concepts #4 questionsss

Which documentation example best reflects the complexity of client teaching by the nurse?

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

The ability to communicate clearly through documentation is a critical nursing skill. Which statements accurately describe the role of documenting in the nursing process? Select all that apply.

The client record is the chief means of communication among members of the interdisciplinary team. A nursing action not documented is a nursing action not performed. It is helpful to practice documentation while learning any given nursing activity. The content of the client report and nursing documentation helps to establish nursing priorities in practice.

the nurse is providing instructions to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education?

The client will be able to perform proper breast self-examination for breast cancer detection and prevention.

The nurse is caring for an underweight female client diagnosed with a new food allergy to wheat, rye, and oats and with a nursing diagnosis of Imbalanced Nutrition: less than body requirements. What is the most appropriate intervention for this client?

administer a high calorie diet , excluding wheat, rye, and oats

A nurse is preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as:

adults

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults?

allow ample time for psychomotor skills

The nurse is caring for a client who presents with polydipsia, polyphagia, and polyuria. The client's laboratory test results reveal an increased HgbA1C level, which could indicate increased blood glucose levels. What is the next step for the nurse to take based on the nursing process?

analyze the data and create an individualized nursing diagnosis

a nurse is educating a pregnant female in preterm labor on the use of the clients home monitoring equipment and meds , which factor could impede the clients ability to learn

anxiety

A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem's Self-Care Theory, how can the nurse help meet the needs of this client?

arrange an evaluation appointment with a dietitian

The nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught?

ask the client to recall after approx 15 mins

A nurse technician is assigned to take clients' vital signs. When making rounds, the nurse notices that one client's vital signs are very different from what they were at the beginning of the shift. What is most appropriate for the nurse to do about these findings?

assess the clients vital signs again

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 discussing dietary issues with a Latino client in the clinic. The client states, "My nutritionist told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?

authoritative knowledge

inductive reasoning

builds from specific ideas or actions to conclusions about general ideas

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

C in PICOT

comparison of interest

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

complete the post op assessment

A nurse researcher develops a foreground question in preparation for conducting a research study. The question is: "In clients with intravenous catheters, how does replacing administration sets every 72 hours (h) compared with other frequent intervals (24h, 48h, or 96h) decrease infection rates?" Applying the PICO framework, which part of the statement reflects the "O"?

decrease infectious rate

The process of considering an idea as a whole and then dividing it into smaller, more specific ideas is which?

deductive reasoning

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 is completing a family assessment on a routine home health visit. There is a mother, father, and three children ages 2, 4, and 6 years of age. She watches the children individually as they play and interact with one another. She compares each child with the norms established for the age groups and determines and they are all within normal limits for their ages. The nurse would be utilizing which of the following theories as the basis for this part of the family assessment?

developmental theory

A parent has brought a 6-year-old child into the clinic. The parent is concerned that the child does not seem to skip as well as the other children in the child's class. In planning assessments and care for this child, the nurse would be best served by choosing which theory as a foundation for decision making?

developmental theory

A client reports hearing voices in the head that tell the client to do bad things. When the nurse enters the client's room, the client is talking out loud to someone but there is nobody in the room. How should the nurse record this assessment?

document this assessment based on the clients behaviors

Which is a focus of medical research rather than nursing research?

drug metabolism

final step of the evidence based practice

evaluating practice change

What nursing activity forms the bridge between theory and practice?

evidence base practice

which activity best helps the nurse apply theory to practice

evidence based prac

Research has demonstrated that a common source of hospital-acquired infections in clients with intravenous (IV) infusions is the hub on the IV tubing. Which nursing practice competency is displayed when health care institutions recommend that health care providers always wash hands and wear gloves when accessing the hubs of IV tubing?

evidence based practice

deductive reasoning

examines general ideas and considers specific actions or ideas

Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment?

florence nightingale

A nursing theorist examines a hospital environment by studying each ward and how it works individually, and then relates this information to the hospital as a whole working entity. This is an example of the use of which theory?

general systems theory

one of the primary reasons for conducting nursing research is to

generate knowledge to guide practice

a theory is composed of a

group of concepts that describe the pattern of reality

A group of students are studying modern day nursing practices. What is the theme that enhanced the practice of nursing in the 21st century?

improved treatment of women

A nurse is preparing to teach a 6-year-old client with a broken arm and the client's mother about caring for the child's cast. Which statement reflects the best education plan for these clients?

include the child in the education ; ask questions of both the mother and child

A well-constructed problem statement formulated at the beginning of a nursing research study should:

indicate the population

Which are examples of ways that a nurse can use theories to guide client care? (Select all that apply.)

Collect client data. Organize client information. Classify client data. Analyze client situations.

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

The director of nurses (DON) in a long-term care facility has noticed an increased number of urinary tract infections (UTIs) on the east wing of the facility, and would like the infection control nurse to investigate this problem. What is the best problem statement for this study?

Is there a relationship between the personnel caring for specific clients and whether or not these clients developed UTIs?"

A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact regarding acquiring funding?

National institute of Nursing Research

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers?

Observing a mother expressing the breast milk

When developing a nursing plan of care and associated client outcomes, what should the nurse recognize? Select all that apply.

Outcome setting allows for individualization of the plan of care. Outcomes can be short- and long-term. A plan of care should be comprehensive and ongoing, covering and being updated during all phases of care.

Which events in the history of nursing research occurred in the 1970s and 1980s? Select all that apply.

Research was focused on clinical practice, including clinical interventions. Primary client care led to research investigating outcomes and quality of care. The nursing process was studied. Concerns of nursing education involved student-learning experiences and clinical evaluation.

Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease?

intellectual development

I in PICOT

intervention of interest

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

intuition can be a clinically useful adjunct to logical problem solving

Which statement regarding critical thinking in nursing is true?

its a systemic way of thinking

The nurse is caring for a client with a nursing diagnosis of deficient fluid volume. The nurse has implemented the plan of care and on evaluation finds that the client continues to exhibit symptoms of deficient fluid volume. What should the nurse do next?

modify the plan of care and interventions to meet the clients needs

A nurse caring for clients in a hospital setting focuses on the ill person in the health care setting. The nurse also provides care based on helping clients to adapt to the health care environment. Whose nursing theory principle is the nurse following?

myra E. Levine

When a nurse is planning for learning, who must decide who should be included in the learning sessions?

nurse and the client

What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered?

nursing care now uses EBP as a means of ensuring quality of care

What was the focus of nursing research during the first half of the twentieth century,?

nursing education

Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?

nursing research helps improve ways to promote and maintain health

Which theory describes, explains, predicts, and controls outcomes in nursing practice?

nursing theory

developmental theory

orderly and predictable growth and development from conception to death

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

O in PICOT

outcome of interest

which is the most appropriate example of the assessment phase of the nursing process

palpating a mass in the RLQ of the abdomen

The focus of nursing is always on which of the four common concepts in nursing theory?

person

A 46-year-old obese client has been diagnosed with hypertension and type 2 diabetes. The client acknowledges the need to lose weight. The client recently visited a local fitness club, obtained a membership, and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is this client in related to her weight loss?

preparation

A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to?

preventing skin breakdown

A nurse has developed a plan of care for an adult client. What nursing function is important when using nursing diagnoses to guide the care of this client?

prioritize the nursing diagnosis

A nurse assisting a new mother in the act of breastfeeding represents which form of learning?

psychomotor

The registered nurse (RN) is receiving a shift report from another RN about a client admitted for dehydration. In the report, the departing RN indicates that the client has been prescribed intravenous fluids and an antibiotic. The oncoming RN asks why the antibiotic has been prescribed. This is an example of which consideration involved in the process of critical thinking?

purpose of thinking

What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care?

qualitative

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner?

readiness to learn is often related to a developmental task or social role

which is the best example of person centered care provided by a RN

reassuring a client who is anxious ab a procedure

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. The client states, "I'm not sure how many days I'm supposed to take this antibiotic." What is the nurse's appropriate response?

reteach the length of time to take the prescription

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class?

role playing

A pediatric nurse provides education to numerous clients. Which group of children benefits most from being involved in the teaching-learning process?

school age children

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?

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

The nurse is administering blood to a patient and notes a transfusion reaction. Which of the following will the nurse include to manage the reaction? Select all that apply.

stop the blood infusion continue the IV for access if necessary

The type of intervention that the nurse performs when he or she observes the spouse of a postoperative client performing the client's dressing change is described as

supervisory

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

the client describes signs of hypoglycemia

The nurse is educating a client regarding a new skill. When evaluating the client's knowledge about the topic covered, which best represents that the client has learned a new skill?

the client organizes materials needed and gives return demonstrations

The nurse is providing instructions to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education?

the client will be able to perform proper breast self examination for breast cancer detection and preventin

which statement best explains the importance of theoretic frameworks

theoretic frameworks advance nursing knowledge and practice

general systems theory

theory for universal application; break whole things into parts to see how they work together in systems

T in PICOT

time

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?

traditional knowledge

A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge?

traditional knowledge

Evidence-based care emphasizes decision making based on the best available evidence and:

use of outcome studies to guide decisions

A nurse has received a doctoral degree from a research oriented educational program. Which activities would this nurse be able to perform? Select all that apply.

uses analytic and empirical methods to modify existing scientific knowledge so that the knowledge is relevant to nursing develops methods for scientific inquiry of phenomena related to nursing

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

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response?

when 15 mins have passed, i will as your mother how to instill the drops

which criterion is not used for critically evaluating websites when doing a literature review?

accessibility

The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems?

activity and rest

A nurse is completing a family assessment on a routine home health visit. The parents have a child with a severe peanut allergy. The mother states that she does not purchase any foods with peanut or peanut oil for her family. The other children are allowed to have foods containing peanuts while they are at school and visiting with friends and family. The nurse would conclude that which of the following theories would most like be the basis for this family's functioning?

adaption theory

adaption theory

adjustment of living matter to their living things and environment

A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client?

"The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

Which action(s) will the nurse take when preparing for and conducting a teaching session for clients with visual impairment? Select all that apply.

Avoiding the use of materials printed on glossy paper Using a lamp that shines over the clients' shoulders Ensuring that the clients are wearing prescription eyeglasses

A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment?

A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

Which statement describes the person who is likely the most motivated to learn?

A 70-year-old female who is the client's spouse and is learning the care so the client can come home

The client is newly diagnosed with type 2 diabetes. After teaching the client about diabetes and how to self-administer insulin, the nurse identifies which client response as a need for additional education?

During the return demonstration, the client draws up insulin, leaving tiny bubbles in the syringe.

A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of:

Erikson

P in PICOT

Patient, population, or problem of interest

which students study the best in a group setting

People-oriented learners

Which strategy should the nurse use when providing education to the older adult client?

Remain calm and conduct the teaching session in a quiet environment.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives?

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

A nurse is reading a research article from a nursing journal. The nurse is aware that the opening paragraph summarizing the article and the research findings is a good place to start. What part of the article is the nurse reading?

abstract