Exam 1 -Fundamentals of Nursing

Case management is the assignment of a health care provider to a patient so the care of that patient is overseen by one individual. This individual is typically a

Nurse

What portion of a sterile drape is considered non sterile?

1 inch border

What is a clinical pathway?

A plan in which many health care professionals schedule interventions to promote patients progress

The assessment process is best described as one in which the nurse _____

Collects information and analyzes data

What are some security issues regarding the computerized documentation system?

Confidentiality of information

What does infection control mean?

Control of an infection within a facility

Which agency regulates long-term care facilities?

Department of Health

What type of problem is a major concern for older adults?

Driving, Hospitalizations, accidental poisoning and loneliness

What is lipping?

Pouring a small amount of sterile solution that is discarded before pouring for a sterile procedure.

P A S stands for

Practitioner assisted suicide

Patient's charts are audited for which reasons?

Quality of care, peer review, and quality assurance

Which included in the patients Bill of Rights?

The patient has the right to refuse treatment and be informed of the medical consequences.

What are some safety considerations a nurse should contemplate when caring for an older adult?

Their visual activity is not good and their reflexes are slow

Home health care nurses spend 50% of their time documenting in the patient record. Why do they spend so much time charting>

They have to document precisely to receive reimbursement from Medicare and insurance.

How are health care asscociated infections typically spread ?

Through direct contact with health care personnel

Why should a hospital have a disaster plan?

To be prepared in times of an emergent community situation with the possibility of a large number of casualities.

What is the diffence between a localized infection and a systemic infection?

a local infection is confined to a particular area and systemic is thoughout the body

A "possible" patient problem statement is utilized when

a problem is feasible

Nursing interventions are

actions selected or prescribed by the nurse to acheive the desired patient outcome.

The infection control nurse is explaining to certified nurses aides that health care associated infection means

an acquired infection in a medical facility within 12 hours after admission

The term health means

condition of physical, mental, and social well-being and absence of disease.

Which process is the framework for the practice of nursing?

Nursing process

An incident report is a form required for

any event that is not consistent with routine patient care.

A kardex or rand system is a

card system that contains demographic information

The phrase holistic health care system indicates that this systems focus is on the

comprehensive care of the patient

How did world war 1 and world war 2 influence nursing?

they pressures states to mandate requirements for nurses.

the section of the patient's chart that contains observations, care given, and patient's responses is:

nurse's notes

Why are computers considered a benefit to documentation?

Efficiency and legibility

What is the most common problem that nurses need to address to ensure the safety of their patients?

Percentage of falls in the facility

What does SRD stand for?

Safety Reminder Device

Patient problem statements are ranked in order of priority of the patients health and safety issues. which problem statement would be the highest priority?

impaired breathing and shortness of breath

The nurse explains that a mode of transmission for a particular diseases is a vector. The patient asks what is a vector?? she explains a vector is a

living carrier

A care plan is a document that outlines

methods used to meet the patients needs by the health care team

Clinical pathways are a _________ plan that schedules clinical interventions over an anticipated time frame

multidisciplinary

What are Maslow's hierarchy of needs?

physiologic, safety and security, love and belonging, self esteem and self actualization.

The national federation of licensed practical/vocational nurses code of ethics was developed to:

provide knowledge for the LPN/LVN about the scope of practice.

What needs to be removed from a fire extinguisher before it can be activated?

the pin

The legal document contains a patient's wishes regarding such matters as "Do not resuscitate". THis document is refferred to as a(n)

Advance Directive

What time of sensitivity is often seen in the health care environment?

Latex allergies

A nurse-patient relationship is a ____ relationship

Legal

Which falls within the LPN/LVN roles and responsibilities?

Obtain and maintain current licensure and practice within the scope of practice.

What national organization provides guidelines to protect health care workers in their envionment?

Occupational safety and health administation

Florence Nightingale's plan focused on which concepts?

Sanitation, recordkeeping, hygiene, and nutrition.

Early civilizations believed that a person became ill when an evil spirit entered the

Body

Which of the following is on the second tier of the CDC's isolation guidelines?

Airborne, droplet and contact precautions

What is the difference between approved nursing and accredited nursing programs?

Approved programs meet minimum requirements, where as accredited programs are reviewed by a professional organization with higher standards than the state.

Which is an ETHICAL principle?

Autonomy

The bill was developed in 1972 by the american hospital association to promote the public's understanding of their rights and responsibilities in health care. What is the bill called?

Hospital Association Bill of Rights

What does universal carry mean?

How to remove a patient from the bed to the floor

A nurse caring for a diabetic patient whos serum glucose level is 520 mg/DL prior to lunch. Insulin sliding scale coverage has been ordered by the health care provider with instructions to call her for any glucose level over 400 mg/DL. The nurse does not call the provider and goes to lunch. The patient develops ketoacidosis and is not stable. The nurse is liable for ______

Malpractice

One of the following is not a basic rule for charting?

Mark through the error several times so it is not legible.

When is the double bagging procedure utilitized?

When it is impossible to keep the outer surface of a bag free from contamination

What is medical asepsis?

eliminating the growth and spread of pathogenic organisms utilizing clean technique

When caring for a patient with whom a nurse has a personal conflict, the nurse may

request that the patient not be assigned to him/her.

What does RACE stand for?

rescue, alarm, confine, extinguish

The nurse is admitting a patient who is confused and lethargic at times. The patient's family is at the bedside. The nurse obtains information from the family regarding the patient. This type of data is considered:

secondary

Components of the patient problem statement consists of :

signs and symptoms, cause and defining characteristics.

Components of the patients problem statement consists of

signs and symptoms, cause and defining characteristics.

The difference between criminal law and civil law is that criminal law's focus is _______ and civil law focus is ____

Criminal-public offenses; Civil- a person's rights.