Exam 5 Fundamentals
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Questions and Answers

Which domain of learning primarily focuses on the development of intellectual skills?

  • Interpersonal domain
  • Psychomotor domain
  • Cognitive domain (correct)
  • Effective domain

    • An effective teaching method to enhance the cognitive domain would include which of the following?

  • Hands-on practice
  • Role modeling
  • Lectures and discussions (correct)
  • Self-reflection

    • What key aspect influences a student's engagement in the learning process within the effective domain?

  • Test scores
  • Physical practice
  • Personal values and beliefs (correct)
  • Visual aids

    • Which teaching tool is primarily used to develop psychomotor skills?

    <p>Demonstration and return demonstration</p> Signup and view all the answers

    Which of the following is NOT one of the five rights of teaching?

    <p>Right instructor</p> Signup and view all the answers

    Which of the following factors should be considered when assessing the right context for teaching?

    <p>Quiet and distraction-free environment</p> Signup and view all the answers

    To ensure students are actively involved in planning, which right of teaching should be considered?

    <p>Right goal</p> Signup and view all the answers

    When considering the right method of teaching, which factor is least important?

    <p>Cost of educational materials</p> Signup and view all the answers

    What is the purpose of the Minimum Data Set (MDS) in long-term documentation?

    <p>To provide a comprehensive admission assessment of residents.</p> Signup and view all the answers

    Which aspect is NOT essential when conducting an S-bar report?

    <p>Providing a confidential patient history.</p> Signup and view all the answers

    What must be done with a verbal order from a provider?

    <p>The nurse should always repeat the order to confirm accuracy.</p> Signup and view all the answers

    What is a significant requirement when documenting changes in a client's condition in long-term care?

    <p>Reports must be logged in the narrative notes.</p> Signup and view all the answers

    How often must the Minimum Data Set assessment be updated?

    <p>With any significant change in condition or at specified intervals.</p> Signup and view all the answers

    Which statement regarding telephone orders is correct?

    <p>They must be transcribed onto the provider order sheet.</p> Signup and view all the answers

    What should be included when writing a prescription after a verbal order?

    <p>The date, time, text of the order, provider's name, and nurse's signature.</p> Signup and view all the answers

    What is a crucial aspect to ensure during the documentation of home healthcare?

    <p>To maintain concise and accurate reports of interventions and client responses.</p> Signup and view all the answers

    What is the primary benefit of standardized language in nursing?

    <p>To make nursing care and outcomes visible.</p> Signup and view all the answers

    Which of the following is a characteristic of source-oriented systems in nursing documentation?

    <p>Documentation is fragmented across different sections.</p> Signup and view all the answers

    What is a disadvantage of charting by exception?

    <p>Omissions of pertinent information.</p> Signup and view all the answers

    How does standardized terminology support nursing research?

    <p>By allowing retrieval of aggregated nursing data.</p> Signup and view all the answers

    Which feature distinguishes problem-oriented systems from source-oriented systems?

    <p>Documentation is organized based on patient problems.</p> Signup and view all the answers

    What role does standardized terminology play in EHR systems?

    <p>It allows for information conversion to numerical codes.</p> Signup and view all the answers

    What is a primary advantage of charting by exception in nursing documentation?

    <p>It emphasizes significant deviations from the norm.</p> Signup and view all the answers

    Which of the following models is NOT a standardized nursing language?

    <p>PDSA</p> Signup and view all the answers

    What is a characteristic of a deep tissue injury?

    <p>It can present as non-blanchable deep red, maroon, or purple discoloration.</p> Signup and view all the answers

    In what condition is a pressure ulcer classified as unstageable?

    <p>When it is covered with necrotic tissue and the depth is unknown.</p> Signup and view all the answers

    Which intervention is essential in preventing pressure injuries?

    <p>Repositioning the patient every 2 hours.</p> Signup and view all the answers

    What does adequate nutrition contribute to in the context of wound healing?

    <p>It supports tissue repair and overall wound healing.</p> Signup and view all the answers

    What is an important component of meticulous skin care for pressure injury prevention?

    <p>Regular cleansing and moisturizing to maintain skin integrity.</p> Signup and view all the answers

    Which layer of the skin is primarily responsible for providing a barrier to the environment?

