Nursing: clinical Decision making

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D

A nurse is caring for a toddler who appears frightened by the nurse. To make the child more at​ ease, the nurse gives the toddler a disposable tape measure to play with. Which critical thinking concept is the nurse​ using? A. Confidence B. Concreteness C. Independence D. Creativity

B

Dena, the nurse at a local​ clinic, is determining the best way to communicate test results to a client who has requested all communication go to his​ e-mail address. The test results showed some abnormalities. Which is the best option for Dena in this​ situation? A. E-mail the test results directly to the client B. E-mail the client with a request to call the office C. Send the test results by regular mail D. Ask the healthcare provider to​ e-mail the test results to the client

ACD

How does intellect help nurses with critical​ thinking? ​(Select all that​ apply.) A. Differentiate fact from opinion B. Think outside the box C. Clarify concepts D. Approach situations objectively E. Evaluate performance

A

The leader of a group of staff nurses is encouraging all members to work towards achievement of a common goal. Which behavior is the leader​ demonstrating? A. Power B. Monopolizing C. Brainstorming D. Commitment

C

The nurse educator asks the nursing students to describe the stage of commitment development during which the student discovers negative aspects of a chosen profession. Which student​'s response is​ accurate? A. "The passionate stage." B. "The ​quiet-and-bored stage." C. "The testing stage." D. "The integrated stage."

C

The nurse is a member of a work group in which the members like and trust each other and provide each other with support. Which characteristic is this group​ demonstrating? A. Atmosphere B. Creativity C. Cohesion D. Power

B

The nurse is making general statements about current events in an attempt to engage the client. Which phase of the therapeutic relationship does this​ indicate? A. Preinteraction B. Introductory C. Working D. Termination

C

The nursing instructor assigns​ Carol, a senior nursing​ student, to create a concept map for a client recently assigned during clinical. The concept map is going to be showcased during the School of​ Nursing's scheduled open house for nursing student candidates in a week. What should be a priority for Carol when preparing this concept​ map? A. Individualize the care by using checklists and blank lines B. Highlight medical treatments provided by other providers C. Follow the sequence of the nursing process D. Include the rationales for each nursing intervention

B

The staff development trainer provides a program on assertive communication for the staff of a care area. At the end of the​ program, the trainer​ states, "I​ can't believe I had to waste my time on​ this." Which response made by a nurse who attended the training indicates effective teaching has​ occurred? A. "I'm sorry you had to spend so much time with us​ today." B. ​"I needed this​ training, and it​ wasn't a waste of time for​ me." C. ​"Maybe you should read your own​ notes." D. ​"It's your job. You want to do mine​ instead?"

ABE

What are the components of a nursing​ diagnosis? ​(Select all that​ apply.) A. Etiology B. Defining characteristics C. Variations D. Data clusters E. Diagnostic label

BDE

What behaviors will the nurse demonstrate as a member of a group that is highly​ committed? ​(Select all that​ apply.) A. Members give priority to the opinions of the leader. B. Members enjoy working with each other. C. Members strive to place blame on one person. D. Members support each other with difficulties. E. Members value each other​'s opinions.

C

Which clinical situation best exemplifies a nurse who is choosing between alternatives when making a clinical​ decision? A. The nurse has a​ "gut reaction" to the​ client's pain and calls the​ client's physician. B. The nurse determines the​ client's nursing diagnosis is acute pain. C. The nurse administers an IV narcotic instead of an oral narcotic. D. The nurse changes the​ client's position numerous times until the client appears in less pain.

C

William is a nurse working on the pediatric cancer unit at a large urban hospital. One of his​ clients, Angela, is a​ 16-year-old who is recovering from surgery. Her​ mother, Carlotta, has been by her side almost​ constantly, but​ Angela's father has not been to visit since she was transferred to the unit. Angela is frequently rude to​ William, and it often takes him several attempts to get her to participate in interventions when William is on duty. The nurse from the night​ shift, who is​ female, shared that she does not have any difficulty with Angela. William recognizes that​ Angela's hostility toward him is most likely due to which​ factor? A. Countertransference B. Apathy C. Transference D. Scapegoating

CE

A client tells the​ nurse, "My blood sugars have been all over the place​ lately." The nurse​ responds, "It sounds like your blood sugar has been difficult to manage. Can I please see your blood sugar​ log?" Which therapeutic communication skills is the nurse displaying during this interaction with the​ client? ​(Select all that​ apply.) A. Clarifying B. Confronting C. Paraphrasing D. Genuineness E. Concreteness

CDE

A healthcare organization is adopting the use of a​ three-column nursing care plan. What information will be documented in these​ columns? ​(Select all that​ apply.) A. Assessment B. Evaluation C. Goals/desired outcomes D. Nursing interventions E. Nursing diagnoses

BE

A healthcare provider yells at a novice nurse for not knowing a​ client's latest laboratory values. Which responses by the novice nurse would demonstrate assertive​ communication? ​(Select all that​ apply.) A. ​"I'm sorry.​ I'll see where those results​ are." B. ​"I will locate the values and get them to​ you." C. ​"I can't do anything right for​ you." D. "You can look them up on the​ computer." E. ​"The lab has not phoned in the results​ yet."

D

A novice nurse is working independently on a​ maternal-newborn unit after 12 weeks of orientation with a preceptor. The nurse is assigned several newborns to care for during the shift. Based on the clinical pathway for a mother and baby of a vaginal​ birth, which intervention by the nurse is​ appropriate? A. Administering vitamin K to the mother within 24 hours of delivery B. Ensuring the newborn is breastfed 6 times per day at 48 hours of life C. Administering erythromycin ointment to the newborn​'s eyes at 48 hours of life D. Scheduling bottle feedings for the newborn of 15 to 30 mL every 4 hours at 24 hours of life

B

A nurse auscultates a client​'s breath sounds after the client receives an albuterol nebulizer treatment secondary to wheezing. The nurse finds that the client is still wheezing despite the therapy. Which aspect of the Tanner clinical judgment model is the nurse​ displaying? A. Reflecting B. Noticing C. Interpreting D. Responding

B

A nurse caring for clients across the life span must consider the​ age, development​ level, and functional status of clients when helping them in clinical decision making. Which action by the nurse indicates support for a ​preschooler's decision making​ ability? A. Showing the client the materials that will be used to stich up the wound in her knee B. Asking the client if she would like to have her snack before or after going for an​ x-ray C. Inviting the client to the interdisciplinary meeting D. Soothing the client by rocking her until she calms down

AC

A nurse educator asks the student nurse to describe chronic obstructive pulmonary disease​ (COPD) and nursing interventions used to treat the condition. The student nurse​ states, "COPD is a chronic pulmonary​ disease, and the nurse should place the client in high Fowler​ position." Which clinical reasoning concepts is the student nurse using in this statement ​(Select all that​ apply.) A. Opinion B. Inquiry C. Fact D. Inference E. Judgment

A

A nurse educator chooses to implement​ scenario-based simulations for educating a group of student nurses regarding clinical judgment. Which approach is the educator​ using? A. Lasater​'s assessment rubric B. Benner​'s skill acquisition model C. Tanner​'s clinical judgment model D. Maslow​'s hierarchy of needs

BCDE

A nurse educator is teaching a group of student nurses about the development of professional decision making and the types of approaches related to clinical judgment. Which statements made by the student nurse reflect understanding of Benner​'s skill acquisition​ model? ​(Select all that​ apply). A. "An advanced beginner is intentional in planning care." B. "A novice acts by following rules" C. "Proficient nurses can see the whole picture." D. "A competent nurse usually has​ 2-3 years of experience." E. "New graduates are typically considered advanced beginners."

