BSMCON NUR 2102 - TEST 1
The delegating nurse retains responsibility and accountability for nursing care
of the client, including nursing assessment, planning, evaluation,
documentation, and supervision. The delegating nurse shall assess the clinical
status and stability of the client's condition; determine the type, complexity, and
frequency of the nursing care needed; and delegate only those tasks that:
a. Do not require the exercise of independent nursing judgment;
b. Do not require complex observations or critical decisions with respect to the
nursing task or procedure;
c. Frequently recur in the routine care of the client or group of clients;
d. Do not require repeated performance of nursing assessments;
e. Utilize a standard procedure in which the tasks or procedures can be
performed according to exact, unc - ANSWERS-According to the ANA
Standards of Practice, what is the registered nurse's role in assessment?
Primary prevention - ANSWERS-Prevent disease from developing through
healthy lifestyle
Secondary prevention - ANSWERS-Screening efforts to promote the detection
of disease to halt the progression the disease process
Tertiary prevention - ANSWERS-Minimizing the disability from acute or
chronic disease or injury
Help the client maximize his or her health
Health promotion - ANSWERS-Behavior motivated by the desire to increase
well-being and actualize human health potential
,Health protection - ANSWERS-Behavior motivated by a desire to actively
avoid illness, detect it early, or maintain functioning within the constraints of
illness
Clinical prevention - ANSWERS-Individually focused interventions such as
immunization, screenings, and counseling, aimed at preventing escalation of
diseases and conditions
How does QSEN relate to health assessment? - ANSWERS-Patient-centered
care, teamwork and collaboration, evidence-based practice, quality
improvement, safety, informatics
The RN is not only responsible for gathering data, but clustering it and using it
in decision making.
culture - ANSWERS-all the socially transmitted behavioral patterns, arts,
beliefs, knowledge, values, morals, customs, life ways, and characteristics that
influence a worldview
ethnicity - ANSWERS-characteristics that a group may share in some
combination such as common geographic origin
Language and dialect, history, lifestyle, and/or religious beliefs, shared tradition
and symbols, music preferences
race - ANSWERS-genetic in origin and includes physical characteristics.
Individuals from same racial group are not necessarily the same culture.
cultural sensitivity or cultural humility - ANSWERS-Culturally-competent care-
new terminology
,be culturally sensitive, don't stereotype, use a template for assessment -
ANSWERS-cultural and ethical considerations
Comprehensive
Problem-based/focused assessment
Episodic/follow-up assessment
Screening assessment - ANSWERS-4 types of health assessment
Components of health assessment- health history (subjective), physical exam
(objective)- includes lab and dx tests, and documentation - ANSWERS-
components of health assessment
Primary prevention - ANSWERS-Addresses the needs of healthy clients to
promote health and prevent disease with specific protections; decreases the risk
of exposure of an individual or a community to disease.
Immunization programs
Child car seat education
Nutrition and fitness activities
Health ed. in schools - ANSWERS-Examples of Primary Prevention
Secondary prevention - ANSWERS-Focuses on identifying illness, providing
treatment, and conducting activities that help prevent a worsening health status.
Communicable disease screening and case finding
Early detection and treatment of diabetes mellitus
Exercise programs for older, frail adults - ANSWERS-Examples of Secondary
Prevention
, Tertiary prevention - ANSWERS-Aims to prevent the long-term consequences
of a chronic illness or disability and to support optimal functioning.
Begins after an injury or illness
Prevention of pressure ulcers after spinal cord injury
Promoting independence after traumatic brain injury
Referrals to support groups
Rehab center - ANSWERS-Examples of Tertiary Prevention
Improve health priorities
Improve awareness and understanding of the progress involving health, disease,
and disability
Apply measurable health goals at the local, state, and national level
Apply best practice to strengthen policies and improve health practice
Identify the need for research, evaluation, and date collection of health
disparities - ANSWERS-Healthy People 2020 Objectives to promote health and
prevent disease among the national population; updated every 10 years
Biographical Data - ANSWERS-Name, Gender, Address, phone number, email
address, birth date, birthplace, race/ethnicity, religion, marital status,
occupation, contact person, and source of data
Reason for Seeking Health Care - ANSWERS-Chief complaint (CC) or
presenting problem
History of Present illness - ANSWERS-Conduct a symptom analysis - include
OLDCARTS
The delegating nurse retains responsibility and accountability for nursing care
of the client, including nursing assessment, planning, evaluation,
documentation, and supervision. The delegating nurse shall assess the clinical
status and stability of the client's condition; determine the type, complexity, and
frequency of the nursing care needed; and delegate only those tasks that:
a. Do not require the exercise of independent nursing judgment;
b. Do not require complex observations or critical decisions with respect to the
nursing task or procedure;
c. Frequently recur in the routine care of the client or group of clients;
d. Do not require repeated performance of nursing assessments;
e. Utilize a standard procedure in which the tasks or procedures can be
performed according to exact, unc - ANSWERS-According to the ANA
Standards of Practice, what is the registered nurse's role in assessment?
