answers
Evidenced-based care - correct answer ✔✔• Develop the question.
• Search and collate the best evidence.
• Evaluate the quality of the evidence.
• Integrate evidence into practice.
• Evaluate outcomes of practice change.
• Disseminate the evidence
Patient-centered care - correct answer ✔✔-Treating patients and families with dignity and respect
-Engaging patients and families in decision making about care
-Nurse needs effective communication skills, empathy, caring, and compassion
Quality and Safety - correct answer ✔✔Knowledge, skills and attitudes of nurses to promote safety-
QSEN were developed to help better prepare nurses to provide safe, quality care
-Identify patients correctly
-Improve staff communication
-Use medicines safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Prevent mistakes in surgery
-SBAR: situation, background, assessment, and recommendation
Interprofessional Practice - correct answer ✔✔Nurse is a key member of the healthcare team and serves
a vital link for communication between care providers
Nursing process - correct answer ✔✔5 steps:
,-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation
Med-Surg nursing competencies - correct answer ✔✔-Evidenced-based care
-Patient-centered care
-Quality and Safety
-Interprofessional Practice
-Nursing process
-Clinical decision making
5 rights of delegation - correct answer ✔✔-Right task
-Right circumstance
-Right person
-Right direction and communication
-Right supervision and evaluation
UAP delegations - correct answer ✔✔-Taking VS
-Assisting patients with personal care needs- ADLs
-Requires ongoing monitoring by nurse
LPN delegations - correct answer ✔✔-Help with ADLs
-Taking VS
-Collect lab specimens
-Complete wound care or dressing changes
-Administer medicine
--no IV
, --no high risk meds: heparin, insulin, opioids
Registered Nurses delegations - correct answer ✔✔-Performs patient assessment and formulates
appropriate nursing diagnosis
-Provide feedback to the provider of the efficiency of medical interventions
-Reports normal and abnormal objective or subjective assessment findings
-Is the patient advocate, intervening on the patient's behalf to ensure appropriate care
-Providing patient teaching to facilitate positive outcomes after discharge
What are appropriate nursing interventions for a patient who is dying? - correct answer ✔✔-Symptom
management- being aware of and treating the typical signs of distress that occur during the dying
process
-Family support- offering the family an opportunity to participate in the patient's care. Maintaining
communication, assuring them that effective pain and symptom management is being provided. Offering
family private time in the room to view the patient's body after death
-Always look at ethical and legal aspects (DNR)
-Make sure to know cultural aspects and how they want to take care of their body after death
-Be present
What ethical and legal considerations should the nurse focus on when caring for patients who are dying
or on palliative care? - correct answer ✔✔-Identify patients decision making capacity
-Identify patients surrogate decision maker
-Patients right to full disclosure of information
-Patients right to refuse treatment
-DNR
-Assure patient that preferences are known/honored and ethical care will be provided
--patients right to full disclosure and refusal of treatment
When caring for older adults, what special considerations must the nurse take into account to plan safe
care for this population? - correct answer ✔✔3 stages
-Young old: 65-75