Nursing - 301 Final Exam Study Set
A 3-year old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
Correct Answer The use of clarifying quesitons.
A female patietn who is receiving chemotherapy for breeast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problme. Which action is the first step the
nurse would take in this process? Correct Answer The nurse
reassesses the patient and decides how best to intervene in her
care.
A in RACE Correct Answer Alarm
A nurse assesses a patient and formulates the following nursing
diagnosis: Risk for impared skin integrity related to prescribed
bedrest as evidenced by reddened areas of skin on the heels and
back. Which phrase represents the etiology of this diagnostic
statemetn? Correct Answer Related to prescribed bedrest
A nurse caring for a patient who is hospitalized following a
double mastectomy is preparing a discharge plan for the patient.
Which action should be the focus of this termination phase of
the helping relationship? Correct Answer Determining the
progress made in achieving established goals.
,A nurse enters a patient's room and examines the patient's IV
fluids and cardiac monitor. The patient states, "Well I haven't
seen you before. Who are you?" What is the nurse's best
response? Correct Answer "My name is John Smith, I m your
nurse and I'll be caring for you until 11 p.m."
A nurse enters the room of a patient with cancer. The patient is
crying and states, "I feel so alone." Which statement is the most
therapeutic? Correct Answer The holds the patient's hands
and asks, "Wahte makes you feel so alone?"
A nurse in the rehabilitation divsion states to her head nurse,
"Mr. Tyler, I need the day off and you didn't give it to me!" THe
head nurse replies, "Well, I wasn't aware you needed the day off,
and it isn't possible since staffing is so inadequate." Instead of
this exchange, what communication by the nruse would have
been more effective? Correct Answer "Mr. Tyler, I would like
to discuss my schedule with you. I requested teh 8th of August
off for a doctor's appointment. Could I make an appointment?"
A nurse is assessing a 15 year old female patient who is
diagnosed with anorexia. Following the assessment, the nurse
recommends that the patient meet with a nutritionist. This action
best exemplifies the use of: Correct Answer Clinical
Judgement
A nurse is caring for a patient who has complications related to
type 2 diabetes mellitus. The nurse researches new procedures to
care for this patient. Which QSEN competency does this action
represent? Correct Answer Quality Improvement
, A nurse is collecting evaluative data for a patient who is finished
receiving cehmotherapy for an osteosarcoma. Which nursing
action represtents this step of the nursing process? Correct
Answer The nurse collects data to measure outcome
achievement.
A nurse is counseling a 60 year old female patient who refuses
to look at or care for a new colostomy. She tells the nurse, "I
don't care what I look like anymore, I don't even feel like
washing my hair, let alone chaning this bag>" The nurse
diagnoses Altered Health Maintenance. This is an example of
waht type of problem? Correct Answer Nursing Problem
A nurse is performing an initial comprehensive assesment of an
84 year old male patient admitted to a long term care facility
from home. The nurse begins the assessment by asking the
patietn, "how would you describe your health status and
wellbeing?" The nurse also asks the patient, "What do you do to
keep yourself healthy?" Which model for organizing data is this
nurse folowing? Correct Answer Gordon's functional health
patterns.
A nurse is writing an evaluative stateemetn for a patient who is
trying to lower her cholesterol through diet and exercise. Which
evaluative statement is written correctly? Correct Answer
"1/21/15--Outcome not met. Patient reports no change in diet or
activity level."
A nurse uses critical thinking skills to focus on the care plan of
an elderly patient who has dmeentia and needs placement in a
long term care facility. Which statements describe
A 3-year old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
Correct Answer The use of clarifying quesitons.
A female patietn who is receiving chemotherapy for breeast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problme. Which action is the first step the
nurse would take in this process? Correct Answer The nurse
reassesses the patient and decides how best to intervene in her
care.
A in RACE Correct Answer Alarm
A nurse assesses a patient and formulates the following nursing
diagnosis: Risk for impared skin integrity related to prescribed
bedrest as evidenced by reddened areas of skin on the heels and
back. Which phrase represents the etiology of this diagnostic
statemetn? Correct Answer Related to prescribed bedrest
A nurse caring for a patient who is hospitalized following a
double mastectomy is preparing a discharge plan for the patient.
Which action should be the focus of this termination phase of
the helping relationship? Correct Answer Determining the
progress made in achieving established goals.
,A nurse enters a patient's room and examines the patient's IV
fluids and cardiac monitor. The patient states, "Well I haven't
seen you before. Who are you?" What is the nurse's best
response? Correct Answer "My name is John Smith, I m your
nurse and I'll be caring for you until 11 p.m."
A nurse enters the room of a patient with cancer. The patient is
crying and states, "I feel so alone." Which statement is the most
therapeutic? Correct Answer The holds the patient's hands
and asks, "Wahte makes you feel so alone?"
A nurse in the rehabilitation divsion states to her head nurse,
"Mr. Tyler, I need the day off and you didn't give it to me!" THe
head nurse replies, "Well, I wasn't aware you needed the day off,
and it isn't possible since staffing is so inadequate." Instead of
this exchange, what communication by the nruse would have
been more effective? Correct Answer "Mr. Tyler, I would like
to discuss my schedule with you. I requested teh 8th of August
off for a doctor's appointment. Could I make an appointment?"
A nurse is assessing a 15 year old female patient who is
diagnosed with anorexia. Following the assessment, the nurse
recommends that the patient meet with a nutritionist. This action
best exemplifies the use of: Correct Answer Clinical
Judgement
A nurse is caring for a patient who has complications related to
type 2 diabetes mellitus. The nurse researches new procedures to
care for this patient. Which QSEN competency does this action
represent? Correct Answer Quality Improvement
, A nurse is collecting evaluative data for a patient who is finished
receiving cehmotherapy for an osteosarcoma. Which nursing
action represtents this step of the nursing process? Correct
Answer The nurse collects data to measure outcome
achievement.
A nurse is counseling a 60 year old female patient who refuses
to look at or care for a new colostomy. She tells the nurse, "I
don't care what I look like anymore, I don't even feel like
washing my hair, let alone chaning this bag>" The nurse
diagnoses Altered Health Maintenance. This is an example of
waht type of problem? Correct Answer Nursing Problem
A nurse is performing an initial comprehensive assesment of an
84 year old male patient admitted to a long term care facility
from home. The nurse begins the assessment by asking the
patietn, "how would you describe your health status and
wellbeing?" The nurse also asks the patient, "What do you do to
keep yourself healthy?" Which model for organizing data is this
nurse folowing? Correct Answer Gordon's functional health
patterns.
A nurse is writing an evaluative stateemetn for a patient who is
trying to lower her cholesterol through diet and exercise. Which
evaluative statement is written correctly? Correct Answer
"1/21/15--Outcome not met. Patient reports no change in diet or
activity level."
A nurse uses critical thinking skills to focus on the care plan of
an elderly patient who has dmeentia and needs placement in a
long term care facility. Which statements describe
