NSE111 Final Exam Notes Latest Update
ADPIE - Nursing Process - ANSWER Assessment: collection of data important to
client's health status or situation in order to fully understand client's priority
needs
Diagnosis: analysis of assessment data to determine key issues and make
clinical judgements in the form of a nursing diagnosis, involves creation of
outcomes or goals for client's situation
Planning: creating plan that identifies strategies to reach outcomes or goals
Implementation: carrying out plan
Evaluation: reflection on success of reaching outcome
DIPPS - ANSWER Dignity: preserve their dignity; the state of feeling worthy,
valued and respected
Independence: patients need to do what they can for themselves
Preference: clients need to make choices and explain how they want to have
things done
Privacy: clients need to know that their bodies and their affairs are treated
respectfully and protected from public view
Safety: safe from harm; clients need to live in an environment that is as hazard
free as possible and feel secure about the care provided
CNO - ANSWER The College of Nurses of Ontario is the governing body for
Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse
Practitioners (NPs) in Ontario, Canada.
CNO Professional Standards of Practice - ANSWER accountability, continuing
competence, ethics, knowledge, knowledge application, leadership,
relationships
Gentle Persuasive Approaches (GPA) - ANSWER A program designed to train
direct care providers in techniques to handle and reduce difficult responsive
behaviours (e.g., grabbing, biting, and hitting) that are associated with
dementias such as Alzheimer's disease to prepare the care providers for
vulnerable care situations and for avoiding potential workplace injury
,Infection develops if... - ANSWER the chain remains intact
Chain of transmission - ANSWER - pathogenic agent
- reservoir
- portal of exit
- transmission
- portal of entry
- host susceptibility
Hospital acquired infection - ANSWER infection acquired from microorganisms
in hospitals and other health care facilities
Antimicrobial resistant organism - ANSWER things such as bacteria, viruses,
fungi and parasites that change over time and no longer respond to medicines
making infections harder to treat and increasing the risk of disease spread,
severe illness and death.
Microbes adapting to the environment and changing their genetic makeup.
Drugs become ineffective and fail to treat infections, as microbes develop to
conquer antimicrobial treatments.- proper hand hygiene can prevent this!
Droplet transmission - ANSWER sneezing, coughing, laughing, leading to
droplets reaching someone else.
Airborne transmission - ANSWER residue from evaporated droplets; much
smaller than an actual droplet.-it gets inhaled, as it lies in the air
Vehicle transmission - ANSWER transmission by an inanimate reservoir (food,
water, air)ex: flint water supply carrying lead which infected many people.
Infection prevention and control (for all transmissions) - ANSWER - breaks chain
of infection through hand hygiene and PPE.- clinical practice or guidelines used
with clients(gowns, gloves, masks, eyewear, other PPE, handwashing/
sanitizing, linen discarding, sharps discarding)
- spread by direct or indirect; gloves, gowns, HH; private room or cohort; MRSA,
C. diff (hand san), infection (major wound infection, GI, skin, respiratory
infection);
, - spread by coughing, sneezing or talking; gloves, gowns, mask (within 2m), HH,
eyewear (splash risk); private room or cohort; rubella, influenza, pertussis,
mumps, diphtheria, pneumonia; private room
- spread by airborne droplets; private room (door closed) negative pressure;
gown, N95 mask, gloves, eyewear, HH; measles, varicella, shingles, TB
Medical asepsis - ANSWER practices designed to reduce the number and
transfer of pathogens; synonym for clean technique
Procedures used to reduce and prevent the spread of microorganisms but do
not remove threat;
perform hand hygiene frequently; use PPE as indicated; don't place items on the
floor of client's room; don't shake linen; clean least soiled area first; place moist
items in plastic bags; reinforce education with client and caregivers
Surgical asepsis - ANSWER techniques used to destroy all pathogenic
organisms, also called sterile technique
practices that render and keep objects and areas free from microorganisms;
synonym for sterile technique
Body mechanics - ANSWER the proper use of the body to facilitate lifting and
moving and prevent injury.- good posture, balance, and the use of the strongest
muscles to do majority of work.
Principles of Body Mechanics - ANSWER - The wider the base of support, the
greater the stability.
- The lower the center of gravity, the greater the stability.
