NURSING FUNDAMENTALS -EXAM 1-43 QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS

Intrapersonal Self talk Interpersonal 2 to 3 people Brainpower Read More Public Communication Group Introductory Phase The process of developing trust, confidentiality, and a mutually agreed upon plan, meeting the patient Working Phase True feelings, decisions, actions, and support Termination Phase Referrals, closure, summarization Aggressive Uses "you" statements. Putting the blame on someone else. "I am sick of you being late all the time" Assertive Direct, uses "I" statements. "I am feeling frustrated with your arrival after the agenda start time at our meetings" SBAR Situation- name & summary of problem Background-admission & reason/diagnosis Assessment-pain, changes from prior assessments Recommendation-What needs to be done next, follow-up Subjective Data What the patient says. Not measurable.Ex: Pain, "I have a fever and I'm cold and tired." Objective Data Can be measured/observed. Ex: Pulse, Temp, Resp., Bruise, etc. SOAP S-(subjective) what the patient says, nurse can quote patient O-(objective) Information that is measured or observed A-(assessment) Drawing conclusions from subjective & objective data P-(plan) Should be a statement that will resolve the stated problem. DAR Focused Charting. D-ata A-ction R-esponse Charting by exception Only Chart- 1.Abnormal 2.Significant 3. Exceptions Registered Nurse -2 or 4 year degree -Take same NCLEX exam -Hospital based to educational setting -Responsible for complicated assessment/ planning care/ -EVALUATION Licensed Practical Nurse -One year program -Basic direct care -Assessment and modification to care plan -Works under the supervision of an R.N. Nurse Practice Act -Each state has their own scope of Nursing Practice -The State Practice Act maintains control through licensing requirements -Protection for the public -Outline the role of the RN, LPN, and Unlicensed Assistant Personnel Evidenced Based Practice (EBP) -Research is now an expectation for the role of the professional nurse. Ex: rationale for nursing interventions and decision based on literature. -Evidence guides clinical decisions -Foundation for standards of care and optimum patient outcome The State Board of Nursing Is in charge of nursing licensure Accreditation for Nursing Education National League for Nursing Accrediting Commission (NLNAC) Accreditation for Nursing Education Commission on Collegiate Nursing Education (CCNE) American Nursing Association (ANA) National organization associated with standards of Nursing Practice and promotion of education and advancement for Nursing Practice National League of Nursing (NLN) -Facilitates development and improvement in Nursing Service -Provide Admission Testing to Nursing Programs -Conduct Surveys and use data as research for Nursing Education International Council of Nurses (ICN) An organization that provides a place for national organizations to work together for International Nursing issues and Health Care Policy National Student Nurses Association (NSNA) An organization for Nursing Students from Accredited Nursing Programs Standards of Care Protect the consumer, standards which define quality and they become legal guidelines. Can be divided into internal and external guidelines. Internal Guidelines Which type of standard? -job description -education -facility policies and procedures External Guidelines Which type of standard? Nurse practice acts -ANA -Specialty Practice Organizations -Joint Commission