Examples of information included in assessment (SATA)

Hx of diabetes, VS, Respiration, Lung sounds

What is "clinical reasoning"

setting priorities, identifying outcomes, and selecting interventions

What is the purpose of reflection in nursing practice?

Self-awareness, improving critical thinking and critical judgment

quality & safety for education for nurses

What does negligence refer to?

Failing to perform an act causing patient harm

Examples of clinical skills?

IV/ med admin, wound care, catherer insertion

What is the purpose of infection prevention?

To break the chain of infection

Anything not alive/inanimate (i.e surfaces)

Why should patients who need enemas lay on their left side with knees flexed and one leg drawn up

So water can follow path of colon

What does thoughtful practice mean in nursing?

Considerate and compassionate, patient-centered care

To systemically tackle complex problems and accomplish goals

What should be considered when administering an enema?

Patient privacy, professionalism, comfort and dignity

4 stages of infection (SATA)

Prodromal (most contagious), Incubation, Convalescence, Illness

What is the definition of incompetence in nursing?

Inability to perform task &responsibilities due to lack of knowledge/skills

What is a "tort" in legal terms

A civil court matter often settled by money (civil wrong that causes harm)

Which of the following is a professional attribute of a nurse?

Lifelong learning and developments

PICOT - when framing clinical questions

patient problem, intervention, comparison, outcome, time

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Essentials Exam 1

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Questions 76

Answers

1
Which nursing role involves conveying information to patients
Leader
Caregiver
Communicator
Researcher
2
Which of the following is NOT an ethical problem?
Short staffing
Confidentiality
Competency
Paternalism
3
QSEN = quality safety and education for nurses
False
True
4
Which is NOT one of the four spheres of nursing care
Surgical intervention
Hospice/palliative care
Wellness/prevention
Chronic management
5
Which of the following is a risk/error of decision making?
Clear communication
Sufficient information
Cognitive biases
Adequate critical thinking
6
Examples of information included in assessment (SATA)
Hx of diabetes
VS
Respiration
Lung sounds
7
Example of standard precautions
gloves, gown, face mask
N95 Only
no PPE
negative pressure room
8
Opening of ostomy bag should be 1/8 inch larger than the stoma
True
False
9
What is "clinical reasoning"
making assumptions without evidence
setting priorities, identifying outcomes, and selecting interventions
ignoring the patient's needs
failing to reassess the patient
10
Test for dehydration
check urine color
penlight to look down throat
ask patient last time they had fluids
check for skin turgor
11
Contact precautions
handwashing only
n95 only
gloves & gown
gloves, gown, face mask, eye shield
12
According to Benner, what is the first stage of skill acquisition in nursing?
competent
proficient
beginner
novice
13
TB = airborne (full coverage PPE, more serious than droplet, negative pressure room)
False
True
14
What is the purpose of reflection in nursing practice?
To follow how you did it the first time
Self-awareness, improving critical thinking and critical judgment
To avoid self-awareness
To avoid professional growth
15
ADPIE - assessment, diagnosis (nursing), planning, implementation, evaluation
True
False
16
Order of donning = gown, mask, eyewear, gloves
True
False
17
QSEN
quality & safety for education for nurses
qualified standards of ethical nursing
quality systems for enhanced nursing
quick safety evaluation for nurses
18
Which of the following is not a nonverbal way to express feeling?
Spoken words
Eye contact
Facial expressions
Touch
19
What does negligence refer to?
Failing to perform an act causing patient harm
Acting professionally
Providing excellent care
Intentionally causing harm
20
Examples of clinical skills?
refusing to plan care
providing inaccurate information
avoiding documentation
IV/ med admin, wound care, catherer insertion
21
What is the purpose of infection prevention?
To break the chain of infection
To avoid hand hygiene
To increase spread of disease
To not use PPE
22
A big concern for ileostomy = dehydration
True
False
23
Which of the following is a personal attribute of a nurse?
Closed-mindedness
Avoiding responsibility
Never questioning the "system"
Self-awareness
24
What is a fomite
A microorganism
A mode of transportation
Anything not alive/inanimate (i.e surfaces)
An infectious disease
25
What is the nurse's responsibility when unsure how to perform a procedure?
To ignore the situation
To ask for help
To pretend they know how to
To guess and try
26
What is the focus of the therapeutic relationship between nurse and patient?
To become friends
Promoting and restoring health
To avoid all personal connection
To be in a supervisory role
27
Reasonably prudent nurse = follows rules / standard precautions/ guidelines
False
True
28
How often should we move patients to avoid pressure ulcers
Q2
once a day
Q4
twice a day
29
If chest tube becomes dislodged from chest- sterile dressing with tape on 3 sides (allows air to come out/not come in)
True
False
30
When do we need to use a n95
Droplet precautions
Standard precautions
Airborne precautions
Contact precautions
31
Why should patients who need enemas lay on their left side with knees flexed and one leg drawn up
So water can follow path of colon
Most comfortable position
Less painful
32
Tanner Model = clinical judgment model (ANA)
False
True
33
Droplet precautions
mask and goggles (gloves)
gown, goggles, mask, gloves
n95 only
handwashing only
34
Which is not a part of the chain of infection?
Prevention
Convalescent
Incubation
Prodromal
35
What does thoughtful practice mean in nursing?
Being careless about patient care
Not thinking about actions
Being professional without emotion
Considerate and compassionate, patient-centered care
