Chapters 5,6,8,10,11,17,41
A nurse states, "That patient is 78 years old—too old to learn how to change a dressing." What is the nurse demonstrating? Cultural imposition Clustering Cultural competency Stereotyping
Stereotyping
An older nurse asks a younger coworker why the new generation of nurses just aren't ethical anymore. Which reply reflects the BEST understanding of moral development? "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code." "I don't agree that nurses were more ethical in the past. It's a new age and the ethics are new!" "Ethics is genetically determined...it's like having blue or brown eyes. Maybe we're evolving out of the ethical sense your generation had." "I agree! It's impossible to be ethical when working in a practice setting like this!"
"Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code."
A nurse in the rehabilitation division states to the head nurse: "I need the day off and you didn't give it to me!" The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." Instead of this exchange, what communication by the nurse would have been more effective? "I placed a request to have 8th of August off, but I'm working and I have a doctor's appointment." "I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's appointment. Could I make an appointment?" "I will need to call in on the 8th of August because I have a doctor's appointment." "Since you didn't give me the 8th of August off, will I need to find someone to work for me?"
"I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's appointment. Could I make an appointment?"
A nurse develops a detailed care plan for a 16-year-old patient who is a new single mother of a premature infant. The plan includes collaborative care measures and home health care visits. When presented with the plan, the patient states, "We will be fine on our own. I don't need any more care." What would be the nurse's best response? "You know your personal situation better than I do, so I will respect your wishes." "If you don't accept these services, your baby's health will suffer." "Let's take a look at the plan again and see if we can adjust it to fit your needs." "I'm going to assign your case to a social worker who can explain the services better."
"Let's take a look at the plan again and see if we can adjust it to fit your needs."
A nursing student is preparing to administer morning care to a patient. What is the MOST important question that the nursing student should ask the patient about personal hygiene? "Would you prefer a bath or a shower?" "May I help you with a bed bath now or later this morning?" "I will be giving you your bath. Do you use soap or shower gel?" "I prefer a shower in the evening. When would you like your bath?"
"May I help you with a bed bath now or later this morning?"
A school nurse is teaching parents how to foster a healthy development of self in their children. Which statement made by one of the parents needs to be followed up with further teaching? "I love my child so much I 'hug him to death' every day." "I think children need challenges, don't you?" "My husband and I both grew up in very restrictive families. We want our children to be free to do whatever they want." "My husband and I have different ideas about discipline, but we're talking this out because we know it's important for Johnny that we be consistent."
"My husband and I both grew up in very restrictive families. We want our children to be free to do whatever they want."
A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's BEST response? "I'm just the IV therapist checking your IV." "I've been transferred to this division and will be caring for you." "I'm sorry, my name is John Smith and I am your nurse." "My name is John Smith, I am your nurse and I'll be caring for you until 11 PM."
"My name is John Smith, I am your nurse and I'll be caring for you until 11 PM."
A public health nurse is leaving the home of a young mother who has a special needs baby. The neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's BEST response to the neighbor? "New mothers need support." "The lack of a father is difficult." "How are you today?" "It is a very sad situation."
"New mothers need support."
A patient states, "I have been experiencing complications of diabetes." The nurse needs to direct the patient to gain more information. What is the MOST appropriate comment or question to elicit additional information? "Do you take two injections of insulin to decrease the complications?" "Most health care providers recommend diet and exercise to regulate blood sugar." "Most complications of diabetes are related to neuropathy." "What specific complications have you experienced?"
"What specific complications have you experienced?"
A nurse is interviewing a newly admitted patient. Which question is considered culturally sensitive? "Do you think you will be able to eat the food we have here?" "Do you understand that we can't prepare special meals?" "What types of food do you eat for meals?" "Why can't you just eat our food while you are here?"
"What types of food do you eat for meals?"
During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. Upon entering the room, what is the nurse's BEST response? "You need to speak to the patient quietly so you don't disturb the other patients." "Let me help you with your transfer technique." "When you are finished, be sure to apologize for your rough demeanor." "When your patient is safe and comfortable, meet me at the desk."
