Describe the Joint Commission 2021 National Patient Safety Goal #1 (NPSG 01.01.01)
IDENTIFY PATIENTS CORRECTLY: Use at least 2 patient identifiers when providing care, treatment, and services. (Name and DOB preferred)
Describe the Joint Commission 2021 National Patient Safety Goal #7 (NPSG 07.01.01)
PREVENT INFECTION: Use hand hygiene guidelines recommended by CDC & WHO, set goals for improving hand hygiene, use goals to improve hand hygiene.
Describe the Joint Commission 2021 National Patient Safety Goal #9 (NPSG 09.01.01)
REDUCE THE RISK OF FALLS: Assess patient’s risk factors for falls, implement interventions to reduce risk, educate patient on reducing fall risk strategies, evaluate effectiveness.
According to the MORSE fall risk scale, a score of 52 would indicate what type of risk?
High Risk - (45 or higher)
Give examples of internal variables influencing illness and illness behavior.
Patient’s developmental stage, intellectual background, emotional status, spiritual factors.
Give examples of external variables influencing illness and illness behavior.
Family practices, psychosocial factors, socioeconomical factors, cultural background.
What are examples of the primary level of prevention?
- Immunizations, child car seat education, nutrition and fitness activities, health education in schools.
- Anything that promotes health and prevents disease w/specific protections.
What are examples of the secondary level of prevention?
- Disease screenings/case finding, early detection/treatment, exercise programs for older adults.
- Anything that focuses on identifying illness, providing treatment, and preventing a worsening health status.
What are examples of the tertiary level of prevention?
- Begins after an injury/illness, promoting independence, referrals to support groups, rehabilitation center.
- Prevents long-term consequences of a CHRONIC illness or disability and supports optimal functioning.
Describe the difference between wellness and illness.
- Wellness is a person’s state of health that is progressing toward a higher level of functioning, a balance between internal/external environments.
- Illness is when a person’s emotional, mental, physical, spiritual, developmental functioning or status is diminished (NOT A DISEASE, personal viewpoint)
What are the components of Health History/Nursing History?
- Demographic info: name, age, gender, race, occupation)
- Chief Concern/Complaint (CC): reason for seeking care
- HX of Present Illness: details about manifestation(s), location, quality/quantity, setting, timing (onset/duration), alleviating/aggravating factors.
- Past Health HX & Current Health Status: childhood illnesses, surgical & medical hx, current immunization status, allergies, current medications (including OTC and herbal supplements), lifestyle patterns, substance abuse/
- Family HX: any significant hx, family structure.
- Psychosocial HX: relationships, support system, etc.
- Health Promotion Behaviors: exercise/diet, awareness of any risks, use of walker, eyeglasses, etc.
Define nonmaleficence.
A commitment to do no harm.
What does SOLER stand for?
Sit close, observe, lean forward, eye contact, relax.
What does LIDQ stand for?
Location, intensity, duration, quality
What is difference between somatic, visceral, and referred pain
Visceral is related to large internal organs
Somatic is related to bones and ligaments
What does autonomy mean?
commitment to include patients in decisions
What are the nursing code of ethics principles?
Advocacy, accountability, responsibility,
What are the steps of the nursing process?
Assessment, planning, implementation, evaluation.
What does SPICES stand for?
Sleep disorders problems w/eating incontinence confusion evidence of falls skin breakdown
What does ISBARR stand for?
Identify, situation, background, assessment, recommendations, read back orders.
How do you calculate BMI?
Weight (lbs) / Height (inches, squared) X 703
What BMI is considered overweight? Obese?
Obese = 30 and up
What are the 4 phases of the nurse-patient relationship?
Preinteraction, orientation, working, termination
