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Nursing Fundamentals Exam 1 | Professional Identity, Care Coordination, Clinical Judgment, Ethics & More | NCLEX Style Q&A

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Conquer your first nursing fundamentals exam with this comprehensive study guide and practice test! This resource covers all the critical topics from a typical Semester 1, Unit 1 curriculum, complete with NCLEX-style questions and detailed rationales. What's Included: A full-length unit exam with a mix of multiple-choice, select-all-that-apply, and fill-in-the-blank questions. Detailed answers and rationales for self-assessment and deeper understanding. Clear, organized summaries of key concepts for efficient review. Key Topics Covered: Professional Identity: Definition, attributes (Doing, Being, Acting Ethically, Flourishing, Changing Identity), and formation. Care Coordination: Models (Social, Medical, Integrated), attributes, goals, and the nurse's role with vulnerable populations. Clinical Judgment & The Nursing Process (ADPIE): Tanner's Model (Noticing, Interpreting, Responding, Reflecting), NANDA diagnoses (Problem, Risk, Wellness), PES format, and prioritization (ABCs, Maslow's). Leadership & Management: Formal vs. Informal leadership, attributes, and effective delegation (The 5 Rights). Communication: Linguistic, Paralinguistic, and Metacommunication; ISBARR; conflict resolution. Ethics: Ethical principles (Autonomy, Beneficence, Nonmaleficence, Justice, Fidelity, Veracity), types of ethics (Societal, Organizational, Clinical, Bioethics), and resolving ethical dilemmas. Scope of Practice & Delegation: Differentiating roles (RN, LPN, UAP) based on state nurse practice acts.

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Nursing: Semester 1 Unit 1 Exam
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Terms in this set (161)


is a development of partnerships to achieve the best possible outcomes that
Define collaboration reflect the particular needs of the patient, family, or community, requiring an
understanding of what others have to offer

a sense of oneself that is influenced by characteristics, norms, and values of the
Professional identity definition
nursing disciple, resulting in an individual thinking, acting, and feeling like a nurse

Ranges from institutional roles, behavioral competencies, and emerging identities
Scope of professional identity
(aka think, act, and take on persona of a nurse)

1. Doing: performing the skill as and demonstrating the behaviors expected of a
nurse


2. Being: adopting the nursing attitude, acting ethically even when no one is
looking


3. Acting ethically: being attentive to what is considered right (ex: not right to
5 Attributes of professional identity:
except a date from a patient or tell family members details about a patient's
condition)


4. Flourishing: a sense of positive and transitional growth


5. Changing identity: recognizing the change in identity. Let go of the old and
accept the new

True or false: FLASE :


Personal identity is a subset of Professional identity is a subset of personal identity
professional identity

True or false: Professional identity is NOT linear. It is an evolving process and you must continue
to grow
Professional identity is linear.

a set of activities purposefully organized by a team to facility the appropriate
Define Care Coordination delivery of the necessary services and information to support optimal health and
care across setting and over time

,What are the two perspectives when efficient, optimal care coordination to inefficient, poor care coordination
dealing with the scope of care
coordination scope

1. Inter-organizational and inter-professional team (includes patient and family)


2. Communication and information exchange


5 Attributes of care coordination 3. Proactive plan of care with goals


4. Set of purposeful activities


5. Proactive follow up

-complicated health care needs
-receiving care that is expensive
Which patient situations support the need
-pose discharge planning problems
for care coordination?
-receive care from multiple providers
-are likely to have significant physical or psychosocial problems

-social
3 care coordination models -medically oriented
-integrated

-improve and optimize care
3 goals of care coordination -promote health and independence
-reduce unnecessary utilization of health care services

Who is at the greatest risk of needing B. fail and vulnerable adults and children
care coordination?


A. general public lowest to highest


B. frail and vulnerable adults and children general public --> people with complex conditions or life situations elevating the
likelihood of a negative outcome --> frail and vulnerable adults and children
C. people with complex conditions or life
situations elevating the likelihood of a
negative outcome


D. All of the above

-children and teens -->school-based service


Care coordination: -for elderly--> food and meal services


give examples of the social model -housing and transportation services


-disability services

holistic model
Care coordination:

-prevention services
What is another name for the integrated
-social and community support
model and give examples
-PACE (program for the elderly)

What is a nurses role in care to reduce barriers for vulnerable patients
coordination?

elderly
infants
low income
Who are considered vulnerable patients
handicap
chronically ill
homeless

, What patient situation supports the need E. A, B, D
for care coordination


A. patient with complicated health care -complicated health care needs
needs -receive expensive health care
-pose discharge planing problems
B. patient receiving expensive treatment -receive care from multiple providers
such as chemotherapy -likely to have significant physical or psychosocial problems


C. Pt who broke his leg in a MVC who has
family support


D. Patient with CHF who has to see
multiple providers


E. A, B, D

Which factor is known to threaten the biased approach to care
nurse's ability to triage and prioritize
client care accurately? A biased approach threatens the nurse's ability to triage clients accurately. A
caring ethic is known to contribute to effective triage and prioritization of care.
caring ethic The shift that is being worked and the specific number of years of job experience
biased approach to care are not directly related to the nurse's ability to prioritize care accurately.
The shift that is being worked
The specific number of years of job
experience

For which health care team role are the Registered nurse
principles of the delegation process
outlined according to the American The ANA has outlined the principles of the delegation process for registered
Nurses Association (ANA)? nurses. Licensed practical nurses, licensed vocational nurses, and unlicensed
nursing personnel are the delegatees and do not manage the delegation process.


Registered nurse Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times
when four or five consecutive questions have the same letter or number for the
Licensed practical nurse correct answer.


Licensed vocational nurse


Unlicensed nursing personnel

Define leadership, followership, and unit an interactive process that provides needed guidance and direction
effectiveness.

Which element is not involved in C.
leadership


A. situation Although it is desirable for managers to be good leaders, there are leaders who
B. follower are not managers and, more frequently, managers who are not leaders!
C. management
D. leader

Define Management is a problem-oriented process with similarities to the nursing process

-followers
- vision
- communication
List 6 attributes of leadership
-decision making
- change
- social power
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