C

A nurse is caring for a client who has been diagnosed with liver cancer but has not shared this diagnosis with family members. The client tells the​ nurse, "I can​'t tell my family that I have cancer." The nurse​ replies, "What do you think would be ​best?" Which method of therapeutic communication is the nurse using with this​ client? A. Acknowledging B. Presenting reality C. Reflecting D. Focusing

C

A nurse is caring for a client who is scheduled to have a chest​ x-ray at 0900 and will be off the unit. The client is also due to have medication at 0900. Which action by the nurse is most​ appropriate? A. Administer the client​'s medication at the start of shift B. Wait to administer the medication at the next dosage time C. Administer the client​'s medication at 0845 D. Administer the medication after the client returns from​ x-ray

A

A nurse is caring for a client who will undergo a cholecystectomy surgery in two hours. To assess that the client has informed​ consent, the nurse asks the​ client, open double quote"Can you tell me what your surgery will ​involve?close double quote" Which method of therapeutic communication is the nurse using with this​ client? A. Open-ended questioning B. Seeking clarification C. Paraphrasing D. Giving information

D

A nurse is caring for a client with a history of a heart dysrhythmia. The nurse notifies the client​'s healthcare provider after noticing a decreasing trend in the client​'s serum potassium​ level, client muscle​ spasms, and changes in ECG pattern. Which critical thinking concept is the nurse​ using? A. Approaching situations objectively B. Seeking new knowledge C. Differentiating fact from fiction D. Recognizing salient cues

C

A nurse is caring for a client with a history of diabetes mellitus. The nurse notices an upward trend to the client​'s daily fasting serum blood glucose and notifies the client​'s healthcare provider. Which level best describes this nurse according to Benner​'s skill acquisition​ model? A. Advanced beginner B. Competent C. Proficient D. Novice

C

A nurse is caring for a pediatric client who is recovering from a recent open appendectomy surgery. The nurse states to the​ client, "I saw that you walked up and down the hallway twice today already. Good ​job!" Which therapeutic communication technique is the nurse using to establish rapport with the​ client? A. Validating perceptions B. Offering self C. Giving recognition D. Listening actively

C

A nurse is caring for a pediatric client who requires IV antibiotic therapy. Prior to inserting the IV​ catheter, the client asks the​ nurse, open double quote"Is this going to hurt ​me?close double quote" Which response by the nurse best promotes rapport and trust with the​ client? A. "No. As long as you hold still it shouldn​'t ​hurt." B. "It might​ hurt, but I am not​ sure." C. "It is going to​ hurt, but once I am done it shouldn​'t hurt​ anymore." D. "​Yes, it is going to hurt. Hold really still or it will hurt much​ worse."

C

A nurse is caring for a pediatric client with possible pneumonia who is about to go for an​ X-ray. The nurse​ states, "The doctor needs to​ X-ray your chest so she can get a picture of what​'s happening in your lungs. Let me tell you what​'s going to happen." Which therapeutic communication technique is the nurse using to develop a therapeutic relationship with the​ client? A. Clarifying time B. Acknowledging C. Giving information D. Focusing

B

A nurse is caring for a​ client, with a right femur​ fracture, who complains of pain in the right leg. The nurse asks the​ client, open double quote"Please tell me how you would rate your pain on a scale of zero to ten.close double quote" Which method of therapeutic communication is the nurse using with this​ client? A. Seeking clarification B. Being specific C. Giving information D. Providing general leads

B

A nurse is interviewing for a staff position on a​ medical-surgical unit. Which portion of the hiring process best represents the hospital​'s efforts to evaluate the nurse​'s commitment to the​ profession? A. Offering the candidate the option of completing a​ four-week unit orientation and preceptorship B. Exploring the candidate​'s desire to maintain membership in the profession C. Inviting current staff nurses to serve as members of the candidate​'s interview committee D. Requiring the candidate to provide official copies of college transcripts

D

A nurse is participating in a group in which all members are voicing ideas to address an issue. Their ideas will be analyzed later. Which kind of​ decision-making method is the group​ using? A. Quantitative analysis B. Consensus C. Nominal group D. Brainstorming

C

A nurse working in the ICU has decided to attend a professional critical care conference. What critical thinking attitude is exemplified by this nurse​'s ​actions? A. Independence B. Integrity C. Awareness of​ self-limits D. Confidence

AB

A nurse working in the emergency department uses a clinical decision tree to determine the best course of action for a client who presents with signs and symptoms of a myocardial infarction​ (MI). Which statements are true regarding this clinical decision​ tool? ​(Select all that​ apply.) A. It can assist in decision making. B. It requires standardization of care. C. It requires no decision making. D. It cannot be implemented by all nurses. E. It requires​ higher-level decision making.

C

A nurse working on a telemetry unit is caring for a client with sick sinus syndrome. The client tells the​ nurse, open double quote"I felt dizzy earlier this morning.close double quote" The nurse responds by asking the​ client, open double quote"Did this occur after ​breakfast?close double quote" Which method of therapeutic communication is the nurse using with this​ client? A. Giving information B. Focusing C. Clarifying time D. Acknowledging

A

A nursing assistant is overheard telling a​ client, open double quote"I don​'t have all day. Let me put those shoes on you.close double quote" What type of communication style is the assistant​ demonstrating? A. Aggressive B. Passive C. Assertive D. Passive-aggressive

BC

A pediatric client is alone in the room after the​ client's mother leaves to make a phone call. The client is crying and tells the​ nurse, "I want my mommy to come​ back." The nurse responds by​ stating, "It's okay to cry when you miss your mommy. I will sit with you until she comes back if you​ want." Which therapeutic communication techniques is the nurse using to establish rapport with the​ client? ​(Select all that​ apply.) A. Exploring B. Accepting C. Offering self D. Broad openings E. Clarifying

C

A staff nurse is overhead counseling a newly hired nurse about limiting suggestions to improve the functioning of the unit because the manager"does not like suggestions" and will "put you down." Which characteristic of an ineffective group is the manager​ influencing? A. Goal setting B. Cohesion C. Creativity D. Problem solving

B

An adolescent client is sitting in a chair waiting for the nurse to complete a health history. After entering the​ room, where should the nurse sit to conduct the history with the​ client? A. Against the wall near the door B. Between 1​ ½ to 4 feet from the client C. About 4 to 12 feet from the client D. One foot away from the client

D

As part of hospital orientation for a group of​ nurses, the human resources representative is discussing intimidation. Which information is most appropriate for the human resources representative to include in the​ discussion? A. Overt forms of intimidation may include standing too close to someone. B. Intimidation may include repeatedly asking another individual for favors. C. Covert forms of intimidation may include making verbal threats. D. Intimidation may include unintentional nursing behaviors and statements made to clients.

BCDE

At which times should nursing care be​ evaluated? ​(Select all that​ apply.) A. At the end of a scheduled shift B. Immediately after implementing an intervention C. During a​ time-specified interval D. When discharging a client from nursing care E. During the implementation of an intervention

ACD

During a classroom​ discussion, the nurse educator asks the nursing students to describe intimidation. Which​ students' statements most accurately describe​ intimidation? ​(Select all that​ apply.) A. "Intimidation can include threatening someone with consequences for disobedience." B. "Nurses always realize when their behaviors toward clients are forms of intimidation." C. "Intimidation includes experienced nurses who bully new nurses." D. "Covert and overt behaviors may qualify as being intimidation." E. "Intimidation includes having negative thoughts about nursing peers or colleagues.

D

During a health history​ interview, the client denies having any health problems but then crosses her arms and looks away. What does this behavior indicate to the​ nurse? A. The client is bored with the nurse asking too many questions. B. The nurse is rushing the client to complete the health history. C. The nurse is taking too​ long, and the client is uncomfortable sitting in a chair. D. The client​'s verbal communication and nonverbal communication are not congruent.

