A nurse is looking for trends in a postoperative patient's vital signs. Which documents
would the nurse consult first?
A. Admission sheet
B. Admission nursing assessment
C. Flow sheet
D. Graphic record
Give this one a try later!
d. While one recording of vital signs should appear on the admission
nursing assessment, the best place to find sequential recordings that show
, a pattern or trend is the graphic record. The admission sheet does not
include vital sign documentation, and neither does the flow sheet.
A nurse is attempting to improve care on the pediatric ward of a hospital. Which
nursing improvements might the nurse employ when following the recommendations
of the Institute of Medicine's Committee on Quality of Health Care in America? Select
all that apply.
A. Basing patient care on continuous healing relationships
B. Customizing care to reflect the competencies of the staff
C. Using evidence-based decision making
D. Having a charge nurse as the source of control
E. Using safety as a system priority
F. Recognizing the need for secrecy to protect patient privacy
Give this one a try later!
a, c, e. Care should be based on continuous healing relationships and
evidence-based decision making. Customization should be based on
patient needs and values with the patient as the source of control. Safety
should be used as a system priority, and the need for transparency should
be recognized.
When interacting with a patient, the nurse answers, "I am sure everything will be fine.
You have nothing to worry about." This is an example of what type of inappropriate
communication technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject
Give this one a try later!
, a. Telling a patient that everything is going to be all right is a cliché. This
statement gives false assurance and gives the patient the impression that
the nurse is not interested in the patient's condition.
A nurse is writing nursing diagnoses for patients in a psychiatrist's office. Which
nursing diagnoses are correctly written as two-part nursing diagnoses?
1. Ineffective Coping related to inability to maintain marriage
2. Defensive Coping related to loss of job and economic security
3. Altered Thought Processes related to panic state
4. Decisional Conflict related to placement of parent in a long-term care facility a. (1)
and (2) b. (3) and (4) c. (1), (2), and (3) d. (1), (2), (3), and (4)
Give this one a try later!
d. Each of the four diagnoses is a correctly written two-part diagnostic
statement that includes the problem or diagnostic label and the etiology or
cause.
A nurse is using the SOAP format to document care of a patient who is diagnosed
with type 2 diabetes. Which source of information would be the nurse's focus when
completing this documentation?
A. A patient problem list
B. Narrative notes describing the patient's condition
C. Overall trends in patient status
D. Planned interventions and patient outcomes
Give this one a try later!
a. The SOAP format (Subjective data, Objective data, Assessment, Plan) is
used to organize entries in the progress notes of a POMR. When using the
SOAP format, the problem list at the front of the chart alerts all caregivers
to patient priorities. Narrative notes allow nurses to describe a condition,
situation, or response in their own terms. Overall trends in patient status can
be seen immediately when using CBE, not SOAP charting. Planned
, interventions and patient-expected outcomes are the focus of the case
management model.
A nurse uses critical thinking skills to focus on the care plan of an older adult who has
dementia and needs placement in a long-term care facility. Which statements
describe characteristics of this type of critical thinking applied to clinical reasoning?
Select all that apply.
A. It functions independently of nursing standards, ethics, and state practice acts.
B. It is based on the principles of the nursing process, problem solving, and the
scientific method.
C. It is driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care.
D. It is not designed to compensate for problems created by human nature, such as
medication errors.
E. It is constantly re-evaluating, self-correcting, and striving for improvement.
F. It focuses on the big picture rather than identifying the key problems, issues, and
risks involved with patient care.
Give this one a try later!
b, c, e. Critical thinking applied to clinical reasoning and judgment in
nursing practice is guided by standards, policies and procedures, and
ethics codes. It is based on principles of nursing process, problem solving,
and the scientific method. It carefully identifies the key problems, issues,
and risks involved, and is driven by patient, family, and community needs, as
well as nurses' needs to give competent, efficient care. It also calls for
strategies that make the most of human potential and compensate for
problems created by human nature. It is constantly re-evaluating, self-
correcting, and striving to improve (Alfaro-LeFevre, 2014).
After assessing a patient who is recovering from a stroke in a rehabilitation facility, a
nurse interprets and analyzes the patient data. Which of the four basic conclusions
has the nurse reached when identifying the need to collect more data to confirm a
diagnosis of situational low self-esteem?
would the nurse consult first?
