NUR205 FINAL

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred? a.A nurse presents information about diabetes. b.A patient demonstrates how to inject insulin. c.A family member listens to a lecture on diabetes. d.A primary care provider hands a diabetes pamphlet to the patient

a pt demonstrates how to inject insulin

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension

3124

A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally? a.Charts legibly b.States the patient is belligerent c.Writes entry for another nurse d.Uses correction fluid to correct error

charts legibly

A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place? a.Kinesthetic b.Cognitive c.Affective d.Psychomotor

cognitive

A nurse is teaching a patient's family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting? a.Health promotion b.Illness prevention c.Restoration of health d.Coping with impaired functions

coping impaired

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.) a.Professional standards review organizations b.Prospective payment systems c.Diagnosis-related groups d.Third-party payers e."Never events

ABC-review, payment, diagnosis

A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.) a.Empirical quality results b.Structural empowerment c.Transformational leadership d.Exemplary professional practice e.Willingness to recommend the agency

ABCD-empirical, structural, tranformational, exemplary

A nurse is asked by a co-worker why patient education/teaching is important. Which statements will the nurse share with the co-worker? (Select all that apply.) a."Patient education is an essential component of safe, patient-centered care." b."Patient education is a standard for professional nursing practice." c."Patient teaching falls within the scope of nursing practice." d."Patient teaching is documented and part of the chart." e."Patient education is not effective with children." f."Patient teaching can increase health care costs

ABCD-pt education & teaching

A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.) a.The patient is hurting. b.The patient is fatigued. c.The patient is mildly anxious. d.The patient is asking questions. e.The patient is febrile (high fever). f.The patient is in the acceptance phase

ABE-hurt, fatigue, acceptance

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"? a.Act b.Alter c.Assess d.Approach

ACT

A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.) a.Use informatics. b.Use transparency. c.Apply globalization. d.Apply quality improvement. e.Use evidence-based practice

ADE- informatics, quality, evidence based

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate? (Select all that apply.) a.Patient satisfaction level b.Hospital readmission rates c.Nursing hours per patient day d.Patient falls/falls with injuries e.Value stream analysis for quality

BCD-hospital readmission, nursing hours, pt falls

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient? a.Capitation provides the hospital with a means of recovering variable charges. b.The hospital will be paid for the full cost of the patient's hospitalization. c.Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. d.Medicare will pay the national average for the patient's condition

DRGs provide reimbursement

The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize? a.Pew Health Professions Commission b.Healthcare Effectiveness Data and Information Set (HEDIS) c.American Nurses Credentialing Center (ANCC) Magnet Recognition Program d.Hospital Consumer of Assessment of Healthcare Providers and Systems(HCAHPS

HEDIS

An older adult patient has extensive wound care needs after discharge from the hospital.Which facility should the nurse discuss with the patient? a.Hospice b.Respite care c.Assisted living d.Skilled nursing

Skilled nursing

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act? a.A family can choose whether to have health insurance with no consequences. b.Primary care physician payments from Medicaid services can equal Medicare. c.Adult children up to age 26 are allowed coverage on the parent's plan. d.Private insurance companies can deny coverage for any reason

age 26 are allowed coverage

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session? a.If you still do not understand, ask again. b.Ask a nurse to be your advocate or supporter. c.The nurse is the center of the health care team. d.Inappropriate medical tests are the most common mistakes

ask again if you dont understand

Which finding indicates the best quality improvement process? a.Staff identifies the wait time in the emergency department is too long. b.Administration identifies the design of the facility's lobby increases patient stress. c.Director of the hospital identifies the payment schedule does not pay enough for overtime. d.Health care providers identify the inconsistencies of some of the facility's policy and procedures

staff identified wait time in the ed

A nurse has taught the patient how to use crutches. The patient went up and down the stairs using crutches with no difficulties. Which information will the nurse use for the "I" in PIE charting? a.Patient went up and down stairs b.Demonstrated use of crutches c.Used crutches with no difficulties d.Deficient knowledge related to never using crutches

