NURS 2101
A 34-year-old single mother of three had been involved in a secret relationship with her boss, a married man who was 24 years her senior. When her boss suddenly died as the result of a heart attack, the woman had difficulty expressing the extent of her loss. The grief that she was experiencing could best be described as which of the following? a. Disenfranchised b. Complicated c. Normal d. Anticipatory
A
A businessman has been diagnosed with multiple sclerosis and has poor prognosis because the disease is progressing very quickly. To help the patient maintain a sense of hope, what should the nurse do? a. Help the patient set realistic goals. b. Assure the patient that he will be well cared for and does not need to do anything. c. Impress on the family the importance of limiting visiting hours to provide rest. d. Withhold negative information about the patient's disease processes.
A
A male patient shares that, although he has a satisfying relationship with his wife, he is also attracted to men. He is confused and does not know how to deal with this issue. The nurse should do which of the following? a. Explain that the patient's problem is one of orientation and high risk. b. Tell the patient that he has a sexual dysfunction and needs medication. c. Inform the patient that having relationships with other men is normal and risk free. d. Teach that STIs are fewer with men because most STIs are spread vaginally.
A
A middle-age patient with a terminal disease is speaking harshly to the nurse every time the call light is answered. The nurse identifies that this patient is experiencing the second stage of Kübler-Ross' stages of dying. What is the second stage? a. Anger b. Denial c. Bargaining d. Acceptance e. Depression
A
A nurse is an advanced practice registered nurse (APRN) who cares for geriatrics. This nurse is which type of advanced practice nurse? a. Clinical nurse specialist b. Nurse practitioner c. Certified nurse-midwife d. Certified registered nurse anesthetist
A
The student nurse is discussing her 4-year-old patient with her nursing instructor. The instructor asks her about how Erikson's Developmental Tasks have an impact on a 4-year-old child's self-concept and sexuality. What is the best response? a. "Mike identifies with his father." b. "Mike likes to help dress himself." c. "Mike is aware that he is too small to play football." d. "Mike is looking forward to going to college when he gets bigger."
A
Which benchmarks will indicate to the nurse that the agency has computerized information systems that demonstrate "meaningful use"? (Select all that apply.) a. Improves quality and safety b. Improves patient compliance c. Improves care coordination d. Improves public health e. Improves hospital's reputation
A, C, D
Interventions a nurse can use to establish presence with a patient include which of the following? (Select all that apply.) a. Giving attention b. Answering questions c. Listening d. Administering medication e. Speaking with the family
A,B,C
When a person has difficulty progressing through his or her loss experience, he or she experiences complicated grief. What are the types of complicated grief? (Select all that apply.) a. Chronic b. Delayed c. Exaggerated d. Masked e. Disenfranchised
A,B,C,D
A middle-age female model is admitted for a double mastectomy. On admission the nurse notes that she is depressed and withdrawn. The most appropriate patient-centered nursing intervention(s) might be which of the following? (Select all that apply.) a. Use a positive and matter-of-fact approach to care. b. Include the patient in decision making about her care. c. Be aware of nonverbal behaviors when providing care. d. Focus on the task when an unpleasant task must be done. e. Focus matter-of-fact statements on positive aspects of patient healing.
A,B,C,E
A nurse has just admitted a 5-year-old child for suspected appendicitis. Which therapeutic communication techniques should the nurse use while communicating with this child? (Select all that apply.) a. Avoid sudden movements or gestures. b. Use simple, direct language. c. Sit at the child's eye level. d. Tell the child exactly what can do. e. Use drawing or toys as needed.
A,B,C,E
For a nurse to be effective in assisting patients with problems associated with loss and grief, what should the nurse do? (Select all that apply.) a. Help people acknowledge the reality of their loss. b. Encourage the use of a support network. c. Reinforce that people all grieve in the same way. d. Assure people that it will take a year to get over the loss, but it will end. e. Provide continuing support even after an extended time.
