Nursing Practices and Concepts, Exercises of Nursing

Various nursing practices and concepts, including reassessment, delirium risk factors, advanced directives, negligence, malpractice, nursing practice domains, care coordination, health disparities, palliative care, and hospice care. It provides information on the differences between palliative and hospice care, the goals of palliative care, and the criteria that make a patient eligible for palliative care services. The document also discusses nursing's role in assessment, intervention administration, and interprofessional collaboration. Additionally, it touches on topics related to nursing's scope of practice, professional boundaries, and the discipline's dedication to improving public health.

Typology: Exercises

2024/2025

Available from 10/07/2024

smartstudies
smartstudies 🇺🇸

249 documents

1 / 60

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 33
NUR1023 - Final Exam Revision 2025
1.What is a nursing diagnosis?: A statement of client health status that
nurses can identify, prevent, or treat independently. It is a diagnosis of
the patient's response to a medical condition.
2.What is an actual diagnosis based on?: The presence of associated
signs and symptoms at the time of the nursing assessment.
3.What is the difference between an at risk diagnosis and an actual diag-
nosis?: An actual diagnosis (also called problem-focused diagnosis) is a
client problem present at the time of the nursing assessment. A risk
diagnosis is one where a problem does not exist, but the presence of
risk factors indicates that a problem is likely to develop.
4.What is a risk diagnosis based on?: The patient's current health
status, past health history, and other risk factors that may increase
the patient's likelihood of experiencing a health problem.
5.What is a medical diagnosis?: Identification of a disease condition
based on specific evaluation of signs and symptoms ’ made by a
physician
6. Which type of diagnosis will be used when a patient is vulnerable to
having an undesirable response?
a. problem-focused diagnosis (aka actual diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness diagnosis): b. risk diagnosis
7. Which type of diagnosis will be used when a patient has an
undesirable response to a health condition/process?
a. problem-focused diagnosis (aka actual diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness diagnosis): a. problem-
focused diagnosis (aka actual diagnosis)
8. Which diagnosis is used when the focus is on being healthy as opposed
to preventing an illness?
a. problem-focused diagnosis (aka actual diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness diagnosis): c. health-
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c

Partial preview of the text

Download Nursing Practices and Concepts and more Exercises Nursing in PDF only on Docsity!

NUR1023 - Final Exam Revision 2025

  1. What is a nursing diagnosis?: A statement of client health status that nurses can identify, prevent, or treat independently. It is a diagnosis of the patient's response to a medical condition.
  2. What is an actual diagnosis based on?: The presence of associated signs and symptoms at the time of the nursing assessment.
  3. What is the difference between an at risk diagnosis and an actual diag- nosis?: An actual diagnosis (also called problem-focused diagnosis) is a client problem present at the time of the nursing assessment. A risk diagnosis is one where a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop.
  4. What is a risk diagnosis based on?: The patient's current health status, past health history, and other risk factors that may increase the patient's likelihood of experiencing a health problem.
  5. What is a medical diagnosis?: Identification of a disease condition based on specific evaluation of signs and symptoms ’ made by a physician 6. Which type of diagnosis will be used when a patient is vulnerable to having an undesirable response? a. problem-focused diagnosis (aka actual diagnosis) b. risk diagnosis c. health-promotion diagnosis (aka wellness diagnosis): b. risk diagnosis 7. Which type of diagnosis will be used when a patient has an undesirable response to a health condition/process? a. problem-focused diagnosis (aka actual diagnosis) b. risk diagnosis c. health-promotion diagnosis (aka wellness diagnosis): a. problem- focused diagnosis (aka actual diagnosis) 8. Which diagnosis is used when the focus is on being healthy as opposed to preventing an illness? a. problem-focused diagnosis (aka actual diagnosis) b. risk diagnosis c. health-promotion diagnosis (aka wellness diagnosis): c. health-

promotion diagnosis (aka wellness diagnosis) 9.Format for an actual nursing diagnosis: 1. diagnosis 2.related to 3.as evidenced by

  1. Format for a risk diagnosis: 1. risk for
  2. related to 11.The collection of subjective and objective patient information on which you will base your care plan.: assessment 12.The act of analyzing the assessment data and making conclusions.: diag- nosing 13.The action phase of the plan with the use of nursing interventions: imple- mentation 14. Which part of the nursing process is a continual activity of deciding whether the patient outcomes were met? a. Assessment b. Diagnosis c. Planning d. Implementation e. Evaluation: e. Evaluation 15. Which part of the nursing process do you develop patient outcomes or goals and identify nursing interventions to accomplish the outcomes? a. Assessment b. Diagnosis c. Planning d. Implementation e. Evaluation: c. Planning 16. Subjective data is considered as a. signs b. symptoms: b. symptoms 17. Objective data is considered as a. signs b. symptoms: a. signs 18.Data collected by interviewing the patient and/or caregiver: subjective data 19.Data collected by observing or measuring.: objective data

