NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
1. Which examples are essential components for dele- The UAP has suffi-
gating nursing care to an unlicensed assistive per- cient knowledge and
sonnel (UAP)? Select all that apply. skill for completing
the task.
The UAP has sufficient knowledge and skill for com- The nurse has clear-
pleting the task. ly communicated in-
The nurse has clearly communicated instructions to structions to the UAP.
the UAP. The UAP can verbal-
The UAP can verbalize what information to report to ize what information
the nurse. to report to the nurse.
The nurse seeks input from the UAP in planning the
client's care for the shift.
The UAP evaluates the client's response after imple-
menting the task and then reports findings to the
nurse
2. Which nursing interventions are appropriate to per- Prevent the problem.
form when addressing a risk nursing diagnosis? Reduce or eliminate
Select all that apply. risk factors.
Monitor the client's
Prevent the problem. status.
Reduce or eliminate risk factors.
Monitor the client's status.
Promote a higher level wellness.
Collect additional data to rule out the diagnosis.
3. Which action is a responsibility of the nurse in the Provide creative
nurse-nurse team relationship? leadership to make
the nursing unit a
Provide creative leadership to make the nursing unit challenging place to
a challenging place to work. work.
Communicate nursing's perspective regarding the
client and family.
Challenge the client to develop self-care abilities
that promote health.
Intervene to promote healthy family functioning
through education and advocacy.
4. Nurse case manager
,NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
A client cannot afford the treatment prescribed.
Who would be the most appropriate professional for
the nurse to involve with the client's care?
Nurse manager
Nurse case manager
Physician
Insurance company
5. The nurse must give instructions before discharge Delay the instruc-
to a 13-year-old in a sickle cell crisis. Three of the tion until the visitors
client's friends from school are visiting. In order to leave.
assure effective instruction, what should the nurse
plan to do?
Delay the instruction until the visitors leave.
Give the visitors instructions to leave in 10 minutes.
Ask the client if the client has any questions.
Leave written information for the client to read later.
6. A nurse is caring for a postoperative client who Implement the ABC
reports a pain level of 6 on a scale from 1 to 10. guide of pain man-
After administering the prescribed pain medication, agement.
which intervention should the nurse include in the
nursing care plan to monitor and evaluate pain?
Assess nonpharmacologic modalities used to re-
duce pain.
Implement the ABC guide of pain management.
Ambulate the client after administration of pain
medication.
Review client goals for comfort.
7. A nurse is catheterizing a client. Which scenario Explain the proce-
demonstrates steps the nurse would take to ensure dure to the client,
client respect and privacy? close the door to
the room, and cov-
Verify the client's identifiable information, explain er all areas of the
the procedure to the family, and pull the privacy client, only exposing
,NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
curtain to allow the client to feel comfortable in the area for catheter-
having family close by. ization.
Explain the procedure to the client, close the door
to the room, and cover all areas of the client, only
exposing the area for catheterization.
Ask family members to leave the room briefly, close
the door, and ask the client if he or she would like a
sheet to cover oneself.
Bring in another nurse to provide support and pre-
vent questionable behaviors, explain the procedure
to the client, and close the door and privacy curtain
prior to beginning the procedure.
8. Before implementing any intervention, which ques- "Is the client pre-
tions should the nurse ask oneself? Select all that pared for what needs
apply. to be done?"
"Do I have all
"Is the client prepared for what needs to be done?" the necessary sup-
"Do I have all the necessary supplies and equip- plies and equipment
ment needed?" needed?"
"Do I have the skills to perform the intervention?" "Do I have the skills
"Can I do the intervention alone or do I need help?" to perform the inter-
"Have I obtained permission from the physician to vention?"
perform this intervention?" "Can I do the inter-
vention alone or do I
need help?"
"Have I obtained per-
mission from the
physician to perform
this intervention?"
9. The nurse assigned to care for a client who has Confirming that the
received a sedative has asked the unlicensed assis- UAP has successful-
tive personnel (UAP) to help the client to the toilet. ly passed this skill
The nurse demonstrates proper delegation skills by competency
performing which actions? Select all that apply. Being available for
, NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
questions from the
Confirming that the UAP has successfully passed UAP
this skill competency Giving a report on
Being available for questions from the UAP the client to the UAP
Giving a report on the client to the UAP and answer- and answering ques-
ing questions tions
Transferring accountability and responsibility for Confirming that the
the client to the UAP UAP has repeated-
Confirming that the UAP has repeatedly completed ly completed similar
similar tasks tasks
10. Which task would be appropriate for the nurse Provide the client
to delegate to an unlicensed assistive personnel with assistance in
(UAP)? transferring to the
bedside commode
Secure the client's jewelry before surgery.
Reassess the client's sacrum for redness when do-
ing a bed bath.
Provide the client with assistance in transferring to
the bedside commode.
Retrieve a unit of blood from the blood bank.
11. What are the goals of the research that is behind the To identify, label,
Nursing Outcomes Classification (NOC) system? and validate nurs-
Select all that apply. ing-sensitive client
outcomes and indi-
To identify, label, and validate nursing-sensitive cators
client outcomes and indicators To evaluate the va-
To teach decision making lidity and usefulness
To ensure appropriate reimbursement for nursing of the classification
services in clinical field testing
To communicate nursing to non-nurses To define and test
To evaluate the validity and usefulness of the clas- measurement proce-
sification in clinical field testing dures for the out-
To define and test measurement procedures for the comes and indica-
outcomes and indicators tors
12. The emergency room (ER) has a strict protocol re-
garding intramuscular (IM) injection technique. A
Answers
1. Which examples are essential components for dele- The UAP has suffi-
gating nursing care to an unlicensed assistive per- cient knowledge and
sonnel (UAP)? Select all that apply. skill for completing
the task.
