Medical Care Mastery

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Questions and Answers

Which one of the following is NOT a method of charting mentioned in the text?

Source-oriented records

Focus charting

Narrative charting (correct)

Problem-oriented records

Which one of the following is a purpose of the written record mentioned in the text?

To provide data regarding patient's overall condition

To measure baseline measurements against changes

To ensure client safety and continuity of care (correct)

To improve nurse-physician communication

What does the abbreviation 'AM' stand for in military time?

Noon

Morning (correct)

Midnight

Afternoon

Which one of the following is a suffix that refers to pressure/stretching?

-tension Signup and view all the answers

What is the purpose of the SBAR technique mentioned in the text?

To improve nurse-physician communication Signup and view all the answers

What does the prefix 'Brady-' refer to?

Slow heart Signup and view all the answers

What does the term 'MEDICAL RECORD' refer to?

All of the above Signup and view all the answers

Which of the following is NOT considered a primary source of client data in the nursing process?

Physician's History & Physical Signup and view all the answers

What is the purpose of a nursing diagnosis?

To identify health problems that can be resolved through nursing interventions Signup and view all the answers

What does NANDA-I stand for?

North American Nursing Diagnosis Association International Signup and view all the answers

Who is responsible for analyzing data and identifying health problems in the nursing process?

RN Signup and view all the answers

Which of the following is an example of a nursing diagnosis?

Impaired Physical Mobility related to decreased muscle control Signup and view all the answers

What does the nurse do during the planning phase of the nursing process?

Write desired client goals Signup and view all the answers

What is a goal in the context of nursing interventions?

A statement that describes measurable, observable behavior that the client should demonstrate Signup and view all the answers

Which of the following is NOT a characteristic of a long-term goal?

It can be achieved within hours, days, or weeks Signup and view all the answers

What does SMART stand for when setting goals?

Specific, Measurable, Achievable, Realistic, Timely Signup and view all the answers

When should a physical assessment be performed?

When client condition changes Signup and view all the answers

What is the role of an LPN in a physical assessment?

Perform a focused assessment Signup and view all the answers

What is the difference between signs and symptoms in a physical assessment?

Signs are directly observable or measurable, while symptoms are verbalized by the patient Signup and view all the answers

What is the technique used in a physical assessment to listen to body organs for abnormal sounds?

Auscultation Signup and view all the answers

What should be monitored and noted during a respiratory assessment?

Crackles and rhonchi Signup and view all the answers

Which form of documentation is a quick reference for current information centrally at the nursing station?

Cardex Signup and view all the answers

What is the purpose of Nursing Care Plans?

To list the client's problems, goals, and nursing orders Signup and view all the answers

Which form of documentation is used to record frequently repeated assessment data?

Flow Sheets Signup and view all the answers

What is the purpose of Change-of-shift report?

To provide a discussion between nursing spokespersons Signup and view all the answers

Which form of documentation provides a discussion between nursing spokespersons?

Change-of-shift report Signup and view all the answers

What is the purpose of Cardex?

To serve as a quick reference for current information Signup and view all the answers

What is the purpose of Flow Sheets?

To evaluate trends Signup and view all the answers

Which form of documentation is a written or printed list of the client's problems, goals, and nursing orders?

Nursing Care Plans Signup and view all the answers

Which form of documentation is a form of documentation with sections for recording frequently repeated assessment data?

Flow Sheets Signup and view all the answers

What is the time frame for short-term goals in nursing interventions?

Within hours, days, or weeks Signup and view all the answers

What is the time frame for long-term goals in nursing interventions?

Within 6 months or more Signup and view all the answers

What is the purpose of setting SMART goals in nursing interventions?

To make goals achievable Signup and view all the answers

When does the nurse perform the implementation phase of the nursing process?

When putting the established plan into action Signup and view all the answers

What does the nurse do during the evaluation phase of the nursing process?

Determines the effectiveness of nursing care Signup and view all the answers

What is the purpose of data collection in a physical assessment?

To establish a baseline of the patient's condition Signup and view all the answers

What is the purpose of a focused assessment in a physical assessment?

To collect and report patient data Signup and view all the answers

Which of the following is a method of charting mentioned in the text?

All of the above Signup and view all the answers

What does the abbreviation 'AM' stand for in military time?

Ante Meridiem Signup and view all the answers

What is the purpose of the SBAR technique mentioned in the text?

All of the above Signup and view all the answers

What is the difference between signs and symptoms in a physical assessment?

Signs are observed by the nurse, while symptoms are reported by the client Signup and view all the answers

What is the purpose of Change-of-shift report?

All of the above Signup and view all the answers

What does the prefix 'Brady-' refer to?

Slow heart Signup and view all the answers

What is the purpose of the Written Record mentioned in the text?

All of the above Signup and view all the answers

Which of the following is NOT a component of the nursing process?

Evaluation Signup and view all the answers

What is the purpose of the NANDA-I diagnosis list?

To update nursing diagnoses based on evidence-based practices Signup and view all the answers

Which of the following is an example of a secondary source of client data in the nursing process?

Physician's History & Physical Signup and view all the answers

What is the role of an LPN in the nursing process?

Collecting data Signup and view all the answers

What is the purpose of a nursing diagnosis?

To identify actual or potential health problems Signup and view all the answers

What is a goal in the context of nursing interventions?

A statement that describes measurable, observable behavior that the client should demonstrate after nursing interventions Signup and view all the answers

What is the purpose of the care plan in the nursing process?

To guide the implementation of nursing interventions Signup and view all the answers

Which form of documentation is used to record frequently repeated assessment data?

