NUR 205 Final Exam Actual Exam Latest Update

NUR 205 Final Exam Actual Exam Latest Update

• 250 Questions and 100% Verified

Correct Answers Guaranteed A+

_____% of physicians are primary health care providers - CORRECT ANSWER: less

than 33%

A label (Nursing Diagnosis) - CORRECT ANSWER: may include a qualifier (impaired, altered, decreased, ineffective, acute, or chronic). Altered skin, Ineffective coping

a set of defining characteristics (nursing diagnosis) - CORRECT ANSWER: -descriptors of a client's behavior that determine whether a nursing diagnosis is present.

-They are directly or indirectly observable clinical cues (signs and symptoms)

-must be present in either subjective or objective data, only have to meet one

ABCS of Fall Injury Risk - CORRECT ANSWER: A = Age >85

B = Bone (fracture risk or history of osteoporosis) C = anti Coagulation or bleeding disorder S = Surgery during current episode of care

Accident and Exposures - CORRECT ANSWER: All accidents and exposures to

infectious materials must be reported.

Failure to do so could result in personal jeopardy and loss of hospital support if an infection develops.

Steps to be taken immediately:

-Wash your hands -Get clinical instructor -Report the accident

actual nursing diagnosis - CORRECT ANSWER: describes human responses to health

conditions/life processes that exist in an individual, family or community; anything that does not have "risk for" in front of it

Advantages of Electronic Communication - CORRECT ANSWER: •Decreases time

•Available 24/7 •Cost saving •Time and date stamped

Age-related Factors Affecting Host Susceptibility - CORRECT ANSWER: Skin changes

in the elderly: 1 / 4

-Loss of elasticity -Increased dryness -Thinning of epidermis -Slowing of cell replacement -Decreased vascular supply

Urinary tract changes:

-Incomplete bladder emptying -Decreased sphincter Control -Benign prostatic hyperplasia (BPH) causing bladder outlet obstruction -Pelvic floor relaxation (due to decreased estrogen) -Reduced renal blood flow

Pulmonary changes:

-Decrease cough reflex -Decreased elastic recoil of the lungs -Decreased activity of the cilia -Abnormal Swallowing reflex

Agency for Healthcare Research and Quality (AHRQ) - CORRECT ANSWER: The

AHRQ mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used

AHRQ Definition of the Patient-Centered Medical Home (PCMH) - CORRECT

ANSWER: -comprehensive care

-patient centered/coordinated care -accessible services -quality and safety -not a facility, a designation that a practice can get

Aims of teaching and counseling - CORRECT ANSWER: Patient education is the

process of influencing the patient's behavior to effect changes in knowledge, attitudes

and skills needed to:

-Maintain and promote health -Prevent illness -Restore health -Facilitate coping

Airborne precautions - CORRECT ANSWER: More stringent than droplet precautions

because light and stay suspended in the air longer

Used for tuberculosis, varicella and rubeola

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Private room with negative air pressure: keeps the particles inside the room, moves air into the room instead of out of the room

Respiratory protection (high-efficiency particulate air filter respirator or N95 respirator certified by National Institute for Occupational Safety and Health for known or suspected TB)

Try to bring things to them to prevent them leaving the room

ANA Standards of Clinical Nursing Practice - CORRECT ANSWER: consist of

standards of care and standards of professional performance; Standards of care describe competent practice of nursing process. Standards of professional performance depict competent professional behaviors.

Antibiotic-Resistant Organisms - CORRECT ANSWER: Indiscriminate use of Broad

Spectrum antibiotics -MDRO= Multidrug-resistant organism -MDR-GNB= Multidrug-resistant gram-negative bacilli

-MRSA= Methicillin-resistant Staphylococcus aureus: accounts for 60% of HAI

-Vancomycin=VISA, VRSA, VRE -CRE=Carbapenem-resistant Enterobacteriaceae (i.e. Klebsiella species and E. Coli)

Applications of nursing informatics - CORRECT ANSWER: - Diagnosis

• Therapy
• Decision-making
• Professional Education
• Intra and Interprofessional Care
• Networking
• Dissemination of Information
• Electronic Health Records
• Telehealth
• Mobile Devices
• Clinical of Biomedical Devices
• Research

Assessment (nursing process) - CORRECT ANSWER: -Health History and Physical

Assessment -Sources of data include; patient, family/significant others, patient record, other health care professionals, and nursing/healthcare literature -collecting data -identifying cues and making inferences -validating data -organizing (clustering) data -identifying patterns/testing first impressions -reporting and recording data

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Assessment Parameters to Review (Teaching process) - CORRECT ANSWER:

Knowledge, attitudes, and skills needed to be independent -Readiness to learn -Ability to learn -Learning strengths

Assessment: Ability to learn (teaching process) - CORRECT ANSWER: -Physiological

factors: Do they have or require assistive devices?; Physical comfort, etc.

-Cognitive ability to learn -Developmental considerations -Level of education -Literacy -Communication skills -Primary language -Acuity of senses

Assessment: Learning strengths (teaching process) - CORRECT ANSWER: What is the

patient's best learning style: Reading, demonstrate then re-demonstrate, etc.

High motivation: Do they want to learn?

Strong network of support

Successful learning in the past

Assessment: readiness to learn (teaching process) - CORRECT ANSWER: Motivation: Internal impulse, emotional or physical (pain), that encourages pt. to learn or change behavior

Motivation is enhanced when:

-Patients view themselves as susceptible to the disease -Patients view the disease as a serious threat -Patients believe there are actions they can take to reduce the probability of contracting the disease -Patients believe that the threat of taking these actions is not as great as the disease itself.

Barriers to patient education - CORRECT ANSWER: The nurse: -Makes assumptions -Teaches before knowing who he/she is teaching -Talks, talks, talks....-Lectures -Doesn't let the learner interrupt....-Listens in a hurry -Ignores or makes light of the leaner's concerns -Teaches when the problem is not a lack of information

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