Download Fundamentals Of Nursing Prelim Exam With 100% Correct And Verified Answers and more Exams Advanced Education in PDF only on Docsity!
Fundamentals Of Nursing Prelim Exam
With 100% Correct And Verified Answers
10 roles & functions of a nurse - Correct Answer-1. Caregiver
- Communicator
- Change Agent
- Client Advocate
- Counselor
- Case Manager
- Being a teacher
- Being a Leader
- Manager
- Research Consumer
- Caregiver - Correct Answer-1. assist client physically and psychologically while preserving client's dignity.!
- can provide full care (Nursing Process)
- Communicator - Correct Answer-can identify the clients' problems to communicate with other health care providers verbally and written.
- Change Agent - Correct Answer-assist the clients in their modifications of behavior
- Client Advocate - Correct Answer-1. acts to protect the client
- speaks on behalf of our client Counselor - Correct Answer-helps clients recognize and cope with stressful events
- Case manager - Correct Answer-work with other multidisciplinary teams to for case management of the patients
- Being a teacher - Correct Answer-1. helps clients to learn about his/her health
- assess the learning needs of the patients.
- assess the learning readiness of the patient (if nag aask na patient)
- Being a leader - Correct Answer-influences others towards goal achievement
- Manager - Correct Answer-assigns and delegates nursing activities/supervises and evaluate the performances of the team
- Research Consumer - Correct Answer-1. uses research to improve the quality of nursing care (utilizing research studies)
Nursing is a Profession - Correct Answer-1. A calling that requires special knowledge (skill and preparation)
- Occupation - requires extensive education Criteria of Profession - Correct Answer-1. Specialized Education
- Body of Knowledge
- Service Orientation
- Autonomy
- Code of Ethics
- Professional Organization
- Ongoing Research Specialized Education - Correct Answer-Programs in College and Universities Body of Knowledge - Correct Answer-A number of Nursing Theories and Concepts Service Orientation - Correct Answer-"Caring" most unique in nurses; altruism (selfless service to others) Autonomy - Correct Answer-Independence Code of Ethics - Correct Answer-"Ethics" study of morality (What are right or wrong) PNA - Correct Answer-1. protects nurses
- provide for safe working environment for nurses (welfare of Filipino Nurses) Nurse: Theory of Novice to Expert (Patricia Benner's Stage of Expertise) - Correct Answer-1. Novice
- Advanced Beginner
- Competent
- Proficient
- Expert
- Novice - Correct Answer-1. no experience
- nursing students
- no skills
- task oriented (governed by rules; kung ano lang pinagawa yun lang)
- Advanced Beginner - Correct Answer-demonstrates marginally accepted performance
- Competent - Correct Answer-1. 2-3 years of exp
- planning and organization abilities
- Proficient - Correct Answer-1. 3-5 years of exp
- perceive situation as a whole (Holistic approach)
- Quadrant 3 - High Level Wellness
- Quadrant 4 - Emergent High Level Wellness Health Status - Correct Answer-a state of health of an individual at a given time ex. sakit today or healthy today Health Belief - Correct Answer-Concepts about health that an individual believes is true ex. albularyo; no proven medication Health Behavior - Correct Answer-actions an individual takes to understand their health state, maintain, optimal health, prevent illness Auto - Correct Answer-self Illness - Correct Answer-t is a highly personal state in which the individuals physical, emotional, intellectual social, developmental, or spiritual functioning is thought to be diminished Disease - Correct Answer-Already a alteration of body function resulting in a reduction of capabilities or a shortening of the normal lifespan Acute Illness - Correct Answer-1. Characterized by symptoms of relatively short duration
- Symptoms appear abruptly and subside quickly Example: Colds and acute appendicitis Chronic Illness - Correct Answer-1. Last for an extended period (6 months or longer)
- Slow onset and often have periods of remission and exacerbation Examples: arthritis, heart disease, lung disease, diabetes mellitus. Different Stages of Illness (SAM DR) - Correct Answer-1. Symptom Experience
- Assumption of the Sick Role
- Medical Care Contact
- Dependent Client Role
- Recovery or Rehabilitation
- Symptoms Experience - Correct Answer-1. The person believes something is wrong
- Consult others (fam or SO which validates the concerns)
- They feel anxious and Fear
- May try home remedies
- Assumption of the Sick Role - Correct Answer-1. Accepts the sick role and seek confirmation from fam and friends
