BSN 225 Hesi Exam with precise |! |! |! |! |! |!
detailed solutions |!
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
|! |! |! |! |! |!
b. the desire for a dietary consult
|! |! |! |! |! |!
c. current medical conditions of chronic diabtese w/ hypertension
|! |! |! |! |! |! |! |!
d. the need for the patient to eat low-salt, low-sugar meals - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔C. Current medical conditions of chronic diabetes w/ hypertension
|! |! |! |! |! |! |! |!
When using SBAR communication protocol, the nurse should first identify
|! |! |! |! |! |! |! |! |! |!
the patient's situation. In this case, that means the nurse should convey that
|! |! |! |! |! |! |! |! |! |! |! |! |!
the patient is suffering from chronic diabetes and hypertension. The nurse
|! |! |! |! |! |! |! |! |! |! |!
then should further address the breakdown of the situation and ask the
|! |! |! |! |! |! |! |! |! |! |! |!
dietitian to consider revising the diet. Following the dietary assessment and
|! |! |! |! |! |! |! |! |! |! |!
consult, the recommendations for dietary changes-- including low-salt and
|! |! |! |! |! |! |! |! |!
low-sugar meals--should be made. |! |! |!
detailed solutions |!
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
|! |! |! |! |! |!
b. the desire for a dietary consult
|! |! |! |! |! |!
c. current medical conditions of chronic diabtese w/ hypertension
|! |! |! |! |! |! |! |!
d. the need for the patient to eat low-salt, low-sugar meals - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔C. Current medical conditions of chronic diabetes w/ hypertension
|! |! |! |! |! |! |! |!
When using SBAR communication protocol, the nurse should first identify
|! |! |! |! |! |! |! |! |! |!
the patient's situation. In this case, that means the nurse should convey that
|! |! |! |! |! |! |! |! |! |! |! |! |!
the patient is suffering from chronic diabetes and hypertension. The nurse
|! |! |! |! |! |! |! |! |! |! |!
then should further address the breakdown of the situation and ask the
|! |! |! |! |! |! |! |! |! |! |! |!
dietitian to consider revising the diet. Following the dietary assessment and
|! |! |! |! |! |! |! |! |! |! |!
consult, the recommendations for dietary changes-- including low-salt and
|! |! |! |! |! |! |! |! |!
low-sugar meals--should be made. |! |! |!