A,B,C,E
A nurse is teaching the staff about Quality and Safety Education in Nursing, which identified six competencies for nursing. Which information should the nurse include in the teaching session? (Select all that apply.) a. Informatics b. Safety c. Health policies d. Informatics e. Quality improvement
ANS: A, B, D, E
14. A registered nurse recently went to work for a health care organization that uses the SOAP format for documentation. The nurse charts the following: Discuss alternatives for pain control. Which component of SOAP did the nurse chart? a. S b. O c. A d. P
ANS: B Discuss alternatives for pain control is a Plan. SOAP is an acronym for the following: S: Subjective data (verbalizations of the patient) O: Objective data (data that are measured and observed) A: Assessment (diagnosis based on the subjective and objective data) P: Plan (what the caregiver plans to do)
A nurse is assuming responsibility for a caseload of patients over a period of time. Which type of nursing care delivery models is the nurse practicing? a. Team nursing b. Primary nursing c. Interprofessional collaboration d. Decentralized management
B
A nurse listens to a patient's lungs and determines that the patient needs to cough and deep breath. The nurse has the patient cough and deep breath. Which concept did the nurse demonstrate? a. Accountability b. Autonomy c. Licensure d. Certification
B
A nurse must follow legal laws that protect public health, safety, and welfare. Which law is the nurse following? a. Code of Ethics b. Nurse Practice Act c. Standards of practice d. Quality and safety education for nurses
B
A newly graduated nurse has been assigned to work with one assistive personnel staff member. When delegating skills, which guidelines should the nurse use? (Select all that apply.) a. Assign just bed making skills and feeding tasks. b. Assess the knowledge of the assistive personnel. c. Match tasks to the assistant's skills. d. Have the nursing assistant document assessment findings. e. Assess skill levels of assistive personnel.
B,C,E
A 45-year-old widow, who is being seen in a mental health clinic for clinical depression and alcohol dependency, lost her husband and her son in a boating accident 10 months earlier, and has become increasingly despondent and withdrawn. She verbalizes that she feels overwhelmed by her loss. Her daughter urged her mother to seek help. Which type of complicated grief best explains Eleanor's behavior? a. Chronic b. Delayed c. Exaggerated d. Masked
C
A nurse is teaching the staff about informatics and describing the key concepts. Which information should the nurse include during the teaching session? a. Wisdom b. Charting c. Assessment d. Evaluation
a
A nurse is using critical pathways to care for a patient. Which area will the nurse address according to the pathway? a. Activity b. Nursing diagnosis c. Times to chart d. Admission form
a
While a patent is being interviewed by the nurse, a family member states, "What my father really means is that he doesn't know for sure what the physician meant about the medical diagnosis." Which communication technique did the family member use? a. Focusing b. Clarifying c. Summarizing d. Sharing observations
b
A nurse records the following at 1800: patient states that the abdominal pain is worse now than last night—Betty Smith, RN. The nurse is using which type of charting? a. PIE documentation b. SOAP documentation c. Narrative charting d. Charting by exception
c
20. A nurse is using SBAR and tells the primary health care provider that the abdomen is distended and firm with a pain rating of 8 on a 0-10 scale. Which component of SBAR did the nurse communicate? a. S b. B c. A d. R
c For assessment (A) data include significant findings in your head-to-toe physical assessment, recent vital signs, current treatment measures, restrictions, recent laboratory results and diagnostics, and pain status. Some institutions use SBAR, an acronym that stands for situation, background, assessment, and recommendation. SBAR standardizes telephone communication of significant events or changes in a patient's condition. Therefore it is a communication strategy designed to improve patient safety. When describing the situation (S), you include the admitting and secondary diagnoses and the problem your patient is having as the current issue. Background (B) information includes pertinent medical history, previous laboratory tests and treatments, psychosocial issues, allergies, and current code status. Provide your recommendation (R), in which you suggest a plan of care and request orders and other needs to be addressed.
A nurse completes an incident/occurrence report on a patient who fell while walking in the hallway. The nurse completes this report for what purpose? a. To exchange information among health care members b. To provide information about patients on one unit to another c. To prevent a legal lawsuit from the patient d. To aid in the hospital's quality improvement program
d
A nurse is directing the care and staffing of three cardiac units. The nurse is practicing in which nursing role? a. Advanced practice registered nurse b. Nurse researcher c. Nurse educator d. Nurse administrator
d
nurse forms a contract with the patient to specify roles during a therapeutic helping relationship. The nurse is in which phase of the therapeutic relationship? a. Working b. Termination c. Pre-interaction d. Orientation
d
A recently widowed mother of two worked with her late husband while he was starting his own business and was managing the accounting paperwork. The family had no life or health insurance. When her husband suddenly died, she was left with a large hospital bill, funeral expenses, unemployment, and no means of support. How are the multiple losses that this woman is experiencing best described? a. Maturational b. Situational c. Actual d. Perceived
B
The nurse is caring for a 65-year-old mother of three who recently underwent abdominal surgery and has a colostomy as a result. The patient has a history of multiple surgeries, including a tracheostomy after lung surgery about 20 years earlier that has since healed over. To determine how to best work with this patient, the nurse should do which of the following? a. Determine how the patient dealt with her previous surgeries. b. Realize that past coping mechanisms are always positive in nature. c. Approach care in a standard method because all patients are the same. d. Avoid using family input in determining the course of care.
