QUESTIONS WITH WELL DETAILED CORRECT ANSWERS|GRADED
Admission tasks immediate task - ANSWER vital signs, orient patient family to room,
communication seeing hearing primary language, belongings, devices, cultural needs
Admission tasks assessments - ANSWER fall risk screening morse, and skin assessment
Morse fall scale - ANSWER Six-item fall risk assessment tool, widely used nationally and
internationally since the late 1980s in acute care and long-term care settings
Transfer nurses responsibilities - ANSWER make sure check the order, keep patient and
family updated inform them of what's going on, notify the receiving unit, have your UAP
help gather patient belongings, SBAR when giving report, document
Discharges - ANSWER verify the order, must have an order, help the patient with
transportation by notifying the person picking them up, be thorough with your DC
instructions make sure the patient understand, document
Leaving AMA against medical advice - ANSWER nurse should watch for signs that patient
is frustrated update provider may need to remove devices (IV or foley) attempt to get
signature, cannot hold patient, if patient won't sign to nurses' signatures will work
Healthy people 2030 - ANSWER promoting healthy behaviors, protecting health, ensuring
access to high quality health care strengthening community health promotion programs
Domains of education - ANSWER cognitive learning, psychomotor learning, and affective
learning
1
,Cognitive learning - ANSWER increases the client's knowledge it is provided by lecture,
written material and discussion assess for learning by asking client questions
Psychomotor learning - ANSWER learning to handle equipment or perform new skills
usually demonstrated to client assess for learning by asking for a return demonstration
Affective learning - ANSWER education to change attitudes and feelings about situation
provided by stating positive outcomes for a behavior the client sees as a burdern assessing
this is not always an immediate option as changing attitudes often takes time and proof
Adherence - ANSWER extent to which a person's behaviors follow the instruction for
treatment from a health care provider, scope of adherence goes total to nonadherence
Health Belief Model - ANSWER perceived susceptibility, perceived severity, perceived
benefits, perceived barriers, cues to action, self-efficacy
Perceived Susceptibility - ANSWER potential negative on health
Perceived benefits - ANSWER potential positive outcomes
Percieved severity - ANSWER will this disrupt my life how serious is this
Perceived Barriers - ANSWER potential positive outcomes
Evidence based practice - ANSWER best current, research evidence, clinical expertise,
purposes to improve patient outcomes, standardize care, reduce errors and costs
2
,Nursing role in research - ANSWER participate in data collection apply research findings
to practice identify clinical questions, collaborate in research teams advocate for evidence-
based changes
STEEP principles - ANSWER Safe
Timely
Effective
Efficient
Equitable
Patient-centered
SOAPIER format - ANSWER subjective what the patient says, objective what you observe,
assessment your clinical judgement, plan what youll do, intervention actions taken,
evaluation patient response, revision changes to the plan
Charting by exception (CBE) - ANSWER only document deviations from norms, use flow
sheets for routine care, saves time but requires clear standards
ISBAR - ANSWER Introduction
Situation
Background
Assessment
Recommendation
Prilosec and protonix - ANSWER Proton pump inhibitors (ppis) • Indicated for GERD/Acid
reflux • Prilosec is sold OTC • Protonix requires a prescription • Both decrease the amount of
acid produced in stomach
What do we want to do with chain of infection? - ANSWER break it, wash hands
3
, How does HAI spread - ANSWER not hand washing, equipment
What PPE is worn for what isolation - ANSWER Contact - gloves, gown
Droplet - mask, gloves, gown
Standard precautions - gloves
What infections do we put in Contact isolation - ANSWER VRE, MRSA, C-Diff (with hand
washing)
What kind of precautions for Airborne - ANSWER N-95, Hood
What are the rules for restraints - ANSWER check circulation every 30min
Release every 2 hours
Must have doctors order first
New Doctors order every 24 hours
What is best way to help with anxiety - ANSWER sit with patient, listen, use therapeutic
communication
What is HIPPA, how is it broken - ANSWER -protects patients information
Broken - posting on social media, looking up someone not your patient, keeping computer
open
Who is at risk for HAI - ANSWER elderly, immune compromised, low economical, children
What problems come from being immobile - ANSWER weight loss, pressure sores,