D

During a home​ visit, the nurse observes a client perform wound care that is different from the verbal instructions. The written instructions are crumpled and located at the bottom of a stack of papers. Which action by the nurse is the most​ appropriate? A. Explain that the client is at risk for a wound infection B. Place the instructions on the top of the stack for the client to use C. Tell the client that a new set of instructions will be brought at the next visit D. Verbally review the wound care process with the client again

B

During a meeting to discuss the implementation of a new computerized documentation​ system, one staff nurse asks about the ease of​ use, preloaded​ templates, and online nursing resources. What behavior is the staff nurse​ demonstrating? A. Information giver B. Information seeker C. Opinion seeker D. Opinion giver

B

During a staff​ meeting, the manager asks staff members to identify any and all ways to reduce unnecessary waste of supplies when providing client care. Which type of​ decision-making technique is the manager using with the​ staff? A. Groupthink B. Brainstorming C. Monopolizing D. Delphi technique

D

During an annual​ evaluation, the nurse manager is assessing the staff nurse​'s work ethic. Which statement by the staff nurse is most reflective of a strong work​ ethic? A. "I believe in the importance of earning a good income." B. "I have never made an error at work." C. "I let others remind me to start an assigned task." D. "I believe in the moral worth of work"

C

During hospital​ orientation, the human resources specialist is defining and explaining sexual harassment. Which statement should be included in the human resource specialist​'s discussion of sexual​ harassment? A. "Discrimination is one type of sexual harassment." B. "Physical contact is required for a behavior to be considered sexual harassment." C. "Sexual harassment interferes with performance in the workplace." D. "Sexual harassment requires the victim and violator to be of different genders."

BCDE

During​ post-clinical conference, a student nurse expresses a desire to work on the same unit where clinical is being held because of the nursing staff. What did the student likely observe to form this​ opinion? ​(Select all that​ apply.) A. Staff members focus on their individual assignments. B. Staff nurses compliment each other for a job well done. C. Staff nurses ask about each other​'s families. D. Staff members laugh with each other. E. Staff members help each other complete assignments.

B

Esther​ Wulfman, an​ 83-year-old client with a hearing​ deficit, is admitted for exacerbation of heart failure. What should​ Marta, the​ nurse, do to support​ Esther's communication needs during the assessment​ process? A. Sit beside the client during the assessment B. Close the door to the room when conducting the assessment C. Ask if a family member is available to complete the assessment D. Shout into the​ client's good ear when talking

ACD

Following the collection of assessment​ data, what does the nurse do​ next? ​(Select all that​ apply.) A. Clusters cues to generate tentative hypotheses B. Identifies strengths and resources C. Analyzes the data for gaps and inconsistencies D. Measures the data against standards to identify significant cues E. Compares the data with suspected medical problems

A

For which reason should it be documented that a problem is​ resolved? A. Potential problem has been prevented and risk factors no longer exist B. Actual problem goals partially met C. Risk problem has been prevented but the risk factors are still present D. Actual problem goals have been met but the problem still exists

B

Gordon​ Sullivan, a​ 58-year-old client with acute pain and bleeding from prostate​ cancer, rates his pelvic pain as an 8 on a pain rating scale from 1 to 10. He is considering surgery to remove the prostate before beginning chemotherapy and radiation. When writing a​ three-part nursing diagnosis for​ Gordon, what should the nurse use as the​ etiology? A. Surgery B. Prostate cancer C. Bleeding D. Acute Pain

B

Hannah​ Classen, the​ nurse, is conducting a health interview with Jensen McCormack. Before moving to a new area of​ focus, Hannah wants to make sure that all of the content collected thus far is correct. Which statement would help Hannah to summarize the content of their​ conversation? A. "In other​ words, you have not had any major illnesses or hospitalizations for five​ years?" B. "So far we discussed your previous illnesses and hospitalizations. Is there anything that​ I've missed?" C. ​"I am not sure that I completely understand the symptoms that you are​ experiencing." D. B​"I sense that you​ don't like hospitals. Do I understand you​ correctly?"

B

In an annual​ evaluation, the nurse unit leader describes the staff nurse as "skilled at analyzing a complex situation and able to pick out the most important aspects of a clinical scenario." According to Patricia Benner​'s model of nursing​ development, which developmental stage best matches the nurse unit leader​'s evaluation of the staff​ nurse? A. Novice B. Proficient C. Expert D. Competent

D

Jasmine Riddle is a novice nurse in the telemetry unit of a large hospital. While assessing her​ client, 72-year-old Albert​ Griswald, Jasmine notes that his pulse feels irregular. When she calls the telemetry monitoring​ station, the monitoring​ technician, Miguel, tells Jasmine that Mr. Griswald just developed atrial fibrillation. The technician praises Jasmine for catching the change in Mr.​ Griswald's cardiac rhythm so quicklylong dash—even before the telemetry technician recognized it. In her​ response, which action would reflect​ Jasmine's nursing​ integrity? A. Notifying the telemetry​ technician's supervisor of his failure to recognize the change in cardiac rhythm B. Telling the telemetry technician that noticing the​ client's change in cardiac rhythm was​ "pure luck" C. Advising the telemetry technician to focus on his job and monitor​ clients' heart rhythms more closely D. Thanking the telemetry technician for praising her and for being part of the​ client's care team

B

Jiao​ Liu, a​ 64-year-old client, is receiving chemotherapy for breast cancer. After morning​ report, the nurse finds Ms. Liu​ nauseated, vomiting light green​ emesis, and crying because her hair is falling out in clumps. Her pulse is 110 beats per minute and​ thready, and her blood pressure is​ 96/50 mmHg. Which intervention should the nurse make a priority for Ms.​ Liu? A. Premedicate for nausea before next chemotherapy dose B. Begin intravenous fluids at 100​ mL/hr C. Cleanse skin and apply a clean hospital gown D. Teach Ms. Liu some deep breathing exercises to help her calm down

D

Linda is a member of a nursing journal club that meets every 2 weeks. Linda does not agree with most of the group​ members' opinions about proposed changes that would expand the membership of the​ group, but she does not speak up. Which behavior is Linda demonstrating at this​ time? A. Scapegoating B. Monopolizing C. Apathy D. Groupthink

B

Mitchell​ Asplund, a clinical nursing​ instructor, is assigned to serve as a student faculty advisor.​ Mitchell's responsibilities include determining which stage of commitment to nursing his students are experiencing. He is evaluating nursing student Don​ Rowlands, who is a junior in nursing school. During his​ evaluation, Don​ states, "I want to join the National Student Nurses Association.​ I'm also volunteering to participate in the student health fair. I know​ I'm really​ busy, but my schedule will be crazy when​ I'm working as a​ nurse, too.​ It's worth it to​ me." Mitchell recognizes that Don is in which stage of making a professional commitment to​ nursing? A. Integrated B. Passionate C. Testing D. Exploratory

A

Planning is underway to transfer Agnes​ Watson, a​ 76-year-old client, to a​ long-term care facility. Agnes wants to live near her​ family; however, the facility that would best meet her needs is a few miles further away. What should the nurse do when helping Agnes make the choice of​ facility? A. Discuss with Agnes the advantages of the facility that is a bit further away B. Tell Agnes that being near family is not always a good idea C. Tell Agnes that the facility that is closer to family is not accepting admissions D. List other facilities so that Agnes can make a better decision

B

Prior to meeting a​ client, the mental health nurse reviews the client​'s ​demographics, including the client​'s ​name, address,​ age, medical​ history, and social history. Which phase of the therapeutic relationship is reflected by this​ action? A. Termination B. Preinteraction C. Introductory D. Working