A
The nurse is caring for a patient who has just passed away. What should she do? a. Provide postmortem care in a manner consistent with religious or cultural beliefs. b. Place the body in a supine position to prevent disfigurement. c. Ask family to leave the room since they do not know how to provide care. d. Remove all tubes before determining if an autopsy will be done.
A
The nursing student has severe test anxiety. When he receives a test in class, his heart rate increases, he feels more mentally alert, and his pupils dilate. According to the general adaptation theory, the nursing student should identify this response as what stage of the body's reaction to stress? a. Alarm b. Resistance c. Adaptation d. Exhaustion
A
The patient is on a ventilator and has a heartbeat, but is brain dead. What should the nurse do? a. Provide a private area to discuss organ donation. b. Explain that as long as the heart is beating, the patient is alive. c. Inform the family that the organs will be harvested when he is off the ventilator. d. Stress the importance of leaving the patient on the ventilator to harvest the corneas.
A
The patient's home has been demolished by a tornado. The patient's spouse and child were killed and the spouse is in need of a leg amputation. The nurse realizes that which of the following is true? a. The patient will deal with his losses using usual coping strategies. b. A patient's normal coping strategies are always adequate. c. Patients usually seek new strategies to deal with loss. d. At the end of life, people still rely on the usual coping strategies.
A
Which information by a nurse indicates more teaching is needed about The Joint Commission's requirements for writing plans of care? a. A care plan must be developed for patients in a clinic. b. A care plan must be developed for patients in an acute care hospital. c. A care plan must be developed for patients in a rehabilitation agency. d. A care plan must be developed for patients in an extended care facility.
A
Which of the following is true for a patient to receive home hospice care? a. A primary caregiver must be living in the home. b. Caregiver support is available 9 AM to 5 PM daily. c. If the patient goes to the hospital, all prehospital orders are canceled. d. In the hospital, the home hospice care person must provide personal care.
A
A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home. The nurse has associate nurses helping with the care. Which type of nursing care delivery model is the nurse using? a. Team nursing b. Primary care nursing c. Case management d. Total care
B
Which competencies should the nurse follow to be an effective team member in interprofessional collaboration? (Select all that apply.) a. Work to maintain a climate of mutual respect. b. Use your role specific knowledge to address health care needs. c. Apply relationship-building values and principles of team dynamics. d. Use a top-down communication strategy. e. Support a team approach to the maintenance of health.
A,B,C,E
Nurses working at a progressive health care organization participate in a decentralized decision-making framework where they are actively involved in nursing unit decisions. These nurses know that decentralization decision making includes which key elements? (Select all that apply.) a. Autonomy b. Prioritization c. Responsibility d. Authority e. Accountability
A,C,D,E
The patient has severe injuries. The nurse knows that the general adaptation syndrome (GAS) was viewed as a reaction to stress consisting of: (Select all that apply.) a. a pattern of alarm. b. deleterious consequences. c. a stage of resistance. d. developmental impairment. e. a state of exhaustion.
A,C,E
What should the nurse caring for a dying patient understand about the patient? (Select all that apply.) a. The patient has the right to be in control. b. The patient must be compliant with his medical regimen. c. The patient should expect to be free from pain. d. The patient should be lied to so as to maintain his sense of hope. e. The patient has the right to die in peace and dignity.
A,C,E
The nurse is interviewing a patient who claims to be in the middle of a crisis situation. The nurse should: (Select all that apply.) a. determine the patient's view of the situation. b. be aware that denial is never a coping mechanism for people in crisis. c. point out that the patient is repeating information and ask him to stop. d. assess for the potential for suicide/homicide. e. assess coping mechanisms and support systems.
