Fundamentals NUR 202 Exam 1 Study Guide Questions and Answers
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Course
NUR 202
Institution
NUR 202
What is the Change-of-shift Report? - Answer-When responsibility and accountability for the care of a patient are transferred from one nurse to another. This is linked to patient safety and continuity of caregiving. Usually at the bedside so the patient can be a part of it.
What do you do during...
Fundamentals NUR 202 Exam 1 Study
Guide Questions and Answers
What is the Change-of-shift Report? - Answer-When responsibility and accountability for
the care of a patient are transferred from one nurse to another. This is linked to patient
safety and continuity of caregiving. Usually at the bedside so the patient can be a part of
it.
What do you do during a Change-of-shift Report? - Answer-You will report the client's
health status, the care required for the next shift, any significant facts, the head to toe
assessment, pertinent labs, priority needs, treatments, and family issues. SBAR can be
used during this report.
What is SBAR used for? - Answer-It is a tool used to improve the effectiveness of
communication between individuals. It helps prevent breakdowns in verbal and written
communication. It allows for short, organized, and predictable flow of information
between professionals.
SBAR stands for - Answer-Situation: define situation clearly and briefly
Background: clear, relevant, that relates to the situation
Assessment: analysis and consideration (what you found/think)
Recommendation: action requested/recommended (what you want)
Independent Nursing Actions/Interventions - Answer-The tasks that a nurse can perform
without input from another discipline (like a physician's order). These interventions
include many basic comforting care actions.
Prioritizing patients based on vital signs and assessment data - Answer-Airway,
Breathing, Circulation
Maslow's Hierarchy
Check for abnormal vital signs
Normal Temperature - Answer-96.0 - 99.9 (36.5 - 37.7)
Abnormal Temperature - Answer-Below 95 (35) and above 100.4 (38)
Normal Respirations - Answer-12-20 breaths per minute
Abnormal Respirations - Answer-below 12 and above 20 breaths per minute
Maslow's Level 2: Safety and Security Needs - Answer-both physical and emotional
components; being protected from potential or actual harm
Maslow's Level 3: Love and Belonging Needs - Answer-often called higher-level needs;
understanding and acceptance of others in both giving and receiving love; feeling of
belonging; unmet needs produce loneliness and isolation
Maslow"s Level 5: Self-Actualization - Answer-acceptance of self and others as they
are; each lower level must be met; focus of interest on problems outside oneself;
respect for all people; focus on strengths and possibilities vs problems
Delegation - Answer-process of transferring a selected nursing task in a situation to an
individual who is competent to perform that specific task while retaining the
accountability for the outcome.
** accountability is not transferred, the RN is still responsible
Who can an RN delegate to? - Answer-other RN's, LPN's, and UAP
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