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1. Who gives nurses the right to practice - ANSWER ✔ state nursing board
2. 5 phases of the nursing process - ANSWER ✔ Assessment/data collection,
Diagnosis/analysis, Planning, Implementation, Evaluation
3. Who came up with the idea of nursing process - ANSWER ✔ ANA
4. Clinical judgement - ANSWER ✔ conclusions and opinions about patients'
health drawn from patient data
5. Assessment/data collection - ANSWER ✔ establish database, continually
update database, validate data, communicate data
6. Diagnosis/Analysis - ANSWER ✔ Interpret and analyze data, identify pt
strengths and health problems, formulate and validate treatment plan,
develop prioritized list of problems
,7. Planning - ANSWER ✔ Establish priorities, write outcomes, select nursing
interventions, communicate plan of nursing
8. Implementation - ANSWER ✔ Carry out plan, continue data collection and
modify plan as needed, document care
9. Evaluation - ANSWER ✔ Measure if pt achieved desired outcomes, identify
factors that contribute to success or failure, modify plan of care
10.Formulating problem statements - ANSWER ✔ Problem (identify what is
unhealthy), r/t Etiology (factor contributing to poor health), AEB sign &
Symptoms (identify subjective & objective data to signal existence of
problem)
11.A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy
to help the nurse find more time for this communication? - ANSWER ✔
Include communication while performing tasks such as changing dressings
and checking vital signs.
12.A nurse is talking with a young-adult patient about the purpose of a new
medication. The nurse says, "I want to be clear. Can you tell me in your
words the purpose of this medicine?" This exchange is an example of which
element of the transactional communication process? - ANSWER ✔
Obtaining feedback
13.A patient who is Spanish-speaking does not appear to understand the nurse's
information on wound care. Which action should the nurse take? -
ANSWER ✔ Use a professional interpreter to provide wound care education
in Spanish
,14.A nurse prepares to contact a patient's physician about a change in the
patient's condition. Using SBAR (Situation, Background, Assessment, and
Recommendation) communication, which of the following is the correct
order?
1."She is a 53-year-old female who was admitted 2 days ago with
pneumonia and was started on Levaquin at 5 pm yesterday. She complains
of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of Levaquin an
hour ago."
3. "Would you like to make a change in antibiotics, or could we give her a
nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening and has
vomited several times during the night." - ANSWER ✔ B. 4, 1, 2, 3
15.A nurse is assigned to care for a patient for the first time and states, "I don't
know a lot about your culture and want to learn how to better meet your
health care needs." Which therapeutic communication technique did the
nurse use in this situation? - ANSWER ✔ D. Humility
16.A new nurse is experiencing lateral violence at work. Which steps could the
nurse take to address this problem? - ANSWER ✔ Talk with the preceptor
or manager and ask for assistance in handling this issue
17.A nurse has been gathering physical assessment data on a patient and is now
listening to the patient's concerns. The nurse sets a goal of care that
incorporates the patient's desire to make treatment decisions. This is an
example of the nurse engaged in which phase of the nurse-patient
relationship? - ANSWER ✔ Working phase
, 18.Body's three lines of defense against infection - ANSWER ✔ 1. Normal
flora (first line) 2. Inflammatory response (second line) 3. Immune response
(third line).
19.Stages of infection - ANSWER ✔ Incubation, Prodromal, Acute (full
illness), and Convalescent (recovery) periods.
20.Localized vs. systemic infection signs - ANSWER ✔ Localized: redness,
swelling, warmth, drainage. Systemic: fever, malaise, elevated WBC, sepsis.
21.A nurse researcher studies the effectiveness of a new program designed to
educate parents to promote the immunization of children. The nurse divides
the the parents randomly into two groups. One group receives the typical
educational program and the other group receives the new program. This is
an example of which type of study?
1. Historical
2. Qualitative
3. Correlational
4. Experimental - ANSWER ✔ 1. Answer: 4.
Experimental; in experimental studies, the subjects are randomly assigned
into groups with one group receiving the standard treatment and the other
group receiving the intervention.
22.A nurse who works in a pediatric unit asks, "I wonder if children who
interact with therapy dogs have reduced anxiety when they are in the
hospital." In this example of a PICOT question, which of the following is the
O?