Correct
1. The nurse is preparing a client to be turned in bed. In what position would
the nurse place the client to begin this procedure?
lying flat
sitting up
lying flat with feet raised slightly
lying prone: lying flat
2. The nurse and an assistant are preparing to move a client up in bed. Arrange
the following steps in the correct order.
1. Adjust the head of the bed to a flat position.
2. Place a friction-reducing sheet under the client.
3. Ask the client to bend legs and place the chin on the chest.
4. Position the assistant on the side opposite you.
5. Remove all pillows from under the client.
6. Grasp the sheet and move the client on the count of 3.
A)
3, 1, 2, 4, 5, 6
B)
1, 2, 4, 3, 5, 6
C)
,1, 5, 4, 2, 3, 6
,D)
3, 2, 1, 4, 6, 5
E)
1, 3, 2, 4, 5, 6: Ans:
C
3. What nursing organization first legitimized the use of the nursing process?
A)
National League for Nursing
B)
American Nurses Association
C)
International Council of Nursing
D)
State Board of Nursing: B)
American Nurses Association
4. A female patient who is receiving chemotherapy for breast cancer tells the
nurse, "The treatment for this cancer is worse than the disease itself. I'm not
going to come for my therapy anymore." The nurse responds by using critical
thinking skills to address this patient problem. Which action is the first step the
nurse would take in this process?
a. The nurse judges whether the patient database is adequate to address the
, problem.
b. The nurse considers whether or not to suggest a counseling session for the
patient.
c. The nurse reassesses the patient and decides how best to intervene in her
care.
d. The nurse identifies several options for intervening in the patient's care and
critiques the merit of each option.: c. The first step when thinking critically about a situation is to
identify the purpose or goal of your thinking. Reassessing the patient helps to discipline thinking by directing all
thoughts toward the goal. Once the problem is addressed, it is important for the nurse to judge the adequacy of the
knowledge, identify potential problems, use helpful resources, and critique the decision.
5. The nursing process ensures that nurses are person centered rather than
task centered. Rather than simply approaching a patient to take vital signs, the
nurse thinks, "How is Mrs. Barclay today? Are our nursing actions helping her
to achieve her goals? How can we better help her?" This demonstrates which
characteristic of the nursing process?
a. Systematic
b. Interpersonal
c. Dynamic
d. Universally applicable in nursing situations: b. Interpersonal. All of the other options are
characteristics of the nursing process, but the conversation and thinking quoted best illustrates the interpersonal
dimension of the nursing process
6. An experienced nurse tells a beginning nurse not to bother studying too hard,
since most clinical reasoning becomes "second nature" and "intuitive" once you
start practicing. What thinking below should underlie the beginning nurse's
response?
a. Intuitive problem solving comes with years of practice and observation, and
novice nurses should base their care on scientific problem solving.
b. For nursing to remain a science, nurses must continue to be vigilant about
stamping out intuitive reasoning.
c. The emphasis on logical, scientific, evidence-based reasoning has held nurs-
ing back for years; it is time to champion intuitive, creative thinking!
d. It is simply a matter of preference; some nurses are logical, scientific