Nursing process
WHAT IS THE FIRST STEP IN THE NURSING PROCESS
ASSESSMENT
THE PERSON WHO ENCODES AND DELIVERS THE MESSAGE
A patient is being discharged home. Which information should the nurse include?
a. Acuity level
b. Community resources
c. Standardized care plan
b. Community resources
Deeply held belief about the worth of an idea, attitude,
custom, or object that affects choices and behaviors
Value
A health care provider orders lorazepam 1 mg orally 2 times a day. The dose available is
0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?
2
THE PATIENTS VERBAL DESCRIPTIONS OF THEIR HEALTH PROBLEMS THAT ARE GATHERED DURING THE INTERVIEW (FEELINGS, SYMPTOMS, PERCEPTIONS)
SUBJECTIVE DATA
INNER THOUGHTS AND "SELF- TALK" IS CONSIDERED WHAT KIND OF COMMUNICATION?
INTRAPERSONAL
A nurse is charting. Which event is critical for the nurse to document?
a. The patient had a good day with no complaints.
b. The family is demanding and argumentative.
c. The patient received a pain medication.
d. The family is poor and had to go on welfare.
c. The patient received a pain medication.
State laws intended to protect citizens, make nurses
accountable and assure that care is consistent with
best practice within the scope and standards of
nursing
Nurse practice acts
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?
1/2 tablet
PATIENT HISTORY IS IMPORTANT BECAUSE IT INFORMS THE NURSE OF......
ANY ALLERGIES
A ONE ON ONE INTERACTION BETWEEN THE NURSE AND ANOTHER PERSON, IS WHAT KIND OF COMMUNICATION?
INTERPERSONAL
Which action will the nurse take when taking a telephone order?
a. Print out a copy of the order once entered into the electronic health record.
b. Read back the order as written to the health care provider for verification.
c. Ask that another registered nurse listen to the call over an extension line.
b. Read back the order as written to the health care provider for verification.
refers to freedom from external control.
autonomy
A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?
a. My parenteral medication must be taken with food
b. I will rotate the sites in my left leg when I give my insulin.
c. Once I start feeling better, I will stop taking my antibiotic.
B. I will rotate the sites in my left leg when I give my insulin.
"SO TELL ME MORE ABOUT..." IS AN EXAMPLE OF WHAT KIND OF QUESTION?
OPEN-ENDED
THE USE OF TECHNOLOGY TO CREATE ONGOING RELATIONSHIPS WITH PATIENTS AND THEIR HEALTHCARE TEAM
ELECTRONIC COMMUNICATION
A nurse wants to reduce data entry errors on the computer system. Which action should the nurse take?
a. Use the same password all the time.
b. Share password with only one other staff member.
c. Print out and review computer nursing notes at home.
d. Chart on the computer immediately after care is provided.
d. Chart on the computer immediately after care is provided.
refers to the avoidance of harm or hurt
nonmaleficence
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?
a. Reduced kidney functioning
b. Reduced esophageal stricture
c. Increased gastric motility
A. Reduced kidney functioning
OBSERVATION, PROBING, BACK CHANNELING, LEADING, OPEN-ENDED, AND CLOSED ENDED QUESTIONS ARE ALL WHAT KIND OF TECHNIQUES?
INTERVIEW TECHNIQUES
____________ IS A BROAD TERM THAT REFERS TO ALL FACTORS THAT INFLUENCE COMMUNICATION
META COMMUNICATION
An individual’s lifetime computerized record
Electronic Health record (EHR)
refers to taking positive actions to help others
beneficence
A registered nurse interprets that a scribbled medication prescription reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?
a. Health care provider
b. Pharmacist
c. Hospital
d. Nurse
d. Nurse