Questions and Answers with Explanations.
During a physical assessment, the nurse closes and door and provides drape to promote
privacy. The nurse is performing her role as a/an:
A. Advocate
B. Communicator
C. Change agent
D. Caregiver - Correct Answer D. Caregiver
The role of a nurse as caregiver helps client promote, restore and maintain dignity, health
and wellness by viewing a person holistically. As an advocate the nurse intercedes or
works on behalf of the client. Identifying the need and problems of the client and
communicating it to other members of the health team is doing the role of a
communicator. As a change agent, the nurse assists the client to MODIFY their
BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the patient to avoid smoking to
prevent the worsening of respiratory problems. The patient asked about the things that he
can do when feelings of wanting to smoke arises. The nurse enumerates ways of dealing
the situation. This is an example of a nurse's role as a/an:
A. Advocate
B. Clinician
C. Change agent
D. Caregiver - Correct Answer C. Change agent
As a change agent, the nurse assists the client to MODIFY their BEHAVIOR. As an
advocate the nurse intercedes or works on behalf of the client. As a clinician, the nurse
would use technical expertise to administer nursing care. The role of a nurse as caregiver
helps client promote, restore and maintain dignity, health and wellness by viewing a
person holistically.
Nurse Cathy on the other hand, knows the case immediately even before a diagnosis is
done. Based on Benner's theory she is a/an:
A. Novice
,B. Expert
C. Competent
D. Advanced beginner - Correct Answer B. Expert
The ability to perceive something without further evidence is the development of intuition
and is seen in Expert nurses. A novice nurse is governed by rules and usually inflexible.
Competent nurses are planning nursing care consciously. Advanced beginners
demonstrate acceptable performance.
Newborn screening is done to every newborn in the Philippines. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation - Correct Answer B. Secondary prevention
Promotion of early detection and early treatment of the disease is under secondary
prevention. Example, breast self exam, TB screening, genetic counseling.
One of Nurse Cathy's co-workers is Annie who is flexible in any given situation. Annie is
performing her duties well without supervision but still needs more experience and
practice to develop a consciously planned nursing care. According to Patricia Benner's
category in specialization in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner - Correct Answer D. Advanced beginner
A- Novice is governed by rules and usually inflexible. B- Expert nurses have intuitive
grasp on the situation dealt. C- Competent nurses are planning nursing care consciously.
D- Advanced beginners demonstrate acceptable performance.
The clinical instructor is discussing about the Nursing Process. She mentioned that when
a cluster of actual or high-risk diagnosis are present because of a certain situation it is
called:
A. Wellness nursing diagnosis
, B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
D. Risk nursing diagnosis - Correct Answer C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing diagnosis.
Wellness nursing diagnosis focuses on the clinical judgment on an individual from a
specific to higher level of wellness. Actual diagnoses are clinical judgment of the nurse
that is validated. A risk diagnosis is based on the clinical are based on clinical judgment
that the client may develop vulnerability to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is the
equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C - Correct Answer B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to °F use
this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse relinquishing
responsibility for care of the patient to communicate. Which of the following facts to the
nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning. - Correct Answer C. Patient's NGT was
removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the patient's
condition that the nurse assuming responsibility for care of the patient will need to
monitor. The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture
site is red and swollen. Which of the following interventions would the nurse perform first?