D439: FOUNDATIONS QUESTIONS WITH
CORRECT ANSWERS
SBAR BFormat B- Bcorrect Banswers✔✔-model Bfor Beffective Bcommunication Bidentifying
BSituation, BBackground, BAssessment, Band BRecommendation
-there Bare Btwo Btypes Bof Bways Bthat Bcommunication Btools Bare Bused Bto
Bcommunicate Ba Bpatients Bchange Bin Bcondition: BCUS Btool B(Concerned,
BUncomfortable, BSafety) Band BSBAR
-note Bto Balways Bmaintain Bpt Bprivacy Band Bconfidentiality
SBAR BEXAMPLE B:
Case BStudy: BYou Badministered B1 Btablet Bof Boxycodone BHCl B5 Bmg/ibuprofen B400
Bmg BPO Bto Ba Bpatient B30 Bminutes Bago Bfor Bpostsurgical Bpain. BYou Breturn Bto Bthe
Bpatient's Broom Bto Bevaluate Bthe Beffectiveness Bof Bthe Bmedication B30 Bminutes
Blater. BThe Bpatient Brates Bhis Bpain Bas Ban B8 Bon Ba Bscale Bof B0-10. BYou Buse BSBAR
Bto Bcontact Bthe Bpatient's Bhealth Bcare Bprovider.
BSituation: BThe Bpatient Bis Brating Bhis Bpain Bas Ban B8 Bon Ba Bscale Bof B0-10. BHe Bhad
Bhis Bpain Bmedication B30 Bminutes Bago.
BBackground: BThe Bpatient Bhad Ba Bknee Breplacement Band Breturned Bfrom Bthe
Bpostanesthesia Bcare Bunit B6 Bhours Bago. BHe Bhas B1 Btablet Bof Boxycodone BHCl B5
,Bmg/ibuprofen B400 Bmg BPO Bordered Bevery B6 Bhours. BThis Bis Bthe Bfirst Bpain
Bmedication Bhe Bhas Btaken Bsince Bbeing Badmitted Bto Bthe Bunit.
BAssessment: BHis Bcurrent Bmedication Border Bis Bnot Bsufficiently Bmanaging Bthe
Bpatient's Bpain. BHe Bdoes Bnot Bwant Bto Bsit Bup Bor Bmove Bbecause Bof Bthe Bpain Bhe
Bis Bexperiencing.
BRecommendation: BIt Bmight Bbe Bhelpful Bto Bchange Bthe Bpain Bmedication Border Bfor
Bthe Bpatient.
guided Bimagery B- Bcorrect Banswers✔✔-mind/body Bintervention
-Concentrating Bon Ban Bimage Bor Bseries Bof Bimages Bto Btreat Bpathological Bconditions
Maslow's BHierarchy Bof BNeeds B- Bcorrect Banswers✔✔-where B(1) Bphysiological
Bneeds Bare BPRIORITY Bthen B(2) Bsafety Band Bsecurity, B(3) Blove Band Bbelonging
Bneeds. B(4) Bself Besteem Bneeds, Band BFINALLY B(5) Bself Bactualization Bneeds
The Bnurse Bplanning Bcare Bfor Ba Bclient Bexperiencing Bdystocia Bdetermines Bthat Bthe
Bpriority Bis Bwhich Baction?