A,D,E
A nurse is using a computer to locate and review laboratory test results, and chart and order sterile supplies. What type of system is the nurse using? a. Clinical information system b. Computerized provider order entry system c. Administrative information system d. Clinical decision support system
A
A nursing student is seeing a patient for the first time this morning. Which action should the nursing student perform first? a. Focused patient assessment b. Patient health history c. Medication administration d. Documentation
A
A patient has been admitted to the hospital with advanced colon cancer and is receiving palliative care at this time. The nurse feels anxious in caring for this patient, but realizes which of the following? a. The patient needs the nurse's presence and personal connection. b. Remaining silent would signify a noncaring attitude. c. All people react to loss in the same way. d. Reminiscing only makes a difficult situation worse.
A
A patient's daughter died in a ski accident. The patient stated, "I cannot believe my daughter has died." According to Worden's tasks of mourning, the patient is experiencing task: a. I. b. II. c. III. d. IV.
A
A primary nurse caring for a patient with kidney failure develops a plan of care for the patient after consulting with the patient on the best way to manage the patient's diet. As the staff delivers the plan of care the primary nurse evaluates whether the plan is working. Which attribute is the primary nurse displaying? a. Responsibility b. Interprofessional collaboration c. Delegation d. Staff involvement
A
A registered nurse (RN) works on a unit with other registered nurses, licensed practical nurses (LPN), and nursing assistive technicians. Usually a RN, LPN, and nursing assistive technician provide direct care for a group of patients. The RN coordinates all of the care the others provide. Which type of nursing care delivery models is the RN using? a. Team nursing b. Case management c. Primary nursing d. Total patient care
A
A registered nurse works as a case manager in the local hospital. What primary role will the nurse be fulfilling? a. Coordinating care for patients with a specific condition b. Only working with primary health care providers c. Directing care of all patients in the hospital setting d. Providing direct care to specific patients
A
An elderly patient is dying, and begins talking to loved ones who have died before him. The nurse feels a sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace? a. Self-transcendence b. Intrapersonal connectedness c. Interpersonal connectedness d. Transpersonal connectedness
A
Bowlby's phases of mourning are founded on which of the following human instincts? a. Attachment b. Numbing c. Searching d. Grief
A
The mother of a 7-year-old boy asked the nurse what factors tended to increase self- esteem in boys. Which of the following is the nurse's best response? a. Positive family communication supporting the child's self-worth. b. It does not really matter because self-esteem varies widely throughout life. c. Avoid situational crises because they lead to permanent changes in self-esteem. d. Let the child know that it is OK to be incompetent.
A
A middle-age single woman has breast cancer and needs a mastectomy. She is concerned with future male relationships. She is crying and indicates that her life is over. According to Erikson, she occupies which stage? a. Intimacy versus Isolation b. Autonomy versus Shame and Doubt c. Identity versus Role Confusion d. Ego Integrity versus Despair
A
A nurse is caring for a patient with a terminal illness whose prognosis is grim. The nurse informs the family about hospice care. What should the nurse let them know about hospice care? a. It is designed for people who have less than a 6-month life expectancy. b. It is provided in the hospital setting. c. It helps to hasten the death process to relieve suffering. d. It has predetermined goals that will be explained at the right time.
A
A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? a. In-service education b. Advanced education c. Continuing education d. Registered nurse education
A
A nurse is told during orientation that the organization is very patient focused and that it uses a documentation system with the acronym PIE. What will the nurse be charting? a. Problem, intervention, evaluation b. Patient, interview, evaluation c. Population, intervention, encourage d. Plan, interview, enhance
A
A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are influencing nursing today. Which examples should the nurse include? (Select all that apply.) a. Health care reform b. Threat of bioterrorism c. Population demographics d. Role of nurse manager e. Nursing shortage
ANS: A, B, C, E
A nurse is teaching the staff about the characteristics of a profession. Which information should the nurse include? (Select all that apply.) a. Extended education b. Theoretical body of knowledge c. Code of ethics for practice d. Practice developments e. Provision of a specific service
ANS: A, B, C, E
Reviewing sexuality changes associated with aging is important because: a. very few older women experience any type of sexual problems. b. in older men, the penis does not become firm as quickly. c. ejaculation remains the same throughout life. d. ejaculation is quicker with aging.
