NUR 112 FINAL EXAM REVIEW WITH CORRECT
ANSWERS
1.) Gown
2.) Mask
3.) Goggles / face shield
4.) Gloves - ANSWER-Donning PPE order:
1.) Gloves
2.) Goggles / face shield
3.) Gown
4.) Mask - ANSWER-Doffing PPE:
*P*ull pin
*A*im nozzle
*S*queeze handle
*S*weep towards base of fire - ANSWER-What is the correct sequence for
using a fire extinguisher?
RACE:
*R*escue and remove clients in immediate danger
*A*ctivate alarm
*C*ontain fire
*E*xtinguish fire - ANSWER-What do you do if a fire occurs?
,Assault - ANSWER-- An *intentional threat* toward another person that
places them in *reasonable fear of harmful, imminent, or unwelcome
contact*.
- *NO actual contact is necessary*
- Ex: A threat to tie a patient or to give an injection to quiet a patient when
they have refused consent.
Battery - ANSWER-- *Intentional offensive touching without consent or lawful
jurisdiction*.
- May be harmful or merely offensive to the client (giving the injection or
tying the client)
Negligence - ANSWER-Conduct that *deviates from what a reasonable
person would do in a particular circumstance*.
- *Client must be owed a duty*
- *Breach of that duty*
- *Element of foreseeability*
- *Injury must have resulted as a direct result of breach of duty- causation* -
ANSWER-Unintentional tort, *4 elements necessary for malpractice*:
- *Witnessing a patient's signature*
- Validating that the consent is *voluntary, that risks, benefits, & alternatives
& right to refuse the procedure were discussed with the patient by the
health care provider*.
- * The patient should be competent*
- Informed consent is *accurately & appropriately filled out with date, time,
& appropriate signatures* - On the patient's chart before transporting the
patient to the procedure area.
,- If pt *refuses procedure then obtain written, signed, and witnessed
documentation of refusal*. - ANSWER-*Nurse's role in informed consent is
limited to*:
- *Diagnosis or condition that requires treatment*
- *Purpose* of treatment
- What the client can *expect to feel or experience*
- *Intended benefits*
- *Possible risks or negative outcomes*
- *Advantages/disadvantages of possible alternatives* (including no
treatment) - ANSWER-*Informed consent indicates that the client has
received the following info*:
*Grey Turner's or Cullen's Sign* - ANSWER-Indicates peritoneal hemorrhage /
intra-abdominal bleeding. Mark it to determine borders.
Florence Nightingale (1820-1910) - ANSWER-"Lady with the Lamp"; wrote
Notes on Nursing: What It Is, and What it is Not. Was a nurse during the
*Crimean War*.
Clara Barton (1812-1912) - ANSWER-Organized nursing services during the
American Civil War; established the American Red Cross.
Linda Richards (1841-1926) - ANSWER-Introduced nurse's notes & doctor's
orders; initiated the practice of wearing uniforms.
Lillian Wald (1867-1940) - ANSWER-The founder of public health nursing;
established the Henry Street Settlement.
, *Case Method (Total Care)* - ANSWER-One-to-one care; one nurse provides
all aspects of care for one patient during a single shift.
*Advantages*: The nurse and patient work closely together, patients needs
are readily met, nurses have greater autonomy.
*Disadvantages*: High costs
*Uses*: Intensive care, L&D, private duty care
*Functional Nursing* - ANSWER-- Task-oriented approach to care delivery.
- Implemented when inadequate staff
- Head nurse delegates task to team members who complete specific tasks
rather than caring for specific clients.
- Example: One nurse administers medication & changes dressings while
another monitors orders & communicates with physicians.
- Unlicensed assistive personnel (UAP)—Critical component; provide basic
care (feeding, bathing, etc)
- *Advantage*: Cost effective
- *Disadvantage*: Care may be fragmented
*Team Nursing* - ANSWER-The RN leads a team composed of other RNs,
LPNs/LVNs, and nursing assistant personnel or technicians. The team
members provide care to patients under supervision of the RN. Hierarchal
communication.
*Advantage: Collaborative* style encourages each member of the team to
help the other members.
*Disadvantages*: Lack of continuity of care, may see an RN infrequently,
*team leader does not spend enough time with patient*. Ineffective if team
leader has poor leadership skills.
