passed 2025/2026
The plan of care goals S: Smart
S.M.A.R.T. stands for? Measurable A:
Attainable
Realistic T:
Timed
(Interventions & Evaluation)
1. Non-maleficence The duty to cause no harm, both individually and for all
2. Autonomy Freedom of choice
3. Beneficence Taking positive action to help others
4. Justice Fair distribution of resources (Access to healthcare)
5. Fidelity Agreement to keep promises
6. Accountability Responsible legally and professionally for decisions
7. Advocacy Protecting patients' human and legal rights
8. Veracity Being honest and telling the truth (Honest about risks for a procedure)
9. Maslow's Hierarchy of § Basic Needs- food, warmth, water, rest
needs: § Safety Needs- Security and safety
§ Belongingness and Love Needs- Intimate relationships and friendships
§ Esteem Needs- Prestige and feeling of accomplishment
§ Self-Actualization- Achieving one's full potential, including creative activi-
ties
10. Priority Nursing o Providing physical treatments, emotional support, and patient
In- terventions education are all examples of nursing interventions; nursing care
plan to monitor and improve their patient's comfort and health
o Survival needs or imminent life-threatening problems take the
highest
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priority
o What is the nurse's priority? Which client should the nurse see first? If
you can only choose one option...? What should the nurse do
next?
11. Prioritizing Patients o Consider age of patient, vital signs that are out of range, ABCs, pain
and
safety
Priority 1: Treatable life-threatening illness or injury Priority
2: Serious but not life-threatening illness or injury
Priority 3: Walking wounded
Priority 4 (sometimes called Priority 0): Dead or fatally injured
12. Delegation o NEVER delegate clinical reasoning, judgment, education, and
s: UAP/CNA critical decision-making to UAP
o Right task, right circumstance, right person, right directions or
commu- nication, and right supervision or evaluation
13. Hospice o Focuses on care of terminally ill patients, usually those who have
less than
6 months to live
o Non-curable
o No identifiable cause
o More suttering with pain
§ Goal is to manage pain, provide comfort, and ensure the quality of life
14. Palliative Care o Care designed not to treat an illness but to provide physical and
emotional
comfort to the patient, and support and guidance to his or her family
o Curable
o Available for anyone, no age limitations
o Focuses on prevention, relief, and reduction of symptoms
§ Goal is to help achieve the best possible quality of life
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,15. Sleep Disorders o Bed wetting, sleep-onset anxiety, sleep apnea, delayed sleep phase
disorder, sleepwalking/talking, night terrors
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16. The RN is caring He is preparing to do initial rounds.
for four clients Which client should the nurse as- sess
and is preparing first?
to do his initial
rounds. Which
client should the
nurse assess
first?
A. A client with
di- abetes is
being dis-
charged today.
B. A 35-year-old
male with
tracheosto- my
and copious se-
cretions.
C. A teenager is
scheduled for
physi- cal therapy
this morn- ing.
D. A 78-year-old
fe- male client
with a pressure
ulcer needs a
dressing change.
17. The nurse is as-
signed to the car-
diac unit caring
for four clients.
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