B
The nurse is admitting a 75-year-old patient into the gastrointestinal laboratory for a routine colonoscopy. During the assessment, the nurse learns that the patient's spouse died 4 months earlier because of stomach cancer and that the patient has not been sleeping well. Which phase of Bowlby's mourning phases does the nurse suspect? a. The numbing phase b. The yearning/searching phase c. The disorganization phase d. The reorganization phase
B
A patient admitted to the intensive care unit was placed on ventilator support. The nurse caring for this patient identified on the plan of care that one of the outcomes was that the patient would not develop ventilator-acquired pneumonia (VAP). To achieve this outcome, the nurse delegates the following to the unlicensed assistive personnel: "Please perform oral care on the patient every 2 hours. In this situation oral care would include using the special swabs we have for our patients on VAP precautions so we can prevent pneumonia." Which of the five rights of delegation did the nurse use? a. Right route b. Right direction/communication c. Right dose d. Right supervision
B
A patient has been suffering from liver cancer for more than a year. The family has requested hospice services. The family members are taking turns staying with the patient. They have been reminiscing with the patient about her life and are now saying their good-byes. The type of grief that this family is experiencing is best described as which of the following? a. Normal b. Anticipatory c. Complicated d. Disenfranchised
B
A patient who was injured in a motor vehicle accident is taken via ambulance to the emergency department. The nurse performing the physical assessment knows that, according to the general adaptation syndrome, the patient should be expected to exhibit: a. increased blood flow to the intestines. b. increased heart rate. c. decreased blood pressure. d. decreased blood glucose levels.
B
A nurse manager is interested in supporting more involvement of the staff nurses on the unit. What is one approach the nurse manager can take to facilitate this involvement? a. Inform the staff of decisions made. b. Use decentralized management. c. Avoid unit goals. d. Discourage input from other personnel.
B
The nurse is caring for a patient who has been diagnosed with chronic pain. The nurse is especially concerned about the patient's self-concept because chronic pain does which of the following? a. Normally has no effect on the ability to function once patients learn to deal with it b. Can often cause increased irritability that can affect self-concept c. Often leads to increased sleep as patients try to "escape" the pain d. Requires pain medication that prevents self-concept alterations
B
The nurse is caring for a patient with terminal lung cancer. The patient is in a great deal of pain and is anxious. The nurse contacts the health care provider to request pain medication for the patient and is given an order for morphine, but the family of the patient refuses to let the patient have it based on religious grounds. This is most likely because the patient and family are members of which of the following faiths? a. Jewish b. Hindu c. Catholic d. Christian
B
The student nurse was late for clinical rounds because she had to change the tire on her car. She is in the process of preparing pain medication for her patient when her nursing instructor asks her to identify the drug classification of the medication that she is preparing. The student nurse is very frustrated, becomes tearful, and states, "I can't seem to crush this tablet correctly." This reaction to the instructor is most likely a result of what ego-defense mechanism? a. Compensation b. Displacement c. Denial d. Dissociation
B
A nurse is working in an agency with standards that require a nurse's documentation to be within the context of the nursing process. The nurse is working for which agency? a. Centers for Disease Control and Prevention accredited hospital b. World Health Organization hospital c. The Joint Commission accredited hospital d. Agency for Healthcare Research and Quality hospital
C
A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? a. Informatics b. Quality improvement c. Teamwork and collaboration d. Evidence-based practice
C
A businessman who had been employed at one company since graduating from college was recently downsized at work and is unemployed. He was always very proud of this job and is grieving the loss. What type of loss is this? a. Maturational b. Situational c. Actual d. Perceived
C
A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR. What will the nurse be charting? a. Data, assessment, reaction b. Data, assessment, recommendation c. Data, actions, response d. Data, actions, recovery
C
A nurse has been working overtime because of high hospital census and a decreased work force. The nurse is concerned about the danger of work-related burnout or compassion fatigue. To combat this risk, the nurse should: a. increase nursing responsibilities at work. b. take control over new areas at work to reduce stress. c. strengthen relationships outside of the hospital. d. hang out with co-workers when not at work.
