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Questions and Answers
What are the ABCs in nursing prioritization?
What are the ABCs in nursing prioritization?
Airway, Breathing, Circulation
Which of the following is within an RN’s scope of practice? (Select all that apply)
Which of the following is within an RN’s scope of practice? (Select all that apply)
What is primary prevention designed for?
What is primary prevention designed for?
What are the steps in the nursing process?
What are the steps in the nursing process?
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The nursing process is a linear process.
The nursing process is a linear process.
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What does HIPAA stand for?
What does HIPAA stand for?
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Which of the following is a way to protect patient privacy? (Select all that apply)
Which of the following is a way to protect patient privacy? (Select all that apply)
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What are some key attributes of nursing?
What are some key attributes of nursing?
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What is the primary intervention during the tertiary prevention stage?
What is the primary intervention during the tertiary prevention stage?
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Modifiable risk factors can be reduced by changes in ______.
Modifiable risk factors can be reduced by changes in ______.
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What are the primary responsibilities of nurses?
What are the primary responsibilities of nurses?
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Which of the following is a role of Licensed Practical Nurses?
Which of the following is a role of Licensed Practical Nurses?
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Nurse Practitioners are independent practitioners with advanced education and training.
Nurse Practitioners are independent practitioners with advanced education and training.
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What is the primary role of Physicians?
What is the primary role of Physicians?
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What is the role of Case Managers/Social Workers?
What is the role of Case Managers/Social Workers?
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Match the following healthcare roles with their descriptions:
Match the following healthcare roles with their descriptions:
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Which of the following is a common safety hazard in the home?
Which of the following is a common safety hazard in the home?
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What is one of the key home safety teaching measures?
What is one of the key home safety teaching measures?
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The RACE protocol stands for Rescue, Alarm, Contain, and Extinguish.
The RACE protocol stands for Rescue, Alarm, Contain, and Extinguish.
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During a seizure, you should stay with the patient and call for ______.
During a seizure, you should stay with the patient and call for ______.
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Which of the following is a fall precaution?
Which of the following is a fall precaution?
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Which of these are elements of the nursing profession? (Select all that apply)
Which of these are elements of the nursing profession? (Select all that apply)
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What techniques are considered therapeutic communication? (Select all that apply)
What techniques are considered therapeutic communication? (Select all that apply)
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What are examples of non-therapeutic communication? (Select all that apply)
What are examples of non-therapeutic communication? (Select all that apply)
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What is nonmaleficence?
What is nonmaleficence?
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What is autonomy in nursing?
What is autonomy in nursing?
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What does the State Board of Nursing do?
What does the State Board of Nursing do?
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What is the Nurse Practice Act?
What is the Nurse Practice Act?
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What is cultural awareness?
What is cultural awareness?
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What are body mass index (BMI) ranges?
What are body mass index (BMI) ranges?
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What is the wellness-illness continuum?
What is the wellness-illness continuum?
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What immunizations are recommended for older adults? (Select all that apply)
What immunizations are recommended for older adults? (Select all that apply)
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What is Healthy People 2030?
What is Healthy People 2030?
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What does being a client advocate mean?
What does being a client advocate mean?
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What are the 5 rights of delegation?
What are the 5 rights of delegation?
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What is self-concept?
What is self-concept?
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What can you delegate to assistive personnel? (Select all that apply)
What can you delegate to assistive personnel? (Select all that apply)
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Match the following components of HIPAA with their descriptions:
Match the following components of HIPAA with their descriptions:
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Match the nursing attributes with their definitions:
Match the nursing attributes with their definitions:
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Match the following methods of protecting patient privacy with their descriptions:
Match the following methods of protecting patient privacy with their descriptions:
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Match the levels of Maslow’s Hierarchy of Needs with examples:
Match the levels of Maslow’s Hierarchy of Needs with examples:
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Match the following nursing communication techniques with their descriptions:
Match the following nursing communication techniques with their descriptions:
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Match the nursing roles with their primary responsibilities:
Match the nursing roles with their primary responsibilities:
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Match the observable changes in a patient’s health to their evaluation types:
Match the observable changes in a patient’s health to their evaluation types:
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Match the following attributes of effective nursing care with their descriptions:
Match the following attributes of effective nursing care with their descriptions:
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Match the following nursing problems with their priority categories:
Match the following nursing problems with their priority categories:
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Match the following actions with their appropriate scope of practice for an RN:
Match the following actions with their appropriate scope of practice for an RN:
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Match the following patient safety actions with their corresponding purposes:
Match the following patient safety actions with their corresponding purposes:
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Match the following terms related to nursing practice with their definitions:
