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Exam (elaborations)

NUR2225 Final Exam Questions And Accurate Answers Graded A+

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NUR2225 Final Exam Questions And Accurate Answers Graded A+...

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  • September 20, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR2225
  • NUR2225
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Braxton
NUR2225 Final Exam Questions And Accurate
Answers 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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