Examsrevision

MULTIPLE CHOICE 1. A novice nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take to help assure effectiveness as a team member? a. Act as a leader of the health care team. b. Develop good communication skills. c. Work solely with experienced nurses. d. Avoid conflict. ANS: B Good communication between other health care providers builds trust and is related to the acceptance of your role in the health care team. As a beginning nurse, ...

MULTIPLE CHOICE 1. A novice nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse’s station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need? a. Interpersonal communication b. Clinical decision making c. Organizational d. Evaluation ANS: C The clinical care coordination ...

MULTIPLE CHOICE 1. The nurse performs an intervention for a collaborative problem. Which type of intervention did the nurse perform? a. Dependent b. Independent c. Interdependent d. Physician-initiated ANS: C Collaborative interventions, or interdependent interventions, are therapies that require the combined knowledge, skill, and expertise of multiple health care professionals. Health care provider-initiated (HCP) interventions are dependent nursing interventions, or actions that r...

MULTIPLE CHOICE 1. The patient database reveals that a patient has decreased oral intake, decreased oxygen saturation when ambulating, reports of shortness of breath when getting out of bed, and a productive cough. Which elements will the nurse identify as defining characteristics for the diagnostic label of Activity intolerance? a. Decreased oral intake and decreased oxygen saturation when ambulating b. Decreased oxygen saturation when ambulating and reports of shortness of breath when get...

MULTIPLE CHOICE 1. The nurse is caring for a patient whose plan of care states that a change of dressing is to occur twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse’s next action? a. Wait and change the dressing at 1800 as ordered. b. Revise the plan of care and change the dressing now. c. Reassess the dressing and the wound in 2 hours. d. Discontinue the plan of care for wound care. ANS: B Because the dressin...

MULTIPLE CHOICE 1. A nurse is conducting a nursing health history. Which component will the nurse address? a. Nurse’s concerns b. Patient expectations c. Current treatment orders d. Nurse’s goals for the patient ANS: B Some components of a nursing health history include chief concern, patient expectations, spiritual health, and review of systems. Current treatment orders are located under the Orders section in the patient’s chart and are not a part of the nursing health histor...

MULTIPLE CHOICE 1. A nurse is planning care for a 30-year-old. Which goal is priority? a. Refine self-perception. b. Master career plans. c. Examine life goals. d. Achieve intimacy. ANS: B From 29 to 34, the person directs enormous energy toward achievement and mastery of the surrounding world. The years from 35 to 43 are a time of vigorous examination of life goals and relationships. Between the ages of 23 and 28, the person refines self-perception and ability for intimacy. DIF:...

MULTIPLE CHOICE 1. A patient continues to report postsurgical incision pain at a level of 9 out of 10 after pain medicine is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first? a. Explore other options for pain relief. b. Discuss the surgical procedure and reason for the pain. c. Explain to the patient that nothing else has been ordered. d. Offer to notify the health care provider after morning rounds are completed. ANS...

MULTIPLE CHOICE 1. A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding? a. Oily skin b. Faster nail growth c. Decreased elasticity d. Increased facial hair in men ANS: C Loss of skin elasticity is a common finding in the older adult. Other common findings include pigmentation changes, glandular atrophy (oil, moisture, and sweat glands), thinning hair (facial hair: decreased in men, increased in women), slower nail growth, ...

MULTIPLE CHOICE 1. The nurse is interviewing a patient who is being admitted to the hospital. The patient’s family went home before the nurse’s interview. The nurse asks the patient, “Who decides when to come to the hospital?” What is the rationale for the nurse’s action? a. To assess the family form b. To assess the family function c. To assess the family structure d. To assess the family generalization ANS: C To assess the family structure, the nurse asks questions that ...

MULTIPLE CHOICE 1. A nurse is caring for a preschooler. Which fear should the nurse most plan to minimize? a. Fear of bodily harm b. Fear of weight gain c. Fear of separation d. Fear of strangers ANS: A The greatest fear of preschoolers appears to be that of bodily harm; this is evident in children’s fear of the dark, animals, thunderstorms, and medical personnel. Toddlers who become ill and require hospitalization are most stressed by the separation from their parents. Persons wi...

MULTIPLE CHOICE 1. A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development? a. The pump administering intravenous fluids b. A book to read alone in a quiet place c. The blood pressure cuff d. A baseball bat ANS: C Children should be allowed to play with any equipment that is safe, like a blood pressure cuff. A 4-year-old child would be in the preoperational period of cognitive development. Children a...

Chapter 11: Developmental Theories Chapter 12: Conception Through Adolescence Chapter 13: Young and Middle Adults Chapter 14: Older Adults Chapter 15: Critical Thinking and Clinical Judgment

Chapter 06: Health and Wellness Chapter 07: Caring in Nursing Practice Chapter 08: Caring for Patients with Chronic Illness Chapter 09: Cultural Competence Chapter 10: Family Dynamics

Chapter 01: Nursing Today Chapter 02: Health Care Delivery System Chapter 03: Community-Based Nursing Practice Chapter 04: Theoretical Foundations of Nursing Practice Chapter 05: Evidence-Based Practice

MULTIPLE CHOICE 1. The patient is afraid to have a thoracentesis at the bedside. The nurse sits with the patient and asks about the fears. During the procedure, the nurse stays with the patient, explaining each step and providing encouragement. What is the nurse displaying? a. Providing touch b. Providing a presence c. Providing family care d. Providing a listening ear ANS: B The nurse’s presence helps to calm anxiety and fear related to stressful situations. Giving reassurance an...

MULTIPLE CHOICE 1. The nurse is caring for a Asian patient using the teach-back technique. Which action by the nurse indicates successful implementation of this technique? a. Asks, “Does this make sense?” b. Asks, “Do you think you can do this at home?” c. Asks, “What will you tell your spouse about changing the dressing?” d. Asks, “Would you tell me if you don’t understand something, so we can go over it?” ANS: C The teach-back technique asks open-ended questions,...

MULTIPLE CHOICE 1. The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse’s best response? a. “It will allow for early detection of additional cancers.” b. “It is not something that should be discussed right now.” c. “It probably will not be needed since the cancer has been cured.” d. “It usually is not done but can be done if the patie...

MULTIPLE CHOICE 1. Upon assessment, the nurse notices that the patient’s respirations have increased, and the tip of the nose and earlobes are becoming cyanotic. The nurse finds that the patient’s pulse rate is over 100 beats per minute. According to Maslow’s hierarchy of needs, which patient need should the nurse address first? a. Self-esteem b. Physiological c. Self-actualization d. Love and belonging ANS: B Maslow’s hierarchy is useful in setting patient priorities. Basic...

MULTIPLE CHOICE 1. The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventive care is this patient receiving? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion ANS: B Secondary prevention focuses on individuals who...