QUESTIONS AND ANSWERS |
100% CORRECT | GRADE A -
15. The nurse enters the room of an 82-year-old patient for whom she has not
cared previously. The nurse notices that the patient wears a hearing aid. The
patient looks up as the nurse approaches the bedside. Which of the following
approaches are likely to be effective with an older adult? (Select all that apply.)
1. Listen attentively to the patient's story.
2. Use gestures that reinforce your questions or comments.
3. Stand back away from the bedside.
4. Maintain direct eye contact.
5. Ask questions quickly to reduce the patient's fatigue - CORRECT ANSWER -1.
Listen attentively to the patient's story.
2. Use gestures that reinforce your questions or comments.
4. Maintain direct eye contact.
,11. A nurse makes the following statement during a change-of-shift report to
another nurse. "I assessed Mr. Diaz, my 61-year-old patient from Chile. He fell at
home and hurt his back 3 days ago. He has some difficulty turning in bed, and
he says that he has pain that radiates down his leg. He rates his pain at a 6, and
he moves slowly as he transfers to a chair." What can the nurse who is beginning
a shift do to validate the previous nurse's assessment findings when she
conducts rounds on the patient? (Select all that apply.)
1. The nurse asks the patient to rate his pain on a scale of 0 to 10.
2. The nurse asks the patient what caused his fall.
3. The nurse asks the patient if he has had pain in his back in the past.
4. The nurse assesses the patient's lower-limb strength.
5. The nurse asks the patient what pain medication is most effective in managing
his pain. - CORRECT ANSWER -1. The nurse asks the patient to rate his pain on a
scale of 0 to 10.
4. The nurse assesses the patient's lower-limb strength.
13. In which of the following examples is a nurse applying critical thinking skills
in practice? (Select all that apply.)
,1. The nurse thinks back about a personal experience before administering a
medication subcutaneously.
2. The nurse uses a pain-rating scale to measure a patient's pain.
3. The nurse explains a procedure step by step for giving an enema to a patient
care technician.
4. The nurse gathers data on a patient with a mobility limitation to identify a
nursing diagnosis.
5. A nurse offers support to a colleague who has witnessed a stressful event. -
CORRECT ANSWER -1. The nurse thinks back about a personal experience before
administering a medication subcutaneously.
2. The nurse uses a pain-rating scale to measure a patient's pain.
4. The nurse gathers data on a patient with a mobility limitation to identify a
nursing diagnosis.
10. Which of the following describes a nurse's application of a specific
knowledge base during critical thinking? (Select all that apply.)
1. Initiative in reading current evidence from the literature
2. Application of nursing theory
, 3. Reviewing policy and procedure manual
4. Considering holistic view of patient needs
5. Previous time caring for a specific group of patients - CORRECT ANSWER -1.
Initiative in reading current evidence from the literature
2. Application of nursing theory
4. Considering holistic view of patient needs
5. A nurse on a busy medicine unit is assigned to four patients. It is 10 AM. Two
patients have medications due and one of those has a specimen of urine to be
collected. One patient is having complications from surgery and is being
prepared to return to the operating room. The fourth patient requires
instructions about activity restrictions before going home this afternoon. Which
of the following should the nurse use in making clinical decisions appropriate for
the patient group? (Select all that apply.)
1. Consider availability of assistive personnel to obtain the specimen
2. Combine activities to resolve more than one patient problem
3. Analyze the diagnoses/problems and decide which are most urgent based on
patients' needs