C
A nurse who grew up in Korea has been in the United States for the past 4 years. The nurse is especially sensitive about the differences in how mourning is different between the native culture and that of Western society. The nurse should use which model of mourning to help understand an action-oriented process of grieving? a. Bowlby's Four Phases b. Worden's Four Tasks c. Rando's R Process d. Kübler-Ross' Five Stages
C
A nurse works in a trauma intensive care unit in a busy urban hospital. Once a week, staff members from all the disciplines caring for the trauma patients get together to discuss their progress. The patient's family can be included in the discussion if it is approved by the patient. This is best described as which of the following? a. Nursing practice b. Staff communication c. Interprofessional collaboration d. Staff education
C
A patient suffering from lung cancer experiences nausea and vomiting. When rendering palliative care, the nurse knows that this type of care: a. is only done in intensive care units. b. is for the elderly. c. requires an interdisciplinary team. d. utilizes standard medical treatments to provide care.
C
A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP). The nurse reviews the documented vital signs from the UAP to determine if they are within normal parameters for the patient. The nurse in this example is demonstrating which attribute when following up on the vital signs? a. Interprofessional collaboration b. Staff education c. Accountability d. Delegation
C
A registered nurse is prioritizing care for four patients. Which patient should the nurse see first? a. A 44-year-old woman 1 day postoperative b. A 64-year-old man who had a stroke 2 days ago c. A 56-year-old woman with an acute asthma attack d. A 67-year-old man with a fractured hip
C
A young widower who lost his wife in Afghanistan has worked through the first task of Worden's mourning theory. He asks you if he will ever feel able to move forward with his life. According to Worden's theory, what is your best response? a. "You will never love anyone as much as your wife." b. "Nobody will ever be able to take your wife's place." c. "It takes time to adjust to this type of loss, typically at least a year." d. "Some people are able to move forward faster by suppressing the pain."
C
An older extended care resident was dying. The family came to visit, but one of the great-granddaughters had difficulty accepting the impending death. What is the best thing that the nurse can do to help her feel more comfortable? a. Telling her that she probably should not visit if it upsets her so much. b. Tell her to avoid talking about the past and focus on the present. c. Ask her if she would like to brush the resident's hair. d. Ask the family to leave at the end of visiting hours so that they can rest.
C
The nurse has recently been promoted to a new management position in her hospital. She is concerned about her new responsibilities and has found that she is having difficulty sleeping at night. This is an example of what ego-defense mechanism? a. Compensation b. Denial c. Conversion d. Displacement
C
The parent of a child who drowned in a neighbor's pool that was not secured, would most likely file a wrongful death lawsuit against the neighbor during which of Bowlby's phases of mourning? a. Numbing b. Yearning and searching c. Disorganization and despair d. Reorganization
C
Which technique by the nurse will facilitate communication with an older adult? a. Have the TV play lightly in the background. b. Ask several questions in a row. c. Allow reminiscing. d. Use long sentences.
C
A nursing student, who maintained a 4.0 GPA since starting nursing school, started working the past semester, is planning a wedding, and has moved into a new home. The student has not been able to maintain the 4.0 GPA this semester, and as a result is feeling like a failure. How is this loss best described? a. Maturational b. Situational c. Actual d. Perceived
D
A patient has been diagnosed with a terminal disease. Hope may be used effectively with this type of patient. Nurses can support a patient's use of hope because hope provides a: a. system of organized beliefs and worship. b. belief in a higher power, spirit guide, God, or Allah. c. cultural connectedness, structure, and guidance in difficult times. d. motivation to achieve and the resources to use toward that achievement.
D
A patient who has been diagnosed with terminal liver cancer states that he does not believe in God, but he has had a meaningful life by contributing to the lives of those around him. This person is most likely which of the following? a. Buddhist b. Christian c. Agnostic d. Atheist
D
A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas. This is an example of a response to what type of influence on nursing? a. Workplace hazards b. Nursing shortage c. Professionalism d. Emergency preparedness
D
A widow, whose spouse died 3 years ago, has recently started dating and is thinking about going back to school to complete a degree she had started at an earlier age. Which of Bowlby's phases of mourning best describes this behavior? a. Numbing b. Yearning and searching c. Disorganization and despair d. Reorganization
D
After a large weight loss a patient tells the nurse, "There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component? a. Role performance b. Identity stressor c. Self-esteem d. Body image
D
The nurse is caring for a patient of the Chinese community who is dying. The nurse needs to understand the Chinese community's beliefs regarding death, but it is most important to keep in mind which of the following? a. Most survivors in Chinese society wail loudly to communicate their loss. b. People in the Chinese culture believe that talking about death is healthy. c. Chinese people are strong believers in reincarnation. d. Regardless of cultural or religious beliefs, people respond to death in their own unique way.
