NURS 385 MIDTERM QUESTIONS AND ANSWERS
What are the Steps of EBP? - Answers :1: Ask clinical question in a PICO format
2: Search the best evidence
3: Critically appraise the evidence
4: Integrate the evidence with clinical expertise and patient preference and values
5: Evaluate the outcomes of practice decisions or change based on evidence
6: Disseminate the EBP results
What Actions can be Performed Under the Mental Health Act? - Answers :Apprehension
& Detention
Admission & Treatment
Community Treatment Orders
What is the Purpose of the Mental Health Act? - Answers :Purpose:
To protect and treat those individuals with serious mental disorders and to protect the
public
Accountable decision process including opportunities for reviews and appeals
Clear definitions
What is critical thinking in nursing? - Answers :The ability to reason, to make and to
reflect on rational, logical, and professional decisions founded on nursing knowledge.
Seven Categories of requisite skills and abilities for becoming an RN - Answers :1.
Cognitive
2. Behavioural
3. Communication
4. Interpersonal
5. Physical
6. Sensory Perceptual
7. Environmental
What are nursing sensitive outcomes? - Answers :Specific patient results which occur
as a consequence of specific nursing interventions.
What are the signs and symptoms of dysphagia? - Answers :-prolonged feeding
-oral expectoration, nasal regurgitation
,-drooling
-coughing
-weight loss
-pocketing of food
-gurgle voice
-rejection of food
What is clinical judgment? - Answers :A combination of nursing expertise and
knowledge, best researched evidence, and patient preferences and values.
What are the three components of critical thinking in Tanner's Model? - Answers :1.
Clinical Judgment (understanding a patient needs)
2. Clinical Knowledge (textbook or researched)
3. Clinical Reasoning (integrating the knowledge and knowing the patient)
Describe Tanner's Clinical Judgment Model - Answers :Is influenced by context,
background and relationship. Each patient is unique and decisions have to understand
each patient's uniqueness. Decisions are shared by the functioning and working
relationship of healthcare professionals.
What are the 4 phases of Tanner's Model? - Answers :Noticing, Interpreting,
Responding and Reflecting.
What is the difference between reflection in action and reflection on action? - Answers
:The first is being mindful of how your patient is responding to your intervention and
modifying it in the moment. The second is thinking on the situation after the experience
to improve personal practice.
Aspects of successful teamwork - Answers :-open communication
-non-punitive environment, respectful
-clear roles and tasks
-accountability
-decision making procedures
-mechanism to evaluate outcomes
4 stages of team development - Answers :Stage 1 - Forming (Polite, confusion,
watching)
Stage 2 - Storming (Criticism, conflict)
Stage 3 - Norming (cohesiveness, established procedures)
Stage 4 - Performing (flexible, resourceful, open, satisfied)
What are the 2 legal obligations to document? - Answers :1. Professional obligation - in
CARNA standards
2. Legislative obligation - in the hospitals act.
*also an AHS policy
, 4 AHS underying principles of documentation - Answers :1. Duty to ensure the safety of
patients and clients
2. Commitment to Quality Patient Care
3. Duty to document in accordance with legal requirements and professional standards
4. Continuity and integration of information
CARNA: Purposes of documentation - Answers :1. Communicating and providing
continuity of care
2. Accountability
3. Legal implications of documentation
4. Quality improvement and risk management
5. Facilitating Evidence informed practice and clinical decision support
5 essential elements of documentation - Answers :1. Adequately identify patient
2. Justify, support and document detail of treatment, services and results.
3. Identify health professionals by name and professional designation
4. Facilitate continuity of care and communication
5. Provide a record of concent
What is considered a late entry? - Answers :Any entry out of chronological order or (in
acute care) greater than 24 hours.
8 principles of charting - Answers :1. If you do it or observe it, you chart it.
2. If you did not chart it, you did not do it.
3. Charting should include all interactions with the health care team
4. Do not erase an error or remove pages
5. Documentation should be clear, legible, accurate and should use proper terminology.
6. Chart chronologically at the time of occurrence or ASAP
7. Charting should be in ink and signed with credentials.
8. Electronic Charting
What is the patient health record? - Answers :It provides the medical history and status
of the patient. Documents all orders and treatments. It is the legal property of your
employer.
What is narrative charting? - Answers :A method in which nursing interventions and the
impact of these interventions on client outcomes are recorded in chronological order.
what is focus charting? - Answers :A focus is identified based on client concerns or
behaviours determined during the assessment.
What is charting by exception? - Answers :Standards are clearly identified and then only
significant information or unexpected things are charted.
