ANSWERS 100% CORRECT!!
What best defines the nursing process? - ANSWER1. Assessment - identify a client's
health care status
2. Diagnosis - actual or potential health problems
3. Outcomes identification
4. Planning - establish plans to meet the identified needs
5. Implementation - to deliver specific nursing interventions to address those needs
6. Evaluation - determine if goals were met
What is the most effective process to ensure that the care plan is meeting the needs
of the patient? - ANSWEREvaluation
How may a newly licensed LPN/LVN practice? - ANSWERUnder the supervision of a
physician or RN
What framework does the establishment of priorities of care during the planning
phase of the nursing process often use? - ANSWERMaslow's hierarchy of needs:
1. physiologic
2. safety and security
3. love and belongingness
4. esteem
5. self-actualization
What type of assessment is performed continuously throughout nurse-patient
contact? - ANSWERfocused assessment
What bacteria can lie dormant when conditions for growth are not favorable? -
ANSWERspores
Whose influence on nursing practice in the 19th century was related to improvement
of patient environment as a method of health promotion? - ANSWERFlorence
Nightingale
What document identifies the roles and responsibilities of the LPN/LVN? -
ANSWERThe Nurse Practice Act (NPA)
What does documentation of type of care, time of care, and signature of the person
prove? - ANSWERThat interventions were implemented to meet the patient's needs.
The nurse charts only additional treatments done, changes in patient condition, and
new concerns. What is this system of documentation? - ANSWERCharting by
exception
What form explains the lapse when events are not consistent with facility or national
standards of expected care? - ANSWERIncident report
, Although the patient denies pain, the nurse observes the patient breathing rapidly
with clenched fists and facial grimacing. What is the nurse's best response to these
observations?
A. "I am glad you are feeling better and have no discomfort."
B. "Where do you hurt?"
C. "What you are saying and what I am observing don't seem to match."
D. "It makes me uncomfortable when you are not honest with me." - ANSWERC.
"What you are saying and what I am observing don't seem to match."
What does therapeutic communication accomplish? - ANSWERForms a positive and
trusting nurse-patient relationship and actively involves the patient in all areas of
care.
What therapeutic communication technique requires a great deal of skill and is not
used as frequently as other communication techniques? - ANSWERTherapeutic
silence (it conveys support, compassion, caring and concern)
What is classified as information provided by the family when a patient is unable to
provide data during assessment? - ANSWERSecondary
A patient with a respiratory infection reports that he is not yet on an antibiotic. The
nurse explains that the health care provider is waiting on the results of the culture
and sensitivity. What does this test determine? - ANSWERCulture tests to find
germs.
Sensitivity tests to see what kind of medicine (antibiotic) will work best to treat the
infx
What bacterium is responsible for more diseases than any other organism? -
ANSWERstreptococcus
What is the branch of science that studies how the body functions? -
ANSWERPhysiology
The thoracic cavity is ___________ to the abdominopelvic cavity. -
ANSWERSuperior
Which of the following refers to the groin region? - ANSWERinguinal
Which of the following is considered the control center of the cell? -
ANSWERNucleus
Define osmosis? - ANSWERDiffusion of water through a SELECTIVELY permeable
membrane
What are Melanocytes? - ANSWERcells that produce melanin
Ceruminous glands secrete? - ANSWERear wax
The color of skin that is supplied by oxygen-poor blood? - ANSWERCyanosis