D
The nurse is caring for a patient who states that he does not believe in the existence of God. The nurse realizes that this person: a. is not a spiritual person. b. is an agnostic. c. believes that people bring meaning into the world. d. finds meaning in life through work and relationships.
D
The nurse is caring for a terminally ill patient. In order to provide optimal care, the nurse tries to anticipate patient needs. What does the nurse understand about this patient? a. As patients approach death, they breathe more through their nose. b. Eye blinking may increase as well as tear production. c. Immobility and opioid medications can lead to diarrhea. d. Anxiety in the dying may have a physical cause.
D
To assess, evaluate, and support a patient's spirituality the best action a nurse should take includes: a. recognizing that spirituality does not enhance therapeutic relationships. b. performing a definitive spiritual assessment once because spirituality does not vary. c. focusing the assessment on religious doctrine and faith. d. remembering that spirituality is very subjective.
D
Which of the following would not be appropriate for a patient undergoing palliative care? a. Insertion of a peripherally inserted central line b. Chemotherapy c. Radiation treatment d. Knee replacement surgery
D
11. Which documentation by the nurse is most appropriate? a. "The patient states would except moving to a semi-private room." b. "Developed aspiration pneumonia due to dysphasia." c. "Bruise noted on right side over fractured abdimin." d. "Right jugular vein distended."
D
12. A nurse is documenting the last entry for the day. It is 3:15 PM and the agency uses military time. Which time should the nurse enter? a. 315 b. 0315 c. 1315 d. 1515
D
A 35-year-old new mother returns to the clinic for her 6-week postpartum check. When discussing questions regarding the patient's sexual health the nurse should do which of the following? a. Assume that permission to discuss sexuality issues is implied. b. Seek knowledge about sexual health in general. c. Make therapeutic suggestions early and adjust as needed. d. Refer the patient to a professional with advanced training if necessary.
D
A new nurse would like to work where clinical performance is valued and in an environment that uses evidence-based practice. Given the new nurse's goals, which organization would be the best for this nurse? a. Private hospitals b. Community hospitals c. Not-for-profit hospitals d. Magnet-designated hospitals
D
A nurse is assigned to care for a dying patient. To deal with this experience and future experiences with dying patients, the nurse should do which of the following? a. Avoid going to funerals of former patients. b. Develop a "hard shell" against emotional stress to avoid compassion fatigue. c. Understand that people dying is part of the job to get used to. d. Frequently evaluate his or her own emotional well-being.
D
A nurse is in the acute care unit caring for a 67-year-old patient with a varicose ulcer in the right lower leg. The wound has been healing well but will require a dressing change during the shift. What priority level should the nurse classify this problem? a. High priority b. Low priority c. Mid priority d. Intermediate priority
D
A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor. Before beginning the bath, the nurse explains the procedure. Which of the following best describes the nurse's communication role? a. Channel b. Receiver c. Message d. Sender
D
A nurse works at a health care organization that is accredited by The Joint Commission. What is the best method for this health care organization to demonstrate that it is providing quality patient care? a. Cost of care per patient day b. Number of registered nurses c. Absence of sentinel events d. Documentation audits
D
A nurse works in a critical care area caring for two patients during a day shift and is accountable for all their care. Which type of nursing care delivery model is the nurse using? a. Team nursing b. Case management c. Primary nursing d. Total patient care
D
A nurse is working in a busy emergency department of an urban hospital. The family of a patient brought in by ambulance asks the nurse what the doctor meant when he or she said that the patient was coding. In this situation, the word coding is an example of which of the following? a. Denotative meaning b. Connotative meaning c. Intonation d. Pacing
a
A registered nurse recently changed jobs and is now working in home health. What must the nurse chart to obtain reimbursement from Medicare, Medicaid, and private insurance companies? a. Patient's response to care b. Whether patient had a good or bad day c. Whether family liked nurse or not d. Patient's number of marriages
a
