Nur 221- Foundations Exam 2 Questions
And Answers
What bis bcritical bthinking? b- bcorrect banswers✔✔The bprocess bof bproblem bsolving
- bWe bgather bdata, bvalidate bdata, band bweigh boptions
Ways bin bwhich bnurses butilize bcritical bthinking b- bcorrect banswers✔✔- bAssessing bour
bpatients band bmaking bdecisions babout btheir bcare
-Re-evaluating bpt's bcondition band bmaking bchanges bto bthe bplan
-Communicating bchanges bin bpt's bstatus bto bthe bprovider band bcollaborating bin
bcreating bsolutions
-Determining brelevant bdata band bdiscarding birrelevant bdata
Theoretical bknowledge b- bcorrect banswers✔✔-Science bbased bfacts
-Pathophysiologic bprinciples
-Evidence bwhich bpolicies
and bprotocols bare bbased bon
Example bof btheoretical bknowledge b- bcorrect banswers✔✔The bFACT bthat bHeparin bis
ba bmedication bthat breduces bblood bclots bby bincreasing bblood bclotting btime
Practical bknowledge b- bcorrect banswers✔✔Knowing bwhen band bhow bto bdo btasks
band bskills bsafely.
Example bof busing bpractical bknowledge b- bcorrect banswers✔✔when bwe buse bthe
btechnique bof bpinching bthe bskin binserting ba b5/8-inch bneedle bat ba b45-degree bangle
bof bthe babdominal bfold bwhen bgiving ba bsubcutaneous binjection bof bHeparin.
Self-knowledge b- bcorrect banswers✔✔Our bown bpreferences bor bbiases bthat bmay
binfluence bour bthinking
,Example bof bself-knowledge band bpossible brepercussions b- bcorrect banswers✔✔-First
btime bI bgave ba bsub-Q binjection bat bclinical blast bweek, bthe bpatient bflinched band bit
bmade bme bnervous bto bdo bit bagain.
-This bself-knowledge bis bimportant bto bbe baware babout bas bit bmay binfluence
bdecisions bin ban bunintended bway.
Contextual bawareness b- bcorrect banswers✔✔Reflection bon bpast bexperiences
Ethical bknowledge b- bcorrect banswers✔✔-Helps bus bto bhandle bsituations bwhere
bthere bis ban belement bof bright band bwrong. b
-We bcan brecognize bthe bsituations bas bsometimes bwe bmay bneed bto bprovide bcare
bthat bit's bethically bconfusing bor bnot bso bblack band bwhite. b
-Ethical bknowledge bof bboundaries band bguidelines bwill bhelp bus bremain btrue bto bour
bprofession bin bproviding bthis bcare.
5 bsteps bof bthe bnursing bprocess b- bcorrect banswers✔✔1. bAssessment
2. bDiagnosis
3. bPlanning
4. bImplements
5. bEvaluating
Assessment b- bcorrect banswers✔✔Data bgathering; binterpreting/analyzing bdata.
-This bis ba bnursing bprofessional bresponsibility bas brecommended bby bthe bAmerican
bNurses bAssociation band btherefore bcannot bbe bdelegated bto bassistive bpersonnel.
Can bassistive bpersonnel bperform bassessments? b- bcorrect banswers✔✔NO!!!!
We bcan benlist bthe bhelp bof bunlicensed bassistive bstaff bin bthe baction bof bcollecting
bthe bdata b- bsuch bas btaking bvital bsigns, basking babout bthe bpresence bof bpain bor
bmeasuring bthe bamount bof burine bvoided, bbut bit bis ba bnursing bresponsibility bto
binterpret band banalyze bthat bdata
What bis binvolved bin ball bsteps bof bthe bnursing bprocess? b- bcorrect
banswers✔✔Assessment
- bWe bassess bdata
- bWhen bwe bimplement bour binterventions, bwe bassess bits beffectiveness band bpatient's
bresponse
- bWhen bwe bevaluate bexpected boutcome, bwe bare bassessing btheir bsuccess
What bis bthe bfrequency bof bassessments bregulated bby? b- bcorrect
banswers✔✔Accrediting bbodies
,-Always bcheck bwith byour bfacility, bas beach bhospital busually bhas btheir bown
bguidelines babout bhow boften band bwhich bassessments bare bdone
Types bof bassessments b- bcorrect banswers✔✔1. bInitial
2. bOngoing
3. bComprehensive
4. bFocused
5. bCultural
6. bNutritional
7. bPsychosocial
8. bCommunity
9. bFunctional bability
Initial bAssessments b- bcorrect banswers✔✔Initiated bupon bfirst bcontact bwith bthe
bpatient. b
-This bmay bbe bin bthe bemergency bdepartment bor bED, bpre-operatively, bor bupon
badmission bto bthe bunit.
