Podcast
Questions and Answers
What is the primary purpose of nursing standards?
What is the primary purpose of nursing standards?
Which of the following best describes how nursing standards are developed?
Which of the following best describes how nursing standards are developed?
How do nursing standards primarily contribute to patient safety?
How do nursing standards primarily contribute to patient safety?
Which ethical principle is most emphasized by nursing standards?
Which ethical principle is most emphasized by nursing standards?
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How do nursing standards contribute to ensuring the competency of nurses?
How do nursing standards contribute to ensuring the competency of nurses?
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What role do nursing standards play in legal contexts?
What role do nursing standards play in legal contexts?
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In which setting is primary care typically provided?
In which setting is primary care typically provided?
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What is the primary focus of nursing care in a primary care setting?
What is the primary focus of nursing care in a primary care setting?
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Which of these is NOT typically a risk factor assessed by fall risk assessment tools?
Which of these is NOT typically a risk factor assessed by fall risk assessment tools?
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What is an example of an extrinsic risk factor for falls?
What is an example of an extrinsic risk factor for falls?
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When should a patient's fall risk be reassessed?
When should a patient's fall risk be reassessed?
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Assessing a patient's gait pattern includes observing:
Assessing a patient's gait pattern includes observing:
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Which of the following is assessed to determine balance?
Which of the following is assessed to determine balance?
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What is orthostatic hypotension?
What is orthostatic hypotension?
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Which of these is an example of an intrinsic risk factor related to mobility which also increases the risk of falls?
Which of these is an example of an intrinsic risk factor related to mobility which also increases the risk of falls?
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The purpose of fall risk assessment is to:
The purpose of fall risk assessment is to:
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Which of the following conditions increases the risk of pressure injuries due to increased pressure and shear forces on bony prominences?
Which of the following conditions increases the risk of pressure injuries due to increased pressure and shear forces on bony prominences?
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Moisture from urine or feces is a primary risk factor for which skin-related issue?
Moisture from urine or feces is a primary risk factor for which skin-related issue?
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Inadequate intake of nutrients and fluids primarily impairs which aspect of health related to the skin?
Inadequate intake of nutrients and fluids primarily impairs which aspect of health related to the skin?
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Reduced blood flow and oxygenation to tissues, which may impair skin integrity, are most commonly associated with which condition?
Reduced blood flow and oxygenation to tissues, which may impair skin integrity, are most commonly associated with which condition?
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A patient's inability to recognize discomfort that signals the need to reposition is often indicative of which health issue?
A patient's inability to recognize discomfort that signals the need to reposition is often indicative of which health issue?
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What is the recommended method for palpating a patient's pulse?
What is the recommended method for palpating a patient's pulse?
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To accurately measure respirations, which method should be used?
To accurately measure respirations, which method should be used?
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When using a tympanic thermometer, the pinna should be pulled back to:
When using a tympanic thermometer, the pinna should be pulled back to:
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What is the primary goal of tertiary care?
What is the primary goal of tertiary care?
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Which of the following is NOT a similarity between evidence-based practice (EBP), research, and performance improvement (PI)?
Which of the following is NOT a similarity between evidence-based practice (EBP), research, and performance improvement (PI)?
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How does research contribute to evidence-based practice (EBP)?
How does research contribute to evidence-based practice (EBP)?
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What is the main purpose of conducting a fall risk assessment in a healthcare setting?
What is the main purpose of conducting a fall risk assessment in a healthcare setting?
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Which of these is NOT a validated fall risk assessment tool mentioned in the content?
Which of these is NOT a validated fall risk assessment tool mentioned in the content?
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What is the primary purpose of using a validated fall risk assessment tool?
What is the primary purpose of using a validated fall risk assessment tool?
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In what way do performance improvement (PI) projects contribute to a deeper understanding of clinical problems?
In what way do performance improvement (PI) projects contribute to a deeper understanding of clinical problems?
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Why is it important for nurses to understand the distinctions between evidence-based practice (EBP), research, and performance improvement (PI)?
Why is it important for nurses to understand the distinctions between evidence-based practice (EBP), research, and performance improvement (PI)?
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What is the normal pulse range for adults?
What is the normal pulse range for adults?
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Which of the following indicates bradycardia?
Which of the following indicates bradycardia?
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What is considered an abnormal respiratory rate?
What is considered an abnormal respiratory rate?
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Which vital sign indicates hypertension?
Which vital sign indicates hypertension?
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Which exercise type promotes cardiovascular health the most?
Which exercise type promotes cardiovascular health the most?
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What is a key difference between infection control measures in a hospital setting and those in a home setting?
What is a key difference between infection control measures in a hospital setting and those in a home setting?
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What is the primary purpose of medical asepsis?
What is the primary purpose of medical asepsis?
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Which of the following practices is associated with medical asepsis?
Which of the following practices is associated with medical asepsis?
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How do hospitals achieve a higher level of infection control compared to homes?
How do hospitals achieve a higher level of infection control compared to homes?
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What is the defining characteristic of surgical asepsis?
What is the defining characteristic of surgical asepsis?
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Which of the following exemplifies a limitation of infection control measures in the home setting?
Which of the following exemplifies a limitation of infection control measures in the home setting?
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Which of the following situations demonstrates the importance of isolating infected individuals in the home setting?
Which of the following situations demonstrates the importance of isolating infected individuals in the home setting?
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What is the primary focus of infection control education for home care?
What is the primary focus of infection control education for home care?
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Study Notes
Nursing Standards
- Define the scope of nursing practice, outlining responsibilities and expectations for nurses.
- Provide guidelines for safe and effective patient care.
- Influence various aspects of nursing care, including best practices, patient safety, ethical practice, competency, and legal frameworks.
Establishing Best Practices
- Standards are derived from evidence-based knowledge, guidelines, and recommendations from professional organizations.
- Outline appropriate procedures, interventions, and care plans for specific conditions, ensuring care is based on the latest research and best practices.
Promoting Patient Safety
- Standards emphasize patient safety by providing guidelines for procedures (e.g., intravenous therapy, infection control, medication administration).
- Following these standards minimizes risks and prevents complications, improving patient outcomes.
Maintaining Ethical Practice
- Nursing standards incorporate ethical principles and values.
- Guide nurses in ethical decision-making, respecting patient autonomy, promoting beneficence, and upholding professional integrity.
Ensuring Competency
- Standards outline expected knowledge, skills, and behaviors for nurses.
- Help nurses maintain competency and professionalism.
- This includes effective communication, collaboration, and continuous professional development.
Providing a Legal Framework
- Standards serve as legal references for evaluating the quality of nursing care.
- Used as benchmarks in legal cases involving nurses, ensuring actions are consistent with accepted professional standards.
Nurses and Healthcare Professionals
- Provide primary, secondary, and tertiary healthcare in various settings.
- Primary care focuses on outpatient clinics, physician offices, community health centers, etc.
- Secondary care involves specialized treatment for acute illnesses and injuries in hospitals, emergency departments, and specialty clinics.
- Tertiary care addresses complex, rare, or high-risk conditions (e.g., children's hospitals, cancer centers).
- Nurses play vital roles across all care levels in assessment, treatment, education, care coordination, and patient/family support throughout the healthcare continuum.
Evidence-Based Practice (EBP), Research, and Performance Improvement (PI)
- Interrelated processes along a continuum of clinical scholarship.
- All three aim to use the best available evidence for high-quality patient care.
- Similarities: Identify problems, gather & analyze evidence, to enhance patient care and outcomes.
- Differences: EBP implements research evidence in clinical practice, research generates new knowledge, PI monitors and evaluates organizational processes.
- EBP and Pl often reveal problems that create opportunities for research.
Fall Risk Assessment
- Use validated tools/scales (Morse Fall Scale, STRATIFY, Hendrich II Fall Risk Model).
- Assess patient-related (intrinsic) factors (balance, gait, vision, cognition, medications).
- Assess environmental risk factors (cluttered rooms, lighting, obstacles).
- Involve patient and family for valuable information.
- Complete assessment upon admission, condition change, or fall incidents.
- Assign a risk score (low, moderate, high).
- Implement appropriate interventions (patient education, modifications, assistive devices).
- Reassess regularly for evolving risks.
Assessing Mobility Alterations
- Observe gait pattern (shuffling, unsteadiness), lower extremity strength, range of motion, proprioception, balance (eyes open & closed).
- Check for orthostatic hypotension.
- Note use of assistive devices.
- Assess dizziness, vision problems, pain, numbness.
- Review medications (drowsiness, dizziness).
- Evaluate cognitive status.
- Evaluate footwear and environmental hazards.
- Document findings, calculate fall risk score, and implement appropriate interventions.
- Regularly reassess mobility status.
Preventing Procedure-Related Events
- Adhere strictly to policies, standards.
- Review protocols before performing high-risk procedures.
- Take "time-outs" before high-risk procedures.
- Reflect on steps, resources if needed.
- Minimize distractions. Designate "no interruption zones."
- Perform "rights" of medication administration (patient, drug, dose, route, time, documentation).
- Report errors/near misses/safety concerns.
- Participate in ongoing education/training.
- Foster a culture of safety (open communication, teamwork, learning from mistakes).
Standard Precautions
- Handwashing, PPE (gloves, gowns), safe injection practices.
- Applies to all patient interactions.
Contact Precautions
- Wear gown and gloves for interactions involving contact with the patient or environment.
Droplet Precautions
- Wear a surgical mask within 6 feet of the patient.
- Indicated for respiratory infections spread by large droplets.
Airborne Precautions
- Wear N95 respirator, patient care in airborne infection isolation room.
- Indicated for infections spread over long distances.
Signs and Symptoms of Localized/Systemic Infections
- Localized: confined to specific area (redness, warmth, swelling, pain, drainage).
- Systemic: generalized symptoms (fever, fatigue, nausea/vomiting, malaise, enlarged lymph nodes).
- Specific symptoms may vary depending on affected body systems
Infection Control Measures (Home vs. Hospital)
- Hospitals: Sterile technique, sterilization equipment, strict hand hygiene protocols (sanitize).
- Homes: Clean technique, limited resources, handwashing (soap & water).
- Hospitals: Negative pressure rooms, specialized PPE. Homes: limited PPE availability, patient/family follow proper techniques, and monitoring.
Medical Asepsis
- Reduce infection risk by eliminating many microorganisms.
- Thorough handwashing, clean technique (wound care).
Impaired Skin Integrity Risk Factors
- Immobility, incontinence, poor nutrition/hydration, vascular disease, neurological impairments, and age (thinning skin).
Assessing Vital Signs
- Blood pressure (position, cuff size, palpate brachial artery), pulse (locate artery, count for 60 seconds), respirations (observe/count), temperature (oral, tympanic), pulse oximetry (appropriate fit, good blood flow).
Exercise and Activity
- Strengthens cardiovascular system.
- Builds and maintains muscle strength.
- Promotes weight management, reduces obesity risk.
- Reduces inflammation, improves mood, reduces stress.
- Lowers risk of chronic conditions (heart disease, diabetes, osteoporosis).
- Helps maintain mobility, balance, and cognitive function (older adults)
Preventing DVT (Deep Vein Thrombosis) in Patients with Reduced Mobility.
- Encourage early ambulation.
- Assist with range-of-motion exercises and positions changes.
- Use sequential compression devices, or antiembolism stockings.
- Administer appropriate anticoagulants.
- Educate patients on DVT risk factors, signs/symptoms.
- Provide support to maintain and promote mobility aids or assistive devices.
- Collaborate with team to develop personalized prevention plans.
- Monitor and implement preventive therapies.
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Description
Test your knowledge on nursing standards and their vital role in patient safety. This quiz covers the development of nursing standards, ethical principles involved, and their importance in legal contexts. Additionally, explore the significance of fall risk assessments in primary care settings.
