N424 Exam 1 Questions With
Correct Answers
Code of ethics - ANSWER defines the nursing profession and includes the
following:
•Veracity
•Providing non-judgmental care
•Patient autonomy
•Autonomy of nursing
•Does not need to define what you think yourself- this is to guide us to be a
patient advocate
INC code (international council of nurses) - ANSWER -Nurses responsible for
promoting health, preventing illness, and alleviating suffering
ANA code (American nurses association - ANSWER -Dynamic document
-Responsibility as a nurse to be aware of this document
-Can be a member as a student or working (nursing or education)
standard of nursing practice - ANSWER -Statement/criterion used by a
profession and the general public to measure the quality of practice
-this is so we become quality nurses and provide the same quality to all patients
HIPPA - ANSWER -Protect health information for individuals and allows the
sharing of information as needed for EFFECTIVE care
-protects patients, but also helps us provide care because it allows us to help
take care of the patient
dilemma - ANSWER choice between 2 unpleasent, ethically troubling alternative
Confidentiality - ANSWER the act of holding information in confidence, not to be
released to unauthorized individuals; personal safety
patient rights - ANSWER right to refuse treatment; patient are autonomous- they
get to pick, we can educate on different options
death and dying - ANSWER quality of life, death with dignity
promote peaceful death; do not focus on medical intervention or technology
(turn off monitors above the bed) - ANSWER what is the most important thing for
the patient at the time they are dying?
,hospice - ANSWER caring for a dying patient, terminal within 6 months
palliative care - ANSWER do not expect the patient to get better, but want to
promote comfort- they are not dying yet
heart failure - ANSWER what is an example of someone who would get palliative
care?
Improve their quality of life and make it easier for them to breath and keep them
comfortable - ANSWER what is the goal for palliative care?
what palliative care is - ANSWER •Often do not view palliative care as occurring
until near end of life
•Not always clear when a patient should or needs to shift from life saving care to
a comfort approach
•Interdisciplinary approach to care, relieve suffering and improve quality of life
•Palliative care CAN be provided at the same time as medical treatment
•Very difficult to move from the idea of curing to the process of caring
•Healthcare team needs further education on this area as well as the public!
•They will be on medications
•Need to follow a diet
•The care can help with medication side effects or other causes of discomfort
•This team can help decide when to change to hospice
end of life care - ANSWER •Start by addressing code status, who is making
decisions, advance directives
•Focus is on healing, possibly neglecting the needs of older adults!
•Palliative care continuation
•High-tech and high-touch, think of quality of life for adults at the end of life!
•Nurse serves the role of patient advocate
•Ethical dilemmas?
•#1 goal is comfort for the patient and make sure you are promoting that
•Hard to switch to giving up on medical treatment and just comfort
•Can happen quickly or slowly for a patient
•If it may be days they may be transferred out of the ICU- this is due to the extra
sounds and things going on. It makes it more comfortable for the family and they
can have more 1 on 1 time with the patient
•Want to talk to the patient about code status, you may not have the chance for
this, but that is the best option
advanced directives - ANSWER -Allows patients to plan for healthcare and/or
financial events
-Wills, healthcare surrogate, power of attorney (POA)
•Living wills are not medical orders
-Expresses individual wishes in event of life threatening illness
, -Do not replace medical orders!
•As nurses we are obligated to ask about advanced directives
•If they do we ask for a copy
•If they do not we have to offer assistants with that and someone will come talk
to them about getting advanced directives set up
•They are not medical orders: they may state they do not want tube feedings and
if the patient cannot speak the family may want them to have it
•Family may have guilt and it can be challenging- can provide relief if the family
knows that the patient does not want it
POST (physician order for scope of treatment) - ANSWER •Scope of treatment-
this is a legal document, filled out by patient when they face a terminal illness-
asks specific questions (ventilator, IV meds, Tube feeding)
•Filled out with patient in Doctors office with the doctor and needs to be signed
to be a legal document- most of the time if the patient arrives at the ED they will
bring it
DNR (do not resuscitate) - ANSWER •and better to ask when they can sign it
themselves (need nurse, patient, and doctor signature) full code until that paper
is signed.
•2 RN to witness if a doctors says that is fine one the phone
•DNR order should be the first thing in the paper chart
double - ANSWER what will happen to the population over 65 in the next 15 years
confused, fell and normally walk fine - ANSWER what are some symptoms seen
in an older patient with a UTI?
symptoms - ANSWER what are less predictable in older adults because they
present in different ways?
their baseline, what they are like normally, how do they get around - ANSWER
what are some important things to know about an older client before making
assumptions?
