Test 2 ( Nursing 105) Questions And Answers With Verified Solutions Graded A+

Test 2 ( Nursing 105) A charge nurse is discussing the characteristics of a nurse -client relationship with a newly licensed nurse. Which of the following are appropriate to include in the discussion? (Select all that apply.) A. The needs of both participants are met. B. An emotional commitment exists between the participants. C. It is goal -directed. D. Behavioral change is encouraged. E. A termination date is established. - C, D, E A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the me dication and checked with the client 40 min later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation - A. Assessment A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? A. Respiratory rate is 22/min with even, unlabored respirations. B. The Client's partner states, " They said they hurt aftter walking about 10 minutes." C. The client's pain rating is 3 on a scale of 0 to 10. D. The client's skin is pink, warm and dry. E. The assistive personnel reports that the client walked with a limp. - A, D, E A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that don not require a provider's prescription. Which of the following interventions shoult the charge nurse include? (Select all that apply.) A. Writing a prescription for morphine sulfate as needed for pain. B. Inserting a nasogastric (NG) tube to relieve gastric distention. C. Showing a client how to use progressive muscle relaxation. D. Performing a daily bath after the evening meal. E. Repositioning a client every 2 hr to reduce pressure injury risk. - C, D, E A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? (Select all that apply.) A. Find a mentor B. Use a journal to write about the outcomes of clinical judgments. C. Review articles about evidence -based practice. D. Limit consultations with other professionals involved in a client's care. E. Make quick decisions when unsure about a client's needs. - A, B, C A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issues at hand. Today, the nurse was found asleep in a chair in the break room not during a break time. Which of the following ac tions should the nurse take? A. Alert the American Nurses Association. B. Fill out an incident report. C. Report the observations to the nurse manager on the unit. D. Leave the nurse alone to sleep. - C. Report the observations to the nurse manager on the unit. A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that " I plan to prepare my advance directives before I come to the hospital." Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? A. "I'd rather have my brother make decisions for me, but I know it has to be my wife." B. "I know they won't go ahead with the surgery unless I prepare these forms." C. " I plan to write that I don't want them to keep me on a breathing machine." D. " I will get my regular doctor to approve my plan before I hand it in at the hospital." - C A nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. Pacing B. Reflecting C. Paraphrasing D. Restating - B. Reflecting A nurse is caring for a client who decides not to haves urgery despite significant blockages of the coronary arteries. The nurse understand that this client's choice is an example of which of the following ethical principles?