demonstrated use of crutches

A nurse is auditing and monitoring patients' health records. Which action is the nurse taking? a.Determining the degree to which standards of care are met by reviewing patients' health records b.Realizing that care not documented in patients' health records still qualifies as care provided c.Basing reimbursement upon the diagnosis-related groups documented in patients' records d.Comparing data in patients' records to determine whether a new treatment had better outcomes than the standard treatment

determining the degree to which standards are met

While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing? a.Developing learning objectives b.Providing positive reinforcement c.Presenting facts and knowledge d.Implementing interpersonal communication

developing learning objectives

A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn? a.Sociocultural background and motivation b.Stage of grieving and overall physical health c.Developmental capabilities and physical capabilities d.Psychosocial adaptation to illness and active participation

developmental and physical capabilties

A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse's primary objective? a.Screening b.Education c.Dependence d.Counseling

education

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)? a.The patient will identify the main ingredients in several foods. b.The patient will list the side effects of epinephrine. c.The patient will learn about food labels. d.The patient will administer epinephrine

epinephrine

A nurse wants to find the daily weights of a patient. Which form will the nurse use? a.Database b.Progress notes c.Patient care summary d.Graphic record and flow sheets

flow sheets

A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session? a.Managed care insures full coverage of health care costs. b.Managed care only assumes the financial risk involved. c.Managed care allows providers to focus on illness care. d.Managed care causes providers to focus on prevention

focus on prevention

A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority? a.Assess laboratory results for high cholesterol and other data. b.Identify that teaching is the same as the nursing process. c.Perform nursing care therapies to address hypertension. d.Focus on a patient's learning needs and objectives

focus on pts learning needs

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient's learning needs? a.Assess the patient's total health care needs. b.Assess the patient's health literacy. c.Assess all sources of patient data. d.Assess the goals of patient care

health literacy

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session? a.Increased spread of communicable diseases b.Increased homogeneous mix of nursing staff c.Decreased poverty and increased "health tourism" d.Decreased urbanization as populations shift to the suburbs

increased spread of disease

A nurse has provided care to a patient. Which entry should the nurse document in the patient's record? a.Status unchanged, doing well b.Patient seems to be in pain and states, "I feel uncomfortable." c.Left knee incision 1 inch in length without redness, drainage, or edema d.Patient is hard to care for and refuses all treatments and medications. Family is present

left knee incision

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic? a.At bedtime, while the patient is relaxed b.At bath time, when the nurse is cleaning the patient c.At lunchtime, while the nurse is preparing the food tray d.At medication time, when the nurse is administering patient medication

lunchtime

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use? a.Use complex analogies to describe COPD. b.Ask for feedback to assess understanding of COPD at the end of the session. c.Offer pamphlets about COPD written at the eighth grade level with large type. d.Include the most important information on COPD at the beginning of the session

most important info on copd at the beginning

A preceptor is working with a new nurse on documentation. Which situation will cause the preceptor to follow up? a.The new nurse documents only for self. b.The new nurse charts consecutively on every other line. c.The new nurse ends each entry with signature and title. d.The new nurse keeps the password secure

new nurse charts consecutively

A nurse is completing a minimum data set. Which area is the nurse working? a.Nursing center b.Psychiatric facility c.Rehabilitation center d.Adult day care center

nursing center

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action? a.Refer to a mental health specialist. b.Refer to a wound care specialist. c.Refer to an ostomy specialist. d.Refer to a dietitian

ostomy specialist

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use? a.Let the patient touch and use the exercise equipment. b.Provide the patient with pictures of the exercise equipment. c.Let the patient listen to a video about the exercise equipment. d.Provide the patient with a case study about the exercise equipment

patient touch and use exercise

A nurse is using research findings to improve clinical practice. Which technique is the nurse using? a.Performance improvement b.Integrated delivery networks c.Nursing-sensitive outcomes d.Utilization review commitees

performace improvement

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing? a.Primary care b.Preventive care c.Restorative care d.Continuing care

preventative care

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing? a.Health analogies b.Restoration of health c.Coping with impaired functions d.Promotion of health and illness prevention

