NURS 120/ NURS120 Midterm Exam Study Material | Latest Update | Questions and Answers with Correct Elaborations | Verified Solutions | 100% Correct- WCU.

NURS 120/ NURS120 Midterm Exam Study Material | Latest Update | Questions and Answers with Correct Elaborations | Verified Solutions | 100% Correct- WCU. Question: List the QSEN competencies Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality Improvement, Safety, Informatics Question: What organization makes and manages the NCLEX-RN National Council of State Boards of Nursing (NCSBN) Question: What oversees nursing regulations and laws in Pennsylvania? Pennsylvania State Board of Nursing (PASBoN) Question: Identify 5 aspects of patient centered care Emotional support, physical comfort, access to care, patients preferences, information and education Question: List the steps of the nursing process ADPIE- nursing assessment, nursing diagnosis, planning, intervention, evaluation Question: List 5 things to ensure a patients safety before leaving their room Make sure bed is in low position, make sure bed wheels are locked, make sure call bell is in reach, make sure floor is clear to prevent falls, make sure proper footwear is worn (nonslip socks), check 2 forms of patient identification Question: List 5 interventions to prevent falls Remove tripping hazards, make sure non skid shoes/socks are worn, make sure the room is lit well, make sure things are within reach, add grab bars, double check medication/prevent medication errors Question: List 5 patient safety goals for 2024 Identify patient correctly, improve staff communication, use medication safely, use alarms safely, prevent infection, improve health care equity Question: What is the purpose of tall man lettering? To help distinguish sound-alike and look-alike drugs from one another to avoid medication errors Question: Identify at least 3 do not use abbreviations U or u for unit, write out unit IU for international unit, write it out Any for of QD, write out daily Question: What does SBAR stand for? S: Situation B: Background A: Assessment R: Recommendations/Response Question: What are standard precautions? They are used during every patient interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe injection practices, and disinfection of soiled surfaces and equipment. Question: What are transmission based precautions? Used in ADDITION to Standard Precautions 1. Airborne 2. Contact 3.Droplet Question: What are airborne precautions? N95 mask and standard precautions, negative air pressure room, limited transport of patient (they will need mask) Question: What are droplet precautions? Mask and standard precautions, private room, limited transport and mask patient Question: What are contact precautions? • Standard precautions PLUS+++++ 1. Private room 2. Gloves/Gown upon entry 3. Clean hands between tasks 4. Dedicated equipment Question: What is proper donning of PPE? gown, mask, goggles, gloves Question: What is proper doffing of PPE? Take off gown and gloves, take off goggles or face shield, take off mask, hand hygiene (take off all PPE before leaving a patients room except a respirator) Question: What is the chain of infection? 1. Agent 2. Reservoir 3. Portal of exit 4. Mode of transmission 5. Portal of entry 6. Susceptible host Question: What are the 5 steps of evidence based practice? 1. Assess your patient 2. Ask clinical questions 3. Acquire the best evidence 4. Appraise the evidence 5. Apply evidence to patient care Question: What are the components to a PICOT question? P-patient/population I-intervention C-comparison O-outcome T-time Question: What are the levels of evidence? Unfiltered information: case controlled studies, cohort studies, randomized controlled trials Filtered information: critically appraised individual articles, critically appraised topics, systematic reviews Question: What is the difference between filtered/secondary sources and unfiltered/primary sources Filtered/secondary sources summarize and analyze available evidence Unfiltered/primary sources describe original research Question: What is the relationship between quality improvement, safety, and evidence based practice? Quality improvement is what you're going to improve and how much Evidence based practice is used as information and a plan to set up how you are going to make improvements Safety is promoted by using QI and EPB Question: What is the PDSA cycle? Plan - idea for action Do - make the change Study - test it and collect data Act - adjust actions PSDA is a quality improvement problem-solving model that focuses on changes that can be made to result in improvements Question: What are ways to ensure patient privacy when using electronic health records? Passwords and pin numbers, data encryption, workstation privacy filters, designated workstation computers, HIPAA compliance, audit trails Question: What is the HITECH Act? The Health Information Technology for Economic and Clinical Health Act provides incentives for providers who use a certified electronic health record. Also removed loopholes in HIPAA and made tougher penalties for HIPAA compliance failures Question: What are common forms of nurses notes? Narrative, PIE (problem, interventions, evaluation) , SOAP (subjective data, objective data, assessment, plan), Focus, FACT system (flow sheets, assessment with baseline data, concise progress notes, timely entries), electronic entry Question: What are some common documentation errors? illegible handwriting failure to date, time, and sign a medical entry using the wrong abbreviations incomplete or missing documentation not questioning incomprehensible orders adding entries later on entering information into the wrong chart documenting subjective data Question: What are verbal and telephone orders? What do you do if there is an issue? Verbal orders are spoken to you often during a client emergency and should only be made if there's a critical change in patient condition Telephone orders are received by phone and transcribed onto provider order sheet and they carry an increased risk for errors Issues could be illegible handwriting (need to contact provider) and being uncomfortable following an prescription (follow the chain of command) What is appropriate assertive communication? Speak clearly and positively Maintain professional composure Use 'I' statements Focus on the issue Use effective nonverbal communication Accept criticism Don't invite negative responses Question: What is the ANA's code of ethics? Nurse practices with compassion and respect Primary commitment is to patient Promotes, advocates, and protects the rights, health, and safety of patient Authority, accountability, and responsibility for nursing care Same duties to self as to others Establishes, maintains, and improves an ethical environment Advances the profession through research Collaboration with other health professionals Maintain integrity of profession