nursing 101 final test three

Q. The nurses assists the patient with a bath in the morning because the patient has a cast on on hand and an intravenous line in the other. The nurse could be basing care on the philosophy of:

Henderson

Q. Which questions will aid the nurse in planning culturally congruent care? (select all that apply)

a. "what do smiles, nods, and hand gestures mean?"* b. "How are you usually addressed?"* c. " How many health care professionals have you seen?" d. "What is eaten when one is sick?"* e. "Who is involved in making decisions about health care?"*

Q. Research has shown that the effects of touch

a. decrease heart rate b. increases muscle relaxation c. increases rapport between caregiver and patient ALL

Q. A diabetic client who refuses to change eating patterns may be in which stage of adjustment?

a. denial and disbelief

Q. Which research design has the goal of determining a cause-and-effect relationship?

a. experimental design

Q. Therapeutic use of self involves

a. forming a relationship based on the nurse's knowledge, attitudes, and skills to communicate effectively

Q. What is the primary difference between acute illness and chronic illness?

a. in acute illness, symptoms begin suddenly, progress quickly, and subside quickly

Q. A nurse is cleaning at patient's pressure ulcer. When the nurse asks how the patient is doing, the patient grimaces and says, "I am doing really good." This is an example of:

a. incongruence between verbal and non-verbal messages

Q. What institution has been established to protect participants of research?

a. institutional review board

Q. Quality and safety education for nurses (QSEN) is a project to prepare future nurses to have the necessary qualities to continuously improve quality and safety of healthcare systems. These qualities are: (select all that apply)

a. knowledge b. skills c. attitudes d. patience e. critical thinking all right

Q. The nurse is caring for a young Hispanic patient after surgery. The patient hesitates when the nurse asks about meal selections form the menu. When the parents return, the nurse ask them what foods are eaten when one is ill. The nurse could be basing care on the theory of:

a. leininger

Q. What is the most important information the nurse should share with the patient during orientation phase?

a. name, credentials, extent of responsibility

Q. The nursing metaparadigm is composed of four domains. Which of the following is the most important domain?

a. person b. environment c. health d. nursing e. all of the above *

Q. Situation, Background, Assessment, Recommendation (SBAR) is a standardized communication technique utilize in the healthcare industry. The goal of SBAR is to:

a. promote better communication and improve quality b. improve patient safety

Q. which of the following are included in Henderson's 14 basic needs of patients? (select all that apply)

a. the need to eliminate body waste* b. the need for interdependence c. the need to communicate* d. the need for self-concept e. the need for work and sense of accomplishment*

Q. the non-verbal communication of pacing refers to

a. the rate of speech

Q. Which illness has the characteristic of a chronic illness?

a. type 2 diabetes

Q. Which of the following best describes the meaning of the term "theory"?

b. a group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes.

Q. As a nurse your personal nursing philosophy is important because philosophy guides practice. A personal philosophy of nursing never changes once set.

b. false

Q. What is the current name of the governmental agency that serves as an important source of funding for nursing research?

b. national institutes of nursing research

Q. In communicating, the majority of our message is conveyed how?

b. non-verbally

Q. The nurse says to a newly diagnosed diabetic patient, "I will be working with you during your 3 day stay to help you practice insulin injections and to review your new diet. I'm wondering if we could find a time of day to begin the teaching session that is good for us." This conversation would occur in which phase of the nurse-patient relationship?

b. orientation phase

Q. When planning for patient teaching, the nurse is aware that which of the following factors create barriers to learning?

b. pain and fatigue

Q. the nurse has established a relationship with a patient in whom asthma was recently diagnosed. Through their interactions, the nurse helps the patient understand the mechanism of asthma and develop the skills to use a spacer with the inhaler. The nurse could be basing care on the theory of:

b. peplau

Q. What is a true statement about the relationship of nursing research to nursing theory and practice?

b. research questions often arise from clinical situations

Q. Which of the following is not a necessary step in the research process?

b. review of the best practice guidelines

Q. Which technique promotes effective communication?

b. stating messages congruently

Q. Which of the following defines the term nursing research?

b. systematic investigation of phenomena related to improving patient care

Q. An overriding principle of nightingale's writings on nursing dealt with which aspect of nursing?

b. the relationship between patient, health, and environment

Q. In which of the following examples is the nurse demonstrating empathy for the postoperative mastectomy patient?

c. "This must be a very difficult time for you."

Q. The best definition of ethnocentrism is:

c. a tendency to view your own culture as superior to others

Q. A nurse is caring for a native American after a stroke. The nurse finds the patient sleeping holding several small feathers bound by a beaded leather thong. The culturally competent nurse should consider the possibility that this is:

c. an important item used in native healing practices

Q. Which of the following are the three most common sources of research questions?

c. clinical problems, replication of prior research, testing nursing theory

Q. Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?

c. considers patient's religious beliefs when planning care

Q. Which of the following best illustrates nonjudgmental acceptance by the nurse?

c. demonstrating caring behavior in spite of negative feelings

Q. The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?

c. emphasize patient achievement, including the ability to care for self

Q. the nurse is caring for a postoperative patient who is unable to feed himself and complete basic activities of daily living. The nurse does catheter care and changes the surgical dressing, as well as assisting with feeding and hygiene. The nurse could be basing care on the conceptual model of:

c. orem

Q. a patient demonstrates obvious regression in ability to preform self-care during the working phase. Which response by the nurse is most appropriate?

c. patience and understanding because regression is a defense mechanism

Q. Which of the following could be considered congruent communication?

c. the nurse manager sits with you in the nurses' lounge and asks, " is there anything you would like to talk about?"

Q. Which illness has the characteristic of an acute illness?

c. varicella (chicken pox)

Q. A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient?

d. acceptance and participation

Q. All of the following are examples of research article topics except:

d. experiences of a nurse working in a cardiac unit

Q. The richest source of determingin feelings of another is through the non-verbal means of

d. facial expression

Q. Nursing theory provides a foundation for theory-based practice and curriculum development. Which of the following is incorrect about nursing theory?

d. nursing theory provides most of the answer to patient car dilemmas, thus replacing the need for critical thinking to solve individual patient problems.

Q. Which of the following must be included in the informed consent in research?

d. participants must be informed of risks associated with participation

Q. A patient had a significant blood loss in surgery. The patient complains of fatigue. The nurse intervenes to facilitate adaption by establishing periods of rest and scheduling activates throughout the day. The nurse could be basing care on the conceptual model of:

d. roy

Q. A patient in whom cnacer has just been diagnosed tells thenurse, "just get out of here and leave me alone! Let me suffer alone. God is punishing me" The nurse determines that the most appropriate nursing diagnosis for this patient is

d. spiritual distress

Q. A patient states, "the thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed," and the nurse responds, "everything will be fine. The anesthesiologist are very killed in administering spinal anesthesia." The nurse's response is an example of a communication breakdown known as:

d. using false assurance

Q. Situation, Background, Assessment, Recommendation (SBAR) is a standardized communication technique. SBAR communication standard is only necessary to use when calling a physician.

false

Q. when taking care of patients, failure to collaborate with the team providing care for a patient could result in injury to the patient.

true

Q. one of the most important outcomes of the orientation phase of the nurse patient relationship is the development of mutual:

trust