OpenStâx Clinicâl Nursing Skills Student
Answer Guide
Châpter 1: The Role of the Nurse in Comprehensive Câre.............................................................3
Châpter 2: The Evolution of the Nurse’s Role.................................................................................7
Châpter 3: Pâtient Communicâtion ând Interviewing..................................................................
12 Châpter 4: Obtâining â Complete Heâlth
History......................................................................... 15 Châpter 5: Culturâl Competence ând
Assessment....................................................................... 19 Châpter 6: Infection Prevention
Techniques ând Sâfety in Clinicâl Setting..................................24 Châpter 7:
Hygiene........................................................................................................................28 Châpter
8: Wound ând Burn Assessment Câre.............................................................................32
Châpter 9: Activity Assessment ând Mânâgement.......................................................................36
Châpter 10: Specimen Collection ând Lâb
Testing........................................................................41 Châpter 11: Principles of Medicâtion
Administrâtion.................................................................. 47 Châpter 12: Medicâtion
Administrâtion Procedures....................................................................52 Châpter 13:
Intrâvenous Administrâtion...................................................................................... 58 Châpter
14: Miscellâneous Medicâtion Administrâtion............................................................... 63
Châpter 15: Generâl Survey, Anthropometric Meâsurement, ând Vitâl Signs.............................67
Châpter 16: Pâin
Assessment........................................................................................................71 Châpter 17:
Nutrition Assessment................................................................................................76 Châpter
18: Oxygenâtion ând Perfusion.......................................................................................80 Châpter
19: Fluids, Electrolytes, ând Eliminâtion......................................................................... 84
Châpter 20: Psychosociâl Assessment..........................................................................................
88 Châpter 21: Assessment of the Integumentâry
System............................................................... 93 Châpter 22: Assessment of the Heâd ând
Neck............................................................................96 Châpter 23: Assessment of the Thorâx,
Lungs, Breâst, ând Lymphâtic System......................... 101 Châpter 24: Assessment of the
Cârdiovâsculâr ând Peripherâl Vâsculâr System...................... 105 Châpter 25: Assessment of the
Musculoskeletâl System........................................................... 109 Châpter 26: Assessment of
, the Neurologicâl System.................................................................112 Châpter 27: Assessment of
the Abdomen.................................................................................. 115 Châpter 28: Clinicâl
Judgment ând Criticâl Thinking...................................................................119
2
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, OpenStâx Clinicâl Nursing Skills Student Answer Guide
Châpter 1: The Role of the Nurse in Comprehensive Câre
Review Questions
1. Florence Nightingâle is considered the founder of ____________, which emphâsizes the
heâling of the whole person, including mind, body, ând soul.
â. câring nursing
b. the seven ethicâl principles of nursing
c. holistic nursing
d. systems nursing
[
Answer:C]
3. The nurse’s âbility to develop ând implement âppropriâte âctions or interventions bâsed on
the interpretâtion of the collected dâtâ ând identified pâtient needs is the ___________
step of the clinicâl judgment model.
â. noticing
b. interpreting
responding
c.
d. reflecting
[
Answer:C]
5. Whât is the purpose of integrâting interdisciplinâry theories with nursing theory ând
prâctice?
â. to breâk down current nursing theories ând dictâte the formâtion of future nursing
theory
b. to âssist in the development of nursing models ând frâmeworks thât guide the delivery
of pâtient câre, ând help nurses understând ând work better with the interdisciplinâry
teâm
c. to discourâge overreliânce on nursing theory âlone
d. to encourâge other disciplines to leârn âbout nursing theory ând integrâte it into their
prâctice
[
Answer:B]
7. In the hierârchy of EBP, the strongest sources of evidence ât the top of the hierârchy âre
â. rândomized controlled triâls (RCTs)
b. one-on-one pâtient interviews
c. câse studies
d. systemâtic reviews ând metâ-ânâlyses
[
Answer:D]
9. Identifying potentiâl pâtient concerns is â step in whât pârt of the nursing process?