UTMB Intro Final Exam Review Question/Answers Graded A+
2025/2026
Nutting - Graduated from Johns Hopkins, expanded nursing curriculum to 2-3 yrs,
added clinicals, limited hours students could work, established the library there, and
Army Nurse Corps
Richards - The first trained nurse in the United States, started Japanese nursing
program, created pt records & night shift
Patient Abandonment - Terminating the relationship with the patient without giving
reasonable notice or providing a competent replacement, resulting in a lack of
necessary medical care
Assault - threat or attempt to injure
Battery - physical harm
Boundary Crossing - a departure from a commonly accepted practice that could
potentially benefit a client (non-exploitative)
Boundary Violation - a serious breach that results in harm to clients and is therefore
unethical (exploitative)
BON Purpose - To protect and promote welfare of people in Texas ensuring that each
person who holds a license as a nurse is competent to practice safely. (SAFETY)
Informed Consent - Pt knows Pros AND Cons of procedure, detailed description of its
purpose and who is performing the procedure. Surgeon's responsibility to get consent.
RNs responsibility to ensure pt understands
UTMB honor pledge - On my honor, as a member of the UTMB community, I pledge to
act with integrity, compassion, and respect in all my academic and professional
endeavors.
Professionalism - The quality of performing at a high level and conducting oneself with
purpose and pride
EBP (evidence based practice) from IOM (institute of Medicine) - Integrating best
research with clinical expertise and pt values for optimum care and participating in
learning and research activities to the extent flexible
Steps in EBP Process - -Cultivating a spirit of inquiry
-Asking clinical questions
-Searching for the best evidence (literature review)
-Critically appraising the evidence
-Integrating the evidence with clinical expertise, client preferences, and values*
, -Evaluating the outcomes of the practice decisions or changes based on evidence
-Share EBP results
Evidence of Hierarchy Pyramid - - Systematic reviews and metaanalysis of RCTs
- One well-designed RCT
- Well-designed controlled trials w/o randomization
- Well-designed case control studies
- Systematic reviews of descriptive and qualitative studies
- Single descriptive or qualitative studies
- Opinion of authorities or expert committees
PICOT format - *P* - Identify the population or problem (age, gender, ethnicity,
disease/disorder)
*I* - Intervention (exposure to disease, risk behavior, education)
*C* - What will you compare the intervention against? (Treatment vs no treatment, Test
scores before/after)
*O* - Outcome - What doe you hope to observe/achieve? (higher test scores with
tutoring)
*T* - Time it takes for intervention to achieve the outcome
Purpose of informed consent - education of the patient and to ensure they are a willing
participant
Tuskegee Study - an unethical study about syphilis in which subjects were denied
treatment so that the effects of the disease could be studied
NO INFORMED CONSENT --> UNETHICAL
Quality Improvement (TJC) - An approach to continuous study and process
improvement in providing health care to meet the needs of the patient and inform health
care policy.
Quality Improvement (IOM) - identify errors and hazards, Understand/implement basic
safety principles, quality of care measured in terms of structure, process, and outcomes
r/t pt/community needs, design/test interventions to change processes and systems of
care to improve quality
Underuse - failure to provide services, or giving lower level of service than that required
(r/t to pts lack of insurance/ ability to pay)
Misuse - giving a pt meds they don't need, ordering more expensive testing
Overuse - pt prescribed multiple meds from several different prescribers
Near Miss - Almost an accident - caught wrong med during 6 rights, caught wrong body
part marked for surgery, something caught during "time out"
2025/2026
Nutting - Graduated from Johns Hopkins, expanded nursing curriculum to 2-3 yrs,
added clinicals, limited hours students could work, established the library there, and
Army Nurse Corps
Richards - The first trained nurse in the United States, started Japanese nursing
program, created pt records & night shift
Patient Abandonment - Terminating the relationship with the patient without giving
reasonable notice or providing a competent replacement, resulting in a lack of
necessary medical care
Assault - threat or attempt to injure
Battery - physical harm
Boundary Crossing - a departure from a commonly accepted practice that could
potentially benefit a client (non-exploitative)
Boundary Violation - a serious breach that results in harm to clients and is therefore
unethical (exploitative)
BON Purpose - To protect and promote welfare of people in Texas ensuring that each
person who holds a license as a nurse is competent to practice safely. (SAFETY)
Informed Consent - Pt knows Pros AND Cons of procedure, detailed description of its
purpose and who is performing the procedure. Surgeon's responsibility to get consent.
RNs responsibility to ensure pt understands
UTMB honor pledge - On my honor, as a member of the UTMB community, I pledge to
act with integrity, compassion, and respect in all my academic and professional
endeavors.
Professionalism - The quality of performing at a high level and conducting oneself with
purpose and pride
EBP (evidence based practice) from IOM (institute of Medicine) - Integrating best
research with clinical expertise and pt values for optimum care and participating in
learning and research activities to the extent flexible
Steps in EBP Process - -Cultivating a spirit of inquiry
-Asking clinical questions
-Searching for the best evidence (literature review)
-Critically appraising the evidence
-Integrating the evidence with clinical expertise, client preferences, and values*
, -Evaluating the outcomes of the practice decisions or changes based on evidence
-Share EBP results
Evidence of Hierarchy Pyramid - - Systematic reviews and metaanalysis of RCTs
- One well-designed RCT
- Well-designed controlled trials w/o randomization
- Well-designed case control studies
- Systematic reviews of descriptive and qualitative studies
- Single descriptive or qualitative studies
- Opinion of authorities or expert committees
PICOT format - *P* - Identify the population or problem (age, gender, ethnicity,
disease/disorder)
*I* - Intervention (exposure to disease, risk behavior, education)
*C* - What will you compare the intervention against? (Treatment vs no treatment, Test
scores before/after)
*O* - Outcome - What doe you hope to observe/achieve? (higher test scores with
tutoring)
*T* - Time it takes for intervention to achieve the outcome
Purpose of informed consent - education of the patient and to ensure they are a willing
participant
Tuskegee Study - an unethical study about syphilis in which subjects were denied
treatment so that the effects of the disease could be studied
NO INFORMED CONSENT --> UNETHICAL
Quality Improvement (TJC) - An approach to continuous study and process
improvement in providing health care to meet the needs of the patient and inform health
care policy.
Quality Improvement (IOM) - identify errors and hazards, Understand/implement basic
safety principles, quality of care measured in terms of structure, process, and outcomes
r/t pt/community needs, design/test interventions to change processes and systems of
care to improve quality
Underuse - failure to provide services, or giving lower level of service than that required
(r/t to pts lack of insurance/ ability to pay)
Misuse - giving a pt meds they don't need, ordering more expensive testing
Overuse - pt prescribed multiple meds from several different prescribers
Near Miss - Almost an accident - caught wrong med during 6 rights, caught wrong body
part marked for surgery, something caught during "time out"
