NURS 320 Exam 5 Questions and
Answers
D - ANSWER-A patient with a perforated gastric ulcer is scheduled for surgery. The
patient cannot sign the operative consent form because of sedation from opioid
analgesics that have been administered. The nurse should take which appropriate
action in the care of this patient?
A) Obtain a court order for the surgery
B) Send the patient to surgery without the consent form being signed
C) Have the hospital chaplain sign the informed consent immediately
D) Obtain a telephone consent from a family member, following agency policy
C - ANSWER-A nurse has conducted preoperative teaching for a patient scheduled
for surgery in 1 week. The patient has a history of arthritis and has been taking
aspirin. The nurse determines that the patient needs additional teaching if the patient
states:
A) "Aspirin can cause bleeding after surgery."
B) "Aspirin can cause my ability to clot blood to be abnormal."
C) "I need to continue to take the aspirin until the day of surgery."
D) "I need to check with my physician about the need to stop the aspirin before the
scheduled surgery."
D - ANSWER-The nurse is conducting preoperative teaching with a patient about the
use of an incentive spirometer. The nurse should include which piece of information
in discussions with the patient?
A) Inhale as deeply as possible
B) Keep a loose seal between the lips and the mouthpiece
C) After maximum inspiration, hold the breath for 15 seconds and exhale
D) The best results are achieved when sitting up or with the head of the bed elevated
45 to 90 degrees
Benner - ANSWER-Theorist of caring;
The essence of nursing practice is caring
Caring creates possibilities
Helps patients recover from illness, give meaning to illness, and maintain or re-
establish a connection
Facilitates a nurse's ability to know the patient
How your patient feels care may be different from another patient's
Leininger - ANSWER-Theorist of caring;
Cultural specifics are important to caring (Learn culturally specific behaviors and
words that reflect caring in different cultures)
, Essential human need
Helps improve the human condition
Helps protect, develop, nurture, and provide survival
Watson - ANSWER-Theorist of caring;
Conscious intention to care promotes healing and wholeness
Emphasis on the nurse-patient relationship
Caring includes knowing the patient's values and beliefs
Carative Factors
Swanson - ANSWER-Theorist of caring;
Nurturing way of relating to an individual
Development of useful and effective caring strategies appropriate for multiple age-
groups and settings
Central nursing phenomenon but not unique to nursing practice
Presence - ANSWER-A person-to-person encounter conveying a closeness and
sense of caring
"Being there" and "being with"
Touch - ANSWER-Contact with the patients that can be direct (skin to skin) or
indirect (eye contact) that communicates concern and support
Listening - ANSWER-Taking in, interpreting, and giving back understanding of what
the patient is saying
Compassion - ANSWER-The feeling that arises when a person is confronted with
another's suffering & feels motivated to relieve that suffering
Shows kindness, caring, and willingness to help others
Mission Statement - ANSWER-Declaration of the values and goals of your career
Situation - ANSWER-A portion of SBAR in which you report the basic information of
the patient including their name and DOB and the operation they received as well as
modifiers
Background - ANSWER-A portion of SBAR in which you report relevant patient
history, medical clearance, allergies and NPO status, VS and pain levels,
medications, code status
Assessment - ANSWER-A portion of SBAR in which you report the patient's current
level of understanding, special needs/precautions, cultural and emotional factors,
and anesthesia requests
Recommendations - ANSWER-A portion of SBAR in which you report if the patient is
ready for surgery, staff members can ask questions and voice concerns, and
whether or not they've been seen by an anesthesia provider
Answers
D - ANSWER-A patient with a perforated gastric ulcer is scheduled for surgery. The
patient cannot sign the operative consent form because of sedation from opioid
analgesics that have been administered. The nurse should take which appropriate
action in the care of this patient?
A) Obtain a court order for the surgery
B) Send the patient to surgery without the consent form being signed
C) Have the hospital chaplain sign the informed consent immediately
D) Obtain a telephone consent from a family member, following agency policy
C - ANSWER-A nurse has conducted preoperative teaching for a patient scheduled
for surgery in 1 week. The patient has a history of arthritis and has been taking
aspirin. The nurse determines that the patient needs additional teaching if the patient
states:
A) "Aspirin can cause bleeding after surgery."
B) "Aspirin can cause my ability to clot blood to be abnormal."
C) "I need to continue to take the aspirin until the day of surgery."
D) "I need to check with my physician about the need to stop the aspirin before the
scheduled surgery."
D - ANSWER-The nurse is conducting preoperative teaching with a patient about the
use of an incentive spirometer. The nurse should include which piece of information
in discussions with the patient?
A) Inhale as deeply as possible
B) Keep a loose seal between the lips and the mouthpiece
C) After maximum inspiration, hold the breath for 15 seconds and exhale
D) The best results are achieved when sitting up or with the head of the bed elevated
45 to 90 degrees
Benner - ANSWER-Theorist of caring;
The essence of nursing practice is caring
Caring creates possibilities
Helps patients recover from illness, give meaning to illness, and maintain or re-
establish a connection
Facilitates a nurse's ability to know the patient
How your patient feels care may be different from another patient's
Leininger - ANSWER-Theorist of caring;
Cultural specifics are important to caring (Learn culturally specific behaviors and
words that reflect caring in different cultures)
, Essential human need
Helps improve the human condition
Helps protect, develop, nurture, and provide survival
Watson - ANSWER-Theorist of caring;
Conscious intention to care promotes healing and wholeness
Emphasis on the nurse-patient relationship
Caring includes knowing the patient's values and beliefs
Carative Factors
Swanson - ANSWER-Theorist of caring;
Nurturing way of relating to an individual
Development of useful and effective caring strategies appropriate for multiple age-
groups and settings
Central nursing phenomenon but not unique to nursing practice
Presence - ANSWER-A person-to-person encounter conveying a closeness and
sense of caring
"Being there" and "being with"
Touch - ANSWER-Contact with the patients that can be direct (skin to skin) or
indirect (eye contact) that communicates concern and support
Listening - ANSWER-Taking in, interpreting, and giving back understanding of what
the patient is saying
Compassion - ANSWER-The feeling that arises when a person is confronted with
another's suffering & feels motivated to relieve that suffering
Shows kindness, caring, and willingness to help others
Mission Statement - ANSWER-Declaration of the values and goals of your career
Situation - ANSWER-A portion of SBAR in which you report the basic information of
the patient including their name and DOB and the operation they received as well as
modifiers
Background - ANSWER-A portion of SBAR in which you report relevant patient
history, medical clearance, allergies and NPO status, VS and pain levels,
medications, code status
Assessment - ANSWER-A portion of SBAR in which you report the patient's current
level of understanding, special needs/precautions, cultural and emotional factors,
and anesthesia requests
Recommendations - ANSWER-A portion of SBAR in which you report if the patient is
ready for surgery, staff members can ask questions and voice concerns, and
whether or not they've been seen by an anesthesia provider
