NURS 1020 Exam 2 Questions with 100 Verified

NURS 1020 Exam 2 Questions with 100% Verified Correct Answers A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paper work, the nurse needs to record

• An interpretation of patient behavior.
• Objective data that are observed.
• Lengthy entry using lay terminology.
• Abbreviations familiar to the nurse. - Correct Answer B. Objective data that are observed.

A patient is experiencing Ineffective Breathing Pattern. The correct goal statement would be written as

• The patient will be comfortable by the morning.
• The patient will breath unlabored at 12 to 20 breaths per minute by the end of the shift.
• The patient will not complain of breathing problems within the next 8 hours.
• The patient will have a respiratory rate of 12 to 20 breaths per minute. - Correct Answer B. The

patient will breath unlabored at 12 to 20 breaths per minute by the end of the shift.are we allowed to use abbreviations when we record in legal documents? - Correct Answer don't use abbreviations do occurrence reports go in the patient record? - Correct Answer DO NOT DOCUMENT OCCURRENCE REPORT Completed/Filed IN THE PATIENT RECORD: Document goes to Nurse Manager, Provider, Facility Risk Manager during which phase of the nursing process is the criterion-based evaluation? - Correct Answer planing example of "related to" on slide 26 - Correct Answer For a student to avoid a data collection error, the student should : Select the Best Answer

• Assess the patient and, if unsure of the finding, ask a faculty member to assess the patient.
• Review his or her own comfort level and competency with assessment skills.
• Ask another student to perform the assessment. 1 / 4

• Consider whether the diagnosis should be actual, potential, or risk. - Correct Answer A. Assess the

patient and, if unsure of the finding, ask a faculty member to assess the patient how are student nurses expected to perform? - Correct Answer Nursing students are expected to perform as professional nurses , RN'S, would in providing safe patient care. Different levels of standards do not apply. Nursing students, just as nurses, provide safe, complete patient care, or they don't. No standard is used for nursing students other than that they must meet the standards of a professional nurse.Standards SN = Standards RN how can we modify an existing written care plan? - Correct Answer -Revise data assessment.-Revise the nursing diagnoses.-Revise specific interventions.-Determine how to evaluate whether you have achieved outcomes.*The NURSE modifies the care of the patient based on current assessment data* how do the nursing interventions use implementation? - Correct Answer -Nurses initiate the nursing interventions most likely to achieve the goals and that support or improve the patient's health status.-Nursing interventions can be direct or indirect.-Nursing interventions should be evidence based and should use the most up-to-date approaches to solving patient problems.how do we clarify an order? - Correct Answer -When preparing for physician-initiated or collaborative interventions, do not automatically implement the therapy, but determine whether it is appropriate for the patient.-The ability to recognize incorrect therapies is particularly important when administering medications or implementing procedures.how do we classify priorities and what are examples? - Correct Answer *High*—Emergent (if left untreated will result in harm to patient) *Intermediate* - non emergent, non-life threatening *Low*—Affect patients' future well-being and chronic healthcare needs 2 / 4

how do we collaborate and evaluate for the most effective interventions? - Correct Answer - Collaborate with the patient and family.-If your patient meets a goal successfully, discuss your evaluation with the patient. If you and the patient agree, discontinue that portion of the patient's care plan.how do we communicate clearly? - Correct Answer -task, outcome, time -closed loop communication how do we document every call? - Correct Answer in narrative how do we establish nursing priorities? - Correct Answer Ordering of nursing diagnoses or patient problems uses determinations of urgency and/or importance to establish a preferential order for nursing actions and helps nurses anticipate and sequence nursing interventions -The order of priorities changes as a patient's condition changes.-Priority setting begins at a holistic level when you identify and prioritize a patient's main diagnoses or problems.-Patient-centered care requires you to know a patient's preferences, values, and expressed needs.how do we modify the care plan? - Correct Answer -Reassessment = Start Again -Re-diagnose = Start Again -Goals and expected outcomes = Review/Revise -Time Frame = Patient requires more time to reach the goal, set a future date for the patient to achieve the goal and evaluate at that time.-Review Interventions - revise or develop new how do we provide effective delegation? - Correct Answer -assess the knowledge and skills of the delegatee -match task to the delegatee's skills -communicate clearly -listen attentively -provide feedback how do we write a legal documents? - Correct Answer *Use correct spelling and grammar and JUST

the FACTS:* 3 / 4

-Accurate record keeping requires objective interpretation of data with precise measurements, correct spelling.-Record all facts; do not enter personal opinions.(Pleasant, Rude, Demanding) how does one assess the patient? - Correct Answer by collecting and analyzing data how does one link key concepts a concept map? - Correct Answer you identify, graphically display, and link key concepts by organizing and analyzing information how does the "related to" in the E in Nursing diagnosing allow? - Correct Answer allow you to use the same nursing diagnosis for many different patients but individuals it based on the cause how does the joint commission require documentation? - Correct Answer to be within the context of the nursing process, including evidence of patient and family teaching and discharge planning how long do we evaluate a patient? - Correct Answer evaluation of the patient is an ongoing process how must we prove malpractice? - Correct Answer the injured person must establish based on evidence 4 elements of liability if we use a paper record, what must be in the paper record? - Correct Answer -Must have the chart to write in it -Multiple interprofessional team members may want the same record at the same time: Key information may be lost - unable to wait for the record (time) if we use the RHR, what must be in the EHR record? - Correct Answer -A digital version of a patient's medical record -Integrates all of a patient's information in one record -Improves continuity of care Information regarding a patient's health status may not be released to non-health care team members because

• Legal and ethical obligations require health care providers to keep information strictly confidential.
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