Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Nursing foundations 1004 final Questions With Complete Answers 2025 Latest Update, Exams of Nursing

Imperial College LondonNursing

Nursing foundations 1004 final Questions With Complete Answers 2025 Latest Update Nursing foundations 1004 final Questions With Complete Answers 2025 Latest Update

Typology: Exams

2024/2025

Available from 07/13/2025

Nursmerrit
Nursmerrit 🇬🇧

5

(1)

1.5K documents

1 / 10

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Nursing foundations 1004 final Questions With Complete
Answers 2025 Latest Update
Clinical Judgement - ANSWERS-An interpretation or conclusion about a patient's
needs, concerns, or health problems, and/or the decision to take action (or not),
use or modify standard approaches, or improvise new ones as deemed
appropriate by the patient's response
Clinical Decision Making Model - ANSWERS-The nursing process. Assessment,
diagnoses, planning, interventions, evaluation. **ADPIE**
Nursing Process - ANSWERS-Five step process, 1. asses: perform a nursing
assesment
2. Diagnose: make a nursing diagnosis
3. Plan: formulate and write outcome/goal statements and determine appropriate
nursing interventions based on the clients reality and evidence (research)
4. Implement Care
5. Evaluate: the outcomes and the nursing care that has been implemented. Make
necessary revisions in care interventions as needed.
Assesment - ANSWERS-The systematic and continuous collection, organization,
validation and documentation of data about a client.
Diagnosis - ANSWERS-The nurse analyzes the assessment data in order to
determine key issues and make clinical judgements in the form of a nursing
diagnosis.
Planning - ANSWERS-Nurse sets client centered goals and expected outcomes,
plans nursing interventions, and prioritizes interventions. Planning requires critical
thinking, applied through deliberate decision making and problem solving.
Implementation - ANSWERS-Coordinating care delivery, providing health teaching
and health promotion activities to the client, consulting with other health care
providers, or providing medications or other therapies within the scope of practice
of the registered nurse.
Evaluation - ANSWERS-The nurse conducts an evaluation of the client's response
to the selected interventions and determines whether the interventions were
effective.
Primary Source - ANSWERS-this source is the client
Secondary Source - ANSWERS-information from someplace other than the client,
such as family members or significant others, medical records, and health care
team.
Tertiary Source - ANSWERS-Provide information outside the specific client's frame
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download Nursing foundations 1004 final Questions With Complete Answers 2025 Latest Update and more Exams Nursing in PDF only on Docsity!

Nursing foundations 1004 final Questions With Complete

Answers 2025 Latest Update

Clinical Judgement - ANSWERS-An interpretation or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient's response Clinical Decision Making Model - ANSWERS-The nursing process. Assessment, diagnoses, planning, interventions, evaluation. ADPIE Nursing Process - ANSWERS-Five step process, 1. asses: perform a nursing assesment

  1. Diagnose: make a nursing diagnosis
  2. Plan: formulate and write outcome/goal statements and determine appropriate nursing interventions based on the clients reality and evidence (research)
  3. Implement Care
  4. Evaluate: the outcomes and the nursing care that has been implemented. Make necessary revisions in care interventions as needed. Assesment - ANSWERS-The systematic and continuous collection, organization, validation and documentation of data about a client. Diagnosis - ANSWERS-The nurse analyzes the assessment data in order to determine key issues and make clinical judgements in the form of a nursing diagnosis. Planning - ANSWERS-Nurse sets client centered goals and expected outcomes, plans nursing interventions, and prioritizes interventions. Planning requires critical thinking, applied through deliberate decision making and problem solving. Implementation - ANSWERS-Coordinating care delivery, providing health teaching and health promotion activities to the client, consulting with other health care providers, or providing medications or other therapies within the scope of practice of the registered nurse. Evaluation - ANSWERS-The nurse conducts an evaluation of the client's response to the selected interventions and determines whether the interventions were effective. Primary Source - ANSWERS-this source is the client Secondary Source - ANSWERS-information from someplace other than the client, such as family members or significant others, medical records, and health care team. Tertiary Source - ANSWERS-Provide information outside the specific client's frame