dementia - ANSWER •progresses over time: they do not start out not knowing
who they are
•Figure out where they are
•Were they walking around or are they always bedridden
neurological system changes - ANSWER -Slower sympathetic nervous system
response
-Decreased cardiac compensation
-Slower reflex response
-Slower learning
-Increased risk of med side effects/toxicity (start low and go up)
Correct Answers
Code of ethics - ANSWER defines the nursing profession and includes the
following:
•Veracity
•Providing non-judgmental care
•Patient autonomy
•Autonomy of nursing
•Does not need to define what you think yourself- this is to guide us to be a
patient advocate
INC code (international council of nurses) - ANSWER -Nurses responsible for
promoting health, preventing illness, and alleviating suffering
ANA code (American nurses association - ANSWER -Dynamic document
-Responsibility as a nurse to be aware of this document
-Can be a member as a student or working (nursing or education)
standard of nursing practice - ANSWER -Statement/criterion used by a
profession and the general public to measure the quality of practice
-this is so we become quality nurses and provide the same quality to all patients
HIPPA - ANSWER -Protect health information for individuals and allows the
sharing of information as needed for EFFECTIVE care
-protects patients, but also helps us provide care because it allows us to help
take care of the patient
dilemma - ANSWER choice between 2 unpleasent, ethically troubling alternative
Confidentiality - ANSWER the act of holding information in confidence, not to be
released to unauthorized individuals; personal safety
patient rights - ANSWER right to refuse treatment; patient are autonomous- they
get to pick, we can educate on different options
death and dying - ANSWER quality of life, death with dignity
promote peaceful death; do not focus on medical intervention or technology
(turn off monitors above the bed) - ANSWER what is the most important thing for
the patient at the time they are dying?
,hospice - ANSWER caring for a dying patient, terminal within 6 months
palliative care - ANSWER do not expect the patient to get better, but want to
promote comfort- they are not dying yet
heart failure - ANSWER what is an example of someone who would get palliative
care?
Improve their quality of life and make it easier for them to breath and keep them
comfortable - ANSWER what is the goal for palliative care?
what palliative care is - ANSWER •Often do not view palliative care as occurring
until near end of life
•Not always clear when a patient should or needs to shift from life saving care to
a comfort approach
•Interdisciplinary approach to care, relieve suffering and improve quality of life
•Palliative care CAN be provided at the same time as medical treatment
•Very difficult to move from the idea of curing to the process of caring
•Healthcare team needs further education on this area as well as the public!
•They will be on medications
•Need to follow a diet
•The care can help with medication side effects or other causes of discomfort
•This team can help decide when to change to hospice
end of life care - ANSWER •Start by addressing code status, who is making
decisions, advance directives
•Focus is on healing, possibly neglecting the needs of older adults!
•Palliative care continuation
•High-tech and high-touch, think of quality of life for adults at the end of life!
•Nurse serves the role of patient advocate
•Ethical dilemmas?
•#1 goal is comfort for the patient and make sure you are promoting that
•Hard to switch to giving up on medical treatment and just comfort
•Can happen quickly or slowly for a patient
•If it may be days they may be transferred out of the ICU- this is due to the extra
sounds and things going on. It makes it more comfortable for the family and they
can have more 1 on 1 time with the patient
•Want to talk to the patient about code status, you may not have the chance for
this, but that is the best option
advanced directives - ANSWER -Allows patients to plan for healthcare and/or
financial events
-Wills, healthcare surrogate, power of attorney (POA)
•Living wills are not medical orders
-Expresses individual wishes in event of life threatening illness
, -Do not replace medical orders!
•As nurses we are obligated to ask about advanced directives
•If they do we ask for a copy
•If they do not we have to offer assistants with that and someone will come talk
to them about getting advanced directives set up
•They are not medical orders: they may state they do not want tube feedings and
if the patient cannot speak the family may want them to have it
•Family may have guilt and it can be challenging- can provide relief if the family
knows that the patient does not want it
POST (physician order for scope of treatment) - ANSWER •Scope of treatment-
this is a legal document, filled out by patient when they face a terminal illness-
asks specific questions (ventilator, IV meds, Tube feeding)
•Filled out with patient in Doctors office with the doctor and needs to be signed
to be a legal document- most of the time if the patient arrives at the ED they will
bring it
DNR (do not resuscitate) - ANSWER •and better to ask when they can sign it
themselves (need nurse, patient, and doctor signature) full code until that paper
is signed.
•2 RN to witness if a doctors says that is fine one the phone
•DNR order should be the first thing in the paper chart
double - ANSWER what will happen to the population over 65 in the next 15 years
confused, fell and normally walk fine - ANSWER what are some symptoms seen
in an older patient with a UTI?
symptoms - ANSWER what are less predictable in older adults because they
present in different ways?
their baseline, what they are like normally, how do they get around - ANSWER
what are some important things to know about an older client before making
assumptions?
dementia - ANSWER •progresses over time: they do not start out not knowing
who they are
•Figure out where they are
•Were they walking around or are they always bedridden
neurological system changes - ANSWER -Slower sympathetic nervous system
response
-Decreased cardiac compensation
-Slower reflex response
-Slower learning
-Increased risk of med side effects/toxicity (start low and go up)
