NUR 209 Exam 2 Study Guide
Questions with Answers.
How do you ensure your patient's safety at home? Out in public? In the acute care setting? -
Answer Home: fire alarms, accessibility
Acute care setting:
Wear an ID badge visible to pt.
Always ID patient
Orient patient to surroundings
Keep your working environment and the patient area in good order
Be knowledgeable of all policies and procedures
Be an excellent communicator
What considerations are required for any patient in restraints? - Answer Current standard for
long-term care facilities is to provide safe care without the use of physical or chemical restraints
Acute care settings should use restraints only as a last resort - The Joint commission and well as
Federal and State mandates
not a restraint unless the patient wants to
Effects: Aspiration
Impaired Circulation
Alteration in skin integrity
Pressure Ulcers
How do you document an unexpected patient event? - Answer Must be completed after any
accident or incident in a healthcare facility that compromises safety
Describes the circumstances of the accident or incident
Details the patient's response to the examination and treatment of the patient after the
incident
Completed by the nurse immediately after the incident
Is not part of the medical record and should not be mentioned in documentation
Hendrich II Fall Risk Model - Answer Determines the risk for falling based on gender, mental
status, medication side-effects, and disease symptoms such as dizziness
How do you establish learning priorities? - Answer Identify key goals
, What factors promote or hinder learning? - Answer Hinder: Cultural ethnic influences
Language (HealthInfoTranslations.org) (Medline Plus)
Literacy skills (ability to read and write)
Health literacy
Promote: Be sincere, honest, interested; ask for questions; use simple words; listen do not
interrupt when the patient simple words; listen do not interrupt when the patient speak
Perceived benefit Enhanced health literacy Ongoing client participation Nonjudgmental support
Quiet, low-stimulus environment Repetition
What methods can you use to determine whether learning has occurred? - Answer oral
questions can assess cognitive learning, patient responses can assess affective learning, and a
return demonstration can assess psychomotor learning
What factors influence the adult learner? - Answer Fear Anxiety Depression Lack of
motivation Environmental distractions Psychomotor deficits Physical discomfort (fatigue,pain)
Timing
What are the domains of learning? - Answer 1. Cognitive
- thinking and comprehension
2. Affective
- involves feelings regarding attitude, values and beliefs
3. Psychomotor
- physical and mental activities required to learn skills (Hands)
How do you identify patient learning needs? - Answer Patient's family and significant others
Baseline knowledge, attitudes, skills Required knowledge, attitudes, skills Readiness to learn
Ability/motivation to learn Learning strengths
How do you know that learning has occurred? - Answer TEACHBACK METHOD
Identify and describe each of the five phases of the nursing process. - Answer >>>
Assessment
>>> Diagnosing/Identifying actual or potential problems
>>> Planning
>>> Identifying interventions with rationales
>>> Evaluation
Questions with Answers.
How do you ensure your patient's safety at home? Out in public? In the acute care setting? -
Answer Home: fire alarms, accessibility
Acute care setting:
Wear an ID badge visible to pt.
Always ID patient
Orient patient to surroundings
Keep your working environment and the patient area in good order
Be knowledgeable of all policies and procedures
Be an excellent communicator
What considerations are required for any patient in restraints? - Answer Current standard for
long-term care facilities is to provide safe care without the use of physical or chemical restraints
Acute care settings should use restraints only as a last resort - The Joint commission and well as
Federal and State mandates
not a restraint unless the patient wants to
Effects: Aspiration
Impaired Circulation
Alteration in skin integrity
Pressure Ulcers
How do you document an unexpected patient event? - Answer Must be completed after any
accident or incident in a healthcare facility that compromises safety
Describes the circumstances of the accident or incident
Details the patient's response to the examination and treatment of the patient after the
incident
Completed by the nurse immediately after the incident
Is not part of the medical record and should not be mentioned in documentation
Hendrich II Fall Risk Model - Answer Determines the risk for falling based on gender, mental
status, medication side-effects, and disease symptoms such as dizziness
How do you establish learning priorities? - Answer Identify key goals
, What factors promote or hinder learning? - Answer Hinder: Cultural ethnic influences
Language (HealthInfoTranslations.org) (Medline Plus)
Literacy skills (ability to read and write)
Health literacy
Promote: Be sincere, honest, interested; ask for questions; use simple words; listen do not
interrupt when the patient simple words; listen do not interrupt when the patient speak
Perceived benefit Enhanced health literacy Ongoing client participation Nonjudgmental support
Quiet, low-stimulus environment Repetition
What methods can you use to determine whether learning has occurred? - Answer oral
questions can assess cognitive learning, patient responses can assess affective learning, and a
return demonstration can assess psychomotor learning
What factors influence the adult learner? - Answer Fear Anxiety Depression Lack of
motivation Environmental distractions Psychomotor deficits Physical discomfort (fatigue,pain)
Timing
What are the domains of learning? - Answer 1. Cognitive
- thinking and comprehension
2. Affective
- involves feelings regarding attitude, values and beliefs
3. Psychomotor
- physical and mental activities required to learn skills (Hands)
How do you identify patient learning needs? - Answer Patient's family and significant others
Baseline knowledge, attitudes, skills Required knowledge, attitudes, skills Readiness to learn
Ability/motivation to learn Learning strengths
How do you know that learning has occurred? - Answer TEACHBACK METHOD
Identify and describe each of the five phases of the nursing process. - Answer >>>
Assessment
>>> Diagnosing/Identifying actual or potential problems
>>> Planning
>>> Identifying interventions with rationales
>>> Evaluation