of reference and are a result of the nurse's or other health care team member's response to care, including textbooks, a nurse's experience, and patterns noticed in other clients with similar presentations and conditions. Cue - ANSWERS-information that a nurse obtains through use of the senses. Validation - ANSWERS-the action of checking or proving the accuracy of something Inference - ANSWERS-a conclusion reached on the basis of evidence and reasoning Objective data - ANSWERS-Are observations or measurements of a client's health status. (i.e. blood pressure) Subjective Data - ANSWERS-Are client's verbal descriptions of their health concerns. obtained through the health history and the nurse's questions and the explanation the client provides(i.e. Patient states they are nauseous) Cluster Data - ANSWERS-A set of signs or symptoms that are grouped together in a logical way. Medical Diagnosis - ANSWERS-The identification of a disease condition on the basis of specific evaluation of signs and symptoms. Nursing Diagnosis - ANSWERS-A clinical judgement about client responses to an actual or potential health problem. (Focuses on a clients actual or potential response to a health problem) Collaborative Problem - ANSWERS-An actual or potential complication that nurses monitor to detect a change in client status NANDA - ANSWERS-•Means of translating nursing observations and assessments into standard conclusions in a common nomenclature (Language) •Provides a precise definition of the client's needs •Gives all members of the health care team a common language to use Diagnostic Reasoning - ANSWERS-A process of using assessment data to create a nursing diagnosis Defining Characteristics - ANSWERS-Clinical criteria or assessment finding that help confirm an actual nursing diagnosis. Clinical Criteria - ANSWERS-Objective or subjective signs and symptoms that lead to a diagnostic conclusion. Actual Nursing Diagnosis - ANSWERS-Describes human responses to health conditions or life processes. Risk Nursing Diagnosis - ANSWERS-Describes human responses to health

underlying conceptual frame with a view to changing them and with a view on the change itself. Ethics - ANSWERS-The study of philosophical ideals of right and wrong behaviour based on what one thinks one ought (or ought not) to do. -Commonly refers to the values and standards that individuals and professionals strive to uphold. Code of Ethics RNs - ANSWERS-statement of the ethical values of nurses and nurses' commitments to persons with health care needs. Includes responsibility, accountability, and advocacy Four Principles of Bioethics - ANSWERS-1. Autonomy

  1. beneficence
  2. nonmaleficence
  3. justice Ethical Dilemma - ANSWERS-Conflict between two sets of human values. This is a cause of distress and confusion for patients and caregivers. Moral Distress - ANSWERS-arises when nurses are unable to act according to their moral judgement Moral Integrity - ANSWERS-or "wholeness" when they are committed to certain values and beliefs that are not upheld because of situational constraints Moral Residue - ANSWERS-if moral integrity situations continue and integrity is compromised the person may experience this. Value Clarification - ANSWERS-the process of examining alternatives and deciding what is important for oneself. Fitness to Practice - ANSWERS-all qualities and capabilities of an individual relevant to their practice as a nurse, including but not limited to freedom from any cognitive, physical, psychological or emotional condition and dependence on alcohol or drugs that impairs their ability to practice nursing Self-Care - ANSWERS-defined as an individuals ability and responsibility to engage in healthy lifestyle behaviours that optimize functioning and human development What are the attributes and criteria for clinical judgement? - ANSWERS-Holistic View of patient situation Process Orientation Reasoning and interpretation How do nurses make clinical judgement? - ANSWERS-Noticing

Interpreting Responding Reflecting Apply the nursing process - ANSWERS-The nursing process is a 5-step process:

  1. Assess: preforming a nursing assessment
  2. Diagnose: Making a nursing diagnosis
  3. Plan: formulate and write outcome/goal statements and determine appropriate nursing interventions based on the client's reality and evidence (research)
  4. Implement care
  5. Evaluate: the outcomes and the nursing care that has been implemented. Make necessary revisions in the care interventions as needed. What are the methods of data collection during the assesment stage of the nursing process? - ANSWERS-Interview physical exam observation What are some important considerations during assessment of the patient? - ANSWERS-the patient's ability to perform self-care, usual hygiene practices, and preferences with special attention to balance, coordination, strength, range of motion, and activity tolerance. List three methods of data collection used during assessment. - ANSWERS-1. Nursing health history: gathered during initial or early contact
  6. Family History: genetic illness, family structure, social support
  7. Physical Exam What are the steps in data analysis? - ANSWERS-Step 1: Recognize pattern or trend by cues. Step 2: Compare with normal standards. Step 3: Make a reasoned decision. Explain the importance of data documentation. - ANSWERS-The nurse's legal and professional responsibility. Anything heard, seen, felt, or smelled should be reported accurately. Subjective client information should be placed in quotation marks.

