CHAPTER 12
A PATIENT WANTS TO LEAVE AMA. WHAT SHOULD THE NURSES PRIORITY BE? (PATIENT IS ALERT AND ORIENTED X 4)
PROVIDE FORM FOR SIGNATURE
THE NURSING PROCESS STEPS ARE?
ASSESSMENT, DIAGNOSE, PLANNING, IMPLEMENTATION, EVALUATION
A PATIENT COMES INTO CLINIC. THE NURSE IS TAKING VITAL SIGNS. WHAT PART OF THE NURSING PROCESS IS THIS?
ASSESSMENT
WHAT HIERARCHY DOES NURSING USES TO PRIORITIZE CLIENT PROBLEMS?
MASLOWS
ONGOING
WHAT IS CONTINUITY OF CARE?
A NURSE IS NOT CONFIDENT IN HER SKILLS WITH WOUND DRESSING CHANGES, BUT HAS BEEN ASSIGNED THE TASK. WHAT CAN SHE DO TO HELP HER WITH THIS?
-PRACTICE UNDER ANOTHER NURSES SUPERVISION
SUBJECTIVE
TRUE OR FALSE. A GOAL IS TO BE SPECIFIC WITH TIME FRAME.
TRUE
NURSE RATCHET FORGOT TO DOCUMENT A MEDICATION. ACCORDING TO THE LAW, IF IT ISN'T DOCUMENTED, __________.
IT DIDNT HAPPEN/WASNT DONE
A PATIENT IS TRANSFERRING TO ANOTHER FLOOR IN THE HOSPITAL. YOUR THE NURSE CARING FOR THE PATIENT. WHAT IS IMPORTANT TO DO BEFORE TRANSFERRING PATIENT?
SBAR/REPORT
THE PATIENT IS DESCRIBING HER DAILY MEAL REGIMEN, GROCERY LIST, AND HOW SHE MAINTAINS A BALANCED DIET. WHAT FUNCTIONAL HEALTH PATTERN IS THIS CONSIDERED TO BE IN?
NUTRITIONAL
WOUND MEASUREMENTS ARE WHAT KIND OF DATA?
OBJECTIVE
WHEN IDENTIFYING GOALS/OUTCOMES ___________ SHOULD BE INCLUDED.
CLIENT AND FAMILY
A PATIENT IS DISCHARGING HOME WITH A WOUND. WHAT WOULD BE THE MOST EFFECTIVE WAY TO DETERMINE WHETHER THE PATIENT HAS MASTERED THE DRESSING CHANGE?
HAVING THEM PREFORM DRESSING CHANGE
WHEN DOES DISCHARGE PLANNING START?
AT THE BEGINNNING/ADMISSION
A PATIENT DRANK A CAN OF COKE DURING MY SHIFT. HOW COULD THIS DOCUMENTATION APPROVE?
WHEN MEETING A PATIENT FOR THE FIRST TIME, WHAT IS THE FIRST THING YOU SHOULD DO?
WASH HANDS/INTRODUCE SELF
ON AN ORTHOPEDIC FLOOR WHERE PATIENTS ALL HAVE SELECTIVE KNEE REPLACEMENTS, WHAT TYPE OF CARE PLAN MIGHT BE UTILIZED?
STANDARDIZED
WHEN DELEGATING, WHO IS ULTIMATELY RESPONSIBLE?
THE NURSE DELEGATING (RN/LPN)
ASK THE PATIENT WHAT THEY WOULD LIKE TO BE CALLED?
EVEN THOUGH WE UTILIZE STANDARDIZED NURSING DIAGNOSIS, WHAT IS THE NURSE REQUIRED TO USE TO INDIVIDUALIZE THEM?
CRITICAL THINKING
WHAT DO NURSING DIAGNOSIS DO?
GUIDE NURSING INTERVENTIONS
TRUE/FALSE. A NURSE INITIATED INTERVENTION WOULD INCLUDE TEACHING/EDUCATION TO PATIENT.
TRUE
EVALUATION