Match the following terms related to nursing practice with their definitions:
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Match the following factors influencing prioritization in nursing:
Match the following factors influencing prioritization in nursing:
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Match the following aspects of cultural awareness with their descriptions:
Match the following aspects of cultural awareness with their descriptions:
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Match the following nursing interventions with their definitions:
Match the following nursing interventions with their definitions:
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Match the following BMI categories with their definitions:
Match the following BMI categories with their definitions:
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Match the following components influencing the wellness-illness continuum with their descriptions:
Match the following components influencing the wellness-illness continuum with their descriptions:
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Match the following nursing responsibilities with their descriptions:
Match the following nursing responsibilities with their descriptions:
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Match the following nursing practices with their applicable scenarios:
Match the following nursing practices with their applicable scenarios:
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Match the following roles of the State Board of Nursing with their responsibilities:
Match the following roles of the State Board of Nursing with their responsibilities:
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Match the following nursing principles with their explanations:
Match the following nursing principles with their explanations:
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Match the following forms of negotiation within cultural practices with their definitions:
Match the following forms of negotiation within cultural practices with their definitions:
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Match the following health promotion factors with their roles in wellness:
Match the following health promotion factors with their roles in wellness:
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Match the following types of cultural practices with their health implications:
Match the following types of cultural practices with their health implications:
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Match the following terms related to body mass index (BMI) with their corresponding values:
Match the following terms related to body mass index (BMI) with their corresponding values:
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Match the following terms related to illness with their descriptions:
Match the following terms related to illness with their descriptions:
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Match the communication methods with their appropriate scenarios for non-English-speaking patients:
Match the communication methods with their appropriate scenarios for non-English-speaking patients:
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Match the characteristics of vulnerable populations with their descriptions:
Match the characteristics of vulnerable populations with their descriptions:
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Match the components of fall risk education with their functions:
Match the components of fall risk education with their functions:
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Match the timing of fall risk assessments with the appropriate scenarios:
Match the timing of fall risk assessments with the appropriate scenarios:
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Match the interprofessional team member roles with their primary focus:
Match the interprofessional team member roles with their primary focus:
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Match the methods to reduce fall risk with their descriptions:
Match the methods to reduce fall risk with their descriptions:
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Match the aspects influencing health with their descriptions:
Match the aspects influencing health with their descriptions:
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Match the following steps of the nursing process with their descriptions:
Match the following steps of the nursing process with their descriptions:
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Match the following types of data with their definitions:
Match the following types of data with their definitions:
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Match the following planning types with their focus:
Match the following planning types with their focus:
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Match the following evaluation types with their focuses:
Match the following evaluation types with their focuses:
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Match the following diagnostic types with their purposes:
Match the following diagnostic types with their purposes:
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Match the following intervention types with their actions:
Match the following intervention types with their actions:
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Match the following assessment data types with their characteristics:
Match the following assessment data types with their characteristics:
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Match the following care planning components with their descriptions:
Match the following care planning components with their descriptions:
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Match the following aspects of implementation with their descriptions:
Match the following aspects of implementation with their descriptions:
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Match the following elements of critical thinking with their contexts:
Match the following elements of critical thinking with their contexts:
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Study Notes
Patient Prioritization
- Prioritization in nursing is guided by the ABCs: Airway, Breathing, Circulation.
- Critical problems are addressed first, while less urgent issues can be postponed.
- Influencing factors include problem urgency, potential future consequences, patient preferences, and diagnostic tools.
RN's Scope of Practice
- Nurses can perform tasks without a doctor's order, including:
- Patient positioning, comfort provision, grooming, and hygiene assistance.
- Use of heat or ice applications, teaching, fall prevention, and promoting nourishment.
- When asked to perform out-of-scope tasks, nurses should refer to facility policies, refuse if necessary, and escalate concerns using proper channels.
Levels of Prevention
- Primary prevention focuses on disease prevention, such as healthy eating, exercise, and vaccinations.
- Secondary prevention involves early illness detection through screenings like self-exams and regular check-ups.
- Tertiary prevention aims to prevent disease progression and facilitate recovery through rehabilitation and support.
Nursing Process (ADPIE)
- The nursing process is cyclical and involves continuous progression through five steps:
- Assessment: Gathering both subjective/private (self-reported) and objective/observable (clinical observations) data.
- Diagnosis: Identifying health issues based on assessment data; distinguishes nursing diagnoses from medical diagnoses.
- Planning: Setting goals, choosing interventions, and creating care plans, including discharge plans to ensure continuity of care.
- Implementation: Executing and documenting interventions as part of patient care.
- Evaluation: Assessing patient progress and the effectiveness of the care plan.
