Aging
Nursing Process
Communication Nurse to Nurse
Elimination
Nursing Practice
Pain & Mobility
Skin & Nutrition
Culture & EBP
100

List one normal sign of aging related to the integumentary system

Thinning of the skin.

100

Give an example of subjective data

Anything the patient tells you (history, allergies, feelings, pain, etc.)

100

What does SBAR stand for?

Situation-Background-Assessment-Recommendations

100

What is the nutrient your body needs to promote regular bowel movements?

Fiber

100

What parts of the nursing process can the nurse delegate?

None

100

What kind of pain lasts for typically >6 months?

Chronic

100

What is the most important nursing action to prevent pressure injury?

Turn the patient every 2 hours

100

________ refers to a group whose members share a common cultural heritage.

Ethnicity

200

What are the health concerns of older adulthood?

Cancer and other chronic diseases.

200

Give an example of objective data.

Anything you the nurse assess (vital signs, BMI, physical assessment findings, information obtained from chart review)

200

You have committed a medication error, name the action you would take.

Complete an incidence/occurrence report.

200

What bowel elimination pattern is commonly associated with taking antibiotics?

Diarrhea

200

Who defines the scope of practice for nurses?

State board of nursing

200

True or False: Vital signs are the best indicator of pain.

False - patient self report is.

200

What type of pressure injury has a wound base that is unable to be visualized?

Unstageable

200

What religion does the Anointing of the Sick or last rights when a patient is dying?

Catholics

300

Domestic violence is common in what age group of older adults (young, middle, or old)?

Young adults

300

Which type of assessment is performed to determine discharge needs and functional status?

Special needs assessment

300

What should you tell your neighbor who asked you to look in their chart while they are in the Emergency Department at the hospital you work at?

No, this is a violation of privacy and confidentiality (HIPAA)

300

What kind of bowel diversion bypasses the large intestine?

Ileostomy.

300

What type of healthcare delivery system is limited in provider options?

Healthcare maintenance organization (HMO)

300

How is neuropathic pain typically described?

Sharp, radiating or shooting pain that usually follows nerve pathways

300

Osteoporosis is caused by what mineral deficiency?

Calcium (and Vitamin D)

300

True or False: It is safe to say that all people of a culture share the same beliefs and practices.

False

400

What is the second leading cause of death in older adults and when should it be screened for?

Cancer; at annual exams

400

What should evaluation occur?

During implementation after interventions are performed

400

What would the nurse say to her friend who is also a nurse if the side rails were both up for a patient with normal mental capacity?

This is considered a restraint.

400

What is the leading cause of UTIs in hospitalized patients?

Indwelling foley catheters

400

What does an ethical agent do?

Practice based on professional standards and participate in ethical decision making

400

How is pain tolerance different from the pain threshold?

Pain tolerance is the max amount of pain a person can tolerate where as pain threshold is the point at which pain is begin to be felt

400

Patients with what disease process should limit protein intake?

Liver disease

400

Define assimilation.

A person from a different culture adopts the practices of the new dominant culture.

500

What law is important for nurses to follow when working with an older adult who is a victim of physical abuse, neglect or financial exploitation?

Mandatory Reporting Law

500

Give an example of a direct nursing care intervention.

Emotional support, teaching, physical care (administering medications, turning/positioning the patient)

500

What should the nurse do when the patient and the medical record have conflicting information on allergies?

Clarify the allergy with the patient and determine reaction.

500

What is a key teaching point for urinary stress incontinence?

Kegel exercises

500

What is the difference between battery and libel?

Battery is physical assault and libel is written or published form of slander.

500

What change in vital signs might you see when assessing someone with activity intolerance?

Elevated heart rate and blood pressure

500

What nutrient is essential for muscle contraction, acid/base balance, and blood pressure control

Potassium

500

This type of data is defined as numbers and can be used to generalize results about a group of people.

Quantitative data

600

Give an example of abnormal signs of aging

Memory loss, infection, incontinence

600

What are the 3 components of an actual nursing diagnosis?

Label + etiology + defining characteristics

600

How should information about a patient be sent when transferring a patient from one level of care to the next?

Use a face sheet.

600

What type of incontinence would be seen if there is an obstruction between the bladder and the urethra?

Overflow incontinence
600

What does the MORAL model for ethical reasoning stand for?

Massage the dilemma, outline the options, Resolve the issue, act, look back and reflect

600

When moving obese patients, the nurse should do what to prevent back injury?

Use a mechanical lift, make sure wheels are locked on the bed, move tubing with patient

600

Healing by what intention makes a wound more prone to infection?

Secondary

600

What does PICOT stand for?

Problem/Population

Intervention

Comparison

Outcome

Time

700

Name a screening done at the annual exam during middle adulthood?

lipid panel screening (total cholesterol, triglycerides, HDL, LDL, ratios), blood glucose screening, clinical breast/pelvic exams for women, annual/biannual mammograms for women, DRE and prostate exams for men, annual eye exam, colorectal cancer screening, and osteoporosis screening

700

What are the goals for NANDA diagnoses for an actual problem?

To resolve the health issue

700

List one action the nurse can take when documenting electronically to protect patient information.

Log off the computer when finished

Use blinders/additional screens so information is only viewable if you are right in front of it

Don’t leave patient information up if you walk away from the computer

700

Name one way a sterile urine specimen can be obtained.

If they have a foley  - through the side port

In/out cath if no catheter currently and unable to void

If able to void, cleanse the genitalia then start urine stream then obtain specimen midway through

700

What are the six ethical principles?

Veracity, fidelity, autonomy, beneficence, maleficence, justice

700

How does the center of gravity relate to the base of support?

The line of gravity passes through the middle of the center of gravity to the base of support (which must be close to the base of support).

700

Friction and shearing forces are examples of what type of factor that contribute to the formation of pressure ulcers?

External

700

List a function or component of family development theory.

  1. Reinforcing ethical and moral values

  2. Promoting joint decision making between parents and children

  3. Maintaining support for young adults