NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
1. Nursing process, Documen- *1) Implementation of the care plan involves
tation, Reporting directing the care of other personnel.
During the implementation of *2) Patient teaching is a component of care
a patient care plan, an RN plan implementation.
needs to consider which of
the following actions? *3) The RN is responsible for direct care of
the patient during implementation.
(Select all that apply.)
4) The RN incorporates traditional and com-
Directing care to other per- plementary health practices as appropriate.
sonnel
Providing appropriate pa- 5) The RN partners with the family, signifi-
tient teaching as needed cant others, and caregivers as well as with
Providing direct patient care the patient.
according to the plan
Focusing on traditional
health care practices
Implementing the plan in a
safe, timely fashion with the
patient only
2. Nursing process, Documen- 1) Analysis is synthesizing data to identify
tation, Reporting the patient's actual or potential health prob-
lems (nursing diagnosis).
According to the ANA Stan-
dards of Practice, in which 2) Assessment is gathering and organizing
phase of the nursing process data in relation to the patient's health status.
does the RN determine pa-
tient-centered goals and the 3) Evaluation is assessing the patient's re-
ways to achieve them? sponse to nursing care, including progress
toward the expected outcome (patient-cen-
Analysis tered goal).
Assessment
Evaluation *4) Planning is determining the expected
Planning outcomes (patient-centered goals) and for-
mulating specific strategies to achieve the
expected outcomes.
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
3. Nursing process, Documen- 1) Asking the patient for feedback is not an
tation, Reporting application of the nursing process.
The ANA Standards of Prac- *2) Evaluation is assessing the patient's re-
tice state that the evaluation sponse to nursing care, including progress
phase of the nursing process toward the expected outcome (patient-cen-
involves which nursing activ- tered goal).
ity?
3) Documenting care is an ongoing task
Asking patients for feedback of the assessment phase of the nursing
about their hospital stay process.
Determining achievement of
expected outcomes 4) Assigning and supervising patient care to
Documenting care given to other members of the health care team is
the patient part of the planning phase.
Supervising NAP activities
4. Nursing process, Documen- *1) Federal privacy laws are violated un-
tation, Reporting der the Health Insurance Portability and Ac-
countability Act.
Posting pictures or descrip-
tions of patient information 2) See 1).
on social media represents
a significant risk to the RN 3) See 1).
because of which legal viola-
tion? 4) See 1).
Federal privacy laws
Personal privacy laws
Nursing ethics
Standards of practice
5. Nursing process, Documen- *1) The answer is incorrect, since the pa-
tation, Reporting tient's acuity is not related to goals devel-
oped is a care plan.
An RN is instructing a stu-
dent on the process of de- 2) See 1).
veloping a care plan for a
patient. Which statement by 3) See 1).
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
the student indicates to the
RN that further instruction is 4) See 1).
needed on writing outcomes
based on ANA Standards of
Nursing Practice?
"I need to base outcomes on
my patient's acuity level."
"I should consider the pa-
tient's ethical, cultural, and
spiritual values."
"I should involve the pa-
tient, family, and health care
providers."
"I need to include a time es-
timate for attainment of ex-
pected outcomes."
6. Nursing process, Documen- 1) The data element would be that the skin
tation, Reporting is either intact or broken.
An RN teaches a patient who 2) The information element would be that
is diabetic how to assess the this patient has diabetes.
skin on the bottom of the
feet for open wounds, using 3) The knowledge element would be that di-
a lighted mirror. Which ele- abetic patients are at risk for skin ulcerations
ment of nursing informatics of the soles of the feet.
has the RN used with this in-
tervention? *4) The wisdom element uses knowledge
to manage a problem. The patient needs to
Data learn to assess the underside of the feet
Information for skin ulcerations. The RN combines this
Knowledge understanding with a solution for how the
Wisdom patient can assess the soles of the feet for
diabetic ulcers.
7. Nursing process, Documen- *1) Ineffective breathing pattern is a
tation, Reporting life-threatening situation that requires prior-
ity. Maslow's hierarchy of needs indicates
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
The RN should give priority that oxygenation is the most basic and im-
to which nursing diagnosis mediate need for survival.
statement?
2) It would be important to address fatigue,
Ineffective Breathing Pattern but it is much lower in Maslow's hierarchy of
related to upper abdominal needs.
pain
Fatigue related to immobility 3) Nutrition is an important basic need, but
Altered Nutrition: Less Than it is not as critical as oxygenation.
Body Requirements related
to persistent nausea and 4) Although deficient fluid volume may be an
vomiting urgent problem, a breathing impairment is
Deficient Fluid Volume relat- more life threatening.
ed to fever and diaphoresis
8. Nursing process, Documen- Outcome research
tation, Reporting Findings from clinical trials
Case studies
Place the sources of evi- Expert opinion
dence-based practices (EBP)
in order from strongest to
weakest evidence.
(Using the alphabetical list
within the drop-down boxes
beside each step (A through
D), place the steps in correct
order, with A being the first
step, B being the next step, C
being the next, etc., through
D, which would be the last
step.)
Outcome research
Findings from clinical trials
Case studies
Expert opinion
9.
