NFDN 2003 QUESTIONS WITH CORRECT
ANSWERS | RATED A+
Nursing Process - CORRECT ANSWER --Assess: Encounter problem
-Diagnoses: Collect Data
-Identify Outcome: Analyze Data
-Plan: Determine plan of action
-Implement: Execute action plan
-Evaluate: effectiveness of problem resolution
Problem Solving - CORRECT ANSWER -Assessment and analysis of a problem
Decision Making - CORRECT ANSWER -Choosing between options
Qualities of a decision maker - CORRECT ANSWER --Self confident
-Proactive
-Flexible
-Focused
Accountable for actions
-Current knowledge
-Works with resources
Priority Setting - CORRECT ANSWER -First order: immediate threat
Second order: actual problem which a client has asked for immediate help
Third order: relatively actual or potential problem that client has not recognized
Fourth order: actual or potential problems client may need in the future
,Time Management - CORRECT ANSWER --Identify must do, should do and nice to do
-Identify tasks, obligations, activities
-Write them out
-Prioritize
-Follow-up and mark off ones that have been completed
-Delegate
-Don't accept tasks you are not able to complete
-
Mentorship - CORRECT ANSWER -informal or formal relationship that is entered into by a senior
nurse and junior nurse for the purpose of helping to guide and enhance the practice of the
junior nurse.
Mentorship benefits - CORRECT ANSWER --Support of new nurses
-foster growth of future generations
-creates long term connections
-role models
-feeling of empowerment
Mentorship pitfalls - CORRECT ANSWER --personality conflict
-imposing styles on you
-social issues
Clinical pathways - CORRECT ANSWER -Tool used in case management of client care, an
effective/efficient manner. Care mapped out day by day.
Purpose: Meet expected outcomes, standardize care, reduce delays in care, reduce costs
,Clinical Pathway concept map - CORRECT ANSWER -Issue 1 > solution list > Issue 2 identified >
Solution priority > Intervention
SBAR - CORRECT ANSWER -S-Situation: report clearly the situation and give facts
B- Background: give background info about client
A- Assessment: Give details of your assessment
R- Recommendations: Suggest what you would like to see done
Metaparadigm - CORRECT ANSWER -Conceptual framework to define nursing by creating a
theoretical definition for the substance and structure of the key body of knowledge that would
be needed to understand clinical situations. (Person/client, Environment, Health, Nursing)
Role of nurse: altered skin integrity - CORRECT ANSWER -1.Gather history
2.Physical examination
3.Determine PRIORITY nursing diagnosis, goals, interventions
4.Reporting and documentation
Skin - CORRECT ANSWER --Primary line of defence
-Protection of the body
-A disruption results in loss of body fluids and risk for infection
Wounds - CORRECT ANSWER --A type of lesion
-A disruption of normal anatomical structure and function
-Classified by cause and descriptions
Wound classification - CORRECT ANSWER -Cause: intentional, unintentional
, Integrity: open, closed, acute, chronic
Depth: partial thickness, full thickness
Cleanliness: clean, clean-contaminated, contaminated, infected
Duration: acute, chronic
Type: penetrating, abrasion, laceration, contusion
Penetrating Wound - CORRECT ANSWER --Wound with break through epidermis, dermis,
underlying tissues, may enter organs
-Wound that is deep and goes through all layers into internal organs. Usually an accident or
knife wound. Something penetrates deep into tissues.
Abrasion - CORRECT ANSWER -Superficial injury caused by rubbing, scraping of skin against
another surface ie/ Bed linens, Road rash from accident.
Laceration - CORRECT ANSWER -Open wound with jagged edges. Penetration by sharp object.
Accident.
Contusion - CORRECT ANSWER -Closed wound. Painful, swollen, discoloured, bruised. Blunt
trauma, punch to face.
Wound Colors - CORRECT ANSWER -Red: Healing with healthy red granulation tissue.
Means wound bed is ready for healing
Yellow: Not ready to heal due to fibrous slough, old tissue, or exudate which has to be cleansed
and removed. This may take time.
Black:
(Eschar)Indicates thick, leathery, dead, necrotic tissue. Usually needs to be debrided but in
some cases where people are terminal and healing is poor sometimes the eschar is just left
alone to cover the wound.
