Term
7. After caring for a young man newly diagnosed with diabetes, a
nurse is reviewing what was completed in his plan of care following
discharge. She considers how she related to the patient and whether
she selected interventions best suited to his educational level. It was
the nurse's first time caring for a new patient with diabetes. The
nurse's behavior is an example of which of the following?
1. Reflection-in-action
2. Reassessment
3. Reprioritizing
4. Reflection-on-action
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, 4 3
2 1
Don't know?
2 of 85
Term
14. A nurse enters a 72-year-old patient's home and begins to
observe her behaviors and examine her physical condition. The
nurse learns that the patient lives alone and notices bruising on the
patient's leg. When watching the patient walk, the nurse notes that
she has an unsteady gait and leans to one side. The patient admits to
having fallen in the past. The nurse identifies the patient as having
the nursing diagnosis of Risk for Falls. This scenario is an example of:
1. Inference.
2. Basic critical thinking.
3. Evaluation.
4. Diagnostic reasoning.
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2 4.
1 4
, Don't know?
3 of 85
Term
12. A nursing student is reporting during hand-off to the registered
nurse (RN) assuming her patient's care. The student states, "Mr.
Roarke had a good day, his intravenous (IV) fluid is infusing at 124
mL/hr with D5image infusing in right forearm. The IV site is intact,
and no complaints of tenderness. I ambulated him twice during the
shift; he tolerated well walking to end of hall and back with no
shortness of breath. He still uses his cane without difficulty. Mr.
Roarke said he slept better last night after I closed his door and
gave him a chance to be uninterrupted. If the nurse's goal for Mr.
Roarke was to improve activity tolerance, which expected outcomes
were shared in the hand-off? (Select all that apply.)
1. IV site not tender
2. Uses cane to walk
3. Walked to end of hall
4. No shortness of breath
5. Slept better during night
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, 1,4, 2,4
3,4 1,3,4
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4 of 85
Term
3. A nurse reviews data gathered regarding a patient's ability to cope
with loss. The nurse compares the defining characteristics for
Ineffective Coping with those for Readiness for Enhanced Coping
and selects Ineffective Coping as the correct diagnosis. This is an
example of the nurse avoiding an error in: (Select all that apply.)
1. Data collection.
2. Data clustering.
3. Data interpretation.
4. Making a diagnostic statement.
5. Goal setting.
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,3,1 1,3,5