-The bfirst btime bthe bpatient bhas bcontact bwith bthe bhealth bcare bsystem ban binitial
bassessment bis bcompleted.
-This bis btypically bdone bwithin btwelve bhours bof badmission.
Ongoing bAssessments b- bcorrect banswers✔✔Continuing bthe bplan bof bcare. b
- bNurses bgenerally bare brequired bto bcomplete ba bhead bto btoe bassessment bevery
bshift, band bperhaps bfocused bassessments bmore boften bin bhigher blevels bof bcare.
- bThese bfollow bup bassessment bare bongoing bassessments
Comprehensive bAssessments b- bcorrect banswers✔✔More bthan ba bhead bto btoe
bassessment band binclude binformation babout bsocial band bsituational bstatus, bhome
bsupport bsystems, bholistic bassessment bof bthe bpatient's bbeliefs band bspiritual bneeds,
band bwhat bkind bof bassistance bthey bhave bor bmay bneed bat bdischarge b(DISCHARGE
bIS bTHE bGOAL!!)
When bdoes bdischarge bplanning bbegin? b- bcorrect banswers✔✔At badmission
Focused bassessment b- bcorrect banswers✔✔-Different bfrom bhead bto btoe bassessment
bas bit bis bdirected band, bwell, bfocused.
-Focused bassessment bexplores ba bsingle bpatient bcomplaint bor bsymptom, band bmay
bfocus bon bone bbody bsystem b(such bas bthe brespiratory bassessment bfor ba bpatient
bwith bshortness bof bbreath) bor bseveral bbody bsystems b(such bas brespiratory, bG.I.,
band bcardiac bif bthe bpatient bis bexperiencing bchest bpain). b
, -It bis bconcentrated bon bthat bprimary bconcern. bYou bmay balso bdo ba bfocused
bassessment bat bchange bof bshift bwhen bthere bis ba bwound bor bdressing band byou bgo
bin bwith bthat bnurse bto bassess bjust bthe bwound bdressing bto bmake bsure byour binitial
bshift bassessment bis bnot bdifferent bfrom bher blast breported bassessment. b
-You bdo bnot bneed bto bdo ban bentire bhead bto btoe bassessment bat bthat btime, bbut bjust
bfocusing bin bon bthat bone bparticular babnormality.
Cultural bAssessments b- bcorrect banswers✔✔exploring bwhat bunique bpreferences band
bexpectations bthe bpatient bwill bbring bwith btheir bcultural bbackground.
Nutritional bassessments b- bcorrect banswers✔✔focus bon bwhether bthe bpatient bis
bnourished, bhas baccess bto bnutrition, band bthe bability bto beat band btolerate btheir
bmeals. b
-This bis ba brequirement bby bthe bjoint bcommission, ban baccrediting bbody bof bhospitals.
Psychosocial bassessments b- bcorrect banswers✔✔Done bon bevery bpatient bat bevery
badmission. b
-We bhave bstandardized basking bquestions babout bsuicidal bideation, bpresence bof
bdepression,and bwhether bpatients bfeel bsafe bat bhome bor bmaybe bvictims bof
bdomestic bviolence bin border bto bcatch bsome bof bthese bsituations bthat bmay bnot
botherwise bbe baddressed bor basked bbecause bof bstigma bor bfear.
Community bAssessments b- bcorrect banswers✔✔Done bperiodically bby bhealth bcare
band bpublic bhealth bworkers bincluding bnurses bto bensure bthat ba bcommunity bhas
benough baccess bto bwellness bresources bsuch bas bhospitals, bhealth bdepartments,
band bnutritional bor bmental bhealth bresources.
Functional bAbility bAssessment b- bcorrect banswers✔✔-Started bat badmission
bassessment, bthat bis bthe binitial band bcomprehensive bassessment, band bcontinue bon
bongoing bbasis.
-This bis bwhere bwe bassess bthe buse bof bassistive bdevices bsuch bas bcanes bor
bwalkers, bhow bsteady bis btheir bgait, bhow bmuch bassistance bdo bthey bneed? bAre bthey
bable bto bperform btheir bADLs, bor bactivities bof bdaily bliving bindependently? bWith
bassistance? bOr bnot bat ball?
-Physical btherapy bis ba bgood bcollaborative bresource bin bthis bongoing bassessment bas
bwell, band bmay binfluence bwhether bthe bpatient bis bultimately bdischarged bto bhome bor
bto ba brehabilitation bfacility.
What bis bsubjective bdata? bGive ban bexample. b- bcorrect banswers✔✔Whatever bthe
bpatient bsays bor breports band bcannot bbe beasily bverified bby bthe bnurse.
