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Exam (elaborations)

CNC Exam 2 Practice Questions (Chapters 22-28, 31, & 44) With 100% Correct Answers.

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CNC Exam 2 Practice Questions (Chapters 22-28, 31, & 44) With 100% Correct Answers. you are invited to attend the weekly unit patient care conference. the staff discusses patient care issues. this type of communication is: a. public b. intrapersonal c. transpersonal d. small group d. small group helping relationships serve as the foundation of clinical nursing practice. contracts for a therapeutic helping relationship are formed during the: a. orientation stage b. working phase c. termination phase d. preinteraction phase a. orientation phase a patient newly diagnosed with diabetes needs to learn how to use a glucometer. use of a glucometer constitutes: a. affective learning b. cognitive learning c. motivational learning d. psychomotor learning d. psychomotor learning during a teaching session, the nurse tells a patient with a recent neck injury that damage to the nerves is comparable to a water hose that has been pinched off. during the teaching session, the nurse is using the process of: a. analogy b. discovery c. role playing d. demonstration a. analogy your patient is about to undergo a controversial orthopedic procedure. the procedure may cause periods of pain. although nurses agree to do no harm, this procedure may be the patient's only treatment choice. this example describes the ethical principle of: a. autonomy b. fidelity c. justice d. nonmaleficence d. nonmaleficence if a nurse decides to withhold a medication because it might further lower the patient's blood pressure, the nurse will be practicing the principle of: a. responsibility b. accountability c. competency d. moral behavior b. accountability a nurse is caring for a patient who states, "I just want to die". for the nurse to comply with this request, the nurse should discuss: a. living wills b. assisted suicide c. passive euthanasia d. advance directives d. advance directives while admitting a patient, during the initial interview, a family member tells you, "My mom really means that she does not understand her medical diagnosis". the communication form used by the family member is: a. focusing b. clarifying c. summarizing d. paraphrasing b. clarifying when working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (select all that apply) a. check for needed adaptive equipment b. exaggerate lip movements to help the patient lip-read c. give the patient time to respond to questions d. keep communication short and to the point e. communicate only through written information a. check for needed adaptive equipment c. give the patient time to respond to questions d. keep communication short and to the point nurses must communicate effectively with the health care team for which of the following reasons? (select all that apply) a. to improve the nurse's status with the health team members b. to reduce the risk of errors to the patient c. to provide an optimum level of patient care d. to improve patient outcomes e. to prevent issues that need to be reported to outside agencies b. to reduce the risk of errors to the patient c. to provide an optimum level of patient care d. to improve patient outcomes a student nurse employed as a nursing assistant may perform care: a. as learned in school b. expected of a nurse at that level c. identified in the hospital's job description d. requiring technical rather than professional skills c. identified in the hospital's job description you are about to administer an oral medication and you question the dosage. you should: a. administer the medication b. notify the physician c. withhold the medication d. document that the dosage b. notify the physician motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavioral changes. when using motivational interviewing, what outcomes does the nurse expect? (select all that apply) a. gaining an understanding of the patient's motivations b. directing the patient to avoid poor health choices c. recognizing the patient's strengths and supporting his or her efforts providing assessment data that can be shared with families to promote change e. identifying differences in patient's health goals and current behaviors a. gaining an understanding of the patient's motivations c. recognizing the patient's strengths and supporting his or her efforts e. identifying differences in patient's health goals and current behaviors the nurse therapeutically responds to an adult patient who is anxious by: (select all that apply) a. matching the rate of speech to be the same as that of the patient b. providing good eye contact c. demonstrating a calm presence d. spending time actively with the patient e. assuring the patient that all will be well b. providing good eye contact c. demonstrating a calm presence d. spending time actively with the patient a nurse prepares to contact a patient's physician about a change in the patient's condition. put the following statements in the correct order using SBAR (situation, background, assessment, and recommendation) communication - Is it possible to make a change in antibiotics, or could we give her a nutritional supplement before her medication? - she is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on levothyroxine at 5 pm yesterday. she states she has a poor appetite; her weight has remained stable over the past 2 days. - the patient reported feeling very nauseated after her dose of levofloxacin an hour ago - the patient started to complain of nausea yesterday evening and has vomited several times during the night S - the patient started to complain of nausea yesterday evening and has vomited several times during the night B - she is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on levothyroxine at 5 pm yesterday. she states she has a poor appetite; her weight has remained stable over the past 2 days. A - the patient reported feeling very nauseated after her dose of levofloxacin an hour ago R - Is it possible to make a change in antibiotics, or could we give her a nutritional supplement before her medication? the patient states, "I don't have confidence in my doctor. she looks so young." the nurse therapeutically responds: (select all that apply) a. tell me more about your concern b. you have nothing to worry about. your doctor is perfectly competent c. you are worried about your care? d. you can go online and see how others have rated your doctor. I do that e. you should ask your doctor to tell you her background a. tell me more about your concern c. you are worried about your care? the nurse applying effective communication skills throughout the nursing process should: (place the following interventions in the correct order) - validate health care needs through verbal discussion with the patient - compare actual and expected patient care outcomes with the patient - provide support through therapeutic communication techniques - complete a nursing history using verbal communication techniques 1 - complete a nursing history using verbal communication techniques 2 - validate health care needs through verbal discussion with the patient 3 - provide support through therapeutic communication techniques 4 - compare actual and expected patient care outcomes with the patient a nurse working with a patient using therapeutic communication and the phases of the therapeutic relationship. place the nurse's statements in order according to these phases. - the nurse states, "let's work on learning injection techniques" - the nurse is mindful of his/her own biases and knowledge in working with the patient with B12 deficiency - the nurse summarizes progress made during the nursing relationship - after providing introductions, the nurse defines the scope and purpose of the nurse-patient relationship 1 - the nurse is mindful of his/her own biases and knowledge in working with the patient with B12 deficiency 2 - after providing introductions, the nurse defines the scope and purpose of the nurse-patient relationship 3 - the nurse states, "let's work on learning injection techniques" 4 - the nurse summarizes progress made during the nursing relationship which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility? (select all that apply) a. collaborate between staff members from sending and receiving departments b. requiring that the patient visit the facility before a transfer is arranged c. using a standardized transfer policy and transfer tool d. arranging all patient transfers during the same time each day e. relying on family members to share information with the new facility a. collaborate between staff members from sending and receiving departments c. using a standardized transfer policy and transfer tool

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