1
NSG 3130 Exam 2 fully solved & updated
(latest version verified for accuracy) |
Latest!!
The nurse is caring for a 6-year-old patient in the emergency department who
just had a full left leg cast placed for a fracture. As the nurse is reviewing the
discharge instructions with the patient's mother, she states, "You don't have to go
over those—I'll read them at home." What should the nurse do?
a. Contact the physician immediately.
b. Consider the possibility of health literacy limitations and assess further.
c. Stop the teaching, because the mother obviously has taken care of casts before.
d. Explain to the mother that reading the instructions with her is required. -
(ANSWER)b. Consider the possibility of health literacy limitations and assess
further.
A patient's mother may have limited reading skills or health literacy and should be
further assessed. Contacting the physician in this situation would not be
appropriate because ensuring that the patient and family understand discharge
instructions is the responsibility of the nurse. Assuming that the mother has taken
care of casts in the past may be inaccurate. Stating that reading the instructions
with the nurse is a requirement does not ensure that the patient or mother
comprehends the instructions.
A 58-year-old man is admitted for a small-bowel obstruction late Saturday night.
The admitting orders include the need to place a nasogastric (NG) tube to low
intermittent suction. During the assessment, the nurse determines that the
,2
patient does not speak English. Which action should the nurse take first before
placing the NG tube?
a. Use two additional staff members when placing the tube so the patient can be
restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not want to frighten the
patient.
d. Document the inability to place the NG tube due to lack of ability to
communicate. - (ANSWER)b. Request an interpreter per facility protocol.
An interpreter employed by the hospital would be the best choice so that
someone in the room can communicate and provide comfort for the patient.
Taking additional staff into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Although the physician
would not want to frighten the patient, the physician ordered the nasogastric
(NG) tube for the benefit of the patient; therefore, it needs to be placed.
Documenting the inability to place the NG tube due to lack of means of
communication is not acceptable and does not ensure that the patient gets the
needed treatment.
Which nursing diagnoses are used in developing a patient teaching plan? (Select
all that apply.)
a. Moral Distress
b. Lack of Knowledge
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c. Difficulty Coping
d. Teaching about Disease
e. Anxiety - (ANSWER)b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for
use in developing a patient teaching plan. Moral Distress is a nursing diagnosis for
those facing ethical decisions. Difficulty Coping is not a nursing diagnosis used in
developing a teaching plan, but if a patient is not coping effectively, it may affect
the ability to learn. A nursing diagnosis of Anxiety may affect the patient's ability
to learn but is not directly related to developing a teaching plan. Teaching about
Disease is not a nursing diagnosis. It is an intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses an interest in
learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - (ANSWER)a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the
nursing diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient
has a deficiency of knowledge on a particular subject. Effective Information
Processing is the patient's ability to acquire useful information. Health-Seeking
Behaviors is active seeking by a person of ways to alter habits to enhance health.
, 4
A 61-year-old man is undergoing an emergency cardiac catheterization. The nurse
gives his wife the registration paperwork to complete. Which observed actions
may indicate a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter
can complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
e. Returning the forms only partially filled out, with missing or inaccurate
information. - (ANSWER)b, c, e
Asking someone else to read the form, waiting for help with the forms, and
partially or inaccurately filling out forms are behaviors indicative of potential
health literacy issues. Needing glasses does not correlate directly with health
literacy. A tearful spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel unable to complete
the forms, or she may need to collect her thoughts in the midst of a stressful time.
Teaching a patient to use an incentive spirometer by demonstration, with a return
demonstration by the patient, is an example of teaching based on which domain
of learning?
a. Psychomotor
NSG 3130 Exam 2 fully solved & updated
(latest version verified for accuracy) |
Latest!!
The nurse is caring for a 6-year-old patient in the emergency department who
just had a full left leg cast placed for a fracture. As the nurse is reviewing the
discharge instructions with the patient's mother, she states, "You don't have to go
over those—I'll read them at home." What should the nurse do?
a. Contact the physician immediately.
b. Consider the possibility of health literacy limitations and assess further.
c. Stop the teaching, because the mother obviously has taken care of casts before.
d. Explain to the mother that reading the instructions with her is required. -
(ANSWER)b. Consider the possibility of health literacy limitations and assess
further.
A patient's mother may have limited reading skills or health literacy and should be
further assessed. Contacting the physician in this situation would not be
appropriate because ensuring that the patient and family understand discharge
instructions is the responsibility of the nurse. Assuming that the mother has taken
care of casts in the past may be inaccurate. Stating that reading the instructions
with the nurse is a requirement does not ensure that the patient or mother
comprehends the instructions.
A 58-year-old man is admitted for a small-bowel obstruction late Saturday night.
The admitting orders include the need to place a nasogastric (NG) tube to low
intermittent suction. During the assessment, the nurse determines that the
,2
patient does not speak English. Which action should the nurse take first before
placing the NG tube?
a. Use two additional staff members when placing the tube so the patient can be
restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not want to frighten the
patient.
d. Document the inability to place the NG tube due to lack of ability to
communicate. - (ANSWER)b. Request an interpreter per facility protocol.
An interpreter employed by the hospital would be the best choice so that
someone in the room can communicate and provide comfort for the patient.
Taking additional staff into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Although the physician
would not want to frighten the patient, the physician ordered the nasogastric
(NG) tube for the benefit of the patient; therefore, it needs to be placed.
Documenting the inability to place the NG tube due to lack of means of
communication is not acceptable and does not ensure that the patient gets the
needed treatment.
Which nursing diagnoses are used in developing a patient teaching plan? (Select
all that apply.)
a. Moral Distress
b. Lack of Knowledge
,3
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety - (ANSWER)b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for
use in developing a patient teaching plan. Moral Distress is a nursing diagnosis for
those facing ethical decisions. Difficulty Coping is not a nursing diagnosis used in
developing a teaching plan, but if a patient is not coping effectively, it may affect
the ability to learn. A nursing diagnosis of Anxiety may affect the patient's ability
to learn but is not directly related to developing a teaching plan. Teaching about
Disease is not a nursing diagnosis. It is an intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses an interest in
learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - (ANSWER)a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the
nursing diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient
has a deficiency of knowledge on a particular subject. Effective Information
Processing is the patient's ability to acquire useful information. Health-Seeking
Behaviors is active seeking by a person of ways to alter habits to enhance health.
, 4
A 61-year-old man is undergoing an emergency cardiac catheterization. The nurse
gives his wife the registration paperwork to complete. Which observed actions
may indicate a health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter
can complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
e. Returning the forms only partially filled out, with missing or inaccurate
information. - (ANSWER)b, c, e
Asking someone else to read the form, waiting for help with the forms, and
partially or inaccurately filling out forms are behaviors indicative of potential
health literacy issues. Needing glasses does not correlate directly with health
literacy. A tearful spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel unable to complete
the forms, or she may need to collect her thoughts in the midst of a stressful time.
Teaching a patient to use an incentive spirometer by demonstration, with a return
demonstration by the patient, is an example of teaching based on which domain
of learning?
a. Psychomotor