B

Prior to performing an​ assessment, a nurse states to the​ client, "This weather we are having is​ crazy, isn​'t ​it?" Which phase of the therapeutic relationship is the nurse​ displaying? A. Termination B. Introductory C. Preinteraction D. Working

A

Rosario, the manager of a​ 20-bed unit, is evaluating the success of assertiveness training classes that staff nurses attended to improve communicating with physicians. Which behavior by​ Yvonne, a staff​ nurse, indicates she needs more​ training? A. Apologizing to the neurosurgeon for​ "bothering him" with a question B. Focusing on the situation before speaking and requesting help C. Identifying an area where both the nurse and client agree D. Stating​ "I would like some​ help" when planning care with other team members Using a neutral voice when discussing a​ client's abnormal laboratory values

B

Sakura, the nurse​ manager, assigns staff nurse Doreen to attend an education program on communication skills after hearing a conversation that Doreen had with a newly admitted client. Which statement by Doreen to the client prompted Sakura to send Doreen to a communication skills​ class? A. "Can I borrow your chair for about an​ hour?" B. ​"You are going to be​ okay." C. "How are you feeling​ today, Mr.​ Smith?" D. ​"Please step on the​ scale."

D

Sally Waltmoor is caring for Donald​ Henderson, a​ 58-year-old client newly diagnosed with type 2 diabetes mellitus. Which statement should Sally make to facilitate the development of a therapeutic relationship with Mr.​ Henderson? A. "Losing some weight will help control your blood glucose​ level." B. ​"I'll be back to take your sugar before dinner​ arrives." C. ​"This disease​ isn't so​ bad; at least you​ don't have to take​ insulin." D. ​"I don't know how many grams of carbohydrates you can​ have, but I will find out for​ you."

C

Scott​ Nitroskey, a home health​ nurse, is caring for​ 67-year-old Martha​ Miriste, a female client who is diagnosed with diabetes. Scott is completing Mrs.​ Mireste's client teaching. During the teaching​ session, which statement might Mrs. Mireste interpret as being​ Scott's attempt to intimidate​ her? A. "If you cut back on your sugar​ intake, you might see some improvement in your​ diabetes." B. ​"Increased sugar in your diet can cause your blood sugar to go up and impact your​ diabetes." C. ​"If you​ don't stop eating so much​ candy, your diabetes is going to get much​ worse." Your answer is correct. D. ​"Regular exercise can help with the management of your​ diabetes."

C

Several nurse managers are having lunch after attending a shared governance committee meeting. Which manager statement indicates that the committee is​ ineffective? A. "Who knew we had such a nice conference ​room!" B. "I think the goals are tough but appropriate in the circumstances." C. "I am not sure why the chairperson made all of the decisions." D. "I could have prepared better before today​'s meeting."

D

Suzanne​ Garbitieri, an experienced critical care​ nurse, has just returned to the nursing profession. Although Suzanne retired two years​ earlier, she realized her retirement funds were not sufficient to pay her​ bills, much less to allow her to live comfortably.​ Suzanne's primary motivation for returning to work is income. She describes herself as being​ "tired of nursing but too broke to​ quit." Although she is scheduled to work 40 hours each​ week, Suzanne routinely picks up additional shifts. The nurse manager who is evaluating Suzanne recognizes that she displays which type of​ commitment? A. Normative B. Organizational C. Integrated D. Continuance

A

The charge nurse is reviewing​ e-mails and sees a message from the laboratory containing results for a client​'s blood work. What is the priority action by the nurse regarding this​ information? A. Print the message and place it in the client​'s medical record B. Delete the message C. Forward the message to the client D. Phone the healthcare provider and verbally provide the results

D

The clinical nursing instructor is evaluating the student​'s developmental stage of professional commitment. The student has settled into the nursing program​'s routine and reports experiencing decreased performance anxiety. Which stage of professional commitment is most appropriate for the clinical nursing instructor to use when describing the student​'s current level of​ development? A. The integrated stage B. The exploratory stage C. The testing stage D. The​ quiet-and-bored stage

D

The clinical nursing instructor is identifying strategies for promoting intergenerational collaboration between nursing students and staff nurses in the clinical setting. Which strategy is most appropriate for the nursing instructor to implement among the nursing​ students? A. Promoting competition to help the nursing students build their confidence and​ self-esteem B. Encouraging the nursing students to recognize their superiority due to advanced knowledge about technology C. Discouraging the nursing staff from talking about conflicts related to generation gaps D. Acknowledging the value and contribution of each individual member of the nursing care team

BCD

The director of nursing is reviewing a status report provided by the policy and procedure committee. Which information indicates to the director that the committee has been​ effective? ​(Select all that​ apply.) A. The committee chair resigned due to the volume of work. B. Committee members reviewed all policies prior to the scheduled accreditation survey. C. Subcommittee members provided recommendations as expected. D. Committee members have attended all scheduled meetings. E. Committee member vacancies for two areas remain unfilled.

B

The manager appoints a staff nurse to serve as a member of a​ semi-formal group. What should the nurse expect as a group​ member? A. Interactions with group members will be limited. B. Structured activities will take up a large part of the group​'s meeting time. C. Members function under a strict code of ethics. D. The leader will be replaced if she makes a mistake.

A

The manager is concerned that a novice nurse is being made a scapegoat for an event that occurred on the care area. Which observation supports this manager​'s ​concern? A. Staff nurses suggest that the novice nurse is responsible for missing narcotics during a shift when the nurse was not at work. B. Nursing assistants are discussing work assignments and suggesting ways to help each other. C. The novice nurse volunteers to work with other staff on a quality improvement study. D. The charge nurse meets with the oncoming shift to review clients who could be discharged later in the day.

ABD

The manager schedules a nursing assistant to attend a basic communication program after observing the assistant provide client care. Which actions would result in this type of​ referral? ​(Select all that​ apply.) A. Referring to a​ 70-year-old client's abdominal wound as a​ "boo-boo" B. Calling an​ 80-year-old client​ "Sweetie" C. Talking with a newly admitted client about his grandchildren D. Asking a​ 65-year-old client,​ "Are we ready to get out of​ bed?" E. Referring to a​ 75-year-old male client as​ "Mr. Dan"

AE

The novice nurse asks the nurse preceptor to describe normative commitment. Which items should the nurse preceptor include in the​ description? ​(Select all that​ apply.) A. It can manifest as a feeling of obligation to continue in​ one's profession. B. It develops when professional involvement produces a satisfying experience. C. It may be demonstrated by engaging in​ profession-specific organizations and service activities. D. It creates ties that are similar to those that emerge as a result of continuance commitment. E. It may be reflected by choosing to enter nursing due to experiences with personal illness.

B

The novice nurse asks the nurse preceptor to explain the relationship between the business of health care and the provision of client care. Which response by the nurse preceptor is the most​ appropriate? A. "The business of health care is the same thing as the provision of client care." B. "The Institute of Medicine compels nurses to preserve a caring model within health care​'s business model." C. "When nursing standards conflict with organizational​ standards, the nurse must maintain commitment to the organization​'s standards." D. "Nurses are morally responsible for recognizing the business of health care as the main priority."

C

The novice nurse is paired with a nurse preceptor who is a member of the veteran generation. Which characteristic or behavior is most appropriate for the novice nurse to expect the nurse preceptor to​ demonstrate? A. Encouraging the novice nurse to quickly seek out a leadership role B. Communicating with the novice nurse through​ e-mail C. Rewarding the novice nurse for working hard D. Promoting an approach in which the novice nurse politely questions authority

A

The nurse educator is explaining the significance of punctuality and attendance in the nursing profession to a class of nursing students. Which statement is most appropriate for the nurse educator to include in the​ discussion? A. "Chronic tardiness and frequent absenteeism among nurses can compromise client care." B. "The most severe consequence of excessive tardiness for the professional nurse is suspension." C. "During a nursing​ shortage, hospital attendance requirements usually are less strict." D. "Nurses must be flexible about helping colleagues who routinely need to miss work."