- Face the direction of movement, prevents abnormal twisting of the spine.
ears (1) in line with shoulders (2), shoulders in line with hips (3); tighten stomach
(4), push buttocks (5) back while keeping body weight over heels (6)
How can the nurse promote mobility and exercise in the hospitalized patient? -
ANSWER Passive and active ROM exercises
Assistive devices to promote walking (canes, crutches, walkers)
Getting patients out of bed, including sitting in a chair, toileting at bedside or
bathroom, standing, and ambulating
Encouragement and support
Planning with patient; individualized to patient needs
Collaboration (with other physicians and HCP such as physiotherapists)
Ambulating - ANSWER Hand hygiene, ensure privacy
introduce self to patient, identify patient using two identifiers; explain procedure
to patient
ADPIE - Nursing Process - ANSWER Assessment: collection of data important to
client's health status or situation in order to fully understand client's priority
needs
Diagnosis: analysis of assessment data to determine key issues and make
clinical judgements in the form of a nursing diagnosis, involves creation of
outcomes or goals for client's situation
Planning: creating plan that identifies strategies to reach outcomes or goals
Implementation: carrying out plan
Evaluation: reflection on success of reaching outcome
DIPPS - ANSWER Dignity: preserve their dignity; the state of feeling worthy,
valued and respected
Independence: patients need to do what they can for themselves
Preference: clients need to make choices and explain how they want to have
things done
Privacy: clients need to know that their bodies and their affairs are treated
respectfully and protected from public view
Safety: safe from harm; clients need to live in an environment that is as hazard
free as possible and feel secure about the care provided
CNO - ANSWER The College of Nurses of Ontario is the governing body for
Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse
Practitioners (NPs) in Ontario, Canada.
CNO Professional Standards of Practice - ANSWER accountability, continuing
competence, ethics, knowledge, knowledge application, leadership,
relationships
Gentle Persuasive Approaches (GPA) - ANSWER A program designed to train
direct care providers in techniques to handle and reduce difficult responsive
behaviours (e.g., grabbing, biting, and hitting) that are associated with
dementias such as Alzheimer's disease to prepare the care providers for
vulnerable care situations and for avoiding potential workplace injury
,Infection develops if... - ANSWER the chain remains intact
Chain of transmission - ANSWER - pathogenic agent
- reservoir
- portal of exit
- transmission
- portal of entry
- host susceptibility
Hospital acquired infection - ANSWER infection acquired from microorganisms
in hospitals and other health care facilities
Antimicrobial resistant organism - ANSWER things such as bacteria, viruses,
fungi and parasites that change over time and no longer respond to medicines
making infections harder to treat and increasing the risk of disease spread,
severe illness and death.
Microbes adapting to the environment and changing their genetic makeup.
Drugs become ineffective and fail to treat infections, as microbes develop to
conquer antimicrobial treatments.- proper hand hygiene can prevent this!
Droplet transmission - ANSWER sneezing, coughing, laughing, leading to
droplets reaching someone else.
Airborne transmission - ANSWER residue from evaporated droplets; much
smaller than an actual droplet.-it gets inhaled, as it lies in the air
Vehicle transmission - ANSWER transmission by an inanimate reservoir (food,
water, air)ex: flint water supply carrying lead which infected many people.
Infection prevention and control (for all transmissions) - ANSWER - breaks chain
of infection through hand hygiene and PPE.- clinical practice or guidelines used
with clients(gowns, gloves, masks, eyewear, other PPE, handwashing/
sanitizing, linen discarding, sharps discarding)
- spread by direct or indirect; gloves, gowns, HH; private room or cohort; MRSA,
C. diff (hand san), infection (major wound infection, GI, skin, respiratory
infection);
, - spread by coughing, sneezing or talking; gloves, gowns, mask (within 2m), HH,
eyewear (splash risk); private room or cohort; rubella, influenza, pertussis,
mumps, diphtheria, pneumonia; private room
- spread by airborne droplets; private room (door closed) negative pressure;
gown, N95 mask, gloves, eyewear, HH; measles, varicella, shingles, TB
Medical asepsis - ANSWER practices designed to reduce the number and
transfer of pathogens; synonym for clean technique
Procedures used to reduce and prevent the spread of microorganisms but do
not remove threat;
perform hand hygiene frequently; use PPE as indicated; don't place items on the
floor of client's room; don't shake linen; clean least soiled area first; place moist
items in plastic bags; reinforce education with client and caregivers
Surgical asepsis - ANSWER techniques used to destroy all pathogenic
organisms, also called sterile technique
practices that render and keep objects and areas free from microorganisms;
synonym for sterile technique
Body mechanics - ANSWER the proper use of the body to facilitate lifting and
moving and prevent injury.- good posture, balance, and the use of the strongest
muscles to do majority of work.
Principles of Body Mechanics - ANSWER - The wider the base of support, the
greater the stability.
- The lower the center of gravity, the greater the stability.
- Face the direction of movement, prevents abnormal twisting of the spine.
ears (1) in line with shoulders (2), shoulders in line with hips (3); tighten stomach
(4), push buttocks (5) back while keeping body weight over heels (6)
How can the nurse promote mobility and exercise in the hospitalized patient? -
ANSWER Passive and active ROM exercises
Assistive devices to promote walking (canes, crutches, walkers)
Getting patients out of bed, including sitting in a chair, toileting at bedside or
bathroom, standing, and ambulating
Encouragement and support
Planning with patient; individualized to patient needs
Collaboration (with other physicians and HCP such as physiotherapists)
Ambulating - ANSWER Hand hygiene, ensure privacy
introduce self to patient, identify patient using two identifiers; explain procedure
to patient
