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Nur3330 Professionalism Exam 1 Review with complete solutions 2024_2025
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Nur3330 Professionalism Exam 1 Review with complete solutions 2024_2025
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Nur3330 Professionalism Exam 1 Reviewwith complete solutions 2024/2025
A good NIS: - ANSWER-* Supports the way that nurses function and work by
being able to view data collect information, provide patient care, and document a
patient's condition and care provided
* Supports and enhances nursing practice through improved access to
information and clinical decision-making tools
Altered self concept - ANSWER-Self care deficit, emotional & behavioral changes,
anxiety & depression, and self destructive behavior
Analysis Skills - ANSWER-Be open minded as you look at info about a pt. Do not
make assumptions. Does data reveal a problem or trend that you believe is true.
Anticipate and Prevent Complications - ANSWER-Identify risks to the patient
Adapt interventions to the situation
Evaluate the relative benefit of a treatment vs. the risk
Initiate risk prevention measures
Attributes of proper documentation - ANSWER-*Factual* • Descriptive objective
information about what the nurse sees, hears, feels, smells and think • Vague
terms like seem or apparently • Includes objective signs of problems • Subjective
data is documented in client's exact words within quotation marks
, *Accurate* • Use of exact measurement establishes accuracy • e.g. Intake of
400ml of water then writing adequate amount of water
*Complete* - be sure to include • Condition change • Patient's responses
especially unusual, undesired or ineffective response. • Communication with
patient family • Entries in all spaces on all relevant assessment form. Use N/A or
other designation per policy for items that do apply to your patient. • Do not leave
blank N/A
*Timely* (date & time) • Document date & time of each recording • Record time in
conventional manner (e.g. 9:00am to 6:00pm or according to the 24 hours clock) •
Avoid recording in advance (this practice is illegal falsification of the records
contributes to errors and confusion and threatens patient safety. • Client's name,
the word can be omitted
*Concise* • Recording need to be brief as well as complete to save time and
communication
*Legible* • Using black pen, clear enough to be read, readable particularly
handwriting • Any mistakes occur while recording draw a line through it and write
above or next to original entry with your initial or name.
Benefits of NIS (Nursing Information System) - ANSWER-Better access to
information
Enhanced quality of documentation through prompts
Reduced errors of omission
Reduced hospital costs
Increased nurse job satisfaction
Compliance with requirements of accr. agencies
Development of a common clinical database
Enhanced ability to track records
Benefits of Nursing Dx - ANSWER-1. Provides a precise definition of a patient's
problem that provides a common language for understanding patients' needs
2. Allows nurses to communicate what they do among themselves and with other
health care professionals and the public
3. Distinguishes the nurse's role from that of the physician or other health care
provider
4. Foster development of nursing knowledge
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