D

The nurse educator is outlining requirements for nursing students who are completing hospital clinical rotations. Which requirement is likely to be the most challenging to nursing students who are members of the Millennial​ Generation? A. Students must not administer client care without first socially engaging the client. B. Students must collaborate with the clinical nursing instructor when planning client care. C. Students must receive evaluations at the end of each day. D. Students must not bring cell phones into the clinical setting.

D

The nurse educator is teaching a class about professional development in nursing. When describing an area of nursing​ competence, which component is most appropriate for the nurse educator to include in the​ teaching? A. Understanding that client populations tend to demonstrate the same personal needs B. Recognizing the nurse​'s responsibility to remain strictly in a​ client-centered role C. Knowing and demonstrating adherence to the ethics of primary care providers D. Understanding the culture of the client population and the healthcare institution

C

The nurse educator is teaching a class about significant changes that influenced workplace interaction between intergenerational team members. Which statement is most appropriate for the nurse educator to include in the​ teaching? A. ​"Traditionally, the most reliable information and knowledge were perceived as coming from the newest professional​ nurses." B. ​"Because of quality​ improvement, entry-level nurses tend to report to members of the older​ generation." C. "Technological advances have decreased younger​ nurses' level of dependence on their older nurse​ colleagues." Your answer is correct. D. ​"Due to shared governance​ structures, younger nurses tend to be subordinate to older​ nurses."

D

The nurse has been determining a method of communicating with a client recovering from a stroke. Which client observation indicates that an effective communication method has been​ established? A. Holding a pen to write on paper B. Slapping the nurse​'s hand to refuse an action C. Groaning to get the nurse​'s attention D. Spelling words on a bedside table using tiled letters

C

The nurse identifies the diagnosis​ "Imbalanced Nutrition: Less than Body Requirements related to poor nutrition as evidenced by low serum albumin​ level" for Isabella​ DeMarco, a​ 65-year-old client with osteoporosis. What should the nurse identify as a goal for Ms.​ DeMarco? A. The client will eat​ 75% of all snacks in 2 days. B. The client will select healthy food choices when planning meals. C. The client will increase oral intake by​ 25% within a week. D. The client will consume three meals a day.

ABD

The nurse is a member of a nursing journal club. What interpersonal perspectives would be demonstrated by the group​ members? ​(Select all that​ apply.) A. Promotes a feeling of goodwill among members B. Provides source of collegiality and support C. Empowers group members to promote change D. Provides socialization toward growth and development E. Provides a context for setting priorities

B

The nurse is assessing Julia​ McMichael, an​ 82-year-old client with pneumonia. Mrs. McMichael is experiencing​ dyspnea, has a pulse oximeter reading of​ 90, and lung assessment reveals rales. Which nursing intervention is the most appropriate for Mrs. McMichael at this​ time? A. Use a face mask for oxygen even though a request for nasal cannula was made B. Explain that the oxygen will help Mrs. McMichael breath better C. Empty fluid from the oxygen humidifier D. Keep the head of Mrs.​ McMichael's bed flat

A

The nurse is assessing an​ 8-year-old client whose parent brought him to the​ walk-in clinic. The parent reports that the child is tired and has been coughing for 2 days. Which assessment findings may be clustered as significant cues suggesting that the child has​ influenza? A. The​ child's vital signs are BP​ 90/60 mmHg, RR​ 22, P​ 80, T 101.5degrees°F. B. The​ child's lungs are clear on auscultation. C. The​ child's oxygen saturation is​ 98%. D. The​ child's vital signs are BP​ 95/62 mmHg, RR​ 23, P​ 90, T 98.8degrees°F

CDE

The nurse is caring for a client diagnosed with cancer. When formulating the plan of care for this​ client, what should the nurse consider related to client​ goals? ​(Select all that​ apply.) A. Goals should indicate whether treatment is successful. B. Goals may address multiple actions. C. Goals should be attainable. D. Goals should be measurable. E. Goals should center on the client.

A

The nurse is caring for a client diagnosed with pulmonary hypertension. Which intervention can be considered a​ direct, dependent​ intervention? A. Assisting with the prescribed cardiac catheterization B. Teaching the client about a prescribed medication C. Monitoring pulse oximetry for a client receiving oxygen by nasal cannula Your answer is not correct. D. Calling the primary care provider and suggesting a physical therapy evaluation

D

The nurse is caring for a client who is recovering from abdominal surgery. During the morning​ assessment, the client complains of pain and rates the pain at 7 out of 10. The nurse tells the client that she will prepare pain medication and return in 10 minutes to administer it. Which characteristic of verbal communication is the nurse​ using? A. Humor B. Intonation C. Pace D. Credibility

BCDE

The nurse is caring for a client with chronic obstructive pulmonary disease​ (COPD) who is having difficulty breathing. Which will the nurse include in formulating nursing​ diagnoses? ​(Select all that​ apply.) A. The client​'s twice daily meditation practice B. The client​'s pulse oximetry reading of​ 92% C. Evidence of cyanosis in the client​'s mouth and nail beds D. The client​'s expressed desire to quit smoking E. The client​'s report of having difficulty walking in from the parking lot

D

The nurse is caring for a client with schizophrenia. The client is at risk for disturbed thought processes. What is the priority focus for interventions when caring for this​ client? A. Being an active listener B. Providing anxiety medication C. Discussing expectations D. Providing reality testing

D

The nurse is caring for an adolescent client who is alert but intubated following a​ C7-T1 spinal cord injury. Which communication strategy is the most developmentally appropriate for the nurse to use with this intubated​ client? A. Hand signals B. Flash cards C. Grease pencil and white board D. Text messages

B

The nurse is caring for a​ neonate, Sally, who requires nasogastric tube feedings due to prematurity.​ Sally's nasogastric tube frequently slips out of position and the nurse tries different approaches to prevent this from happening. Which critical thinking skill is the nurse​ demonstrating? A. Reflection B. Inquiry C. Intellect D. Reasoning

C

The nurse is caring for several clients during a shift. Which observation made during a nursing assessment would be​ priority? A. A client who begins coughing after 6 minutes of walking B. A client with an oxygen saturation of​ 94% C. The client who complains of shortness of breath when walking from room to room D. A client with a BP of​ 96/54 mmHg, HR of 70​ bpm, RR of 20 breaths per​ minute, and T 97.6​°F

A

The nurse is evaluating the current plan of care for a client who is receiving care in a​ long-term healthcare facility. The evaluation indicates that the client is not meeting goals related to mobility. What is the appropriate nursing action at this​ time? A. Revising the plan of care B. Asking the client to try harder C. Concluding that the problem is resolved D. Determining the client does not have any risk factors

A

The nurse is formulating a plan of care for a client who is pregnant. Which goal is appropriate for the nursing diagnosis dealing with a knowledge deficit related to​ pregnancy? A. Client will attend prenatal classes through the course of the pregnancy. B. Nurse will facilitate learning readiness. C. Client will attend medication management classes within four weeks. D. Nurse will teach client about prescribed exercise regimen for pregnancy at next appointment.

D

The nurse is implementing care for clients in an acute care facility. Which guidelines should the nurse use when choosing interventions for goal​ achievement? A. They are interchangeable among clients for optimal applicability. B. They are identified with specific laws and regulations. C. They can be performed with limited resources. D. They are consistent with clients​'​ values, beliefs, and culture.

