Exam 1 LPN-RN Transition Questions and Answers

Exam 1 LPN-RN Transition Questions and Answers The nurse willing to take risk when others are content with the status quo. This is an example of what nursing role? Change agent A trusted advisor is what role as a nurse? Mentor As a valued member of the healthcare team, the register nurse functions as what when working with physicians, assistant, nursing personnel, pharmacist, physical therapist social workers, and others Collaborator What are the roles of a registered nurse? Advocate, Care Provider, Researcher, Manager, Leader, Collaborator, Change Agent, entrepreneur, counselor, educator, role model When reviewing discharge planning with a patient, the registered nurse reviews, the new dietary modifications ordered by the healthcare provider. What role is this considered? Educator What component of a registered nurse involves not only other members of the healthcare team, but also planning, managing and collaborating care for groups of patients, families, and communities? Manager What role of nursing involves investigating possible situations to nursing and or patient problems? Researcher When nurses percent them self to other nursing personnel in a manner, that typifies is the best attributes of the profession is what role as an RN? Role model What role as an RN do patients and families real light on when needing guidance and support at times? Counselor Caring out interventions that assist. Patients to meet positive outcomes is what role in nursing? Care provider What functions as a consultant, educator and advisor to organizations and businesses, who benefit from their services? Entrepreneur The RN is caring for a seven-year-old child with a spiral fracture of the left lower extremity. Assessment findings include bruises at various stages of healing on the chest, back upper and lower extremities. The nurse recognizes these findings to be possible signs of abuse. It notifies the healthcare provider what role is the nurse implementing? Advocate What are the differences between a LPN and RN role? Select all that apply. Care planning participation Orientation to the use of critical thinking skills Legal responsibilities Educational level Patient teaching skills Educational and practice time with assessment skills Care planning participation Orientation to the use of critical thinking skills Educational level Patient teaching skills Educational and practice time with assessment skills What standard of practice makes up the nursing process select all that apply Implementation Leadership Diagnosis Planning Basic needs Assessment Implementation Leadership Diagnosis Assessment A ________ carries a set of expectations that defined a behavior, society, deems, appropriate and inappropriate for the occupant? ROLE ________ refers to the interaction and functions among the patient and members of the healthcare team to provide safe, patient centered, high quality care Collaborative, communication A patient has been transferred to a rehab facility following a total knee replacement. The nurse introduced to says the patient to all the staff and provides orientation to the facility. Initial physician orders have been obtained and transcribed. What will the next phase of the nurse patient relationship involved? Nursing assessment Nursing students are preparing for a clinical experience, caring for older adults. Which of the following are considered effective communication Techniques for this population? Select all that apply. Repeating information Providing extra time Avoiding negative messages Using abstract terms Using a higher pitched voice tone Minimizing distractions Repeating information Providing extra time Using a higher pitched voice tone Minimizing distractions A school nurse is preparing a presentation for students born in 1996. What characteristics of the student should the nurse consider? Select all that apply. Believe advancement is based on MERIT Want structure Are independent Are adaptable to change Respect and obey authority Tend to be open minded Want structure Respect and obey authority The nurse cost a physician to report a change in patient status using the S bar process, the nurse is explaining the situation. What information was a nurse include when discussing the situation? Selected apply Self identification Patient Unit Code status Most recent vital signs brief statement of the problem Self identification Patient Unit The nurse is assessing a new resident at a long-term care facility to acclimate to her new surroundings. What action by the nurse take in to attempt to establish a therapeutic relationship Ask the resident how she is feeling What is a critical component to therapeutic conversation that projects understanding of the main concern of the patient Empathy FYI To enhance effective communication the nurse must project, warmth, acceptance, friendliness, openness, empathy, and respect while providing the privacy, confidentiality and comfort of the patient. This develops a nurse, patient relationship. What method helps facilitate communication? Open ended questions ** tell me more ** I heard you say.. ** you sound angry, can you tell me about it? What are the five rights of