NURX104 ESSENTIALS OF NURSING
CARE: HEALTH SAFETY WITH ALL
NEEDED TO PASS
Nursing kprocess, kDocumentation, kReporting
During kthe kimplementation kof ka kpatient kcare kplan, kan kRN kneeds kto kconsider
kwhich kof kthe kfollowing kactions?
(Select kall kthat kapply.)
kDirecting kcare kto kother kpersonnel
kProviding kappropriate kpatient kteaching kas kneeded
kProviding kdirect kpatient kcare kaccording kto kthe kplan
kFocusing kon ktraditional khealth kcare kpractices
kImplementing kthe kplan kin ka ksafe, ktimely kfashion kwith kthe kpatient konly k-
kcorrect kanswers k-*1) kImplementation kof kthe kcare kplan kinvolves kdirecting kthe
kcare kof kother kpersonnel.
,*2) kPatient kteaching kis ka kcomponent kof kcare kplan kimplementation.
*3) kThe kRN kis kresponsible kfor kdirect kcare kof kthe kpatient kduring
kimplementation.
4) kThe kRN kincorporates ktraditional kand kcomplementary khealth kpractices kas
kappropriate.
5) kThe kRN kpartners kwith kthe kfamily, ksignificant kothers, kand kcaregivers kas kwell
kas kwith kthe kpatient.
Nursing kprocess, kDocumentation, kReporting
According kto kthe kANA kStandards kof kPractice, kin kwhich kphase kof kthe knursing
kprocess kdoes kthe kRN kdetermine kpatient-centered kgoals kand kthe kways kto
kachieve kthem?
kAnalysis
kAssessment
kEvaluation
kPlanning k- kcorrect kanswers k-1) kAnalysis kis ksynthesizing kdata kto kidentify kthe
kpatient's kactual kor kpotential khealth kproblems k(nursing kdiagnosis).
2) kAssessment kis kgathering kand korganizing kdata kin krelation kto kthe kpatient's
khealth kstatus.
3) kEvaluation kis kassessing kthe kpatient's kresponse kto knursing kcare, kincluding
kprogress ktoward kthe kexpected koutcome k(patient-centered kgoal).
*4) kPlanning kis kdetermining kthe kexpected koutcomes k(patient-centered kgoals)
kand kformulating kspecific kstrategies kto kachieve kthe kexpected koutcomes.
Nursing kprocess, kDocumentation, kReporting
The kANA kStandards kof kPractice kstate kthat kthe kevaluation kphase kof kthe
knursing kprocess kinvolves kwhich knursing kactivity?
kAsking kpatients kfor kfeedback kabout ktheir khospital kstay
kDetermining kachievement kof kexpected koutcomes
kDocumenting kcare kgiven kto kthe kpatient
kSupervising kNAP kactivities k- kcorrect kanswers k-1) kAsking kthe kpatient kfor
kfeedback kis knot kan kapplication kof kthe knursing kprocess.
*2) kEvaluation kis kassessing kthe kpatient's kresponse kto knursing kcare, kincluding
kprogress ktoward kthe kexpected koutcome k(patient-centered kgoal).
,3) kDocumenting kcare kis kan kongoing ktask kof kthe kassessment kphase kof kthe
knursing kprocess.
4) kAssigning kand ksupervising kpatient kcare kto kother kmembers kof kthe khealth
kcare kteam kis kpart kof kthe kplanning kphase.
Nursing kprocess, kDocumentation, kReporting
Posting kpictures kor kdescriptions kof kpatient kinformation kon ksocial kmedia
krepresents ka ksignificant krisk kto kthe kRN kbecause kof kwhich klegal kviolation?
kFederal kprivacy klaws
kPersonal kprivacy klaws
kNursing kethics
kStandards kof kpractice k- kcorrect kanswers k-*1) kFederal kprivacy klaws kare
kviolated kunder kthe kHealth kInsurance kPortability kand kAccountability kAct.
2) kSee k1).
3) kSee k1).
4) kSee k1).
Nursing kprocess, kDocumentation, kReporting
An kRN kis kinstructing ka kstudent kon kthe kprocess kof kdeveloping ka kcare kplan
kfor ka kpatient. kWhich kstatement kby kthe kstudent kindicates kto kthe kRN kthat
kfurther kinstruction kis kneeded kon kwriting koutcomes kbased kon kANA kStandards
kof kNursing kPractice?
k"I kneed kto kbase koutcomes kon kmy kpatient's kacuity klevel."
k"I kshould kconsider kthe kpatient's kethical, kcultural, kand kspiritual kvalues."
k"I kshould kinvolve kthe kpatient, kfamily, kand khealth kcare kproviders."
k"I kneed kto kinclude ka ktime kestimate kfor kattainment kof kexpected koutcomes." k-
kcorrect kanswers k-*1) kThe kanswer kis kincorrect, ksince kthe kpatient's kacuity kis
knot krelated kto kgoals kdeveloped kis ka kcare kplan.
2) kSee k1).
3) kSee k1).
4) kSee k1).
