Care & Management Exam 1 – Nursing Practice Review, Leadership Principles
and Study Guide
A way of thinking about, strategizing, and implementing solutions to improve patient status
and/or outcomes - correct answer ✔✔The nursing process
What are the 5 steps in the nursing process? (ADPIE) - correct answer ✔✔Assessment
Diagnosis
Plan
Implement
Evaluate
What is the purpose of the nursing process? - correct answer ✔✔To apply knowledge, skills,
judgement, and experience; formulate a nursing plan of care
What is involved in the assessment step of the nursing process? - correct answer ✔✔Collecting
subjective and objective data on your patient; get a global picture of what is going on
Why are care plans important? - correct answer ✔✔Guides nursing care
Keeps nurses accountable and liable
Substantiates the care provided for review by payers, legal entities, and accreditation services
What does the planning step of the nursing process include? - correct answer ✔✔-separating
actual from potential problems
-prioritizing problems
-identifying goals
-identifying HCP collaboration
,What are the 3 types of planning? - correct answer ✔✔Comprehensive
Ongoing
Discharge
Planning that is based on full head-to-toe assessment and patient interview (usually based on
admission data) - correct answer ✔✔Comprehensive planning
Planning that obtains new information with each shift and as available; update, modify, and
individualize care plan - correct answer ✔✔Ongoing planning
Planning that includes learning and anticipating the patient's family's needs after discharge;
should begin on admission - correct answer ✔✔Discharge planning
What are the 3 types of problems/needs? - correct answer ✔✔Actual (problem-focused_
Potential (risk for)
Health promotion
"Cupcake watch vs cupcake warning"
What do we use to prioritize our problems/needs? - correct answer ✔✔Maslow's hierarchy of
needs and ABC framework
What are the 5 levels of Maslow's? (Bottom to top) - correct answer ✔✔Physiological,
safety/security, love and belonging, self-esteem, self-actualization
What are the physiological needs in order? (ABCDEF) - correct answer ✔✔Airway
,Breathing
Circulation
Disability
Exposure
Food/fluids
Neurosensory
Elimination
Rest/activity
Pain
Hygiene
Once we know what the patient's priority need is, what do we do? - correct answer ✔✔Identify
SMART goals
What does SMART stand for? - correct answer ✔✔Specific
Measurable
Attainable
Relevant
Timed
What is the difference between short term and long term goals? - correct answer ✔✔Short
term goals are set to be met by the end of the clinical day and long term are by discharge; short
term goals are baby steps toward the long term goal
What are the 4 types of interventions? - correct answer ✔✔Nursing
Provider
Collaborative
, Teaching
Where does the basis of your prioritization come from? - correct answer ✔✔Shift
report/communication w team
Review of documents
Collection of patient data
What does "systemic before local" mean? - correct answer ✔✔"Life before limb"
What type of intervention do we choose first? What is an example of this? - correct answer
✔✔Least restrictive; moving high fall risk patient closer to nurses desk before using restraints
What takes priority: acute or chronic? - correct answer ✔✔Acute
What is the nurse's role when it comes to patient rights? - correct answer ✔✔Ensure patient
understands rights
Protect those rights
Advocate for patient
Ability of patient to make own decision - correct answer ✔✔Autonomy
Care in the best interest of the patient - correct answer ✔✔Beneficence
Doing what you say you will do for the patient - correct answer ✔✔Fidelity
Fair treatment - correct answer ✔✔Justice
and Study Guide
A way of thinking about, strategizing, and implementing solutions to improve patient status
and/or outcomes - correct answer ✔✔The nursing process
What are the 5 steps in the nursing process? (ADPIE) - correct answer ✔✔Assessment
Diagnosis
Plan
Implement
Evaluate
What is the purpose of the nursing process? - correct answer ✔✔To apply knowledge, skills,
judgement, and experience; formulate a nursing plan of care
What is involved in the assessment step of the nursing process? - correct answer ✔✔Collecting
subjective and objective data on your patient; get a global picture of what is going on
Why are care plans important? - correct answer ✔✔Guides nursing care
Keeps nurses accountable and liable
Substantiates the care provided for review by payers, legal entities, and accreditation services
What does the planning step of the nursing process include? - correct answer ✔✔-separating
actual from potential problems
-prioritizing problems
-identifying goals
-identifying HCP collaboration
,What are the 3 types of planning? - correct answer ✔✔Comprehensive
Ongoing
Discharge
Planning that is based on full head-to-toe assessment and patient interview (usually based on
admission data) - correct answer ✔✔Comprehensive planning
Planning that obtains new information with each shift and as available; update, modify, and
individualize care plan - correct answer ✔✔Ongoing planning
Planning that includes learning and anticipating the patient's family's needs after discharge;
should begin on admission - correct answer ✔✔Discharge planning
What are the 3 types of problems/needs? - correct answer ✔✔Actual (problem-focused_
Potential (risk for)
Health promotion
"Cupcake watch vs cupcake warning"
What do we use to prioritize our problems/needs? - correct answer ✔✔Maslow's hierarchy of
needs and ABC framework
What are the 5 levels of Maslow's? (Bottom to top) - correct answer ✔✔Physiological,
safety/security, love and belonging, self-esteem, self-actualization
What are the physiological needs in order? (ABCDEF) - correct answer ✔✔Airway
,Breathing
Circulation
Disability
Exposure
Food/fluids
Neurosensory
Elimination
Rest/activity
Pain
Hygiene
Once we know what the patient's priority need is, what do we do? - correct answer ✔✔Identify
SMART goals
What does SMART stand for? - correct answer ✔✔Specific
Measurable
Attainable
Relevant
Timed
What is the difference between short term and long term goals? - correct answer ✔✔Short
term goals are set to be met by the end of the clinical day and long term are by discharge; short
term goals are baby steps toward the long term goal
What are the 4 types of interventions? - correct answer ✔✔Nursing
Provider
Collaborative
, Teaching
Where does the basis of your prioritization come from? - correct answer ✔✔Shift
report/communication w team
Review of documents
Collection of patient data
What does "systemic before local" mean? - correct answer ✔✔"Life before limb"
What type of intervention do we choose first? What is an example of this? - correct answer
✔✔Least restrictive; moving high fall risk patient closer to nurses desk before using restraints
What takes priority: acute or chronic? - correct answer ✔✔Acute
What is the nurse's role when it comes to patient rights? - correct answer ✔✔Ensure patient
understands rights
Protect those rights
Advocate for patient
Ability of patient to make own decision - correct answer ✔✔Autonomy
Care in the best interest of the patient - correct answer ✔✔Beneficence
Doing what you say you will do for the patient - correct answer ✔✔Fidelity
Fair treatment - correct answer ✔✔Justice
