406 Midterm

Which of the nurse's questions demonstrates critical thinking?

"Have I gathered enough data to make a decision"

Which statement best reflects a critical-thinking philosophy?

"Think about different interventions that can be used with this client"

During an assessment, the nurse notes that the client has an elevated temperature. Which type of data is this?

Objective Data

Which nursing action is part of the evaluation phase when performing wound care for a client?

Obtaining wound measurements once a week

Which type of evaluation is performed immediately after an intervention and with each client contact?

Ongoing

A nurse who is obtaining a health history through an interview asks, "What can you tell me about your previous knee replacement surgery?" Which type of question is this?

Open-ended

Which nursing action reflects the nurse assisting the client in maintaining belief as a component of caring?

Providing encouragement to a client with a new amputation

According to the Institute of Medicine, which competency best promotes the concept of providing safe, quality client care?

Quality improvement

A registered nurse is interviewing for a new staff position at a hospital and asks about staffing and client assignments . The interviewer explains nurses work in a functional nursing role. Which statement best explains this approach?

RN's provide compartmentalized care, performing complex treatments and are in charge

Which healthcare setting would the registered nurse recommend for a client who needs further inpatient therapy after sustaining a stroke?

Rehabilitation Center

Which are tools for recording assessment data? Select all that apply.

1. Graphic flow sheet 2. Intake and output sheet

A client is given a diagnosis of terminal cancer, and the healthcare provider suggests hospice services for the family. The family is hesitant and asks the nurse what hospice can provide. Which responses given by the nurse are appropriate? Select all that apply.

1. "Hospice services ensures the client is comfortable and the pain is controlled" 2. "Hospice services allow the client to preserve dignity during the dying process" 3. " Hospice services provide spiritual care for the client within the clients culture"

The nurse is differentiating between a medical diagnosis and a collaborative problem. Which statements are correct? Select all that apply.

1. A medical diagnosis describes an illness or injury 2. A medical diagnosis identifies pathology 3. A collaborative problem is determined by a medical diagnosis 4. A collaborative problem is managed by both medical and nursing interventions

Place the steps of the nursing process in the correct order.

1. Assessment 2. Diagnosis 3. Planning 4. Implementation

A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the unlicensed assistive personnel (UAP)?

1. Bathing the client 2. Taking the vital signs 3. Telling the nurse about an open are on the skin

Which areas of healthcare are regulated by legislation? Select all that apply.

1. Confidentiality of clients records 2. Treating clients that need emergency treatments 3. The clients right to know 4. Right for dignified death

Which statements represent a measurable outcome? Select all that apply.

1. Demonstrate correct method for checking blood sugar by next visit 2. Will have a bowel movement within 12 hours after receiving stool softener and laxative 3. Calls nurse when urge to defecate is felt ; does not delay defecation

Which describes components of implementation in the nursing process? Select all that apply.

1. Doing 2. Delegating 3. Documenting

Which are examples of a direct-care nursing intervention? Select all that apply.

1. Giving a medication 2. Obtaining vital signs 3. Giving a bedside bath

The nurse is teaching a client about a variety of complementary and alternative therapies. Which options could the nurse include with the discussion? Select all that apply

1. Naturopathy 2. Homeopathy 3. Chiropractice medicine 4. Traditional Chinese medicine

A nurse is instructing nursing students about incorporating critical thinking into client care. Which attributes should the nurse include during this lesson? Select all that apply.

1. Need to find the truth 2. Openness to other options 3. Use of reasoned thinking 4. Capacity to reflect on situations

Review each stage of Benner's model of skill and judgment acquisition. Place in the correct sequential order

1. Novice 2. Advanced beginner 3. Competence 4. Proficient

Which are common responsibilities of the State Board of Nursing?

1. Providing approval for nursing education programs 2. Enforcing rules that govern nursing practice 3. Developing criteria that permits someone to be licensed as a practical or vocational nurse (LPN / LVN)

Which circumstances would qualify a client for a move into an independent living center?

