NUR 101 FINAL EXAM CCTC SPRING COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!!

NUR 101 FINAL EXAM CCTC SPRING COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! Competencies: COMPETENCE Answer It is an achievement of affective, cognitive, and psychomotor skills needed to provide safe and quality patient centered nursing care that is based on scientific knowledge and expectations for evidence-based practice. Competencies: CARING Answer A demonstration of concern and consideration for the whole person with respect for individual expression of values, preferences, and needs. Competencies: CRITICAL THINKING Answer Systematic thought process using knowledge, logic, and reasoning for collecting information and developing judgements to manage and provide nursing care. Competencies: DIVERSITY Answer Recognition of an array of differences in self and individuals. Differences are valued, respected, and affirmed as unique. Competencies: COMMUNICATION Answer Verbal or non-verbal interaction between the nurses, patients, their families, their SO's, and the healthcare team in both verbal and written format. Competencies: HEALTH PROMOTION Answer Providing and teaching patients and their families basic health maintenance information for fostering health and managing illness. Competencies: COLLABORATION Answer Leading a health care team and partnering with multidisciplinary teams through communication and information technology to manage care. Competencies: PROFESSIONALISM Answer Skillfulness by virtue of possessing nursing knowledge, behaviors, and attitudes in accordance with scope of practice, nursing standards, and the code of ethics for nurses. Maslow's Hierarchy of Needs Answer (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization An elderly patient has been moved into a long term care facility. The nurse's notice she is having a hard time adjusting to her new environment and is depressed. What can be suggested by the nurse's to help the patient adjust to her new way of living? Answer -Suggest her family visit more often. -Suggest she bring items from home. -Suggest she make friends with other patients. Nursing Process Answer five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating How to record an evaluative statement in the clients plan of care Answer -Always state if goals and outcomes were met or unmet -State how the patient handled the interventions -State how the goals and outcomes were met SMART outcomes Answer Specific Measurable Attainable Realistic Timed A nurse is ambulating a patient when they complain of sudden dizziness. What do you do? Answer -Immediately try and find somewhere nearby to sit the patient down. Try and get back to room if you can. -Get in protective position behind patient holding the gait belt, with one leg in between the patient's legs. Interventions for risk of aspiration Answer -Elevate head of bed -Keep suction near the bedside -Never provide thin liquids -Never let patient drink through a straw -Cough and Deep Breathing Exercises RACE Answer rescue, alarm, contain, extinguish PASS Answer Pull, Aim, Squeeze, Sweep Complications of restraints Answer Constricted blood flow Immobilization Pressure ulcers or skin breakdown Constipation due to immobility Loss of self esteem Agitation Altered nutrition Ultimately death - suffocation or cardiac arrest Fall Risk Precautions Answer -Clutter free environment -Slip resistant shoes or socks -Bed alarm or side rails if ordered -Bed in lowest position -Everything they need within reach -Always assist with ambulation Hearing impaired patients Answer -Gently touch the patient's arm or shoulder to get their attention. -Address patient directly. -Obtain feedback -Encourage questions. -Determine level of hearing loss and what assistive devices are used by the patient. -Increase voice volume if appropriate, but do not shout. -Speak distinctively and slowly using short sentences and pauses. -Eliminate as much background noise as possible. -Offer note pads and other communication devices. -Pictures and captioned videos as appropriate. -Facilitate return demonstrations as appropriate. Two nurses are discussing a patient's condition in an elevator. What crime might the nurses be charged with? Answer Breaking HIPPA