NUR 373 Final Exam Questions With Correct
Answers
Why do nurses document? - CORRECT ANSWER✔✔-- Reflects the client's
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perspective.
- Communicates care to all health care providers.
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- Demonstrates safe, effective and ethical care.
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- Demonstrates application of knowledge, skill, and judgment.
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- Meet legislative requirements.
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- Capture the nursing care you've provided.
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What are some of the different types of documentation? - CORRECT
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ANSWER✔✔-- Paper |
- Electronic
|
- Audio (dictation)
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- Visual (drawing)
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NOTE: Can be a combination of more than one type.
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What are the three principles of documentation? - CORRECT ANSWER✔✔-1)
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Communication - nurses ensure that documentation presents an accurate, clear,
| | | | | | | | | |
and comprehensive picture of the client's needs, the nurse's interventions, and
| | | | | | | | | | |
the client's outcomes.
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,2) Accountability - nurses are accountable for ensuring their documentation of
| | | | | | | | | | |
client care is accurate, timely, and complete.
| | | | | | |
3) Security - nurses safeguard client health information by maintaining
| | | | | | | | | |
confidentiality and acting in accordance with info retention and destruction
| | | | | | | | | |
policies and procedures that are consistent with the standards and legislation.
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Describe the "assessment" step of the nursing process. - CORRECT ANSWER✔✔-
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Gathering, analysis, and synthesis of collected data through:
| | | | | | |
- Interview (health history; subjective data - symptoms)
| | | | | | |
- Physical assessment (observations/specific measurements; objective data -
| | | | | | | |
signs)
- Charts and medical records
| | | |
What is a SOAP note? Give an example of one. - CORRECT ANSWER✔✔-SOAP
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notes provide subjective, objective, assessment , and planning information. For
| | | | | | | | | |
example:
S - "my tummy really hurts today"
| | | | | |
O - child curled up in bed crying and c/o pain when moved to assess abdominal
| | | | | | | | | | | | | | | |
wound; dressing saturated with purulent drainage; temp is 38.5C
| | | | | | | |
,A - at risk for wound infection
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P - notify surgeon, administer Tylenol, and monitor temp, reinforce dressing,
| | | | | | | | | | |
monitor pain |
NOTE: For SOAPIER notes, also include:
| | | | |
I - interventions implemented
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E - evaluation of interventions
| | | |
R - revision of plan
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What is the nursing process and what are the 5 steps? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
The nursing process is an assertive, problem-solving approach to the
| | | | | | | | | |
identification and treatment of client health problems. It provides a framework to
| | | | | | | | | | |
|organize the knowledge, judgments, and actions that nurses bring to client care.
| | | | | | | | | | | |
The steps: |
1) Assess |
2) Diagnose |
3) Plan |
4) Implement|
5) Evaluate |
What are Erikson's first 5 stages (childhood)? - CORRECT ANSWER✔✔-1) Trust vs.
| | | | | | | | | | | |
Mistrust
2) Autonomy vs. Shame/Doubt
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, 3) Initiative vs. Guilt
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4) Industry vs. Inferiority
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5) Identity vs. Role Confusion
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Describe Erikson's psychosocial development theory. - CORRECT ANSWER✔✔-
| | | | | | |
Erikson's psychosocial development theory describes key conflicts or core
| | | | | | | | |
problems that the individual strives to master during critical periods in
| | | | | | | | | | |
personality development. | |
- No core conflict is ever mastered completely but remains a current problem
| | | | | | | | | | | | |
throughout life. |
- There are 8 stages with the first 5 relating to childhood.
| | | | | | | | | | |
Describe Piaget's cognitive development theory. - CORRECT ANSWER✔✔-Piaget's
| | | | | | | |
cognitive development theory is concerned with HOW children learn to reason,
| | | | | | | | | | |
use language, and think rather than WHAT they learn.
| | | | | | | |
- Cognitive development occurs gradually, sequentially, and without regression.
| | | | | | | |
- Development moves from simple to complex, begins with concrete situations
| | | | | | | | | | |
and objects, and proceeds to abstraction.
| | | | |
During what age does a child go through the "trust vs. mistrust" stage? Briefly
| | | | | | | | | | | | | |
describe what happens during this stage. - CORRECT ANSWER✔✔-Infant birth to
| | | | | | | | | | |
18 months old.
| |
Answers
Why do nurses document? - CORRECT ANSWER✔✔-- Reflects the client's
| | | | | | | | | |
perspective.
