NUR 313 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
Primary Prevention - ANSWER--Precedes disease or dysfunction
-Applied to people considered physically and emotionally healthy
-Includes health promotion efforts and wellness education
-Diet, exercise, health promotion programs, etc
Secondary Prevention - ANSWER--Focus on people with a health problem or
illness who are at risk for developing complications or a worsening condition
-Includes diagnosis and prompt interventions
-Care delivered in homes, hospitals, and skilled nursing facilities
-Screening activities very important
-Rehab for patient with broken leg that can return to normal function
Tertiary Prevention - ANSWER--Defect or disability is permanent or irreversible
-Activities focus on rehabilitation; prevent complications and deterioration
,-Help people achieve highest level of functioning that is possible
-Physical rehab for stroke patient that will not get back to prior functioning level
Acute Care: Secondary Prevention - ANSWER-Diagnosis and treatment of illness
-Hospital emergency department
-Urgent care centers
-Inpatient medical-surgical units
-Critical care units
Patients sicker, more complex, not stable
Limited inpatient days due to managed care
-Role of case manager
Nursing Care depends on
-Communication
-Collaboration / Interprofessional care
-Critical thinking & Clinical judgement
-Evidence-based care to improve patient outcomes
Roles of the Professional Nurse - ANSWER--Advocate
-Patient teaching
,-Hands-on care / Delegation
-Communication and collaboration with interdisciplinary team
-Safety: failure to rescue
-Use of technology
Infusion devices
Cardiac telemetry
Computerized medication systems
Computerized documentation
-Nursing science: evidence-based practice
Nurse as a Care Giver - ANSWER-1. Hands-on patient care
2. Delegation
-Need to know what other personnel are allowed to do
-Need to know hospital policy
-Need to be sure they have the knowledge, even if allowed to perform task
-Need to follow-up and be sure it was done
LPN/LVN Role - ANSWER--Gather data, follow care plan, nursing tasks/med
administration, stool/urine samples
-NO assessment, analysis, or evaluation, patient teaching, blood products or IV
push
CNA/PCT/UAP/NAP Role - ANSWER--Task oriented; usually not sterile
, procedure; low risk, blood sugar
-NO assessment, patient education, or medication admin
Unit Assistant Role - ANSWER-NO hands on patient care
Constant Attendant Role - ANSWER-Makes sure patient does not leave or injure
themselves, sits with the patient
5 Rights of Delegation - ANSWER-1. Right Task
2. Right Circumstances
3. Right Person
4. Right Direction/Communication
5. Right Supervision/Evaluation
SBAR - ANSWER-Situation
Background
Assessment
Recommendation
Primary Prevention - ANSWER--Precedes disease or dysfunction
-Applied to people considered physically and emotionally healthy
-Includes health promotion efforts and wellness education
-Diet, exercise, health promotion programs, etc
Secondary Prevention - ANSWER--Focus on people with a health problem or
illness who are at risk for developing complications or a worsening condition
-Includes diagnosis and prompt interventions
-Care delivered in homes, hospitals, and skilled nursing facilities
-Screening activities very important
-Rehab for patient with broken leg that can return to normal function
Tertiary Prevention - ANSWER--Defect or disability is permanent or irreversible
-Activities focus on rehabilitation; prevent complications and deterioration
,-Help people achieve highest level of functioning that is possible
-Physical rehab for stroke patient that will not get back to prior functioning level
Acute Care: Secondary Prevention - ANSWER-Diagnosis and treatment of illness
-Hospital emergency department
-Urgent care centers
-Inpatient medical-surgical units
-Critical care units
Patients sicker, more complex, not stable
Limited inpatient days due to managed care
-Role of case manager
Nursing Care depends on
-Communication
-Collaboration / Interprofessional care
-Critical thinking & Clinical judgement
-Evidence-based care to improve patient outcomes
Roles of the Professional Nurse - ANSWER--Advocate
-Patient teaching
,-Hands-on care / Delegation
-Communication and collaboration with interdisciplinary team
-Safety: failure to rescue
-Use of technology
Infusion devices
Cardiac telemetry
Computerized medication systems
Computerized documentation
-Nursing science: evidence-based practice
Nurse as a Care Giver - ANSWER-1. Hands-on patient care
2. Delegation
-Need to know what other personnel are allowed to do
-Need to know hospital policy
-Need to be sure they have the knowledge, even if allowed to perform task
-Need to follow-up and be sure it was done
LPN/LVN Role - ANSWER--Gather data, follow care plan, nursing tasks/med
administration, stool/urine samples
-NO assessment, analysis, or evaluation, patient teaching, blood products or IV
push
CNA/PCT/UAP/NAP Role - ANSWER--Task oriented; usually not sterile
, procedure; low risk, blood sugar
-NO assessment, patient education, or medication admin
Unit Assistant Role - ANSWER-NO hands on patient care
Constant Attendant Role - ANSWER-Makes sure patient does not leave or injure
themselves, sits with the patient
5 Rights of Delegation - ANSWER-1. Right Task
2. Right Circumstances
3. Right Person
4. Right Direction/Communication
5. Right Supervision/Evaluation
SBAR - ANSWER-Situation
Background
Assessment
Recommendation