    <p>Epidermis</p> Signup and view all the answers

    What is the significance of the stratum germinativum in the epidermis?

    <p>It produces new cells that push older cells to the surface.</p> Signup and view all the answers

    How does age affect skin integrity?

    <p>Aging can lead to thinner, more permeable skin.</p> Signup and view all the answers

    Which factor is NOT associated with the risk of developing pressure injuries?

    <p>Adequate hydration</p> Signup and view all the answers

    Which nutrient is specifically mentioned as important for skin health and collagen formation?

    <p>Vitamin C</p> Signup and view all the answers

    What role does the subcutaneous layer play in body protection?

    <p>It provides insulation and cushions vital organs.</p> Signup and view all the answers

    Which condition can impair skin healing due to moisture imbalance?

    <p>Dehydrated skin</p> Signup and view all the answers

    What impact does decreased perfusion have on skin integrity?

    <p>It can lead to ischemia and tissue injury.</p> Signup and view all the answers

    What can clients with diminished sensation be at greater risk for?

    <p>Suffering burns, cuts, or wounds</p> Signup and view all the answers

    Which of the following conditions is most likely to impair cognitive awareness about the need to reposition?

    <p>Alzheimer's or dementia</p> Signup and view all the answers

    Impaired circulation can lead to the development of what condition in the skin?

    <p>Ischemia and necrosis</p> Signup and view all the answers

    What is a common source of moisture that can lead to skin breakdown?

    <p>Incontinence</p> Signup and view all the answers

    Which type of wound is classified as involving a break in the skin or mucous membranes?

    <p>Open wound</p> Signup and view all the answers

    Which type of wound healing involves minimal tissue loss with well-approximated edges?

    <p>Primary intention</p> Signup and view all the answers

    What characterizes a contaminated wound?

    <p>High risk of infection due to a major break in asepsis</p> Signup and view all the answers

    What phase of wound healing lasts from one to five days and includes hemostasis and inflammation?

    <p>Inflammatory phase</p> Signup and view all the answers

    Which type of wound is expected to heal within a short duration, often without complications?

    <p>Acute wound</p> Signup and view all the answers

    Which statement accurately describes a superficial wound?

    <p>Involves only the epidermal layer of skin</p> Signup and view all the answers

    What type of wound healing is characterized by extensive tissue loss and slower healing rates?

    <p>Secondary intention healing</p> Signup and view all the answers

    Which factor contributes to infection in skin wounds?

    <p>Bacterial counts exceeding 100,000 organisms per gram of tissue</p> Signup and view all the answers

    In tertiary intention healing, what is the primary reason for delayed closure of the wound?

    <p>To allow for secondary healing confirmation</p> Signup and view all the answers

    What is the main purpose of inflammation during the wound healing process?

    <p>To increase blood flow and white blood cell migration to the area</p> Signup and view all the answers

    During which phase of wound healing do fibroblasts primarily contribute to collagen formation?

    <p>Proliferative phase</p> Signup and view all the answers

    What does the term 'puro-sanguinous' indicate regarding wound drainage?

    <p>Red-tinged pus that suggests infection</p> Signup and view all the answers

    Which complication of wound healing involves the protrusion of internal organs through a surgical incision?

    <p>Evisceration</p> Signup and view all the answers

    What is a primary indication of a stage 1 pressure ulcer?

    <p>Non-blanchable erythema of intact skin</p> Signup and view all the answers

    What does the Braden Scale assess?

    <p>Factors related to impaired skin integrity</p> Signup and view all the answers

    Which of the following is a characteristic of serosanguinous drainage?

    <p>Pinkish color indicating mix of fluid</p> Signup and view all the answers

    What is a common cause of wound dehiscence?

    <p>Poor nutritional status and inadequate closure</p> Signup and view all the answers

    How long can the maturation phase of wound healing last?

    <p>3 to 6 months</p> Signup and view all the answers

    Which symptom is a key indicator of infection in a wound?

    <p>Localized redness and heat</p> Signup and view all the answers

    Which of the following factors is assessed using the Norton scale?

    <p>Patient's physical condition and mental state</p> Signup and view all the answers

    What type of drainage is typically associated with an active bleeding wound?