10 rights of medication administration - Answers :Right medication
Right dose
What are the Steps of EBP? - Answers :1: Ask clinical question in a PICO format
2: Search the best evidence
3: Critically appraise the evidence
4: Integrate the evidence with clinical expertise and patient preference and values
5: Evaluate the outcomes of practice decisions or change based on evidence
6: Disseminate the EBP results
What Actions can be Performed Under the Mental Health Act? - Answers :Apprehension
& Detention
Admission & Treatment
Community Treatment Orders
What is the Purpose of the Mental Health Act? - Answers :Purpose:
To protect and treat those individuals with serious mental disorders and to protect the
public
Accountable decision process including opportunities for reviews and appeals
Clear definitions
What is critical thinking in nursing? - Answers :The ability to reason, to make and to
reflect on rational, logical, and professional decisions founded on nursing knowledge.
Seven Categories of requisite skills and abilities for becoming an RN - Answers :1.
Cognitive
2. Behavioural
3. Communication
4. Interpersonal
5. Physical
6. Sensory Perceptual
7. Environmental
What are nursing sensitive outcomes? - Answers :Specific patient results which occur
as a consequence of specific nursing interventions.
What are the signs and symptoms of dysphagia? - Answers :-prolonged feeding
-oral expectoration, nasal regurgitation
,-drooling
-coughing
-weight loss
-pocketing of food
-gurgle voice
-rejection of food
What is clinical judgment? - Answers :A combination of nursing expertise and
knowledge, best researched evidence, and patient preferences and values.
What are the three components of critical thinking in Tanner's Model? - Answers :1.
Clinical Judgment (understanding a patient needs)
2. Clinical Knowledge (textbook or researched)
3. Clinical Reasoning (integrating the knowledge and knowing the patient)
Describe Tanner's Clinical Judgment Model - Answers :Is influenced by context,
background and relationship. Each patient is unique and decisions have to understand
each patient's uniqueness. Decisions are shared by the functioning and working
relationship of healthcare professionals.
What are the 4 phases of Tanner's Model? - Answers :Noticing, Interpreting,
Responding and Reflecting.
What is the difference between reflection in action and reflection on action? - Answers
:The first is being mindful of how your patient is responding to your intervention and
modifying it in the moment. The second is thinking on the situation after the experience
to improve personal practice.
Aspects of successful teamwork - Answers :-open communication
-non-punitive environment, respectful
-clear roles and tasks
-accountability
-decision making procedures
-mechanism to evaluate outcomes
4 stages of team development - Answers :Stage 1 - Forming (Polite, confusion,
watching)
Stage 2 - Storming (Criticism, conflict)
Stage 3 - Norming (cohesiveness, established procedures)
Stage 4 - Performing (flexible, resourceful, open, satisfied)
What are the 2 legal obligations to document? - Answers :1. Professional obligation - in
CARNA standards
2. Legislative obligation - in the hospitals act.
*also an AHS policy
, 4 AHS underying principles of documentation - Answers :1. Duty to ensure the safety of
patients and clients
2. Commitment to Quality Patient Care
3. Duty to document in accordance with legal requirements and professional standards
4. Continuity and integration of information
CARNA: Purposes of documentation - Answers :1. Communicating and providing
continuity of care
2. Accountability
3. Legal implications of documentation
4. Quality improvement and risk management
5. Facilitating Evidence informed practice and clinical decision support
5 essential elements of documentation - Answers :1. Adequately identify patient
2. Justify, support and document detail of treatment, services and results.
3. Identify health professionals by name and professional designation
4. Facilitate continuity of care and communication
5. Provide a record of concent
What is considered a late entry? - Answers :Any entry out of chronological order or (in
acute care) greater than 24 hours.
8 principles of charting - Answers :1. If you do it or observe it, you chart it.
2. If you did not chart it, you did not do it.
3. Charting should include all interactions with the health care team
4. Do not erase an error or remove pages
5. Documentation should be clear, legible, accurate and should use proper terminology.
6. Chart chronologically at the time of occurrence or ASAP
7. Charting should be in ink and signed with credentials.
8. Electronic Charting
What is the patient health record? - Answers :It provides the medical history and status
of the patient. Documents all orders and treatments. It is the legal property of your
employer.
What is narrative charting? - Answers :A method in which nursing interventions and the
impact of these interventions on client outcomes are recorded in chronological order.
what is focus charting? - Answers :A focus is identified based on client concerns or
behaviours determined during the assessment.
What is charting by exception? - Answers :Standards are clearly identified and then only
significant information or unexpected things are charted.
10 rights of medication administration - Answers :Right medication
Right dose
