NURS 3110 test 2 Questions With Complete Solutions
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. The nurse talks to the patient,
who states, "I'm frustrated. I want to get out of here." The nurse
encourages the patient to express concerns freely. Which
techniques should the nurse utilize to actively listen to the
patient? Select all that apply. Correct Answers Lean forward
towards the patient
Sit erect facing the patient with uncrossed arms.
Make eye contact.
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. The nurse tries to explain the
importance of immobilization. The nurse explains that walking
and putting weight on the fractured leg may cause more injury
and worsen the condition. Which nontherapeutic techniques
should the nurse avoid while communicating with the patient?
Select all that apply. Correct Answers False reassurance
Responding aggressively
Asking for explanation
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. Which therapeutic
communication techniques should the nurse apply in attending
to the patient? Select all that apply. Correct Answers listen
actively
share empathy
,ask relative questions
A 40-year-old patient is suffering from poorly controlled
hypertension. The dietitian recommended several dietary
modifications to the patient. Which techniques should the nurse
use during the orientation phase of this helping relationship?
Select all that apply. Correct Answers Closely observe the
patient's behavior.
Prioritize the patient's problems and identify goals.
Begin the conversation with warmth and empathy.
Work to understand the patient's behavior
A 40-year-old patient is suffering from poorly controlled
hypertension. The dietitian recommends several dietary
modifications to the patient. The patient tries to explain the
reason for poor dietary compliance; the patient works extra
hours and does not have the time to cook. Which elements of
nonverbal communication should the nurse utilize to establish a
good nurse-patient helping relationship? Select all that apply.
Correct Answers posture
eye contact
A 69-year-old patient is diagnosed with myocardial infarction.
The patient is scheduled for coronary artery bypass grafting
surgery. The nurse is planning to teach the patient breathing
exercises and coughing techniques to prevent respiratory
complications. When is the most appropriate time to teach
breathing exercises and coughing techniques to this patient?
Correct Answers before the surgery
,A 69-year-old patient is diagnosed with myocardial infarction.
The patient underwent coronary artery bypass graft surgery and
has been discharged. Two days after the discharge, the patient
comes back to the hospital reporting pus in the sternal incision
site. The nurse tells the patient that this indicates infection and
some tests should be performed. The patient shouts at the nurse
and the surgeon and blames them for the complication. What
should be the appropriate nursing action? Correct Answers
The nurse should remain silent and let the patient express his or
her anger.
A group of nurses are discussing the advantages of using
computerized provider order entry (CPOE). Which statements
indicate that the nurses understand the major advantage of using
CPOE? Correct Answers "CPOE reduces transcription errors."
A group of nurses makes a list of patients who require organ
transplantation. Which patient would be given priority for organ
transplantation? Correct Answers the patient who is most
critically ill
A homeless man enters the emergency department seeking
health care. The healthcare provider indicates that the patient
needs to be transferred to the city hospital for care. Which law
does this action most likely violate? Correct Answers
Emergency Medical Treatment and Active Labor Act
(EMTALA)-The Emergency Medical Treatment and Active
Labor Act (EMTALA) requires that in an emergency situation
the patient must be stabilized before a transfer is appropriate
, A nurse manager is educating the nursing staff on the
importance of security with the implementation of the electronic
health record (EHR) on the unit. What points does the manager
emphasize? Select all that apply. Correct Answers Do not
share passwords with anyone
Do not leave the patient's medical record open unattended on a
computer screen.
Do not log in with someone else's user accessThe contact
information of the healthcare provider
A parent tells the nurse "My child has frequent nightmares." The
child says that in most dreams animals are chasing or attacking
the child. Which complementary therapy may be helpful for the
child? Correct Answers imagery
A patient asks the nurse about therapeutic touch (TT). Which
should the nurse include when providing patient education about
TT? Correct Answers TT intentionally mobilizes energy to
balance, harmonize, and repattern the recipient's biofield.
A patient has a fractured femur that is placed in skeletal traction
with a fresh plaster cast applied. The patient experiences
decreased sensation and a cold feeling in the toes of the affected
leg. The nurse observes that the patient's toes have become pale
and cold but forgets to document this because one of the nurse's
other patients experienced cardiac arrest at the same time. Two
days later the patient in skeletal traction has an elevated
temperature, and he is prepared for surgery to amputate the leg
below the knee. Which statements regarding a breach of duty
apply to this situation? Select all that apply. Correct Answers
Failure to document a change in assessment data
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. The nurse talks to the patient,
who states, "I'm frustrated. I want to get out of here." The nurse
encourages the patient to express concerns freely. Which
techniques should the nurse utilize to actively listen to the
patient? Select all that apply. Correct Answers Lean forward
towards the patient
Sit erect facing the patient with uncrossed arms.
