Questions and Answers
What is an example of a modifiable risk factor in sexual health assessments?
Which component is NOT necessary for nursing to be recognized as a profession?
What therapeutic communication technique involves helping a patient express emotions?
Which of these is considered a non-therapeutic communication technique?
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What is the primary focus of the 'Focusing' technique in therapeutic communication?
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Which of the following statements about nonmodifiable risk factors is accurate?
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Which therapeutic technique is most effective for comfort in vulnerable patients?
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What is a characteristic of false reassurance in communication?
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What strategy should a nurse avoid to maintain professional communication?
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Which of the following best describes the significance of summarizing in therapeutic communication?
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What is the primary focus of tertiary prevention in patient care?
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Which statement best describes the nursing diagnosis process?
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What is essential for the accuracy of the nursing diagnosis?
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How does ongoing planning differ from initial planning in the nursing process?
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Which of the following is NOT a component of the ABCs used for prioritizing nursing problems?
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What is the last step in the nursing process?
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Which factor does NOT influence the prioritization of nursing problems?
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What principle underscores HIPAA regarding patient information?
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What should a nurse do if asked to perform a task outside of their legal scope of practice?
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Which of the following examples represents tertiary prevention?
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Which of the following is NOT a characteristic of an effective nursing care plan?
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Which of the following nursing actions can be performed without a doctor's order?
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What is the purpose of evaluating the nursing care provided?
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Which method is effective for a nurse to enhance therapeutic communication during a sexual health exam?
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Which of the following is a primary prevention strategy?
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In prioritization, which one of the following patient conditions would likely be considered most critical?
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What is a key characteristic of vulnerable populations that contributes to poorer health outcomes?
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Which of the following statements correctly reflects the purpose of health screenings?
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In what way does the ANA Code of Ethics serve nurses in their practice?
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What component of self-concept includes evaluation of physical appearance and success in the workplace?
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What is a direct intervention in nursing practice?
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What does nonmaleficence in nursing ethics primarily emphasize?
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Which of the following is a characteristic of cultural competence in nursing?
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Which ethical principle ensures that nurses provide accurate information to their patients?
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What is the primary role of the State Board of Nursing?
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In the context of delegation, what does the 'Right Person' refer to?
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Which of the following describes the concept of justice in nursing ethics?
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What does the wellness-illness continuum illustrate?
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What type of interventions should nurses prioritize for patient safety?
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Which of the following best describes the Nurse Practice Act?
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What is included in the definition of cultural awareness?
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Study Notes
Nursing Prioritization and Scope of Practice
- ABCs: Airway, Breathing, Circulation — critical framework for prioritizing patient care.
- Factors influencing prioritization include problem urgency, future consequences, patient preference, and computer-assisted diagnosing.
- RN scope of practice involves tasks like turning patients, providing comfort, assisting with ADLs, and patient education without needing a doctor's order.
- If asked to perform outside their scope, nurses should refer to facility policies and use the chain of command.
Prevention Levels
- Primary Prevention: Aims to prevent disease onset. Examples include healthy eating, exercising, and vaccinations.
- Secondary Prevention: Focuses on early disease detection through screenings (e.g., mammograms, blood pressure checks).
- Tertiary Prevention: Targets minimizing disease progression and rehabilitation, including support groups and rehab programs.
Nursing Process (ADPIE)
- The nursing process is a cyclical model made up of Assessment, Diagnosis, Planning, Implementation, and Evaluation.
- Assessment: Involves collecting subjective and objective data directly from the patient (primary) or secondary sources (e.g., medical records).
- Diagnosis: Focuses on identifying health patterns through critical-thinking, establishing a nursing diagnosis, and distinguishing it from medical diagnoses.
- Planning: Entails setting patient-centered goals, ongoing adjustments, and discharge planning to promote self-care post-discharge.
- Implementation: Actual performance of planned interventions requires effective documentation and delegation.
- Evaluation: Assesses patient outcomes and the effectiveness of nursing care, employing structure, process, and outcomes evaluation.
Maslow’s Hierarchy of Needs
- Hierarchical model prioritizing needs from physiological requirements to self-actualization.
HIPAA Compliance
- HIPAA protects patient privacy, regulating health information management.
- Ensure privacy by logging off computers, avoiding public discussions about patients, and obtaining consent before searching belongings.
Nursing Attributes
- Essential attributes: honesty, integrity, advocacy, effective communication, prioritization, and responsibility.
Therapeutic Communication
- Importance of creating a comfortable environment during sensitive assessments, such as sexual health.
- Techniques include active listening, sharing empathy and hope, and providing relevant information.
- Recognizing nonverbal cues and allowing patient expression are critical components.
Risk Factors
- Modifiable Factors: Can be changed (e.g., diet and stress).
- Nonmodifiable Factors: Cannot be altered (e.g., family history, genetics).
