Professional nursing

The goal is: 1. A broad specific statement that describe the changes in the patient health status 2. What the healthcare team wants it to be 3. What the family wants it to be 4. A narrow statement of plan that describes the patient's health condition

1. A broad specific statement that describe the changes in the patient health status

A nursing intervention describes: 1. Action summarized as doing, delegating, and documenting 2. An action performed by the patient 3. An action performed by the healthcare provider 4. An action performed by the patient's family

1. Action summarized as doing, delegating, and documenting

The patient has met the goals set for the improvement of ambulatory status. The nurse would now * 1. Discontinue the care plan for those goals 2. Modify the care plan 3. Reassess the patient's response to care and evaluate the implementation step of the nursing process 4. Create a new nursing diagnosis that states goals have been met

1. Discontinue the care plan for those goals

Evaluation signals the end of nursing care 1. False 2. True

1. False

This step involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing individualized nursing interventions. 1. Plan 2. Implement 3. Diagnosis 4. Evaluate

1. Plan

Which is not a type of nursing intervention? 1. Collaborative 2. Autonomous 3. Dependent 4. Independent

2. Autonomous

Which stage involves problem identification? 1. Assessment 2. Diagnosis 3. Implementation 4. Acquire

2. Diagnosis

Which is the priority nursing diagnosis? 1. Decreased cardiac output 2. Ineffective breathing pattern 3. Risk for falls 4. Pain

2. Ineffective breathing pattern

A two-part statement does not include the following. 1. Diagnostic label 2. Symptom 3. Medical diagnosis 4. Etiology

2. Symptom

What is the first step in the nursing process? 1. Acquire 2. Implement 3. Assessment 4. Intervention

3. Assessment

What sort of information is communicated to the nurse by the family about the client's health problems? 1. Objective Data 2. Cue 3. Subjective Data 4. Review of systems

3. Subjective Data

What nursing actions require an order from a healthcare provider? * 1. Nursing intervention classification 2. Independent nursing interventions 3. Collaborative interventions 4. Dependent nursing interventions

4. Dependent nursing interventions

What is the final step in the nursing process? 1. Assessment 2. Plan 3. Diagnosis 4. Evaluation

4. Evaluation

What is a type of interview question the nurse first uses when assessing the reason a patient seeks healthcare? 1. Confirmation 2. Problem-oriented 3. Probing 4. Open-ended

4. Open-ended

a nurse is using a health-related internet blog. Which of the following is an acceptable use of this form of communication? A. Access information B. Discuss the client's diagnosis C. Post a picture of a client's incision

A. Access information

Electronic health records capture data for which of the following? (select all that apply.) A. Continuous quality improvement B. Utilization review C. Human resources D. Resource planning E. Risk management

A. Continuous quality improvement B. Utilization review D. Resource planning E. Risk management

a nurse is caring for a pt who states the health care provider recommends treatment to provide comfort because a cure is not possible. To which of the following concepts is the provider referring? A. Palliative care B. Medically futile care C. Potentially inappropriate treatment D. Quality of life

A. Palliative care

A nurse is caring for a pt who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring? A. briefly holding the pt's hand B. a lengthy front facing hug C. rubbing the pt's shoulders D. sitting beside the pt and touching their thigh

A. briefly holding the pt's hand

A nurse manager is planning an in-service about culturally competent care. Which of the following cultural competencies should the manager describe as enabling a nurse to interact with clients from other cultures? A. Cultural awareness B. Cultural encounters C. Cultural knowledge D. Cultural desire

B. Cultural encounters

a nurse is caring for a pt who tells the nurse "I feel like God is so far away from me and I don't know what to do." Which of the following Is the pt experiencing? A. Medical futility B. Spiritual distress C. Palliative care D. Caritas Proceses

B. Spirital distress

A nurse is providing information to a pt who is from the Baby Boomer generation about a newly prescribed medication. Using information about generational preferences, which of the following methods of teaching should the nurse use? A. Send a text message B. Talk with the pt in person C. Provide a link to a teaching video or animation D. A formal face to face meeting with written notes

B. Talk with the pt in person

A nurse is planning an in service for a group of staff nurses about spiritual care. Which of the following situations should the nurse identify as appropriate of a consultation with pastoral staff? (select all that apply) A. Ethical dilemma B. Terminal illness C. Death of client D. Financial arrangements E. Hardship

B. Terminal illness C. Death of client E. Hardship

a nurse engages in verbal communication with a client. Which of the following is reflective of the nurse's word selection? A. Gender B. Familial history C. Personal values

C. Personal values

Which of the following should not be included when discussing components of the communication process? A. Sender B. Receiver C. Tone of voice

C. Tone of voice

Which of the following should not be included when discussing modes of computer-mediated communication? A. Electronic health-records B. Email C. Voicemail

C. Voicemail

medically futile

Doing treatments that are not helpful because they will not provide a cure or extend life. (example, treatment is medically futile for a client who has cancer in multiple organs with no chance of remission)

Generation Alpha (2013-present)

Most members of this age group are familiar with technology, as they have likely grown up with it at home or school. Care for the pediatric population is based on a family-centered care model. Communication, therefore, involves not only the client, but also the client's caregiver.

palliative care

a treatment approach that focuses on the management of symptoms of chronic or life-threatening illnesses while maintaining the highest quality of life possible for the client

Swanson's Theory of Caring

addresses caring in the profession of nursing and its impact on improving client well-being by assisting nurses to promote the client's empowerment, respect, and dignity. This theory views caring as a process that nurses utilize when demonstrating caring. It includes five distinct categories: maintaining belief, knowing, being with, doing for, and enabling.

Generation Z, or Post-Millennials (1998-2012)

are digital natives, having always been exposed to technology. They enjoy instantaneous feedback, are not used to waiting for things, and often prefer to communicate via texts or email. Nurses who care for these clients should remember that they may be using electronic devices simultaneously and do not see any problem with multitasking while the nurse is present.

Clients in the Baby Boomer generation (1945-1964)

are often comfortable with meetings and in-person communication. They value sincere communication, but expect it to be carried out in a slightly less formal way. They are also idealistic. Ways to demonstrate patient-centered care to members of both the Silent Generation and the Baby Boomer generation are for the nurse to avoid typing and looking at computer screens while interacting with clients, as this can be considered disrespectful. These generations expect caregivers to listen attentively and not to interrupt.

Clients from Generation X (1965-1980)

are usually comfortable with technology, can be somewhat cynical and pragmatic, and are generally independent. These clients prefer quick, direct, and to-the-point communication and instruction. They will often question nurses and providers, unlike members of the previous two generations, and expect timely and actionable communication. Nurses should prepare themselves by knowing that these behaviors are not necessarily meant to be rude, and they should not take questioning as a personal assault on the nurse's care or level of education.

Generation Y (1981-1997)

clients are comfortable with technology, generally more educated and more diverse than the previous generations, and flexible; they also like frequent feedback. With caring for members of this group, the nurse should focus care and teaching efforts on using technology as appropriate and providing frequent positive reinforcement.

Watson's Theory of Human Caring

is a model of client care that adopts a holistic healing perspective, characterized by caring moments in which the nurse and the client have a human-to-human connection, referred to as transpersonal caring. The goal of caring is for the nurse to assist the client in achieving an elevated level of harmony among the mind, body, and spirit.

Clients from the Silent Generation (1928-1945)

prefer face-to-face, formal, and written communication; they value loyalty, and expect it in return from others. They also expect nursing care to exhibit these characteristics.