AND ANSWERS WITH RATIONALES
Which health pattern in Gordon's model describes the patient's spiritual
attitude?
A. Value-belief pattern
B. Role-relationship pattern
C. Cognitive-perceptual pattern
D. Self-perception-- self-concept pattern ~Correct Answer ~A. Value-belief
pattern
According to Gordon's model, there are 11 health patterns. Each pattern
describes a particular characteristic. The value-belief pattern describes a
patient's spiritual attitude, the values and beliefs that guide the choices or
decisions of the patient. The role-relationship pattern describes a patient's
pattern of role engagements and relationships. The cognitive=perceptual
pattern describes memory, decision-making ability, language adequacy,
and sensory-perceptual patterns/ A patient's concept of self or perception
of self is described by the self-perception--self-concept pattern
Which standard of practive is the nurse performing when applying a cold
compress to a patient's sprained ankle and instructing the patient to elevate
the leg?
A. Diagnosis
,B. Evaluation
C. Assessment
D. Implementation ~Correct Answer ~C. Implementation
The nurse is delivering care to the patient; therefore the standard practived
by the nurse is implementation. Developing a nuring diagnosis involves
analyzing the assessed data. Evaluation refers to determining the
effectiveness of the implemented patient care in meeting the patient goals.
Assessment is the process of collecting data related to the health and illness
of the patient
which standard of practive is being performed when a nurse administers
the prescribed medicated nebulizer treatment to a patient who has
developed wheezing and shortness of breath in the emergency
department?
A. planning
B. evaluation
C. assessment
D. implementation ~Correct Answer ~D. implementation
implementation phase is where the nurse follows through on the decided
plan of action. Once the patient and the nurse on the diagnosis, a plan of
action can be developed. Each problem is assigned a clear, measurable goal
for the expected outcome. Once all nusing intervention actions have taken
place, the nurse completes an evaluation to determine if the patient goals
,have been met. The first step of the nursing process is assessment. During
this phase, the nurse gathers information about a patient's psychological,
physiologic, sociologic, and spiritual status.
Which trait of critical thinking is the nurse exhibiting when instructing the
parents of a malnourished child to make the child's food colorful and
attractive?
A. fairness
B. curiosity
C. discipline
D. creativity ~Correct Answer ~D. creativity
Nurses require various traits such as creativity, fairness, risk taking,
curiousity, discipline, and perseverance. In this case the nurseis trying to
stimulate the appetite of the child by instructing the parents to make the
food colorful and attractive. This shows that the nurse is using the trait of
creativity. Fairness is the trait of a nurse who avoids personal bias while
caring for a patient/ Curiosity is the trait of a critical thinking nurse who
always tries to ask "why?" A disciplined nurse follows a systemativ
approach to plan and achieve goals.
Which Quality and Safety in the Education of Nurses (QSEN) competency
is the nurse exhibiting by working with a couple to determine what they
know about their medications and helping them decide on one care
, provider rather than two when caring for an older-adult couple in a
community-based assisted living facility?
A. safety
B. informatics
C. patient-centered care
D. teamwork and collaboration ~Correct Answer ~B. safety
Helping patients understand the consequences and complications of
multiple health care providers and multiple medications helps ensure
patient safety. Informatics is a multidisciplinary field that uses health
inforamtion technology to improve health care via any combination of high
quality, higher efficiency, and new opportunities. Patient-centered care
focuses on direct care rendered to patients. Teamwork and collaboration
seeks information or help from other health care professions and
disciplines
A 40-year-old patient is experiencing poorly controlled hypertension. The
dietitian recommends several dietary modifications to the patient. The
patient tries to explain the reason for her poor dietary compliance; she says
she works extra hours and does not have the time to cook. The patient
further adds that she has diabetes. The patient expresses that it is difficult
for her to choos a diet that is low in sugar and low in salt and
carbohydrates. The nurse communicates this to the dietitian using SBAR
technique. Which patient information would be addressed first?
A. the need for a diet revision