1. BPosition Bchanges Band Bproviding Bcomfort Bmeasures
2. BExplanations Bto Bthe Bclient Babout Bwhat Bis Bhappening
3. BMonitoring Bfor Bchanges Bin Bthe Bcondition Bof Bthe Bbirthing Bparent Band Bfetus
4. BEncouraging Bthe Buse Bof Bbreathing Btechniques Blearned Bin Bchildbirth Bpreparatory
Bclasses
Answer: B3
Test-Taking BStrategy: BNote Bthe Bstrategic Bword, Bpriority, Band Buse BMaslow's
BHierarchy Bof BNeeds Btheory Bto Bprioritize, Bremembering Bthat Bphysiological Bneeds
Bcome Bfirst. BThe Bnurse Bneeds Bto Bhave Bknowledge Bof Bthe Bclient's Bpriority Bneeds
Band Bgenerate Bsolutions. BAll Bthe Boptions Bare Bcorrect Band Bwould Bbe Bimplemented
Bduring Bthe Bcare Bof Ba Bclient Bwith Bdystocia. BAlso Bnote Bthat Bthe Bcorrect Boption Bis
Bthe Bonly Bone Bthat Baddresses Bboth Bthe Bbirthing Bparent Band Bthe Bfetus.
BRemember Bto Buse BMaslow's BHierarchy Bof BNeeds Btheory Bto Bhelp Bprioritize Band
Bgenerate Bsolutions!
EHR Bsystem Band Blimitations B- Bcorrect Banswers✔✔-EHR BAND BEMR Bare Bdifferent
Bfrom Beachother
-A Bhealth Bcare Bagency Boften Brelies Bon Bthe Bnursing Bhistory Bmodel Bincluded Bin
Bthe Belectronic Bhealth Brecord B(EHR) Bas Bthe Borganizing Bframework Bfor Ban
Bassessment. BHowever, BEHR Bframeworks Bare Boften Bmedically Bdriven. BFrameworks
Bdeveloped Bfrom Bnursing Btheories Bare Bmore Bholistic Band Bpatient-centered,
Bproviding Ba Bmore Bcomprehensive Bpatient Breview.
-When Bit Bcomes Bto Bthe BEMR Bfreezing Bit's Bbest Bto Bnotify BIT Bor Bwhen Bthe
Bcomputer Bsystem Bshuts Bdown Bduring Bdata Bentry. BThe Bnurse Bshould Bfollow
Bestablished Bprotocols Band Bprepare Bto Bre-enter Bdata Bas Ba Blate Bentry Bwhen Bthe
, Bsystem Bis Boperational. BAlso Bnever Battempt Bto Breboot Bor Bfix Bthe BEMR Bsystem
Bwhich Bmay Bprolong Bthe Bcomplication.
It's Balso Bnot Brecommended Bto Bprint BEMR Bfrom Ba Bbackup Bserver Bwithout Bproper
Bauthorization Band Bensuring Bdata Bprivacy Band Bsecurity.
-patient Boutcome Bdata; Band Buse Bclinical Bdecision Bsupport Bsystems. BThe Belectronic
Bhealth Brecord B(EHR) Bis Ban Befficient Bmethod Bfor Bdocumenting Band Bmanaging
Bpatient Bhealth Bcare Binformation B(see BChapter B26.) BComputerized
Bphysician/provider Border Bentry B(CPOE), Ballowing Bhealth Bcare Bproviders Bto Bdirectly
Benter Bmedical Borders, Bis Ba Bcritical Bpatient Bsafety Binitiative Bespecially Bin Bthe Barea
Bof Bmedication Bordering Band Badministration
-Change-of-shift, Bhand-off Breporting, Band Bhourly Bbedside Brounds Bare Bways Bto
Bkeep Ball Bhealth Bcare Bproviders Band Bpatients Binformed
Hand BHygeine B- Bcorrect Banswers✔✔-hand Bwashing Bdoes Bnot Bkill Bmicroorganisms
Bbut Breduces Bthe Bamount Bof Bthem Bpresent
-four Btechniques: Bhand Bwashing, Bantiseptic Bhand Bwash, Bantiseptic Bhand Brub,
