NUR 322 FINAL EXAM STUDY GUIDE QUESTIONS
AND ANSWERS UPDATED 2024 - 2025
How,and,when,do,you,utilizes,an,interpreter?,What,is,the,best,practice?,ANS,-
Provided,language,assistance,resources:,trained,medical,interpreter,,qualified,translator,,telecommunica
tion,devices,(deaf,patients),
Inform,all,individuals,of,the,availability,of,language,assistance,services.
Ask,for,preferred,language,for,verbal,or,written.
Ensure,the,competence,of,individuals,providing,language,assistance.
What,are,the,different,styles,of,leadership?,ANS,-
Nursing,care,delivery,models:,designed,to,help,your,patients,achieve,desirable,outcomes.
Team,nursing:,care,is,provided,by,a,group,of,people,led,by,an,RN.
-,includes,RNs,,licensed,practical,nurses,,and,assistive,personnel
-,requires,effective,team,leadership,,collaboration,,communication.,
-,Areas:,med-surg,and,general,care,settings
Primary,nursing:,one,RN,assumes,the,responsibility,for,a,caseload,of,patients,from,admission,to,discharg
e.
-simple:,same,nurse,,same,patient,throughout,the,entire,hospitalization,
-,if,a,nurse,is,NOT,scheduled,to,work,on,the,unit,,directions,are,left,for,other,RNs,to,follow
-,Areas:,Oncology,,Hospice,,Palliative,,Critical,Care,Units
Total,Patient,Care:,one,nurse,assumes,full,responsibility,for,all,aspects,of,a,patient,during,a,specific,shift
-,one,on,one,interaction
-,Areas:,Critical,care,unit,,Post,Anesthesia,Care
,Patient,and,Family,Care:,promotes,mutual,partnerships,among,the,patient,,family,,and,health,care,team,
to,plan,,implement,,and,evaluate,nursing,and,health.
-,Areas:,Pediatrics,,NICU,,Maternity,Care
Case,Management:,coordinates,and,links,health,care,services,across,all,levels,of,care,for,patients,and,the
ir,families,while,streamlining,costs,and,maintaining,stability.
-,GOAL:,achieve,patient,outcomes,within,effective,time,frames,and,with,available,resources.
-
,works,with,patients,and,families,to,identify,issues,and,overcome,barriers,to,help,patients,become,health
ier
Areas:,rehabilitation,,worker's,compensation
What,are,the,best,practices,we,can,use,to,assist,a,peer,staff,member,or,UAP,who,performs,interventions,
incorrectly?,How,do,we,approach,this,from,an,intervention,and,communication,standpoint?,ANS,--
,Specific,feedback,(,what,can,be,changed?)
-,Explain,how,to,avoid,the,mistake,or,a,better,way,of,handle,the,situation
-,Private,,professional,,,and,preserved,manner
-,Demonstrate,the,correct,way,to,perform,the,task
How,do,we,prioritize,care,of,our,patients,when,we,have,multiple,patients,with,varying,illnesses,and,acuit
y?,ANS,-Prioritization:,decide,which,patient,needed,problems,that,need,attention,first
-
,Is,it,life,threatening?,Is,it,essential,to,the,patient,or,staff,safety?,Is,it,essential,to,the,patient's,plan,of,car
e?
First,level,concerns,(priority):,ABCs,and,VL,(vital,signs,and,life-threatening,lab,values)
Secondary,level,concerns:,change,in,mental,status,,untreated,issues,,abnormal,labs,,or,acute,onset
Third,level,concerns:,long-term,issues,in,health,management,,rest,,and,family,coping
,What,is,an,appropriate,delegation,and,how,do,we,know,when/how,to,do,it?,EX:,Do,we,need,to,consider,
scopes,of,practice?,Compare,and,contrast,the,scopes,of,practice,between,an,RN,and,a,UAP.,ANS,-
Scope,of,nursing,practice:,defines,nursing,and,reflects,the,values,of,the,nursing,practice.
Standard,of,nursing,care:,reflect,the,knowledge,and,skills,possessed,and,used,by,nurses,to,perform,withi
n,the,scope,of,practice,
Delegation:,The,process,of,assigning,part,of,your,responsibility,to,another,qualified,person,in,a,specific,si
tuation.
Five,Rights,of,Delegation,ANS,-Right,Task:,task,must,be,included,in,the,delegates,job,description
Right,Circumstance:,looking,at,the,patient's,status,,the,patient,needs,to,be,stable,for,you,to,delegate
Right,Person:,delegate,has,the,knowledge,and,skill,required,to,perform,task
Right,Directions,and,communication:,give,clear,,concise,,description,of,a,task
Right,supervision,and,Evaluation:,provide,appropriate,monitoring,,evaluation,,interventions,,and,feedba
ck.
Nursing,Scope,of,Practice,ANS,--,Asses,patient,condition,
-,Develop,Plan,of,Care
-,Administer,medications
-,Perform,nursing,interventions
-,Educate,patients,and,families
-,Supervise,UAP
UAP,Scope,of,Practice,ANS,--,Bathing
-,Feeding
-,Mobility,
, -,Vital,signs
-,Report,observations
SBAR-,What,is,it?,Why,is,it,important?,Come,up,with,examples.,ANS,-
SBAR:,communication,framework,that,can,help,team,share,information,about,the,condition,of,the,patie
nt
Situation:,a,brief,description,of,the,patient's,current,condition,and,the,reason,fo,the,communication
-,"I,am,calling,about..."
Background:,relevant,information,about,the,patient's,medical,history,,recent,changes,in,their,condition,,
and,other,pertinent,data
Assessment:,provide,a,concise,summary,of,the,assessment,of,the,patient's,condition
-,Vital,signs,,symptoms,,physical,exams,,and,tests
Recommendation:,request,actions,or,interventions,that,are,believed,to,be,necessary
Empathy,vs.,Sympathy,ANS,-Empathy:,the,ability,to,understand,and,accept,another,person's,feelings.
-,therapeutic,communication,techniques,
-,helps,with,emotional,and,facial,communication
Sympathy:,sorrow,or,pity,felt,for,another,person
-,Not,as,therapeutic,as,empathy
-,can,prevent,effective,problem,solving,and,good,judgement
What,is,the,best,practice,regarding,professional,documentation,as,a,whole,,and,documenting,our,assess
ments,or,interventions?,Define,what,to,do,and,what,NOT,to,do.,Is,it,okay,to,share,our,judgment?,Import
ant,to,include,facts?,Timeline?,ANS,-Do's:,
-,record,all,facts
-,document,only,for,yourself