NFDN 1002 UNIT 1 – 4 Practice Questions and Answers

NFDN 1002 UNIT 1 – 4 Practice Questions and Answers Nursing metaparadigm (CHENS) - Correct Answer ️️ -- client & person - health - environment - nursing - social justice Client & Person - Correct Answer ️️ -- includes sickness & wellness - Interactive relationship between nurse - includes biological, psychological, social & spiritual dimensions health - Correct Answer ️️ -- ideal state optimal health or total wellbeing - overall health can be affected by psychosocial/spiritual challenges environment - Correct Answer ️️ -- internal & external environments nursing - Correct Answer ️️ -- nursing process - view of client linked with person's environment, life, health goals Social Justice - Correct Answer ️️ -- focuses on position of social advantage of 1 individual or social group in relation to other in society - focus on root cause of inequities and how to solve - addresses: human rights, equity, democracy , civil rights, capacity building, just institutions, poverty reduction, ethical practices, advocacy etc. Nursing Process - Correct Answer ️️ -- problem solving method - goal is to promote health & prevent further patient problems clients in continuing care: nursing assessments - Correct Answer ️️ -includes: - individual with cognitive challenges/impairments - sensory deficits - chronic disease - co-morbidities communication challenges - Correct Answer ️️ -- pt with speaking challenges - unresponsive/dying pt - cognitive challenges - vision challenges - hearing challenges - linguistic challenges, language barrier - wrong information - poor documentation - failure to read the pt's medical record how to resolve communication challenges - Correct Answer ️️ -- asking pt yes or no question - making sure the pt is involved - ask pt to write the answer to the question - ask pt to bring medication for assessment - educate family so they can make a better choice so they are more involve - use simple words - don't give false reassurance - speak verbally - have a medical interpreter to explain what is going to happen Documentation: Confidentiality - Correct Answer ️️ -- do not look in other pt's chart if you are not assign to them - do not leave pt's chart everywhere - do not talk about the pt outside of work Confidentiality - Correct Answer ️️ -- legal, ethical obligation - only discuss its materials with pt information to be destroyed @ the end of shift confidentiality: Students - Correct Answer ️️ -- ensure permission to view charts - provide identification - ensure no identifying information is out of the facility - appropriate disposal of documents if not part of the pt's health record Personal Information Protection & Electronic Documents Act - Correct Answer ️️ -- security systems in place - physical security - handling & disposing of information Documentation - Correct Answer ️️ -Purpose: - any written or electronically generated information which provides proof of health care provided - paper documents, electronic medical records, faxes, e-mails, audio or visual tapes & images - Assessment data - Reassessments - Nursing analysis, patient needs, educational priorities - Support for goals - Interventions planned - Continuity of care - Response & outcomes of care - Ability of patient & family to manage after discharge Guidelines for Documentation: Electronic & Written - Correct Answer ️️ -- don't document retaliatory or critical comments about a pt - correct all erros promptly - record all facts - document as close as possible to the time of event - DOCUMENT ONLY FOR YOURSELF (not on emergency, someone will do the recording) - if questionable order, record that clarification was sought (doctor prescribing medication that is hard to read) - avoid generalizations "Status unchanged", "had a good day" - avoid pre-charting (charting before doing it) - start each entry with date & time Guidelines for documentation: Written - Correct Answer ️️ -- Do not erase/apply correction ink/scratch out errors - Do not leave blank spaces or lines - Record all entries legibly CLPNA - SLIME method - SL - Single line - I- Initial - M - Mistake - E - Entry purpose of records - Correct Answer ️️ -education - patterns of information communication & care planning - clear for anyone who reads it legal documentation - best defence is accurate documentation funding/resource management - how money utilized research - statistical data collection auditing & monitoring quality control record keeping forms - Correct Answer ️️ -Admission nursing history - Guides assessment Flow sheets/graphic records - Quick easy reference Client care summary/ kardex - Quick reference of all that is involved with care for the client. Workload measurement systems - Hours of care, level of staff require