Flow Sheets Signup and view all the answers

What is the purpose of the SBAR technique mentioned in the text?

To facilitate effective communication during handoff Signup and view all the answers

What does the term 'Kardex' refer to?

A quick reference for current information centrally at the nursing station Signup and view all the answers

What is the purpose of Nursing Care Plans?

To promote the prevention, reduction, or resolution of the client's problems Signup and view all the answers

Which one of the following is NOT a method of charting mentioned in the text?

Cardex Signup and view all the answers

What is the purpose of Change-of-shift report?

To facilitate effective communication during handoff Signup and view all the answers

What is the purpose of Cardex?

To provide a quick reference for current information Signup and view all the answers

What is the purpose of Flow Sheets?

To record frequently repeated assessment data Signup and view all the answers

Which one of the following is a purpose of the written record mentioned in the text?

To promote the prevention, reduction, or resolution of the client's problems Signup and view all the answers

Study Notes

Overview of Nursing Process Components and Documentation in Healthcare

Nursing process consists of five components: assessment, nursing diagnosis, planning, implementation, and evaluation.
Assessment includes gathering client data from primary and secondary sources, such as physical assessments, physician's history, lab results, and information from other health personnel.
Nursing diagnosis involves analyzing data to identify actual or potential health problems that can be addressed through nursing interventions.
NANDA-I provides a list of nursing diagnoses that are updated based on evidence-based practices.
Planning involves setting goals for client care and developing nursing interventions to achieve those goals.
Goals can be short-term or long-term and should be specific, measurable, achievable, realistic, and timely (SMART).
Implementation is the phase where the established care plan is put into action, including both independent and dependent nursing interventions.
Evaluation is the process of determining the client's progress toward goal achievement and the effectiveness of the nursing care plan.
Physical assessment is a crucial part of data collection, including comprehensive assessments, focused assessments, and initial head-to-toe shift assessments.
LPNs assist with physical assessments by collecting and reporting patient data and performing indirect patient care.
Physical assessment techniques include inspection, auscultation, palpation, percussion, and olfaction.
Vital signs are important indicators of a patient's overall condition and provide baseline measurements for monitoring changes.

Note: The text provided is incomplete and cuts off abruptly.

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Test your knowledge on therapy methods, gastrointestinal observations, urinary monitoring, and mobility assessments with this quiz. Learn about cannulas and masks, dietary considerations, fluid intake, bowel sounds, urinary output and catheters, and activity levels.

Medical Care Mastery

Podcast Beta

Questions and Answers

Which one of the following is NOT a method of charting mentioned in the text?

Which one of the following is a purpose of the written record mentioned in the text?

What does the abbreviation 'AM' stand for in military time?

Which one of the following is a suffix that refers to pressure/stretching?

What is the purpose of the SBAR technique mentioned in the text?

What does the prefix 'Brady-' refer to?

What does the term 'MEDICAL RECORD' refer to?

Which of the following is NOT considered a primary source of client data in the nursing process?

What is the purpose of a nursing diagnosis?

What does NANDA-I stand for?

Who is responsible for analyzing data and identifying health problems in the nursing process?

Which of the following is an example of a nursing diagnosis?

What does the nurse do during the planning phase of the nursing process?

What is a goal in the context of nursing interventions?

Which of the following is NOT a characteristic of a long-term goal?

What does SMART stand for when setting goals?

When should a physical assessment be performed?

What is the role of an LPN in a physical assessment?

What is the difference between signs and symptoms in a physical assessment?

What is the technique used in a physical assessment to listen to body organs for abnormal sounds?

What should be monitored and noted during a respiratory assessment?

Which form of documentation is a quick reference for current information centrally at the nursing station?

What is the purpose of Nursing Care Plans?

Which form of documentation is used to record frequently repeated assessment data?

What is the purpose of Change-of-shift report?

Which form of documentation provides a discussion between nursing spokespersons?

What is the purpose of Cardex?

What is the purpose of Flow Sheets?

Which form of documentation is a written or printed list of the client's problems, goals, and nursing orders?

Which form of documentation is a form of documentation with sections for recording frequently repeated assessment data?

What is the time frame for short-term goals in nursing interventions?

What is the time frame for long-term goals in nursing interventions?

What is the purpose of setting SMART goals in nursing interventions?

When does the nurse perform the implementation phase of the nursing process?

What does the nurse do during the evaluation phase of the nursing process?

What is the purpose of data collection in a physical assessment?

What is the purpose of a focused assessment in a physical assessment?

Which of the following is a method of charting mentioned in the text?

What does the abbreviation 'AM' stand for in military time?

What is the purpose of the SBAR technique mentioned in the text?

What is the difference between signs and symptoms in a physical assessment?

What is the purpose of Change-of-shift report?

What does the prefix 'Brady-' refer to?

What is the purpose of the Written Record mentioned in the text?

Which of the following is NOT a component of the nursing process?

What is the purpose of the NANDA-I diagnosis list?

Which of the following is an example of a secondary source of client data in the nursing process?

What is the role of an LPN in the nursing process?

What is the purpose of a nursing diagnosis?

What is a goal in the context of nursing interventions?

What is the purpose of the care plan in the nursing process?

Which form of documentation is used to record frequently repeated assessment data?

What is the purpose of the SBAR technique mentioned in the text?

What does the term 'Kardex' refer to?

What is the purpose of Nursing Care Plans?

Which one of the following is NOT a method of charting mentioned in the text?

What is the purpose of Change-of-shift report?

What is the purpose of Cardex?

What is the purpose of Flow Sheets?

Which one of the following is a purpose of the written record mentioned in the text?

Study Notes

Studying That Suits You

Description

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