NUR 2206 Assessment Final Exam
Questions and All Correct Answers.
Change in Shift Report - Answer - Identifying info on Pt.
- Current appraisal of health status: Changes in medical conditions and response to therapy;
Where the Pt. stands in relation to identified diagnoses and goals
- Current orders and unfilled orders
- Summary of each newly admitted Pt.
- Report on Pts. transferred or discharged
Methods of Reporting - Answer - Face-to-face meetings
- Telephone
- Written message
- Audio-taped message
- Computer message
Conferring About Care - Answer - Consultations and referrals
- Nursing and interdisciplinary team care conferences
- Nursing care rounds
SBAR - Answer Situation
Background
Assessment
Recommendation
Situation - Answer Communicate what is occurring and why the Pt. is being transferred to
another caregiver
Background - Answer Explain what led up to the current situation and put in context if
necessary
Assessment - Answer Give your impression of the problem and your findings
Recommendation - Answer Explain what you would do to correct the problem
, Methods of SBAR Communications - Answer - Posters
- Stickers on phones
- Peer observation
- Inclusion of SBAR in orientation and safety training
After receiving SBAR Report - Answer - Prioritize Pt. assignment or who will you see first
(fresh post op, fresh post anesthesia diagnostic procedure, any pt. with critical changes that
might be moved to another unit, any pt. that has deteriorated over the last shift)
- Then see your stable pts.
Initial/60 Second Assessment - Answer - ABC
- D (drainage/discharge)
- Respiratory equip
- Patient safety survey (what did pt bring to hospital)
- Environmental survey
- Sensory
- Follow tubing
- Coloring
- Position
- Has family been contacted
ABC - Answer Airway
Breathing
Circulation
Full Assessment - Answer Heat to toe
V/S (BP,P,R,T,PO)
IVs
Drains
Dressings (should be clean, dry, and intact)
Meds
Restrictions (NPO, allergies, fluid restriction, fall risk, arm/leg that cannot move or use)
Airway/Breathing (Respiratory System) - Answer 1. Oxygen by mask, nasal prongs, check
fitting.
Questions and All Correct Answers.
Change in Shift Report - Answer - Identifying info on Pt.
- Current appraisal of health status: Changes in medical conditions and response to therapy;
Where the Pt. stands in relation to identified diagnoses and goals
- Current orders and unfilled orders
- Summary of each newly admitted Pt.
- Report on Pts. transferred or discharged
Methods of Reporting - Answer - Face-to-face meetings
- Telephone
- Written message
- Audio-taped message
- Computer message
Conferring About Care - Answer - Consultations and referrals
- Nursing and interdisciplinary team care conferences
- Nursing care rounds
SBAR - Answer Situation
Background
Assessment
Recommendation
Situation - Answer Communicate what is occurring and why the Pt. is being transferred to
another caregiver
Background - Answer Explain what led up to the current situation and put in context if
necessary
Assessment - Answer Give your impression of the problem and your findings
Recommendation - Answer Explain what you would do to correct the problem
, Methods of SBAR Communications - Answer - Posters
- Stickers on phones
- Peer observation
- Inclusion of SBAR in orientation and safety training
After receiving SBAR Report - Answer - Prioritize Pt. assignment or who will you see first
(fresh post op, fresh post anesthesia diagnostic procedure, any pt. with critical changes that
might be moved to another unit, any pt. that has deteriorated over the last shift)
- Then see your stable pts.
Initial/60 Second Assessment - Answer - ABC
- D (drainage/discharge)
- Respiratory equip
- Patient safety survey (what did pt bring to hospital)
- Environmental survey
- Sensory
- Follow tubing
- Coloring
- Position
- Has family been contacted
ABC - Answer Airway
Breathing
Circulation
Full Assessment - Answer Heat to toe
V/S (BP,P,R,T,PO)
IVs
Drains
Dressings (should be clean, dry, and intact)
Meds
Restrictions (NPO, allergies, fluid restriction, fall risk, arm/leg that cannot move or use)
Airway/Breathing (Respiratory System) - Answer 1. Oxygen by mask, nasal prongs, check
fitting.
