Exam 1: NR226/ NR 226 Fundamentals
Patient Care Exam| Complete Guide with
Verified Answers (2023/ 2024 Update)-
Chamberlain
Q: 4 criteria needed to establish nursing malpractice
Answer:
1- the nurse owed a duty to the patient
2- the nurse did not carry out the duty
3- the patient was injured
4- the nurse’s failure to carry out duty caused pt injury
Q: what should a nurse do if their assignment is unreasonable?
Answer:
inform their supervisor
Q: what is a nurse’s responsibility with a doctors order?
Answer:
-nurse must follow the order unless the nurse believes that the order is in error or will harm the
patient.
- if there is controversy the nurse also needs to inform the supervisor and use the chain of
command
Q: the scope of nursing practice is legally defined by _?
Answer:
State Nurses Practice Acts
Q: risk management
Answer:
system of ensuring appropriate nursing care that identifies potential hazards and eliminates the
harm of others
Q: what is the definition of pain?
Answer:
whatever the patient says it is, pain is subjective
Q: acute pain
Answer:
-protective mechanism, prevents harm
-short duration
-A-delta myelinated fibers
-localized
-limited emotional response
Q: chronic pain
Answer:
-no longer a protective pain mechanism
-C-fibers; unmyelinated
-cancerous vs. noncancerous
-> 6 months
Q: pseudo-addiction
Answer:
shows “drug seeking” behavior and “doctor shopping” that may look like addiction but in fact
has not been adequately treated for pain; once given a proper, usually higher dose should fix the
problem
Q: chronic episodic pain
Answer:
Occurs sporadically over an extended duration
Q: inferred pathological pain
Answer:
-musculoskeletal
-visceral
-neuropathic
Q: idiopathic pain
Answer:
chronic pain without known cause
Q: gate control theory
Answer:
Some pain messages have higher priority than others. When you feel one pain over another. Can
be affected by released endorphins (inhibitory neurotransmitters)
**gates can be physiological, emotional, or cognitive