1. The client must be over the age of 55 2. The client must be autonomous in all activities of daily living 3. The client must have a desire to live with other senior citizens

The healthcare team is determining discharge plans for a client admitted after involvement in a motor vehicle accident. The client requires intravenous antibiotics, as well as physical and occupational therapy, and wants to receive these services in the home. Which factors determine if this is appropriate?

1. The presence of help in the clients home 2. The coverage provided by the clients insurance carrier 3. The availability of a home healthcare agency to provide the required services

Which critical-thinking skills will a nurse utilize when reviewing the health record of a new client to prepare a nursing diagnosis? Select all that apply.

1. Visualizing potential solutions to a problem 2. Prioritizing or ranking data as needed 3. Separating relevant from irrelevant data

A nurse is providing care for several clients in a large medical center. When delivering medications, the nurse scans the bar code on the medication package and the client's identification band comparing the information to the electronic health record. The computer has a pop-up message that there is a drug interaction. The nurse contacts the hospital pharmacy. Which of the Institute of Medicine's competencies are addressed with this event? Select all that apply

1. Work in interprofessional terms 2. Employ evidence-based practice 3. Apply quality improvement 4. Utilize informatics

A nurse is working at a clinic and wants to focus on primary healthcare interventions would be included in the nurses plan?

1. educating children on appropriate hand hygiene 2. Administering flu shots to elderly clients in an independant living center 3. Presenting information at a senior center regarding ways to prevent diabetes mellitus

Which is the best example of intellectual courage?

A nurse fairly examines their own values and beliefs even when uncomfortable

Which nurse would fall into Benner's stage of being an expert nurse?

A nurse whose assesses a client, believes that something is not right and notifies the healthcare providers

Which action made by the nurse indicates the use of clinical judgment?

Analyzing a clients temperature changes and assessing for signs of infection

The nurse enters a client's room to obtain a fasting blood glucose reading and notices the breakfast tray is in front of the client. Which action best indicates the nurse using critical thinking?

Asking the client if they have eaten any food yet

A nurse receives an order to deliver a unit of blood if the client's hemoglobin falls below 7.0 g/dL. The nurse enters the room to obtain consent and the client says, "I choose not to take blood; it's not supported by my religion." The nurse makes a note and does not deliver the blood. Which aspect of critical thinking is this nurse using to guide client care?

Clients culture

An older adult client is thinking about several treatment options for a new diagnosis of cancer. The client's family is strongly encouraging the client to take the most aggressive medications despite the client's hesitation. The nurse is asked to provide an opinion. Which critical-thinking attitude should the nurse present?

Fair-mindedness

Which type of assessment is performed to obtain data about an actual, potential, or possible problem that has been identified or is suspected?

Focused

Which step of the nursing process did the nurse perform on 6/24 at 0900? Use the information in the graphic record to select your answer.

Implementation

A nurse is working in a healthcare facility with a protocol stipulating that clients with pneumonia should turn, cough, and deep breathe. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. Which aspect of critical thinking is this nurse using to guide client care?

Individual differences

Which of the following best demonstrate nurses' critical-thinking skills?

Individualized patient care plans

At which point during hospitalization should discharge planning begin?

Initial Assessment

A nurse with several years of experience in the intensive care unit obtains a new job in the newborn nursery at the healthcare facility. Which critical-thinking attitude would be best for the nurse to employ in this new setting when asking for guidance?

Intellectual humility

A nurse is ambulating a client in the hallway who says, "I feel a little dizzy." The nurse immediately grabs a chair and slides it behind the client, having him sit down. According to Tanner's Model of Clinical Judgment, which reasoning skill is the nurse using after hearing this statement?

Intuitive Reasoning

Which professional nursing organization would a nurse seek to join if interested in nursing research and scholarships

Sigma Theta Tau International (STTI)

The nurse is writing goals for a client's plan of care. What should be considered?

The goals reflect realistic client changes that the nurse hopes to achieve

Which statement is correct about the model in this image? (A Genogram)

This measures whether a test taker has the established degree of clinical judgement and decision-making abilities to be a safe practitioner

The nurse reviews the graphic flow sheet information in the electronic health record image. What client information is determined by this assessment?

Vital Signs