NURS 1544 Final Exam With
Complete Solution
What is the scope of practice for a Professional nurse?
*Services that a trained health professional is deemed competent to perform
and permitted to undertake according to the terms of their professional
nursing license
*Provides a framework and structured guidance for activities one can
perform based on their nursing license
Who/what regulates your nursing practice?
*The American Nurses Association (ANA)
*Your state's Nurse Practice act
*Agency policies and procedures
*Federal regulators such as The Joint Commission
What are the 4 different levels of healthcare? Give examples of each
*Primary - Prevents illness (clinic, PCP)
*Secondary - Treats illness (hospital, urgent care)
*Tertiary - Specialized care (hospital, surgery, chemo, organ transplant)
*Extended - long term (assisted living, nursing home)
What is critical thinking?
,*A learned "thinking" (to think like a nurse)
*Use the knowledge and skills to make the best decisions possible in patient
care situations
(directed thinking, reasoning, reflection, common sense, problem solving,
analysis, inquiry)
Why is critical thinking important?
*Nurses face complex situations.
*Each client is unique.
Nurses provide holistic care. Nurses must apply nursing knowledge. Nurses
apply knowledge from other fields. Nursing is fast paced.
Scientific basis for patient care changes constantly. Critical thinking is linked
to evidence-based practice
Identify the parts of the nursing process.
*ADOPIE - Assessment, Diagnosis, Outcome Identification, Planning,
Intervention, Evaluation
*ADPIE - Assessment, Diagnosis, Planning, Implementation, Evaluation
What is accomplished in each part of the nursing process?
*Assessment - Ongoing gathering of holistic information (data) on the
individual. Ask questions, listen, observe verbal and nonverbal cues.
*Diagnosis - Analyze assessment data to determine actual or potential
diagnoses, problems, and issues. Nurse treats independently, individualized
,to pt, prioritizes problems.
*Outcome Identification - Outcomes = Goals. SMART goals, "the client will",
short and long term goals.
*Planning - Focus on eliminating or reducing related factors. Purpose is to
achieve client goals, based on clinical judgement and nursing knowledge,
evidence based, care plans, can be independent dependent or collaborative.
*Intervention/Implementation - Doing, prioritize and complete planned
interventions with ongoing assessment. Delegating, transfer responsibilities
while remaining accountable. Documenting, record nursing activities and
clients response.
*Evaluation - Client's progress towards goals, effectiveness of
interventions/nursing care, continuous, "has the goal been met?", modify as
needed.
What are the different types of nursing assessments and what is done during
each nursing assessment?
*Primary survey - performed at every encounter
*Admission - comprehensive
*Baseline - initial assessment with first encounter
*Ongoing - head to toe on every shift in acute care (ongoing)
*Focused - evaluate a specific problem
*Time lapsed - over a period of time (long term care, every 3 months)
How does a nursing diagnosis differ from a medical diagnosis?
, *Medical - Disease or illness and identifies the pathology so appropriate
treatment can be given (bronchitis)
*Nursing - The human response to illness (acute pain)
How are nursing diagnoses chosen and prioritized?
*Cluster similar symptoms
*Identify broad topic that fits the cluster
*Narrow search to specific class or label
*Use nursing diagnosis handbook
*Prioritized in order of: High priority - life threatening, Medium priority - not
life threatening but may cause destructive physical or emotional changes.
Low priority - requires minimal nursing intervention
How are client goals/outcomes written and evaluated (SMART)?
*"The client will", "The client will be able to"
*Add a verb
*Outcome of the criteria
*Short/long term goal
(the client will report pain on a pain scale from 0-10 an hour after pain meds
are given.)
*Review outcomes/goals, collect data, judge goal achievement, revise care
Complete Solution
What is the scope of practice for a Professional nurse?
*Services that a trained health professional is deemed competent to perform
and permitted to undertake according to the terms of their professional
nursing license
*Provides a framework and structured guidance for activities one can
perform based on their nursing license
Who/what regulates your nursing practice?
*The American Nurses Association (ANA)
*Your state's Nurse Practice act
*Agency policies and procedures
*Federal regulators such as The Joint Commission
What are the 4 different levels of healthcare? Give examples of each
*Primary - Prevents illness (clinic, PCP)
*Secondary - Treats illness (hospital, urgent care)
*Tertiary - Specialized care (hospital, surgery, chemo, organ transplant)
*Extended - long term (assisted living, nursing home)
What is critical thinking?
,*A learned "thinking" (to think like a nurse)
*Use the knowledge and skills to make the best decisions possible in patient
care situations
(directed thinking, reasoning, reflection, common sense, problem solving,
analysis, inquiry)
Why is critical thinking important?
*Nurses face complex situations.
*Each client is unique.
Nurses provide holistic care. Nurses must apply nursing knowledge. Nurses
apply knowledge from other fields. Nursing is fast paced.
Scientific basis for patient care changes constantly. Critical thinking is linked
to evidence-based practice
Identify the parts of the nursing process.
*ADOPIE - Assessment, Diagnosis, Outcome Identification, Planning,
Intervention, Evaluation
*ADPIE - Assessment, Diagnosis, Planning, Implementation, Evaluation
What is accomplished in each part of the nursing process?
*Assessment - Ongoing gathering of holistic information (data) on the
individual. Ask questions, listen, observe verbal and nonverbal cues.
*Diagnosis - Analyze assessment data to determine actual or potential
diagnoses, problems, and issues. Nurse treats independently, individualized
,to pt, prioritizes problems.
*Outcome Identification - Outcomes = Goals. SMART goals, "the client will",
short and long term goals.
*Planning - Focus on eliminating or reducing related factors. Purpose is to
achieve client goals, based on clinical judgement and nursing knowledge,
evidence based, care plans, can be independent dependent or collaborative.
*Intervention/Implementation - Doing, prioritize and complete planned
interventions with ongoing assessment. Delegating, transfer responsibilities
while remaining accountable. Documenting, record nursing activities and
clients response.
*Evaluation - Client's progress towards goals, effectiveness of
interventions/nursing care, continuous, "has the goal been met?", modify as
needed.
What are the different types of nursing assessments and what is done during
each nursing assessment?
*Primary survey - performed at every encounter
*Admission - comprehensive
*Baseline - initial assessment with first encounter
*Ongoing - head to toe on every shift in acute care (ongoing)
*Focused - evaluate a specific problem
*Time lapsed - over a period of time (long term care, every 3 months)
How does a nursing diagnosis differ from a medical diagnosis?
, *Medical - Disease or illness and identifies the pathology so appropriate
treatment can be given (bronchitis)
*Nursing - The human response to illness (acute pain)
How are nursing diagnoses chosen and prioritized?
*Cluster similar symptoms
*Identify broad topic that fits the cluster
*Narrow search to specific class or label
*Use nursing diagnosis handbook
*Prioritized in order of: High priority - life threatening, Medium priority - not
life threatening but may cause destructive physical or emotional changes.
Low priority - requires minimal nursing intervention
How are client goals/outcomes written and evaluated (SMART)?
*"The client will", "The client will be able to"
*Add a verb
*Outcome of the criteria
*Short/long term goal
(the client will report pain on a pain scale from 0-10 an hour after pain meds
are given.)
*Review outcomes/goals, collect data, judge goal achievement, revise care
