NUR 104 ESSENTIALS OF HEALTH CARE: HEALTH SAFETY

Question 1 1. The patient has a learning style preference for manipulating equipment and doing return demonstrations. The RN recognizes the patient learns best in which domain? a. Cognitive b. Psychomotor c. Tactile d. Affective 1.25 points Question 2 1. When developing a patient plan of care, which is an independent nursing action? a. Collaborate with physical therapist to modify activity orders. b. Request a high fiber diet from nutrition services. c. Administer a stool softener at bedtime every day. d. Provide distraction between doses of pain medication. 1.25 points Question 3 1. For which patient should the RN obtain an apical heart rate? a. A young adult b. A middle-aged adult c. An adolescent d. An infant 1.25 points Question 4 1. A patient states “I would like to be able to decrease my risk for heart disease. I started eating better but there is more I can do.” What would be an appropriate NANDA-I nursing diagnosis for the RN to apply in this situation? a. Ineffective role performance b. Deficient knowledge c. Readiness for enhanced health maintenance d. Risk-prone health behavior 1.25 points Question 5 1. Which technique is used when the RN strikes the middle finger of the hand resting on the patient’s abdomen with the middle finger of the dominant hand to create a sound? a. Percussion b. Vibration c. Effleurage d. Palpation 1.25 points Question 6 1. The RN working in the college health center assesses a student who reports a loss of appetite, insomnia, and not being able to concentrate on course assignments and applies the NANDA-I nursing diagnosis, Anxiety. Which is an expected patient outcome for this patient? a. Verbalize feeling of control in stressful situations by next visit. b. Limit interaction with classmates until improvement. c. Take anti-anxiety medication as prescribed every day. d. Request professors to change course assignments after first visit. 1.25 points Question 7 1. The RN is providing care for a patient who confides the physician recommends a mastectomy due to a history of breast cancer. The RN responds “Tell me more.” This demonstrates use of which therapeutic communication technique? a. Paraphrasing b. Active listening c. Reflection d. Establishing trust 1.25 points Question 8 1. Which statement should be made by the RN when an unlicensed assistive personnel (UAP) asks why an oral thermometer needs to be placed under the tongue in the sublingual pocket? a. “The thermometer should be in close proximity to major blood vessels to obtain the core body temperature.” b. “That is the most comfortable place for the thermometer to rest in the patient’s mouth.” c. “The oral thermometer is fragile and could break if the patient bites down on it.” d. “It does not really matter where in the mouth the thermometer is placed as long as the lips are closed.” 1.25 points Question 9 1. What is the purpose of nursing informatics? a. Decrease the need for multiple face to face meetings. b. Reduce the likelihood of patient privacy issues. c. Enhance the non-verbal communication method. d. Use data to support decision-making. 1.25 points Question 10 1. Which technologic strategy is used when an organization needs to investigate changes that have been made in the electronic health record? a. Password changes b. Order entry review c. Audit trails d. Omission errors summaries 1.25 points Question 11 1. The new graduate nurse asks the mentor how to approach a patient of a different cultural background. Which response by the mentor is most appropriate? a. “Call an interpreter to help you conduct the interview.” b. "Assess cultural beliefs and set aside your own personal values." c. “Observe how other nurses on the unit react to the patient." d. "Speak clearly and ask very specific questions of the patient." 1.25 points Question 12 1. Which interventions should the RN implement when communicating with a patient experiencing impaired cognition? Select all that apply. a. Orient the patient. b. Hold patient teaching to a minimum. c. Ask open-ended questions. d. Use short sentences. e. Avoid slang and jargon. 1.25 points Question 13 1. The RN is planning to teaching a preschool age patient about taking medications. Use of which teaching aid demonstrates the RN provides patient-centered teaching care for this age group? a. Small groups. b. Coloring books. c. Demonstrations. d. Videos. 1.25 points Question 14 1. The student nurse asks the RN to explain the difference between a comprehensive physical assessment and a focused physical assessment. Which is the appropriate response by the RN? a. “A focused physical assessment requires an order from a health care provider.” b. “A comprehensive physical assessment includes a health history and a complete head-to-toe.” c. “A focused physical assessment is limited to an overall patient problem.” d. “A comprehensive physical assessment is completed, at every interaction with the patient.” 1.25 points Question 15 1. Which actions demonstrate that the RN needs additional teaching about auscultation? a. Placing the stethoscope directly on the patient’s skin. b. Shaving the hair to facilitate good contact with the skin. c. Using the diaphragm to listen to high pitched sounds. d. Using the bell to hear low-pitched sounds.