Podcast
Questions and Answers
A nurse is busy and asks another registered nurse to help with tasks. What is not appropriate to delegate to the nurse?
A nurse is busy and asks another registered nurse to help with tasks. What is not appropriate to delegate to the nurse?
What are the guidelines for quality documentation? (select all that apply)
What are the guidelines for quality documentation? (select all that apply)
A RN calls the attending physician to clarify an order for Hydromorphone 4mg IVInjection. How should the nurse document?
A RN calls the attending physician to clarify an order for Hydromorphone 4mg IVInjection. How should the nurse document?
What is an individuals life time health record?
What is an individuals life time health record?
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The institute for patient and family centered care identified four core concepts for patient centered care: (select all that apply)
The institute for patient and family centered care identified four core concepts for patient centered care: (select all that apply)
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What is the best time to teach an adult? (select all that apply)
What is the best time to teach an adult? (select all that apply)
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The nurse checks a patients vitals at 1603. What time should the documentation be charted at?
The nurse checks a patients vitals at 1603. What time should the documentation be charted at?
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What is the correct way to write a dose of medication?
What is the correct way to write a dose of medication?
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When a RN documents a narrative in the patients chart,what is important for the nurse to remember about documentation?
When a RN documents a narrative in the patients chart,what is important for the nurse to remember about documentation?
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A magnet recognized hospital must have what standards? (select all that apply)
A magnet recognized hospital must have what standards? (select all that apply)
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What are the 4 appropriate teaching methods based on the psychomotor domain of learning? (select all that apply)
What are the 4 appropriate teaching methods based on the psychomotor domain of learning? (select all that apply)
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What is an ethical practice when a nurse willingly respects ones professional obligations?
What is an ethical practice when a nurse willingly respects ones professional obligations?
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Which domain of learning helps the individual develop intellectual abilities and understanding?
Which domain of learning helps the individual develop intellectual abilities and understanding?
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What are the 3 domains of learning? (select all that apply)
What are the 3 domains of learning? (select all that apply)
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An ethical practice that refers to answering for your own actions
An ethical practice that refers to answering for your own actions
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What is the purpose of the health care record? (select all that apply)
What is the purpose of the health care record? (select all that apply)
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A universal health care reform to allow all people in the United States to receive free health care
A universal health care reform to allow all people in the United States to receive free health care
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When a nurse receives a telephone order, what should they do when documenting telephone orders in the EHR?
When a nurse receives a telephone order, what should they do when documenting telephone orders in the EHR?
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counseling and educational technique that focuses on a patient’s perceived goals and helps people resolve insecurities
counseling and educational technique that focuses on a patient’s perceived goals and helps people resolve insecurities
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Casuistry is an ethical approach that...
Casuistry is an ethical approach that...
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What are some of Bloom's revised taxonomy of six cognitive behaviors? (select all that apply)
What are some of Bloom's revised taxonomy of six cognitive behaviors? (select all that apply)
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A specialty that integrates nursing science, computer science, and information science
A specialty that integrates nursing science, computer science, and information science
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What domain of learning deals with how to express feelings and emotions
What domain of learning deals with how to express feelings and emotions
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Which domain of learning involves the development of manual or physical skills
Which domain of learning involves the development of manual or physical skills
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Represents a branch of ethics within the field of health care.
Represents a branch of ethics within the field of health care.
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The nurse is about to go on a lunch break, but realizes the patient has urinated in the bed and cleans the patient.
The nurse is about to go on a lunch break, but realizes the patient has urinated in the bed and cleans the patient.
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System that allows health care providers to directly enter complete orders for patient care into a medical record
System that allows health care providers to directly enter complete orders for patient care into a medical record
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What separates professional nurses from assistive personnel?
What separates professional nurses from assistive personnel?
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A patient is in pain and you as the nurse promises to do everything possible and safe to alleviate their pain
A patient is in pain and you as the nurse promises to do everything possible and safe to alleviate their pain
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A student nurse would violate the Health Insurance Portability and Accountability Act when which action takes place?
A student nurse would violate the Health Insurance Portability and Accountability Act when which action takes place?
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What is a patients health record that is within an integrated healthcare information system for an individual visit?
What is a patients health record that is within an integrated healthcare information system for an individual visit?
