Solutions
A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
The use of reflective questions
The use of closed questions
The use of assertive questions
The use of clarifying questions Correct Answer the use of
clarifying questions
A charge nurse meets with staff to outline a plan to provide
transcultural nursing care for patients in their health care facility.
Which theorist promoted this type of caring as the central theme
of nursing care, knowledge, and practice?
Madeline Leininger
Jean Watson
Dorothy E. Johnson
Betty Newman Correct Answer madeline leininger
A home health nurse performs a careful safety assessment of the
home of a frail older adult to prevent harm to the patient. The
nurse's action reflects which principle of bioethics?
Autonomy
Beneficence
Justice
Fidelity
Nonmaleficence Correct Answer nonmaleficence
,A hospice nurse is caring for a patient who is dying of
pancreatic cancer. The patient tells the nurse "I feel no
connection to God" and "I'm worried that I find no real meaning
in life." What would be the nurse's best response to this patient?
Give the patient a hug and tell him that his life still has meaning.
Arrange for a spiritual adviser to visit the patient.
Ask if the patient would like to talk about his feelings.
Call in a close friend or relative to talk to the patient. Correct
Answer ask if the patient would like to talk about his feelings
A hospice nurse is caring for a patient with end-stage cancer.
What action demonstrates this nurse's commitment to the
principle of autonomy?
The nurse helps the patient prepare a durable power of attorney
document.
The nurse gives the patient undivided attention when listening to
concerns.
The nurse keeps a promise to provide a counselor for the patient.
The nurse competently administers pain medication to the
patient. Correct Answer the nurse helps the patient prepare a
durable power of attorney document
A man who is a declared agnostic is extremely depressed after
losing his home, his wife, and his children in a fire. His nursing
diagnosis is Spiritual Distress: Spiritual Pain related to inability
to find meaning and purpose in his current condition. What is
the most important nursing intervention to plan?
Ask the patient which spiritual adviser he would like you to call.
Recommend that the patient read spiritual biographies or
religious books.
,Explore with the patient what, in addition to his family, has
given his life meaning and purpose in the past.
Introduce the belief that God is a loving and personal God.
Correct Answer explore with the patient what, in addition to his
family, has given his life meaning and purpose in the past
A nurse administers the wrong medication to a patient and the
patient is harmed. The health care provider who ordered the
medication did not read the documentation that the patient was
allergic to the drug. Which statement is true regarding liability
for the administration of the wrong medication?
-The nurse is not responsible, because the nurse was following
the doctor's orders.
-Only the nurse is responsible, because the nurse actually
administered the medication.
-Only the health care provider is responsible, because the health
care provider actually ordered the drug.
-Both the nurse and the health care provider are responsible for
their respective actions. Correct Answer both the nurse and the
health care provider are responsible for their respective actions
A nurse answers a patient's call light and finds the patient on the
floor by the bathroom door. After calling for assistance and
examining the patient for injury, the nurse helps the patient back
to bed and then fills out an incident report. Which statements
accurately describe steps of this procedure and why it is
performed? Select all that apply.
a. An incident report is used as disciplinary action against staff
members.
b. An incident report is used as a means of identifying risks.
c. An incident report is used for quality control.
, d. The facility manager completes the incident report.
e. An incident report makes facts available in case litigation
occurs.
f. Filing of an incident report should be documented in the
patient record. Correct Answer b,c,e
A nurse caring for a patient who is hospitalized following a
double mastectomy is preparing a discharge plan for the patient.
Which action should be the focus of this termination phase of
the helping relationship?
Determining the progress made in achieving established goals
Clarifying when the patient should take medications
Reporting the progress made in teaching to the staff
Including all family members in the teaching session Correct
Answer determining the progress made in achieving established
goals
A nurse caring for culturally diverse patients in a health care
provider's office is aware that patients of certain cultures are
more prone to specific disease states than the general population.
Which patients would the nurse screen for diabetes mellitus
based on the patient's race? Select all that apply.
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient Correct Answer a,c,e,f
A nurse caring for patients in a long-term care facility uses
available resources to help patients achieve Maslow's highest