Safety First!
The bed should usually be left in this position when the nurse leaves the room.
Lowest Position
You finally sit down during clinical. This device will probably activate immediately.
Call Light
A patient says, “I'm scared about my surgery.” The nurse should do this instead of saying, “Don't worry.”
Encourage the patient to discuss their concerns
Discussing a patient's diagnosis in a crowded elevator can violate this.
Confidentiality
This practice remains necessary even when gloves are worn.
Hand Hygiene
Before giving a medication, the nurse uses at least this many patient identifiers.
Two Identifiers
Your instructor asks, “Why are you giving that medication?” This is NOT the ideal response.
“Because it was ordered”
A patient refuses a medication. The nurse's first response should include this.
Assess the reason for refusal
A competent patient says, “I don't want that medication.” This ethical principle supports the decision.
Autonomy
Assessment, diagnosis, planning, implementation, and evaluation make up this framework.
Nursing Process
A confused patient repeatedly tries to get out of bed. This should be attempted before restraints.
Less restrictive safety interventions
You cannot remember how to perform a skill. This is your safest next move.
Stop and ask for assistance
One patient wants water. Another reports new chest pain. This patient is assessed first.
Patient with new chest pain
A nurse charts a dressing change before actually performing it. This is the major problem.
Falsification of Documentation
This communication technique involves fully focusing on and understanding what the patient is saying.
Active Listening
A nurse finds an unlabeled medication cup at the bedside. This is the safest action.
Discard the medication according to policy
Your assessment finding seems completely wrong. Before panicking, do this.
Reassess the patient
A UAP reports that a patient's blood pressure is suddenly much lower than before. The nurse should do this.
Assess the patient
A nurse realizes a medication error occurred. This is the appropriate professional action.
Assess the patient and report the error promptly.
The RN gives a task to a UAP but remains responsible for appropriate supervision. This process is called this.
Delegation
Your patient suddenly becomes restless and confused with an SpO₂ of 84%. This takes priority.
Immediately assess and support oxygenation
The student who says “I don't need to ask questions anymore” is missing this nursing quality.
Recognizing one's limitations
After receiving report on four patients, the nurse should see the patient with this problem first.
Acute airway or breathing problem
A nurse posts a hospital photo online with a patient's room number visible. This creates this major concern.
Privacy/Confidentiality Breach
Recognizing cues, analyzing information, setting priorities, and choosing safe actions rely heavily on this.
Clinical Judgment