Unit 5 NCLEX Review Questions With Precise Elaborations

A nursing student is committed to providing thoughtful, person-centered care. Which nursing actions demonstrate this type of care? Select all that apply. a. Assisting patients to select meals based on their cultural observances b. Providing nursing care based on patients' needs and preferences c. Documenting nursing interventions in the electronic health record d. Reviewing fingerstick blood glucose levels with the primary nurse e. Listening to a patient's concern for their ill significant other - a, b, e. The nursing process ensures that nurses are person centered rather than task centered. Attending to cultural preferences and needs and listening to a patient's concerns are patient-centered actions. Documentation and communication with other members of the health care team are not specifically patient centered. A patient who is receiving cancer chemotherapy tells the nurse, "The treatment for this cancer is worse than the disease itself. I'm stopping treatment." Which nursing action best promotes a patient-centered, therapeutic relationship? a. Determining if the patient database is adequate to address the problem b. Considering whether to suggest a counseling session for the patient c. Reassessing the patient and determining how to best support them d. Identifying possible interventions and critiquing the merit of each option - c. Reassessing the patient allows the nurse and patient to clarify the patient's goal(s) and develop interventions to best meet them. 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. The nursing philosophy in an acute care hospital includes a commitment to deliver thoughtful, person-centered care. Which description of the nursing process best supports this commitment? a. Systematic b. Interpersonal c. Dynamic d. Universally applicable in nursing situations - b. Interpersonal. All other options are characteristics of the nursing process but focus on the patient best illustrates the interpersonal dimension of the nursing process. A staff nurse tells a new graduate nurse not to bother studying too hard, since most clinical reasoning becomes second nature and intuitive once they begin practicing. Which response by the student is appropriate? a. Intuitive problem solving comes with years of practice and observation based on nursing knowledge and science. b. For nursing to remain a science, nurses must continue to be vigilant about avoiding intuitive reasoning. c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back; we need intuitive, creative thinkers. d. The nurse's preference dictates whether they are logical, scientific thinkers or intuitive, creative thinkers. - a.