Sources: WEB MD, Saunders NCLEX Review, KAPLAN NCLEX Medication Review
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Are you about to take the Next Generation NCLEX? Then you absolutely don’t want to miss this week’s episode of NCLEX Ready.
In it, I share with you 50 fundamentals of nursing you need to know to pass the NCLEX with flying colors.
I’ll be discussing everything from medical malpractice to the American Nurses Association Code to democratic management and everything in between.
Are you ready for this?
Then tune in now!
50 Nursing Fundamentals Facts You Need to Know
1. Psychiatric patients have the right to refuse treatment.
2. Minors can give consent if they are married or emancipated.
3. Court can deny parents’ treatment refusal if the minor is in critical condition.
4. The order of the stages of grief is denial, anger, bargaining, depression, and acceptance.
5. Living will is an example of an advance directive.
6. Mammograms are an example of secondary prevention.
7. The five stages of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
8. Confidential information can be disclosed if the patient is a violent threat to themselves or others.
9. De-identified health information is changing the patient’s real name for a case study, which does not violate HIPAA.
10. Principle of autonomy is the right to refuse treatment, choose treatment, and make one’s own decision.
11. Immunization against infectious diseases is an example of primary prevention.
12. The Nurse Practice Act ensures safe and competent nursing practice for those who need nursing care under the state rules and regulations.
13. Medical malpractice is a type of negligence which is a breach or violation of professional duty.
14. Veracity is being truthful and not withholding information.
15. Teenagers can consent to medical care and treatment involving pregnancy or STDs.
16. The American Nurses Association Code is a guideline for nurses to follow protocol and policies while following ethical obligations.
17. Nurses can be liable for any injuries that occur from charting errors.
18. Examples of internal emergencies include fire and gas leaks.
19. Patients that have infections caused by contact must be placed in a private room or with other roommates with the same infection. Gloves and gowns are put on prior to entering the room.
20. The nurse cannot get consent when the patient is under sedation.
21. Stroke rehabilitation programs are examples of tertiary prevention. Tertiary prevention is the treatment of existing diseases.
22. The Safe Medical Devices Act of 1990 requires the nurse to report any incident that caused serious injury or illness by machinery to the Food and Drug Administration and the company of the machine.
23. The nurse does not require the patient’s permission before using restraints when the patient is demonstrating a risk of harm to him/herself or to others.
24. The nurse should call security if the situation becomes threatening and not wait until violence occurs.
25. The patient can still leave without signing the Against Medical Advice form.
26. The power of attorney is the one who makes the decision for the patient when the patient is no longer able to.
27. If abortion is against the nurse’s belief, then the nurse does not have to be a part of the procedure.
28. Democratic management encourages staff to be part of the decision-making process.
29. The licensed practical nurse can provide care for stable patients.
30. Threat or fear of harm is assault.
31. The Hazard Communication Standard does require that employees are trained on how to use the product safely.
32. To remember which infections require droplet precautions, think of the viral acronym, which is the amazing SPIDERMAN: S is for sepsis, scarlet fever, and streptococcal pharyngitis, P is for parvovirus B19, pneumonia, pertussis, I is for influenza, D is for diphtheria (pharyngeal), E is for epiglottitis, R is for rubella, M is for mumps, meningitis, mycoplasma, and meningeal pneumonia, and AN is for adenovirus.
33. Think of the viral acronym Mrs. Wee to help you remember infections that require contact precautions: M is for multidrug-resistant organisms, R is for respiratory infection, S is for skin infections, W is for wound infections, E is for enteric, such as clostridium difficile, and E is for eye infection, such as conjunctivitis.
34. Use the viral acronym MTV to remember what the airborne diseases are: M for measles, T for tuberculosis, and V for Varicella, also known as chickenpox.
35. A patient with an airborne disease should be placed in an airborne isolation room with negative pressure.
36. The Right to Die Law states that the patient has the right to choose death if they are terminal.
37. Joint Commission standards are the basis of an objective evaluation process that can help healthcare organizations measure, assess, and improve performance.
38. The nurse should not use any frayed or broken cords and should not roll machinery over cords.
39. Someone who is designated to make medical decisions when the patient is no longer able to is the durable power of attorney.
40. Medications and procedures performed with minimal to no pain to benefit the patient’s health are considered ordinary means.
41. The six links of the chain of infection are the infectious agent, reservoir, portal of exit or exit route, mode of transmission, portal of entry, and susceptible host.
42. Bioterrorism is a biological emergency caused by terrorists. An example would be spreading anthrax.
43. In the Emergency Response Plan, the priority is to remove people from danger and to contact the supervisor.
44; An example of fidelity is the nurse keeping the promise not to disclose the patient’s illness to the patient’s family as requested by the patient.
45. Giving an injection without consent is an example of battery.
46. During discharge planning, the patient is taught how to provide self-care at home, what to expect, and when to notify the physician.
47. The state’s Department of Motor Vehicles must be informed by the physician about the patient’s epilepsy disorder.
48. As an advocate, the nurse does not make decisions for the patient.
49. Teenagers are allowed to be part of the medical decisions, but the parent or guardian must provide consent.
50. Battery is touching an individual without consent in a harmful way.
