Practice Questions
The nurse is communicating with a primary care provider about medical interventions prescribed for a client. Which statement is most representing of a collaborative relationship? -"That new medication you prescribed for Mr. Black is ineffective." -"I am worried about Mr. Black's BP. It is not decreasing even with the antihypertensive medication." -"Can we talk about Mr. Black?" -"Excuse me doctor, I think we need to talk about Mr. Black's BP"
"I am worried about Mr. Black's BP. It is not decreasing even with the antihypertensive medication."
A patient with chest pain is being admitted to the ED. When asked about next of kin the patient states, "don't bother calling my daughter; she is always too busy." Which is the best response by the nurse? -"She might be upset if you don't call her." -"What does your daughter do that makes her so busy?" -"Is there someone else that you would like me to all for you?" -"I can't imagine that your daughter wouldn't want to know that you are sick."
"Is there someone else that you would like me to all for you?"
What is the difference between a hypothesis and a research problem? -There is no difference between a research problem and a hypothesis -A hypothesis is theory based, and a research question is practice based -A hypothesis attempts to answer the question posed by the research problem -A research problem defines clinical research, and a hypothesis defines bench research
A hypothesis attempts to answer the question posed by the research problem
A nurse is providing health teaching for a pt with a cognitive deficit. Which interventions by the nurse will support this pt's learning? Select all that apply -using simple vocab and syntax -establishing a structured environment -asking the unclear words be repeated -speaking directly in front of the pt -making a referral for a hearing evaluation
A, B, C
A nurse is teaching a patient who has impaired vision to self-inject insulin. Which should the nurse do to facilitate the teaching-learning process? Select all that apply -obtain an order for automatic stop syringes -provide written info in large print -use audio learning materials -enunciate each word clearly -speak slowly
A, B, C
A nurse is planning a teaching plan for an older adult. Which common factors among older adult patients must be considered? Select all that apply -sensory decline occurs as one ages -learning may require more energy -intelligence decreases as people age -older adults rely more on visual rather than auditory learning -older adult pt's are more resistant to change that accompanies new learning
A & B
A nurse has been assigned to a client who is hearing impaired and reads speech. Which strategies should the nurse incorporate when communicating w a pt? Select all that apply -avoid being silhouetted against strong light -do not block out the persons view of the speakers mouth -face the client when talking -ensure the client is familiar with the subject material before hand -talk to the client while doing other nursing procedures
A, B, C, E
Which of the following are basic purposed for an accurate and complete written patient records? Select all that apply -Sometimes used by government agencies to evaluate patient care -It is a permanent record for accountability -It is a legal record of care -They are perfect sources for business and marketing -Can be used for research, teaching, and data collection
A, B, C, E
Which nursing actions should the nurse implement when speaking with an older adult whose hearing is impaired? Select all that apply -limit background noise -exaggerate lip movements -lower the pitch of your voice -stand directly in front of the pt when speaking -raise the volume of your voice while speaking directly toward the pt's good ear
A, C, D
A nurse is teaching an older adult how to perform a dressing change. Which nursing action is most important to address a developmental stress of older adults? -Speak louder when talking to a patient -Use terminology understandable to the patient -Have the patient provide a return demonstration -Allow more time for the patient to process information
Allow more time for the patient to process information
A nurse is designing a teaching-learning program for a patient who is to be discharged from the hospital. After developing a nurse-patient relationship, which should the nurse do next? -Identify the patients locus of control -Use a variety of teaching methods appropriate for the patient -Formulate an achievable, measurable, and realistic patient goal -Assess the patients current understanding of the content to be taught
Assess the patients current understanding of the content to be taught
The nurse is notifying the HCP of the client's change in the status using SBAR format. In which order should the nurse place the statements? -"I suggest that the client be transferred to the critical care unit, and I would like you to come evaluate the client." -" The client is deteriorating and I'm afraid the client is going to arrest." -"I m calling about (client name and location). Vital signs are BP=100/50, P=120, RR=30 T=100.4F." -"The client is becoming confused and agitated. The skin is pale, mottled, and diaphoretic. The client is dyspneic with an O2 sat of 85% despite placing on non-rebreather mask.
