answers
A client had a total hip replacement earlier in the day. The nurse sits with the
client to establish some goals. One goal they agree on is to ambulate 1 to 2 miles
each day. This is an example of which type of goal?
A. independent
B. Long-term
C. Intermediate
D. Immediate Ans✓✓✓ C. Long-term
Rationale: The client and family are included in establishing goals for the nursing
actions. Immediate goals are those that can be attained within a short period.
Intermediate and long-term goals require a longer time to be achieved and
usually involve preventing complications and other health problems and
promoting self-care and rehabilitation.
A nurse is unsure how best to respond to a client's vague complaint of "feeling
off." The nurse is attempting to apply the principles of critical thinking, including
metacognition. How can the nurse best foster metacognition?
A. By evaluating her responses to similar situations in the past
B. By thinking about the way that an "ideal" nurse would respond in this situation
C. By eliciting input from a variety of trusted colleagues
D. By examining the way that she thinks and applies reason Ans✓✓✓ D. By
examining the way that she thinks and applies reason
,Rationale: Critical thinking includes metacognition, the examination of one's own
reasoning or thought processes, to help refine thinking skills. Metacognition is not
characterized by eliciting input from others or evaluating previous responses.
An adults temperature is 36.6 degrees C. What is it in Fahrenheit? Ans✓✓✓
97.9F (36.6*1.8) + 32= 97.88 = 97.9F (round to the nearest tenth)
An order is written for Dilaudid 10mg IM q 3-4h prn pain. The nurse recognizes
that this dose is well above the usual dose for this medication. The nurse should
do which of the following?
a. just give 1 mg as that was probably the intended order
b. call the doctor to clarify the order
c. administer the meds as ordered and monitor the patient closely.
d. refuse to give the med to the patient and notify the nursing supervisor.
Ans✓✓✓ b. Call the doctor to clarify the order
Assault Ans✓✓✓ threat or an attempt to make bodily contact with another
person without that person's permission
Battery Ans✓✓✓ assault that is carried out
Commission is?
A. Failing to do something that should have been done
B. Doing something that should not have been done Ans✓✓✓ B.
, Example of malpractice Ans✓✓✓ nurse performing a minor surgery without
training
Expert Witness Ans✓✓✓ nurse who explains to the judge and jury what
happened based on the patient's record and who offers an opinion as to whether
the nursing care met acceptable standards of practice
Fact Witness Ans✓✓✓ nurse who has knowledge of the actual incident
prompting a legal case; bases testimony on firsthand knowledge of the incident,
not on assumptions
Identify whether the drug classification listed is pharmacologic or therapeutic.
1. antihypertensives
2. ace-inhibitors (ACE-Is) Ans✓✓✓ 1. therapeutic
2. pharmacologic
Incident Report Ans✓✓✓ a report of any event that is not consistent with the
routine operation of the health care facility that results in or has the potential to
result in harm to a patient, employee, or visitor
liability Ans✓✓✓ legal responsibility for one's acts (and failure to act); includes
responsibility for financial restitution of harms resulting from negligent acts
Malpractice Ans✓✓✓ failure to act as a reasonably prudent PROFESSIONAL
would have acted under the same circumstances.
MATCH the items