Bsurgical Bhand Bantisepsis
-4 Belements Bof Bhand Bwashing: Bwater, Bfriction, Bsoap B, Band Btime
Dosage BCalculation B(ml, Btbsp->ml) B- Bcorrect Banswers✔✔
VITAL BSIGNS B- Bcorrect Banswers✔✔-what Bto Bdo Bif Breassessment Bis Bneeded
-know Bthe Bpt Busual Brange Bof Bvital Bsigns B(baseline)
-assess Brespiratory
Factors Baffecting Bvital Bsigns Bof Bolder Badults:
MOBILITY: BHow Bdo Byou Buse Bcrutches? B- Bcorrect Banswers✔✔TYPES BOF BGAITS:
-2-point: B2 Bpoints B(crutch Bor Bfoot) Bon Bthe Bground: Bpt Bmoves Bright Bcrutch Band
Bleft Bfoot Btogether, Bleft Bcrutch Band Bright Bfoot Btogether
-4 Bpoint Bgait: B
-3 Bpoint Bgait: Bmoving Bboth Bcrutches Band Bthe Binjured Bleg Bat Bthe Bsame Btime B
-weight Bis Bon Bboth Bhands
support Bweight Bat Bthe Bhand Bgrips, Bwith Belbow Bflexed Bat B30 Bdegrees, Bposition
Bcrutches Bon Bthe Bunaffected Bside Bwhen Bsitting Bor Braising Bfrom Bthe Bchair
-How Bto Buse Bcrutches: BDo BNot BAdjust BCrutch BSettings BAfter BFitting B(Should Bbe
B3 BFinger BWidths BBetween BAxilla Band BTop Bof BCrutch) BSupport BBody BWeight Bon
BHand BGrips B(Not BAxilla), BWith BElbows BFlexed Bor Bbent Bat B30 BDegrees
-an Baccurate Bmeasurement Bis Bimportant Band Bthe Bdistance Bbetween Bthe Baxillae
Band Barm Bpiece Bhas Bto Bbe B2-3 Bfinger Bwidths Bin Bthe Baxilla Bspace Band Bthe Barm
Bbars
-all Bweight Bshould Bbe Bon Bthe Bhand Bgrips
-when Bambulating Bpt, Bstand Bon Btheir Baffected B(weak) Bside
-never Brest Barmpit Bon Bthe Baxillary Bbars
CORRECT ANSWERS
SBAR BFormat B- Bcorrect Banswers✔✔-model Bfor Beffective Bcommunication Bidentifying
BSituation, BBackground, BAssessment, Band BRecommendation
-there Bare Btwo Btypes Bof Bways Bthat Bcommunication Btools Bare Bused Bto
Bcommunicate Ba Bpatients Bchange Bin Bcondition: BCUS Btool B(Concerned,
BUncomfortable, BSafety) Band BSBAR
-note Bto Balways Bmaintain Bpt Bprivacy Band Bconfidentiality
SBAR BEXAMPLE B:
Case BStudy: BYou Badministered B1 Btablet Bof Boxycodone BHCl B5 Bmg/ibuprofen B400
Bmg BPO Bto Ba Bpatient B30 Bminutes Bago Bfor Bpostsurgical Bpain. BYou Breturn Bto Bthe
Bpatient's Broom Bto Bevaluate Bthe Beffectiveness Bof Bthe Bmedication B30 Bminutes
Blater. BThe Bpatient Brates Bhis Bpain Bas Ban B8 Bon Ba Bscale Bof B0-10. BYou Buse BSBAR
Bto Bcontact Bthe Bpatient's Bhealth Bcare Bprovider.
BSituation: BThe Bpatient Bis Brating Bhis Bpain Bas Ban B8 Bon Ba Bscale Bof B0-10. BHe Bhad
Bhis Bpain Bmedication B30 Bminutes Bago.
BBackground: BThe Bpatient Bhad Ba Bknee Breplacement Band Breturned Bfrom Bthe
Bpostanesthesia Bcare Bunit B6 Bhours Bago. BHe Bhas B1 Btablet Bof Boxycodone BHCl B5
,Bmg/ibuprofen B400 Bmg BPO Bordered Bevery B6 Bhours. BThis Bis Bthe Bfirst Bpain
Bmedication Bhe Bhas Btaken Bsince Bbeing Badmitted Bto Bthe Bunit.