A. Physical assessment B. Family members C. Other clients D. Health history E. Closed-ended questions: A. Physical assessment

B. Family members D. Health history

30. Which of the following nursing diagnosis statements is correctly format- ted? A. Obesity related to overweight as evidenced by patient states feels "fat" B. Acute Pain related to chronic pain as evidenced by overuse of pain med- ications C. Risk for suicide related to history of suicide attempt, suicidal ideations, recent suicide attempt D. Activity Intolerance related to immobility as evidenced by respirations of 16 and heart rate of 70: C. Risk for suicide related to history of suicide attempt, suicidal ideations, recent suicide attempt 31. Collaborative interventions are therapies that involve which of the follow- ing? A. More than one health care professional B. Nurse and client C. Client and physician D. Nurse and physician: A. More than one health care professional 32. The implementation phase of the nursing process is when you: A. Use nursing outcomes classification (NOC). B. Record the care plan. C. Evaluate the objectives. D. Give the nursing care.: D. Give the nursing care. 33. The evaluation phase of the nursing process should include which of the following? (Select all that apply.) A. Reassessment B. Compare baseline and current condition C. Implement interventions D. Occur at end of shift E. Apply only to nursing care: A. Reassessment B. Compare baseline and current condition 34. Identify medical and nursing diagnoses: Anxiety Anorexia

  • Dental, foot, and eye examinations

45. glucose regulation interrelated concepts: 46.refers to the higher thinking processes that allow for flexibility, adaptability, and goal directedness: executive function 47.refers to the retention and recall of past experiences and learning: memory 48.the interpretation of the environment and is dependent on the acuity of sensory input: perception 49.scope of cognition: higher order ’ basic (lower order) ’ cognitive impairment 50.What are the 3 types of cognitive impairment?: mild, moderate, severe 51.Higher-order cognitive function is characterized by: Learning Comprehension Problem solving Reasoning Decision making Creativity Metacognition 52.Basic (lower-order) cognitive function includes: Perception Pattern recognition Attention 53.A state of disturbed consciousness and altered cognition with a rapid onset occurring over hours or a few days: delirium 54.causes of delirium: Dehydration, electrolyte imbalances, fever, hypoxia, sleep deprivation, adverse effects of medications, and illicit drug use can cause delirium 55.cognitive impairment risk factors for women: Overall poor health status Dependency Lack of social support Insomnia 56.cognitive impairment risk factors for men: History of stroke Diabetes 57.primary prevention for cognitive impairment: Promoting a healthy lifestyle-in- cluding optimal nutrition, exercise, social activity, regular medical care to prevent and/or manage chronic diseases, avoidance of substance abuse, and other high-risk behaviors, as well as genetic counseling 58.secondary prevention for cognitive impairment: There are no routine

as use of sleeping medications, use of urinary catheters, and immobilization, need to be identified along with alternative methods of care 60.differences between dementia and delirium: Delirium: -Rapid onset hours to days -Most frequent complication of hospitalization in the elderly -Symptoms tend to come and go and are often more prominent at night. -Usually reversible with treatment of the underlying illness Dementia: -Acquired and progressive deterioration of all cognitive functions including impair- ment in memory, judgement, calculation ability, attention span and abstract thinking, -Develop over months and years -Primary dementia is irreversible and isn't secondary to another disease.

61. cognition interrelated concepts: 62.normal pH range: 7.35-7. 63.pH below 7.35: acidosis 64.pH above 7.45: alkalosis 65.The process by which oxygen is transported to cells and carbon dioxide is transported from cells.: gas exchange 66.Ventilation in excess of that required to eliminate carbon dioxide produced by cellular metabolism: hyperventilation 67.Alveolar ventilation inadequate to meet the body's oxygen demand or to eliminate sufficient carbon dioxide: hypoventilation 68.Inadequate tissue oxygenation at the cellular level: hypoxia 69.Blue discoloration of the skin and mucous membranes: cyanosis 70.risk factors for impaired gas exchange: - Nutrition

  • Smoking
  • Chemical alteration
  • Alcoholism
  • Medications/Anesthesia
  • Chronic medical conditions (COPD, CF, heart failure)
  • Immunosuppression
  • Reduced state of cognition
  • Neurological injury
  • Prolonged immobility 71.Primary preventions for impaired gas exchange: Includes measures to pro- mote health and prevent development of disease.

