Week 1 NURS 2016

A nursing student is recalling the hierarchy of evidence available for conducting research. In which order should the nurse give priority to the findings of a study

According to the hierarchy of evidence, when gathering evidence to make an appropriate client care decision, the nurse should give highest priority to the findings of systematic reviews and meta-analysis of randomized controlled trials (RCTs). Meta-analyses and systemic reviews summarize current evidence thoroughly. Next in the list of priority are the findings of one well-designed RCT. Below that are well-designed controlled trials without randomization. The nurse may then turn to well-designed case control studies to look for evidence. If RCTs are not available, the nurse may systematically review qualitative studies. Barring that, the nurse may then turn to single descriptive or qualitative studies. The opinions of authorities or expert committees forms the base of the hierarchy pyramid.

How can nurses exhibit the concept of open-mindedness as a part of critical thinking behavior in their teams? Select all that apply.

By respecting the right of others to have different opinions By becoming sensitive to the possibility of their own prejudices

Place each step of the nursing process in the order that it should be used.

First the nurse should gather data. Based on the data, the client's needs are assessed. After the needs have been determined, the goals for care are established. The next step is planning care based on the knowledge gained from the previous steps. Implementation follows the development of the plan of care.

What skills are essential for an effective nurse leader to develop collaboration with others? Select all that apply.

Flexibility ability to share ideas Ability to listen to others Possession of a strong self-concept

A client is being considered for bariatric surgery. Which client health problem does the nurse identify as consistent with morbid obesity?

Hypoventilation syndrome

Which feature is characteristic of a risk nursing diagnosis?

The diagnosis does not have related factors

The nurse is developing a nursing diagnosis for a client after surgery. The nurse documents the "related to" factor as first time surgery. Which assessment activity enabled the nurse to derive this conclusion?

The nurse asks the client to explain the surgery

Which action of the nurse would be inappropriate in the context of critical thinking skills for making clinical decisions in nursing practice?

The nurse should rely on his or her knowledge and experience when planning and implementing a client care plan.

The nurse interviews a client about a current health problem. The nurse then obtains and documents the client's temperature, blood pressure, and heart rate. Which step of the nursing process is involved in this situation?

assessment

A nurse revises the care plan when the client's responses indicate that goals have not been met. What phase of the nursing process is being applied?

evaluation

A nursing student notes that a nurse is required to integrate best current research with clinical expertise and client preferences and values in order to provide quality healthcare. Which Quality and Safety Education for Nurses (QSEN) competency does this comply with?

evidence based practice

Which critical thinking skill refers to the use of knowledge and experience to choose effective client care strategies?

explanation

Which step in the nursing process would involve promoting a safe environment for the client?

implementation

A nurse provides instructions to a group of adolescents about ways to prevent obesity. Which statements made by an adolescent indicates a need for further learning? Select all that apply.

"I should consume a high-fat diet." "I should take highly refined starch food." "I should watch television for four hours only."

Which statement by a client scheduled for bariatric surgery indicates to the nurse that further preoperative teaching is necessary?

"I'm going to have a figure like a model in about a year."

A registered nurse is teaching a nursing student about nursing research. Which points mentioned by the nursing student post-teaching are accurate? Select all that apply.

"Research means to search again or to examine carefully." "Nursing research is a way to identify new knowledge, improve professional education and practice, and use resources effectively." "The knowledge that is generated provides a scientific basis for nursing practice and validates the effectiveness of nursing interventions."

A client at the fertility clinic is being treated for hypertension and obesity with a regimen of diet and exercise. During the past month, she has lost 8 lb (3.6 kg) and her blood pressure has decreased to 154/98 mm Hg. The client states that she is using self-control strategies to reduce her blood pressure and weight. What is the nurse's most therapeutic response?

Acknowledging the client's achievement while encouraging continuation of her current program

Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?

Familial and cultural influences are deciding factors in eating habits.

What client factor does the nurse consider to have the greatest impact on the effectiveness of bariatric surgery?

Motivation to cooperate with required lifestyle changes

The nurse is aware that the nursing diagnosis should follow the North American Nursing Diagnosis Association International (NANDA-I) label. How should the nurse document the nursing diagnosis in a three-part format?

NANDA-I label, related factor, and defining characteristics