NURS101 FINAL EXAM: QUESTIONS AND ANSWERS (A+)
What is QSEN + what does it do? Right Ans - -Quality + Safety Education for
Nurses.
-Founded by Robert Wood Johnson Foundation.
-Adapted IOM competencies for Nurses.
-Knowledge, skills, + attitudes for each competency were developed for use in
prelicensure nursing ed.+ graduate ed.
The 6 QSEN competencies are:
1. pt-centered care
2. teamwork + collaboration
3. EBP
4. quality improvement
5. safety
6. informatics
What is IOM + what does it do? Right Ans - Institute of Medicine
The Future of Nursing: Leading Change, Advancing Health identified several
goals for nursing in the US:
- Nurses should practice to the full extent of their education + training.
- Nurses should achieve higher levels of education + training through an
improved education system that promotes seamless academic progression.
- Nurses should be full partners with physicians + other health care
professionals in redesigning health care in the US.
- Effective workforce planning + policy making require better data collection +
an improved info infrastructure.
The report outlined recommendations + specific actions to achieve these
goals.
What is AACN + what does it do? Right Ans - American Association of
Colleges of Nursing
- National voice for baccalaureate + graduate nursing education.
-Establish quality standards for nursing education.
- The Essentials of Baccalaureate Education for Professional Nursing Practice
are provided + updated by the AACN.
,-The doc offers a framework for the education of professional nurses with
outcomes for students to meet. If students meet these outcomes, their
socialization into the role of a professional nurse will have begun.
What is the NLN? What does it do? Right Ans - The National League for
Nursing
- Outlines + updates competencies for practical, associate, baccalaureate +
graduate nursing edu. programs.
-The titles of the competencies for each type of edu. program are "Human
Flourishing," "Nursing Judgment," "Professional Identity," + "Spirit of Inquiry."
- The outcomes for each competency are progressively more complex at each
edu. level
-Organization open to all nurses
-Voluntary accreditation
-Foster development/improvement of nursing services + edu.
-Conducts pre-entrance testing for potential students
-Conducts achievement testing to measure student progress
- Source of research data about nursing edu.
What can be delegated to LPN's? Right Ans - - 12 to 18 months of training
- pass the NCLEX-PN
- Under supervision of an RN in most institutions
- CAN collect data
- CAN update care plans + administer meds with the exception of certain IV
meds.
-Cannot perform an assessment requiring decision making
- Cannot form a nursing DX + initiate a care plan.
What can be delegated to NAC's? Right Ans - -Basic care like hygienic care,
-Recording vital signs
-Positioning,
-Ambulating
-Assisting with eating.
-RN retains ultimate responsibility for pt care, which requires supervision of
those to whom pt care is delegated.
,Define/describe/give example of characteristic of the nursing process:
ORGANIZATION Right Ans - Characteristics: dynamic, organized,
collaborative + universally adaptable to various types of health care settings.
-Ensures pt care is well organized + thorough
-Standardized method of addressing pt needs that is understood worldwide
-Framework for development of individualized plans of care.
Define/describe/give example of characteristic of the nursing process:
DYNAMICS Right Ans - - Changing over time in response to pts' individual
needs (CYCLIC rather than linear)
- The dynamic, responsive nature of the nursing process allows it to be used
effectively with pts in any setting + at every lvl of care, from the ICU to
outpatient wellness clinics.
-Allows nurses to adjust to changing pt needs.
-Plans of care EVOLVE as pts' needs change.
-A nurse conducts ongoing assessment as a pts condition changes + modifies
the plan of care on the basis of those findings.
-As the condition changes, so does the way a professional nurse thinks about
that pts needs, forcing modification of earlier plans of care.
-Nurses must consider the accuracy + effectiveness of their thought process at
each step of the nursing process
Define/describe/give example of characteristic of the nursing process:
ADAPTABILITY Right Ans - -Adaptable for developing plans of care for
individuals who are hospitalized or are in an outpatient, long-term care, or
home setting.
-It is an equally useful method for addressing the needs of a specific
population.
