Ch 11 Prep U Questions

Which question asked by the nurse demonstrates proper understanding of a functional assessment?

"Can you bathe and dress yourself?"

As a beginning student in nursing, what is essential to the mastery of technical skills, such as giving an injection?

Practice giving injections in the learning laboratory until comfortable doing it.

Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?

"I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."

Which statement made by the nurse indicates data that would be documented as part of an objective assessment?

"The client's right leg is cold to the touch, from the knee to the foot."

The nurse is teaching about the nursing processes. In which order should the nurse explain the phases to the student nurse?

Assessment Diagnosis Planning Implementation Evaluation

A nurse administers intravenous fluids to a client diagnosed with dehydration. After the fluids are completed, the client's blood pressure is increased and pulse is decreased. During the final phase of the nursing process, what should the nurse do?

Determine whether the prescribed treatment was effective.

A nurse has come on day shift and is assessing the client's intravenous setup. The nurse notes that there is a mini-bag of the client's antibiotic hanging as a piggyback, but that the bag is still full. The nurse examines the client's medication administration record (MAR) and concludes that the night nurse likely hung the antibiotic but failed to start the infusion. As a result, the antibiotic is 3 hours late and the nurse has consequently filled out an incident report. In doing so, the nurse has exhibited which type of skills?

Ethical/legal skills

A nurse has completed a client assessment and is preparing to identify appropriate nursing diagnoses. Which areas would the nurse likely address in the diagnosis? Select all that apply.

Ineffective coping Impaired mobility Imbalanced nutrition

Which statement best conveys the role of intuition in nurses' problem solving?

Intuition can be a clinically useful adjunct to logical problem solving.

A nurse has been asked to present an orientation program to a group of newly graduated nurses. As part of the program, the nurse plans to reemphasize the need for critical thinking. When describing this concept, which characteristics would the nurse likely include? Select all that apply.

It involves judgments based on evidence. It requires a conscious and deliberate effort. It requires a systematic and logical approach

Which statement regarding critical thinking in nursing is true?

It is a systemic way of thinking.

Place the stages of skill acquisition listed below in the proper order from first to last.

Novice Advanced beginner Competence Proficient Expert

The nurse employs interpersonal skills of communication when caring for and interacting with clients. Which is the best example of establishing a therapeutic nurse-client relationship?

Show respect for the client, and engage in open communication in getting to know the client.

The nurse is caring for a client who is suspected of having a kidney infection. Which scenario involves the use of subjective data from the primary source?

The client tells the nurse that there is a burning sensation when voiding.

Which is not true regarding Nurse Practice Acts?

They describe what medications nurses can prescribe.

The client presents to the emergency room reporting chest pain and one episode of vomiting. Which action represents the nurse assessing the client?

acquiring vital signs and pain level

What nursing organization first legitimized the use of the nursing process?

american nurses association

A nurse is conducting focused data collection and recognizes the existence of cues. The nurse is most likely involved in which phase of the nursing process?

assessment

A nurse is caring for a post-operative client 1 day after a total abdominal hysterectomy. Which nursing intervention demonstrates caring?

assisting the client to sit up in a chair

Which activity is the clearest example of the evaluation step in the nursing process?

checking the client's blood pressure 30 minutes after administering captopril.

While working as part of an interdisciplinary group developing a client's plan of care, a nurse asks the question, "Can you give me an example?" The nurse is demonstrating which standard for judging thinking?

clarity

The nursing student uses evidence-based practice findings in the development of a care plan. This is an example of which type of nursing skill?

cognitive skill

A client has had major abdominal surgery and just returned to the unit from the operating room. The nursing priority is to:

complete postoperative assessment.

What is a systematic way to form and shape one's thinking?

critical thinking

The nurse analyzes client data to identify client strengths and health problems that independent nursing interventions can prevent or resolve. Which step of the nursing process is the nurse performing?

diagnosing

The nurse, after gathering data, analyzes the information to derive meaning. The nurse is involved in which phase of the nursing process?

diagnosis

A hospital client has an aggressive fungal infection in his right eye that necessitates evisceration (removal of the eye). Consequently, the client requires twice-daily packing and dressing changes to the orbit. Which of the nurse's actions in the care of this client most clearly demonstrates interpersonal skills?

ensuring the client's privacy during dressing changes and providing an explanation during the procedure

A client presents to the emergency room reporting weight gain, respiratory crackles, productive cough, and shortness of breath. The nurse demonstrates the implementation phase of the nursing process by performing which action?

inserting a peripheral IV and urinary catheter

The client is admitted with multiple injuries, including a head injury, fractured ribs, and hypoventilation. Vital signs are: BP 110/84, T. 98.8/37.1, P. 88, Resp. 28. Which is the patient care priority?

maintain an open airway

A nurse identifies the following: "The client will report a pain rating of 4 or less within 30 to 45 minutes of receiving prescribed analgesic." The nurse has identified:

outcome

A home health nurse reviews the nursing care plan with the client and family. Then, they mutually discuss the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating?

planning

A nurse is examining alternatives and judging the worth of evidence as part of preparing the plan of care for a client. The nurse would most likely be involved in which phase of the nursing process?

planning

What step in the nursing process is most closely associated with cognitively skilled nurses?

planning

The nurse has measured from the tip of the client's nose to his earlobe and then down to the xiphoid process before inserting a nasogastric (NG) tube and attaching it to low suction. Which components of the nursing process has the nurse demonstrated?

planning; implementing

Which interpersonal skill is essential to the practice of nursing?

promoting the dignity and respect of clients as people

The nurse is using the nursing process when caring for the needs of a client. What is the most beneficial use of the nursing process in addressing the needs of the client?

provides a universally applicable framework for nursing activities.

A client who has been admitted to the hospital for the treatment of a gastrointestinal bleed requires a transfusion of packed red blood cells. Which aspect of the nurse's execution of this order demonstrates technical skill?

starting a new, large-gauge intravenous site on the client, and priming the infusion tubing

Members of the staff on a hospital unit are critical of a client's family, who has different cultural beliefs about health and illness. A student assigned to the client does not agree, based on her care of the client and family. What critical thinking attitude is the student demonstrating?

thinking independently

Nursing is a profession in a rapidly changing health care environment. What is the most important reason for the nurse to develop critical thinking and clinical reasoning?

to provide quality care with nursing ability and knowledge

Select the best description of how the nurse applies the nursing process in caring for clients. The nurse:

uses critical thinking to direct care for the individual client.