FINAL EXAM REVIEW GUIDE NUR 170 CORRECTED
NURSING 2025-2026 FINAL NURSING CONCEPTS I
Module 1:
Ethical and legal standards:
- Certification: defines the credentialing process by which a nongovernmental agency
or association recognizes the professional competence of an individual who has met
certain predetermined qualifications specified by the agency or association.
- Credentialing: the formal identification of professionals who meet predetermined
standards of professional skill or competence
- Mutual recognition model: allows a nurse to have a single license that confers the
privilege to practice in other states that are part of the nurse licensure compact
- Nurse practice act: a series of state statutes that define the scope of practice,
standards for education programs, licensure requirements, and grounds for
disciplinary actions.
- Responsibility: accountability for their actions that includes the obligation to answer
for any act done and to repair any injury one may have caused
- Beneficence: requires that the actions one takes should promote good
- Code of ethics: a general guide for profession’s membership and a social contract
with the public it serves
- Justice: the upholding of what is just, especially fair treatment and due reward in
accordance with honor, standards or law
- Nonmaleficence: the duty to do no harm
- Veracity: a moral principle that holds an individual should tell the truth and not lie
- Informed consent: a client’s legal and ethical rights to be informed of and give
permission for any healthcare procedure or treatment.
• Nurse practice acts protect the public not the rn
• Hipaa: health insurance portability and accountability act:
1. Protected health info needs to be kept private
2. No identifying health information is to be released without patient
consent obligation to report:
1. Births and deaths
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FINAL EXAM REVIEW GUIDE NUR 170
2. Infectious diseases
3. Abuse
4. Neglect
5. Certain injuries
• Patient self determination act:
- Requires that on admission to a healthcare institution, all competent adults be
informed in writing about their rights to accept or refuse medical care and to use
advance directives
- Partnership between healthcare providers and the patient
- Patient has a responsibility and a right to participate in client care
• Informed consent:
- Doctors responsibility
- Nurse should never obtain informed consent
- Nurse can clarify the information the patient received
- Can have an oral agreement in an emergent situation
- Patient should never be coerced into signing
- We can educate them not push them into a decision
• Board of nursing makes the laws that govern nurses nursing process:
- Assessment: the systematic and continuous collection of data about a client for
the purpose of determining the client’s current and ongoing health status,
predicting the client’s health risks, and identifying appropriate health promoting
activities
- Nursing diagnosis: a clinical judgment about individual, family, or community
responses to actual and potential health problems/life processes
- Diagnostic labels: the standardized nanda names for nursing diagnoses
- Risk factors: factors that cause a client to be vulnerable to developing a health
problem
- Actual diagnosis: a client problem that is present at the time of nursing
assessment
- Risk nursing diagnosis: a clinical judgment that a problem doesn’t exist, but the
presence of risk factors indicates that a problem is likely to develop unless the
nurse intervenes
- Wellness diagnosis: describes human responses to levels of wellness in an
individual, family or community that have a readiness for enhancement
- Health promotion diagnosis: a determination of the client’s motivation and
desire to increase well-being and actualize human health potential is expressed
by a readiness to enhance specific health behaviors
, CORRECTED NURSING 170 FINAL
- Syndrome diagnosis: a cluster of nursing diagnoses that occur together and may
result in the best client outcomes if addressed at the same time
- Etiology: identifies one or more probable causes of the health problem thereby
giving a direction to the required nursing care and enabling the nurse to
individualize the care plan
• Adpie:
A: assessment
D: diagnosis
P: planning
I: implementation
E: evaluation
• Assessment phase: - collect data
- Organize data
- Validate data
- Subjective: patient tells you
- Objective: you see it diagnosis:
- Analyze data
- Identify health problems
- Formulate a diagnostic statement
- How patient tolerates disease process
- Not a medical diagnosis
- Pes format planning:
- Prioritization of problems - goals/outcomes - smart goals:
S: specific
M: measurable
A: appropriate
R: reasonable
T: timely
- Select interventions to meet goals
- Write nursing interventions implementation:
- Reassess patient
- Implement interventions - supervise delegated care
- Document nursing activities
- Always always always reassess patient before implementing anything
evaluation:
- Collect data related to outcomes
- Compare data
- Relate nursing actions to client goals
- Draw conclusions
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FINAL EXAM REVIEW GUIDE NUR 170
- Continue, modify, terminate care plan
• Pes format
P: problem: nanda list
E: etiology: why is it a problem
S: signs and symptoms: what do you see?
Prevention
• Primary prevention:
- Immunizations
- Emotional health
- Health education programs
- Physical and nutritional fitness
- Early detection and routine care
- Primary care services
- You are not ill yet
- Goal is to prevent illness
- Promotes healthy living
• Secondary prevention:
- Acute care
- Early diagnosis and prompt treatment
- Aims to prevent worsening and or complications
- Screenings for clients at risk
- Focused on return to health
- Biggest aim is for early detection
• Tertiary prevention
- Special care
- Restoration
- Rehabilitation
- Defect/ disability exists
- Permanent and irreversible
- Work to minimize complication and further deterioration
- Aims to assist client in achieving highest level of functioning possible
- Goal is restoring function and decreasing disease related complications
Spirit of inquiry
- Affective commitment: attachment to a profession and includes identification
with and involvement in profession