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NUR2225 Final Exam Questions And Accurate Answers Graded A+
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NUR2225 Final Exam Questions And AccurateAnswers Graded A+
TEMPERATURE - Answer -35.9-38 C
-96.7-100 F
-Hypothermia: <35 C / 95 F
-Febrile: > 38 C / 100.4 F
-Rectal = most accurate
Blood PRESSURE - Answer -Hypertension: > 140/90
-Hypotension: < 90/60
Berlo Communication Model - Answer 1. Stimulus/referent
2. Sender/source (encoder)
3. Message
4. Medium/channel of communication (visual, auditory, kinesthetic)
5. Receiver/decoder
Forms of Communication - Answer 1. Verbal (written or spoken)
2. Nonverbal (sounds like crying, gestures, touch)
Phases of Helping Relationship - Answet 1. Orientation-introduction, roles established,
goals
2. Working phase
3. Termination-identify that goals have been met, verbalize feelings of termination
,SBAR - Answert -Hand off/report, calling doctor
S: Situation
B: Background
A: Assessment
R: Recommendation
What is the primary source of information? - Answet The patient
Medical vs Nursing Assessments - Answer A medical assessment targets data pointing
to PATHOLOGIC conditions, and a nursing assessment focuses on the patient's
RESPONSE to health problems.
Objective vs Subjective Data - Answer -Objective: Observable and measurable.
-Subjective: Information perceived only by the affected person.
Maslow's Hiearchy of Human Needs - Answer 1. Physiological needs
2. Safety and security
3. Love and belonging
4. Self-esteem
5. Self-actualization
How long are long-term outcomes? -Answer 1 week or longer
Categories of Outcomes -Answer 1. Cognitive: increase in pt knowledge or intellectual
behaviors
2. Psychomotor: New skills
3. Affective: Changes in pt values, beliefs, and attitudes
4. Clinical: Health issues treated
,5. Functional: Pt's ability to function for ADLs
6. Quality of life
Rights of Delegation -Answer 1. Right task
2. Right circumstances
3. Right person
4. Right directions and communication
5. Right supervision and evaluation
When would you terminate a plan? - Answer When anticipated outcomes are achieved
Rights of patient to their medical record - Answer 1. Receive and have a copy of their
health record
2. Modify health record
3. Obtain accounting of disclosures
4. Request restriction on uses and disclosures
5. Have right to know how they will receive their health information
6. CANNOT AMEND
Read-back Order -Repeat order back for accuracy
-Document verbal order including name of ordering physician, nurse's initials, time and
date -Same documentation as above for telephone orders
Personal Health Records not connected to any one health care organization -Answer
Patient completes data from their own records; data resides on patient's own computer
or the internet
Tethered/Connected Personal Health Records -Answer -Connected to a particular
health care organization's EHR or to a health plan's information system.
Source-Oriented Records - Answer Health care group maintains information on a
, separate form for each.
Problem-Oriented Medical Records (POMR) - Answer Data are arranged in a specific
sequence based on the patient's individual health problems and not based on origin
(database, problem list, plan of care/ADPIE, progress notes)
PIE Charting - Answer P: Problem
I: Interventions
E: Evaluation
SOAP - Answer S: Subjective
O: Objective
A: Assessment
P: Plan
FOCUS Charting-Answer Replaces problem list with a focus column of patient concerns;
focus can be strength or need; the narrative portion uses DAR-data, action, response
Charting by Exception (CBE)-Answer -Shorthand method for documenting only
abnormalities-no WNR values.
-Difficult to prove quality of care in court
Case Management Model-Answer -Expected step/findings/orders in recovery
process/care plans.
-More common in community settings
Flow Sheet -Answer Graphic record of abbreviated aspects of patient's condition (vitals,
routine, Is and Os, aspects of care)
Acuity Record -Answer -How difficult a patient was to manage; stable vs unstable;
independent vs reliant on nurse.
-Not common because acuity is up for interpretation
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