-Infection control

DNR, and declaration for mental health treatment 81.failure to act as an ordinary prudent person when such failure results in harm to another: negligence

82.a written statement detailing a person's desires regarding their medical treatment in circumstances in which they are no longer able to express informed consent, especially an advance directive: living will 83.improper performance of professional duties; a failure to meet the stan- dards of care, resulting in harm to another person: malpractice 84.In general, there are four elements to a civil medical malpractice lawsuit for which the plaintiff must prove to receive compensation. What are they?: - Duty of care

  • Breach of duty
  • Causation
  • Injury or harm 85.Informed consent in the health care setting is a process whereby a patient is informed of: 1. The nature of their condition, proposed care, treatment, services, medications, interventions, or procedures
  1. The potential benefits, risks, or side effects, including potential problems including death, related to recuperation 3.The likelihood of achieving care, treatment, and service goals
  2. Reasonable alternatives and their respective risks and benefits, including the alternative of not receiving the treatment or procedure 86. healthcare law interrelated concepts: 87.a sense of oneself, and in relation to others, that is influenced by charac- teristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse: Professional Identity 88.What are 5 attributes of Professional Identity?: 1. doing 2.being 3.acting ethically 4.flourishing 5.changing identities 89."Doing": incorporates the societal and professional codes and standards that are part of the nursing discipline; It also includes a skill orientation, or a "doing" component. 90."Being": explains what it means to do the right thing even when no one is looking 91.sense of positive and transformational growth: "flourishing" 92."acting ethically": being attentive to what is considered right and good from both a societal and a professional perspective. 93.What is the scope of nursing practice?: assessment and evaluation, giving a variety of interventions, patient and caregiver teaching, and being a member of the interprofessional health care team

welfare and best interests of others.: Beneficence

  1. Treating people equitably, fairly, and appropriately.: Justice
  2. requires us to act in ways that are loyal: Fidelity

110. Scope of Ethics: 111. Ethics Interrelated Concepts:

  1. a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states.: Communication
  2. What are the 4 forms of communication?: 1. verbal (linguistic) 2.nonverbal (paralinguistic) 3.symbolic 4.metacommunication
  3. What is metacommunication?: consists of the factors that comprise the context of the message. Metacommunication factors that affect how messages are received and interpreted include internal personal states (e.g., disturbances in mood), environmental stimuli related to the setting of the communication, and contextual variables (e.g., the relationship between the people in the communication episode).
  4. Nonverbal communication: eye contact, personal space, and facial expres- sions
  5. Verbal communication: spoken and written word, conveying meaning through a collection of words 117. Communication Interrelated Concepts:
  6. Symbolic communication: adds to what is understood by incorporating art and music to enhance meaning.
  7. 3 Attributes of communication: 1. process of complementary exchange 2.context 3.learned skill
  8. an interactive process that provides needed guidance and direction: lead- ership
  9. Individuals who occupy designated administrative or management posi- tions in an organization (CEO, Chief nurse executive, vice president, nurse manager): Formal leadership
  10. individuals who do not occupy a designated administrative or manage- ment position: Informal leadership
  11. What 6 attributes must be present for effective leadership to occur?: 1. followers 2.vision 3.communication

5.change 6.social power

  1. Leaders that make all decisions: Autocratic Leadership
  2. Leaders that involve followers in the decision-making process by using a participatory leadership style: Democratic Leadership
  3. Leaders that do not interfere with employees and their work. They stand at a distance, giving followers freedom to make decisions and accomplish their work. Leaders wait until a crisis develops to make decisions.: Laissez-faire Leadership
  4. Entails rewarding followers when they perform and correcting them when necessary.: Transactional Leadership 128. Leaders who use approaches that change or transform individuals.: - Transformational Leadership 129. Leadership Interrelated Concepts:
  5. the knowledge and use of tools, machines, materials, and processes to help solve human problems.: Technology
  6. it is the science that encompasses information science and computer science to study the process, management, and retrieval of information: Infor- matics
  7. an individual's health record within a Healthcare provider's facility: elec- tronic medical record (EMR)
  8. An individual's official, digital health record and is shared among multiple facilities and agencies: electronic health record (EHR)
  9. a branch of engineering that studies computation and computer tech- nology, hardware, and software, as well as the theoretical foundations of information and computation techniques.: Computer Science
  10. Health record accessible to the patient: Personal Health Record
  11. a set of activities purposefully organized by a team to facilitate the appro- priate delivery of the necessary services and information to support optimal health and care across settings and over time: Care coordination
  12. 6 Key attributes of Care Coordination: 1. Patient-centered/individualized plan of care 2.Evidence-based care 3.Efficiency 4.Improved health outcomes 5.Value-based care delivery 6.Interprofessional team-based care 138. Two nurses are discussing the important attributes of care

coordination. Which attribute of care coordination should be included in the discussion?