delegation? right task right circumstance right person right direction/communication right supervision/evaluation What are Ericksons eight stages of development? Infancy Toddler Early Middle childhood Adolescence Adulthood Middle age Old age The stage of infancy is Trust versus mistrust We need to met, the child learned to trust The toddler stage is too Autonomy versus shame and doubt Toilet training and selections, a child learns a sense of control and confident in own abilities The stage early childhood is Initiative versus guilt Exploration play, a child learns to make choices The stage Middle childhood is Industry versus inferiority Social interaction school age child develops pride in accomplishment Stage adolescence is Identity versus role confusion Social relationships, trends, Teens establish their own identity The stage Adulthood is Intimacy versus isolation Romantic relationship, friendships, adults make commitment, and Care to others The stage middle age is Generativity versus stagnation Parenthood work, adults contribute to home community The stage old age is Integrity versus despair Reflecting on life adults a few regrets and wisdom The nurse is preparing a discharge plan for a patient of Hispanic descent. What will the nurse include when assessing cultural influence on health? Dietary habits A patient being discharged to home from a rehabilitation facility, following a cerebral vascular accident. What actions will the nurse implement to assess the patient and meeting self care requisites I'm planning discharge? select all that apply Understand the patient Consider the developmental task Construct an economic plan for the patient Understand the patient self-care abilities Fill medication prescription before discharge Identify potential an actual social support system Understand the patient viewpoint Consider the developmental task Understand the patient self care abilities Identify potential an actual social support systems A patient on the pediatric unit is to have nothing by mouth for 24 hours in preparation of a diagnostic test. The patient keeps asking the nurse or something to eat and state. I am so hungry... What is the patients need considered according to OREM? Universal need A nurse is assigned to educate parents on caring for a preterm infant, and preparation of being discharged home. What action with the nurse complete first Assess the parents knowledge base A nurse working in a pediatric office setting is educating the parent of a toddler regarding toilet training techniques. What will the nurse keep in mind relate to toddlers in eriksons developmental stages? Autonomy versus shame and doubt FYI environments that influence health promotion Culture Developmental Economical Physical Social Spiritual or religion What were the phases of KOLBSS theory of experimental learning. Select all that apply. Concrete experience Reflective observation Active experimentation Abstract conceptualization Reevaluation Active experimentation Abstract conceptualization Reevaluation What is the process of examining the effectiveness of the plan of care and adjusting it to ultimately meet the needs of the patient Evaluation A nursing student is performing his or her first sterile dressing change on an assigned patient in a clinical setting. What does this exemplify? A concrete experience Following a stressful day, on a clinical unit, a nursing student gets in the car and starts to cry. What coping mechanism does exemplify? Catharsis A nursing student participating in a stress reduction workshop, the leader at the student to break into small groups and discuss how they feel one under stress. What were the step of holistic cognitive help students do? Achieve awareness What is the first task of effective time management Assessment When a student prefers a -concrete randoms learning style-, what does this information indicate about the student? They prefer to study alone Hey, Safeway to bring out thoughts and fillings in order to work through them on paper is Journal writing What means to promote an idea believe or person or to put someone in the best position to assist him or herself? Advocacy What implies that the nurse has credentials or licensure, and is honest enough to fulfill duties to the fullest and pest of his or her ability? Credibility Deposition diagnose a patient with rheumatoid arthritis and prescribe medication for treatment of the symptoms. The patient states I do not need this medication, I am certain my pain will subside and just a few weeks. What is this way of thinking? Denial A public health nurse is providing education on insulin self administration techniques to patient diagnosed with diabetes. Which of the following would indicate effectiveness of learning? The nurse observes the patient to perform successful insulin administration What are the three phases of change according to Kurt Lewin? Unfreezing, moving, and refreezing What are the self to pleading behaviors? Pessimism Nitpicking Worrying Perfectionism Blaming Therapeutic communication requires what Empathy Genuineness Positive regard Self-awareness When using therapeutic communication techniques, what kind of questions should be asked to the patient? Open ended questions