Empirical Knowing - Answers systematic, numbers, visible.
Which statement(s) by the student nurse indicates an understanding of the nursing Kardex? Select all
that apply.
a. "It pulls data from multiple areas of the patient's chart."
b. "It is usually kept at the patient's bedside."
c. "It is used to document patient response to interventions."
d. "It summarizes the plan of care and guides nursing care." - Answers a. "It pulls data from multiple
areas of the patient's chart."
d. "It summarizes the plan of care and guides nursing care."
A client admitted to the inpatient medical-surgical unit has suffered sudden respiratory failure. The
client's condition is getting worse; he is cyanotic (turning blue) with periods of labored breathing.
What action should the nurse take first?
a. Study the discharge plan.
b. Check the graphic data for vital signs.
c. Examine the history and physical examination.
d. Look for an advance directive. - Answers d. Look for an advance directive.
The department of nursing at a local hospital is considering changing to charting by exception (CBE).
What is a major disadvantage of CBE?
a. Increases the time nurses spend on charting in narrative format
b. Does not clearly identify deviations from normal expectations
c. Requires all providers to document in the same sections of the chart
d. Can increase the risk of omissions in patient care - Answers d. Can increase the risk of omissions in
patient care
The nursing assistive personnel (NAP) informs the nurse that a patient has fallen out of bed and is in
pain. The nurse assesses the patient and provides care. Identify the correct documentation of the fall.
a. Patient found on floor after falling out of bed and verbalizes (L) hip pain.
b. Patient found on floor by NAP Smith and verbalizing (L) hip pain.
c. Patient fell out of bed but is currently in bed.
d. Patient reminded not to climb OOB after falling. - Answers b. Patient found on floor by NAP Smith
and verbalizing (L) hip pain.
In performing a handoff report, the nurse should communicate information on which of the
following?
Select all that apply.
a. Teaching performed
b. Any change in client status
c. Treatments administered
d. Hygiene measures performed - Answers A, B, C
What are the components of a nursing diagnosis? - Answers diagnostic category, defining
characteristics, and related factors?
What are the 5 rights of delegation? - Answers Right task, right situation, right person, right
directions, and right supervision
What are the 4 "permanent" principles of the Catholic Social Teaching (CST)? - Answers Human
dignity, the common good, subsidiarity and solidarity
What is the purpose of documentation? - Answers communication, continuity of care, quality
improvement, legal documentation, nursing scope and standards of practice and reimbursement
All documentation should be FACTUAL. What does the acronym stand for? - Answers Facts, accurate,
complete, timely, unusual occurrences, assessment and legal record/documentation
If you make a mistake on documentation, how do you correct it? (written) - Answers draw one single
line through mistakes and initial
What does EHR stand for? - Answers Electronic Health Record
How much time is generally spent on charting during a shift? (percentage) - Answers 25%
How many provisions are in the Nursing Code of Ethics? - Answers 9
What are they 8 ethical principles? - Answers Autonomy, beneficence, non-maleficence, justice,
veracity, fidelity, paternalism, and respect for others.
, What are things you cannot delegate? - Answers assessment, diagnosis, planning, implementation
and evaluation
What are the types of PICOT questions? - Answers Intervention, Prognosis or prediction, Dx of
diagnostic test, etiology, and meaning
What does the acronym PICOT stand for? - Answers PT poplulation, intervention, comparison
intervention, outcomes, how much time
What are the outcomes of a nursing dx based off of? - Answers Based on the characteristics listed
under the heading "as manifested by"
The goals of a nursing diagnosis is the opposite of what? - Answers The diagnostic category
What are major and minor characteristics of a nursing diagnosis? - Answers signs and symptoms of
the category
What are the standards of practice for the Nursing Process? - Answers assessment, diagnosis,
planning, intervention, and evaluation
Ethical Knowing - Answers morality of nursing, considers personal/cultural beliefs, advocates, cloudy,
monitoring, informed consent.
What is a paradigm? - Answers point of view, assumption, process for knowledge development
What are the components of a theory? - Answers assumptions, concepts, and generalizations
What are Carper's fundamental patterns of knowing? - Answers empirical, personal, aesthetic, and
ethical
What are the categories of Nursing Theory? - Answers Grand, middle range, and micro theory
What nursing theory category is most applicable? - Answers Middle range theory
What does the Social Policy statement include? - Answers social context, definition of nursing,
knowledge base for nursing practice, scope of nursing practice, standards of professional
What are characteristics of nursing practice? - Answers human responses/phenomena, theory
application/science, Nursing Actions/EBP (evidence based practice), outcomes/effects.
What are the three nursing sensitive indicators? - Answers structural, process, and income.
What are the metaparadigm concepts? - Answers Human individual/family/community, health,
environment, and nursing
Personal Knowing - Answers knowing what you do and don't know, therapeutic relationship/working
relationship, growing, knowing self, ambiguity, authentic, intuition, social interaction.
Aesthetic Knowing - Answers opposite of empirical, empathy, behaviors of PT,
creativity/individualizing unique person, rapport.
Nursing Theory - Answers Set of interrelated concepts, assumptions, and generalizations that
systematically describe, explain and predict a phenomenon.
Paradigm - Answers Point of view, assumption, process for knowledge development
Particulate-deterministic Paradigm - Answers concepts defined by component parts, predictable,
knowledge
Interactive-integrative - Answers multidimensional/contextual, relationships, probabilistic nature of
change.
Unitary-transformative - Answers Person-environment patterned self organizing field within larger
fields, Change fluctuation of rhythms-organization to disorganization moving toward a more complex
organization-patterns, subjective experience.
Quantitative Research - Answers systematic, objective, number-based, large sample, follow study
design, clearly identified levels of design and evidence,
Qualitative Research - Answers systematic, subjective, narrative-base, small number of participants
(but lots of narrative to analyze), study design emerges during data collection, goal: describe
experience and provide meaning.
Delegation - Answers "transfer of authority to another nurse or competent, unlicensed assistive
person to perform a specific nursing task or activity in a specific situation"
Statutory Law - Answers written law, created by legislation, exp. HIPAA, Nursing Practice Act
Regulatory or Administrative law - Answers regulations put forth by agencies, usually for general
practice, exp: Board of Nursing, state bar association, DNR, how many CEUS, hrs, etc.
Common Law - Answers bench or case law, judge made a decision, "this is what the practice is going
to be", exp common law marriage
Criminal Law - Answers judicial, punishment
Civil Law - Answers issues between people who end up in court of law