Study online at https://quizlet.com/_fxbqbu
1. Nursing process, Documen- *1) Implementation of the care plan involves
tation, Reporting directing the care of other personnel.
During the implementation of *2) Patient teaching is a component of care
a patient care plan, an RN plan implementation.
needs to consider which of
the following actions? *3) The RN is responsible for direct care of
the patient during implementation.
(Select all that apply.)
4) The RN incorporates traditional and com-
Directing care to other per- plementary health practices as appropriate.
sonnel
Providing appropriate pa- 5) The RN partners with the family, signifi-
tient teaching as needed cant others, and caregivers as well as with
Providing direct patient care the patient.
according to the plan
Focusing on traditional
health care practices
Implementing the plan in a
safe, timely fashion with the
patient only
2. Nursing process, Documen- 1) Analysis is synthesizing data to identify
tation, Reporting the patient's actual or potential health prob-
lems (nursing diagnosis).
According to the ANA Stan-
dards of Practice, in which 2) Assessment is gathering and organizing
phase of the nursing process data in relation to the patient's health status.
does the RN determine pa-
tient-centered goals and the 3) Evaluation is assessing the patient's re-
ways to achieve them? sponse to nursing care, including progress
toward the expected outcome (patient-cen-
Analysis tered goal).
Assessment
Evaluation *4) Planning is determining the expected
Planning outcomes (patient-centered goals) and for-
mulating specific strategies to achieve the
expected outcomes.
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
3. Nursing process, Documen- 1) Asking the patient for feedback is not an
tation, Reporting application of the nursing process.
The ANA Standards of Prac- *2) Evaluation is assessing the patient's re-
tice state that the evaluation sponse to nursing care, including progress
phase of the nursing process toward the expected outcome (patient-cen-
involves which nursing activ- tered goal).
ity?
3) Documenting care is an ongoing task
Asking patients for feedback of the assessment phase of the nursing
about their hospital stay process.
Determining achievement of
expected outcomes 4) Assigning and supervising patient care to
Documenting care given to other members of the health care team is
the patient part of the planning phase.
Supervising NAP activities
4. Nursing process, Documen- *1) Federal privacy laws are violated un-
tation, Reporting der the Health Insurance Portability and Ac-
countability Act.
Posting pictures or descrip-
tions of patient information 2) See 1).
on social media represents
a significant risk to the RN 3) See 1).
because of which legal viola-
tion? 4) See 1).
Federal privacy laws
Personal privacy laws
Nursing ethics
Standards of practice
5. Nursing process, Documen- *1) The answer is incorrect, since the pa-
tation, Reporting tient's acuity is not related to goals devel-
oped is a care plan.
An RN is instructing a stu-
dent on the process of de- 2) See 1).
veloping a care plan for a
patient. Which statement by 3) See 1).
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
the student indicates to the
RN that further instruction is 4) See 1).
needed on writing outcomes
based on ANA Standards of
Nursing Practice?
"I need to base outcomes on
my patient's acuity level."
"I should consider the pa-
tient's ethical, cultural, and
spiritual values."
"I should involve the pa-
tient, family, and health care
providers."
"I need to include a time es-
timate for attainment of ex-
pected outcomes."
6. Nursing process, Documen- 1) The data element would be that the skin
tation, Reporting is either intact or broken.
An RN teaches a patient who 2) The information element would be that
is diabetic how to assess the this patient has diabetes.
skin on the bottom of the
feet for open wounds, using 3) The knowledge element would be that di-
a lighted mirror. Which ele- abetic patients are at risk for skin ulcerations
ment of nursing informatics of the soles of the feet.
has the RN used with this in-
tervention? *4) The wisdom element uses knowledge
to manage a problem. The patient needs to
Data learn to assess the underside of the feet
Information for skin ulcerations. The RN combines this
Knowledge understanding with a solution for how the
Wisdom patient can assess the soles of the feet for
diabetic ulcers.
7. Nursing process, Documen- *1) Ineffective breathing pattern is a
tation, Reporting life-threatening situation that requires prior-
ity. Maslow's hierarchy of needs indicates
, NURX104 Essentials of Nursing Care: Health Safety
Study online at https://quizlet.com/_fxbqbu
The RN should give priority that oxygenation is the most basic and im-
to which nursing diagnosis mediate need for survival.
statement?
2) It would be important to address fatigue,
Ineffective Breathing Pattern but it is much lower in Maslow's hierarchy of
related to upper abdominal needs.
pain
Fatigue related to immobility 3) Nutrition is an important basic need, but
Altered Nutrition: Less Than it is not as critical as oxygenation.
Body Requirements related
to persistent nausea and 4) Although deficient fluid volume may be an
vomiting urgent problem, a breathing impairment is
Deficient Fluid Volume relat- more life threatening.
ed to fever and diaphoresis
8. Nursing process, Documen- Outcome research
tation, Reporting Findings from clinical trials
Case studies
Place the sources of evi- Expert opinion
dence-based practices (EBP)
in order from strongest to
weakest evidence.
(Using the alphabetical list
within the drop-down boxes
beside each step (A through
D), place the steps in correct
order, with A being the first
step, B being the next step, C
being the next, etc., through
D, which would be the last
step.)
Outcome research
Findings from clinical trials
Case studies
Expert opinion
9.