Maslow's Hierarchy of Needs
- Understanding this hierarchy is crucial for addressing patients' needs systematically, starting from basic physiological needs to achieving self-actualization.
HIPAA and Patient Privacy
- HIPAA was enacted in 1996 to protect personal health information across all formats.
- Privacy protections include securing identifiable information and limiting access to authorized personnel only.
- Nurses should implement privacy measures, such as logging off computers, avoiding discussions in public, and respecting patient belongings.
Nursing Attributes
- Essential qualities for nurses include honesty, integrity, effective communication, caring demeanor, advocacy, accountability, and prioritization skills.
Therapeutic Communication in Sexual Health
- Cultivating a non-judgmental and private atmosphere is key during sexual health discussions.
- Nurses should reflect on their own biases and ensure open, respectful communication to address patient needs.
Risk Factors
- Modifiable Risk Factors: Can be altered through lifestyle changes (diet, exercise).
- Nonmodifiable Risk Factors: Cannot change personal history or genetic predisposition.
Professional Requirements in Nursing
- Nursing requires technical knowledge, peer evaluation, service orientation, and adherence to ethical codes.
- Improvements include standard educational requirements and increased public awareness of nursing's scope.
Therapeutic Communication Techniques
- Active listening, sharing empathy and hope, and providing information are critical to effective patient interactions.
- Non-verbal cues such as body language and providing a relaxed atmosphere enhance patient comfort.
Non-Therapeutic Communication Examples
- Avoid inappropriate personal questions, changing subjects abruptly, or providing false reassurances, as they hinder patient communication.
Ethical Principles of Nursing
- Core ethical principles include:
- Nonmaleficence: Do no harm.
- Autonomy: Respect patient choices.
- Justice: Treat patients fairly.
- Beneficence: Promote good and prevent harm.
- Fidelity: Keep promises and commitments.
State Board of Nursing
- Responsible for regulating nursing practice, evaluating licenses, enforcing practice standards, and addressing disciplinary issues.
Nurse Practice Act
- A body of laws that governs nursing practice and outlines the authority of the state's board of nursing.
Cultural Awareness
- Understanding and respecting diverse cultural backgrounds to improve patient care and communication.### Cultural Awareness in Nursing
- Cultural awareness involves recognizing and understanding cultural beliefs, values, and customs that influence individual behaviors and decisions.
- Cultural Awareness: Acknowledges diversity through external signs.
- Cultural Sensitivity: Understanding the uniqueness of different cultures.
- Cultural Competence: Ability to incorporate cultural factors respectfully into patient care, supporting empowering decision-making.
- Negotiation: Recognizes differing perspectives on health practices, fostering understanding.
- Repatterning/Restructuring: Modifying care/lifestyle choices while honoring cultural values.
Body Mass Index (BMI) Ranges
- BMI is a calculation that assesses body fat based on weight and height for adults.
- Categories:
- Underweight: BMI < 18.5
- Healthy weight: BMI 18.5 - 24.9
- Overweight: BMI 25 - 29.9
- Obese: BMI ≥ 30
Wellness-Illness Continuum
- A spectrum illustrating the dynamic nature of health, influenced by several factors.
- Components include biological, nutritional, physical, social, and environmental factors.
- Nurses promote health-enhancing behaviors within patient-specific contexts.
Recommended Immunizations for Older Adults
- Immunization recommendations for middle-aged adults (35-65) include:
- Annual influenza vaccine
- Tetanus and diphtheria boosters
- Zoster (shingles) vaccine
- Pneumococcal vaccine
- Pertussis vaccine
- Important to memorize only influenza and pneumonia vaccines for exams.
Healthy People 2030
- A nationwide initiative aimed at reducing preventable health risks.
- Focuses on lifestyle impacts on health and aims to eliminate health disparities.
Delegation in Nursing
- Delegation is transferring task responsibility from an RN to nursing assistive personnel while retaining accountability for outcomes.
- It differs from assignment as the RN maintains oversight.
Five Rights of Delegation
- Right Task: Ensure the task is appropriate to delegate.
- Right Circumstance: Assess if the task is appropriate for the situation.
- Right Direction & Communication: Provide clear, concise instructions to the unlicensed assistive personnel (UAP).
- Right Person: Determine the best-suited individual for the task.
- Right Supervision: Establish how follow-up will occur and outcomes monitored.
Direct vs. Indirect Care
- Direct Care: Involves interactions like physical care, emotional support, and patient education.
- Indirect Care: Conducted on behalf of the patient, including advocacy and environmental management.
Self-Concept
- Self-concept is a comprehensive view of oneself formed through personal evaluations and characteristics.
- Influenced by factors such as gender, family, socioeconomic status, and peer relationships.
