Exam 3

Question 1

cognitive learning domain

Answer 1

knowledge
comprehension
thinking
past experiences
new concepts

Question 2

affective learning domains

Answer 2

feelings
values
intangible
beliefs
expression

Question 3

psychomotor learning domain

Answer 3

imitation
procedure/skills
doing domain
demonstration

Question 4

main principles of learning when teaching

Answer 4

focus the learning
attitude- willing, ready to learn
learning styles
teaching sessions and materials
motivating the patient
diversity

Question 5

essential elements of patient education related to meds

Answer 5

how to store meds
instruct them how to refill
demonstrate how to prepare med
what meds need to be continued
how to read syringe
how to get supply they need
know how to do preassessments before giving certain meds
common side effects they don’t need to worry about
Education for everyone

Question 6

5 steps in nursing process

Answer 6

assessment
nursing diagnosis
planning
implementation
evaluation

Question 7

assessment

Answer 7

data collection
nursing history, medical history
professional observations
physical exam
diagnostic test results

Question 8

nursing diagnosis

Answer 8

Id defining characteristics
perform focused assessment
formulate nursing diagnosis
id and seek orders

Question 9

planning

Answer 9

set priorities
develop written outcome statements
formulate nursing interventions
formulate anticipated therapeutic outcomes
integrate outcomes

Question 10

implementation

Answer 10

meet physical and emotional needs
provide for patient safety
perform/modify nursing interventions
monitor for potential complications
perform ongoing assessments
document care delivered and responses

Question 11

evaluation

Answer 11

document/revise outcome attainment
continue care or start referral to community-based health agency or discharge process

Question 12

Maslow’s Hierarchy of needs to prioritize patients

Answer 12

individual needs
determining which care aspect needs addressed first

Question 13

types of nursing actions for implementation stage

Answer 13

dependent
interdependent
independent

Question 14

dependent nursing actions

Answer 14

directly related to the orders that are written by the healthcare provider

Question 15

interdependent nursing actions

Answer 15

performs baseline and subsequent focused assessments that are valuable for establishing therapeutic goals, the duration of therapy, the detection of drug toxicity, and the frequency of reevaluation.

Question 16

independent nursing actions

Answer 16

nonpharmacological interventions
things we don’t need orders for

Question 17

legal and ethical considerations for med admin

Answer 17

clear policy that authorizes admin of med
signed med order
understanding of rational for drug use
understand drug action, dosing, dilution, route, rate of admin, common and serious AE, contraindications

Question 18

medication errors

Answer 18

prescribing errors
transcription errors
dispensing errors
admin errors
monitoring errors
adverse drug events

Question 19

What are adverse drug events

Answer 19

giving wrong dose

Question 20

prevent med errors

Answer 20

6 rights
admin med same way every time
use technology
perform double check
verify
Report any variance
abnormal hepatic or renal function verify before admin
ped patients= body surface area

Question 21

high alert meds

Answer 21

insulin
heparin
opioids
potassium injectable
neuromuscular blocking agents
chemotherapeutic agents

Question 22

sound-alike meds

Answer 22

tall-man lettering- bigger letters

Question 23

clinical goldmines check

Answer 23

label of container for name, concentration, route
patient’s chart, kardex, med profile, id bracelet for allergies; for rotation schedule
meds to be mixed in 1 syringe
patient’s Id using 2 identifiers

Question 24

clinical goldmines do’s

Answer 24

approach in firm but kind manner
adjust to most appropriate position for route admin
remain till all meds given
teach patient and family about med admin
give simple honest answers regarding med and treatment plan
use container to admin
reward child who is cooperative

Question 25

documentation of meds

Answer 25

record when and why drug not admin the date and time of medication administration; the name of the medication; and the dose, route, and site of administration

Question 26

5 steps in reconciliation process

Answer 26

develop list of current meds bein admin develop list of meds prescribed compare meds on two lists make clinical decisions on basis of comparison communicate new list to caregivers and patient