    <p>Sanguinous</p> Signup and view all the answers

    What defines a stage 2 pressure ulcer?

    <p>Partial thickness loss of skin with ulcer formation</p> Signup and view all the answers

    Which complication of wound healing occurs from the breakdown of tissue leading to an abnormal connection?

    <p>Fistula formation</p> Signup and view all the answers

    What is the primary role of macrophages in wound healing?

    <p>Engulfing bacteria and clearing debris</p> Signup and view all the answers

    How does informatics primarily enhance the nursing profession?

    <p>By reducing barriers to evidence-based practice.</p> Signup and view all the answers

    What advantage do computerized records provide in public health?

    <p>They enable sorting and analysis of data.</p> Signup and view all the answers

    Which of the following represents a method to locate evidence-based materials?

    <p>Using journal title searches.</p> Signup and view all the answers

    Which type of resource provides sorted articles by discipline in nursing?

    <p>Literature databases.</p> Signup and view all the answers

    What is an effective response when a client presents questionable online information?

    <p>Show them how to find reputable sources.</p> Signup and view all the answers

    What is the primary distinction between knowledge and wisdom?

    <p>Knowledge is information that has context, while wisdom is the correct application of knowledge.</p> Signup and view all the answers

    Which type of error occurs when the correct action is taken but fails to proceed as intended?

    <p>Error of execution</p> Signup and view all the answers

    What is one of the primary benefits of electronic health records (EHRs)?

    <p>Reduces redundancies and improves accessibility.</p> Signup and view all the answers

    What does the process of data processing in computers entail?

    <p>Input, process, output, and storage of data.</p> Signup and view all the answers

    Which of the following describes an error of commission?

    <p>Providing an incorrect medication to a patient.</p> Signup and view all the answers

    What is the significance of the Computer Physician Order Entry (CPOE) system?

    <p>It helps eliminate errors caused by illegible handwriting.</p> Signup and view all the answers

    What fundamental aspect contributes to the power of a computer in information processing?

    <p>The speed, accuracy, and reliability of data handling.</p> Signup and view all the answers

    What characterizes knowledge in the context of information?

    <p>Meaningful information created by organizing and compiling data.</p> Signup and view all the answers

    What is the primary purpose of mandatory reporting laws for healthcare workers?

    <p>To ensure reporting of communicable diseases and abuse</p> Signup and view all the answers

    Which act defines the scope of nursing practice and sets the minimum level of nursing care required?

    <p>Nurse Practice Act</p> Signup and view all the answers

    In order to avoid false imprisonment, what must a nurse obtain before restraining a patient?

    <p>Proper legal authorization</p> Signup and view all the answers

    What constitutes an intentional tort in nursing related to patient contact?

    <p>Restraining a patient without consent</p> Signup and view all the answers

    Which scenario exemplifies invasion of privacy in a healthcare context?

    <p>A nurse disclosing a diagnosis to a family member without consent</p> Signup and view all the answers

    Under Good Samaritan laws, what protection is offered to healthcare workers who assist at the scene of an emergency?

    <p>They are protected from liability provided their actions are reasonable</p> Signup and view all the answers

    What is considered fraud in the context of nursing practice?

    <p>Providing a patient with misleading information</p> Signup and view all the answers

    Which situation can lead to a charge of assault in nursing practice?

    <p>Aggressively attempting to restrain a patient</p> Signup and view all the answers

    Which of the following is NOT one of the essential elements of defamation of character?

    <p>The statement was made as an opinion</p> Signup and view all the answers

    What is the primary difference between slander and libel?

    <p>Slander involves verbal communication, while libel involves written or published communication</p> Signup and view all the answers

    Which factor is NOT considered a common element required in a malpractice lawsuit?

    <p>Intention to harm</p> Signup and view all the answers

    What is the main purpose of using an expert witness in malpractice cases?

    <p>To determine the standard of care and adherence to practice</p> Signup and view all the answers

    What does the phrase 'if it was not documented, it was not done' imply about nursing practice?

    <p>Proper documentation is essential for risk management and accountability</p> Signup and view all the answers

    Which of the following actions could lead to a breach of duty in nursing care?

