NURS 385 EXAM STUDY GUIDE
Nursing Sensitive Outcomes - Answers :Patient care outcomes responsive to the
actions of the registered nurse
•Specific patient results which occur as a consequence of specific nursing interventions
◦Patient results or consequences which improve with greater quantity and quality of
nursing interventions
All nursing actions of patient care will yield patient reactions to the care
10 Rights of Medication Administration - Answers :-Right medication
-Right dose
-Right time
-Right route
-Right patient
-Right patient education
-Right documentation
-Right to refuse
-Right assessment
-Right evaluation
3 Checks of Safe Medication Administration - Answers :-Check medication label and
patient eMAR/medication administration record while removing medications from patient
medication drawer
-Check medication label and patient eMAR/medication administration record while
preparing medication
-Check medication label after pouring, preparing, or before opening packages with
patient eMAR/medication administration record
Know the Medications - Answers :-Make sure you know alternative names for
medications.
-Make sure you know side effects, incompatibilities, allergies, and what to monitor when
administering the medications.
-Be aware of medications that have a high risk of causing serious injury or death if not
used correctly
CRITICAL THINKING in NURSING - Answers :The ability to reason, to make and to
reflect on rational, logical, and professional decisions founded on nursing knowledge
◦To reflect, to contemplate, to consider all information and knowledge
◦To reason, to rationalize, to analyze all that you know
◦To consider alternatives, options before making a decision
critical thinking - Answers :removing emotion from our reasoning, being 'sceptical',
questioning and not taking things at face value, examining assumptions, being open-
minded and receptive to change, and lastly being able to evaluate the evidence
, SBAR communication - Answers :Situation - Concern, diagnosis, treatment plan and
patient's wants and needs
Background - Vital signs, mental and code status, list of medications and lab results
Assessment - Current provider's assessment of the situation
Recommendation - Identify pending lab results and what needs to be done over the
next few hours and other recommendations for care
CARNA Documentation Standards - Answers :-'The nurse documents timely, accurate
reports of data collection, interpretation, planning, implementation and evaluation of
nursing practice'
-Nurses have a responsibility to apply nursing knowledge and skill in providing safe,
competent, ethical care. A nurse's professional practice with respect to documentation
must reflect safe, competent and ethical nursing care
CARNA - Answers :All nurses providing nursing care must adhere to the documentation
standards. Documentation is not separate from care and it is not optional. It is an
integral part of the nurse's practice, and an important tool that nurses use to ensure
high-quality client care
Documentation Standards - Answers :-Apply at all times in all patient care settings
-Are the expectations for all members of the profession
-Enable sound decision making
-Support communication between the interprofessional care team members
Purpose of Documentation - Answers :-To Communicate and Provide Continuity of Care
-To Ensure Accountability
-Legal Implications of Documentation
-For Quality Improvement and Risk Management
-Facilitating Evidence-Informed Practice and Clinical Decision Support
PICO - Answers :acronym used to formulate a well defined question
P=Population/Patient/Problem or participants (Disease/Condition, Population and
Setting)
I=Intervention (Treatment, Activity, Procedure, Action)
C=Comparison OR context (Alternative Intervention for comparison, Usual
Intervention/control)
O=Outcome
(T)=Time Frame
Team Functioning - Answers :-Requires trust, mutual respect, availability, open
communication, and attentive listening
-Share information to coordinate care and avoid gaps, redundancies, and errors
-Reflection of process
HPA - Answers :-Health Professions Act
Nursing Sensitive Outcomes - Answers :Patient care outcomes responsive to the
actions of the registered nurse
•Specific patient results which occur as a consequence of specific nursing interventions
◦Patient results or consequences which improve with greater quantity and quality of
nursing interventions
All nursing actions of patient care will yield patient reactions to the care
10 Rights of Medication Administration - Answers :-Right medication
-Right dose
-Right time
-Right route
-Right patient
-Right patient education
-Right documentation
-Right to refuse
-Right assessment
-Right evaluation
3 Checks of Safe Medication Administration - Answers :-Check medication label and
patient eMAR/medication administration record while removing medications from patient
medication drawer
-Check medication label and patient eMAR/medication administration record while
preparing medication
-Check medication label after pouring, preparing, or before opening packages with
patient eMAR/medication administration record
Know the Medications - Answers :-Make sure you know alternative names for
medications.
-Make sure you know side effects, incompatibilities, allergies, and what to monitor when
administering the medications.
-Be aware of medications that have a high risk of causing serious injury or death if not
used correctly
CRITICAL THINKING in NURSING - Answers :The ability to reason, to make and to
reflect on rational, logical, and professional decisions founded on nursing knowledge
◦To reflect, to contemplate, to consider all information and knowledge
◦To reason, to rationalize, to analyze all that you know
◦To consider alternatives, options before making a decision
critical thinking - Answers :removing emotion from our reasoning, being 'sceptical',
questioning and not taking things at face value, examining assumptions, being open-
minded and receptive to change, and lastly being able to evaluate the evidence
, SBAR communication - Answers :Situation - Concern, diagnosis, treatment plan and
patient's wants and needs
Background - Vital signs, mental and code status, list of medications and lab results
Assessment - Current provider's assessment of the situation
Recommendation - Identify pending lab results and what needs to be done over the
next few hours and other recommendations for care
CARNA Documentation Standards - Answers :-'The nurse documents timely, accurate
reports of data collection, interpretation, planning, implementation and evaluation of
nursing practice'
-Nurses have a responsibility to apply nursing knowledge and skill in providing safe,
competent, ethical care. A nurse's professional practice with respect to documentation
must reflect safe, competent and ethical nursing care
CARNA - Answers :All nurses providing nursing care must adhere to the documentation
standards. Documentation is not separate from care and it is not optional. It is an
integral part of the nurse's practice, and an important tool that nurses use to ensure
high-quality client care
Documentation Standards - Answers :-Apply at all times in all patient care settings
-Are the expectations for all members of the profession
-Enable sound decision making
-Support communication between the interprofessional care team members
Purpose of Documentation - Answers :-To Communicate and Provide Continuity of Care
-To Ensure Accountability
-Legal Implications of Documentation
-For Quality Improvement and Risk Management
-Facilitating Evidence-Informed Practice and Clinical Decision Support
PICO - Answers :acronym used to formulate a well defined question
P=Population/Patient/Problem or participants (Disease/Condition, Population and
Setting)
I=Intervention (Treatment, Activity, Procedure, Action)
C=Comparison OR context (Alternative Intervention for comparison, Usual
Intervention/control)
O=Outcome
(T)=Time Frame
Team Functioning - Answers :-Requires trust, mutual respect, availability, open
communication, and attentive listening
-Share information to coordinate care and avoid gaps, redundancies, and errors
-Reflection of process
HPA - Answers :-Health Professions Act