-At each step, revisions of the plan may need to take place, depending on the
variety of concerns, including cost + availability of professionals to implement
interventions
-Ex: childhood obesity in a specific community.
Define/describe/give example of characteristic of the nursing process:
OUTCOME ORIENTATION Right Ans - -Designed to achieve specific, well-
defined outcomes.
-Pt care plans developed to meet each pts goals, NOT the goals of standardized
pts or members of the health care team, including the nurse.
, -Decisions regarding which interventions + medical treatments to implement
made on the basis of SAFETY + effectiveness in meeting a pts identified needs
+ desired outcomes.
-By referring to a pts care plan, nurses + other health care team members are
able to treat a pt consistently + identify care that is effective while modifying
efforts that are not helping the pt meet goals + achieve desired outcomes.
Recognize objective data Right Ans - OBjective=OBserved
-Objective data (signs) consist of observable info that the nurse gathers on the
basis of what can be seen, measured, or tested.
-Data collected from medical records, labs, + diagnostic test results, or
physical assessments are objective.
-Nurses use 5 senses to gather objective data
-Most data is collected by the nurse during physical assessment (inspection,
palpation, percussion + auscultation, during direct pt care)
Recognize subjective data Right Ans - -Subjective data (symptoms) are
spoken.
-Subj. data are most often gathered during a pt interview or health history.
-Info shared by family members, friends, other members of health care team
-Ex: Pts feelings about a situation or comments about how they are feeling
-Data shared by a source verbally
-May be difficult to validate because they cannot be independently
+objectively measured
-Documented as direct quotations (ex: "I didn't get much sleep last night")
Recognize Direct data Right Ans - Primary data
-Info obtained directly from a pt
-interventions that are carried out by having personal contact with pts
ex: cleaning an incision, administering an injection, ambulating with a pt,
completing pt teaching at the bedside
Recognize indirect data Right Ans - -Obtained from medical charts or a
hand-off communication.
-Includes relevant literature; nurse's knowledge + experience.
-Secondary Data
-Collected from family members, friends, other health care professionals, or
written sources such as medical records + test results.
What is QSEN + what does it do? Right Ans - -Quality + Safety Education for
Nurses.
-Founded by Robert Wood Johnson Foundation.
-Adapted IOM competencies for Nurses.
-Knowledge, skills, + attitudes for each competency were developed for use in
prelicensure nursing ed.+ graduate ed.
The 6 QSEN competencies are:
1. pt-centered care
2. teamwork + collaboration
3. EBP
4. quality improvement
5. safety
6. informatics
What is IOM + what does it do? Right Ans - Institute of Medicine
The Future of Nursing: Leading Change, Advancing Health identified several
goals for nursing in the US:
- Nurses should practice to the full extent of their education + training.
- Nurses should achieve higher levels of education + training through an
improved education system that promotes seamless academic progression.
- Nurses should be full partners with physicians + other health care
professionals in redesigning health care in the US.
- Effective workforce planning + policy making require better data collection +
an improved info infrastructure.
The report outlined recommendations + specific actions to achieve these
goals.
What is AACN + what does it do? Right Ans - American Association of
Colleges of Nursing
- National voice for baccalaureate + graduate nursing education.
-Establish quality standards for nursing education.
- The Essentials of Baccalaureate Education for Professional Nursing Practice
are provided + updated by the AACN.
,-The doc offers a framework for the education of professional nurses with
outcomes for students to meet. If students meet these outcomes, their
socialization into the role of a professional nurse will have begun.
What is the NLN? What does it do? Right Ans - The National League for
Nursing
- Outlines + updates competencies for practical, associate, baccalaureate +
graduate nursing edu. programs.
-The titles of the competencies for each type of edu. program are "Human
Flourishing," "Nursing Judgment," "Professional Identity," + "Spirit of Inquiry."
- The outcomes for each competency are progressively more complex at each
edu. level
-Organization open to all nurses
-Voluntary accreditation
-Foster development/improvement of nursing services + edu.
-Conducts pre-entrance testing for potential students
-Conducts achievement testing to measure student progress
- Source of research data about nursing edu.