ACD

The nurse is planning to assess a​ client's communication approach. What client characteristics should the nurse consider when conducting this​ assessment? ​(Select all that​ apply.) A. Developmental level B. Primary health problem C. Age D. Culture E. Employment status

ABDE

The nurse is preparing to assess an older client with a hearing deficit who has just been admitted to the care unit. Which actions should the nurse take to communicate with this​ client? ​(Select all that​ apply.) A. Ask about the client​'s meal preferences B. Turn down the volume on the television set C. Ask the family to wait in the hall D. Close the door to the room E. Face the client when speaking

A

The nurse is preparing to discharge a client after a hospital stay. What should the nurse take into consideration when evaluating the client​'s health status at​ discharge? A. Identification of the client​'s ​self-care abilities B. Modification of implemented interventions C. Opportunities to correct intervention deficiencies D. Impact of the evaluation

D

The nurse is preparing to explain the insertion of an intravenous catheter into the arm of a client who has never been hospitalized. Which explanation by the nurse is the most appropriate for this​ procedure? A. "An angiocath is inserted in a vein and fluids are​ administered." B. ​"A needle is inserted in a vein so that this bag of fluid is pushed into your​ body." C. ​"An intracath is placed in a​ vein, and the IV is set to administer 100 ccs an​ hour." D. ​"A small tube is put in a blood​ vessel, and liquid is dripped into your​ body."

B

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease​ (COPD). Which nursing action supports​ collaboration, which is essential to planning​ care? A. Facilitating a home health consult when the client is discharged B. Discussing appropriate smoking cessation programs with the​ client, upon request C. Adjusting the head of the client​'s bed to ease breathing effort D. Administering a breathing treatment to the​ client, as ordered

C

The nurse is providing care to a​ 1-year-old pediatric client who is admitted to the emergency department with​ SaÓ% of​ 93% on room​ air, respiratory rate of 50 breaths per​ minute, with moderate wheezing. Based on the pediatric clinical pathway for​ asthma, what intervention does the nurse anticipate for this​ client? A. Continuous anticholinergic medication administration B. Systemic magnesium sulfate C. Nebulizer treatment of albuterol D. IV corticosteroids

C

The nurse is providing care to several clients in the emergency​ department: A client who arrived by ambulance with stroke​ symptoms; a client with a fractured​ femur; a client complaining of​ sharp, continuous pain radiating from the kidney​ area; and a young child with a possible fractured arm whose mother is with him. Using the urgency​ factor, which client will the nurse prioritize for​ care? A. The client with a fractured femur B. The young child with the possible arm fracture C. The client with stroke symptoms D. The client with​ sharp, continuous pain radiating from the kidney area

C

The nurse is providing care to several clients on a​ medical-surgical unit. The nurse needs to prioritize care for the assigned clients. Which action is a common pitfall when prioritizing client​ care? A. Being cognizant of time when completing tasks B. Completing tasks based on level of difficulty C. Administering medications based on vital signs at admission Your answer is correct. D. Involving the client during the care plan process

A

The nurse is reviewing the plan of care for Nikolai​ Topolov, a​ 72-year-old client with liver cirrhosis and bleeding esophageal varices. For which situation should the nurse revise Mr.​ Topolov's plan of​ care? A. The client is experiencing a new onset of abdominal pain. B. A mutually agreed upon goal is for the client to attend Alcoholics Anonymous meetings. C. The client agrees that the priority of care is to stop the bleeding. D. Intake and output measurements are balanced

A

The nurse is working with an adult client who has a diagnosis of posttraumatic stress disorder​ (PTSD). The client shares that he has begun exercising daily at a local​ gym, and states that this lowers his daily stress level. Which type of nursing diagnosis would best capture the client​'s exercise​ behavior? A. Wellness diagnosis B. Risk diagnosis C. Syndrome diagnosis D. Health promotion diagnosis

A

The nurse leader is evaluating the charge nurse​'s type of commitment to the nursing profession. Which behavior by the charge nurse is most reflective of affective commitment to​ nursing? A. Joining professional nursing organizations and engaging in nursing service activities B. Expressing a sense of obligation to remain in the nursing profession C. Remaining in the nursing profession to avoid loss of income D. Choosing to stay in nursing due to personal experiences with illness

B

The nurse leader is planning an​ in-service about integrity in nursing practice. Which statement regarding integrity in nursing is most appropriate for the nurse leader to include in the​ in-service? A. "Integrity means understanding that negative feedback from peers has little value." B. "Nurses with integrity adhere to a strict moral or ethical code." C. "Integrity means internalizing professional practices that the nurse prefers to follow." D. "Nurses with integrity provide excellent care and do not make errors."

D

The nurse leader is preparing a seminar for nurse administrators about intergenerational collaboration among members of the healthcare team. Which content is most appropriate for the nurse leader to include in the​ seminar? A. Promotion of intergenerational collaboration requires ignoring certain team members​' perspectives. B. Intergenerational conflicts are always rooted in lack of appreciation or misunderstanding. C. Intergenerational conflicts in the workplace tend to stimulate enhanced personal growth. D. Promotion of intergenerational collaboration may positively affect a client​'s outcome.

C

The nurse leader is preparing a webinar about how to prevent burnout in nursing. To accurately describe strategies for preventing​ burnout, which activity should the nurse educator include in the​ webinar? A. Learn to depend on oneself and to avoid expressions of emotions toward colleagues B. Study assertiveness and learn to take on added responsibilities even when feeling overwhelmed C. Actively engage in efforts to produce constructive change if organizational policies create stress D. Develop acceptance and recognize that the limitations of any situation can be changed

ABDE

The nurse leader is presenting an​ in-service about competence in nursing. Which examples should the nurse leader include in the​ in-service as examples of nursing​ competence? (Select all that apply) A.Completion of documentation in an​ accurate, timely manner B. Knowledge about the culture of the healthcare institution C. Elimination of factors that negatively influence client care D.Acknowledgement of the client​'s need for individualized care E. Awareness of factors that positively affect client care

A

The nurse manager is interviewing a candidate for a staff nurse position. During the​ interview, the nurse manager evaluates the candidate​'s professional commitment to nursing. Which statement by the staff nurse best reflects commitment to the nursing​ profession? A. "I​'m a member of two national nursing​ organizations, and I belong to one specialty nursing group." B. "Whenever ​possible, the nurse should try to abide by the professional code of ethics for nurses." C. "I believe the nurse​'s choices outside of the workplace are unrelated to the nurse​'s professional role." D. "The values and goals of nursing are​ honorable, but they are unrealistic and difficult to achieve."