BAssessment: BHis Bcurrent Bmedication Border Bis Bnot Bsufficiently Bmanaging Bthe
Bpatient's Bpain. BHe Bdoes Bnot Bwant Bto Bsit Bup Bor Bmove Bbecause Bof Bthe Bpain Bhe
Bis Bexperiencing.
BRecommendation: BIt Bmight Bbe Bhelpful Bto Bchange Bthe Bpain Bmedication Border Bfor
Bthe Bpatient.
guided Bimagery B- Bcorrect Banswers✔✔-mind/body Bintervention
-Concentrating Bon Ban Bimage Bor Bseries Bof Bimages Bto Btreat Bpathological Bconditions
Maslow's BHierarchy Bof BNeeds B- Bcorrect Banswers✔✔-where B(1) Bphysiological
Bneeds Bare BPRIORITY Bthen B(2) Bsafety Band Bsecurity, B(3) Blove Band Bbelonging
Bneeds. B(4) Bself Besteem Bneeds, Band BFINALLY B(5) Bself Bactualization Bneeds
The Bnurse Bplanning Bcare Bfor Ba Bclient Bexperiencing Bdystocia Bdetermines Bthat Bthe
Bpriority Bis Bwhich Baction?
1. BPosition Bchanges Band Bproviding Bcomfort Bmeasures
2. BExplanations Bto Bthe Bclient Babout Bwhat Bis Bhappening
3. BMonitoring Bfor Bchanges Bin Bthe Bcondition Bof Bthe Bbirthing Bparent Band Bfetus
4. BEncouraging Bthe Buse Bof Bbreathing Btechniques Blearned Bin Bchildbirth Bpreparatory
Bclasses
Answer: B3
Test-Taking BStrategy: BNote Bthe Bstrategic Bword, Bpriority, Band Buse BMaslow's
BHierarchy Bof BNeeds Btheory Bto Bprioritize, Bremembering Bthat Bphysiological Bneeds
Bcome Bfirst. BThe Bnurse Bneeds Bto Bhave Bknowledge Bof Bthe Bclient's Bpriority Bneeds
Band Bgenerate Bsolutions. BAll Bthe Boptions Bare Bcorrect Band Bwould Bbe Bimplemented
Bduring Bthe Bcare Bof Ba Bclient Bwith Bdystocia. BAlso Bnote Bthat Bthe Bcorrect Boption Bis
Bthe Bonly Bone Bthat Baddresses Bboth Bthe Bbirthing Bparent Band Bthe Bfetus.
BRemember Bto Buse BMaslow's BHierarchy Bof BNeeds Btheory Bto Bhelp Bprioritize Band
Bgenerate Bsolutions!
EHR Bsystem Band Blimitations B- Bcorrect Banswers✔✔-EHR BAND BEMR Bare Bdifferent
Bfrom Beachother
-A Bhealth Bcare Bagency Boften Brelies Bon Bthe Bnursing Bhistory Bmodel Bincluded Bin
Bthe Belectronic Bhealth Brecord B(EHR) Bas Bthe Borganizing Bframework Bfor Ban
Bassessment. BHowever, BEHR Bframeworks Bare Boften Bmedically Bdriven. BFrameworks
Bdeveloped Bfrom Bnursing Btheories Bare Bmore Bholistic Band Bpatient-centered,
Bproviding Ba Bmore Bcomprehensive Bpatient Breview.
-When Bit Bcomes Bto Bthe BEMR Bfreezing Bit's Bbest Bto Bnotify BIT Bor Bwhen Bthe
Bcomputer Bsystem Bshuts Bdown Bduring Bdata Bentry. BThe Bnurse Bshould Bfollow
Bestablished Bprotocols Band Bprepare Bto Bre-enter Bdata Bas Ba Blate Bentry Bwhen Bthe
, Bsystem Bis Boperational. BAlso Bnever Battempt Bto Breboot Bor Bfix Bthe BEMR Bsystem
Bwhich Bmay Bprolong Bthe Bcomplication.
