NURS 220 Midterm Review
Patient Safety - answerthe pursuit of the reduction and mitigation of unsafe acts within
the healthcare system, as well as the use of best practices show to lead to optimal
patient outcomes.
Nurses are responsible for assessing the patient and environment for - answer hazards
as well as plan, intervene, and maintain that safe environment.
•Educating the patient
•making / keeping the environment clean
•While caring for someone who is ill, encourage sleep, good nutrition and plenty of fluids
•Proper hygiene and PPE- the transmission of pathogen is reduced (or eliminated)
•Basic needs are met
•Physical hazards are reduced
•Pollution is controlled
•Plans are in place for potential disasters Ex. fire, tornado ect
Nurses must have knowledge of - answerThe patient
The environment
yourself
types of patient safety incidents - answer•Harmful
•Near Miss
•No harm
Harmful - answeran incident that results in patient harm
Near miss - answeran incident that didn't reach the patient (no harm)
No harm - answeran incident that reached the patient but no harm resulted
Specific risks to patient safety within the healthcare system include - answer•Falls
•Patient inherent injuries
•Procedure related injuries
•Equipment related injuries
Assess - answerthe situation/ Patient ~ Involves a collection and verification of data and
the analysis of all data to establish a database about a clients perceived needs, health
problems, and responses to those problems. gather data and information about what we
are dealing with.
Diagnose - answerreview the clusters of data to identify patterns. Three types of
diagnosis exist 1) actual 2) at risk 3) wellness
, Written in a two part format including a diagnostic label and an etiological or related
factor
The related factors become the basis for selecting the nursing diagnosis Ex. disturbed
thought process at risk for trauma
Planning - answeryou determine client centered goals, set priorities, develop expected
outcomes of nursing care and develop a nursing care plan.
A client-centered goal is singular, observable,measurable, time limited, mutual and
realistic.
we want to make sure the patient doesn't get sicker- not picking up other infections (we
want to keep the patient as healthy as possible)
Implementation - answerIs the step in which you provide direct and indirect nursing care
interventions to patients
Routine practice~ hand hygiene (soap and water OR hand sanitizer) and PPE (to
protect yourself and patients). We want to break the chain of infection
Giving the client medication
Trying a new diet
Evaluation - answer•allows nurses to determine whether nursing interventions are
successful in improving the client's condition or well being.
•The appropriateness of the intervention as well as the outcome should be evaluated.
•Involves two components:
1. Examination of condition or situation
2. Judgement as to whether change has occurred
•did we do what we needed to do? Is there something else we could/should try?~ did
the plan work?
•Should also evaluate whether the goals of care were realistic.
•As a result of the evaluation sometimes a client's nursing diagnosis, priorities and
interventions sometimes change
Health (WHO) - answer•the extent to which an individual or group is able, on the one
hand to realize aspirations and safety needs and on the other hand to change or cope
with the environment. Health is therefore seen as a resource for everyday life. Not the
objective of living; is it a positive concept emphasizing social and personal resources as
well as physical capacities.
• A person can have a chronic illness and still have healthy characteristics (physical,
mental, social, and spiritual)
Toronto Charter - answerThe social and economic conditions that shape the health of
individuals, communities, and jurisdictions as a whole... [and] determine the extent to
which a person possesses the physical, social, and personal resources to identify and
achieve personal aspirations, satisfy needs, and cope with the environment.
Social determinants of health - answer•Income and social status
Patient Safety - answerthe pursuit of the reduction and mitigation of unsafe acts within
the healthcare system, as well as the use of best practices show to lead to optimal
patient outcomes.
Nurses are responsible for assessing the patient and environment for - answer hazards
as well as plan, intervene, and maintain that safe environment.
•Educating the patient
•making / keeping the environment clean
•While caring for someone who is ill, encourage sleep, good nutrition and plenty of fluids
•Proper hygiene and PPE- the transmission of pathogen is reduced (or eliminated)
•Basic needs are met
•Physical hazards are reduced
•Pollution is controlled
•Plans are in place for potential disasters Ex. fire, tornado ect
Nurses must have knowledge of - answerThe patient
The environment
yourself
types of patient safety incidents - answer•Harmful
•Near Miss
•No harm
Harmful - answeran incident that results in patient harm
Near miss - answeran incident that didn't reach the patient (no harm)
No harm - answeran incident that reached the patient but no harm resulted
Specific risks to patient safety within the healthcare system include - answer•Falls
•Patient inherent injuries
•Procedure related injuries
•Equipment related injuries
Assess - answerthe situation/ Patient ~ Involves a collection and verification of data and
the analysis of all data to establish a database about a clients perceived needs, health
problems, and responses to those problems. gather data and information about what we
are dealing with.
Diagnose - answerreview the clusters of data to identify patterns. Three types of
diagnosis exist 1) actual 2) at risk 3) wellness
, Written in a two part format including a diagnostic label and an etiological or related
factor
The related factors become the basis for selecting the nursing diagnosis Ex. disturbed
thought process at risk for trauma
Planning - answeryou determine client centered goals, set priorities, develop expected
outcomes of nursing care and develop a nursing care plan.
A client-centered goal is singular, observable,measurable, time limited, mutual and
realistic.
we want to make sure the patient doesn't get sicker- not picking up other infections (we
want to keep the patient as healthy as possible)
Implementation - answerIs the step in which you provide direct and indirect nursing care
interventions to patients
Routine practice~ hand hygiene (soap and water OR hand sanitizer) and PPE (to
protect yourself and patients). We want to break the chain of infection
Giving the client medication
Trying a new diet
Evaluation - answer•allows nurses to determine whether nursing interventions are
successful in improving the client's condition or well being.
•The appropriateness of the intervention as well as the outcome should be evaluated.
•Involves two components:
1. Examination of condition or situation
2. Judgement as to whether change has occurred
•did we do what we needed to do? Is there something else we could/should try?~ did
the plan work?
•Should also evaluate whether the goals of care were realistic.
•As a result of the evaluation sometimes a client's nursing diagnosis, priorities and
interventions sometimes change
Health (WHO) - answer•the extent to which an individual or group is able, on the one
hand to realize aspirations and safety needs and on the other hand to change or cope
with the environment. Health is therefore seen as a resource for everyday life. Not the
objective of living; is it a positive concept emphasizing social and personal resources as
well as physical capacities.
• A person can have a chronic illness and still have healthy characteristics (physical,
mental, social, and spiritual)
Toronto Charter - answerThe social and economic conditions that shape the health of
individuals, communities, and jurisdictions as a whole... [and] determine the extent to
which a person possesses the physical, social, and personal resources to identify and
achieve personal aspirations, satisfy needs, and cope with the environment.
Social determinants of health - answer•Income and social status
