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GEORGE BROWN COLLEGE TEST BANK FOR LEWIS’S MEDICAL-
SURGICAL NURSING, 12TH EDITION QUESTIONS AND ANSWERS
Nursing Process A problem-solving tool used to identify and manage patients' health care needs. Evidence-Based Practice (EBP) The use of the best research-based evidence combined with clinician expertise and consideration of patient preferences. Assessment Phase To obtain data to diagnose patient strengths and problems. Evaluation Phase To determine if interventions have been effective in meeting patient outcomes. Admission Database A collection of information used to develop a plan of care and discharge goals with patient input.
Patient Care Based on research, clinical expertise, and patient preferences. Clinical Judgment Part of EBP, incorporating current research and research-based guidelines. Patient Outcomes Results that are evaluated to determine the effectiveness of nursing interventions. Hypovolemia A condition characterized by a deficiency in the amount of blood volume in the body. Balanced Intake and Output Measurable data showing resolution of the problem of deficient fluid volume. Patient Goals The desired outcomes that are established in the clinical problem statement. Clinical Expertise
Research Evidence Credible studies that inform nursing practices, preferably randomized controlled studies. Nursing Interventions Actions taken to address the identified health care needs of patients. Patient Education Teaching interventions that help patients understand their health problems. Health Care Professionals Individuals who provide care and support to patients, including nurses and physicians. Patient Strengths Positive attributes and capabilities of the patient that can be leveraged in care. Signs and Symptoms Indicators of a health problem that are assessed during the nursing process.
Collaborative Functions Roles That Involve Working With Other Health Care Professionals To Provide Care. Dependent Functions Nursing Tasks That Are Carried Out Under The Direction Of A Physician. Patient Comfort The Emotional And Physical Well-Being Of The Patient During Care. Health Maintenance Activities Aimed At Promoting And Sustaining Health Over Time. Clinical Problem A Statement Of Patient Issues Requiring Nursing Intervention. Nursing Diagnosis A Clinical Judgment About Patient Responses To Health Conditions. Subjective Data Information Reported By The Patient, Not Directly Observed.
Case Manager Nurse Coordinating Patient Care Across Multiple Settings. Transitional Care Facility Setting For Patients Needing Rehabilitation Before Home Discharge. Home Health Aide Personnel Assisting Patients With Daily Living Activities. Quality Care Initiatives Programs Aimed At Improving Healthcare Service Delivery. Health Care Financing Funding Mechanisms Affecting Quality And Access To Care. Patient Teaching Educating Patients About Managing Their Health Conditions. Patient Assessment Evaluation Of Patient Health Status And Needs.
Clinical Outcomes Results Of Healthcare Interventions On Patient Health. Patient Satisfaction Patient's Perception Of The Care Received. Preventable Conditions Health Issues That Can Be Avoided With Proper Care. Bowel Sounds Assessment Listening To Intestinal Sounds To Evaluate Digestive Health. Insulin Administration Giving Insulin To Manage Blood Glucose Levels. Blood Glucose Monitoring Checking Blood Sugar Levels To Manage Diabetes.
