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Fundamentals of Nursing - Exam 1 Questions With Verified Answers

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©BRAINBARTER 2024/2025 Fundamentals of nursing Exam 1 Questions With Verified Answers The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure? lying flat sitting up lying flat with feet raised slightly lying prone - answerlying flat The nurse and an assistant are preparing to move a client up in bed. Arrange the following steps in the correct order. 1. Adjust the head of the bed to a flat position. 2. Place a friction-reducing sheet under the client. 3. Ask the client to bend legs and place the chin on the chest. 4. Position the assistant on the side opposite you. 5. Remove all pillows from under the client. 6. Grasp the sheet and move the client on the count of 3. ©BRAINBARTER 2024/2025 A) 3, 1, 2, 4, 5, 6 B) 1, 2, 4, 3, 5, 6 C) 1, 5, 4, 2, 3, 6 D) 3, 2, 1, 4, 6, 5 E) 1, 3, 2, 4, 5, 6 - answerAns: C What nursing organization first legitimized the use of the nursing process? A) National League for Nursing ©BRAINBARTER 2024/2025 B) American Nurses Association C) International Council of Nursing D) State Board of Nursing - answerB) American Nurses Association A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for this cancer is worse than the disease itself. I'm not going to come for my therapy anymore." The nurse responds by using critical thinking skills to address this patient problem. Which action is the first step the nurse would take in this process? a. The nurse judges whether the patient database is adequate to address the problem. b. The nurse considers whether or not to suggest a counseling session for the patient. c. The nurse reassesses the patient and decides how best to intervene in her care. d. The nurse identifies several options for intervening in the patient's care and critiques the merit of each option. - answerc. The first step when thinking critically about a situation is to identify the purpose or goal of your thinking. Reassessing the patient helps to discipline thinking by directing all thoughts toward the goal. 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 process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, "How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals? How can we better help her?" This demonstrates which characteristic of the nursing process? a. Systematic

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©BRAINBARTER 2024/2025




Fundamentals of Nursing - Exam 1 Questions
With Verified Answers




What are the most important roles of the nurse (5) - answer✔Caregiver


Advocate


Educator


Researcher


Leader

What are the 5 steps in the nursing process? - answer✔(1) Assessment


(2) Nursing Diagnosis


(3) Planning


(4) Implementation


(5) Evaluation

, ©BRAINBARTER 2024/2025


*** All of the above require critical thinking!

Define Assessment - answer✔Collects comprehensive data pertinent to the patient's health and/or
situation.


- info medical personnel can look at
- begins the moment you walk through the door

Can the RN provide subjective information about patient? - answer✔NO! Only the patient can
give subjective info.


OBJECTIVE info is what the RN sees, hears, or smells

What is the Diagnosis phase? - answer✔Analyze the assessment and make a clinical judgement
related to an ACTUAL or POTENTIAL health problem.


** Nurses have to be aware of potential risks based on health problems.


** Also collaborate with other specialists to manage the problem(s)

What are the three phases of a Nursing Diagnosis? - answer✔First info → Related to → as
evidence by


WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?


Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or as evidence by
crying)"

What are the OUTCOMES IDENTIFICATION? - answer✔This is the statement of how a
patient's status will change once interventions have been successfully instituted

, ©BRAINBARTER 2024/2025


Identify the expected outcomes when planning for the patient's individual situation.


Interventions must be measurable criterion indicating that objectives have been met.

Define the PLANNING stage of the nursing process - answer✔Develops a plan that prescribes
strategies and alternatives to attain expected outcomes.


- Prioritize strategies


- Goals (statement that describes the aim if the nursing care) should be short term and long term

Describe IMPLEMENTATION of the nursing process - answer✔The actions to facilitate
positive patient outcomes

What three skills are needed in order to implement goals? - answer✔Cognitive


Personal


Psychomotor

Describe the EVALUATION phase of the nursing process - answer✔This describes how well the
patients needs were met (or not met).


Done through reassessment

What percentage of all communication is nonverbal? - answer✔90%

What two characteristics should nurses always exude? - answer✔CARING


COMPETENCE

How is communication used in the Assessment phase of the nursing process? - answer✔Verbal
interviewing and history taking


Visual and intuitive observation of nonverbal behavior

, ©BRAINBARTER 2024/2025




Visual, tactile, and auditory data gathering during physical examination.


Written medical records, diagnostic tests, and literature review.

Define REFERENT - answer✔The referent motivates one person to communicate with another.


Examples of referents: sights, sounds, odors, time schedules, messages, objects, emotions,
sensations, perceptions, ideas, etc.

Define SENDER in communication - answer✔The person who encodes and delivers the
message.


Sender puts ideas or feelings into form that is transmitted and is responsible for accuracy and
emotional tone of message content

What is the RECEIVER in the communication process? - answer✔The person who receives and
decodes the message


** senders message acts as a referent for the receiver, who is responsible for attending to,
translating, and responding to the message.

MESSAGE in communication process - answer✔Content of communication.... verbal, nonverbal
& symbolic language.

CHANNELS in communication process - answer✔These are the means of conveying the
message through visual, auditory, and tactile senses.


Facial expression = visual message
Spoken word = auditory
Touch = tactile

FEEDBACK in communication process - answer✔The message that the receiver returns. This
indicates if receiver understood meaning of message. Sender can evaluate effectiveness of
communication.

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