- Excused from normal duties and role expectations
- Medical Care Contact - Correct Answer-1. Seek the advice of health professionals
- Cause of seeking is fam or the patient
- Validation - Explanation - Reassurance (Doctor) Dependent Client Role - Correct Answer-Becomes dependent on the professional for help and treatment Recovery or Rehabilitation - Correct Answer-The client is expected to relinquish the dependent role and resume former roles and responsibilities. Ethical Principle - Correct Answer-1. Autonomy
- Paternalism
- Beneficence
- Nonmaleficence
- Privacy
- Confidentiality
- Respect
- Justice
- Fidelity
- Veracity
- Stewardship
- Totality
- Double Effect
- Epikia
- Utility
- Autonomy - Correct Answer-is patient self-determine Autonomy's Eligibility Criteria - Correct Answer-1. Legal Age
- Sound Mind (mentally stable)
- Paternalism (Parentalism) - Correct Answer-1. The father knows the best for his/her child
- If the client is incapacitated/vulnerable Paternalism Criteria - Correct Answer-1. Children
- Minors
- Intoxicated
- Mental Illness
- Coma
- Delirium & Dementia
- Beneficence - Correct Answer-1. Actions that promote client's welfare Example: If the client is bedridden and he/she is soiled as a nurse you would change the soiled clothing for client's welfare
- Nonmaleficence - Correct Answer-1. Actions promotes safety
Example of Ethical Dilemma in the Field - Correct Answer-contradicting which are right or wrong Example: The doctor has the right to tell the truth about the diagnosis of the patient but the fam reqs you to not tell the patient that she has cancer)
- Totality - Correct Answer-1. The whole is greater than the sum of its parts Example: If the doctor must cut the patient's foot to save the patient's life from infection Example: Amputation and Ectomy
- Double Effect - Correct Answer-1. Action that has a positive and negative implications Explanation: Therapeutic abortion on ectopic pregnancy (+ = save the mother - = losing the unborn baby)
- Epikia - Correct Answer-1. Exemption to the general rule
- It can be bend and flexible rule Example: Before any surgical procedure there should be consent before proceeding but if the patient has no oxygen and is critical the surgery must come first.
- Utility - Correct Answer-1. To promote comfort and pleasure Example: ADL's, Elimination, Catheterization, Commode, Bed Pan, Positioning Legal Responsibilities - Correct Answer- Torts - Correct Answer-1. wrongful acts
- can be taken into legal actions Intentional Torts - Correct Answer-1. Battery
- Assault
- Defamation
- Invasion of Privacy
- Illegal Detention
- Battery - Correct Answer--unconsented touching of another person or client
- Assault - Correct Answer-- Imminent threat of harmful or offensive bodily contact Example: If you do not take this medicine, I will restrain you
- Defamation - Correct Answer-- Character Assassination
- Oral Defamation: Slander (oral defamation)
- Libel: defamation written in word
- Invasion of Privacy - Correct Answer-- Divulging information from patient to unauthorized persons
- Illegal Detention - Correct Answer-1. Are incorrectly led to believe they cannot leave a place
- False Imprisonment Unintentional Torts - Correct Answer-1. Negligence
- Malpractices
- Negligence - Correct Answer-1. Commission or omission of an act
- Pursuant of duty, that a reasonably prudent person in the same or similar circumstances would or would not do Example:
- raw medication to the patient but still u did (commission)
- patient has seizure and u did not adjust the bed (omission)
- failure to report the observation to the physician
- Failure to exercise the degree of diligence which the circumstances of the case demands
- Mistaken Identity
- Defects in the equipment leading to the injury of the patient
- wrong route for administration of drugs
- wrong dosage
- wrong timing
- wrong health teaching Elements of Negligence - Correct Answer-A - injury or harm B - breach of duty C - cause of injury D - duty Doctrines of Negligence - Correct Answer-1. Doctrine of Respondeat Superior
- Doctrine of Res Ipsa Loquitur
- Doctrine of force Majeure
- Doctrine of Respondeat Superior - Correct Answer-1. "Let the master answer for his/ her subordinates"
- Pag nagkaroon ng negligence ang subordinates it will affect the superior
- Lahat damay
- Doctrine of Res Ipsa Loquitur - Correct Answer-1. let the thing speaks for itself
- let a thing serve as an evidence To prevent: In an OR counting of instruments before and after the procedure Example: -scalpel is left behind after appendectomy
- In an OR counting of instruments before and after the procedure
- Doctrine of Force Majeure - Correct Answer--Event which cannot be foreseen; an act of God; unexpected event