exam 1 nursing
provide direct medical care, provide comprehensive care, establish a collaborative provider-patient relationship
A patient with asthma approaches a primary care center for management of the illness. What is the role of the nurse practitioner during the patient's visit for primary care?
Obtains an interpreter to facilitate communication of medication information
A patient with limited English proficiency is going to be discharged on new medication. How should the nurse complete the discharge teaching?
manage disease and symptoms, help patient establish and achieve goals, implement measure to restore emotional and social well being
A patient with lung cancer is emotionally, economically, and socially disturbed. What is the role of the nurse as a caregiver?
certified nurse midwife
A pregnant patient is diagnosed with a minor vaginal infection. Which nursing domain involves providing independent care for women during normal pregnancy, including labor, delivery, and care for the newborn?
i will document the diagnostic procedure, i will verbally communicate with the healthcare team
A registered nurse (RN) is teaching a nursing student about the different assessments required while communicating throughout the nursing process. Which statement by the nursing student indicates the need for further teaching?
is a voluntary medical insurance plan
During a health campaign, the nurse is educating a group of older patients about Medicare. Which statement describes part B of this plan?
clarifying
The nurse states to a patient, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" Which therapeutic communication technique does this illustrate?
provide quality care to each patient, ensure that patients leave with a positive image of nursing, manage time and approach all patients with compassion
The nurse usually is assigned multiple patients at one time. What should the nurse do to ensure individual patient satisfaction?
health education & promotion, support for self care and caregivers
The nurse works in a nurse-managed clinic. What is the purpose of nurse-managed clinics?
incidence of pressure ulcers, nursing hours per patient per day, education & certifications of nurses working in the hospital
The nursing department of a 600-bed urban hospital is planning to apply to the American Nurses Credentialing Center for Magnet status. Before applying, the administration decides to examine the quality of the nursing care provided in the hospital. Which data should be collected to assess the quality of nursing care?
I should assess the availability of teaching tools
The registered nurse (RN) is teaching a nursing student about assessing learning resources for patient education. Which statement made by the nursing student indicates effective learning?
I should lean away from the patient, I should keep my arms and legs crossed
The registered nurse (RN) is teaching a nursing student about nonverbal skills that facilitate attentive listening while interacting with the patient. Which statement by the nursing student indicates the need for further teaching?
I should withhold key information that might make the patient depressed, I should leave immediately after giving care to allow the patient to rest
The registered nurse (RN) is teaching a nursing student about the development of trust while caring for patients. Which statement by the nursing student indicates the need for further learning?
Situation, Background, Assessment, and Recommendation
What does the communication tool SBAR stand for in professional communication among team members?
false reassurance
Which nontherapeutic communication technique is the nurse using when saying, "Don't worry; everything will be all right" to a patient?
"No one here would intentionally lie to you."
Which nontherapeutic communicative statement indicates a defensive response?
certified clinical nurse specialist, nurse practitioner
Which nursing roles may have prescriptive authority in their practice?
The low rate of hospital acquired infections
Which parameter indicates a high quality of nursing care provided in the care unit?
Let's talk about the concerns that you have about going home."
Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviating the patient's fear and anxiety?
student nurse is applying quality improvement
While evaluating a student nurse's performance, the head nurse finds that the student nurse has identified errors and hazards in care and has designed and tested interventions. What does the head nurse infer from this evaluation?
group discussion
While teaching pregnant women about nutrition and diet planning, the nurse randomly selects several women and gives them an opportunity to share their diet plans to correct mistakes and reinforce the correct information. Which method of teaching is the nurse following?
You are not convinced that you need to stop drinking."
a patient says to the nurse, "i have been drinking four glasses of whiskey daily for the past 20 years, and i never had any problems. i don't know why my primary healthcare provider has asked me to stop drinking." how should the nurse paraphrase this statement?
portal of exit
micro-organisms leave the host to enter another host and cause infection (sneezing, coughing, feces)
5,000-10,000
normal WBC
erythrocyte sedimentation rate
rate at which red blood cells in un-coagulated blood fall to the bottom of a tube
portal of entry
site through which micro-organisms enter the susceptible host and cause infection (breaks in skin)
susceptible host
someone at risk of becoming infected with a certain disease due to a variety of reasons (usually immuno-compromised)
posture, eye contact
A 40-year-old patient is suffering from poorly controlled hypertension. The dietitian recommends several dietary modifications to the patient. The patient tries to explain the reason for poor dietary compliance; the patient works extra hours and does not have the time to cook. Which elements of nonverbal communication should the nurse utilize to establish a good nurse-patient helping relationship?
Rate of infections after surgery, Readmission rates of patients, Time frame for returning to work after discharge
A group of health care professionals in the medical-surgical unit of a 600-bed urban hospital is working to assess and improve the quality of health care delivery. The staff nurse has been told to collect the data required to assess the quality of health care delivery. Which relevant data is the nurse expected to collect?