And Answers
What bis bcritical bthinking? b- bcorrect banswers✔✔The bprocess bof bproblem bsolving
- bWe bgather bdata, bvalidate bdata, band bweigh boptions
Ways bin bwhich bnurses butilize bcritical bthinking b- bcorrect banswers✔✔- bAssessing bour
bpatients band bmaking bdecisions babout btheir bcare
-Re-evaluating bpt's bcondition band bmaking bchanges bto bthe bplan
-Communicating bchanges bin bpt's bstatus bto bthe bprovider band bcollaborating bin
bcreating bsolutions
-Determining brelevant bdata band bdiscarding birrelevant bdata
Theoretical bknowledge b- bcorrect banswers✔✔-Science bbased bfacts
-Pathophysiologic bprinciples
-Evidence bwhich bpolicies
and bprotocols bare bbased bon
Example bof btheoretical bknowledge b- bcorrect banswers✔✔The bFACT bthat bHeparin bis
ba bmedication bthat breduces bblood bclots bby bincreasing bblood bclotting btime
Practical bknowledge b- bcorrect banswers✔✔Knowing bwhen band bhow bto bdo btasks
band bskills bsafely.
Example bof busing bpractical bknowledge b- bcorrect banswers✔✔when bwe buse bthe
btechnique bof bpinching bthe bskin binserting ba b5/8-inch bneedle bat ba b45-degree bangle
bof bthe babdominal bfold bwhen bgiving ba bsubcutaneous binjection bof bHeparin.
Self-knowledge b- bcorrect banswers✔✔Our bown bpreferences bor bbiases bthat bmay
binfluence bour bthinking
,Example bof bself-knowledge band bpossible brepercussions b- bcorrect banswers✔✔-First
btime bI bgave ba bsub-Q binjection bat bclinical blast bweek, bthe bpatient bflinched band bit
bmade bme bnervous bto bdo bit bagain.
-This bself-knowledge bis bimportant bto bbe baware babout bas bit bmay binfluence
bdecisions bin ban bunintended bway.
Contextual bawareness b- bcorrect banswers✔✔Reflection bon bpast bexperiences
Ethical bknowledge b- bcorrect banswers✔✔-Helps bus bto bhandle bsituations bwhere
bthere bis ban belement bof bright band bwrong. b
-We bcan brecognize bthe bsituations bas bsometimes bwe bmay bneed bto bprovide bcare
bthat bit's bethically bconfusing bor bnot bso bblack band bwhite. b
-Ethical bknowledge bof bboundaries band bguidelines bwill bhelp bus bremain btrue bto bour
bprofession bin bproviding bthis bcare.
5 bsteps bof bthe bnursing bprocess b- bcorrect banswers✔✔1. bAssessment
2. bDiagnosis
3. bPlanning
4. bImplements
5. bEvaluating
Assessment b- bcorrect banswers✔✔Data bgathering; binterpreting/analyzing bdata.
-This bis ba bnursing bprofessional bresponsibility bas brecommended bby bthe bAmerican
bNurses bAssociation band btherefore bcannot bbe bdelegated bto bassistive bpersonnel.
Can bassistive bpersonnel bperform bassessments? b- bcorrect banswers✔✔NO!!!!
We bcan benlist bthe bhelp bof bunlicensed bassistive bstaff bin bthe baction bof bcollecting
bthe bdata b- bsuch bas btaking bvital bsigns, basking babout bthe bpresence bof bpain bor
bmeasuring bthe bamount bof burine bvoided, bbut bit bis ba bnursing bresponsibility bto
binterpret band banalyze bthat bdata
What bis binvolved bin ball bsteps bof bthe bnursing bprocess? b- bcorrect
banswers✔✔Assessment
- bWe bassess bdata
- bWhen bwe bimplement bour binterventions, bwe bassess bits beffectiveness band bpatient's
bresponse
- bWhen bwe bevaluate bexpected boutcome, bwe bare bassessing btheir bsuccess
What bis bthe bfrequency bof bassessments bregulated bby? b- bcorrect
banswers✔✔Accrediting bbodies
,-Always bcheck bwith byour bfacility, bas beach bhospital busually bhas btheir bown
bguidelines babout bhow boften band bwhich bassessments bare bdone
Types bof bassessments b- bcorrect banswers✔✔1. bInitial
2. bOngoing
3. bComprehensive
4. bFocused
5. bCultural
6. bNutritional
7. bPsychosocial
8. bCommunity
9. bFunctional bability
Initial bAssessments b- bcorrect banswers✔✔Initiated bupon bfirst bcontact bwith bthe
bpatient. b
-This bmay bbe bin bthe bemergency bdepartment bor bED, bpre-operatively, bor bupon
badmission bto bthe bunit.