The UAP has sufficient knowledge and skill for com- The nurse has clear-
pleting the task. ly communicated in-
The nurse has clearly communicated instructions to structions to the UAP.
the UAP. The UAP can verbal-
The UAP can verbalize what information to report to ize what information
the nurse. to report to the nurse.
The nurse seeks input from the UAP in planning the
client's care for the shift.
The UAP evaluates the client's response after imple-
menting the task and then reports findings to the
nurse
2. Which nursing interventions are appropriate to per- Prevent the problem.
form when addressing a risk nursing diagnosis? Reduce or eliminate
Select all that apply. risk factors.
Monitor the client's
Prevent the problem. status.
Reduce or eliminate risk factors.
Monitor the client's status.
Promote a higher level wellness.
Collect additional data to rule out the diagnosis.
3. Which action is a responsibility of the nurse in the Provide creative
nurse-nurse team relationship? leadership to make
the nursing unit a
Provide creative leadership to make the nursing unit challenging place to
a challenging place to work. work.
Communicate nursing's perspective regarding the
client and family.
Challenge the client to develop self-care abilities
that promote health.
Intervene to promote healthy family functioning
through education and advocacy.
4. Nurse case manager
,NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
A client cannot afford the treatment prescribed.
Who would be the most appropriate professional for
the nurse to involve with the client's care?
Nurse manager
Nurse case manager
Physician
Insurance company
5. The nurse must give instructions before discharge Delay the instruc-
to a 13-year-old in a sickle cell crisis. Three of the tion until the visitors
client's friends from school are visiting. In order to leave.
assure effective instruction, what should the nurse
plan to do?
Delay the instruction until the visitors leave.
Give the visitors instructions to leave in 10 minutes.
Ask the client if the client has any questions.
Leave written information for the client to read later.
6. A nurse is caring for a postoperative client who Implement the ABC
reports a pain level of 6 on a scale from 1 to 10. guide of pain man-
After administering the prescribed pain medication, agement.
which intervention should the nurse include in the
nursing care plan to monitor and evaluate pain?
Assess nonpharmacologic modalities used to re-
duce pain.
Implement the ABC guide of pain management.
Ambulate the client after administration of pain
medication.
Review client goals for comfort.
7. A nurse is catheterizing a client. Which scenario Explain the proce-
demonstrates steps the nurse would take to ensure dure to the client,
client respect and privacy? close the door to
the room, and cov-
Verify the client's identifiable information, explain er all areas of the
the procedure to the family, and pull the privacy client, only exposing
,NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
curtain to allow the client to feel comfortable in the area for catheter-
having family close by. ization.
Explain the procedure to the client, close the door
to the room, and cover all areas of the client, only
exposing the area for catheterization.
Ask family members to leave the room briefly, close
the door, and ask the client if he or she would like a
sheet to cover oneself.
Bring in another nurse to provide support and pre-
vent questionable behaviors, explain the procedure
to the client, and close the door and privacy curtain
prior to beginning the procedure.
8. Before implementing any intervention, which ques- "Is the client pre-
tions should the nurse ask oneself? Select all that pared for what needs
apply. to be done?"
"Do I have all
"Is the client prepared for what needs to be done?" the necessary sup-
"Do I have all the necessary supplies and equip- plies and equipment
ment needed?" needed?"
"Do I have the skills to perform the intervention?" "Do I have the skills
"Can I do the intervention alone or do I need help?" to perform the inter-
"Have I obtained permission from the physician to vention?"
perform this intervention?" "Can I do the inter-
vention alone or do I
need help?"
"Have I obtained per-
mission from the
physician to perform
this intervention?"
9. The nurse assigned to care for a client who has Confirming that the
received a sedative has asked the unlicensed assis- UAP has successful-
tive personnel (UAP) to help the client to the toilet. ly passed this skill
The nurse demonstrates proper delegation skills by competency
performing which actions? Select all that apply. Being available for
, NURS 211 Chapter 17: Implementing Exam Test with 100% Verified
Answers
questions from the
Confirming that the UAP has successfully passed UAP
this skill competency Giving a report on
Being available for questions from the UAP the client to the UAP
Giving a report on the client to the UAP and answer- and answering ques-
ing questions tions
Transferring accountability and responsibility for Confirming that the
the client to the UAP UAP has repeated-
Confirming that the UAP has repeatedly completed ly completed similar
similar tasks tasks
10. Which task would be appropriate for the nurse Provide the client
to delegate to an unlicensed assistive personnel with assistance in
(UAP)? transferring to the
bedside commode
Secure the client's jewelry before surgery.
Reassess the client's sacrum for redness when do-
ing a bed bath.
Provide the client with assistance in transferring to
the bedside commode.
Retrieve a unit of blood from the blood bank.
11. What are the goals of the research that is behind the To identify, label,
Nursing Outcomes Classification (NOC) system? and validate nurs-
Select all that apply. ing-sensitive client
outcomes and indi-
To identify, label, and validate nursing-sensitive cators
client outcomes and indicators To evaluate the va-
To teach decision making lidity and usefulness
To ensure appropriate reimbursement for nursing of the classification
services in clinical field testing
To communicate nursing to non-nurses To define and test
To evaluate the validity and usefulness of the clas- measurement proce-
sification in clinical field testing dures for the out-
To define and test measurement procedures for the comes and indica-
outcomes and indicators tors
12. The emergency room (ER) has a strict protocol re-
garding intramuscular (IM) injection technique. A