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A patient how receives informed consent for a surgery and has the right to refuse is an example of a patients?
A patient how receives informed consent for a surgery and has the right to refuse is an example of a patients?
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Deontology is an ethical approach that...
Deontology is an ethical approach that...
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What type of delivery care model that is decentralized and governed by the staff?
What type of delivery care model that is decentralized and governed by the staff?
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Feminist ethics is an ethical approach that...
Feminist ethics is an ethical approach that...
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Utilitarianism is an ethical approach that...
Utilitarianism is an ethical approach that...
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Two apposing courses of action that can be justified by ethical principles is an example of?
Two apposing courses of action that can be justified by ethical principles is an example of?
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The nurse feeling the need to take a specific action while believing that action to be wrong is?
The nurse feeling the need to take a specific action while believing that action to be wrong is?
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What is a nursing care delivery model that coordinates and links health care services across all levels of care?
What is a nursing care delivery model that coordinates and links health care services across all levels of care?
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What stage of the psychosocial adaptation to illness and grief, will a patient begin to ask questions?
What stage of the psychosocial adaptation to illness and grief, will a patient begin to ask questions?
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What is an observed outcome of critical thinking and clinical decision making?
What is an observed outcome of critical thinking and clinical decision making?
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A nurse refrains from giving a patient an opioid pain medication and instead gives Tylenol for safety
A nurse refrains from giving a patient an opioid pain medication and instead gives Tylenol for safety
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Using the circular transactional model, what is the term used to motivate one person to communicate with another?
Using the circular transactional model, what is the term used to motivate one person to communicate with another?
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Study Notes
Delegation and Task Management
- A registered nurse should not delegate tasks that require professional judgment, such as assessing patients or interpreting test results.
Quality Documentation Guidelines
- Documentations should be:
- Accurate
- Complete
- Legible
- Timely
- Organized
- Confidential
Documentation of Medication Orders
- When documenting medication orders, include the:
- Date and time of administration
- Dosage and route of administration
- Patient's response to medication
Lifetime Health Record
- A lifetime health record is a comprehensive and accurate record of an individual's health history.
Patient-Centered Care
- The Institute for Patient and Family Centered Care identified four core concepts for patient-centered care:
- Dignity and respect
- Information sharing
- Participation
- Collaboration
Teaching Adults
- The best time to teach adults is:
- When they are motivated to learn
- When they are ready to change behavior
- When they have a specific goal in mind
Documentation of Vital Signs
- Vital signs should be charted at the time they were taken, not at the time of documentation.
Medication Orders
- Medication orders should be written in a clear and concise manner, including the:
- Medication name
- Dosage
- Route of administration
- Frequency
Narrative Documentation
- When documenting a narrative in a patient's chart, it is important to:
- Use clear and concise language
- Focus on relevant information
- Avoid bias and judgment
Magnet Recognized Hospitals
- Magnet recognized hospitals must have standards for:
- Quality of care
- Patient safety
- Nursing practice
- Leadership
Teaching Methods
- The 4 appropriate teaching methods based on the psychomotor domain of learning are:
- Demonstration
- Return demonstration
- Supervised practice
- Independent practice
Ethical Practices
- An ethical practice is willingly respecting one's professional obligations.
- Accountability is an ethical practice that refers to answering for one's own actions.
- Deontology is an ethical approach that focuses on duties and obligations.
- Feminist ethics is an ethical approach that emphasizes the importance of relationships and care.
- Utilitarianism is an ethical approach that aims to maximize overall happiness and well-being.
- Casuistry is an ethical approach that focuses on individual cases and circumstances.
Healthcare Record
- A healthcare record is a comprehensive and accurate record of an individual's health history.
- The purpose of a healthcare record is:
- To provide high-quality patient care
- To facilitate communication among healthcare providers
- To provide a legal record of care
Domains of Learning
- The 3 domains of learning are:
- Cognitive (intellectual abilities and understanding)
- Affective (feelings and emotions)
- Psychomotor (manual or physical skills)
Bloom's Taxonomy
- Bloom's revised taxonomy of six cognitive behaviors includes:
- Remembering
- Understanding
- Applying
- Analyzing
- Evaluating
- Creating
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Description
This quiz covers the essential guidelines for creating quality documentation, ensuring clarity, readability, and effectiveness.