ANSWERS
1.) Gown
2.) Mask
3.) Goggles / face shield
4.) Gloves - ANSWER-Donning PPE order:
1.) Gloves
2.) Goggles / face shield
3.) Gown
4.) Mask - ANSWER-Doffing PPE:
*P*ull pin
*A*im nozzle
*S*queeze handle
*S*weep towards base of fire - ANSWER-What is the correct sequence for
using a fire extinguisher?
RACE:
*R*escue and remove clients in immediate danger
*A*ctivate alarm
*C*ontain fire
*E*xtinguish fire - ANSWER-What do you do if a fire occurs?
,Assault - ANSWER-- An *intentional threat* toward another person that
places them in *reasonable fear of harmful, imminent, or unwelcome
contact*.
- *NO actual contact is necessary*
- Ex: A threat to tie a patient or to give an injection to quiet a patient when
they have refused consent.
Battery - ANSWER-- *Intentional offensive touching without consent or lawful
jurisdiction*.
- May be harmful or merely offensive to the client (giving the injection or
tying the client)
Negligence - ANSWER-Conduct that *deviates from what a reasonable
person would do in a particular circumstance*.
- *Client must be owed a duty*
- *Breach of that duty*
- *Element of foreseeability*
- *Injury must have resulted as a direct result of breach of duty- causation* -
ANSWER-Unintentional tort, *4 elements necessary for malpractice*:
- *Witnessing a patient's signature*
- Validating that the consent is *voluntary, that risks, benefits, & alternatives
& right to refuse the procedure were discussed with the patient by the
health care provider*.
- * The patient should be competent*
- Informed consent is *accurately & appropriately filled out with date, time,
& appropriate signatures* - On the patient's chart before transporting the
patient to the procedure area.
,- If pt *refuses procedure then obtain written, signed, and witnessed
documentation of refusal*. - ANSWER-*Nurse's role in informed consent is
limited to*:
- *Diagnosis or condition that requires treatment*
- *Purpose* of treatment
- What the client can *expect to feel or experience*
- *Intended benefits*
- *Possible risks or negative outcomes*
- *Advantages/disadvantages of possible alternatives* (including no
treatment) - ANSWER-*Informed consent indicates that the client has
received the following info*:
*Grey Turner's or Cullen's Sign* - ANSWER-Indicates peritoneal hemorrhage /
intra-abdominal bleeding. Mark it to determine borders.
Florence Nightingale (1820-1910) - ANSWER-"Lady with the Lamp"; wrote
Notes on Nursing: What It Is, and What it is Not. Was a nurse during the
*Crimean War*.
Clara Barton (1812-1912) - ANSWER-Organized nursing services during the
American Civil War; established the American Red Cross.
Linda Richards (1841-1926) - ANSWER-Introduced nurse's notes & doctor's
orders; initiated the practice of wearing uniforms.
Lillian Wald (1867-1940) - ANSWER-The founder of public health nursing;
established the Henry Street Settlement.
, *Case Method (Total Care)* - ANSWER-One-to-one care; one nurse provides
all aspects of care for one patient during a single shift.
*Advantages*: The nurse and patient work closely together, patients needs
are readily met, nurses have greater autonomy.
*Disadvantages*: High costs
*Uses*: Intensive care, L&D, private duty care
*Functional Nursing* - ANSWER-- Task-oriented approach to care delivery.
- Implemented when inadequate staff
- Head nurse delegates task to team members who complete specific tasks
rather than caring for specific clients.
- Example: One nurse administers medication & changes dressings while
another monitors orders & communicates with physicians.
- Unlicensed assistive personnel (UAP)—Critical component; provide basic
care (feeding, bathing, etc)
- *Advantage*: Cost effective
- *Disadvantage*: Care may be fragmented
*Team Nursing* - ANSWER-The RN leads a team composed of other RNs,
LPNs/LVNs, and nursing assistant personnel or technicians. The team
members provide care to patients under supervision of the RN. Hierarchal
communication.
*Advantage: Collaborative* style encourages each member of the team to
help the other members.
*Disadvantages*: Lack of continuity of care, may see an RN infrequently,
*team leader does not spend enough time with patient*. Ineffective if team
leader has poor leadership skills.