-The bfirst btime bthe bpatient bhas bcontact bwith bthe bhealth bcare bsystem ban binitial
bassessment bis bcompleted.
-This bis btypically bdone bwithin btwelve bhours bof badmission.
Ongoing bAssessments b- bcorrect banswers✔✔Continuing bthe bplan bof bcare. b
- bNurses bgenerally bare brequired bto bcomplete ba bhead bto btoe bassessment bevery
bshift, band bperhaps bfocused bassessments bmore boften bin bhigher blevels bof bcare.
- bThese bfollow bup bassessment bare bongoing bassessments
Comprehensive bAssessments b- bcorrect banswers✔✔More bthan ba bhead bto btoe
bassessment band binclude binformation babout bsocial band bsituational bstatus, bhome
bsupport bsystems, bholistic bassessment bof bthe bpatient's bbeliefs band bspiritual bneeds,
band bwhat bkind bof bassistance bthey bhave bor bmay bneed bat bdischarge b(DISCHARGE
bIS bTHE bGOAL!!)
When bdoes bdischarge bplanning bbegin? b- bcorrect banswers✔✔At badmission
Focused bassessment b- bcorrect banswers✔✔-Different bfrom bhead bto btoe bassessment
bas bit bis bdirected band, bwell, bfocused.
-Focused bassessment bexplores ba bsingle bpatient bcomplaint bor bsymptom, band bmay
bfocus bon bone bbody bsystem b(such bas bthe brespiratory bassessment bfor ba bpatient
bwith bshortness bof bbreath) bor bseveral bbody bsystems b(such bas brespiratory, bG.I.,
band bcardiac bif bthe bpatient bis bexperiencing bchest bpain). b
, -It bis bconcentrated bon bthat bprimary bconcern. bYou bmay balso bdo ba bfocused
bassessment bat bchange bof bshift bwhen bthere bis ba bwound bor bdressing band byou bgo
bin bwith bthat bnurse bto bassess bjust bthe bwound bdressing bto bmake bsure byour binitial
bshift bassessment bis bnot bdifferent bfrom bher blast breported bassessment. b
-You bdo bnot bneed bto bdo ban bentire bhead bto btoe bassessment bat bthat btime, bbut bjust
bfocusing bin bon bthat bone bparticular babnormality.
Cultural bAssessments b- bcorrect banswers✔✔exploring bwhat bunique bpreferences band
bexpectations bthe bpatient bwill bbring bwith btheir bcultural bbackground.
Nutritional bassessments b- bcorrect banswers✔✔focus bon bwhether bthe bpatient bis
bnourished, bhas baccess bto bnutrition, band bthe bability bto beat band btolerate btheir
bmeals. b
-This bis ba brequirement bby bthe bjoint bcommission, ban baccrediting bbody bof bhospitals.
Psychosocial bassessments b- bcorrect banswers✔✔Done bon bevery bpatient bat bevery
badmission. b
-We bhave bstandardized basking bquestions babout bsuicidal bideation, bpresence bof
bdepression,and bwhether bpatients bfeel bsafe bat bhome bor bmaybe bvictims bof
bdomestic bviolence bin border bto bcatch bsome bof bthese bsituations bthat bmay bnot
botherwise bbe baddressed bor basked bbecause bof bstigma bor bfear.
Community bAssessments b- bcorrect banswers✔✔Done bperiodically bby bhealth bcare
band bpublic bhealth bworkers bincluding bnurses bto bensure bthat ba bcommunity bhas
benough baccess bto bwellness bresources bsuch bas bhospitals, bhealth bdepartments,
band bnutritional bor bmental bhealth bresources.
Functional bAbility bAssessment b- bcorrect banswers✔✔-Started bat badmission
bassessment, bthat bis bthe binitial band bcomprehensive bassessment, band bcontinue bon
bongoing bbasis.
-This bis bwhere bwe bassess bthe buse bof bassistive bdevices bsuch bas bcanes bor
bwalkers, bhow bsteady bis btheir bgait, bhow bmuch bassistance bdo bthey bneed? bAre bthey
bable bto bperform btheir bADLs, bor bactivities bof bdaily bliving bindependently? bWith
bassistance? bOr bnot bat ball?
-Physical btherapy bis ba bgood bcollaborative bresource bin bthis bongoing bassessment bas
bwell, band bmay binfluence bwhether bthe bpatient bis bultimately bdischarged bto bhome bor
bto ba brehabilitation bfacility.
What bis bsubjective bdata? bGive ban bexample. b- bcorrect banswers✔✔Whatever bthe
bpatient bsays bor breports band bcannot bbe beasily bverified bby bthe bnurse.
