Questions and Answers
Which response would be most appropriate for the nurse to make when the patient asks how the nurse's role is different from that of the doctor?
Which statement about evidence-based practice guidelines is most accurate?
Which statement indicates that the teaching about the nursing process was successful?
What should the nurse do next after a patient expresses discomfort about leaving their children with parents?
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Which nursing diagnosis is most appropriate for a patient with a pressure ulcer related to left-sided paralysis?
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Which outcome would be most appropriate for a patient with deficient fluid volume related to excessive diaphoresis?
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What is the purpose of the evaluation phase of the nursing process?
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What is the purpose of the assessment phase of the nursing process?
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Which nursing diagnosis statement is written correctly?
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What components should the nurse include in the nursing diagnosis statement?
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Which task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?
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Which assignment would be inappropriate to delegate to a UAP?
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Which task is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?
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What activity should a nurse performing case management for a patient with a spinal cord injury focus on?
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To which facility should the nurse arrange for the transfer of a patient needing continued nursing care and physical therapy after hip surgery?
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Which task can a home care nurse delegate to a home health aide for a patient diagnosed with type 2 diabetes mellitus?
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Which statement describes the impact of health care financing on quality care?
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What QSEN category is demonstrated when a nurse documents the patient's progress in the electronic health record?
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Which factors should the nurse consider when deciding what actions to delegate to an LPN/LVN?
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Which actions by the nurse promote safe delivery of medication care?
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Put the statements in the correct order using the SBAR format for communication.
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Study Notes
Patient Care and Nursing Roles
- Nursing plans of care involve patient collaboration to develop personalized health maintenance strategies.
- The American Nurses Association (ANA) emphasizes the importance of nurse-patient partnerships in care planning.
Evidence-Based Practice (EBP)
- EBP combines research evidence, clinical expertise, and patient preferences in care decisions.
- Effective patient care relies on integrating current clinical guidelines and research findings.
Nursing Process Application
- The nursing process is a systematic approach primarily aimed at identifying and treating patient health issues.
- Assessment phases focus on gathering data to accurately diagnose patient needs.
Patient Assessment and Intervention
- Gathering comprehensive information from patients helps formulate appropriate interventions before implementing care.
- Accurate nursing diagnoses should articulate the patient's condition, etiology, and observable symptoms.
Patient Evaluation and Outcomes
- Evaluation involves assessing the effectiveness of nursing interventions in achieving desired patient outcomes.
- Measurable indicators, such as balanced intake and output, are crucial in assessing patient recovery status.
Task Delegation
- Delegation should consider the appropriate scope of practice for unlicensed assistive personnel (UAP) and licensed practical/vocational nurses (LPN/LVN).
- Nurses can delegate tasks like obtaining vital signs to qualified personnel, whereas assessment and education generally require registered nurses.
Case Management
- Case managers coordinate care across various settings to ensure patient needs are met efficiently and effectively.
- They serve as advocates for patients, facilitating communication and transitioning between different care levels.
Transitional Care Facilities
- Ideal for patients needing rehabilitation before returning home, transitional care facilities provide continued care post-hospitalization.
Quality Care Initiatives
- Healthcare financing increasingly links reimbursement to clinical outcomes and patient satisfaction metrics.
- Nurses play a vital role in monitoring and ensuring quality care across the healthcare delivery spectrum.
Informatics and Technology Competence
- Proficiency in electronic health record systems reflects a nurse's ability to document and communicate vital patient information effectively.
Safety Measures in Medication Administration
- Proper protocols during medication administration include verifying patient identity using reliable methods, ensuring medications are labeled, and checking relevant lab results.
- Following National Patient Safety Goals promotes safer healthcare practices and effective discharge planning.
SBAR Communication Framework
- The SBAR (Situation-Background-Assessment-Recommendation) framework provides a structured method for communicating patient status changes to healthcare providers, facilitating timely interventions.
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Description
Test your knowledge with flashcards from Lewis Chapter 1 on Medical-Surgical Nursing. This quiz focuses on the roles and responsibilities of nurses in patient care and collaboration with doctors. It's an essential study tool to enhance understanding and application of nursing principles.