Planning, Diagnosis, Assessment
A patient has a lung infection. Which nursing standards of practice should the nurse adopt while caring for this patient?
implementation
A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?
improves patients self efficacy
A patient is scheduled for surgery on a fractured foot. The nurse demonstrates postoperative exercises to help the patient regain motion and strength, and asks the patient to return demonstrate it. What does this nursing action establish
noncompliance due to deficient knowledge
A patient presents to the clinic with complaints of elevated blood pressure. While assessing the patient's health status, the nurse learns that the patient has been avoiding medications because the patient is confused as to the specified drug regimen. What type of nursing diagnosis can be determined for this patient?
implementation
A patient sprained her ankle. The nurse instructs the patient to keep the leg elevated and applies cold compresses on the affected ankle. Which standard of practice is the nurse performing?
it's a funded national health insurance program in the U.S., payment for the plan is deducted on a montly basis from patients social security check
A patient tells the nurse that he has just received green card status in the United States and wishes to learn about the health care system in the country. The nurse explains to this patient about the various health care plans available in the United States. Which statements are true for the Medicare plan?
The cost of surgeries done in office surgical suites is far less than that in urban hospitals
A patient tells the nurse that she has just received green card status in the United States and does not have much awareness of the health care system in the country. She asks the nurse whether it is best to have minor surgery in an urban hospital or a stand-alone clinic of an individual health care provider. The nurse answers that physicians perform simple surgeries in office surgical suites. It is preferable to go to them for a minor surgery rather than to a large urban hospital. Why does the nurse give this advice to the patient?
The nurse focuses teaching on knowledge required in the future. The nurse teaches family necessary information for the patient's discharge.
A patient who is diagnosed with Parkinson disease tells the nurse, "I recognize the reality of my condition and want to strive for independence." After considering the current stage of grief, which plan of action by the nurse would be appropriate? Select all that apply.
It provides management of chronic illness
A patient who is diagnosed with diabetes mellitus is discharged to home. The primary health care provider asks the patient to continue the follow-up in a nurse-managed clinic. What could be one reason for referring the patient to the nurse-managed clinic?
medical asepsis
Clean - Reduces or inhibits number and growth of microorganism
defines the principles of right and wrong when providing patient care
The nurse is participating in a clinical care coordination conference for a patient with terminal cancer. The nurse talks with colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. What does this code do?
acquiring knowledge, improving competencies, acquiring technical skills
Nurses are responsible for the quality of care provided to patients. Which will help nurses practice safe nursing?
Nursing practice helps shape health policy and health systems management, Nursing practice involves collaborative care of sick individuals of all ages, families, groups, and communities, Nursing practice involves helping a dying client find relief from pain, Nursing practice involves interpreting clinical situations and making complex decisions, based on knowledge and experience.
Nursing is important in providing safe, patient-centered health care to the global community. Which statements are true about the nursing practice?
surgical asepsis
Sterile - Eliminates all organisms, both pathogenic and non-pathogenic, including spores
working phase
The nurse is performing a routine health checkup for a patient and reports abnormal vital signs to the primary health care provider. Which phase of nurse-patient relationship is involved in this scenario?
nurse educator, nurse researcher, APRN, nurse administrator
The nurse is planning to obtain a master's degree in nursing. Which role can the nurse with a master's degree in nursing fulfill?
informatics
The critical care nurse is using a computerized decision support system to correctly position ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
provide under supervision of primary health care provider with knowledge of surgical anesthesia
The health care provider asks the certified registered nurse anesthetist (CRNA) to provide spinal anesthesia to a patient who is scheduled for a hernia operation. What is the CRNA's next step?
denotative
The nurse and a patient are talking about a baseball game. Both of them are using the word baseball to refer to the sport. Which best describes the use of the word baseball in this context?
the patient is short of breath
The nurse has a patient who is short of breath and calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. Which does the nurse address first?
Evaluate whether the patient has achieved the goal of maintaining normal blood sugar levels
The nurse is caring for a patient with diabetes. Which nursing action is involved in the termination phase of the nurse-patient relationship?
teaching the patient about administration of meds
The nurse is caring for a patient with hypertension. Which nursing intervention indicates that the nurse is providing patient-centered care focused on transition and continuity?
encourage patient seek medical help if problems arise, identify appropriate resources to ensure continuity of care, help patient learn safe and effective use of medication, teach rehab techniques to support adaptation
The nurse is explaining to a nursing student about discharge planning. Which objectives are included in the discharge planning?
physical and speech therapy, drug dependence counseling
The nurse is learning about rehabilitation services that are provided to patients in different settings. Which actions should the nurse perform as a part of rehabilitation services?
Under the staff model, physicians are salaried employees of an MCO. An MCO with a group model contracts with a single group practice. An MCO with a network model may contract with multiple group practices.
The nurse is learning about the different health care plans for the benefit of patients. Which provisions does the nurse classify under Managed Care Organization (MCO)?
Revise practice standards, Change nursing education, Explore new methods of providing care
The nurse is learning about the effects of health care reform. Which type of actions should the nurse perform in response to health care reform?
be relaxed, avoid sitting with hands crossed, maintain eye contact
The nurse is taking the patient's medical history. Which actions should the nurse perform to practice active listening skills?
virulence
ability to cause disease
nosocomial infection
accquired in health care setting
infectious agent
bacteria, viruses, fungi, parasites
means of transmission
direct, indirect, airborne, vector borne
WBC
during infection which blood cell type goes up
montly deduction taken out of payroll of all working people
how is medicare funded
aseptic technique
includes all activities to prevent/break the chain of infection
reservoir
infectious agent (microorganism) resides here and reproduces (could be food,water, other humans, animals, soil, milk, inanimate objects)
