawings
71
Hospice involves care of patients or residents with less than _____ to live.
18 months
1 year
3 months
6 months
72
What DID Lillian found
Taco bell
American community nursing( And others)
red cross
The foundation
73
Immobility cause respiratory changes
Deep breathing, COPD
Atelectasis, hypostatic pneumonia
Sleep apnea, tonsillitis
Hypertension, insomnia
74
greatest risk for tube feeding
gas and stomache pain
aspiration
overfeeding
drowning
75
Unnecessary restraints is
involuntary seclusion
negligence
False imprisonment
malpractice
76
PCA
Recommended, patient has control over pain management. Reduces anxiety
PCA button can be pressed by anyone that feels the patient is in pain
Pt is a great risk for overdose
Not beneficial because the patient has to do the work
77
The signs and symptoms of fluid volume excess (SATA)
Crackles audible in the lung fields
Decrease in hemoglobin/hematocrit
Neck vein engorgement
Increase in blood pressure
78
How do you verify NG tube placement? SATA
Chest X-ray
Measurement
check pH
Auscultation
79
Islam diet
No pork, No alcohol
No pizza, no wine
80
What does Maslows' safety needs include?
Freedom of Speech.
Security and Protection.
Food and Shelter.
Happiness.
81
Hospice care is different than palliative care by which below?
Hospice care is usually time-limited
Hospice care is for those with a life-threatening illness
Hospice care has orders for maintenance medication
Hospice and palliative care are the same
82
Purpose of OSHA
to ensure safe and healthful working conditions for working men
to ensure safe and healthful working conditions for working women
to ensure safe and healthful working conditions for working men and women
To make sure working is fun
83
What is biofeedback?
a focusing of attention with the goal of clearing one's mind
when a person decides the event isn't a stressor
the interpretation of an event that determines stress impact
learning to control bodily states by monitoring states
84
What is acute illness
It requires a long period of care or support.
is the response of the person to a disease
is an active state of being healthy
rapid onset of symptoms and lasts only a relatively short time
85
Which statement is true about Stage I pressure injury
Full thickness skin loss, extensive tissue necrosis
Intact red skin, that does not blanch with fingertips
Partial thickess skin loss, looks like a shallow crater
Full thickness skin loss, looks like a deep crater
86
Functional nursing is
When you work together to accomplish a task
Everyone has their own duty/job
When you are delegated to do a task
Attending to as many patients as possible
87
The nursing process
always provides observable results
in an organized method for processing physician orders
provides a framework for planning, implementing, and evaluating care
guarantees expected outcomes will be met
88
What is informed consent?
shared decision making process between a patient and doctor
medically, ethically, legally sound, valid, voluntary
mentally competent individual
all of the above
89
Pain assessment can include:
ADPIE, spirometry, obs, patient centred care
The Blyman-Scott pain assessment
AVPU, pinch test, scale, Nursing assessment
PQRST, Faces, scale, self report
90
What is orthostatic hypotension?
it is the sudden spike in blood pressure when you see an orthotonist
It is the sudden increase in blood pressure related to position change
It is a sudden change in heart rate
It is a sudden drop in blood pressure related to position change
91
When applying wrist restraints the nurse must:
Secure with a quick-release tie
Remove the restraint every 4 hours to assess area
Make the restraint as tight as possible
Make sure the restraint is secured to the bed rail
92
Functional nursing is
a nursing care pattern focusing on tasks and roles
a team of nursing staff led by an RN
when services are moved from the departments to the bedside
a nursing pattern where an RN is responsible for total care
93
What is the name of this exam position?
Fowler's
Semi-Fowler's
Supine
Prone
94
Patients standard position when getting BP taken
sitting up straight, arm at heart level, palm up, feet flat on floor
sitting up straight, arm above heart, feet crossed
sitting up straight, arm above heart, feet & legs crossed
sitting up straight arm strectched forward @ heart level palm up feet flat
95
Durable power of attorney
ethical principle
false statement
personal lawyer
appoints another person to make your health care decisions
96
What are the steps of the nursing process?
Assessment, diagnosis, critical thinking, evaluation
Assessment, diagnosis, planning, implementation, evaluation
assessment, diagnosis, planning, implementation
Assessment, critical thinking, planning, evaluation
97
Nurse understands Eriksons stage of psychosocial development for 4yr old
Identify vs told confusion
Initiative vs guilt
Industry vs inferiority
Autonomy vs shame & doubt
98
What are the risks associated with restraints ( Select all that apply)
potential for dehydration -inability to access water independently
Impaired circulation and development of blood clots
psychosocial impairment, poor self esteem-boredom
impaired skin integrity at site of restraint and pressure injury
99
Pt w/low back pain. What are alternative therapy options to recommend?
Yoga
Chiropractor
Acupuncture
Massage Therapy