Make sure the client considers the goals / outcomes important and values them. Identify Appropriate Goals... - ANSWERS-Client-Centered Short-Term Long-Term Client-Centered Goal - ANSWERS-A specific and measurable behavioural response that reflects highest level of wellness and independence Short-Term Goal - ANSWERS-An objective client behaviour or response expected within hours to a week Long-Term Goal - ANSWERS-An objective client behaviour or response expected within days, weeks, or months What is the role of the client in goal setting? - ANSWERS-mutual goal setting, active participation and including the, and their family. Why is concept mapping used in clinical? - ANSWERS-Concept mapping is used in clinical to mimic the thought process of the RNs, analyze relationships in the data, establish priorities, build on previous knowledge, facilitate critical thinking, guide patient care and to have a working/live document. Process of concept mapping - ANSWERS-consists of 7 steps: 1.Assessment 2.Organizing the data a) Reason for admission (medical dx) b) List the symptoms c) Cluster related symptoms d) Assign data cluster to a Gidden's concepts e) Formulate a nursing dx for each category 3.Consider related factors 4.Determine key assessment 5.Prioritize 6.Analyze relationships and link nursing diagnosis concepts 7.Develop nursing care plan Are there limits on an RNs scope of practice? - ANSWERS-They DO NOT have limitations on the complexity of a client they can care for.

Why does CRNNL not maintain a list of competencies? - ANSWERS-due to the individual and changing nature of RN scope of practice. Explain the shared competencies of RNs and LPNs - ANSWERS-Competencies both RNs and LPNs share are:

  • assessment,
  • complex dressing,
  • removal of sutures,
  • catheter care,
  • COVID-19 swab/vaccines,
  • CVADs What is the difference between the scope of practice of RNs and LPNs based off of? - ANSWERS-Educational Requirements Understand the RN and LPN role in relation to assignment of care - ANSWERS- Assignment of care has some considerations including the client's needs, your scope of practice, the scope of those who are practicing with you, what you know and what you don't know and how to manage the outcome of care. Differentiate between the type of client that RNs and LPNs can care for - ANSWERS-LPNs will care to clients whose outcomes are predictable, where RNs will care for clients, whose outcomes are unpredictable. In the event of a client who initially has predictable outcomes but something has changed, an LPN with collaboration of an RN is responsible for this client. What is the goal of reflection? - ANSWERS-Regardless of the type of experience, that is, positive or negative, improvement remains the goal of reflection. Carpers four ways of knowing that is utilized by Johns Model - ANSWERS-1. The aesthetic: Art of nursing-empathy
  1. The personal: nurse patient relationship
  2. The ethical: what ought to be done
  3. The empirical: theories and models 5 Cs outlined in Roaches Caring Theory - ANSWERS-1. Compassion
  4. Competence
  5. Confidence
  6. Conscience

· Step 3: Examine and determine your own values on the issues. · Step 4: Verbalize the problem. · Step 5: Consider possible courses of action. · Step 6: Reflect on the outcome. · Step 7: Evaluate the action and the outcome. ethical dilemma - ANSWERS-is a conflict between two sets of human values, both of which are judged to be "good" but neither of which can be fully served. Ethical dilemmas can cause distress and confusion for patients and caregivers. Apply the principles of bioethics - ANSWERS-autonomy, beneficence, nonmaleficence, and justice. Identify ethical issues in nursing practice - ANSWERS-cost-containment issues that jeopardize patient welfare, end-of-life decisions, breaches of patient confidentiality, and incompetent, unethical, or illegal practices of colleagues Autonomy (bioethics) - ANSWERS-respect rights of patients to make health care decisions Beneficence (bioethics) - ANSWERS-Benefit the patient, and balance benefits against risks and harms Nonmaleficence (bioethics) - ANSWERS-the avoidance of harm or hurt. Justice (bioethics) - ANSWERS-refers to fairness. The term is often used during discussions about resources: when competition for a scarce resource exists, justice mandates that decisions be fair and, to the greatest extent possible, unbiased nursing care plan - ANSWERS-includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation.