Nursing Practice and Clinical Judgment Quiz

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30 Questions

What is the primary focus of Client Centered Care?

Maintaining the client's dignity, independence, preferences, privacy, and safety

What is the role of the nurse in maintaining a client's independence?

Encouraging the client to do what they can on their own

What does the nursing process assist nurses in identifying?

Health-related concerns and attaining health outcomes

What is the purpose of assessment in nursing?

To collect data to fully understand the patient's needs

What is the goal of diagnoses in nursing?

To analyze and determine key issues for making a judgement

What is the recommended HOB angle for the HIGH FOWLER’S position?

60 degrees

When is it considered safe to manually lift a patient?

35lb (16kg) maximum when the patient is cooperative and unlikely to move suddenly

What is the recommended action if a patient experiences dizziness lasting more than 1 minute during dangling?

Return to a supine position and take blood pressure

In the SIM’S POSITION, the client rests in which position?

Lateral/side-lying position

What is the purpose of using trochanter rolls, hand rolls, and pillows in patient positioning?

To enhance comfort

Which factor is not associated with respiratory changes due to immobility?

Increased respiratory rate

What is the primary purpose of external devices like trochanter rolls and hand-wrist splints?

Prevent contractures and maintain patient position

Which factor is not a musculoskeletal change due to immobility?

Increased bone density

What is the purpose of the Braden Scale?

Predict pressure sore risk

What contributes to the formation of pressure ulcers?

Pressure slowing blood flow

What is the correct order for perineal-genital care in females?

Wash folds between labia minora then labia majora

What should be assessed regarding oral hygiene?

Risk for aspiration

What is the recommended positioning for oral care in individuals with swallowing problems?

In a supine position (back) at about 45-60 degree angle

What is the DAF approach in dressing a client?

Dress affected side first

What is the RUF approach in undressing a client?

Remove from the unaffected side first

What are the three types of range of motion (ROM)?

Active, passive, and a combination of both

Which factors influence hygiene practices?

Social groups, personal preferences, body image, socio-economic status, health beliefs, cultural variables, physical condition

What are the risks for unmet hygiene needs?

Tracheostomies, drains, dressings, skin integrity, language deficits, sedation, mental illness, reduced physical energy

How can privacy and confidentiality in hygiene care be maintained?

Close curtains, maintain client dignity, minimize exposure, use a 'do not disturb' sign

What are the safety considerations in hygiene care?

Infection control, body mechanics, client ability and risks, water temperature and product use, skin integrity

What are the steps for performing nurse clinical judgment?

Assessment, diagnosis, prioritizing hypothesis, planning, and implementation

What is the primary focus of ethical nursing practice?

Promoting client well-being, maintaining privacy and confidentiality, and ensuring fairness

What does leadership in nursing involve?

Providing and facilitating care, respecting, trust, integrity, shared vision, and good communication skills

What is the role of the College of Nurses of Ontario (CNO)?

Establishing requirements for entry to practice, promoting practice standards, and administering quality assurance programs

What is essential during bed making in nursing?

Ensuring a hygienic environment, incorporating infection prevention and control practices, and promoting patient comfort and dignity

Study Notes

Nursing Practice and Clinical Judgment

  • Nursing practice involves planning, implementation, and evaluation of patient care
  • Nurses in Ontario are accountable for meeting legislative requirements and professional standards
  • Nurses must continuously improve their competence through ongoing learning and participation in quality assurance programs
  • Ethical nursing practice involves promoting client well-being, maintaining privacy and confidentiality, and ensuring fairness
  • Nurses are expected to have basic education and knowledge relevant to their practice and continually improve their knowledge through ongoing learning
  • Nurses apply their professional knowledge to practice nursing frameworks, theories, and processes
  • Leadership in nursing involves providing and facilitating care, respecting, trust, integrity, shared vision, and good communication skills
  • Nurses are expected to maintain respectful, collaborative, and professional relationships with clients and colleagues
  • The College of Nurses of Ontario (CNO) is a self-regulation profession that establishes requirements for entry to practice, promotes practice standards, and administers quality assurance programs
  • Steps for performing nurse clinical judgment include assessment, diagnosis, prioritizing hypothesis, planning, and implementation
  • Bed making in nursing involves ensuring a hygienic environment, incorporating infection prevention and control practices, and promoting patient comfort and dignity
  • Proper body mechanics are essential during bed making to prevent injuries and reduce fatigue for the nurse.

Test your knowledge of nursing practice and clinical judgment with this quiz. Explore topics such as ethical nursing practice, leadership in nursing, professional standards, and the steps for performing nurse clinical judgment. See how well you understand the roles and responsibilities of nurses in Ontario and the essential skills required for nursing practice.

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