NUR 233 Final Exam || Guaranteed Pass.
What are the 5 rights of delegation? correct answers Right task, right circumstance, right person,
right directions, right supervision / evaluation
What can UAPs do? correct answers Vital signs
ADLs (eating, bathing, toileting, ambulating AS LONG AS PATIENT IS NOT OBESE OR JUST
HAD SURGERY)
Personal care
Monitor I&Os
What can't UAPs do? correct answers Perform assessments
Delegate tasks
Provide patient education
Admin meds
Admin tube feedings
Perform wound care
What are the 5 steps of the nursing process?
*Think ADPIE* correct answers Assessment, diagnosis, planning, implementation, evaluation
What occurs in the assessment phase? correct answers Objective and subjective data collection
(occurs throughout whole nursing process)
What is subjective data? correct answers What the patient says; in quotes
What is objective data? correct answers Vital signs, labs, physical assessment, etc.
,What should be findings should be immediately reported? correct answers Pain, change in LOC,
vital signs change to abnormal, ABCs
What is included in the diagnosis phase? correct answers States clear concise health problem
Existing evidence
Basis for planning
What does 'PE(S)' stand for for a nursing diagnosis? correct answers P = problem statement
E = etiology/ causes
S = signs and symptoms
What is the proper nursing diagnosis format? correct answers Patient problem + "related to" +
etiology
What are 6 characteristics you must include in the planning phase? correct answers Must be:
Specific
Measurable
Attainable
Action oriented
Realistic for patient
Timely
What is the planning phase designed to accomplish? correct answers Change nursing diagnosis
What must the planning interventions be? correct answers Individualized, safe, and specific
What are the 3 classifications of planning interventions? correct answers Independent
Dependent
, Inter - dependence
What is an independent nursing intervention? correct answers The nurse can do by themselves
without help
What are some examples of an independent nursing intervention? correct answers Patient
education, helping patient sit upright in bed etc.
What is a dependent nursing intervention? correct answers Requires order from provider
What is an example of a dependent nursing intervention? correct answers Ordering medications
What is an inter-dependent nursing intervention? correct answers Nurse works alongside
healthcare team
What are 6 types of nursing interventions? correct answers Behavioral (i.e. quit smoking)
Community (i.e. education programs)
Family
Health system (i.e. PPE, infection control)
Physiological (i.e. patient's physical health)
Safety (i.e. call light near bed, injury prevention, etc.)
What are 5 steps of implementation phases? correct answers Initiating plan
Performing interventions
Delegating interventions
Using skills
Performing continuous assessment
What are the 5 rights of delegation? correct answers Right task, right circumstance, right person,
right directions, right supervision / evaluation
What can UAPs do? correct answers Vital signs
ADLs (eating, bathing, toileting, ambulating AS LONG AS PATIENT IS NOT OBESE OR JUST
HAD SURGERY)
Personal care
Monitor I&Os
What can't UAPs do? correct answers Perform assessments
Delegate tasks
Provide patient education
Admin meds
Admin tube feedings
Perform wound care
What are the 5 steps of the nursing process?
*Think ADPIE* correct answers Assessment, diagnosis, planning, implementation, evaluation
What occurs in the assessment phase? correct answers Objective and subjective data collection
(occurs throughout whole nursing process)
What is subjective data? correct answers What the patient says; in quotes
What is objective data? correct answers Vital signs, labs, physical assessment, etc.
,What should be findings should be immediately reported? correct answers Pain, change in LOC,
vital signs change to abnormal, ABCs
What is included in the diagnosis phase? correct answers States clear concise health problem
Existing evidence
Basis for planning
What does 'PE(S)' stand for for a nursing diagnosis? correct answers P = problem statement
E = etiology/ causes
S = signs and symptoms
What is the proper nursing diagnosis format? correct answers Patient problem + "related to" +
etiology
What are 6 characteristics you must include in the planning phase? correct answers Must be:
Specific
Measurable
Attainable
Action oriented
Realistic for patient
Timely
What is the planning phase designed to accomplish? correct answers Change nursing diagnosis
What must the planning interventions be? correct answers Individualized, safe, and specific
What are the 3 classifications of planning interventions? correct answers Independent
Dependent
, Inter - dependence
What is an independent nursing intervention? correct answers The nurse can do by themselves
without help
What are some examples of an independent nursing intervention? correct answers Patient
education, helping patient sit upright in bed etc.
What is a dependent nursing intervention? correct answers Requires order from provider
What is an example of a dependent nursing intervention? correct answers Ordering medications
What is an inter-dependent nursing intervention? correct answers Nurse works alongside
healthcare team
What are 6 types of nursing interventions? correct answers Behavioral (i.e. quit smoking)
Community (i.e. education programs)
Family
Health system (i.e. PPE, infection control)
Physiological (i.e. patient's physical health)
Safety (i.e. call light near bed, injury prevention, etc.)
What are 5 steps of implementation phases? correct answers Initiating plan
Performing interventions
Delegating interventions
Using skills
Performing continuous assessment
