NUR 195 Quiz 2 With Complete Solutions 100% Correct
Pt. dx with terminal cancer sharing a room with another patient. Both from different
diverse backgrounds and expressing pain levels in different ways. Why is that? -
ANSWER People respond to the sensation of the pain in culturally diverse ways
Which patient would get the most benefit in care coordination? - ANSWER 87 year old
who just had a CV resulting in dysphasia and right sided weakness (stroke)
You are working collaboratively with the RN to coordinate care for pt. who has had a hip
replacement. Which of the following professionals would you include in the
coordination? ANSWER Physical therapist, social services professional, patient spouse
Patient transferred from acute facility to long term facility. With the elements of care
coordination in mind, what elements should be included in the receiving facility report? -
ANSWER Patient's fear of sleeping without oxygen, including a plan for follow up 24
hours after the transfer, ADL's, recent breakdown of skin over an extremity.
Which of the following groups of these levels of these patients requires care
coordination? - ANSWER Children with special health care needs, people at the end of
life.
You are in the hospital and you are planning a transfer acute patient to larger hospital.
You have provided your usual care for the patient. What do you do? - ANSWER Provide
report to the EMS that will be transporting the patient by ambulance
84-yr-old patient who fractured hip. Alert and oriented, answering all questions app.
What are some of the key questions to put into practice? - ANSWER Refer client to social
services, Recommend that patient wear an emergency notification device, Discuss
safety concerns with patient, and assist patient in planning for concerns.
Examples of cost effective care- ANSWER looking to reduce the cost and pass the value
, of savings to the patient. Reducing cost reduces waste. Checking orders and IV labels
before pulling them and opening them
Adverse event- ANSWER Unintended harm. Something harmful happened, but not
extreme. (ex: giving wrong med to patient with no serious outcome) Accidentally
administer 4 mg hydro when only 1 mg prescribed
Near miss event - ANSWER someone came in for surgery and reveals she does not stop
taking warfarin. Surgery was rescheduled. No harm happened, no mistakes happened.
Patient with last name of Smith and in reviewing MAR, and realized there are 2 Mrs.
Smith's. Realizing that this order was a mistake before it happened.
Sentinel event - ANSWER unintended harm took place, and patient suffered severe harm
and or died. Medicating and you administered multiple anti-hypertensive medications to
the wrong patient. Patient becomes hypotensive. You try to re-establish the circulation
and unable. The client thus dies.
Adverse event - ANSWER administered diazepam to the wrong patient. Patient became
lethargic and hard to awaken, but later resumed the normal state.
Care for patient 12 hrs post on R knee Patient states he is ok and doesn't need anything
You notice the patient grimacing with movement in bed. Nurse asks patient to rate pain
using numerical scale and encourages taking pain meds as ordered. - ANSWER You
recognize that the stated and para-
A recent grad nurse is reading note on chart by PT. Pt is lazy does not want to
participate in their assignments this AM. Which statement demonstrates use of clinical
judgement to explain the situation? - ANSWER Data in the chart are documented in a
bias manner.
You are doing an admission assessment and you are evaluating the skin (genitourinary)
system. You follow this with a H2T assessment. Which one of the critical skills are you
using now?- ANSWER Focusing assessment from general to detail.
Quality management dept. Provided you with a list of near miss incidents. Which
incident would you want to investigate using RTA?- ANSWER Received wrong blood and
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