"When your patient is safe and comfortable, meet me at the desk."
A nurse practicing in a health care provider's office assesses self-concept in patients during the patient interview. Which patient is least likely to develop problems related to self-concept? A 55-year-old television news reporter undergoing a hysterectomy (removal of uterus) A young clergyperson whose vocal cords are paralyzed after a motorbike accident A 32-year-old accountant who survives a massive heart attack A 23-year-old model who just learned that she has breast cancer
A 55-year-old television news reporter undergoing a hysterectomy (removal of uterus)
A nurse caring for culturally diverse patients in a health care provider's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race? Select all that apply. A Native American patient An African-American patient An Alaska Native An Asian patient A White patient A Hispanic patient
A Native American patient An Alaska Native A White patient A Hispanic patient
A nurse caring for patients in a primary care setting submits paperwork for reimbursement from managed care plans for services performed. Which purpose best describes managed care as a framework for health care? A design to control the cost of care while maintaining the quality of care Care coordination to maximize positive outcomes to contain costs The delivery of services from initial contact through ongoing care Based on a philosophy of ensuring death in comfort and dignity
A design to control the cost of care while maintaining the quality of care
In order to provide culturally competent care, nurses must be alert to factors inhibiting sensitivity to diversity in the health care system. Which nursing actions are examples of cultural imposition? Select all that apply. A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily. A nurse treats all patients the same whether or not they come from a different culture. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray of their favorite foods. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence. A nurse directs interview questions to an older adult's daughter even though the patient is capable of answering them. A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage.
A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence.
A nurse performs nurse-initiated nursing actions when caring for patients in a skilled nursing facility. Which are examples of these types of interventions? Select all that apply. A nurse administers 500 mg of ciprofloxacin to a patient with pneumonia. A nurse consults with a psychiatrist for a patient who abuses pain killers. A nurse checks the skin of bedridden patients for skin breakdown. A nurse orders a kosher meal for an orthodox Jewish patient. A nurse records the I&O of a patient as prescribed by his health care provider. A nurse prepares a patient for minor surgery according to facility protocol.
A nurse checks the skin of bedridden patients for skin breakdown. A nurse orders a kosher meal for an orthodox Jewish patient. A nurse prepares a patient for minor surgery according to facility protocol.
A nurse is providing health care to patients in a health care facility. Which of these patients are receiving secondary health care? Select all that apply. A patient enters a community clinic with signs of strep throat. A patient is admitted to the hospital following a myocardial infarction. A mother brings her son to the emergency department following a seizure. A patient with osteogenesis imperfecta is being treated in a medical center. A mother brings her son to a specialist to correct a congenital heart defect. A woman has a hernia repair in an ambulatory care center.
A patient is admitted to the hospital following a myocardial infarction. A mother brings her son to the emergency department following a seizure. A woman has a hernia repair in an ambulatory care center.
A nurse who is working in a hospital setting uses value clarification to help understand the values that motivate patient behavior. Which examples denote "prizing" in the process of values clarification? Select all that apply. A patient decides to quit smoking following a diagnosis of lung cancer. A patient shows off a new outfit that she is wearing after losing 20 pounds. A patient chooses to work fewer hours following a stress-related myocardial infarction. A patient incorporates a new low-cholesterol diet into his daily routine. A patient joins a gym and schedules classes throughout the year. A patient proudly displays his certificate for completing a marathon.
A patient shows off a new outfit that she is wearing after losing 20 pounds. A patient proudly displays his certificate for completing a marathon.
A nurse cares for dying patients by providing physical, psychological, social, and spiritual care for the patients, their families, and other loved ones. What type of care is the nurse providing? Respite care Palliative care Hospice care Extended care
Hospice care
A student nurse begins a clinical rotation in a long-term care facility and quickly realizes that certain residents have unmet needs. The student wants to advocate for these residents. Which statements accurately describe this concept? Select all that apply. Advocacy is the protection and support of another's rights. Patient advocacy is primarily performed by nurses. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities. Nurse advocates make good health care decisions for patients and residents. Nurse advocates do whatever patients and residents want. Effective advocacy may entail becoming politically active.