Make eye contact.
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. The nurse tries to explain the
importance of immobilization. The nurse explains that walking
and putting weight on the fractured leg may cause more injury
and worsen the condition. Which nontherapeutic techniques
should the nurse avoid while communicating with the patient?
Select all that apply. Correct Answers False reassurance
Responding aggressively
Asking for explanation
A 35-year-old athlete becomes aggressive when not allowed to
be ambulatory due to a fractured leg. The patient tries to get out
of the bed unattended and falls. Which therapeutic
communication techniques should the nurse apply in attending
to the patient? Select all that apply. Correct Answers listen
actively
share empathy
,ask relative questions
A 40-year-old patient is suffering from poorly controlled
hypertension. The dietitian recommended several dietary
modifications to the patient. Which techniques should the nurse
use during the orientation phase of this helping relationship?
Select all that apply. Correct Answers Closely observe the
patient's behavior.
Prioritize the patient's problems and identify goals.
Begin the conversation with warmth and empathy.
Work to understand the patient's behavior
A 40-year-old patient is suffering from poorly controlled
hypertension. The dietitian recommends several dietary
modifications to the patient. The patient tries to explain the
reason for poor dietary compliance; the patient works extra
hours and does not have the time to cook. Which elements of
nonverbal communication should the nurse utilize to establish a
good nurse-patient helping relationship? Select all that apply.
Correct Answers posture
eye contact
A 69-year-old patient is diagnosed with myocardial infarction.
The patient is scheduled for coronary artery bypass grafting
surgery. The nurse is planning to teach the patient breathing
exercises and coughing techniques to prevent respiratory
complications. When is the most appropriate time to teach
breathing exercises and coughing techniques to this patient?
Correct Answers before the surgery
,A 69-year-old patient is diagnosed with myocardial infarction.
The patient underwent coronary artery bypass graft surgery and
has been discharged. Two days after the discharge, the patient
comes back to the hospital reporting pus in the sternal incision
site. The nurse tells the patient that this indicates infection and
some tests should be performed. The patient shouts at the nurse
and the surgeon and blames them for the complication. What
should be the appropriate nursing action? Correct Answers
The nurse should remain silent and let the patient express his or
her anger.
A group of nurses are discussing the advantages of using
computerized provider order entry (CPOE). Which statements
indicate that the nurses understand the major advantage of using
CPOE? Correct Answers "CPOE reduces transcription errors."
A group of nurses makes a list of patients who require organ
transplantation. Which patient would be given priority for organ
transplantation? Correct Answers the patient who is most
critically ill
A homeless man enters the emergency department seeking
health care. The healthcare provider indicates that the patient
needs to be transferred to the city hospital for care. Which law
does this action most likely violate? Correct Answers
Emergency Medical Treatment and Active Labor Act
(EMTALA)-The Emergency Medical Treatment and Active
Labor Act (EMTALA) requires that in an emergency situation
the patient must be stabilized before a transfer is appropriate
, A nurse manager is educating the nursing staff on the
importance of security with the implementation of the electronic
health record (EHR) on the unit. What points does the manager
emphasize? Select all that apply. Correct Answers Do not
share passwords with anyone
Do not leave the patient's medical record open unattended on a
computer screen.
Do not log in with someone else's user accessThe contact
information of the healthcare provider
A parent tells the nurse "My child has frequent nightmares." The
child says that in most dreams animals are chasing or attacking
the child. Which complementary therapy may be helpful for the
child? Correct Answers imagery
A patient asks the nurse about therapeutic touch (TT). Which
should the nurse include when providing patient education about
TT? Correct Answers TT intentionally mobilizes energy to
balance, harmonize, and repattern the recipient's biofield.
A patient has a fractured femur that is placed in skeletal traction
with a fresh plaster cast applied. The patient experiences
decreased sensation and a cold feeling in the toes of the affected
leg. The nurse observes that the patient's toes have become pale
and cold but forgets to document this because one of the nurse's
other patients experienced cardiac arrest at the same time. Two
days later the patient in skeletal traction has an elevated
temperature, and he is prepared for surgery to amputate the leg
below the knee. Which statements regarding a breach of duty
apply to this situation? Select all that apply. Correct Answers
Failure to document a change in assessment data