A. Admission sheet
B. Admission nursing assessment
C. Flow sheet
D. Graphic record
Give this one a try later!
d. While one recording of vital signs should appear on the admission
nursing assessment, the best place to find sequential recordings that show
, a pattern or trend is the graphic record. The admission sheet does not
include vital sign documentation, and neither does the flow sheet.
A nurse is attempting to improve care on the pediatric ward of a hospital. Which
nursing improvements might the nurse employ when following the recommendations
of the Institute of Medicine's Committee on Quality of Health Care in America? Select
all that apply.
A. Basing patient care on continuous healing relationships
B. Customizing care to reflect the competencies of the staff
C. Using evidence-based decision making
D. Having a charge nurse as the source of control
E. Using safety as a system priority
F. Recognizing the need for secrecy to protect patient privacy
Give this one a try later!
a, c, e. Care should be based on continuous healing relationships and
evidence-based decision making. Customization should be based on
patient needs and values with the patient as the source of control. Safety
should be used as a system priority, and the need for transparency should
be recognized.
When interacting with a patient, the nurse answers, "I am sure everything will be fine.
You have nothing to worry about." This is an example of what type of inappropriate
communication technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject
Give this one a try later!
, a. Telling a patient that everything is going to be all right is a cliché. This
statement gives false assurance and gives the patient the impression that
the nurse is not interested in the patient's condition.
A nurse is writing nursing diagnoses for patients in a psychiatrist's office. Which
nursing diagnoses are correctly written as two-part nursing diagnoses?
1. Ineffective Coping related to inability to maintain marriage
2. Defensive Coping related to loss of job and economic security
3. Altered Thought Processes related to panic state
4. Decisional Conflict related to placement of parent in a long-term care facility a. (1)
and (2) b. (3) and (4) c. (1), (2), and (3) d. (1), (2), (3), and (4)
Give this one a try later!
d. Each of the four diagnoses is a correctly written two-part diagnostic
statement that includes the problem or diagnostic label and the etiology or
cause.
A nurse is using the SOAP format to document care of a patient who is diagnosed
with type 2 diabetes. Which source of information would be the nurse's focus when
completing this documentation?
A. A patient problem list
B. Narrative notes describing the patient's condition
C. Overall trends in patient status
D. Planned interventions and patient outcomes
Give this one a try later!
a. The SOAP format (Subjective data, Objective data, Assessment, Plan) is
used to organize entries in the progress notes of a POMR. When using the
SOAP format, the problem list at the front of the chart alerts all caregivers
to patient priorities. Narrative notes allow nurses to describe a condition,
situation, or response in their own terms. Overall trends in patient status can
be seen immediately when using CBE, not SOAP charting. Planned
, interventions and patient-expected outcomes are the focus of the case
management model.
A nurse uses critical thinking skills to focus on the care plan of an older adult who has
dementia and needs placement in a long-term care facility. Which statements
describe characteristics of this type of critical thinking applied to clinical reasoning?
Select all that apply.
A. It functions independently of nursing standards, ethics, and state practice acts.
B. It is based on the principles of the nursing process, problem solving, and the
scientific method.
C. It is driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care.
D. It is not designed to compensate for problems created by human nature, such as
medication errors.
E. It is constantly re-evaluating, self-correcting, and striving for improvement.
F. It focuses on the big picture rather than identifying the key problems, issues, and
risks involved with patient care.
Give this one a try later!
b, c, e. Critical thinking applied to clinical reasoning and judgment in
nursing practice is guided by standards, policies and procedures, and
ethics codes. It is based on principles of nursing process, problem solving,
and the scientific method. It carefully identifies the key problems, issues,
and risks involved, and is driven by patient, family, and community needs, as
well as nurses' needs to give competent, efficient care. It also calls for
strategies that make the most of human potential and compensate for
problems created by human nature. It is constantly re-evaluating, self-
correcting, and striving to improve (Alfaro-LeFevre, 2014).
After assessing a patient who is recovering from a stroke in a rehabilitation facility, a
nurse interprets and analyzes the patient data. Which of the four basic conclusions
has the nurse reached when identifying the need to collect more data to confirm a
diagnosis of situational low self-esteem?
