Foundations of Nursing Chapter 14 & 15

The nurse manager conducts routine staff evaluations. The nurse manager establishes interprofessional committees The nurse manager monitors professional nursing standards. The nurse manager recommends new equipment for the unit.

A nurse manager has been newly appointed. Which activities indicate that the nurse manager has a good understanding of the roles and responsibilities?

Depression Changes in gait Sleep difficulties

Pain is a symptom and a sensation of distress. Which are consequences of persistent pain?

During the 1970s

Primary nursing is a nursing care delivery model. When was this model of care adopted?

Presbycusis

The caregiver of an older adult patient reports, "My father, in spite of turning up the volume on the radio and television, complains that he is unable to hear." Which condition should the nurse suspect in the patient?

Be honest Use tact Ask objective questions

The nurse assessing a patient with genital lesions suspects the patient has multiple sexual partners. How should the nurse get more information from the patient?

Depression

When an older adult suffers a major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis, for what should the nurse be alert?

Dry vagina Reduced size of the vagina

Which age-related finding related to reproductive health can be seen in an older adult female patient.

Inexperience Inflexible attitude Weak competency

Which components can restrict the student nurse's ability to move from a basic level to a complex level of critical thinking?

Presbycusis

Which condition does the nurse suspect in an older adult patient who has complained of daily hearing decline?

Intermediate-priority level

A patient is scheduled for surgery. The nurse is teaching interventions to the patient to decrease postoperative complications. Which level of intervention is required for the patient?

Lens discoloration

An older adult is unable to distinguish between the colors blue and black. Which is the most likely cause for this condition?

Diarrhea Flatulence Constipation

Gastrointestinal function changes due to aging. Which effects are related to alterations in the lower gastrointestinal tract?

Decreased saliva production Loss of skin elasticity Loss of visual acuity Increased blood pressure

The home health nurse is performing an initial assessment on an elderly patient. Which physiological changes should the nurse anticipate as being normal for an elderly patient?

Analysis

The nurse finds that a patient who had radical prostatectomy has incision pain, fever, and nausea. Based on the findings, the nurse concludes that the patient has infection at the surgical site. Which critical thinking skill has the nurse applied?

Goal setting Time analysis Priority setting Interruption control

Time management skills are helpful in managing stress. Which principles are included in time management?

Offer foods rich in glucose

A patient with diabetes has come to the nurse with symptoms suggestive of hypoglycemia. Which would be the first appropriate nursing intervention?

Cataracts

The nurse sees a 76-year-old in the outpatient clinic. The patient's chief complaint is vision. The patient has really noticed glare in the lights at home; vision is blurred; and the patient is unable to play cards with friends, read, or do needlework. What is this patient experiencing?

Open-mindedness, continual inquiry, and perseverance. Recognition of an issue, analysis of related information, and formation of conclusions. Imagination and exploration of alternatives, consideration of ethical principles, and informed decision making.

The nurse tries to apply the concept of critical thinking in clinical practice. Which are characteristics of critical thinking?

Bathing Toileting Dressing

The nurse visits a patient at home. Which activities should the nurse assess to determine the patient's ability to perform activities of daily living (ADL),?

A patient who lost consciousness A patient who has impaired oxygenation A patient whose cardiac output is decreased

The nurse works in a medical unit. Which patients should the nurse consider at a high-priority level for nursing care?

Be committed to providing excellent patient care. Inform clients about ways to improve self-care. Check with the patient about his or her health status after discharge.

The nursing student is learning that accountability is one of the four key elements in decision making. Which actions indicate that the nursing student displays an understanding of accountable nursing care?

Consistent

The surgical unit has initiated the use of a pain-rating scale to assess patients' pain severity during their postoperative recovery. The registered nurse (RN) looks at the pain flow sheet to see the pain scores recorded for a patient over the last 24 hours. Use of the pain scale is an example of which intellectual standard?

The model allows lateral communication from nurse to nurse.

There are three models of nursing care delivery. Which statement is true about the primary nursing model?

Remote memory that becomes progressively impaired, fragmented sleep

What are the clinical features of an older patient with dementia?

Decreased accommodation Reduced ability to see in darkness More ambient light is necessary for reading

Which conditions are related to presbyopia?

Creativity

Which critical thinking attitude should the nurse possess to identity new solutions to patient-related problems?

It provides care by meeting a patient's expressed or unexpressed needs.

Which description is applicable to therapeutic communication?

After completing the teaching, the nurse observes the patient draw up and administer an insulin injection.

Which example demonstrates the nurse performing the skill of evaluation?

Reflective journaling

Which method should the student nurse use to reflect on and analyze the student's own thoughts, actions, and knowledge?

Patient C has a loss of skin elasticity.

Which patient's finding will the nurse document as a normal aging process?

Accountability

While administering medications, the nurse realizes that she has given the wrong dose of medication to a patient. She completes an incident report and notifies the patient's healthcare provider. What characteristic is the nurse demonstrating?

Problem solving

While assessing a patient, the nurse observes that the patient's intravenous (IV) line is not infusing at the ordered rate. The nurse assesses the patient for pain at the IV site, checks the flow regulator on the tubing, looks to see if the patient is lying on the tubing, checks the point of connection between the tubing and the IV catheter, and then checks the condition of the site where the IV catheter enters the patient's skin. After the nurse readjusts the flow rate, the infusion begins at the correct rate. Of what is this an example?

