230 Nursing exam 1 Outstanding Quality Solutions, Guaranteed High Performance, Verified and Validated

The nurse is observing care being provided by a new nurse. Which behavior should be interpreted as caring? a. Making sure that all medications and treatments are done on time b. Using aseptic technique when performing a dressing change c. Advising the physician that the client wants to speak to him or her prior to a procedure d. Explaining an invasive procedure to the client, then asking if it is all right to begin the procedure - Answer d. Explaining an invasive procedure to the client, then asking if it is all right to begin the procedure A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies. The approach the nurse would like to use suggests that caring is a nurturing process. The nurse should review the ideas of which theorist because they are best in line with this research? a. Swanson b. Watson c. Roach d. Benner - Answer a. Swanson The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker, "We better be ready for a busy night." This nurse is exemplifying which process of Swanson's theory of caring? a. Knowing b. Being with c. Doing for d. Enabling - Answer a. Knowing The nurse is working in the school system with a group of students who are struggling with the death of a classmate. The nurse encourages the students to talk about their friend, bring pictures, and share memories with each other. The nurse also invites the deceased's family members to come to the school and visit with their child's classmates. This nurse is working in which of Swanson's processes? a. Knowing 2 | P a g e b. Being with c. Doing for d. Enabling - Answer d. Enabling The nurse educator teaches students about caring nursing practice. Which situation demonstrates a nurse implementing the whole idea of caring? a. The nurse who takes time for a favorite hobby, at least once a week b. The nurse who volunteers at church and school events c. The nurse who makes lists every morning so the day stays organized and planned d. The nurse who takes care of elderly parents as well as providing care to immediate family members - Answer a. The nurse who takes time for a favorite hobby, at least once a week The nurse had a particularly stressful day at work and is at home writing down the activities that occurred. Which questions should the nurse answer when engaging in reflective journaling? (Select all that apply.) a. Now what? b. What happened? c. What did I learn? d. What did it mean? e. How can I change? - Answer a. Now what? b. What happened? c. What did I learn? d. What did it mean? Mayeroff Theory of Caring - Answer helping growth and actualization of another, developing over time, support clients potential and need to grow Leininger Theory of Caring - Answer culture care diversity and university, for nurses to provide care that is congruent with cultural values, beliefs and practices Roach Theory of Caring - Answer Human mode of being, competence, compassion, confidence, conscience, commitment, comportment § Ex of conscience: nurse asks that a client being mechanically ventilated be reassigned so that proper care and attention § Ex of compassion: nurse requests to work overtime to help a client and takes time to understand the patients' spiritual needs Swanson Theory of Caring - Answer nurturing way of relating to a valued other, one feels a personal sense of commitment to valued other (knowing, being with, doing for, enabling, maintaining belief) 3 | P a g e Watson Theory of Caring - Answer basis for nursing role in society, commitment to care of the whole person The nurse is assisting a client with a diagnostic test. Which role should the nurse expect to perform in the intratest phase? a. Assess the data. b. Collect the specimen. c. Observe the client. d. Prepare the client. - Answer b. Collect the specimen. The nurse is teaching a client with heart failure about diagnostic tests. Which test should the nurse emphasize in this teaching? 1. BNP 2. CBC 3. LDH 4. PKU - Answer 1. BNP What is the responsibility of the nurse when collecting a specimen from a client? 1. Accompany the client to collect a specimen. 2. Handle the specimen discreetly. 3. Clean technique should be used with all specimen collection. 4. Use day-old specimens. - Answer 2. Handle the specimen discreetly. A client is prescribed a diagnostic test requiring a 24-hour stool specimen. What should this test indicate to the nurse? 1. Dietary products and digestive secretions. 2. Presence of bacteria or viruses. 3. Presence of ova and parasites. 4. Presence of occult blood. - Answer 1. Dietary products and digestive secretions. The nurse is preparing to collect a throat culture from a client. What client response indicates to the nurse that teaching about this test has been ineffective? 1. "I need to hyperextend my neck." 2. "I need to say 'ah'." 3. "I will need to sit up." 4. "The nurse will use a light." - Answer 1. "I need to hyperextend my neck." 4 | P a g e A client is scheduled to have abdominal ascites fluid removed. What should the nurse instruct the client about this procedure? 1. A catheter will be inserted into the bladder. 2. A liver biopsy will be done. 3. An abdominal paracentesis will be done. 4. A thoracentesis will be done. - Answer 3. An abdominal paracentesis will be done. An older client is having difficulty handling the specimen cup for a clean catch urine specimen. What can the nurse do to help this client? 1. Provide a clean funnel to pour the urine into the specimen cup. 2. Document that the specimen could not be obtained. 3. Catheterize the client for the ......