NURSING 142: FINAL EXAM
QUESTTIONS AND ACCURATE
ANSWERS
What are the three dimensions of the fundamental framework? - ANSWER-relationship,
integration, context
what are the parts of the relationship piece of the fundamental framework? - ANSWER-
trust, focus, anticipate, evaluate, know
what are the parts of the integration piece of the fundamental framework? - ANSWER-
psychosocial: communication, privacy, dignity, emotional wellbeing. physical: sleep,
mobility, medication management, eating, and drinking. relational: being empathetic,
being compassionate, helping care receiver cope, active listener
what are the parts of the context piece of the fundamental framework? - ANSWER-
policy: governance, financial, safety. system: culture, resources, leadership
what are essential safety checks used for every patient encounter? - ANSWER-
identification of patient, allergies, bed in low position, call bell in reach, bed rails up
define the chain of infection? - ANSWER-process of transmission of infection through
various links
define portal of entry and how to break the link - ANSWER-how pathogens enter the
host. take proper care of wounds, practice aseptic technique
define a sucseptible host and how to break the link - ANSWER-a person that cannot
protect themselves against pathogens. treat primary disease
define asepsis - ANSWER-absence of pathogens or infectious agents
define aseptic technique - ANSWER-a set of practices used to maintain asepsis during
procedures
describe HAIs - ANSWER-an infection acquired after admission to a healthcare facility
that was not present or in incubation at the time of admission
identify the purpose of the healthcare record - ANSWER-communication, care planning,
legal documentation, monitoring, evaluation of care provided
Normal vitals for adults - ANSWER-T: 36-37.5
, P: 60-100
R: 10-20
BP: Systolic: 120-139mmhg Diastolic: 80-89mmhg
landmarks for pulses - ANSWER-Radial Pulse: Located at the wrist on the thumb side
on the radial artery
Brachial Pulse: Located in the crease of the elbow, on the inside of the upper arm.
Popliteal Pulse: Located behind the knee in the popliteal fossa.
Dorsalis Pedis Pulse: Located on the top of the foot, near the arch.
landmark for BP - ANSWER-over the brachial artery in the antecubital fossa
landmark for the apical pulse - ANSWER-Fifth intercostal space, mid-clavicular line
(point of maximal impulse)
what are the components of the HCR - ANSWER-medical diagnosis, medical history,
lab results, nursing diagnoses, orders
Summarize the Practice Standard for Documentation as outlined in nursing professional
bodies - ANSWER-confidentiality, clarity, accuracy, timeliness, legal and ethical
standards
Defend the legal and ethical guidelines for documentation, including confidentiality -
ANSWER-patient safety: prevents errors, accountability: provides evidence in
healthcare professionals actions and decision making. confidentiality: fosters trust
between healthcare providers and patients
what are methods and tools for communicating health information - ANSWER-verbal
and written communication, EHR, telehealth, patient portals,
what is I-SBAR-R - ANSWER-communication tool. identification, situation, background,
assessment, recommendation, repeat back
explain a point of care risk assessment - ANSWER-patient: is the patient cooperative
and able to follow direction? what can the patient do for themselves, environment: are
there any hazards? have i selected the proper equipment and is it set up for me , task:
what direction is given in the EHR or care plan. do i have the knowledge to safely
complete this task?, myself: can i maintain STABLE body mechanics? do i need to ask
for help? am i wearing the correct PPE?
what are the principles of safe body mechanics? - ANSWER-STABLE: S: spine T:
twisting A: arms B: base L: legs E: evaluate
what is the difference between active and passive ROM - ANSWER-active: patient
performs ROM exercises independently
passive: patient is assisted doing ROM exercises
QUESTTIONS AND ACCURATE
ANSWERS
What are the three dimensions of the fundamental framework? - ANSWER-relationship,
integration, context
what are the parts of the relationship piece of the fundamental framework? - ANSWER-
trust, focus, anticipate, evaluate, know
what are the parts of the integration piece of the fundamental framework? - ANSWER-
psychosocial: communication, privacy, dignity, emotional wellbeing. physical: sleep,
mobility, medication management, eating, and drinking. relational: being empathetic,
being compassionate, helping care receiver cope, active listener
what are the parts of the context piece of the fundamental framework? - ANSWER-
policy: governance, financial, safety. system: culture, resources, leadership
what are essential safety checks used for every patient encounter? - ANSWER-
identification of patient, allergies, bed in low position, call bell in reach, bed rails up
define the chain of infection? - ANSWER-process of transmission of infection through
various links
define portal of entry and how to break the link - ANSWER-how pathogens enter the
host. take proper care of wounds, practice aseptic technique
define a sucseptible host and how to break the link - ANSWER-a person that cannot
protect themselves against pathogens. treat primary disease
define asepsis - ANSWER-absence of pathogens or infectious agents
define aseptic technique - ANSWER-a set of practices used to maintain asepsis during
procedures
describe HAIs - ANSWER-an infection acquired after admission to a healthcare facility
that was not present or in incubation at the time of admission
identify the purpose of the healthcare record - ANSWER-communication, care planning,
legal documentation, monitoring, evaluation of care provided
Normal vitals for adults - ANSWER-T: 36-37.5
, P: 60-100
R: 10-20
BP: Systolic: 120-139mmhg Diastolic: 80-89mmhg
landmarks for pulses - ANSWER-Radial Pulse: Located at the wrist on the thumb side
on the radial artery
Brachial Pulse: Located in the crease of the elbow, on the inside of the upper arm.
Popliteal Pulse: Located behind the knee in the popliteal fossa.
Dorsalis Pedis Pulse: Located on the top of the foot, near the arch.
landmark for BP - ANSWER-over the brachial artery in the antecubital fossa
landmark for the apical pulse - ANSWER-Fifth intercostal space, mid-clavicular line
(point of maximal impulse)
what are the components of the HCR - ANSWER-medical diagnosis, medical history,
lab results, nursing diagnoses, orders
Summarize the Practice Standard for Documentation as outlined in nursing professional
bodies - ANSWER-confidentiality, clarity, accuracy, timeliness, legal and ethical
standards
Defend the legal and ethical guidelines for documentation, including confidentiality -
ANSWER-patient safety: prevents errors, accountability: provides evidence in
healthcare professionals actions and decision making. confidentiality: fosters trust
between healthcare providers and patients
what are methods and tools for communicating health information - ANSWER-verbal
and written communication, EHR, telehealth, patient portals,
what is I-SBAR-R - ANSWER-communication tool. identification, situation, background,
assessment, recommendation, repeat back
explain a point of care risk assessment - ANSWER-patient: is the patient cooperative
and able to follow direction? what can the patient do for themselves, environment: are
there any hazards? have i selected the proper equipment and is it set up for me , task:
what direction is given in the EHR or care plan. do i have the knowledge to safely
complete this task?, myself: can i maintain STABLE body mechanics? do i need to ask
for help? am i wearing the correct PPE?
what are the principles of safe body mechanics? - ANSWER-STABLE: S: spine T:
twisting A: arms B: base L: legs E: evaluate
what is the difference between active and passive ROM - ANSWER-active: patient
performs ROM exercises independently
passive: patient is assisted doing ROM exercises
