Nursing Foundations
A nurse notices another nurse checking a patient's chart even though she is not assigned to the client. Which professional principle is being violated?
Confidentiality/HIPAA
Which ethical principle supports a client's right to refuse treatment?
Autonomy
Which step of ADPIE comes immediately after assessment?
Diagnosis
Which communication style is considered the healthiest?
Assertive
Health literacy affects a patient's ability to do what?
Understand and use health information
Which nursing pioneer is best known for opening the first school of nursing based on scientific principles?
Florence Nightingale
A nurse promises to return with pain medication in 15 minutes and returns exactly as promised. Which ethical principle?
Fidelity
Which task is appropriate to delegate to an assistive personnel?
Routine, stable, predictable tasks
(example: obtain vital signs, daily weights, ambulation)
A client speaks very little English. Who is the BEST interpreter?
Qualified medical interpreter
Which Social Determinant of Health is MOST affected if someone loses their job?
Economic Stability
A nurse participates in a committee reviewing falls on the medical unit to improve future care. Which professional responsibility is being demonstrated?
Quality Improvement
A client asks the nurse to explain something the provider already discussed because they still don't understand. What should the nurse do FIRST?
Assess what the client understands and advocate for clarification if needed.
Priority Challenge
Who should the nurse see FIRST?
A. Client requesting water
B. Client with oxygen saturation dropping to 86%
C. Client wanting discharge papers
D. Client asking for a blanket
Client with oxygen saturation of 86%
Which therapeutic communication technique encourages the patient to continue talking?
Open-ended questions
Name one QSEN competency related to technology.
Informatics
A nurse follows the hospital's policy when performing a new skill for the first time instead of relying on advice from coworkers. What principle is being demonstrated?
Following evidence-based practice and facility policy
A nurse completes documentation stating that a client's postoperative dressing was changed at 1400. At 1355, the nurse is called to respond to another client's rapid deterioration, and the dressing change is delayed until 1500. Which legal principle did the nurse violate?
A. Assault
B. Falsification of documentation
C. Negligence
D. Battery
A nurse evaluates whether a patient's pain improved after medication. Which step of ADPIE?
Evaluation
A patient appears upset but says, "I'm fine." What type of communication conflict exists?
Verbal and nonverbal communication conflict
A nurse teaches smoking cessation before disease develops. Which level of prevention?
Primary Prevention
Daily Double: A newly licensed nurse asks why the Nurse Practice Act is important.
Scope of practice
Daily Double: List THREE situations that require an incident report.
Name all five original Rights of Medication Administration.
A nurse is preparing to call the provider using the I-SBAR communication format about a client whose oxygen saturation has decreased from 97% to 88% on room air.
The nurse states: "Mr. Davis was admitted yesterday with pneumonia. He is now short of breath, his respiratory rate is 30/min, and his oxygen saturation is 88% on room air."
Which component of I-SBAR is the nurse communicating?
Situation
A nurse is caring for a hospitalized client who speaks another language, refuses a scheduled procedure, and has limited health literacy. Before notifying the provider, identify four nursing actions that demonstrate safe, ethical, patient-centered care.