B

The nurse manager is preparing an annual performance appraisal for​ Alisha, a staff nurse who has worked on a​ medical-surgical care area for two years. The manager determines that​ Alisha's level of proficiency is competent. What did the manager observe Alisha perform to make this​ decision? A. Determined how a new medication would impact a​ client's other health problems B. Focused on a specific client problem when planning care C. Waited for direction from charge nurse before providing care D. Referred to the procedure manual to change an intravenous site dressing

D

The nurse manager is preparing an evaluation for a staff nurse who is a member of the baby boomer generation. The staff nurse​'s evaluation includes several recommendations for​ improvement, as well as some negative reports from nursing peers related to the staff nurse​'s work ethic. Based on generational characteristics related to work​ ethic, which response is most appropriate for the nurse unit manager to expect from the staff nurse when reviewing the​ evaluation? A. Requesting a more personalized work schedule B. Asking to receive performance feedback each day C. Suggesting the manager act as a mentor D. Expressing a sense of low​ self-worth

C

The nurse preceptor is designing a nursing orientation program that addresses abuse of power in the workplace. Which information should the nurse preceptor include in the​ program? A. Improper use of authority in the workplace is a form of sexual harassment. B. Nursing research finds limited evidence of bullying and lateral violence among nursing professionals. C. Bullying behaviors and incivility are among the leading causes of sentinel client events. D. The Joint Commission has not taken an official stand on addressing workplace intimidation

ABDE

The nurse preceptor is discussing integrity with the novice nurse. Which examples should the nurse preceptor use to illustrate integrity in​ nursing? ​(Select all that​ apply.) A. Maintaining accountability for personal actions B. Accepting negative feedback from clients C. Delivering​ error-free nursing care D. Working within the scope of practice E. Accepting positive feedback from peers

D

The nurse prioritizing care for a client with diabetes mellitus utilizes Maslow​'s hierarchy of needs. Which need is priority for this​ client? A. The client joins the local American Diabetes Association support group. B. The client attends classes to deal with body image after amputation of right leg. C. The nurse teaches the client proper home safety techniques to prevent diabetic wounds. D. The nurse teaches the client how to properly change dressings on right leg amputation site.

B

The nurse unit manager is giving an​ in-service about sexual harassment in the workplace. When discussing what constitutes sexual​ harassment, which statement is most appropriate for the nurse unit manager to include in the​ in-service? A. Submitting to requests for sexual behaviors must be explicitly considered a condition of an individual​'s employment. B. Sexual harassment must be considered both a form of discrimination and a violation of an individual​'s rights. Your answer is correct. C. The sexual behaviors must interfere with the victim​'s work performance and prevent fulfillment of work functions. D. Behaviors must include unwelcome advances of a sexual nature that are demonstrated through the perpetrator​'s physical conduct.

A

The nurses on a care area are uncharacteristically quiet. There is no friendly​ chatter, and nurses are staying in clients​' rooms to document until the end of the shift. Which incident might cause the nurses to demonstrate this​ behavior? A. The charge nurse called everyone incompetent during report. B. The director is identifying staff for promotion. C. The nurse manager is working on the annual budget. D. The medical director is making client rounds.

C

The nursing instructor is evaluating the work ethic of nursing students who are finishing a​ medical-surgical clinical rotation. Which nursing student​'s behavior best reflects a strong work​ ethic? A. Arriving at the clinical site no more than five minutes after the scheduled start time B. Attending the majority of the scheduled​ pre- and​ post-conferences at the clinical site C. Having a contingency plan for dealing with transportation issues related to car problems D. Taking preventative​ measures, such as choosing not to be vaccinated for the flu

D

The nursing student is designing a poster that describes how to recognize burnout among nurses. Which recommendation for identifying manifestations of burnout should be included on the​ poster? A. Understand that emotional depletion is a natural response to the demands of employment B. Acknowledge feelings of helplessness as signs of inexperience or professional inadequacy C. Recognize that outbursts of anger are normal signs of professional frustration D. Interpret that smoking and an increase in coffee consumption may be potential warning signs

C

The nursing student is experiencing the integrated stage of commitment development. When developing professional​ commitment, which behavior would the nursing student be most likely to demonstrate during the integrated​ stage? A. Learning about positive aspects of the nursing profession B. Becoming involved in a student nursing association C. Being eager to take the ​NCLEX-RN​® examination D. Considering switching to a major other than nursing

ACDE

The nursing student is participating in revising the plan of care for a client diagnosed with myasthenia gravis who did not meet care goals. Which will the nurse consider when revising the plan of​ care? ​(Select all that​ apply.) A. Were the goals realistic and​ attainable? B. What nurses were assigned to the​ client? C. Were the interventions that were selected​ appropriate? D. Did the client have access to planned​ interventions? E. Were interventions implemented as​ planned?

C

The nursing student is preparing a presentation that describes how varying intergenerational styles can affect peer perceptions. Which example is most appropriate for the nursing student to include in the​ presentation? A. Younger nurses may view older​ nurses' goals for developing technological competence as unattainable. B. Younger nurses may view older nurses as being arrogant and lacking professional commitment. C. Older nurses may view younger nurses as having a​ "slacker" attitude. D. Older nurses may be intrigued by younger​ nurses' style of dress.

ABDE

The nursing student is writing a care plan for a client who was recently cared for during a clinical rotation. What should the student nurse do when planning nursing interventions for the​ client? ​(Select all that​ apply.) A. Ensure relevancy to situation B. Be realistic C. Be general and brief D. Include priorities of care E. Be specific and concise

C

The nursing team of an extended care facility comprises four generations of healthcare providers. Which characteristic is most appropriate for the nurse administrator to expect to observe among healthcare providers who are generational​ cohorts? A. Opposing personal values B. Technological expertise C. Shared workforce patterns D. Interpersonal tension

B

The primary nurse is caring for a client with chronic obstructive pulmonary disease​ (COPD). The nurse arrives at the client​'s room to complete the morning assessment and finds the client is upset. The client​ states, open double quote"My nurse overnight referred to me to the assistant as the COPDer.close double quote" The primary nurse tells the client that she will address the issue with the nurse. Which basis of the therapeutic relationship is the nurse displaying by addressing this client issue with the other​ nurse? A. Identifying B. Respecting C. Assuming D. Reflecting

ABE

The psychiatric nurse practitioner is giving a webinar about prevention of burnout in nursing. Which items should the psychiatric nurse practitioner include when describing tips related to having​ compassion? ​(Select all that​ apply.) A. Learning to ask for help from colleagues or confidantes when needed B. Perceiving errors and failures as opportunities for constructive learning C. Recognizing the limitations associated with any given situation D. Joining nursing associations that promote constructive discussion of work issues E. Acknowledging that most individuals do the best they can do

A

The staff nurse is caring for a client who has recently undergone surgical repair of an inguinal hernia. Despite administration of pain medications as​ ordered, the client continues to complain of excruciating pain. When the staff nurse offers to reposition the​ client, the client​ states, "You don​'t have any idea what you​'re doing. I need more medication. I need a nurse who can help ​me!" Which behavior best illustrates demonstration of compassion by the staff​ nurse? A. Notifying the primary care provider about the client​'s complaints of pain despite receiving medication B. Explaining that inguinal hernia repairs usually require significantly less medication for adequate pain relief C. Seeking out a nursing colleague to privately vent about the client​'s rudeness and inconsideration D. Collaborating with the charge nurse and requesting that another nurse assume the client​'s care

D

The staff nurse who is working the day shift is scheduled to attend an important event immediately after work. Five minutes after the day shift​ ends, the evening shift nurse still has not arrived to assume care of the day shift nurse​'s assigned clients. This is the third time in one month that the evening shift nurse has been late to work. Several of the clients are scheduled for medications and treatments. Which action by the day shift nurse is the most​ appropriate? A. Inform the clients that administration of their scheduled treatments and medications will be slightly delayed B. Establish a boundary by leaving prior to the evening shift nurse​'s arrival C. Advise clients that the evening nurse is late and encourage them to report the situation D. Begin completing the clients​' scheduled treatments and administering their medications as ordered

ACE

What information is to be included in an evaluation​ statement? ​(Select all that​ apply.) A. A conclusion statement about goal achievement B. A nursing statement about successful interventions C. Date and time the evaluation was conducted D. A client statement about establishing new goals E. A supporting statement about goal achievement

B

What is a purpose of a​ goal? A. To evaluate the client​'s response to the plan of care B. To provide direction for nursing interventions C. To identify a time frame for an action to occur D. To measure the end result of nursing action

A

What is the first action that should be made when prioritizing​ care? A. Assess client situations B. Analyze collected data C. Assign staff to clients D. Ascertain interventions

C

What is the purpose of reflecting within Tanner​'s clinical decision making​ model? A. Analyze a situation to choose action B. Sense what is happening in a situation C. Learn from actions to make adjustments D. Gain understanding about a situation

B

What is used as the framework for identifying nursing​ interventions? A. Previous health history B. Etiology of the problem C. Signs and symptoms D. Healthcare provider​'s orders

D

What should be done first before implementing a nursing​ intervention? A. Find someone to help B. Review nursing diagnoses C. Ensure the client​'s privacy D. Reassess the client

AC

What techniques are associated with assertive​ communication? ​(Select all that​ apply.) A. Negative assertion B. Avoidance C. Fogging D. Name calling E. Submission

A

What would be an appropriate goal when caring for a client with impaired​ communication? A. The client will effectively communicate needs. B. The client will review discharge instructions at home. C. The client will state ways to reduce communication deficits. D. The client will call for help before getting out of bed.

