NCNZ Management of Nursing Care 2 β Questions and Answers
Question 1: What clinical assessment framework is commonly used in NZ nursing for systematic patient assessment?
- The head-to-toe systematic assessment using inspection, palpation, percussion, and auscultation (Correct answer)
- Only taking vital signs (temperature, pulse, blood pressure)
- Visual observation from the doorway without touching the patient
- Assessment is only performed by nurse practitioners in NZ
Correct answer: The head-to-toe systematic assessment using inspection, palpation, percussion, and auscultation
NZ nurses perform comprehensive patient assessments using a systematic head-to-toe approach incorporating the four techniques: inspection (looking), palpation (feeling), percussion (tapping), and auscultation (listening), alongside vital signs and history taking.
Question 2: What is ISBAR and how is it used in NZ nursing communication?
- Introduction, Situation, Background, Assessment, Recommendation β a structured communication tool for clinical handover (Correct answer)
- A medication dosage calculation formula
- A type of wound assessment scale
- An infection severity rating system
Correct answer: Introduction, Situation, Background, Assessment, Recommendation β a structured communication tool for clinical handover
ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is the structured communication framework used widely in NZ healthcare for clinical handover, escalation, and referral to ensure critical information is communicated clearly.
Question 3: Under NZ nursing standards, what constitutes a medication error?
- Any deviation from the prescriber's order or standard medication administration protocols, whether or not harm occurred (Correct answer)
- Only an error that results in patient harm or death
- Only giving the wrong drug β wrong dose or wrong time are not errors
- Errors only count if the patient complains
Correct answer: Any deviation from the prescriber's order or standard medication administration protocols, whether or not harm occurred
A medication error in NZ is defined as any deviation from the prescriber's order or established protocols, including wrong drug, wrong dose, wrong time, wrong route, wrong patient, omission, or documentation errors β regardless of whether harm occurred.
Question 4: What is the NZ nurse's responsibility regarding care planning?
- Develop individualised, evidence-based care plans in partnership with the patient and review them regularly (Correct answer)
- Follow standardised care plans without modification for each patient
- Care plans are only required in aged care facilities
- Only nurse practitioners develop care plans in NZ
Correct answer: Develop individualised, evidence-based care plans in partnership with the patient and review them regularly
NZ nurses must develop individualised care plans based on their assessment, using evidence-based interventions, in partnership with the patient and their whΔnau/family. Plans must be reviewed and updated regularly based on evaluation of outcomes.
Question 5: What is the NZ standard for nursing documentation regarding timeliness?
- Documentation must be completed contemporaneously β at the time of or as soon as possible after the care is provided (Correct answer)
- Documentation can be completed at the end of the shift
- Documentation is only required if an incident occurs
- Weekly summary notes are sufficient for routine care
Correct answer: Documentation must be completed contemporaneously β at the time of or as soon as possible after the care is provided
NZ nursing standards require contemporaneous documentation β records should be completed at the time care is provided or as soon as practicable afterwards. Delayed documentation risks inaccuracy and can have legal implications.
Question 6: What is the NZ nurse's role in discharge planning?
- Begin discharge planning from admission, coordinate with the multidisciplinary team, and ensure the patient understands their ongoing care needs (Correct answer)
- Discharge planning is solely the doctor's responsibility
- Discharge planning only starts on the day of discharge
- Nurses only need to give the patient their discharge medications
Correct answer: Begin discharge planning from admission, coordinate with the multidisciplinary team, and ensure the patient understands their ongoing care needs
In NZ, discharge planning should begin at admission. Nurses play a key role in coordinating with the multidisciplinary team, assessing home care needs, educating the patient and whΔnau, and ensuring follow-up arrangements are in place.
NCNZ Management of Nursing Care 2
What clinical assessment framework is commonly used in NZ nursing for systematic patient assessment?