Nursing as a Profession
- Nursing requires technical knowledge, peer evaluation, service orientation, and adherence to a code of ethics.
- Promoting professional recognition involves standardized education, continued learning, and public education about nursing roles.
Ethical Principles in Nursing
- Nonmaleficence: Avoiding harm; Autonomy: Supporting patient choice; Justice: Ensuring fair treatment; Beneficence: Promoting good; Veracity: Honesty; Fidelity: Keeping promises.
Nurse Practice Act
- Regulatory framework establishing the laws governing nursing practice in individual states.
Cultural Awareness in Nursing
- Recognition of cultural influences on patient behavior and decision-making.
- Incorporating cultural competence in care allows for respect and acceptance of diverse values and beliefs.
Body Mass Index (BMI)
- BMI assesses body fat using height and weight measurements, categorized into underweight, healthy, overweight, and obese.
Wellness-Illness Continuum
- A spectrum that illustrates the varying states of health influenced by biological, nutritional, and lifestyle factors.
Immunizations for Older Adults
- Recommended vaccinations include annual influenza and pneumonia vaccines, critical for middle-aged adults.
Healthy People 2030
- A national initiative setting goals to lower preventable health risks and reduce health disparities.
Delegation in Nursing
- Delegation entails transferring responsibilities while maintaining accountability for outcomes, distinct from simple task assignments.
- The five rights of delegation: Right Task, Right Circumstance, Right Direction, Right Person, Right Supervision.
Delegable Tasks to Assistive Personnel
- Vital signs for stable patients, acknowledging the importance of appropriate task delegation in nursing practice.### Patient Care Activities
- Feeding, grooming, bathing, and toileting can be delegated based on UAP, facility, and its policies.
- Turning and ambulating patients are essential aspects of patient mobility and comfort.
- Stocking supplies ensures that necessary items are available for patient care.
- Secretarial tasks include documentation and communication essential for patient management.
Client Advocacy
- Client advocacy involves supporting patients’ right to make healthcare decisions and protecting those unable to decide.
- Nurses play a crucial role in ensuring patient autonomy and safety through advocacy.
Definition of Nursing
- Developing a nursing definition helps clarify the profession's value and distinguishes it from medicine.
- Understanding nursing expectations aids students in grasping their future responsibilities.
Direct vs Indirect Care
- Direct care interventions involve direct interactions and may include physical care, emotional support, and patient education.
- Indirect care interventions include advocacy, referrals, and environmental management on behalf of the patient.
Self-Concept
- Self-concept is an individual's overall view of themselves, shaped by evaluations of physical appearance, abilities, and social roles.
- Components include body image, self-esteem, role performance, and personal identity.
- Factors influencing self-concept are gender, family, socioeconomic status, and peer relationships.
ANA Code of Ethics
- The ANA Code of Ethics provides guidelines for acceptable nursing conduct, ensuring ethical practice.
Health Screenings
- Health screenings aim to promote well-being and detect diseases in early stages for timely intervention.
Definition of Illness
- Illness is defined as a disruption in usual feelings or life, often reflecting personal perceptions influenced by attitudes and lifestyle choices.
Communication with Non-English-Speaking Patients
- Utilize facility interpreters or translation software for effective communication with non-English speakers.
- Avoid using untrained family members or staff as interpreters to ensure accuracy.
Characteristics of Vulnerable Populations
- Vulnerable populations face increased health risks due to limited access to care and various socio-environmental stressors.
- Subgroups include the homeless, economically disadvantaged, mentally ill, elderly, and specific ethnic/racial minorities.
Fall Risk Assessment and Education
- The Morse Fall Scale is a rapid tool for assessing fall risk.
- Strategies to reduce falls include removing hazards, utilizing mobility aids, and implementing alerts such as “fall risk” bands.
Interprofessional Team Members
- An effective healthcare team includes nurses, nurse practitioners, physicians, allied health professionals, pharmacists, dieticians, and social workers.
- Nurses assess patients and provide care, while nurses' aides assist under supervision.
- Allied health professionals like physical therapists and psychologists focus on rehabilitation and psychosocial support.
Home Safety Measures
- Common hazards at home include poisoning, fire risks, falls, and suffocation.
- Safety measures include installing smoke alarms, safe storage of medications, and secure handling of firearms.
Hospital Safety Measures
- RACE protocol for fire safety: Rescue, Alarm, Contain, and Extinguish.
- Seizure precautions include ensuring safety equipment is available, protecting the patient, and avoiding mouth placement during seizures.
- Fall precautions mirror education on home safety, emphasizing removal of hazards and safety aids.
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Description
Test your knowledge on key concepts in sexual health assessments, nursing profession criteria, and therapeutic communication techniques. This quiz includes questions about modifiable and nonmodifiable risk factors and communication strategies essential for nursing practice.