It's Balso Bnot Brecommended Bto Bprint BEMR Bfrom Ba Bbackup Bserver Bwithout Bproper
Bauthorization Band Bensuring Bdata Bprivacy Band Bsecurity.
-patient Boutcome Bdata; Band Buse Bclinical Bdecision Bsupport Bsystems. BThe Belectronic
Bhealth Brecord B(EHR) Bis Ban Befficient Bmethod Bfor Bdocumenting Band Bmanaging
Bpatient Bhealth Bcare Binformation B(see BChapter B26.) BComputerized
Bphysician/provider Border Bentry B(CPOE), Ballowing Bhealth Bcare Bproviders Bto Bdirectly
Benter Bmedical Borders, Bis Ba Bcritical Bpatient Bsafety Binitiative Bespecially Bin Bthe Barea
Bof Bmedication Bordering Band Badministration
-Change-of-shift, Bhand-off Breporting, Band Bhourly Bbedside Brounds Bare Bways Bto
Bkeep Ball Bhealth Bcare Bproviders Band Bpatients Binformed
Hand BHygeine B- Bcorrect Banswers✔✔-hand Bwashing Bdoes Bnot Bkill Bmicroorganisms
Bbut Breduces Bthe Bamount Bof Bthem Bpresent
-four Btechniques: Bhand Bwashing, Bantiseptic Bhand Bwash, Bantiseptic Bhand Brub,
Bsurgical Bhand Bantisepsis
-4 Belements Bof Bhand Bwashing: Bwater, Bfriction, Bsoap B, Band Btime
Dosage BCalculation B(ml, Btbsp->ml) B- Bcorrect Banswers✔✔
VITAL BSIGNS B- Bcorrect Banswers✔✔-what Bto Bdo Bif Breassessment Bis Bneeded
-know Bthe Bpt Busual Brange Bof Bvital Bsigns B(baseline)
-assess Brespiratory
Factors Baffecting Bvital Bsigns Bof Bolder Badults:
MOBILITY: BHow Bdo Byou Buse Bcrutches? B- Bcorrect Banswers✔✔TYPES BOF BGAITS:
-2-point: B2 Bpoints B(crutch Bor Bfoot) Bon Bthe Bground: Bpt Bmoves Bright Bcrutch Band
Bleft Bfoot Btogether, Bleft Bcrutch Band Bright Bfoot Btogether
-4 Bpoint Bgait: B
-3 Bpoint Bgait: Bmoving Bboth Bcrutches Band Bthe Binjured Bleg Bat Bthe Bsame Btime B
-weight Bis Bon Bboth Bhands
support Bweight Bat Bthe Bhand Bgrips, Bwith Belbow Bflexed Bat B30 Bdegrees, Bposition
Bcrutches Bon Bthe Bunaffected Bside Bwhen Bsitting Bor Braising Bfrom Bthe Bchair
-How Bto Buse Bcrutches: BDo BNot BAdjust BCrutch BSettings BAfter BFitting B(Should Bbe
B3 BFinger BWidths BBetween BAxilla Band BTop Bof BCrutch) BSupport BBody BWeight Bon
BHand BGrips B(Not BAxilla), BWith BElbows BFlexed Bor Bbent Bat B30 BDegrees
-an Baccurate Bmeasurement Bis Bimportant Band Bthe Bdistance Bbetween Bthe Baxillae
Band Barm Bpiece Bhas Bto Bbe B2-3 Bfinger Bwidths Bin Bthe Baxilla Bspace Band Bthe Barm
Bbars
-all Bweight Bshould Bbe Bon Bthe Bhand Bgrips
-when Bambulating Bpt, Bstand Bon Btheir Baffected B(weak) Bside
-never Brest Barmpit Bon Bthe Baxillary Bbars
