Foundations of Nursing Chapter 1 Questions and Answers, Exams of Nursing

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what is the definition of care? - correct answer designed to promote, restore, or maintain optimal health what age group is specialty practice of med-surg nursing care for? - correct answer 18-100+ what work environments are included in specialty practice of med-surg nursing? - correct answer hospitals, SNFs, ambulatory care, and in community (pt home) Nurses must have knowledge, skills, and attitudes (KSAs) to be - correct answer care coordination & transition managers, caregivers, pt educators, leaders, advocates for pt & family What are the 9 concepts for Quality & Safety Education for Nurse Core Competencies (QSEN) - correct answer 1. Pt-Centered Care

2. Teamwork & Interprofessional Collab
3. Evidence-Based Practice
4. Quality Improvement
5. Informatics
6. Clinical Judgment
7. Systems Thinking
8. Ethics

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9. Health Care Disparities In pt-centered care, who is the source of control & full partner in their own care? - correct answer patient or designee pt-centered care includes - correct answer -preferences, values, and needs -culturally competent care -"family-centered care" what organization is "family-centered care" defined by? - correct answer The Joint Commision what events are included in safety-incident reports? - correct answer adverse & sentinel events what is an adverse event? - correct answer Unintended event resulting from clinical care and causing patient harm (causing change) what is a sentinal event? - correct answer Any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

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what is the definition of safety? - correct answer the ability to keep the pt & staff free from harm & minimize errors in care what are team members classified as? - correct answer anyone who is involved in pt care what are examples of team members in healthcare? - correct answer - pt -family -primary health care providers -nurses -assistive personel (AP) -other health care professionals what is SBAR defined as? - correct answer formal method of hand-off communication between 2+ health care team members what does SBAR stand for? - correct answer S: Situation B: Background A: Assessment R: Recommendation

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what is situation? - correct answer what is going on with the pt, short and to the point what is background? - correct answer hx, about pt specifically What is assessment? - correct answer values, what you obtain, specific what is recommendation/request? - correct answer what orders you want what is the definition of delegation? - correct answer the process of transferring to a competent person the authority to perform a selected nursing task or activity in a selected pt care situation why is delegation important? - correct answer the nurse is ALWAYS accountable for the task/activity that is delegated what are the 5 rights of delegation? - correct answer 1. Right task- can it be delegated

2. Right Circumstance- Should it be delegated
3. Right person- can this person do the task
4. Right direction/ communication- is the task being conveyed in a clear manner

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what is optimization of sepsis care rt adverse events an example of? - correct answer quality improvement what are examples of quality improvement? - correct answer 1. medication rt adverse events

2. optimization of sepsis care
3. decreased number of urinary cath infections
4. decreased hospital admissions
5. improve electronic record documentation (chart audit) What does CUS stand for? - correct answer - i'm Concerned

• im Uncomfortable
• i don't feel like this is Safe what are the 3 common communication tools - correct answer 1. CUS

2. Check backs
3. Two-Challenge rule what is used to communicate, manage knowledge, prevent error, support decision-making? - correct answer informatics

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what is electronic health records (EHR) an example of? - correct answer Informatics what is the definition of clinical judgment? - correct answer critical thinking & decision-making that leads to positive outcomes what promotes a blame free culture of safety? - correct answer National Council of State Board of Nursing what is the nursing process? - correct answer Assessment Diagnosis Planning Implementation Evaluation what is the CJMM? - correct answer Recognize cues Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes

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what is the term for telling the truth? - correct answer veracity what is social justice? - correct answer all pts treated equally and fairly what is the term for preventing harm, ensuring pt well being - correct answer nonmaleficence health care disparities include - correct answer differences in:

• access to care
• use of care
• quality of care
• health insurance coverage what can health care disparities be caused by? - correct answer -poor communication -lack of health care access -inadequate health care literacy -primary health care biases & discrimination -medical home, long term care, free standing ER

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what are the 3 populations w/ special needs? - correct answer -older adults: based on what care is available -those who are of racial and ethical minorities: based on what care is available

• LGBTQ+ : discrimination