- Key components include body image, self-esteem, role performance, and personal identity.
ANA Code of Ethics
- Provides guidelines on acceptable behaviors and conduct for nurses in practice.
Purpose of Health Screenings
- Aimed at promoting well-being and early disease detection.
Definition of Illness
- Illness is perceived as a change in feelings or disruption in life, influenced by one’s attitude and lifestyle.
Communicating with Non-English-Speaking Patients
- Use qualified interpreters or translation technologies for effective communication.
- Avoid family members or untrained staff as interpreters.
Characteristics of Vulnerable Populations
- Groups at heightened risk for health issues due to barriers in accessing care and social challenges.
- Examples include the homeless, those with mental illness, the elderly, and various minorities.
Fall Risk Education
- The Morse Fall Scale assists in quickly assessing fall risk.
- Reducing fall hazards may involve environmental adjustments, such as removing trip hazards and using mobility aids.
Interprofessional Team Members
- Nurses assess and respond to patient needs, providing education and support.
- Doctors diagnose and treat illnesses while other specialists contribute to rehabilitation and care coordination.
- Social workers, pharmacists, and dieticians provide additional health support and resources.
Home and Hospital Safety Measures
- Identify common safety hazards including poisoning, fire risks, and falls.
- Implement safety measures such as smoke detectors, safe medication storage, and appropriate supervision.
- Hospital RACE protocol: Rescue, Alarm, Contain, Extinguish; along with seizure and fall precautions to protect patient safety.
Nursing Prioritization
- Prioritize patient problems based on ABCs: Airway, Breathing, Circulation.
- Address the most urgent issues first; consider factors like problem urgency and future consequences.
- Patient safety is paramount, using computer-assisted diagnosis can aid in prioritization.
RN Scope of Practice
- RNs can perform tasks without a doctor's order, such as patient turning, comfort provision, grooming, and education.
- For anything outside their scope, RNs should refer to facility policies for guidance and adhere to the cyclical process of care.
Nursing Process
- Assessment: Collect data regarding physiological, psychological, and sociocultural factors, distinguishing between primary (patient-provided) and secondary (record-based) data.
- Diagnosis: Utilize critical thinking to form nursing diagnoses for care planning; understand the difference between nursing and medical diagnoses, where nursing diagnoses focus on patient care.
- Planning: Develop goals and nursing care plans, including initial, ongoing, and discharge planning to ensure continuity of care.
- Implementation: Execute planned interventions, ensuring thorough documentation and delegation as needed.
- Evaluation: Assess patient's healthcare outcomes, effectiveness of interventions, and overall quality of care provided.
Maslow’s Hierarchy of Needs
- Framework categorizing human needs from basic physiological to self-actualization, emphasizing the need to address lower-level needs before higher-order needs.
HIPAA Overview
- HIPAA is a federal law that protects personal health information in all forms.
- Ensures patient rights regarding the confidentiality and disclosure of health information.
- Protect patient privacy by logging off devices, refraining from discussing patient info publicly, and avoiding unauthorized searches.
Nursing Attributes
- Essential qualities for effective nursing include honesty, integrity, advocacy, and accountability.
Nurse Practice Act
- Encompasses laws governing nursing practice, ensuring state boards regulate nurses.
Cultural Awareness in Nursing
- Understanding cultural beliefs influences patient care decisions and behaviors.
- Nurses should demonstrate cultural competence, sensitivity, and awareness, integrating these values into care.
Body Mass Index (BMI)
- BMI is calculated using height and weight to categorize individuals as underweight, healthy, overweight, or obese.
Wellness-Illness Continuum
- Describes the dynamic nature of health, influenced by biological, nutritional, environmental, and lifestyle factors.
- Emphasizes the nurse's role in promoting wellness within the context of the patient's health status.
Immunizations for Older Adults
- Specific vaccination recommendations aimed at enhancing health and preventing illness in older populations.
Communicating with Non-English-Speaking Patients
- Utilize professional interpreters or translation tools to ensure effective communication, avoiding family members as intermediaries.
Vulnerable Populations
- Groups at higher risk for health problems due to socioeconomic factors, including the homeless, elderly, and those with mental illness.
Fall Risk Management
- Employ tools like the Morse Fall Scale for assessing fall risks and implement safety measures, such as removing hazards and using assistive devices.
- Conduct fall risk assessments at patient admission and on a regular schedule.
Interprofessional Team Members
- Collaboration among healthcare professionals from various fields to enhance patient care and outcomes.
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Prepare for your NUR 215 Exam 1 with this comprehensive study guide covering modules 1-2. This resource will help you review key theoretical foundations in nursing practice essential for your success in the course. Get ready to test your knowledge and excel in your exam!