Blended Competencies

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

Diagnosis

Legally speaking, how would the nurse ensure that care was not negligent?

Documenting the nursing actions in the client's record

A nurse interviews a pregnant teenager and documents her answers on the client record. At the same time, the nurse responds to the client's concerns and makes a referral for counseling and maternity care. This scenario is an example of which of the descriptors of the nursing process?

Dynamic

A home health nurse reviews the nursing care with the client and family and then mutually discusses the expected outcomes of the nursing care to ne provided. which step of the nursing process is the nurse illustrating?

Planning

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

Planning

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 you feel comfortable

Nurses apply critical thinking to clinicalreasonong and judgement in their nursing practic everyday. Which of the following are the characteristics of this practice.

1. It is guided by standards, policies and procedures, ethics codes, and laws 2.It based on principles of nursing process, problem solving, and scientific method. 3.It carefully identifies the key problems, issues, and risk involved. 4.It calls for strategies that make the most of human potential

Which of the following is an essential feature of professional nursing

1.Providing a caring relationship to facilitate health and dealing 2. Attention to a range of human experiences and responses to health and illness 3. Advancement of professional nursing knowledge through scholarly inquiry 4. integration of objective data with knowledge gained from an appreciation of the client's or group's subjective experience 5.application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking, 6. influence on social and public policy to promote social justice

A nurse is examining a child two years of age. Based o her findings, she initiates a care plan for a potential problem with normal growth and development, Which step of the nursing process identifies actual and potential problems?

Diagnosing

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

American Nurses Association

A client comes to the emergency department complaining of severe chest pain, The nurse ask the client questions and takes vital signs, Which step of the nursing process is the nurse demonstrating?

Assessing

Nursing make decisions in their practice everyday. Which of the following are potential errors in this decision-making process?

Avoiding information contrary to one's opinion; Selecting alternatives to maintain status quo

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

What name is given to standardized plans of care?

Critical pathways

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 patient;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 of the following

Ethical/legal skills

Based on an establishing plan of care, a nurse turns a client every 2 hours. What part of the nursing process in the nurse using?

Implementing

A nurse asks a multidisciplinary team to collaborate in developing the most appropriate plan of care to meet the needs an adolescent with a severe head injury, Which blended skills essential to nursing practice is the nurse using?

Interpersonal Skills

An experienced ICU nurse is mentoring a student, The nurse tells the student, "I think something is going wrong with the client." What type of clinical decisions decision making is the experienced nurse demonstrating?

Intuitive thinking

Which of the following groups developed standard language to increase the visibility of nursing's contribution to client care by continuing to develop, refine and classify phenomena of concern to nurses?

NANDA

Which of the following interpersonal skills is essential to the practice of nursing?

Promoting the dignity and respect of patients as people

A student is asking to perform a skill for which he is not prepared. When using the method of critical thinking, what would be the first step to resolve the situation?

Purpose of thinking

Self-evaluation is a method that nurses use to promote their own development, and grow in confidence in their nursing roles. This process is referred to as what?

Reflective practice

A nurse is caring for a client in the ER who was injured in a snowmobile accident, The nurse documents the following client data: uncontrollable shivering, weakness , pale and cold skin. The nurse suspects the client is experiencing hypothermia. Upon further assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of 90F, which confirms the initial diagnosis. The nurse then devises a plan of care and continues to monitor the client to evaluate the outcomes, This nurse is using which of the following types of problem solving in her care of this client?

Scientific

After completing an assessment of a client. the nurse uses critical thinking and clinical reasoning to prioritize the client's problems. Which of the following would the nurse determine is the highest priority

Severe bleeding from a wound

When the nurse assesses the client's blood sugar, what is the term for the type of skill the nurse is using?

Technical skill

A client 50 years reports to a primary care unit with an open wound due to a fall in the bathroom. Which of the following nursing actions represents caring skills?

The nurse cleans the wound and applies a dressing to it

In which of the following situations would the nurse be most justified in implementing trial-and-error problem solving?

The nurse is attempting to landmark an obese client's apical pulse

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 patient 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.

The nurse is providing care for a pediatric patient client on night shift. At 0400, the nurse notes that the child has a high fever but does not have an order for an antipyretic. What nursing action represents a good example of teamwork and collaboration as defined by the Quality and Safety Education for Nurses (QSEN) competencies? The nurse:

calls the health practitioner, reports her findings, and request an order for an antipyretic

which of the following is one example of a client benefit of using the nursing process?

continuity of care

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

critical thinking

When the nurse is administering lasix 20 mg to a client in congestive heart failure, what phase of the nursing process does this represent

implementation

Which of the following group of terms best describes the nursing process?

patient-centered, systematic, outcomes-oriented

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

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