The Nurse Is Displaying Competency In Informatics And Technology By Using A Computerized Information System To Document Patient Needs And Progress And Communicate Vital Information About The Patient With The Interprofessional Care Team Members. Delegation Considerations The Nurse Should Assess The Experience Of LPN/Vns When Delegating, Considering Agency Policies, Stability Of The Patients, State Nurse Practice Act, And Experience Of The LPN/VN. Patient Safety Actions Actions That Improve Patient Safety Include Performing Hand Hygiene, Disposing Of Unlabeled Medications, Completing Appropriate Assessments Before Administering Medications, And Giving A List Of The Current Medicines To The Patient And Caregiver Before Discharge. Clinical Judgment Clinical Judgment Is Evident When The Nurse Assesses Data Or Situations, Notices A Change In A Patient's Status, Identifies Priority Problems, Generates The Best Possible Solutions, And Makes Decisions About Patient Care Based On Analysis Of The Situation. Focus For Patient Teaching The Patient's Fat Intake Is A Behavior That The Patient Can Change And Should Be The Focus Of Patient Teaching For Behavior Change. Health Equity Strategy
Teaching Clinic Staff About Cultural Health Beliefs Would Decrease Health Care Disparities And Promote Health Equity For The Community. Community Health Measure Health Status Measures Of A Community Include Birth And Death Rates, Life Expectancy, Access To Care, And Morbidity And Mortality Rates Related To Disease And Injury. Cultural Competence It Is Appropriate For The Nurse To Ask Whether The Patient Would Like A Visit By A Cultural Healer, Demonstrating Cultural Competence. Patient Identification The Nurse Should Use At Least 2 Reliable Ways To Identify The Patient Such As Asking The Patient's Full Name And Date Of Birth Before Medication Administration. Medication Administration Safety Actions Consistent With Promoting Safe Delivery Of Patient Care Include Discarding A Medication That Is Not Labeled, Using Hand Sanitizer Before Preparing A Medication, Checking Laboratory Test Results Before Administering A Diuretic, And Giving The Patient A List Of Current Medications Upon Discharge. Nursing Actions Delegation
Cognitive Level: Apply This Level Involves Applying Knowledge To New Situations And Problems. Cognitive Level: Understand This Level Involves Comprehending And Interpreting Information. Cognitive Level: Comprehension This Level Involves Understanding The Meaning Of Information And Being Able To Explain It. NCLEX: Safe And Effective Care Environment This Category Focuses On Providing Safe And Effective Care In Various Health Care Settings. NCLEX: Health Promotion And Maintenance This Category Emphasizes Health Promotion And Disease Prevention Strategies. Agency Policies Agency Policies Are Guidelines Established By A Health Care Organization That Govern The Practice Of Nursing Within That Organization.
State Nurse Practice Act The State Nurse Practice Act Defines The Scope Of Practice For Nurses In That State And Provides Legal Guidelines For Nursing Practice. Patient Education Patient Education Involves Providing Information And Resources To Patients To Help Them Understand Their Health Conditions And Make Informed Decisions. Cultural Health Beliefs Cultural Health Beliefs Are The Values And Practices Related To Health And Illness That Are Specific To A Particular Cultural Group. Cultural Sensitivity Respecting Diverse Cultural Practices In Healthcare. Eye Contact In Culture Varies; Assess Patient's Comfort Level With Eye Contact. Communication Barriers Challenges In Understanding Due To Language Differences.
Tuberculosis Screening Essential For Communities With High Immigrant Populations. Patient Response Time Allow Pauses For Thoughtful Responses During Interviews. Cultural Stereotyping Avoid Assumptions Based On Ethnicity Or Background. Cultural Beliefs Assessment Inquire About Specific Cultural Practices Affecting Care. Effective Communication Use Clear Language And Visual Aids When Needed. Cultural Appropriateness Tailor Nursing Interventions To Fit Cultural Contexts.
Immigrant Health Needs Address Specific Health Issues Prevalent In Immigrant Groups. Cultural Competence Training Education For Nurses On Diverse Cultural Practices. Respectful Interaction Engage Patients In A Culturally Sensitive Manner. Cultural Adaptation Modify Care Plans To Align With Cultural Practices. Holistic Care Approach Consider Physical, Emotional, And Cultural Aspects Of Care. Patient-Centered Care Focus On Individual Patient Needs And Preferences. Cultural Barriers To Care Identify And Address Obstacles To Effective Treatment.
Communication Enhancement Methods To Improve Understanding With Patients. Coping-Stress Tolerance Pattern Assessment Of Patient's Stressors And Coping Mechanisms. General Survey Initial Assessment Of Patient's Overall Appearance. Health History Comprehensive Record Of Patient's Medical Background. Admission Assessment Initial Evaluation Of A Patient's Health Status. Non-English-Speaking Patient Patient Who Requires Language Assistance For Communication. Interpreter Use Utilizing A Third Party To Facilitate Communication.
Low-Salt Diet Education Teaching Patients About Reducing Sodium Intake. Home-Visit Program Nurse Visits Patients At Home For Care. Patient Trust Building Rapport To Encourage Open Communication. Health Promotion Activities Aimed At Improving Health And Preventing Disease. Clinical Manifestations Signs And Symptoms Associated With A Condition. Assessment Data Information Collected To Evaluate Patient Health.
