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1. The documentation format that a nurse Plan of care
should use to communicate the stratagies
identified to address the patients needs
2. Is heparin 500 units subq now a proper Yes
order?
3. Enhanced interprofessional communica- Electronic medical record
tion, reduction in medication errors and
trending data is some benefits of what?
4. Why do we teach theories Theories offer framework that
give shape to the scope of
nursing care and practice
5. Better access to info, enhanced quality Clinical information system
of documentation through prompts, de- (CIS)/Bedside charting
creased errors of omission, improved job
satisfaction and adherence to regulatory
agencys requirements
6. The best clinical decisions are made by Critical thinking and nursing
applying the components of process
7. The nursing process is dynamic, continu- Critical thinking skills
ous, and uses
8. Assessment is the E
A. Set priorities, use teamwork and collab-
oration, *work with clients to identify goals
and outcomes*
B. Health promotions, developmental in-
terventions, general preventive measures,
acute an restorative care, therapeutic in-
tervention. Initiation and completion of the
nursing care plan as defined by the nursing
diagnoses and outcome criteria
, NURS136 Exam 1
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C. Ongoing part of the nursing diagno-
sis, determining the status of goals and
outcomes of care, monitoring the patients
response to drug therapy with expected
and unexpected responses and clear doc-
umentation
D. Decision about the need/problem of the
patient (actual or at risk) Nurses identify
patterns or trend, use critical thinking, and
data collection
E. Systematic collection of health status
information that is objective and subjective
including medication reconciliation
9. Diagnosis/Data analysis D
A. Set priorities, use teamwork and collab- Nurses identify patterns or
oration, *work with clients to identify goals trend, use critical thinking, and
and outcomes* compare data with expected
ranges
B. Health promotions, developmental in-
terventions, general preventive measures,
acute an restorative care, therapeutic inter-
vention
C. Evaluate outcomes and see if patients
expectations are met, monitor care, contin-
ue assess needs, have clients met goals
and expected outcomes, done continuous-
ly
D. A clinical judgment made by a registered
nurse to describe a patients response or
vulnerability to a health problem or life
event. Nurses identify patterns or trend,
use critical thinking, and compare data
with expected ranges
, NURS136 Exam 1
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E. Systematic collection of health status
information that is objective and subjective
10. Medical diagnosis is the identification of a A clinical judgment to describe
disease condition based, while a nursing a patient's response or vulner-
diagnosis is ability to health problems or life
events
11. What are some examples of a nursing diag- p/t at risk for pressure ulcer, p/t
nosis is incontinent, risk of injury, im-
paired cognition, lack of knowl-
edge, risk for poisoning
12. Planning A
A. Set priorities, use teamwork and collab-
oration, *work with clients to identify goals
and outcomes*
B. Health promotions, developmental in-
terventions, general preventive measures,
acute an restorative care, therapeutic inter-
vention
C. Evaluate outcomes and see if patients
expectations are met, monitor care, contin-
ue assess needs, have clients met goals
and expected outcomes, done continuous-
ly
D. A clinical judgment made by a registered
nurse to describe a patients response or
vulnerability to a health problem or life
event. Nurses identify patterns or trend,
use critical thinking, and compare data
with expected ranges