promotion of health illness

A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use? a.Speak in a high tone of voice to describe strokes. b.Use a pamphlet about strokes with large font in blues and greens. c.Provide specific information about strokes in short, small amounts. d.Begin the teaching session facing the teaching white board with stroke information

provide specific info about strokes

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback? a.The nurse b.The patient c.The nurse teaching about healthy food choices d.The patient stating that eating yogurt is better than eating cake

pt stating eating yogurt

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn? a.A patient has the ability to grasp and apply the elastic bandage. b.A patient has sufficient upper body strength to move from a bed to a wheelchair. c.A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d.A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe

pt with BKA motivated to walk

A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session? a.Obtain pictures of food. b.Get an interpreter. c.Establish a rapport. d.Refer to a dietitian

rapport

A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn? a."What do you want to know about strokes?" b."Please read this handout and tell me what it means." c."Do you feel strong enough to perform the tasks I will teach you?" d."On a scale from 1 to 10, tell me where you rank your desire to learn

read the handout

The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work? a.Secondary acute b.Continuing c.Restorative d.Tertiary

restorative

A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use? a.Return demonstration b.Computer instruction c.Verbalization of steps d.Cloze test

return demonstration

A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? a.Lecture b.Role play c.Demonstration d.Question and answer sessions

role play

A nurse is describing a patient's perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute? a.Self-efficacy b.Motivation c.Attentional set d.Active participation

self efficacy

A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene? a.The student nurse reads the patient's plan of care. b.The student nurse reviews the patient's medical record. c.The student nurse shares patient information with a friend. d.The student nurse documents medication administered to the patient

shares pt info with a friend

After providing care, a nurse charts in the patient's record. Which entry will the nurse document? a.Appears restless when sitting in the chair b.Drank adequate amounts of water c.Apparently is asleep with eyes closed d.Skin pale and cool

skin pale and cool

After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood pressure like an experienced nurse." Which type of reinforcement did the nurse use? a.Social acknowledgment b.Pleasurable activity c.Tangible reward d.Entrusting

social acknowledgement

A nurse's goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal? a.Teaching a family member to provide passive range of motion for a stroke patient b.Teaching a woman who recently had a hysterectomy about possible adoption c.Teaching expectant parents about changes in childbearing women d.Teaching a teenager with a broken leg how to use crutches

teacher teenager with broken leg

A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning? a."Teaching and learning can be separated." b."Learning is an interactive process that promotes teaching." c."Teaching is most effective when it responds to the learner's needs." d."Learning consists of a conscious, deliberate set of actions designed to help the teacher

teaching most effective when it responds to learner

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response? a."Technology use has to be combined with nursing judgment." b."The focus of effective nursing care is technology." c."If it's so easy, why don't you do it?" d."That is true in the 20th century

technology use has to be combined with nurse judgement

A nurse working in a community hospital's emergency department provides care to a patient having chest pain. Which level of care is the nurse providing? a.Continuing care b.Restorative care c.Preventive care d.Tertiary care

tertiary

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning? a.When the patient is ready b.Close to the time of discharge c.Upon admission to the hospital d.After an order is written/prescribed

upon admission to the hospital

A nurse exchanges information with the oncoming nurse about a patient's care. Which action did the nurse complete? a.A verbal report b.An electronic record entry c.A referral d.An acuity rating

verbal report

A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan? a.The patient will state three facts about healthy eating. b.The patient will identify two foods for a healthy snack. c.The patient will verbalize the value of eating healthy. d.The patient will cook a meal with low-fat oil

verbalize value of healthy eating

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate for the nurse to include in the teaching plan? a.The patient will walk to the bathroom and back to bed using a cane. b.The patient will understand the importance of using a cane. c.The patient will know the correct use of a cane. d.The patient will learn how to use a cane

walk to the bathroom and back

A nurse is teaching a patient about heart failure. Which environment will the nurse use? a.A darkened, quiet room b.A well-lit, ventilated room c.A private room at 85° F temperature d.A group room for 10 to 12 patients with heart failure

well lit room

A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage? a.Encourage independent learning. b.Develop a problem-solving scenario. c.Wrap a bandage around a stuffed animal's ear. d.Use discussion throughout the teaching session

wrap bandage