MEDICAL-SURGICAL NURSING Comprehensive
Final Exam Review Comprehensive Questions
and Verified Answers Accurate Solutions
Already Graded A+
Defines the scope and limitations of professional nursing practice;
vary from state to state
- Defines the nursing scope of practice in addition to delegating
patient care.
Nurse Practice Act (NPA)
The ability to make decisions and solve problems by making sense of
information in a situation (the observed outcome of critical thinking
and decision-making).
Clinical Judgement
Assessment
Diagnosis
Planning
Implementation
Evaluation
Nursing Process
Patient-Centered Care: Provide holistic, compassionate, and
coordinated care based on respect for patient's preferences.
Interprofessional Partnerships: Function effectively within nursing and
interprofessional teams
,Safety: Minimize risk of harm to patients and providers.
Quality Improvement: Use data to monitor the outcomes of care and
to improve the quality and safety of health care systems.
Informatics and Health Care Technology: Use information and
technology to communicate, manage knowledge, reduce errors, and
support decision making.
Evidence-Based Practice: Integrate best current evidence with clinical
expertise and the patient/caregiver preferences and values for
delivery of optimal health care.
Core Nursing Competencies (QSEN)
As a nurse, you (1) offer skilled care to those recovering from illness or
injury, (2) advocate for patients' rights, (3) teach patients to manage
their health, (4) support patients and their caregivers at critical times,
and (5) help them navigate the complex health care system.
Professional Nursing (Chapter 1: Harding Textbook)
Nursing is described as both an art and a science; a heart and a mind.
- Nursing is putting the patient in the best condition for nature to act
(Florence Nightingale).
- The nurse's unique function is to aid patients, sick or well, in
performing those activities contributing to health or its recovery (or to
peaceful death) that they would perform unaided if they had the
necessary strength, will, or knowledge--and to do this in such a way as
to help them gain independence (Henderson).
- Nursing is the protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering
through the diagnosis and treatment of human response, and
,advocacy in the care of individuals, families, communities, and
populations (American Nursing Association).
Definition of Nursing
The comprehensive nursing care plan is the central source of
information needed to guide holistic, goal-oriented care, and address
each client's unique needs
- Guides for routine care
Nursing Care Plans
Effective communication is key to fostering teamwork and
coordinating care. To provide safe, effective care, team members must
exchange information clearly and accurately among team members.
- Situation-Background-Assessment-Recommendation (SBAR): Offers a
structured way to discuss a patient's condition between team
members. It allows you to attention and action.
- Patient Handoff Report: The process of passing patient information
to another team member during a transition.
Coordinating Care
Interprofessional care plans outline the care and desired outcomes for
a specific time for patients with a specific diagnosis. If a patient's
progress differs from the planned path, a variance has occurred (These
can be positive or negative)
Clinical Pathways
Delegation allows a care provider to perform a specific nursing
activity, skill, or procedure beyond their usual role. (Initial assessment,
, patient teaching, and evaluation CANNOT be delegated) (bathing, vital
signs, ambulating, and feeding CAN be delegated)
Assignment is referred to when a RN directs an LPN/VN/ or AP to do
an activity or procedure that is part of their everyday job.
Delegation and Assignment
1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
5 Rights of Delegation
A problem solving approach to making clinical decisions using the best
evidence available.
- Steps of EBP Process:
1. Asking a clinical question
2. Searching for the best evidence
3. Critically appraise the evidence
4. Implement the evidence into practice
5. Evaluate the outcome
6. Share the results
Evidence-Based Practice
Goals issued by the Joint Commission to improve patient safety in
healthcare organizations nationwide
-Improve accuracy of client identification.
-Improve effectiveness of communication
among caregivers.
Final Exam Review Comprehensive Questions
and Verified Answers Accurate Solutions
Already Graded A+
Defines the scope and limitations of professional nursing practice;
vary from state to state
- Defines the nursing scope of practice in addition to delegating
patient care.
Nurse Practice Act (NPA)
The ability to make decisions and solve problems by making sense of
information in a situation (the observed outcome of critical thinking
and decision-making).
Clinical Judgement
Assessment
Diagnosis
Planning
Implementation
Evaluation
Nursing Process
Patient-Centered Care: Provide holistic, compassionate, and
coordinated care based on respect for patient's preferences.
Interprofessional Partnerships: Function effectively within nursing and
interprofessional teams
,Safety: Minimize risk of harm to patients and providers.
Quality Improvement: Use data to monitor the outcomes of care and
to improve the quality and safety of health care systems.
Informatics and Health Care Technology: Use information and
technology to communicate, manage knowledge, reduce errors, and
support decision making.
Evidence-Based Practice: Integrate best current evidence with clinical
expertise and the patient/caregiver preferences and values for
delivery of optimal health care.
Core Nursing Competencies (QSEN)
As a nurse, you (1) offer skilled care to those recovering from illness or
injury, (2) advocate for patients' rights, (3) teach patients to manage
their health, (4) support patients and their caregivers at critical times,
and (5) help them navigate the complex health care system.
Professional Nursing (Chapter 1: Harding Textbook)
Nursing is described as both an art and a science; a heart and a mind.
- Nursing is putting the patient in the best condition for nature to act
(Florence Nightingale).
- The nurse's unique function is to aid patients, sick or well, in
performing those activities contributing to health or its recovery (or to
peaceful death) that they would perform unaided if they had the
necessary strength, will, or knowledge--and to do this in such a way as
to help them gain independence (Henderson).
- Nursing is the protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering
through the diagnosis and treatment of human response, and
,advocacy in the care of individuals, families, communities, and
populations (American Nursing Association).
Definition of Nursing
The comprehensive nursing care plan is the central source of
information needed to guide holistic, goal-oriented care, and address
each client's unique needs
- Guides for routine care
Nursing Care Plans
Effective communication is key to fostering teamwork and
coordinating care. To provide safe, effective care, team members must
exchange information clearly and accurately among team members.
- Situation-Background-Assessment-Recommendation (SBAR): Offers a
structured way to discuss a patient's condition between team
members. It allows you to attention and action.
- Patient Handoff Report: The process of passing patient information
to another team member during a transition.
Coordinating Care
Interprofessional care plans outline the care and desired outcomes for
a specific time for patients with a specific diagnosis. If a patient's
progress differs from the planned path, a variance has occurred (These
can be positive or negative)
Clinical Pathways
Delegation allows a care provider to perform a specific nursing
activity, skill, or procedure beyond their usual role. (Initial assessment,
, patient teaching, and evaluation CANNOT be delegated) (bathing, vital
signs, ambulating, and feeding CAN be delegated)
Assignment is referred to when a RN directs an LPN/VN/ or AP to do
an activity or procedure that is part of their everyday job.
Delegation and Assignment
1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
5 Rights of Delegation
A problem solving approach to making clinical decisions using the best
evidence available.
- Steps of EBP Process:
1. Asking a clinical question
2. Searching for the best evidence
3. Critically appraise the evidence
4. Implement the evidence into practice
5. Evaluate the outcome
6. Share the results
Evidence-Based Practice
Goals issued by the Joint Commission to improve patient safety in
healthcare organizations nationwide
-Improve accuracy of client identification.
-Improve effectiveness of communication
among caregivers.