Primary prevention - ANSWERS-Prevent disease from developing through
healthy lifestyle
Secondary prevention - ANSWERS-Screening efforts to promote the detection
of disease to halt the progression the disease process
Tertiary prevention - ANSWERS-Minimizing the disability from acute or
chronic disease or injury
Help the client maximize his or her health
Health promotion - ANSWERS-Behavior motivated by the desire to increase
well-being and actualize human health potential
,Health protection - ANSWERS-Behavior motivated by a desire to actively
avoid illness, detect it early, or maintain functioning within the constraints of
illness
Clinical prevention - ANSWERS-Individually focused interventions such as
immunization, screenings, and counseling, aimed at preventing escalation of
diseases and conditions
How does QSEN relate to health assessment? - ANSWERS-Patient-centered
care, teamwork and collaboration, evidence-based practice, quality
improvement, safety, informatics
The RN is not only responsible for gathering data, but clustering it and using it
in decision making.
culture - ANSWERS-all the socially transmitted behavioral patterns, arts,
beliefs, knowledge, values, morals, customs, life ways, and characteristics that
influence a worldview
ethnicity - ANSWERS-characteristics that a group may share in some
combination such as common geographic origin
Language and dialect, history, lifestyle, and/or religious beliefs, shared tradition
and symbols, music preferences
race - ANSWERS-genetic in origin and includes physical characteristics.
Individuals from same racial group are not necessarily the same culture.
cultural sensitivity or cultural humility - ANSWERS-Culturally-competent care-
new terminology
,be culturally sensitive, don't stereotype, use a template for assessment -
ANSWERS-cultural and ethical considerations
Comprehensive
Problem-based/focused assessment
Episodic/follow-up assessment
Screening assessment - ANSWERS-4 types of health assessment
Components of health assessment- health history (subjective), physical exam
(objective)- includes lab and dx tests, and documentation - ANSWERS-
components of health assessment
Primary prevention - ANSWERS-Addresses the needs of healthy clients to
promote health and prevent disease with specific protections; decreases the risk
of exposure of an individual or a community to disease.
Immunization programs
Child car seat education
Nutrition and fitness activities
Health ed. in schools - ANSWERS-Examples of Primary Prevention
Secondary prevention - ANSWERS-Focuses on identifying illness, providing
treatment, and conducting activities that help prevent a worsening health status.
Communicable disease screening and case finding
Early detection and treatment of diabetes mellitus
Exercise programs for older, frail adults - ANSWERS-Examples of Secondary
Prevention
, Tertiary prevention - ANSWERS-Aims to prevent the long-term consequences
of a chronic illness or disability and to support optimal functioning.
Begins after an injury or illness
Prevention of pressure ulcers after spinal cord injury
Promoting independence after traumatic brain injury
Referrals to support groups
Rehab center - ANSWERS-Examples of Tertiary Prevention
Improve health priorities
Improve awareness and understanding of the progress involving health, disease,
and disability
Apply measurable health goals at the local, state, and national level
Apply best practice to strengthen policies and improve health practice
Identify the need for research, evaluation, and date collection of health
disparities - ANSWERS-Healthy People 2020 Objectives to promote health and
prevent disease among the national population; updated every 10 years
Biographical Data - ANSWERS-Name, Gender, Address, phone number, email
address, birth date, birthplace, race/ethnicity, religion, marital status,
occupation, contact person, and source of data
Reason for Seeking Health Care - ANSWERS-Chief complaint (CC) or
presenting problem
History of Present illness - ANSWERS-Conduct a symptom analysis - include
OLDCARTS