Go slow. Wear supportive shoes. Exercise with a partner. Avoid exercising outdoors in extreme weather.

An older adult wishes to start an exercise regimen. Which safety advice should the nurse provide this patient?

Osteoporosis

An older patient is diagnosed with dorsal kyphosis. What is a contributing factor for developing this disorder?

Keeps all managers & staff members actively involved It facilitates greater collaborative effort for patient care The nursing staff would be highly motivated in this system of management

A group of registered nurses in a 75-bed, pediatric health care facility are planning to apply for Magnet status for the hospital. One of the nurses proposes decentralizing the care-managing process to improve the nursing management system. Which advantages of decentralized management may have led the nurse to propose this?

Conduct routine nursing staff evaluations. Interview and hire new nursing employees. Conduct rounds to solve patient and caregiver complaints.

A group of registered nurses in a 75-bed, pediatric healthcare facility are planning to apply for Magnet status for the hospital. The nurses plan to change the nursing management system of the facility. They have to appoint a nurse manager who can carry out the responsibilities successfully. What are the responsibilities of a nurse manager?

"I'm always worried about my finances." "I have gained 15 pounds in one month." "I tend to eat fast food because it's affordable."

A nurse suspects that an older adult patient is at a high risk of coronary artery disease. Which statement by the patient helped the nurse reach this conclusion?

The registered nurse leads the team of other nurses and nursing assistants. Team leader develops patient care plans and coordinates with team members Team members provide direct patient care under supervision of the registered nurse

A nursing student is learning about the different nursing care delivery models. What characteristics of team nursing hold true?

The nurse should provide a straightforward explanation to the patient for why the confusion occurred. The nurse should remember the need to be open-minded while looking at the patient's information during the initial diagnosis. The nurse should retroactively correlate the patient's data to see what was missed.

A patient complains of epigastric pain. The nurse assumes the problem is gastritis and educates the patient about the condition. The patient is later diagnosed with mild myocardial infarction. Which statements indicate appropriate management of the situation?

Use previous knowledge.

A patient who received penicillin developed a rash on the right hand. The patient asked the nurse why the rash developed. How should the nurse explain this to the patient?

Falls

An older patient presents to the nurse with impaired vision, nocturia, and agitation. Which risk is most likely to occur in this patient?

Fairness

A second-year nursing student works in a surgical unit. A 56-year-old male patient admitted to the unit underwent a prostatectomy. The patient expresses to the nursing student that he is experiencing some pain and discomfort. The nursing student examines the patient's wound. The patient also tells the nurse that another nurse visited him a while ago but was rude and did not pay any attention to him. The student nurse apologizes to the patient and ensures that the patient's needs are fulfilled. The student speaks to the co-worker and manages the situation. Which attitude for critical thinking did the nursing student display here?

Make the environment safe for the patient to move in. Limit choices in dressing and eating. Institute measures to correct underlying physiological alterations.

An older adult is in the early stages of Alzheimer's disease. The patient is an accountant by profession and has been forgetful in the last few months. The patient also has difficulty memorizing events or numbers. Due to the decline in cognitive function, the patient finds it difficult to perform the activities of daily living (ADLs). Which supportive measures would help in rehabilitating the patient?

Encourage fluid intake. Train the caregiver to provide nursing care. Compensate for sensory deficits.

An older adult is in the early stages of Alzheimer's disease. The patient is an accountant by profession. The patient has been forgetful in the last few months and has difficulty memorizing events or numbers. Due to the decline in cognitive function, the patient finds it difficult to perform activities of daily living. Which interventions should the nurse teach the caregiver to ensure proper patient care?

Description of the efforts to restore the child's blood pressure, what was used, and questions about the child's response The meaning the experience had for the nurse with respect to understanding how to deal with a patient's death Description of what the nurse said to the mother, the mother's response, and how the nurse might approach the situation differently in the future

The nurse cared for a 14-year-old with renal failure who died near the end of the work shift. The health care team tried for 45 minutes to resuscitate the child with no success. The family was devastated by the loss, and, when the nurse tried to talk with them, the mother said, "You can't make me feel better; you don't know what it's like to lose a child." Which journal entries might best help the nurse reflect and think about this clinical experience?

"Do you have history of skipping meals?" "Do you have a history of frequent accidents?" "Do you face any difficulty while handling financial issues?"

The nurse is assessing an elderly patient who has a history of excessive alcohol use. Which questions asked by the nurse would be most appropriate for the patient?

"Do you have a history of head trauma?" "Do you have a history of hypertension?" "Do you have a family history of heart disease?"

The nurse is assessing an elderly patient with a history of smoking. Which questions asked by the nurse would be beneficial when assessing the risk of stroke in the patient?

A house with only one floor A house with no exterior steps

The nurse is assessing the housing needs of an older adult with severe arthritis who has recently undergone knee replacement surgery. Which kinds of house are appropriate for this patient?

Dehydration Immobilization Sleep deprivation

The nurse is caring for an elderly patient who is diagnosed with heart failure. After a week the nurse notices patient behavior that suggests delirium. What does the nurse suspect to be a cause of the delirium?

Delirium

The nurse is caring for an elderly patient who is having difficulty recalling directions after hospitalization. On assessment, the nurse noticed that hypoxia has intensified the condition. What is the possible psychological condition of the patient?