ANSWERS | RATED A+
Nursing Process - CORRECT ANSWER --Assess: Encounter problem
-Diagnoses: Collect Data
-Identify Outcome: Analyze Data
-Plan: Determine plan of action
-Implement: Execute action plan
-Evaluate: effectiveness of problem resolution
Problem Solving - CORRECT ANSWER -Assessment and analysis of a problem
Decision Making - CORRECT ANSWER -Choosing between options
Qualities of a decision maker - CORRECT ANSWER --Self confident
-Proactive
-Flexible
-Focused
Accountable for actions
-Current knowledge
-Works with resources
Priority Setting - CORRECT ANSWER -First order: immediate threat
Second order: actual problem which a client has asked for immediate help
Third order: relatively actual or potential problem that client has not recognized
Fourth order: actual or potential problems client may need in the future
,Time Management - CORRECT ANSWER --Identify must do, should do and nice to do
-Identify tasks, obligations, activities
-Write them out
-Prioritize
-Follow-up and mark off ones that have been completed
-Delegate
-Don't accept tasks you are not able to complete
-
Mentorship - CORRECT ANSWER -informal or formal relationship that is entered into by a senior
nurse and junior nurse for the purpose of helping to guide and enhance the practice of the
junior nurse.
Mentorship benefits - CORRECT ANSWER --Support of new nurses
-foster growth of future generations
-creates long term connections
-role models
-feeling of empowerment
Mentorship pitfalls - CORRECT ANSWER --personality conflict
-imposing styles on you
-social issues
Clinical pathways - CORRECT ANSWER -Tool used in case management of client care, an
effective/efficient manner. Care mapped out day by day.
Purpose: Meet expected outcomes, standardize care, reduce delays in care, reduce costs
,Clinical Pathway concept map - CORRECT ANSWER -Issue 1 > solution list > Issue 2 identified >
Solution priority > Intervention
SBAR - CORRECT ANSWER -S-Situation: report clearly the situation and give facts
B- Background: give background info about client
A- Assessment: Give details of your assessment
R- Recommendations: Suggest what you would like to see done
Metaparadigm - CORRECT ANSWER -Conceptual framework to define nursing by creating a
theoretical definition for the substance and structure of the key body of knowledge that would
be needed to understand clinical situations. (Person/client, Environment, Health, Nursing)
Role of nurse: altered skin integrity - CORRECT ANSWER -1.Gather history
2.Physical examination
3.Determine PRIORITY nursing diagnosis, goals, interventions
4.Reporting and documentation
Skin - CORRECT ANSWER --Primary line of defence
-Protection of the body
-A disruption results in loss of body fluids and risk for infection
Wounds - CORRECT ANSWER --A type of lesion
-A disruption of normal anatomical structure and function
-Classified by cause and descriptions
Wound classification - CORRECT ANSWER -Cause: intentional, unintentional
, Integrity: open, closed, acute, chronic
Depth: partial thickness, full thickness
Cleanliness: clean, clean-contaminated, contaminated, infected
Duration: acute, chronic
Type: penetrating, abrasion, laceration, contusion
Penetrating Wound - CORRECT ANSWER --Wound with break through epidermis, dermis,
underlying tissues, may enter organs
-Wound that is deep and goes through all layers into internal organs. Usually an accident or
knife wound. Something penetrates deep into tissues.
Abrasion - CORRECT ANSWER -Superficial injury caused by rubbing, scraping of skin against
another surface ie/ Bed linens, Road rash from accident.
Laceration - CORRECT ANSWER -Open wound with jagged edges. Penetration by sharp object.
Accident.
Contusion - CORRECT ANSWER -Closed wound. Painful, swollen, discoloured, bruised. Blunt
trauma, punch to face.
Wound Colors - CORRECT ANSWER -Red: Healing with healthy red granulation tissue.
Means wound bed is ready for healing
Yellow: Not ready to heal due to fibrous slough, old tissue, or exudate which has to be cleansed
and removed. This may take time.
Black:
(Eschar)Indicates thick, leathery, dead, necrotic tissue. Usually needs to be debrided but in
some cases where people are terminal and healing is poor sometimes the eschar is just left
alone to cover the wound.
