NUR2115- Fundamentals of Professional Nursing
Final Exam Concept Review- Fall 2018
All Modules
Review various nursing diagnoses related to specific patient problems discussed in Fundamentals
Roughly 60% of the final exam will be cumulative over mod 1-7
Module 1-3 Concepts:
Importance of documentation of assessments & interventions
- Accurate documentation of the patient’s assessment is important to provide a baseline for later
comparisons as the patient’s condition changes
Types of nonverbal behavior which could promote improved communication
- Body language
- Gestures, movements, touch, appearance, adornments
- Personal appearance
- May express culture, religion, group associations, self-concept
- Posture and gait
- Erect vs. slouched posture
- Facial expression) the most expressive part of the body)
The importance of QSEN competencies in nursing education
- To prepare nurses who combine the highest level of scientific knowledge and technologic skill with
responsible, caring practice.
- To challenge students to identify and master the cognitive and technical skills as well as the
interpersonal and ethic/legal skills they will need to effectively nurse the patients in their care.
- Patient-centered care
- Teamwork and collaboration
- Quality improvement
- Safety
- Evidence-based practice
, - Informatics
What is a sentinel event?
- An unexpected occurrence involving death or serious physical or psychological injury, or the risk
thereof.
- Serious injury specifically includes loss of limb or function.
- An error that causes serious harm to a client and singles out the need for investigation.
What is the main purpose for incident reporting?
- This helps document what happened to help the healthcare facility learn a way to prevent the
incident from happening again.
Examples of health promotion activities for primary, secondary and tertiary
- Primary: Directed toward promoting health and preventing the development of disease processes or
injury.
- EX: Immunizations clinics, family planning services, providing poison control information, accident
prevention education, teaching about a healthy diet, health-risk assessments.
- Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment it
identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person to
maximum health as quickly as possible
- EX: Assessing children for normal growth and development and encouraging regular medical, dental
and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams and
mammograms, teaching testicular self-exams to men, administering medications, caring for wounds.
- Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability and
helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing
progression of severe diseases =, dying with dignity, assisting to cope with impending death.
, - EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent
contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support
group after removal of a breast because of cancer.
ISBARR, DARE, SOAPIE notes for team communication
- ISBARR allows for an easy focused way to set expectations for what will be communicated and
how between members of the team, which is essential for developing teamwork and fostering a
culture of patient safety.
- SOAPIE= used to organize entries in the progress notes of the POMR. The POMR includes the
defined database, problem list, care plans, and progress notes.
- ISBARR= Introduction, Situation, Background, Assessment, Recommendation/request & Read
back of orders or response
- DARE= Database of Abstracts of Reviews of Effectiveness
- SOAPIE= Subjective data, Objective data, Assessment, Plan, Intervention & Evaluation
Review teaching for a patient with modifiable health risk factors
- T= Tune into the patient
- E= Edit patient information
- A= Act on every teaching moment
- C= Clarify often
- H= Honor the patient as partner in the education process
Age related safety concerns across the lifespan
- Infant: Falls, SIDS (must lay on back to sleep), Injury from toys, Burns, Suffocation and choking,
Electrocution, Ingestion of foreign bodies, Child mistreatment (nurse obliged to report to DCF)
**Need rear facing car seat
- Toddlers: Falls, Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape
from home, Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment (nurse
Final Exam Concept Review- Fall 2018
All Modules
Review various nursing diagnoses related to specific patient problems discussed in Fundamentals
Roughly 60% of the final exam will be cumulative over mod 1-7
Module 1-3 Concepts:
Importance of documentation of assessments & interventions
- Accurate documentation of the patient’s assessment is important to provide a baseline for later
comparisons as the patient’s condition changes
Types of nonverbal behavior which could promote improved communication
- Body language
- Gestures, movements, touch, appearance, adornments
- Personal appearance
- May express culture, religion, group associations, self-concept
- Posture and gait
- Erect vs. slouched posture
- Facial expression) the most expressive part of the body)
The importance of QSEN competencies in nursing education
- To prepare nurses who combine the highest level of scientific knowledge and technologic skill with
responsible, caring practice.
- To challenge students to identify and master the cognitive and technical skills as well as the
interpersonal and ethic/legal skills they will need to effectively nurse the patients in their care.
- Patient-centered care
- Teamwork and collaboration
- Quality improvement
- Safety
- Evidence-based practice
, - Informatics
What is a sentinel event?
- An unexpected occurrence involving death or serious physical or psychological injury, or the risk
thereof.
- Serious injury specifically includes loss of limb or function.
- An error that causes serious harm to a client and singles out the need for investigation.
What is the main purpose for incident reporting?
- This helps document what happened to help the healthcare facility learn a way to prevent the
incident from happening again.
Examples of health promotion activities for primary, secondary and tertiary
- Primary: Directed toward promoting health and preventing the development of disease processes or
injury.
- EX: Immunizations clinics, family planning services, providing poison control information, accident
prevention education, teaching about a healthy diet, health-risk assessments.
- Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment it
identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person to
maximum health as quickly as possible
- EX: Assessing children for normal growth and development and encouraging regular medical, dental
and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams and
mammograms, teaching testicular self-exams to men, administering medications, caring for wounds.
- Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability and
helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing
progression of severe diseases =, dying with dignity, assisting to cope with impending death.
, - EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent
contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support
group after removal of a breast because of cancer.
ISBARR, DARE, SOAPIE notes for team communication
- ISBARR allows for an easy focused way to set expectations for what will be communicated and
how between members of the team, which is essential for developing teamwork and fostering a
culture of patient safety.
- SOAPIE= used to organize entries in the progress notes of the POMR. The POMR includes the
defined database, problem list, care plans, and progress notes.
- ISBARR= Introduction, Situation, Background, Assessment, Recommendation/request & Read
back of orders or response
- DARE= Database of Abstracts of Reviews of Effectiveness
- SOAPIE= Subjective data, Objective data, Assessment, Plan, Intervention & Evaluation
Review teaching for a patient with modifiable health risk factors
- T= Tune into the patient
- E= Edit patient information
- A= Act on every teaching moment
- C= Clarify often
- H= Honor the patient as partner in the education process
Age related safety concerns across the lifespan
- Infant: Falls, SIDS (must lay on back to sleep), Injury from toys, Burns, Suffocation and choking,
Electrocution, Ingestion of foreign bodies, Child mistreatment (nurse obliged to report to DCF)
**Need rear facing car seat
- Toddlers: Falls, Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape
from home, Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment (nurse
