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Fundamentals Exam 4 Flashcards | StudBud
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Fundamentals Exam 4
Fundamentals Exam 4
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1
To analyze the assessment meaning and to derive a meaning from the analysis
Diagnosis
Reflection
Derivation
Critical thinking
2
Systematic problem solving approach for designing and providing individualized and personalized care
Root cause analysis
eMAR
Nursing process
Therapeutic process
3
Review of records
Board review
Double-checking
Audit
Validation
4
Patient is considered the following source of data
Baseline
Secondary
Primary
Original
5
Which part of the nursing process determines if the goals of the plan were achieved
Evaluation
Assessment
Grading
Judgement
6
When is plan of care revised?
Q8h
At every shift change
Q24h
As needed
7
Which of the following is an example of nursing diagnosis?
Pulmonary embolism
Ineffective Airway Clearance
Chronic Obstructive Pulmonary Disease (COPD)
Asthma
8
When an assessment or patient condition changes, what else may need to be changed by the nurse?
Patients emergency contacts
Personal preferences
Plan of care
Advance directives
9
Confidentiality can be defined as...
Keeping patient information private
Agreeing on boundaries
Keeping patients anonymous
Releasing patient information for public education purposes
10
A choice that comes first over other possible options
Priority
Nurses opinion
Safety
Educated guess
11
Pieces of information about the patient's health status, data
Objective data
Cues
Clues
Subjective data
12
Process of confirming the accuracy of collected assessment data
Validation
Confirming
Informed consent
Double-checking
13
The first phase of the nursing process
Assessment
Inspection
Intervention
Evaluation
14
Inference can be defined by...
Intefering the patients ADLs in an inappropriate time
Interruption during medication administration
Applying priority strategies
Educated guess
15
If it wasn't documented, it was still done
True
False
16
The action phase of the nursing process
Inspection
Implementation
Outcome evaluation
Evaluation
17
Documentation that takes place as care occurs
Care observation chart (COC)
Point of care documentation (POC)
Patient centered care documentation (PCC)
Evaluation of ongoing care documentation (EOC)
18
Verbal communication takes place when two or more people share information about the care of a patient
Report
Rapport
Handoff
Holdoff
19
When the patients enters a healthcare facility, which of the following types of assessment is most appropriate?
Patient-oriented
Comprehensive
Focused
Priority
20
What is another name for technical interventions?
Psychosocial interventions
Surveillance interventions
Psychomotor interventions
Maintenance interventions
21
Medical diagnosis can only be created by a nurse
False
True
22
Definition of formulating and documenting measurable, realistic, patient focused goals.
General lead goals
SMART goals
Focused assessment goals
WISE goals
23
Which of the following is a correct nursing diagnosis?
Risk for falls AEB patient statement "pain 6/10"
Impaired gas exchange R/T pneumonia AEB low oxygen saturation
Constipation R/T appendix removal AEB dry, hard stools
Diverticulosis q4h
24
Implies that nurses are responsive to the cues that patients are sending including nonverbal cues
Monitoring
Observation
Active listening
Passive listening
25
Treatment performed to enhance patient outcomes
Intervention
Interview
Inspection
Iteration
26
The first set of vitals needs to be always taken by the assistive personnel
False
True
27
Confirming the accuracy of data collected
Confirmation
Piling
Validation
Processing
28
Assessment type that collects data about a problem that has already been identified
Comprehensive
Pinpoint
Focused
Constricted
29
Which of the following is an example of medical diagnosis?
Self care deficit
Asthma
Impaired gas exchange
Risk for infection
30
Note that records relevant patient and nursing activities throughout a shift or a single visit
FOCUS
PIE
Narrative
Charting by exception (CBE)
31
Assessing and forming nursing diagnoses cannot be delegated to assistive personnel.
False
True
32
Evaluation or appraisal of a patient's health state
Interview
Cue clustering
Diagnostics
Assessment
33
Affective activities where individuals explore experiences in order to lead to new understandings and appreciations
Rendition
Repetition
Repricussion
Reflection
34
Incident report must be made in the following instances (SATA)
Patient refuses medication and throws it on the floor
Patients sister falls when entering the hospital
Nurse administers higher than prescribed dose of Ativan
IV pump stops working mid administration
35
Nurse telling the patient " I will be back in an hour to check on you" is an example of following standard of care
Assessment
Rounding
Standard precautions
Consult
36
Secondary sources of information (SATA)
Electronic health records
Other healthcare professionals
Patients spouse
Patient
37
Obtaining subjective data requires
Using cue clustering to develop diagnosis
Talking to the patient
Patient education
Taking vital signs
38
The phase of the interview when the nurse and patient meet
Introductory
Self explanatory
Primary
Admission
39
What helps nurses to choose solutions or identify options in patient care situations?
Critical thinking
Critical care methods
Patient diagnosis
Outcome evaluation
40
Delegation is the transfer of responsibility and accountability for the performance of a task to another individual
False
True