NR226 FUNDAMENTALS II EXAM I REVIEW QUESTIONS WITH
COMPLETE SOLUTION
Primary intervention
Goal is to promote health
(examples: education, hand washing, vaccinations)
Secondary intervention
Focused on preventing an illness from further worsening of the condition that has
already occurred
(examples: mammograms, screening tests, regular exams)
Tertiary intervention
Focused on minimizing effects of long-term illnesses
(examples: rehab, mother to child HIV transmission)
Living wills
End-of-life care preferences, can be changed at any time, & patient must have capacity
to make decisions
Patient advocacy
An individual who ensures that patients have the information necessary to make
informed decisions in choosing and using services appropriately.
Ethical dilemma
Faced with two opposing but justifiable options, often the application of the nursing
process will include identifying more options.
Interview skills: Greet the patient by the name they prefer and introduce yourself
& explain your role.
Courtesy
Interview skills: Provide comfort by starting interview, minimize distractions &
maintain privacy.
Comfort
Interview skills: Make a good first impression.
Connection
Interview skills: Have the patient summarize so nothing is missed.
Confirmation
Focuses on prevention, relief, and reduction of symptoms
-Goal is to assist pt. to achieve the best possible quality of life
Palliative care
Focuses on care of terminally ill patients, usually those who have less than 6
months to live.
-Goal is to manage pain, provide comfort, and ensure quality of life
Hospice care
Elderly abuse
, -Unsafe & unclean living environments, soiled bedding, animal or insect infestations,
unexplained cuts and bruises at different stages of healing
-Intentional actions that cause harm to elderly by caregiver or family
Purpose of Nursing Diagnosis
-Problem-focused nursing diagnosis
-Problem-focused diagnosis related to _________
as evidence by __________.
-Related factors
-Risk factors
Clinical thinking skills
-Reflective journaling
-Collaborating with colleagues
-Concept mapping
-Active participation
Reflective journaling
A tool for developing critical thoughts and reflection by clarifying concepts in your own
words of your clinical experiences
Collaborating with colleagues
A way to develop critical thinking skills is to regularly meet with colleagues such as
fellow students or nurses, faculty members, or preceptors to discuss and examine work
experiences and validate decisions.
Concept mapping
A visual representation of patient problems and interventions that show their
relationships to one another
Active participation
Learning occurs when a patient is motivated to be actively involved in an educational
session.
HIPAA
(Health Insurance Portability and Accountability Act) established a patient's right to
consent to the use and disclosure of protected health information, to inspect and copy
one's medical record, and to amend mistaken or incomplete information.
Timed
Include when an outcome is to
be met
Goal setting
Assists in prioritizing the goals of care and develop a realistic and relevant plan of care
for a patient.
Prioritization of care
Determining immediate threats to life as part of the initial assessment and is based on
the ABC pneumonic focusing on the airway as priority, moving to breathing, and
circulation.
COMPLETE SOLUTION
Primary intervention
Goal is to promote health
(examples: education, hand washing, vaccinations)
Secondary intervention
Focused on preventing an illness from further worsening of the condition that has
already occurred
(examples: mammograms, screening tests, regular exams)
Tertiary intervention
Focused on minimizing effects of long-term illnesses
(examples: rehab, mother to child HIV transmission)
Living wills
End-of-life care preferences, can be changed at any time, & patient must have capacity
to make decisions
Patient advocacy
An individual who ensures that patients have the information necessary to make
informed decisions in choosing and using services appropriately.
Ethical dilemma
Faced with two opposing but justifiable options, often the application of the nursing
process will include identifying more options.
Interview skills: Greet the patient by the name they prefer and introduce yourself
& explain your role.
Courtesy
Interview skills: Provide comfort by starting interview, minimize distractions &
maintain privacy.
Comfort
Interview skills: Make a good first impression.
Connection
Interview skills: Have the patient summarize so nothing is missed.
Confirmation
Focuses on prevention, relief, and reduction of symptoms
-Goal is to assist pt. to achieve the best possible quality of life
Palliative care
Focuses on care of terminally ill patients, usually those who have less than 6
months to live.
-Goal is to manage pain, provide comfort, and ensure quality of life
Hospice care
Elderly abuse
, -Unsafe & unclean living environments, soiled bedding, animal or insect infestations,
unexplained cuts and bruises at different stages of healing
-Intentional actions that cause harm to elderly by caregiver or family
Purpose of Nursing Diagnosis
-Problem-focused nursing diagnosis
-Problem-focused diagnosis related to _________
as evidence by __________.
-Related factors
-Risk factors
Clinical thinking skills
-Reflective journaling
-Collaborating with colleagues
-Concept mapping
-Active participation
Reflective journaling
A tool for developing critical thoughts and reflection by clarifying concepts in your own
words of your clinical experiences
Collaborating with colleagues
A way to develop critical thinking skills is to regularly meet with colleagues such as
fellow students or nurses, faculty members, or preceptors to discuss and examine work
experiences and validate decisions.
Concept mapping
A visual representation of patient problems and interventions that show their
relationships to one another
Active participation
Learning occurs when a patient is motivated to be actively involved in an educational
session.
HIPAA
(Health Insurance Portability and Accountability Act) established a patient's right to
consent to the use and disclosure of protected health information, to inspect and copy
one's medical record, and to amend mistaken or incomplete information.
Timed
Include when an outcome is to
be met
Goal setting
Assists in prioritizing the goals of care and develop a realistic and relevant plan of care
for a patient.
Prioritization of care
Determining immediate threats to life as part of the initial assessment and is based on
the ABC pneumonic focusing on the airway as priority, moving to breathing, and
circulation.
