NR 226 FUNDAMENTALS 2 EXAM 1 QUESTIONS WITH
COMPLETE SOLUTION
NCLEX and management of care:
-Integrate advanced directives into client plan of care
-Assign and supervises client care
-Organize workload (Delegate)
-Initiate, evaluate, and update plan of care (Nursing Process, Clinical Judgment
Model)
-Prioritize care
-Maintain client confidentiality and privacy (HIPPA)
-Provide and receive hand-off care; report client condition(ISBAR)
-Document care; ensure client receives appropriate teaching (Documentation)
-Collaborate with interprofessional team (Care Coordination)
-Manage conflict among clients and staff
Advanced directives
-Gives direction for personal wishes & medical care for when the patient is capable of
making those decisions on their own
-pt states in advance what they want like: intubation, dnr, com fort, life-saving measures
total patient care
Nurse assumes responsibility for the complete care of a group of patients. Nurse
provides all aspects of care during shift.
Ex: Critically Ill Patients 1:1 Care, Hospice, Homecare
-ICU, Home Hospice, Home Health care
team nursing
Nurse, UAP, LPN, RN
-Each member performs their part.
-RN is a team leader who coordinates care for a group of patients; team leader assigns
team patients based on level of acuity.
Ex: Long Term Care Facility, Group homes
case management
Focuses on group of clients with specific illnesses with the goal of improving outcomes
while reducing cost.
-CM can be RNs or social workers.
-RN plans facilitates and advocates for serves to meet the clients needs.
types of insurances will have:
case managers
different types of case managers:
-Catastrophic case managers
-Medically fragile / tech depended case managers
patient centered care:
Respect for the individual's health and lifestyle choices. Adapting care to fit the care of
the individual and their caregivers.
, Ex: Mr. Jones never misses church. He is having chemo today. Calling the
Chaplin to see if he can see Mr. Jones during Chemo.
what are the four principles of the healthcare team?
-Responsibility: Duty/obligation to act
-Autonomy: Freedom (Choice) to act
-Authority: Power to act (Our license gives us the authority to act.)
-Accountability: answerable for the actions/ Owning the act
responsibility
The nurse accepts responsibility to provide care to their patients and acts to make a
commitment to meet those expectations
autonomy
freedom of choice and responsibility for the choices. Autonomy consistent with the
scope of professional nursing practice maximizes a nurse’s effectiveness.
-The nurse utilizes the most autonomy when planning and implementing
independent nursing actions. Nurses have less autonomy when enacting task
prescribed by doctors
authority
The legal ability to perform a task.
-It provides the power for a nurse to make final decisions and give instructions related to
the decisions. The nurses authority comes from their license and education
Accountability
provides the power for a nurse to make final decisions and give instructions related to
the decisions. The nurse's authority comes from their license and education.
-ex: you delegate taking your patient's vital signs to an UAP
clinical care coordination
clinical decisions
priority settings
organized skills
use of resources
time management
evaluation
clinical decisions:
- Apply the nursing process
- Know your patient
- Use clinical decision making practices
- Accurate clinical decision-making keeps you focused on the proper course of action
priority setting
-Is this a life-threatening situation?
-Will this patient or another patient be endangered if this task is not done immediately or
is left for later?
-Is this task essential to patient or staff safety?
-Is this task essential to the patient's plan of care?
asses high priority problems by using ABC+VL, which means what?
airway, breathing, circulation, vital sign concerns, life threatening lab values
second level/intermediate problems:
COMPLETE SOLUTION
NCLEX and management of care:
-Integrate advanced directives into client plan of care
-Assign and supervises client care
-Organize workload (Delegate)
-Initiate, evaluate, and update plan of care (Nursing Process, Clinical Judgment
Model)
-Prioritize care
-Maintain client confidentiality and privacy (HIPPA)
-Provide and receive hand-off care; report client condition(ISBAR)
-Document care; ensure client receives appropriate teaching (Documentation)
-Collaborate with interprofessional team (Care Coordination)
-Manage conflict among clients and staff
Advanced directives
-Gives direction for personal wishes & medical care for when the patient is capable of
making those decisions on their own
-pt states in advance what they want like: intubation, dnr, com fort, life-saving measures
total patient care
Nurse assumes responsibility for the complete care of a group of patients. Nurse
provides all aspects of care during shift.
Ex: Critically Ill Patients 1:1 Care, Hospice, Homecare
-ICU, Home Hospice, Home Health care
team nursing
Nurse, UAP, LPN, RN
-Each member performs their part.
-RN is a team leader who coordinates care for a group of patients; team leader assigns
team patients based on level of acuity.
Ex: Long Term Care Facility, Group homes
case management
Focuses on group of clients with specific illnesses with the goal of improving outcomes
while reducing cost.
-CM can be RNs or social workers.
-RN plans facilitates and advocates for serves to meet the clients needs.
types of insurances will have:
case managers
different types of case managers:
-Catastrophic case managers
-Medically fragile / tech depended case managers
patient centered care:
Respect for the individual's health and lifestyle choices. Adapting care to fit the care of
the individual and their caregivers.
, Ex: Mr. Jones never misses church. He is having chemo today. Calling the
Chaplin to see if he can see Mr. Jones during Chemo.
what are the four principles of the healthcare team?
-Responsibility: Duty/obligation to act
-Autonomy: Freedom (Choice) to act
-Authority: Power to act (Our license gives us the authority to act.)
-Accountability: answerable for the actions/ Owning the act
responsibility
The nurse accepts responsibility to provide care to their patients and acts to make a
commitment to meet those expectations
autonomy
freedom of choice and responsibility for the choices. Autonomy consistent with the
scope of professional nursing practice maximizes a nurse’s effectiveness.
-The nurse utilizes the most autonomy when planning and implementing
independent nursing actions. Nurses have less autonomy when enacting task
prescribed by doctors
authority
The legal ability to perform a task.
-It provides the power for a nurse to make final decisions and give instructions related to
the decisions. The nurses authority comes from their license and education
Accountability
provides the power for a nurse to make final decisions and give instructions related to
the decisions. The nurse's authority comes from their license and education.
-ex: you delegate taking your patient's vital signs to an UAP
clinical care coordination
clinical decisions
priority settings
organized skills
use of resources
time management
evaluation
clinical decisions:
- Apply the nursing process
- Know your patient
- Use clinical decision making practices
- Accurate clinical decision-making keeps you focused on the proper course of action
priority setting
-Is this a life-threatening situation?
-Will this patient or another patient be endangered if this task is not done immediately or
is left for later?
-Is this task essential to patient or staff safety?
-Is this task essential to the patient's plan of care?
asses high priority problems by using ABC+VL, which means what?
airway, breathing, circulation, vital sign concerns, life threatening lab values
second level/intermediate problems:
