100%.
A nurse is preparing a change-of-shift report for a patient who had chest pain. Which information
is critical for the nurse to include? correct answers Sharp pain of 8 on a scale of 1 to 10
A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space
is the nurse using? correct answers Personal
While teaching the client about management of his heart disease, a nurse might use a strategy
that is implemented to promote learning in the affective domain such as: correct answers
Encouraging the client to personally discuss his feelings about his health status
An incident report is to be completed because the client climbed over the side rails and fell to the
floor. The correct reporting of an incident involves which of the following? correct answers The
witnessing nurse completes the report
The staff is having a hard time getting an older adult patient to communicate. Which technique
should the nurse suggest the staff use? correct answers Allow the patient to reminisce
When meeting for the first time, the home health nurse smiles warmly and shakes the client's
hand. The nurse-client relationship is in the: correct answers Orientation phase
When a client newly diagnosed with type 2 diabetes mellitus selects a lunch menu that correlates
with the number of carbohydrates he is allowed for that meal, this is an example of: correct
answers Cognitive learning
A patient has trouble speaking words, and the patient's speech is garbled. Which nursing
diagnosis is most appropriate for this patient? correct answers Impaired verbal communication
, A new nurse asks the preceptor why a change-of-shift report is important since care is
documented in the chart. What is the preceptor's best response? correct answers provides an
opportunity to share essential information to ensure patient safety and continuity of care
Nursing documentation should fulfill which of the following criteria? correct answers must be
accurate, comprehensive, flexible, maintain continuity of care, track client outcomes, and reflect
current standards
The nurse wants to influence a patient's beliefs so that new behaviors can be incorporated into
the patient's lifestyle. Within which learning Domain does the nurse need to direct teaching?
correct answers Affective
Which of the following nursing statements reflects the best understanding of the role of
documentation and the Medicare reimbursement policy? correct answers The hospital is
reimbursed for the nursing care documented in the client chart
A major issue of computerized charting is correct answers confidentiality
The nurse is aware of the client's zones of personal space when planning interactions. The zone
of personal space and touch that extends the greatest amount from an individual is the: correct
answers Social Zone
The nurse will often display empathy in communication with clients. Of the following responses
by the nurse, which one best conveys empathy? correct answers I can understand your concern
about learning to inject yourself
When working with a client with aphasia, the nurse may attempt to enhance communication by:
correct answers Using visual cues
Nursing documentation should fulfill which of the following criteria? (Select all that apply.)
1-Record nursing opinion