During a physical assessment, the nurse closes and door and provides drape to promote privacy. The nurse is performing her role as a/an:
A. Advocate
B. Communicator
C. Change agent
D. Caregiver ✔️D. Caregiver
The role of a nurse as caregiver helps client promote, restore and maintain dignity, health and wellness by viewing a person holistically. As an
advocate the nurse intercedes or works on behalf of the client. Identifying the need and problems of the client and communicating it to other
members of the health team is doing the role of a communicator. As a change agent, the nurse assists the client to MODIFY their BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the patient to avoid smoking to prevent the worsening of respiratory problems. The
patient asked about the things that he can do when feelings of wanting to smoke arises. The nurse enumerates ways of dealing the situation.
This is an example of a nurse's role as a/an:
A. Advocate
B. Clinician
C. Change agent
D. Caregiver ✔️C. Change agent
As a change agent, the nurse assists the client to MODIFY their BEHAVIOR. As an advocate the nurse intercedes or works on behalf of the client.
As a clinician, the nurse would use technical expertise to administer nursing care. The role of a nurse as caregiver helps client promote, restore
and maintain dignity, health and wellness by viewing a person holistically.
Nurse Cathy on the other hand, knows the case immediately even before a diagnosis is done. Based on Benner's theory she is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner ✔️B. Expert
The ability to perceive something without further evidence is the development of intuition and is seen in Expert nurses. A novice nurse is
governed by rules and usually inflexible. Competent nurses are planning nursing care consciously. Advanced beginners demonstrate acceptable
performance.
Newborn screening is done to every newborn in the Philippines. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation ✔️B. Secondary prevention
Promotion of early detection and early treatment of the disease is under secondary prevention. Example, breast self exam, TB screening,
genetic counseling.
, One of Nurse Cathy's co-workers is Annie who is flexible in any given situation. Annie is performing her duties well without supervision but still
needs more experience and practice to develop a consciously planned nursing care. According to Patricia Benner's category in specialization in
nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner ✔️D. Advanced beginner
A- Novice is governed by rules and usually inflexible. B- Expert nurses have intuitive grasp on the situation dealt. C- Competent nurses are
planning nursing care consciously. D- Advanced beginners demonstrate acceptable performance.
The clinical instructor is discussing about the Nursing Process. She mentioned that when a cluster of actual or high-risk diagnosis are present
because of a certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
D. Risk nursing diagnosis ✔️C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing diagnosis. Wellness nursing diagnosis focuses on the clinical
judgment on an individual from a specific to higher level of wellness. Actual diagnoses are clinical judgment of the nurse that is validated. A risk
diagnosis is based on the clinical are based on clinical judgment that the client may develop vulnerability to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is the equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C ✔️B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and
1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse relinquishing responsibility for care of the patient to communicate. Which
of the following facts to the nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning. ✔️C. Patient's NGT was removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the patient's condition that the nurse assuming responsibility for care of
the patient will need to monitor. The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture site is red and swollen. Which of the following
interventions would the nurse perform first?
A. Stop the infusion