NU100 Midterm Questions and Answers|
Latest Update
health care proxy ✔️✔️a person chosen by another person to make medical decisions if the
second person becomes unable to do so
Data Validation ✔️✔️the process of verifying that a program's input data is within the expected
range
data documentation ✔️✔️-The last component of a complete assessment
-Legal and professional responsibility
-Requires accurate and approved terminology
EMR ✔️✔️electronic medical record
EHR ✔️✔️electronic health record. Every one has to have one as of 2014
documentation steps ✔️✔️ADPIE
Documentation formats ✔️✔️flow charts, narrative documentation, charting by exception,
problem-oriented medical records, SOAP, PIE, DAR.
POMR (problem oriented medical record) ✔️✔️PIE is normally used by nurses
PIE (Problem Interventions Evaluation):
originated from nursing process, documents and simplifies information
,SOAP, SOAPIE, SOAPIER, APIE, DAR
DAR ✔️✔️Focus charting
CBE ✔️✔️charting by exception
SOAP ✔️✔️subjective, objective, assessment, plan
Types of CBE ✔️✔️flow sheets
eMAR
BCMA
Admission
Discharge
ANTICipate model ✔️✔️A type of charting
Administrative data
New clinical information to be updated
Tasks to be performed
Illness severity
Contingency
Incident reports (unusual occurrences) ✔️✔️factual
objective
non-judgemental
, Nursing informatics ✔️✔️specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, and knowledge in nursing
practice
Telehealth ✔️✔️Use of technology to deliver health-related services and information, including
telemedicine
Nursing informatic skills ✔️✔️Beginner
experienced
specialist
innovator
standardized nursing terminology ✔️✔️A structured vocabulary that provides a common means
of communication among nurses
Types of standardized nursing terminologies ✔️✔️NMDS-nursing minimum data set
ICNP-international classification of nursing practice
nursing theory ✔️✔️differentiates nursing from other disciplines and activities by serving the
purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care
practices
grand theory ✔️✔️a theory designed to describe and explain all aspects of a given phenomenon
middle range theory ✔️✔️narrower in focus and makes connections between grand theories and
nursing practice
Betty Neuman ✔️✔️Systems Model
Latest Update
health care proxy ✔️✔️a person chosen by another person to make medical decisions if the
second person becomes unable to do so
Data Validation ✔️✔️the process of verifying that a program's input data is within the expected
range
data documentation ✔️✔️-The last component of a complete assessment
-Legal and professional responsibility
-Requires accurate and approved terminology
EMR ✔️✔️electronic medical record
EHR ✔️✔️electronic health record. Every one has to have one as of 2014
documentation steps ✔️✔️ADPIE
Documentation formats ✔️✔️flow charts, narrative documentation, charting by exception,
problem-oriented medical records, SOAP, PIE, DAR.
POMR (problem oriented medical record) ✔️✔️PIE is normally used by nurses
PIE (Problem Interventions Evaluation):
originated from nursing process, documents and simplifies information
,SOAP, SOAPIE, SOAPIER, APIE, DAR
DAR ✔️✔️Focus charting
CBE ✔️✔️charting by exception
SOAP ✔️✔️subjective, objective, assessment, plan
Types of CBE ✔️✔️flow sheets
eMAR
BCMA
Admission
Discharge
ANTICipate model ✔️✔️A type of charting
Administrative data
New clinical information to be updated
Tasks to be performed
Illness severity
Contingency
Incident reports (unusual occurrences) ✔️✔️factual
objective
non-judgemental
, Nursing informatics ✔️✔️specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, and knowledge in nursing
practice
Telehealth ✔️✔️Use of technology to deliver health-related services and information, including
telemedicine
Nursing informatic skills ✔️✔️Beginner
experienced
specialist
innovator
standardized nursing terminology ✔️✔️A structured vocabulary that provides a common means
of communication among nurses
Types of standardized nursing terminologies ✔️✔️NMDS-nursing minimum data set
ICNP-international classification of nursing practice
nursing theory ✔️✔️differentiates nursing from other disciplines and activities by serving the
purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care
practices
grand theory ✔️✔️a theory designed to describe and explain all aspects of a given phenomenon
middle range theory ✔️✔️narrower in focus and makes connections between grand theories and
nursing practice
Betty Neuman ✔️✔️Systems Model