36
Purpose of ADPIE?
To systemically tackle complex problems and accomplish goals
To complicate patient care
To confuse other health professionals
To minimize communication
37
What should be considered when administering an enema?
To disregard privacy
To insert quickly and forcefully
Not using lube
Patient privacy, professionalism, comfort and dignity
38
4 stages of infection (SATA)
Prodromal (most contagious)
Incubation
Convalescence
Illness
39
Patricia Benner = novice, beginner, competent, proficient, expert
False
True
40
Which is NOT a common concept in nursing theories?
Finances
Nursing
Patient
Environment
41
What is the purpose of concept mapping in nursing?
To graphically display interrelationships between core concepts
To write patient reports
To create art
To confuse healthcare providers
42
Which is NOT a problem-solving approach
Scientific
Trial and error
Intuitive
Passive observation
43
Positive pressure room (immunocompromised) neutropenic precautions- nothing can come in
False
True
44
Which side should a patient use their cane on?
Stronger side
Weaker side
Alternate sides
45
Who should not receive an enema?
Pts with small bowel obstructions
immunocompromised pts
All of the above
anyone at risk for perforation issues
46
What is meant by blended competencies?
Ethical/Legal skills
Cognitive skills
A blend of all answer choices
Technical skills
47
What is the definition of incompetence in nursing?
Performing task effectively
Always making the right decision
Inability to perform task &responsibilities due to lack of knowledge/skills
Having a high level of skills
48
What is a "tort" in legal terms
A criminal act
A civil court matter often settled by money (civil wrong that causes harm)
A violation of the nurse practice act
A voluntary standard
49
Which of the following is a professional attribute of a nurse?
Lifelong learning and developments
Lack of accountability
Ignoring patient preferences
Disregard for ethics
50
PICOT - when framing clinical questions
patient problem, intervention, comparison, outcome, time
patient, issues, concepts, outcome, timing
procedure, input, control, observation, time
people, interventions, considerations, outcomes, timing
51
Why is safe practice so important in nursing?
To ensure patient safety
To increase patient risk
To make nurses' job easier
To minimize patient contact
52
Why is a chest tube used post-thoracic surgery?
To drain fluid, blood, and air from the pleural space
Increase fluid build-up in the chest
To cause more pressure in the chest
To cause the lung to collapse
53
What is the purpose of standards in nursing?
To hinder the practice of nursing
To protect nurses, patients, and the institutions
To create unnecessary rules
To confuse patients
54
Purpose of SCDs (Sequential compression devices) and TEDs (thrombo-embolus deterrent)
Cause swelling
To cause blood clots
To increase the risk of clotting
Prevent deep vein thrombosis (DVT)
55
Best way to prevent spread of disease = wash your hands
False
True
56
What does SMART stand for when setting goals for a patient?
significant, meaningful, achievable, realistic, testing
specific, measurable, attainable, relevant, timely/time-frame
simple, measurable, action, results, test
simple, measurable, achievable, relaxed, timely
57
Types of problem solving
Trial and error
All of the above
Intuitive
Scientific method
58
What is the primary focus of nursing?
Dx of a disease
Research and development of new treatments
Protection, promotion, and optimization of health abilities
Treatment of human response
59
What is a credential? (SATA)
A requirement to apply for a job
Accreditation, licensure, certification
A legal protection
Ensures professional competence
60
What is a colostomy?
A blood donation
A procedure to clear the airway
A method of would care
Part of the colon is diverted to a stoma created in the abdominal wall
61
Included in QSEN (6 competencies)
Patient-centered, teamwork & collaboration
Evidence-based practice, Informatics
Quality improvement, Safety
All of the above
62
What does the term "profession" refer in the context of nursing?
Work only performed in a hospital
A medical assistant role
A job that provides a source of income
Commitment thoughtful, personcentered practice using unique knowlege&skills
63
If chest tube becomes dislodged from collection container- put in sterile water: creates water seal (maintains suction)
False
True
64
Gold standard = evidence-based practice
True
False
65
Definition of critical thinking?
To never be wrong
To act without thought
To follow all rules without quesstion
Ability to think. reason, consider options and problem solve
66
What is included in interpersonal competencies?
Disregarding cultural differences
Promoting mistrust
Avoiding empathy
Active listening and clear communication
67
Negative pressure room = airborne diseases (air particles cannot escape room)
True
False
68
What does "maleficence" mean in the context of ethics
Fairness
To do harm
Doing good
Honesty
69
What is a "nursing theory"?
The process of giving medication
A description of the environment
Differentiates nursing from other disciplines
A random thought
70
Bad leg first when going downstairs using crutches and canes
False
True
71
Which is NOT part of the code of ethics
Integrity
Altruism
Autonomy
Maleficence
72
What is a Nurse Practice Act?
A law to regulate nursing and define nursing roles
A set of voluntary guidelines
A recommendation on how to perform nursing tasks
A code of ethics for nurses
73
Standardized communication tool = ISBAR
Identify, Situation, Background, Assessment, Reccomendation
Identify, Situation, Bylaws, Actual, Realistic
Instruction, Safety, Background, Assessment, Real-time
74
Which is NOT a legal dimension of nursing?
Voluntary practice
Standards
Nurse practice act
Federal laws
75
Should we leave equipment in room for droplet precautions?
False
True
76
Florence Nightingale = "mother of modern nursing" (lamp) education/sanitation/hygiene
True
False

Essentials Exam 1 Flashcards | StudBud