2024 NUR 155 NARRATIVE EXAM
WITH CORRECT ANSWERS
What are the 4 stages of Tanner's Model? - CORRECT-ANSWERS1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - CORRECT-
ANSWERS1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting (and managing) potential complications
5. Identifying assumptions
What is the RNs role in the nursing process? - CORRECT-ANSWERSRN's
responsible for all steps of nursing process, performs the assessment,
identifies nursing diagnoses, implements and communicates the plan of
nursing care, evaluates/documents patient's response, and reassess/revise
the nursing plan of care as appropriate.
What is the SPICES assessment tool? - CORRECT-ANSWERSAn efficient and
effective instrument for obtaining the information necessary to prevent
health altercations in the older adult patient.
What does the acronym SPICES stand for? - CORRECT-ANSWERS(S) Sleep
disorders
(P) Problems with eating or feeding
(I) Incontience
(C) Confusion
(E) Evidence of falls
(S) Skin breakdown
What is the Epworth Sleepiness Scale (ESS)? - CORRECT-ANSWERSShort
questionnaire designed to determine a patients subjective level of daytime
sleepiness.
Why do we use the ESS? - CORRECT-ANSWERSSleep at night is essential for
good health. Sleepiness during the day can be an antecedent to falls,
declining quality of life, and less functional recovery in older adults.
, Sleepiness during the day may also be an indicator that hypertension and
diabetes
are not well controlled.
What is an abnormal ESS score? - CORRECT-ANSWERSA sum of 9 or more
from the eight individual scores reflects above normal daytime sleepiness
and need for further evaluation.
What is incident reporting? - CORRECT-ANSWERSAn incident report is a tool
that documents any event that may or may not have caused injuries to a
person or damage to a company asset. It is used to capture injuries and
accidents, near misses, property and equipment damage, health and safety
issues, security breaches and workplace misconduct.
What is the importance of incident reporting? - CORRECT-ANSWERSIncident
reporting can act as a "heads up" to management that helps identify
potential problem areas that need to be fixed. Prompt reporting provides
management with a historic record of the facts when the incident occurs. As
time passes facts become clouded, and recollection of details fades.
What is considered an incident? - CORRECT-ANSWERSAn incident, in the
context of information technology, is an event that is not part of normal
operations that disrupts operational processes. An incident may involve the
failure of a feature or service that should have been delivered or some other
type of operation failure.
What is Benner's Stages of Clinical Competence? - CORRECT-ANSWERSIn the
acquisition and development of a skill, a nurse passes through five levels of
proficiency: *novice, advanced beginner, competent, proficient, and expert*
Benner's Stage 1: *Novice* - CORRECT-ANSWERSThe Novice or beginner has
no experience in the situations in which they are expected to perform. The
Novice lacks confidence to demonstrate safe practice and requires continual
verbal and physical cues. Practice is within a prolonged time period and
he/she is unable to use discretionary judgement.
Benner's Stage 2: *Advanced Beginner* - CORRECT-ANSWERSAdvanced
Beginners demonstrate marginally acceptable performance because the
nurse has had prior experience in actual situations. He/she is efficient and
skillful in parts of the practice area, requiring occasional supportive cues.
May/may not be within a delayed time period. Knowledge is developing.
Benner's Stage 3: *Competent* - CORRECT-ANSWERSCompetence is
demonstrated by the nurse who has been on the job in the same or similar
situations for two or three years. The nurse is able to demonstrate efficiency,
is coordinated and has confidence in his/her actions. For the Competent
WITH CORRECT ANSWERS
What are the 4 stages of Tanner's Model? - CORRECT-ANSWERS1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - CORRECT-
ANSWERS1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting (and managing) potential complications
5. Identifying assumptions
What is the RNs role in the nursing process? - CORRECT-ANSWERSRN's
responsible for all steps of nursing process, performs the assessment,
identifies nursing diagnoses, implements and communicates the plan of
nursing care, evaluates/documents patient's response, and reassess/revise
the nursing plan of care as appropriate.
What is the SPICES assessment tool? - CORRECT-ANSWERSAn efficient and
effective instrument for obtaining the information necessary to prevent
health altercations in the older adult patient.
What does the acronym SPICES stand for? - CORRECT-ANSWERS(S) Sleep
disorders
(P) Problems with eating or feeding
(I) Incontience
(C) Confusion
(E) Evidence of falls
(S) Skin breakdown
What is the Epworth Sleepiness Scale (ESS)? - CORRECT-ANSWERSShort
questionnaire designed to determine a patients subjective level of daytime
sleepiness.
Why do we use the ESS? - CORRECT-ANSWERSSleep at night is essential for
good health. Sleepiness during the day can be an antecedent to falls,
declining quality of life, and less functional recovery in older adults.
, Sleepiness during the day may also be an indicator that hypertension and
diabetes
are not well controlled.
What is an abnormal ESS score? - CORRECT-ANSWERSA sum of 9 or more
from the eight individual scores reflects above normal daytime sleepiness
and need for further evaluation.
What is incident reporting? - CORRECT-ANSWERSAn incident report is a tool
that documents any event that may or may not have caused injuries to a
person or damage to a company asset. It is used to capture injuries and
accidents, near misses, property and equipment damage, health and safety
issues, security breaches and workplace misconduct.
What is the importance of incident reporting? - CORRECT-ANSWERSIncident
reporting can act as a "heads up" to management that helps identify
potential problem areas that need to be fixed. Prompt reporting provides
management with a historic record of the facts when the incident occurs. As
time passes facts become clouded, and recollection of details fades.
What is considered an incident? - CORRECT-ANSWERSAn incident, in the
context of information technology, is an event that is not part of normal
operations that disrupts operational processes. An incident may involve the
failure of a feature or service that should have been delivered or some other
type of operation failure.
What is Benner's Stages of Clinical Competence? - CORRECT-ANSWERSIn the
acquisition and development of a skill, a nurse passes through five levels of
proficiency: *novice, advanced beginner, competent, proficient, and expert*
Benner's Stage 1: *Novice* - CORRECT-ANSWERSThe Novice or beginner has
no experience in the situations in which they are expected to perform. The
Novice lacks confidence to demonstrate safe practice and requires continual
verbal and physical cues. Practice is within a prolonged time period and
he/she is unable to use discretionary judgement.
Benner's Stage 2: *Advanced Beginner* - CORRECT-ANSWERSAdvanced
Beginners demonstrate marginally acceptable performance because the
nurse has had prior experience in actual situations. He/she is efficient and
skillful in parts of the practice area, requiring occasional supportive cues.
May/may not be within a delayed time period. Knowledge is developing.
Benner's Stage 3: *Competent* - CORRECT-ANSWERSCompetence is
demonstrated by the nurse who has been on the job in the same or similar
situations for two or three years. The nurse is able to demonstrate efficiency,
is coordinated and has confidence in his/her actions. For the Competent
