Assessment
Headache, nausea, anxiety
What is subjective data?
Written when a condition is actually present in a patient
What is a problem-based diagnosis?
ABCs and acute over chronic
What is prioritizing nursing care?
When implementing interventions, they must be this
What is within scope of practice?
Evaluation
What is a before and after comparison?
Task, person, circumstance, communication, supervision, accountability
What are the rights of delegation?
Do no harm
What is nonmaleficence?
The action of threatening to restrain a patient if she does not stay in bed
What is assault?
Blood pressure, breath sounds, PERRLA
What is objective data?
Does not require "as evidenced by"
What is a "risk for" diagnosis?
Specific, measurable, attainable, realistic, timely
What is a SMART goal?
Catheter insertion, trach care, wound care
What are direct nursing interventions?
A way to determine a patient's understanding
What is return demonstration?
Emptying a Foley bag, feeding, ambulating
What are appropriate tasks to delegate to UAP?
Keeping a promise to a patient
What is fidelity?
When a nurse calls a patient a "drug seeker" at the nurse's station
What is slander?
Introduce yourself, provide privacy, show respect by using preferred name
What is patient-centered care?
Readiness for enhanced knowledge as evidenced by patient asking how to properly care for surgical wound
What is a health promotion nursing diagnosis?
Incorporating mind, body and spirit
What is holistic care?
Documentation, interprofessional collaboration
What are indirect nursing interventions?
Physical, emotional, knowledge-based
What are measures used to evaluate?
Medication administration, tube feeding, insertion of a catheter
What are tasks appropriate to delegate to the LPN?
The nurse does not report absence of a pulse in a timely fashion
What is negligence?
Administering medication to a competent patient despite the patient declining
What is battery?
Do you have any pain at the moment?
What is a closed-ended question
Priority diagnosis for patient with right-side weakness after a stroke
What is impaired mobility?
Plan patient care based on these
What are standards and scope of practice?
Controlling symptoms when a condition is already present
What is secondary prevention?
What is discontinuing the care plan?
Determining which patient to see based on signs/symptoms
What is prioritizing care?
The ethical principle displayed when a nurse reports a medication error
What is veracity?
The time when power of attorney goes into effect
What is determination that the patient is no longer competent?
Establish a therapeutic relationship with the patient
What is the priority for the nurse to complete during the assessment phase?
Culture, education, and patient buy-in
What are nursing diagnosis considerations?
Most effective way to plan care
Call light, bed alarm, hourly rounding
What are interventions to prevent falls?
Improved lung sounds, decreased pain, ability to increase ambulation distance
What are indications that interventions were effective?
Make a to-do list, delegate, cluster care
What are time management skills?
Hospital committee, ANA code
What are ethical resources?
The nurse fails to treat a blood glucose of 35, the patient dies, and the family is entitled to sue for damages
What is malpractice?