BE

When communicating discharge instructions to a​ client, the nurse states exactly what needs to be done using the fewest number of words. Which characteristics of verbal communication is the nurse​ using? ​(Select all that​ apply.) A. Intonation B. Brevity C. Pace D. Simplicity E. Clarity

B

When does a nurse make a scheduling​ decision? A. When deciding what can be completed by a nursing assistant B. When deciding what needs to be done before a client attends therapy C. When deciding when to change a dressing D. When deciding what information to share with other healthcare providers

BCDE

When formulating a nursing diagnosis for a client diagnosed with diabetes​ mellitus, which information should be taken into consideration to mobilize health and the recovery process for this​ diagnosis? ​(Select all that​ apply.) A. The client requests information on how to control blood pressure. B. The client tells the nurse that he adheres to his 1800 calorie ADA diet. C. The client independently administers insulin. D. The client demonstrates the ability to monitor blood glucose. E. The client joins the ADA support group.

BDE

Which actions are appropriate when the nurse is communicating with a client whose primarily language is not​ English? ​(Select all that​ apply.) A. Speak slowly B. Avoid using slang C. Emphasize words with gestures D. Use an interpreter E. Avoid using medical jargon

ACD

Which are characteristics common to all​ goals? ​(Select all that​ apply.) A. Relevant to the client B. State nursing actions C. Describe a single action D. Identified for each nursing diagnosis E. Measure nursing interventions

ABC

Which are characteristics of a primary​ group? ​(Select all that​ apply.) A. Face-to-face communication B. Unity C. Spontaneity D. Impersonal communication E. Task oriented

CE

Which are characteristics of an advanced beginner within Benner​'s Skill Acquisition Model of clinical​ judgment? ​(Select all that​ apply.) A. Is able to intentionally plan care B. Can see the whole picture C. Begins to recognize cues D. Follows rules when acting E. Is a new graduate

B

Which attribute of critical thinking is explained as making neutral judgments without​ bias? A. Perseverance B. Fair-mindedness C. Integrity D. ​Open-mindedness

BDE

Which behavior indicates a nurse is an aggressive​ communicator? ​(Select all that​ apply.) A. Denying feelings of anger B. Blaming others for errors C. Expressing feelings using​ "I" language D. Stating that a nursing assistant is​ "worthless" E. Telling a staff member to move out of the way

B

Which evaluation statement by the nurse is appropriate and indicates a goal has been met for a client diagnosed with a​ stroke? A. ​1750: Goal​ met: Client voices understanding of treatment therapy. B. ​04/03/2015, 1800: Goal​ met: Client demonstrates​ self-injection of Lovenox prior to discharge. C. ​04/03/2015: Goal not​ met: Client does not demonstrate use of incentive spirometer. D. ​04/03/2015, 1830: Goal partially​ met: Client demonstrates use of home oxygen machine.

ABE

Which skills are used when implementing client​ care? ​(Select all that​ apply.) A. Cognitive B. Interpersonal C. Physical examination D. Assessment E. Psychomotor

B

Which statement describes a feature of a standardized care​ plan? A. Care is planned by entering data into columns that correspond to the nursing process. B. A plan of care is selected and then individualized to meet a client​'s needs. C. Client care is identified in sequence for each day during the projected length of stay. D. A plan of care developed using colored shapes of various sizes.

ABCE

Which statements are true of nursing​ diagnoses? ​(Select all that​ apply.) A. Nursing diagnoses are flexible and change based upon client responses. B. Nursing diagnoses describe responses to a health problem. C. A nursing diagnosis is a judgment statement. D. Nursing diagnoses are uniform between clients. E. A nursing diagnosis is a condition that nurses are licensed to treat.

ABDE

Which statements by the nurse are reflective of a therapeutic nursedash-client ​relationship? ​(Select all that​ apply.) A. "I can wait until after your spouse visits to change the dressing so you can spend some quality time together." B. "Is there anything that I can do to help you feel more comfortable ​now?" C. "It​'s a shame you have this disease. You are such a nice person" D. "When would you like to have your bed linens ​changed?" E. "I know that you don​'t eat meat on Friday but would you like a piece of fish with ​dinner?"

B

Which therapeutic communication technique is the foundation on which other therapeutic communication techniques are​ built? A. Reflecting B. Attentive listening C. Empathizing D. Paraphrasing

A

Which​ short-term goal does the nurse view as appropriate for a client newly diagnosed with diabetes​ mellitus? A. The client will demonstrate how to​ self-inject insulin by end of hospital stay. B. The client will learn the correct way to inject IV insulin. C. The client will demonstrate how to wrap left leg wound. D. The client will be able to identify and prepare meals approved by the ADA within 3 weeks.

A

While preparing medications for​ administration, the staff nurse is repeatedly interrupted by the charge​ nurse, as well as by clients who are requesting assistance. Due to being​ distracted, the staff nurse accidentally crushes a tablet that cannot be administered in crushed form. Immediately​ afterward, the staff nurse notifies the charge​ nurse, disposes of the destroyed medication per the hospital​'s ​protocol, and resolves to delegate appropriate tasks to the nursing assistant while preparing and administering the client​'s medications. Which work ethic principle best describes the staff nurse​'s ​behavior? A. Accountability B. Reliability C. Optimism D. Arrogance

D

While providing care in the emergency​ department, the nurse asks the victim of a pedestrian accident open double quote"why did you cross the street in the middle of the ​block?close double quote" Which communication barrier is this nurse​ demonstrating? A. Being defensive B. Challenging C. Testing D. Probing

D

While talking with a nursing​ colleague, the staff nurse​ states, "I don​'t drink​ alcohol, but I smoke marijuana." Which response by the nursing colleague best reflects correct understanding of professional​ behaviors? A. "If your client care is negatively​ affected, then you should stop smoking marijuana." B. "Even though you​'re a​ nurse, what you do in your personal life is your business." C. "If you​'re arrested for smoking​ marijuana, your professional credibility will be negatively affected." D. "Even in your personal​ life, the same rules of professionalism still apply to your behavior."

A

While transferring a client back into bed after a​ procedure, the client says that it​ wasn't very nice for the nurse to say that the​ "cow" was coming down the hall. Which response by the nurse is most appropriate in this​ situation? A. ​"The term​ 'cow' is used for computer on​ wheels." ​B. "I was just joking with that​ person!" C. "You must have misunderstood what I​ said." D. ​"I didn't mean to call someone a​ cow!"


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ECON Chap. 4: Market Failures; Chap. 6: Elasticity; Chap. 9 Costs of Production.

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constitution and political system- part 3

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Nursing Professional Development Certification Review

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Ch.12 | Domestic Violence and Other Family Health Issues Quiz

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Cook's Exploration of the Pacific

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Alternative AP Literature Cardset with Common Examples

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