NUR 205 - Exam 3
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NUR 205 - Exam 3
The nurse is formulating a care plan for a patient in a long-term care facility
who has lost 12 lb in the last 2 months. To arrive at a patient-centered nursing
judgment, what will the nurse do first?
A. Ensure the patient is receiving foods they like, including favorites.
B. Make sure the patient's dentures are clean and inserted at mealtimes.
C. Assess the patient's food intake and hydration over the last 1 to 3 days.
D. Request that the nursing assistant feed the client at mealtime.
C
When implementing a thoughtful, patient-centered care plan, which action
does the nurse prioritize?
A. The patient's loved ones are considered part of the team.
B. A caring relationship with mutual trust is established.
C. Measures for safety are visibly incorporated.
D. Transparent communication is observed.
C
An oncology nurse is analyzing a patient's strengths and finds the patient is
well educated, learns quickly, and is resilient. In which phase of the nursing
process will the nurse use this information?
A. Diagnosing
B. Evaluating
C. Planning
D. Implementing
A
The faculty guides the student to recognize the linen on the floor, old dinner
tray on the windowsill, empty water pitcher, twisted oxygen tubing, the
patient's pallor, and several other things requiring action. What is the value of
engaging in this kind of activity with students in the clinical setting?
A. Developing situational awareness is important to risk prevention, timely
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implementation of interventions, and prioritizing actions
B. Managing cognitive load begins with systematically sorting mental images
and immediately addressing pressing concerns
C. Nursing best practice requires that an environmental scan be completed
and documented in the electronic health record (EHR)
D. Designing interventions that increase patient satisfaction is an essential
focus for nurses when completing their initial assessments
A
A nursing program uses Tanner's Clinical Judgment Model, a research-based
model that accounts for differences in the patient, environment, and individual
student nurse. What makes Tanner's reflection step unique?
A. The emphasis is on noticing, interpreting, and responding; reflection is less
important.
B. Reflection occurs both in-action (in the moment) and on-action (after the
situation).
C. Reflection occurs first in the model that is focused on rapid decision
making and patient outcomes.
D. Reflection is the last step in a linear model and is designed to minimize bias
in the student nurse.
B
Nursing programs prepare students for safe clinical practice. As a student
nurse, why is a basic understanding of NCSBN's Clinical Judgment
Measurement Model (CJMM) important? Select all that apply.
A. Successful completion of the NCLEX is required for professional licensure
in the United States.
B. Nurse educators use the CJMM model and NCLEX test plans to develop
exam questions.
C. Students should be intimately familiar with theoretical models of education
to answer questions.
D. Appreciation of the core principles assists students in understanding the
structure and intent of nursing exams.
E. There is overlap in the core components of clinical judgment models,
measurement models, and the nursing process.
A, B, D, E
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Nursing students and those studying other health sciences (medicine,
pharmacy, physical therapy, etc.) are often engaged in competency-based
education. What is the value of competency-based education?
A. It provides comprehensive skills checklists for students to check their
progress and move on to other elements.
B. It allows for student individualization based on their unique experience and
preferences.
C. It provides specific guidance on the expected level of performance that
integrates knowledge, skills, abilities, and judgment.
D. Like most other education models, it is a high-level way of thinking that is
not related to clinical judgment.
C
The development of clinical judgment requires intentional focus and a
willingness to grow and change both personally and professionally. How can a
nursing student best foster the development of clinical judgment?
A. Engaging in learning that only appeals to their preferred learning style
B. Focusing on knowledge acquisition that is straightforward and clear
C. Developing a model for learning that integrates feedback and reflection
D. Focusing inward to develop emotional intelligence and communication
skills
C
A nursing student tells the clinical instructor that their patient is fine and has
"no complaints." Which question by the faculty coaches the student to provide
evidence that supports their assessments?
A. "Could you tell me how you validated this?"
B. "Do you think your patient feels free to share their concerns?"
C. "That's good to hear. Tell me about the care you provided."
D. "Please reassess the patient; they were admitted with a serious problem."
A
A nursery nurse notifies the nurse practitioner (NP) that a newborn has signs
of jaundice. The NP performs a brief skin assessment, then orders a blood test
for bilirubin levels. Which type of assessment has the NP performed?
A. Comprehensive
B. Initial