Chapter 10 NCLEX Questions and verified answers

verified answers Read the following patient scenario and identify the step of the nursing process represented by each numbered and bold-faced nursing activity. Annie seeks the help of the nurse in the student health clinic because she suspects that her roommate, Angela, suffered date rape. She is concerned because Angela chose not to report the rape and does not seem to be coping well. (1) After talking with Annie, the nurse learns that although Angela blurted out that she had been raped when she first came home, since then she has refused verbalization about the rape ("I don't want to think or talk about it"), has stopped attending all college social activities (a marked change in behavior), and seems to be having nightmares. After analyzing the data, the nurse believes that Angela might be experiencing (2) rape-trauma syndrome: silent reaction. Fortunately, Angela trusts Annie and is willing to come to the student health center for - ANSWER-(1)assessing (2)the identification of a nursing diagnosis: independent nursing intervention can resolve (3)planning (4)implementing (5)evaluating A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for this cancer is worse than the disease itself. I'm not going to come for my therapy anymore." The nurse responds by using critical thinking skills to address this patient problem. Which action is the first step the nurse would take in this process? a.) The nurse judges whether the patient database is adequate to address this problem. b.) The nurse considers whether or not to suggest a counseling session for the patient. c.) The nurse reassures the patient and decides how best to intervene her care. d.) The nurse identifies several options for intervening in the patient's care and critiques the merit of each option. - ANSWER-C The nursing process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, "How is Mrs.Barclay today? Are our nursing actions helping her achieve her goals? How can we better help her?" This demonstrates which characteristic of the nursing process? a.) systematic b.) interpersonal c.) dynamic d.) universally applicable in nursing situations - ANSWER-B An experienced nurse tells a beginning nurse not to bother studying too hard, since most clinical reasoning becomes "second