Nursing Fundamentals Final Review
UPDATED ACTUAL Questions and
CORRECT Answers
When do you do medication profiling & reconciliation? - CORRECT ANSWER - on admission,
transfer, & discharge
Health literacy - CORRECT ANSWER - capacity to obtain, process, & understand basic
information about health & health services to make appropriate health care decisions
Role of nurses? - CORRECT ANSWER - advocate for patient & family
Procedure for Admitting Patients - CORRECT ANSWER - place in appropraite receiving area
explain rights & responsibilites
ask about/offer advanced directives
obtain signed consent for services & treatment
orientation to relevant agency polices & procedures
orient to room, equipment, & any restrictions
assessment of health problems and needs
testing and screening
development of individualized care plan
determination of payment source
Discharging planning - CORRECT ANSWER - begins immediately upon admission
decreases hospital readmissions
increases patient satisfaction
Discharge teaching - CORRECT ANSWER - home medication list (med name, strength, dosage)
how to manage care in the home
,what to expect throughout recovery
restirctions
when to call the provider
Effective communication promotes - CORRECT ANSWER - self-efficacy: belief they can manage
adherence: to treatment - effective management
satisfaction: with healthcare & quality of life
Therapeutic Communication Techniques - CORRECT ANSWER - active listening
silence
broad openings
restating
clarification
sharing perceptions
reflection
theme identification
focusing humor
informing
suggesting
Confidentiality - CORRECT ANSWER - restrict access to those directly involved in patient care -
that have a "need to know"
protect records from view of others; NO SOCIAL MEDIA EVER!
Don't identify patients on clinical paperwork (initials only)
Don't keep printouts
SBAR - CORRECT ANSWER - Situation
Background
Assessment
Request recommendation
, Change of shift report - CORRECT ANSWER - may be verbal, taped, walking rounds
should be effective, efficient
be objective, current and concise
use systematic approach
Label each entry - CORRECT ANSWER - begin each with time and date
end each with your signature and title
SOAP(IER) - CORRECT ANSWER - Subjective
Objective
Assessment
Plan
(Intervention)
(Evaluation)
(Reevaluate)
Subjective data - CORRECT ANSWER - your clients verbal descriptions of their health problems
Objective data - CORRECT ANSWER - your observations or measurements of a client's health
status
PIE - CORRECT ANSWER - Problem
Intervention
Evaluation
DAR - CORRECT ANSWER - Data
Action
Response
UPDATED ACTUAL Questions and
CORRECT Answers
When do you do medication profiling & reconciliation? - CORRECT ANSWER - on admission,
transfer, & discharge
Health literacy - CORRECT ANSWER - capacity to obtain, process, & understand basic
information about health & health services to make appropriate health care decisions
Role of nurses? - CORRECT ANSWER - advocate for patient & family
Procedure for Admitting Patients - CORRECT ANSWER - place in appropraite receiving area
explain rights & responsibilites
ask about/offer advanced directives
obtain signed consent for services & treatment
orientation to relevant agency polices & procedures
orient to room, equipment, & any restrictions
assessment of health problems and needs
testing and screening
development of individualized care plan
determination of payment source
Discharging planning - CORRECT ANSWER - begins immediately upon admission
decreases hospital readmissions
increases patient satisfaction
Discharge teaching - CORRECT ANSWER - home medication list (med name, strength, dosage)
how to manage care in the home
,what to expect throughout recovery
restirctions
when to call the provider
Effective communication promotes - CORRECT ANSWER - self-efficacy: belief they can manage
adherence: to treatment - effective management
satisfaction: with healthcare & quality of life
Therapeutic Communication Techniques - CORRECT ANSWER - active listening
silence
broad openings
restating
clarification
sharing perceptions
reflection
theme identification
focusing humor
informing
suggesting
Confidentiality - CORRECT ANSWER - restrict access to those directly involved in patient care -
that have a "need to know"
protect records from view of others; NO SOCIAL MEDIA EVER!
Don't identify patients on clinical paperwork (initials only)
Don't keep printouts
SBAR - CORRECT ANSWER - Situation
Background
Assessment
Request recommendation
, Change of shift report - CORRECT ANSWER - may be verbal, taped, walking rounds
should be effective, efficient
be objective, current and concise
use systematic approach
Label each entry - CORRECT ANSWER - begin each with time and date
end each with your signature and title
SOAP(IER) - CORRECT ANSWER - Subjective
Objective
Assessment
Plan
(Intervention)
(Evaluation)
(Reevaluate)
Subjective data - CORRECT ANSWER - your clients verbal descriptions of their health problems
Objective data - CORRECT ANSWER - your observations or measurements of a client's health
status
PIE - CORRECT ANSWER - Problem
Intervention
Evaluation
DAR - CORRECT ANSWER - Data
Action
Response
