When a nurse can legally order the primary interventions to
achieve a goal, which part of the nursing process is being
developed? - ANSWER-Nursing Diagnosis
Patient health education provided by the nurse - ANSWER-is an
independent function of nursing practice.
Which communication technique is helpful in health teaching
about relevant aspects of a client's well-being and self-care? -
ANSWER-Informing
Health education of a client by the nurse - ANSWER-is an
independent function of nursing practice.
Which factor refers to a client's experiential readiness to learn?
- ANSWER-Educational history and life experience
Which step of the nursing process determines whether the
client understands the health teaching that is provided? -
ANSWER-Evaluation
Therapeutic communication techniques between client and
nurse facilitate continuity of care. Which of the following
identifies the value of therapeutic communication? Select all
that apply. - ANSWER--Allows the nurse to display interest in
the client and the communication
-Helps the nurse to assist the client to explore and understand
his or her problems
,Which situation would be appropriate for ethics committee
review? Select all that apply - ANSWER--Client refusal of a
lifesaving blood transfusion because of religious preference
-Placing a 21-year-old client with cystic fibrosis on the double-
lung transplant list
-Institutional participation in gene chip technology directed at
disease prevention
A terminally ill patient asks the nurse, "Am I dying?" How will
the nurse's response be influenced by moral obligation? (Select
all that apply.) - ANSWER--Communicate the patient's wishes to
the family.
-Consult with the physician.
-Provide correct information to the patient
The nurse is caring for a client with respiratory distress caused
by pneumonia who recently became homeless after losing his
job. He also tells the nurse that the stress of losing both his job
and his home has caused his wife to move in with one of their
adult children. The nurse hears him say, "I just don't know what
to do. I wish I were a better human being. I've never really
done anything right." The nurse will attend to this client's
needs in what order? - ANSWER-1)The client's respiratory
distress
2)The client's homelessness
3)The client's estrangement from his wife
4)The client's feeling about himself
5)The client knowing what to do
A client involved in a motor vehicle collision has awakened
from a coma and asks for his wife, who was killed in the same
accident. The family does not want the client to know at this
time that his wife was killed. The family wants all nursing staff
to tell the client that the wife was air lifted to another hospital,
has a severe head injury, and is in the ICU. Because the
, American Nurses Association Code of Ethics requires the nurse
to preserve integrity, but the nurse wants to follow the family's
instructions, the nurse faces an ethical dilemma. The steps of
ethical analysis can assist the nurse with decision making.
Select from the list below all the steps that are correct. -
ANSWER--Recognize the ethical, legal, and professional
dimensions involved.
-Collect information.
-List the alternatives.
-Decide and evaluate the decision.
A patient with a "Do Not Resuscitate" (DNR) order requires
large doses of a narcotic for pain that rates a 10 on a 0-10 scale.
After the patient requests pain medication, the nurse assesses
a respiratory rate of 12 breaths per minute. What intervention
by the nurse would be considered ethical? - ANSWER-Give the
pain medication without fear of respiratory depression.
What therapeutic communication technique validates what the
nurse believes to be the main idea of an interaction? -
ANSWER-Restating
To evaluate a client for hypoxia, the physician is most likely to
order which laboratory test? - ANSWER-Arterial blood gas (ABG)
analysis
A physician orders regular insulin 10 units I.V. along with 50 ml
of dextrose 50% for a client with acute renal failure. What
electrolyte imbalance is this client most likely experiencing? -
ANSWER-Hyperkalemia
A nurse reviews the arterial blood gas (ABG) values of a client
admitted with pneumonia: pH, 7.51; PaCO2, 28 mm Hg; PaO2,
70 mm Hg; and HCO3--, 24 mEq/L. What do these values
indicate? - ANSWER-Respiratory alkalosis
achieve a goal, which part of the nursing process is being
developed? - ANSWER-Nursing Diagnosis
Patient health education provided by the nurse - ANSWER-is an
independent function of nursing practice.
Which communication technique is helpful in health teaching
about relevant aspects of a client's well-being and self-care? -
ANSWER-Informing
Health education of a client by the nurse - ANSWER-is an
independent function of nursing practice.
Which factor refers to a client's experiential readiness to learn?
- ANSWER-Educational history and life experience
Which step of the nursing process determines whether the
client understands the health teaching that is provided? -
ANSWER-Evaluation
Therapeutic communication techniques between client and
nurse facilitate continuity of care. Which of the following
identifies the value of therapeutic communication? Select all
that apply. - ANSWER--Allows the nurse to display interest in
the client and the communication
-Helps the nurse to assist the client to explore and understand
his or her problems
,Which situation would be appropriate for ethics committee
review? Select all that apply - ANSWER--Client refusal of a
lifesaving blood transfusion because of religious preference
-Placing a 21-year-old client with cystic fibrosis on the double-
lung transplant list
-Institutional participation in gene chip technology directed at
disease prevention
A terminally ill patient asks the nurse, "Am I dying?" How will
the nurse's response be influenced by moral obligation? (Select
all that apply.) - ANSWER--Communicate the patient's wishes to
the family.
-Consult with the physician.
-Provide correct information to the patient
The nurse is caring for a client with respiratory distress caused
by pneumonia who recently became homeless after losing his
job. He also tells the nurse that the stress of losing both his job
and his home has caused his wife to move in with one of their
adult children. The nurse hears him say, "I just don't know what
to do. I wish I were a better human being. I've never really
done anything right." The nurse will attend to this client's
needs in what order? - ANSWER-1)The client's respiratory
distress
2)The client's homelessness
3)The client's estrangement from his wife
4)The client's feeling about himself
5)The client knowing what to do
A client involved in a motor vehicle collision has awakened
from a coma and asks for his wife, who was killed in the same
accident. The family does not want the client to know at this
time that his wife was killed. The family wants all nursing staff
to tell the client that the wife was air lifted to another hospital,
has a severe head injury, and is in the ICU. Because the
, American Nurses Association Code of Ethics requires the nurse
to preserve integrity, but the nurse wants to follow the family's
instructions, the nurse faces an ethical dilemma. The steps of
ethical analysis can assist the nurse with decision making.
Select from the list below all the steps that are correct. -
ANSWER--Recognize the ethical, legal, and professional
dimensions involved.
-Collect information.
-List the alternatives.
-Decide and evaluate the decision.
A patient with a "Do Not Resuscitate" (DNR) order requires
large doses of a narcotic for pain that rates a 10 on a 0-10 scale.
After the patient requests pain medication, the nurse assesses
a respiratory rate of 12 breaths per minute. What intervention
by the nurse would be considered ethical? - ANSWER-Give the
pain medication without fear of respiratory depression.
What therapeutic communication technique validates what the
nurse believes to be the main idea of an interaction? -
ANSWER-Restating
To evaluate a client for hypoxia, the physician is most likely to
order which laboratory test? - ANSWER-Arterial blood gas (ABG)
analysis
A physician orders regular insulin 10 units I.V. along with 50 ml
of dextrose 50% for a client with acute renal failure. What
electrolyte imbalance is this client most likely experiencing? -
ANSWER-Hyperkalemia
A nurse reviews the arterial blood gas (ABG) values of a client
admitted with pneumonia: pH, 7.51; PaCO2, 28 mm Hg; PaO2,
70 mm Hg; and HCO3--, 24 mEq/L. What do these values
indicate? - ANSWER-Respiratory alkalosis