- Communicates care to all health care providers.
| | | | | | |
- Demonstrates safe, effective and ethical care.
| | | | | |
- Demonstrates application of knowledge, skill, and judgment.
| | | | | | |
- Meet legislative requirements.
| | |
- Capture the nursing care you've provided.
| | | | | |
What are some of the different types of documentation? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-- Paper |
- Electronic
|
- Audio (dictation)
| |
- Visual (drawing)
| |
NOTE: Can be a combination of more than one type.
| | | | | | | | |
What are the three principles of documentation? - CORRECT ANSWER✔✔-1)
| | | | | | | | | |
Communication - nurses ensure that documentation presents an accurate, clear,
| | | | | | | | | |
and comprehensive picture of the client's needs, the nurse's interventions, and
| | | | | | | | | | |
the client's outcomes.
| |
,2) Accountability - nurses are accountable for ensuring their documentation of
| | | | | | | | | | |
client care is accurate, timely, and complete.
| | | | | | |
3) Security - nurses safeguard client health information by maintaining
| | | | | | | | | |
confidentiality and acting in accordance with info retention and destruction
| | | | | | | | | |
policies and procedures that are consistent with the standards and legislation.
| | | | | | | | | |
Describe the "assessment" step of the nursing process. - CORRECT ANSWER✔✔-
| | | | | | | | | |
Gathering, analysis, and synthesis of collected data through:
| | | | | | |
- Interview (health history; subjective data - symptoms)
| | | | | | |
- Physical assessment (observations/specific measurements; objective data -
| | | | | | | |
signs)
- Charts and medical records
| | | |
What is a SOAP note? Give an example of one. - CORRECT ANSWER✔✔-SOAP
| | | | | | | | | | | | |
notes provide subjective, objective, assessment , and planning information. For
| | | | | | | | | |
example:
S - "my tummy really hurts today"
| | | | | |
O - child curled up in bed crying and c/o pain when moved to assess abdominal
| | | | | | | | | | | | | | | |
wound; dressing saturated with purulent drainage; temp is 38.5C
| | | | | | | |
,A - at risk for wound infection
| | | | | |
P - notify surgeon, administer Tylenol, and monitor temp, reinforce dressing,
| | | | | | | | | | |
monitor pain |
NOTE: For SOAPIER notes, also include:
| | | | |
I - interventions implemented
| | |
E - evaluation of interventions
| | | |
R - revision of plan
| | | |
What is the nursing process and what are the 5 steps? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
The nursing process is an assertive, problem-solving approach to the
| | | | | | | | | |
identification and treatment of client health problems. It provides a framework to
| | | | | | | | | | |
|organize the knowledge, judgments, and actions that nurses bring to client care.
| | | | | | | | | | | |
The steps: |
1) Assess |
2) Diagnose |
3) Plan |
4) Implement|
5) Evaluate |
What are Erikson's first 5 stages (childhood)? - CORRECT ANSWER✔✔-1) Trust vs.
| | | | | | | | | | | |
Mistrust
2) Autonomy vs. Shame/Doubt
| | |
, 3) Initiative vs. Guilt
| | |
4) Industry vs. Inferiority
| | |
5) Identity vs. Role Confusion
| | | |
Describe Erikson's psychosocial development theory. - CORRECT ANSWER✔✔-
| | | | | | |
Erikson's psychosocial development theory describes key conflicts or core
| | | | | | | | |
problems that the individual strives to master during critical periods in
| | | | | | | | | | |
personality development. | |
- No core conflict is ever mastered completely but remains a current problem
| | | | | | | | | | | | |
throughout life. |
- There are 8 stages with the first 5 relating to childhood.
| | | | | | | | | | |
Describe Piaget's cognitive development theory. - CORRECT ANSWER✔✔-Piaget's
| | | | | | | |
cognitive development theory is concerned with HOW children learn to reason,
| | | | | | | | | | |
use language, and think rather than WHAT they learn.
| | | | | | | |
- Cognitive development occurs gradually, sequentially, and without regression.
| | | | | | | |
- Development moves from simple to complex, begins with concrete situations
| | | | | | | | | | |
and objects, and proceeds to abstraction.
| | | | |
During what age does a child go through the "trust vs. mistrust" stage? Briefly
| | | | | | | | | | | | | |
describe what happens during this stage. - CORRECT ANSWER✔✔-Infant birth to
| | | | | | | | | | |
18 months old.
| |