    <p>Providing medication without proper authorization</p> Signup and view all the answers

    What is an essential requirement for a nurse when delegating tasks?

    <p>Knowing the scope of practice of those to whom tasks are delegated</p> Signup and view all the answers

    In civil cases, what is typically awarded to compensate for pain and suffering due to malpractice?

    <p>Monetary damages</p> Signup and view all the answers

    Which of the following statements regarding negligence is true?

    <p>Negligence refers to the failure to use ordinary or reasonable care</p> Signup and view all the answers

    What is the primary purpose of the American Nurses Association's code of ethics?

    <p>To inform the public about minimum standards and guide professional behavior</p> Signup and view all the answers

    What is emphasized in the autonomy model of ethics in nursing?

    <p>The competency of patients to make their own decisions</p> Signup and view all the answers

    Why does the American Nurses Association oppose euthanasia?

    <p>It violates the core commitments of the profession and public trust</p> Signup and view all the answers

    What approach does the Patient Care Partnership emphasize in healthcare?

    <p>Patient expectations and responsibilities</p> Signup and view all the answers

    Which ethical model is particularly beneficial when a patient is not competent to make decisions?

    <p>Patient benefit model</p> Signup and view all the answers

    What is primarily at stake in an ethical dilemma?

    <p>Choosing between two equally undesirable actions</p> Signup and view all the answers

    Which of the following is NOT a step in the THINK process for whistleblowing?

    <p>Know your educational history</p> Signup and view all the answers

    What do the Joint Commission standards highlight about patient care?

    <p>The need for patient values, preferences, and information in care planning</p> Signup and view all the answers

    What does the ethical principle of non-maleficence entail?

    <p>The duty to do no harm and prevent harm</p> Signup and view all the answers

    How does the social justice model approach ethical decision-making?

    <p>By addressing broader institutional social issues</p> Signup and view all the answers

    Which principle emphasizes the obligation to provide fair and equal treatment?

    <p>Justice</p> Signup and view all the answers

    What is a key feature of the revised code of ethics by the ANA in 2015?

    <p>It reflects changes in healthcare financing and delivery</p> Signup and view all the answers

    What should be the immediate action if a situation involves an immediate threat to health or safety?

    <p>Report it immediately</p> Signup and view all the answers

    Which of the following actions best demonstrates fidelity in ethical practice?

    <p>Keeping promises and commitments made</p> Signup and view all the answers

    In which circumstance should evidence be particularly concrete before making a report?

    <p>When addressing suspected fraud or misconduct</p> Signup and view all the answers

    What is the primary focus of the ethical principle of beneficence?

    <p>Promoting good and positive outcomes</p> Signup and view all the answers

    Study Notes

    Patient Education in Nursing

    • Patient education is crucial for effective health management.
    • Nurses play a vital role in equipping patients with knowledge and skills.

    Domains of Learning

    • Cognitive Domain: Focuses on intellectual skills.
      • Involves recalling, applying knowledge, thinking, problem-solving, and remembering information.
      • Teaching methods include lectures, reading materials, discussions, and audio-visual aids.
    • Psychomotor Domain: Focuses on physical skills and procedures.
      • Learned through hands-on practice (e.g., taking vitals, administering medications, assisting with ADLs).
      • Patients might need to learn tasks like self-administering insulin or wound care.
      • Teaching methods include demonstration, return demonstrations, simulation, journaling, and self-reflection.
    • Affective Domain: Focuses on feelings, motivation, and engagement with learning.
      • Includes student values, beliefs, and attitudes.
      • Encourages personal reflection, empathy development, and personal growth.
      • Teaching methods include role modeling, group discussions, storytelling, one-on-one teaching, and audio-visual materials.

    Five Rights of Teaching

    • Right Time: Client's readiness, absence of pain, motivation, and a trusting relationship are crucial.
    • Right Context: Environment should be quiet and distraction-free.
    • Right Goal: Client involvement in setting realistic and valued learning goals.
    • Right Content: Information must be appropriate for the client's needs, level, and relevance.
    • Right Method: Teaching strategies should match the client's learning style and ability; various methods should be used.

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    Chapters 16, 17, 32, 38, 39, 41

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