NR 226 Final Exam Study Outline
*****ADPIE for ALL!!****
The Nursing Process
o Know and identify each step of the nursing process
o Assessment
▪
... [Show More] Phases of interview/assessment
▪ Methods of obtaining data
▪ Subjective vs objective data
o Diagnosis
▪ Identify components of the nursing diagnostic statement
▪ Identify assessment findings, goals, interventions, evaluations appropriate
to a specific nursing diagnosis.
o Planning
▪ Components of goal/outcome statement
▪ Identify assessment findings, nursing diagnosis, interventions,
evaluations appropriate to a specific outcome or goal.
o Implementation
▪ Independent vs. dependent nursing interventions
▪ Direct vs. indirect care activities
▪ Identify assessment findings, nursing diagnoses, goals, evaluation
appropriate to specific interventions
o Evaluation
▪ Elements of the evaluation process
▪ Identify assessment findings, nursing diagnoses, goals, interventions
appropriate to specific goals
Professional Practice
o Delegation
▪ 5 rights
▪ supervision
o Prioritization of care
o Nursing care delivery models
o Management of patient care
▪ Organization
▪ Time management
▪ Utilization of resources
▪ Evaluation
o Leadership
▪ Characteristics of effective leader
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Ethics
o Code of Ethics
o Understand, give examples of terms
o Issues – quality of life, genetic screening, futile care
o Guidelines for ethical decision making
Legal issues in nursing
o Understand, give examples of terms
o HIPAA
o Errors
o Nurse practice act, ADA, EMTALA, living will/durable power of attorney, health
care surrogate, organ donation
o Minor child
o Consent
o Use of restraints
Older Adult
o Expected physical and cognitive changes
o Goals for care of cognitively impaired older adults
o Nursing Process
Pain
● Assessment of pain
o Factors affecting/influencing pain perception
o Pain scales
● Cultural considerations
● Tolerance, addiction
● Goals for pain management
● Patient teaching regarding pain management
● Non-pharmacologic interventions
● Evaluation of effectiveness of interventions
Grief
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● Grief, mourning – definition and examples/effects
● Criteria for hospice care, palliative care
● Post mortem care, when autopsy required
● Cultural considerations for death, dying, post-mortem care
● Types of grief and loss – definitions and examples
● Kubler-Ross stages
● Factors influencing loss and grief
● Nurse’s care for self
● Communication/care of patient and significant others
● Nursing diagnoses related to grief/death & dying
Sleep
● Stages of sleep – definitions & what happens in each stage
● Functions/ purposes of sleep
● Factors that affect sleep
● Factors that promote sleep
● Sleep hygiene
● Nursing diagnoses related to sleep
● Sleep disorders & related assessment and nursing care
o Insomnia, sleep apnea, narcolepsy
● Conducting sleep assessment/ sleep history
● Sleep requirements based on developmental stage
● Symptoms that occur with lack of sleep
Bowel Elimination
● Assessment of bowel function
● mouth
● abdomen
● rectum
● Causes of diarrhea, constipation
● Diarrhea:
● Constipation: low fiber diet,
● Nursing diagnoses related to bowel elimination
● Bowel incontinence
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● Constipation
● Risk for constipation
● Lack of knowledge of Dietary Regimen
● Interventions to promote bowel elimination
● Encourage fluid intake
● Encourage activity
● Add fiber to diet
● Provide stimulant laxatives and stool softeners
● Encourage bm at same time each day
● Ostomy assessments, care, teaching
● site of stoma (juicy and red)
●
● Hemoccult testing
● Enema administration
● Bowel training program [Show Less]