Nursing kprocess, kDocumentation, kReporting
, An kRN kteaches ka kpatient kwho kis kdiabetic khow kto kassess kthe kskin kon kthe
kbottom kof kthe kfeet kfor kopen kwounds, kusing ka klighted kmirror. kWhich kelement
kof knursing kinformatics khas kthe kRN kused kwith kthis kintervention?
kData
kInformation
kKnowledge
kWisdom k- kcorrect kanswers k-1) kThe kdata kelement kwould kbe kthat kthe kskin kis
keither kintact kor kbroken.
2) kThe kinformation kelement kwould kbe kthat kthis kpatient khas kdiabetes.
3) kThe kknowledge kelement kwould kbe kthat kdiabetic kpatients kare kat krisk kfor
kskin kulcerations kof kthe ksoles kof kthe kfeet.
*4) kThe kwisdom kelement kuses kknowledge kto kmanage ka kproblem. kThe kpatient
kneeds kto klearn kto kassess kthe kunderside kof kthe kfeet kfor kskin kulcerations. kThe
kRN kcombines kthis kunderstanding kwith ka ksolution kfor khow kthe kpatient kcan
kassess kthe ksoles kof kthe kfeet kfor kdiabetic kulcers.
Nursing kprocess, kDocumentation, kReporting
The kRN kshould kgive kpriority kto kwhich knursing kdiagnosis kstatement?
kIneffective kBreathing kPattern krelated kto kupper kabdominal kpain
kFatigue krelated kto kimmobility
kAltered kNutrition: kLess kThan kBody kRequirements krelated kto kpersistent knausea
kand kvomiting
kDeficient kFluid kVolume krelated kto kfever kand kdiaphoresis k- kcorrect kanswers k-
*1) kIneffective kbreathing kpattern kis ka klife-threatening ksituation kthat krequires
kpriority. kMaslow's khierarchy kof kneeds kindicates kthat koxygenation kis kthe kmost
kbasic kand kimmediate kneed kfor ksurvival.
2) kIt kwould kbe kimportant kto kaddress kfatigue, kbut kit kis kmuch klower kin
kMaslow's khierarchy kof kneeds.
3) kNutrition kis kan kimportant kbasic kneed, kbut kit kis knot kas kcritical kas
koxygenation.
4) kAlthough kdeficient kfluid kvolume kmay kbe kan kurgent kproblem, ka kbreathing
kimpairment kis kmore klife kthreatening.
Nursing kprocess, kDocumentation, kReporting
Place kthe ksources kof kevidence-based kpractices k(EBP) kin korder kfrom kstrongest
kto kweakest kevidence.
CARE: HEALTH SAFETY WITH ALL
NEEDED TO PASS
Nursing kprocess, kDocumentation, kReporting
During kthe kimplementation kof ka kpatient kcare kplan, kan kRN kneeds kto kconsider
kwhich kof kthe kfollowing kactions?
(Select kall kthat kapply.)
kDirecting kcare kto kother kpersonnel
kProviding kappropriate kpatient kteaching kas kneeded
kProviding kdirect kpatient kcare kaccording kto kthe kplan
kFocusing kon ktraditional khealth kcare kpractices
kImplementing kthe kplan kin ka ksafe, ktimely kfashion kwith kthe kpatient konly k-
kcorrect kanswers k-*1) kImplementation kof kthe kcare kplan kinvolves kdirecting kthe
kcare kof kother kpersonnel.
,*2) kPatient kteaching kis ka kcomponent kof kcare kplan kimplementation.
*3) kThe kRN kis kresponsible kfor kdirect kcare kof kthe kpatient kduring
kimplementation.
4) kThe kRN kincorporates ktraditional kand kcomplementary khealth kpractices kas
kappropriate.
5) kThe kRN kpartners kwith kthe kfamily, ksignificant kothers, kand kcaregivers kas kwell
kas kwith kthe kpatient.
Nursing kprocess, kDocumentation, kReporting
According kto kthe kANA kStandards kof kPractice, kin kwhich kphase kof kthe knursing
kprocess kdoes kthe kRN kdetermine kpatient-centered kgoals kand kthe kways kto
kachieve kthem?
kAnalysis
kAssessment
kEvaluation
kPlanning k- kcorrect kanswers k-1) kAnalysis kis ksynthesizing kdata kto kidentify kthe
kpatient's kactual kor kpotential khealth kproblems k(nursing kdiagnosis).
2) kAssessment kis kgathering kand korganizing kdata kin krelation kto kthe kpatient's
khealth kstatus.
3) kEvaluation kis kassessing kthe kpatient's kresponse kto knursing kcare, kincluding
kprogress ktoward kthe kexpected koutcome k(patient-centered kgoal).
*4) kPlanning kis kdetermining kthe kexpected koutcomes k(patient-centered kgoals)
kand kformulating kspecific kstrategies kto kachieve kthe kexpected koutcomes.
Nursing kprocess, kDocumentation, kReporting
The kANA kStandards kof kPractice kstate kthat kthe kevaluation kphase kof kthe
knursing kprocess kinvolves kwhich knursing kactivity?
kAsking kpatients kfor kfeedback kabout ktheir khospital kstay
kDetermining kachievement kof kexpected koutcomes
kDocumenting kcare kgiven kto kthe kpatient
kSupervising kNAP kactivities k- kcorrect kanswers k-1) kAsking kthe kpatient kfor
kfeedback kis knot kan kapplication kof kthe knursing kprocess.
*2) kEvaluation kis kassessing kthe kpatient's kresponse kto knursing kcare, kincluding
kprogress ktoward kthe kexpected koutcome k(patient-centered kgoal).
,3) kDocumenting kcare kis kan kongoing ktask kof kthe kassessment kphase kof kthe
knursing kprocess.
4) kAssigning kand ksupervising kpatient kcare kto kother kmembers kof kthe khealth
kcare kteam kis kpart kof kthe kplanning kphase.
Nursing kprocess, kDocumentation, kReporting
Posting kpictures kor kdescriptions kof kpatient kinformation kon ksocial kmedia
krepresents ka ksignificant krisk kto kthe kRN kbecause kof kwhich klegal kviolation?
kFederal kprivacy klaws
kPersonal kprivacy klaws
kNursing kethics
kStandards kof kpractice k- kcorrect kanswers k-*1) kFederal kprivacy klaws kare
kviolated kunder kthe kHealth kInsurance kPortability kand kAccountability kAct.
2) kSee k1).
3) kSee k1).
4) kSee k1).
Nursing kprocess, kDocumentation, kReporting
An kRN kis kinstructing ka kstudent kon kthe kprocess kof kdeveloping ka kcare kplan
kfor ka kpatient. kWhich kstatement kby kthe kstudent kindicates kto kthe kRN kthat
kfurther kinstruction kis kneeded kon kwriting koutcomes kbased kon kANA kStandards
kof kNursing kPractice?
k"I kneed kto kbase koutcomes kon kmy kpatient's kacuity klevel."
k"I kshould kconsider kthe kpatient's kethical, kcultural, kand kspiritual kvalues."
k"I kshould kinvolve kthe kpatient, kfamily, kand khealth kcare kproviders."
k"I kneed kto kinclude ka ktime kestimate kfor kattainment kof kexpected koutcomes." k-
kcorrect kanswers k-*1) kThe kanswer kis kincorrect, ksince kthe kpatient's kacuity kis
knot krelated kto kgoals kdeveloped kis ka kcare kplan.
2) kSee k1).
3) kSee k1).
4) kSee k1).
Nursing kprocess, kDocumentation, kReporting
, An kRN kteaches ka kpatient kwho kis kdiabetic khow kto kassess kthe kskin kon kthe
kbottom kof kthe kfeet kfor kopen kwounds, kusing ka klighted kmirror. kWhich kelement
kof knursing kinformatics khas kthe kRN kused kwith kthis kintervention?
kData
kInformation
kKnowledge
kWisdom k- kcorrect kanswers k-1) kThe kdata kelement kwould kbe kthat kthe kskin kis
keither kintact kor kbroken.
2) kThe kinformation kelement kwould kbe kthat kthis kpatient khas kdiabetes.
3) kThe kknowledge kelement kwould kbe kthat kdiabetic kpatients kare kat krisk kfor
kskin kulcerations kof kthe ksoles kof kthe kfeet.
*4) kThe kwisdom kelement kuses kknowledge kto kmanage ka kproblem. kThe kpatient
kneeds kto klearn kto kassess kthe kunderside kof kthe kfeet kfor kskin kulcerations. kThe
kRN kcombines kthis kunderstanding kwith ka ksolution kfor khow kthe kpatient kcan
kassess kthe ksoles kof kthe kfeet kfor kdiabetic kulcers.
Nursing kprocess, kDocumentation, kReporting
The kRN kshould kgive kpriority kto kwhich knursing kdiagnosis kstatement?
kIneffective kBreathing kPattern krelated kto kupper kabdominal kpain
kFatigue krelated kto kimmobility
kAltered kNutrition: kLess kThan kBody kRequirements krelated kto kpersistent knausea
kand kvomiting
kDeficient kFluid kVolume krelated kto kfever kand kdiaphoresis k- kcorrect kanswers k-
*1) kIneffective kbreathing kpattern kis ka klife-threatening ksituation kthat krequires
kpriority. kMaslow's khierarchy kof kneeds kindicates kthat koxygenation kis kthe kmost
kbasic kand kimmediate kneed kfor ksurvival.
2) kIt kwould kbe kimportant kto kaddress kfatigue, kbut kit kis kmuch klower kin
kMaslow's khierarchy kof kneeds.
3) kNutrition kis kan kimportant kbasic kneed, kbut kit kis knot kas kcritical kas
koxygenation.
4) kAlthough kdeficient kfluid kvolume kmay kbe kan kurgent kproblem, ka kbreathing
kimpairment kis kmore klife kthreatening.
Nursing kprocess, kDocumentation, kReporting
Place kthe ksources kof kevidence-based kpractices k(EBP) kin korder kfrom kstrongest
kto kweakest kevidence.
