ALL REAL TEST QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | ALREADY GRADED A+ | LATEST
EXAM .
What are the requirements for communication in
documentation according to the CNO Practice Standard? -
ANSWER-Reflects all aspects of the nursing process, legible,
full signature or initials and designation
What are the requirements for accountability in documentation
according to the CNO Practice Standard? - ANSWER-Never
delete, alter or modify another nurse's charting, follow policy
for late entries and correcting errors
What are the requirements for security in documentation
according to the CNO Practice Standard? - ANSWER-Maintain
confidentiality, access only necessary information, use secure
methods for transmitting patient information
What are the steps for taking verbal and telephone orders? -
ANSWER-Repeat order, enter into system, document as
verbal/phone order, include date, time, physician's name, and
nurse's signature.
,What is required for a verbal or telephone order to be valid? –
ANSWER-Physician's cosign within a defined time period.
What is the nursing process? - ANSWER-Problem-solving
approach to identify, diagnose, and treat health issues from a
nursing perspective.
What are the characteristics of the nursing process? -
ANSWER-Personfocused, goal-oriented, individualized, applies
to all ages and health problems.
What is the first step of the nursing process? - ANSWER-
Assessment - deliberate and systematic collection of data.
What are the two stages of assessment? - ANSWER-Collection
and verification of data, analysis of data.
What are the types of data in assessment? - ANSWER-
Subjective (pt's descriptions) and objective (nursing
observations).
What are the sources of data in assessment? - ANSWER-
Primary sources (the pt) and secondary sources (family and
significant others).
, What are some examples of secondary sources? - ANSWER-
Nursing notes, change of shift report, database, lab and
diagnostic results, medical records
What are some examples of tertiary sources? - ANSWER-
Nurse's experience, relevant literature
What is an interview in the context of collecting subjective
data? - ANSWER-An organized conversation with a patient
What are the three phases of an interview? - ANSWER-
Orientation phase, working phase, termination phase
What are some skills to have during an interview? - ANSWER-
Reasonable eye contact, use plain language, let the patient
finish speaking, take notes
What is the first step in the nursing process? - ANSWER-
Assessment
How can subjective and objective data be organized? -
ANSWER-Using a computerized or written form, modifying it
according to patient status