NUR 211 Exam 1 Questions and
Answers
nurse-sensitive patient indicators - quality indicators that capture care or patient outcomes
most affected by nursing care
examples of nurse-sensitive indicators - patient falls, medication administration errors,
hospital-aquired pressure ulcers, restraint use, mislabeled specimens, patient
deterioration, pain management
purpose of joint commission's national patient safety goals (NPSGs) - to promote specific
improvements in patient quality and safety
compliance with NPSGs ensures... - quality and safe care for patients
responsibility - the obligation to act or direct to accomplish a goal
accountability - being held to answer for personal actions and actions of others
authority - ability or legitimate power to make decisions, implement strategies, or elicit
work from others
who does an RN delegate to? - nursing care technicians, LPNs, nursing students,
volunteers, other nurses
who retains the authority and accountability? - the RN who delegated the tasks
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what care can the RN delegate? - SAFE THINGS! routine tasks and skills, skills that the
person has been taught, tasks in job description, routine care, care to STABLE patients
with predictable outcomes
never delegate... - assessment, teaching, or evaluations of interventions
four rights of delegation - right task, right person, right communication, right feedback
right task - routine tasks, skills included in training programs and orientation, skills and
tasks in which they have demonstrated competency, tasks in job description
right person - properly trained, in job description, demonstrated competency, licensed vs.
unlicensed
right communication - clear directions given, what to report back, safety precautions,
verify understanding that they know what to do, be very clear with what information you
need from them
right feedback - monitor performance based on standards of care, policies, and
procedures, RN is accountable, feedback on performance, documentation
obligation in ethical decisions - always put the patient FIRST, maximize the client's well-
being, balance client's need for autonomy with family members' responsibilities for the
client's well-being, carry out hospital policies, protect nurse's standard of care
how to enhance ethical decisions and practice? - know the dilemma, know the ethics and
standards applied to it, familiarity with ANA code of ethics for nurses, respect values and
opinions of other HCPs
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specific ethical issues - HIV/AIDS, abortion, organ transplantation, end-of-life issues,
management of personal health information (HIPPA)
ethical decision-making process - be informed and open, put the patient first, identify the
options, decide which option you can ethically defend
principles of nursing - autonomy, nonmaleficence, beneficence, justice, distributive
justice, fidelity, veracity, and privacy
autonomy - right to make one's own decisions
nonmaleficence - duty to do no harm
beneficence - doing good
justice - fairness; equal treatment
distributive justice - fairness in allocation of resources
fidelity - be faithful to agreements and promises
veracity - telling the truth
privacy - keeping patient information confidential
barriers to time management - procrastination, perfectionism, and inability to prioritize
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goal of the state boards of nursing? - protect the public
licensure is to... - verify that you are a safe practitioner
in order to be licensed by the state board of nursing... - successfully complete a nursing
program, successfully pass the NCLEX
standards compared to an RN - nursing students are held to the SAME standard of care as
the RN
differences? - the assignment and the level of responsibility
roles of the nurse - physical and psychological caregiver, perform skills, communicate
findings, teach, advocate, counsel, act as a change agent, leader
scope of nursing - promoting health & wellness, preventing illness, restoring health, care
of the dying
nursing process - assessment, diagnosis, planning, intervention, evaluation
diagnosis - independent nursing interventions, a statement or conclusion, NANDA-I are
the the standardized names for diagnoses, can be actual or potential, provides the basis
for selection of nursing interventions
prioritize diagnoses with... - ABCs (airway, breathing, circulation)
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