What can be delegated to LPN's? Right Ans - - 12 to 18 months of training
- pass the NCLEX-PN
- Under supervision of an RN in most institutions
- CAN collect data
- CAN update care plans + administer meds with the exception of certain IV
meds.
-Cannot perform an assessment requiring decision making
- Cannot form a nursing DX + initiate a care plan.
What can be delegated to NAC's? Right Ans - -Basic care like hygienic care,
-Recording vital signs
-Positioning,
-Ambulating
-Assisting with eating.
-RN retains ultimate responsibility for pt care, which requires supervision of
those to whom pt care is delegated.
,Define/describe/give example of characteristic of the nursing process:
ORGANIZATION Right Ans - Characteristics: dynamic, organized,
collaborative + universally adaptable to various types of health care settings.
-Ensures pt care is well organized + thorough
-Standardized method of addressing pt needs that is understood worldwide
-Framework for development of individualized plans of care.
Define/describe/give example of characteristic of the nursing process:
DYNAMICS Right Ans - - Changing over time in response to pts' individual
needs (CYCLIC rather than linear)
- The dynamic, responsive nature of the nursing process allows it to be used
effectively with pts in any setting + at every lvl of care, from the ICU to
outpatient wellness clinics.
-Allows nurses to adjust to changing pt needs.
-Plans of care EVOLVE as pts' needs change.
-A nurse conducts ongoing assessment as a pts condition changes + modifies
the plan of care on the basis of those findings.
-As the condition changes, so does the way a professional nurse thinks about
that pts needs, forcing modification of earlier plans of care.
-Nurses must consider the accuracy + effectiveness of their thought process at
each step of the nursing process
Define/describe/give example of characteristic of the nursing process:
ADAPTABILITY Right Ans - -Adaptable for developing plans of care for
individuals who are hospitalized or are in an outpatient, long-term care, or
home setting.
-It is an equally useful method for addressing the needs of a specific
population.
-At each step, revisions of the plan may need to take place, depending on the
variety of concerns, including cost + availability of professionals to implement
interventions
-Ex: childhood obesity in a specific community.
Define/describe/give example of characteristic of the nursing process:
OUTCOME ORIENTATION Right Ans - -Designed to achieve specific, well-
defined outcomes.
-Pt care plans developed to meet each pts goals, NOT the goals of standardized
pts or members of the health care team, including the nurse.
, -Decisions regarding which interventions + medical treatments to implement
made on the basis of SAFETY + effectiveness in meeting a pts identified needs
+ desired outcomes.
-By referring to a pts care plan, nurses + other health care team members are
able to treat a pt consistently + identify care that is effective while modifying
efforts that are not helping the pt meet goals + achieve desired outcomes.
Recognize objective data Right Ans - OBjective=OBserved
-Objective data (signs) consist of observable info that the nurse gathers on the
basis of what can be seen, measured, or tested.
-Data collected from medical records, labs, + diagnostic test results, or
physical assessments are objective.
-Nurses use 5 senses to gather objective data
-Most data is collected by the nurse during physical assessment (inspection,
palpation, percussion + auscultation, during direct pt care)
Recognize subjective data Right Ans - -Subjective data (symptoms) are
spoken.
-Subj. data are most often gathered during a pt interview or health history.
-Info shared by family members, friends, other members of health care team
-Ex: Pts feelings about a situation or comments about how they are feeling
-Data shared by a source verbally
-May be difficult to validate because they cannot be independently
+objectively measured
-Documented as direct quotations (ex: "I didn't get much sleep last night")
Recognize Direct data Right Ans - Primary data
-Info obtained directly from a pt
-interventions that are carried out by having personal contact with pts
ex: cleaning an incision, administering an injection, ambulating with a pt,
completing pt teaching at the bedside
Recognize indirect data Right Ans - -Obtained from medical charts or a
hand-off communication.
-Includes relevant literature; nurse's knowledge + experience.
-Secondary Data
-Collected from family members, friends, other health care professionals, or
written sources such as medical records + test results.