pneumonia
4
Admission tasks immediate task - ANSWER vital signs, orient patient family to room,
communication seeing hearing primary language, belongings, devices, cultural needs
Admission tasks assessments - ANSWER fall risk screening morse, and skin assessment
Morse fall scale - ANSWER Six-item fall risk assessment tool, widely used nationally and
internationally since the late 1980s in acute care and long-term care settings
Transfer nurses responsibilities - ANSWER make sure check the order, keep patient and
family updated inform them of what's going on, notify the receiving unit, have your UAP
help gather patient belongings, SBAR when giving report, document
Discharges - ANSWER verify the order, must have an order, help the patient with
transportation by notifying the person picking them up, be thorough with your DC
instructions make sure the patient understand, document
Leaving AMA against medical advice - ANSWER nurse should watch for signs that patient
is frustrated update provider may need to remove devices (IV or foley) attempt to get
signature, cannot hold patient, if patient won't sign to nurses' signatures will work
Healthy people 2030 - ANSWER promoting healthy behaviors, protecting health, ensuring
access to high quality health care strengthening community health promotion programs
Domains of education - ANSWER cognitive learning, psychomotor learning, and affective
learning
1
,Cognitive learning - ANSWER increases the client's knowledge it is provided by lecture,
written material and discussion assess for learning by asking client questions
Psychomotor learning - ANSWER learning to handle equipment or perform new skills
usually demonstrated to client assess for learning by asking for a return demonstration
Affective learning - ANSWER education to change attitudes and feelings about situation
provided by stating positive outcomes for a behavior the client sees as a burdern assessing
this is not always an immediate option as changing attitudes often takes time and proof
Adherence - ANSWER extent to which a person's behaviors follow the instruction for
treatment from a health care provider, scope of adherence goes total to nonadherence
Health Belief Model - ANSWER perceived susceptibility, perceived severity, perceived
benefits, perceived barriers, cues to action, self-efficacy
Perceived Susceptibility - ANSWER potential negative on health
Perceived benefits - ANSWER potential positive outcomes
Percieved severity - ANSWER will this disrupt my life how serious is this
Perceived Barriers - ANSWER potential positive outcomes
Evidence based practice - ANSWER best current, research evidence, clinical expertise,
purposes to improve patient outcomes, standardize care, reduce errors and costs
2
,Nursing role in research - ANSWER participate in data collection apply research findings
to practice identify clinical questions, collaborate in research teams advocate for evidence-
based changes
STEEP principles - ANSWER Safe
Timely
Effective
Efficient
Equitable
Patient-centered
SOAPIER format - ANSWER subjective what the patient says, objective what you observe,
assessment your clinical judgement, plan what youll do, intervention actions taken,
evaluation patient response, revision changes to the plan
Charting by exception (CBE) - ANSWER only document deviations from norms, use flow
sheets for routine care, saves time but requires clear standards
ISBAR - ANSWER Introduction
Situation
Background
Assessment
Recommendation
Prilosec and protonix - ANSWER Proton pump inhibitors (ppis) • Indicated for GERD/Acid
reflux • Prilosec is sold OTC • Protonix requires a prescription • Both decrease the amount of
acid produced in stomach
What do we want to do with chain of infection? - ANSWER break it, wash hands
3
, How does HAI spread - ANSWER not hand washing, equipment
What PPE is worn for what isolation - ANSWER Contact - gloves, gown
Droplet - mask, gloves, gown
Standard precautions - gloves
What infections do we put in Contact isolation - ANSWER VRE, MRSA, C-Diff (with hand
washing)
What kind of precautions for Airborne - ANSWER N-95, Hood
What are the rules for restraints - ANSWER check circulation every 30min
Release every 2 hours
Must have doctors order first
New Doctors order every 24 hours
What is best way to help with anxiety - ANSWER sit with patient, listen, use therapeutic
communication
What is HIPPA, how is it broken - ANSWER -protects patients information
Broken - posting on social media, looking up someone not your patient, keeping computer
open
Who is at risk for HAI - ANSWER elderly, immune compromised, low economical, children
What problems come from being immobile - ANSWER weight loss, pressure sores,
pneumonia
4
