3. The Multiple-Choice Question

Which nursing intervention most accurately supports the concept of informed consent for a surgical procedure? 1)Explain what is being done and why 2)Involving the family in the teaching plan 3)Obtaining the patient's signature on the document 4)Teaching preoperative deep breathing and coughing

1)Explain what is being done and why

To best understand what a patient is saying, the nurse should: 1)Listen carefully 2)Employ touch 3)Show interest 4)Remain silent

1)Listen carefully

A nurse is assessing placement of a nasogastric tube. Where should the distal end of the tube be within the body? 1)Stomach 2)Bronchi 3)Trachea 4)duodenum

1)Stomach

When should the nurse administer mouth care to an unconscious patient? 1)Whenever necessary 2)Every four hours 3)Once a shift 4)Twice a day

1)Whenever necessary

Which part of the body requires special hygiene when a patient has a nasogastric feeding tube? 1)Rectum 2)Abdomen 3)Oral cavity 4)Perineal area

2)Abdomen

A nurse can best prevent the patient from getting a chill during a bed bath by: 1)Rubbing briskly to cause vasodilation 2)Exposing only the area being washed 3)Pulling the curtain around the bed 4)Giving a hot drink before the bath

2)Exposing only the area being washed

A catholic patient tells the nurse, "before being hospitalized i went to mass and received communion every morning." which should the nurse do to meet this patient's spiritual needs? 1)Encourage the patient to say the rosary every day 2)Make arrangements for the patient to receive communion 3)Transfer the patient to a room with another catholic patient 4)Have a priest administer the sacrament of anointing of the sick to the patient

2)Make arrangements for the patient to receive communion

Which word best describes feelings associated with a child in Erikson's stage of autonomy versus shame and doubt? 1)Hers 2)Mine 3)Theirs 4)Nobody's

2)Mine

Which is a primary source for obtaining information related to the independent functions of a nurse? 1)Chart 2)Patient 3)Nurse manager 4)Health-Care Provider

2)Patient

Which position is contraindicated for a patient who has dyspnea? 1)Fowler 2)Supine 3)Contour 4)orthopneic

2)Supine

A patient's spouse just died. Which approach should be used by the nurse when caring for this grieving patient? 1)Confronting 2)Supporting 3)Avoiding 4)Limiting

2)Supporting

Which should the nurse do immediately before performing a procedure? 1)Shut the door 2)Wash the hands 3)Close the curtain 4)Drape the patient

2)Wash the hands

A male patient is crying, and the only word the nurse understands is "wife," which should the nurse say? 1)I'm sure that your wife is fine 2)You are concerned about your wife 3)What did your wife do to upset you 4)Your wife will be visiting later today

2)You are concerned about your wife

A parent says to the nurse, "my kid is difficult to get along with and is only concerned about the opinions of friends." How old is the child? 1) 3 year old 2) 7 year old 3) 14 year old 4) 22 year old

3) 14 year old

What is the nurse doing when formulating a nursing diagnosis? 1)Planning 2)Assessing 3)Analyzing 4)Implementing

3)Analyzing

A nurse understands that the primary etiology of obesity is a: 1)Lack of balance in the variety of nutrients 2)Glandular disorder that prevents weight loss 3)Caloric intake that exceeds metabolic needs 4)Psychological problem that causes overeating

3)Caloric intake that exceeds metabolic needs

Before performing a procedure, which should the nurse do first? 1)Collect the equipment for the procedure 2)Position the patient for the procedure 3)Explain the procedure to the patient 4)Raise the bed to its highest position

3)Explain the procedure to the patient

Which is the most common reason why older adults become incontinent of urine? 1)They use incontinence to manipulate others 2)The muscles that control urination become weak 3)They tend to drink less fluid than younger patients 4)Their increase in weight places pressure on the bladder

3)They tend to drink less fluid than younger patients

Which action by the nurse is unacceptable during a bed bath? 1)Uncovering the area being washed 2)Using long, firm strokes toward the heart 3)Washing from the rectum toward the pubis 4)Replacing the top sheets with a cotton blanket

3)Washing from the rectum toward the pubis

Which nursing intervention is common when caring for all patients with infections? 1)Donning a mask 2)Wearing a gown 3)Washing the hands 4)Discouraging visitors

3)Washing the hands

Which should be the first action of the nurse when a fire alarm rings in a health-care facility? 1)Determine if it is a fire drill or a real fire 2)Move patients laterally towards the stairs 3)Take an extinguisher to the fire scene 4)Close doors on the unit

4)Close doors on the unit

A nurse is to assist a patient with a bed bath. However, the patient has just returned from a diagnostic test, is in pain, and refuses the bath. The nurse should: 1)Encourage a shower instead 2)Give a partial bath quickly 3)Cancel the bath for today 4)Delay the bath until later

4)Delay the bath until later

Which suggestion by the nurse is the least therapeutic when teaching the patient about promoting personal energy? 1)Eat breakfast everyday 2)Exercise three times a day 3)Get adequate sleep each night 4)Drink a cup of coffee each morning

4)Drink a cup of coffee each morning

Which action by the nurse helps meet a patient's basic need for security and safety? 1)Addressing a patient by name 2)Accepting a patient's angry behavior 3)Ensuring a patient get adequate nutrition 4)Explaining to a patient what is going to be done

4)Explaining to a patient what is going to be done

Which should the nurse do when a patient appears to be asleep but does not react when called by name? 1)Loudly say, "are you awake?" 2)Say to the patient, "can you squeeze my hand" 3)Inform the nurse manager in charge immediately 4)Gently touch the patient's arm while saying the patient's name

4)Gently touch the patient's arm while saying the patient's name

An older adult who is dying starts to cry and says, "I was always concerned about myself first, and I hurt many people during my life." Which is the underlying feeling being expressed by the patients? 1)Ambivalence 2)Sadness 3)Anger 4)Guilt

4)Guilt

The most important reason why nurses should teach people not to smoke in bed is because it can: 1)Upset a family member 2)Precipitate lung cancer 3)Trigger a smoke alarm 4)Result in a fire

4)Result in a fire

Values

Enduring beliefs or attitudes about the worth of a person, object, idea, or action

Values clarification

a complex process in which you identify, examine, and develop your own individual values

rationalization

acceptable reasons for explanation for our Behavior

Goal

an object or aim you want to attain

Short-term goals

desired results that take hours, days, weeks or months to a team

Bad guilt

feeling bad about something over which you have no control

Good guilt

feeling sad about something you have done or not done that you have based on what you identify as ethically or morally important

Self discipline

orderly conduct in relation to self-imposed constraints

Long-term goals

related to lifelong journey that frequently include career aspirations or ambitions

Intermediate goals

related to the Ames you want to achieve within 1 to 5 years

Value system

the organized set of values that is internalized by a person

Setting priorities

the process of identifying inference order of doing something