Nursing 101 Exam 2
Card Set Information
Nursing 101 Exam 2
Documentation and Teaching/Education
What is the purpose for the patient chart?
provides communication between health care professionals
used for financial billing
used as educational tools
used for auditing and monitoring
What is the purpose of the client admission assessment.
admission assessment is to establish a baseline
What are the guidelines for charting error.
draw a line through the error and initial. Then write "mistaken entry" or "error"
Do Not write Opinions "seems like" or "appears"
Use only accepted Abbreviations
What are the guidelines for a late entry?
put the current date and time then write (late entry for date and time)
what are the guidelines for writing an incident report?
Write incident report when something out of the normal happens (needle stick, client fall, med error, injury..)
Note in the chart that incident reports was written
Keep incident report separate from the chart
Write exactly what you saw, if pt tells you something write pt states " "
Arte and Science of Teaching Adults
Discipline involved with teaching children
helping children learn
the process involved in teaching older adults
Helping older adults learn
a learning theory applied to teaching that states "learning is based on the learners behavior and what is directly observable"
a theory that recognizes the development level of the learner and acknowledge the learners motivation and environment.
Emphasize the importance of social, environmental and physical contexts
A theory that focuses on the feelings and attitudes of the learner and the importance of learners needs
What are the 3 domains of learning?
expression of feelings
Acceptance of attitudes
acceptance of values
acceptance of opinions
Acquiring skills that utilize mental and muscular activity
What are some of the factors that affect learning negatively?
What are some of the factors that affect learning in a positively?
How is the nursing process related to education/teaching?
What are the physical assessment techniques?
(In the order they are performed)
What is Physical Readiness
First step in the physical assessment techniques.
Can the client focus
Is the client pain free
Is the client physically ready
What Emotional Readiness?
Step 2 in the physical Assessment techniques
Is the client emotionally ready
Is the client anxious, depressed, nervous?
What is Cognitive Readiness?
Step 3 in the Physical Assessment Techniques
Can the client think clearly