EXAM
The nurse is caring for a patient who has Diabetes Mellitus Type 1.
Which step is the most important for the nurse to take first?
A. Administer morning dose of insulin
B. Complete a head to toe assessment
C. Order a breakfast tray
D. Reinforce education on diabetes - ANSWERS-B. Complete a head
to toe assessment
SPICES tool - ANSWERS-Used specifically for older adults
S-Sleep disorders
P-Problems with eating/feeding
I-Incontinence
C-Confusion
E-Evidence of falls
S-Skin breakfown
How does an experienced nurse think differently than a novice nurse?
- ANSWERS-The experienced nurse recognizes patterns and subtle
differences between patients
, Which thinking skill requires the nurse to respond to the information
regarding a change in vital signs? - ANSWERS-Identifying signs and
symptoms
When a nurse conducts an assessment, data about a patient often
comes from which of the following sources? (Select all that apply.)
A. An observation of how a patient turns and moves in bed
B. The unit policy and procedure manual
C. The care recommendations of a physical therapist
D. The results of a diagnostic x-ray film
E. Your experiences in caring for other patients with similar problems
- ANSWERS-A. An observation of how a patient turns & moves in
bed
C. The care recommendations of a physical therapist
ACES - ANSWERS-Advancing Care Excellence for Seniors
A-Assess function and expectations
C-Coordinate and manage care
E-use Evidence based knowledge
S-make Situational decisions
Epworth Sleepiness Scale - ANSWERS-Determines how likely a
patient will fall asleep.