Final Exam- Spring 2018
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*The final exam will cover your required readings from the following
chapters: 1, 2, 3, 4, 5, 6, 8, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,
25, 26, 27, 31, 32, 33, 34, 36, 37, 38, 40 and 41.
All Modules
Review various nursing diagnoses related to specific patient problems
Module 1-3 Concepts:
Review importance of documentation of patient assessments
Accurate documentation of this data is important to provide a baseline for later
comparisons as the patient's condition changes.The patient record is the only
permanent legal document that details the nurse's interactions with the patient
and is the nurse's best defense if a patient or patient surrogate alleges nursing
negligence.
Review 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!
Review the importance of QSEN 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 ethical/legal skills they will need to effectively nurse
the patients in their care.
Review what a sentinel event is
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.
Review 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: Immunization 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; screenings
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 an 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.
Review use of ISBARR model of communication
ISBARR is an easy to remember, concrete mechanism useful for framing
any conversation, especially critical ones, requiring a clinician's immediate
attention and action. It 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.
Introduction
Situation
Background
Assessment
Recommendation/Request
Read-back of orders or Response
Review teaching for a patient on anticoagulant therapy- safety considerations
Use electric razors to shave
Age related safety concerns
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
Toddler: Falls
Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape
from home
Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment
(nurse obliged to report to DCF), **Front facing car seat in the BACK seat
School Age Children- Sexual abuse, Burns, Broken bones, Concussions
Drowning, Guns and weapons, Use of Internet, Sports injuries (cognitive rest),
Abduction, Bullying (cyberbullying), Child mistreatment (nurse obliged to report
to DCF) **Back seat until age 13