CAPA/CPAN Review questions with verified
answers
Nursing Process Ans✓✓-Assessment-gathering info/data; asking questions to
gather this info/data
Diagnosis
Identification of Outcomes
Planning-future tense; patient is subject, achieve overall goal
Implementation- nurse is subject, present tense.
Evaluation
DNR vs AND Ans✓✓-DNR can WITHHOLD Palliative care
AND includes it
Ethical Principles Ans✓✓-Autonomy-freedom of action chosen by individual
Beneficence- doing good
Nonmaleficence- do no harm
Justice- duty to be fair to all people
Veracity- truthfullness or accuracy
Fidelity- loyal or faithful
Biot's respirations Ans✓✓-rapid gasps followed by apnea
Usually brain insults (ex. traumas)
=Increase ICP
,Cheyne-Stokes respiration Ans✓✓-gradual increase and then decrease in
breathing followed by apnea
Increase ICP
usually Cardiac problems
Kussmaul's breathing pattern Ans✓✓-tachypnea and hyperpnea
ex. DKA, metabolic acidosis patients
Statutory Law Ans✓✓-legislative acts declaring, commanding, or prohibiting
something
written laws where you can go and reference it
ex. driving over the speed limit
Common Law Ans✓✓-patient bill of rights
derived from principles rather than rules and regulations
Civil Law Ans✓✓-Based on rules and regulations
Court action lawsuits (most common)
Wrong doing
Tort Law Ans✓✓-wrongful doing
involves compensation to those wrongfully injured
assault/battery/negligence; alarm silencing
Criminal Law Ans✓✓-Harmful or offensive to society as a whole
,ex. practicing nursing/medicine without a license; harming patients on purpose
Informed consent** Ans✓✓-Consent obtained after the patient has been fully
informed by the physician about the risks and benefits of the treatment,
alternatives, and consequences of no treatment
*can be withdrawn at any time; even at the last second
*If signing after narcotic/benzo given-must wait at least 1/2 the half-life of the
drug
*Is the patient knowledgeable, willing, competent
Informed Consent (cont)** Ans✓✓-Competent to Sign: legal adult, minors with
parent/guardian, emancipated minor (married or in armed forces).
Exceptions: pt is unable to give consent and is a threat to life/emergent (IMPLIED
CONSENT)
**Must have documentation of emergency in staff notes
**Malpractice Ans✓✓-Elements needed to claim medical malpractice:
Duty owed patient
Breach of duty owed patient
Causation - most difficult to prove
Injury/Damages
Intentional Torts Ans✓✓-Violating patient rights; No actual harm necessary.
3 most common:
Assault-place person in fear of being touched
Battery-Touch without permission
, False imprisonment-unjustified detention
Intentional Quasi Torts Ans✓✓-No intent to injure or cause distress to another
person.
Ex: Patient abandonment, defamation of character, invasion of privacy, breach of
confidentiality
**Staffing Ratios Ans✓✓-Staffing ratios see pg. 864
ISO patients 1:1
Peds <8 yo unconscious = 1:1 regardless of parent.
( if they have parent and stable you can have another patient)
1:1 New phase 1 admission (fresh out of OR), unstable hemodynamically,
unstable airway
PreAdmission Ans✓✓--usually phone call is done 2 weeks prior to surgery
-written instructions should be at 5th grade level
-Med Rec starts at 1st PAT visit when MD decided pt needs surgery
Med History (AntiCoags) Ans✓✓-*AntiCoag therapy, NSAIDs, Aspirin should be
stopped
Aspirin-stopped up to 7 days prior
Coumadin-stopped 5 days prior (coags taken immediately before surgery)
answers
Nursing Process Ans✓✓-Assessment-gathering info/data; asking questions to
gather this info/data
Diagnosis
Identification of Outcomes
Planning-future tense; patient is subject, achieve overall goal
Implementation- nurse is subject, present tense.
Evaluation
DNR vs AND Ans✓✓-DNR can WITHHOLD Palliative care
AND includes it
Ethical Principles Ans✓✓-Autonomy-freedom of action chosen by individual
Beneficence- doing good
Nonmaleficence- do no harm
Justice- duty to be fair to all people
Veracity- truthfullness or accuracy
Fidelity- loyal or faithful
Biot's respirations Ans✓✓-rapid gasps followed by apnea
Usually brain insults (ex. traumas)
=Increase ICP
,Cheyne-Stokes respiration Ans✓✓-gradual increase and then decrease in
breathing followed by apnea
Increase ICP
usually Cardiac problems
Kussmaul's breathing pattern Ans✓✓-tachypnea and hyperpnea
ex. DKA, metabolic acidosis patients
Statutory Law Ans✓✓-legislative acts declaring, commanding, or prohibiting
something
written laws where you can go and reference it
ex. driving over the speed limit
Common Law Ans✓✓-patient bill of rights
derived from principles rather than rules and regulations
Civil Law Ans✓✓-Based on rules and regulations
Court action lawsuits (most common)
Wrong doing
Tort Law Ans✓✓-wrongful doing
involves compensation to those wrongfully injured
assault/battery/negligence; alarm silencing
Criminal Law Ans✓✓-Harmful or offensive to society as a whole
,ex. practicing nursing/medicine without a license; harming patients on purpose
Informed consent** Ans✓✓-Consent obtained after the patient has been fully
informed by the physician about the risks and benefits of the treatment,
alternatives, and consequences of no treatment
*can be withdrawn at any time; even at the last second
*If signing after narcotic/benzo given-must wait at least 1/2 the half-life of the
drug
*Is the patient knowledgeable, willing, competent
Informed Consent (cont)** Ans✓✓-Competent to Sign: legal adult, minors with
parent/guardian, emancipated minor (married or in armed forces).
Exceptions: pt is unable to give consent and is a threat to life/emergent (IMPLIED
CONSENT)
**Must have documentation of emergency in staff notes
**Malpractice Ans✓✓-Elements needed to claim medical malpractice:
Duty owed patient
Breach of duty owed patient
Causation - most difficult to prove
Injury/Damages
Intentional Torts Ans✓✓-Violating patient rights; No actual harm necessary.
3 most common:
Assault-place person in fear of being touched
Battery-Touch without permission
, False imprisonment-unjustified detention
Intentional Quasi Torts Ans✓✓-No intent to injure or cause distress to another
person.
Ex: Patient abandonment, defamation of character, invasion of privacy, breach of
confidentiality
**Staffing Ratios Ans✓✓-Staffing ratios see pg. 864
ISO patients 1:1
Peds <8 yo unconscious = 1:1 regardless of parent.
( if they have parent and stable you can have another patient)
1:1 New phase 1 admission (fresh out of OR), unstable hemodynamically,
unstable airway
PreAdmission Ans✓✓--usually phone call is done 2 weeks prior to surgery
-written instructions should be at 5th grade level
-Med Rec starts at 1st PAT visit when MD decided pt needs surgery
Med History (AntiCoags) Ans✓✓-*AntiCoag therapy, NSAIDs, Aspirin should be
stopped
Aspirin-stopped up to 7 days prior
Coumadin-stopped 5 days prior (coags taken immediately before surgery)