C, D, B, A
A client who has been treated for chronic open-angled glaucoma (COAG) for 5 years asks the nurse, "How does glaucoma damage my eyesight?" The nurses reply should be based on the knowledge that COAG: -Results from chronic eye inflammation -Causes increased intraocular pressure -Leads to detachment of the retina -Is caused by deceased blood flow to the retina
Causes increased intraocular pressure
A nurse is planning to engage a patient in a program to learn about a newly diagnosed illness. Which psychosocial response to the illness will have the greatest impact on the patients future success of learning? -fear -denial -fatigue -anxiety
Denial
The client states, " You won't believe what my husband said to me during visiting hours. He has no right treating me that way." Which nursing response would best assess the situation that occurred? -Does your husband treat you like this very often? -What do you think your role is in this relationship? -Why do you think that he behaved like that? -Describe what happened during your time with your husband.
Describe what happened during your time with your husband
A nurse is teaching a patient colostomy care in relation to the affective domain. Which teaching method is most effective for this situation? -Discussing a pamphlet about colostomy care from the American Cancer Society -Exploring how the patient feels about having a colostomy -Providing a demonstration on how to do colostomy care -Showing a videotape demonstration colostomy care
Exploring how the patient feels about having a colostomy
Why are extraneous variables limited or eliminated in a well-designed study? -More research questions would be required to define the extraneous variable -Extraneous variables compete with the dependent variable as an explanation of the study's outcome -Extraneous variables compete with the independent variable as an explanation of the study's outcome -Manipulation of extraneous variables increases the risk for researcher bias in the study's outcome
Extraneous variables compete with the independent variable as an explanation of the study's outcome
A nurse is planning teaching about a weight-reduction strategies to an obese patient. Which should the nurse assess first before implementing the teaching plan? -Intelligence -Experience -Motivation -Strengths
Motivation
A nurse is caring for a confused patient with a diagnosis of dementia of the Alzheimer's type. Which should the nurse say when assisting the patient to eat? -Please eat your meat -It's important that you eat -What would you like to eat? -If you don't eat, then you cant have dessert
Please eat your meat
A client has a history of macular degeneration. While int he hospital, the priority nursing goal will be to: -Provide education regarding community services for clients with adult macular degeneration (AMD) -Provide health care related to monitoring the eye condition -Promote a safe, effective care environment -Improve vision
Promote a safe, effective care environment
A client using timolol maleate eyedrops. The expected outcome of this drug is to control glaucoma by: -Constricting the pupils -Dilating the canals of schlemm -Reducing aqueous humor formation -Improving the ability of the ciliary muscle to contract
Reducing aqueous humor formation
For which of the following research questions would qualitative methods be most appropriate? -Which pain meds decrease the need for sleep meds in the elder population? -What is the meaning of health for migrant farm-worker women? -Under what conditions does a decubitus ulcer heal most quickly? -How does frequency of med admin impact the degree of pain experienced after knee replace?
What is the meaning of health for migrant farm-worker women?
A nurse is teaching an older adult how to perform a dressing change. Which nursing action is most important to address a developmental stress of older adults? -speak louder when talking to pt -use terminology understandable to pt -have pt provide a return demo -allow more time for pt to process information
allow more time for the patient to process information
A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle-closure glaucoma: -frequently resolves w/out treatment -it is typically treated with sustained bedrest -is a medical emergency that can rapidly lead to blindness -is most commonly treated with steroid therapy
is a medical emergency that can rapidly lead to blindness
The nurse should assess an older client with macular degeneration for: -loss of central vision -loss of peripheral vision -total blindness -blurring of vision
loss of central vision
The nurse is setting up supplies to complete a dressing change at 2000 hours on a pt's stump following a R leg BKA. The client looks away and states " I don't want to look at that thing, cant you come back later?" What is the nurses best action? -put the supples away and reattempt the dressing change in 1 hour -complete the dressing change because it si prescribed for 2000 -ask the client, "why don't you want your dressing changed now?" -restate, "You don't want to look at your leg?" and allow time for response
restate, "You don't want to look at your leg?" and allow time for a response
What is the first step in the qualitative research process? -data analysis -sample -review of literature -study design
review of literature
The nurse should assess an older client with macular degeneration for; -loss of central vision -loss of peripheral vision -total blindness -blurring vision
loss of central vision
Which measure should the nurse teach the client with adult macular degeneration (AMD) as a safety precaution? -wear a patch over one eye -place personal items on the sighted side -lie in bed with the unaffected side toward the door -turn the head from side to side when walking
turn the head from side to side when walking