Advocacy is the protection and support of another's rights. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities. Effective advocacy may entail becoming politically active.
A sophomore in high school has missed a lot of school this year because of leukemia. He said he feels like he is falling behind in everything, and misses "hanging out at the mall" with his friends most of all. For what disturbance in self-concept is this patient at risk? Personal Identity Disturbance Body Image Disturbance Self-Esteem Disturbance Altered Role Performance
Altered Role Performance
A student nurse is organizing clinical responsibilities for a patient who is diabetic and is being treated for foot ulcers. The patient tells the student, "I need to have my hair washed before I can do anything else today; I'm ashamed of the way I look." The patient's needs include diagnostic testing, dressing changes, meal planning and counseling, and assistance with hygiene. How would the nurse best prioritize this patient's care? Explain to the patient that there is not enough time to wash her hair today because of her busy schedule. Schedule the testing and meal planning first and complete hygiene as time permits. Perform the dressing changes first, schedule the testing and counseling, and complete hygiene last. Arrange to wash the patient's hair first, perform hygiene, and schedule diagnostic testing and counseling.
Arrange to wash the patient's hair first, perform hygiene, and schedule diagnostic testing and counseling.
A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What is the appropriate nursing intervention? Use short words and talk more loudly. Ask an interpreter for help. Explain why care can't be provided. Provide instructions in writing
Ask an interpreter for help.
A mother of a 10-year-old daughter tells the nurse: "I feel incompetent as a parent and don't know how to discipline my daughter." What should be the nurse's first intervention when counseling this patient? Recommend that she discipline her daughter more strictly and consistently. Make a list of things her husband can do to give her more time and help her improve her parenting skills. Assist the mother to identify both what she believes is preventing her success and what she can do to improve. Explore with the mother what the daughter can do to improve her behavior and make the mother's role as a parent easier.
Assist the mother to identify both what she believes is preventing her success and what she can do to improve.
A nurse asks a 25-year-old patient to describe himself with a list of 20 words. After 15 minutes, the patient listed "25 years old, male, named Joe," then declared he couldn't think of anything else. What should the nurse document regarding this patient? Lack of self-esteem Deficient self-knowledge Unrealistic self-expectation Inability to evaluate himself
Deficient self-knowledge
A college freshman away from home for the first time says to a counselor, "Why did I have to be born into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can't I have long thin legs like everyone else in my class? What a frump I am." What type of disturbance in self-concept is this patient experiencing? Personal Identity Disturbance Body Image Disturbance Self-Esteem Disturbance Altered Role Performance
Body Image Disturbance
A nurse asks a patient who has few descriptors of his self to list facts, traits, or qualities that he would like to be descriptive of himself. The patient quickly lists 25 traits, all of which are characteristic of a successful man. When asked if he knows anyone like this, he replies, "My father; I wish I was like him." What does the discrepancy between the patient's description of himself as he is and as he would like to be indicate? Negative self-concept Modesty (lack of conceit) Body image disturbance Low self-esteem
Body image disturbance
A nurse working in a primary care facility prepares insurance forms in which the provider is given a fixed amount per enrollee of the health plan. What is the term for this type of reimbursement? Capitation Prospective payment system Bundled payment Rate setting
Capitation
When interacting with a patient, the nurse answers, "I am sure everything will be fine. You have nothing to worry about." This is an example of what type of inappropriate communication technique? Cliché Giving advice Being judgmental Changing the subject
Cliché
The nurse practitioner sees patients in a community clinic that is located in a predominately White neighborhood. After performing assessments on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood have lost the cultural characteristics that made them different. What is the term for this process? Cultural assimilation Cultural imposition Culture shock Ethnocentrism
Cultural assimilation
A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. This nurse is displaying what cultural bias? Cultural imposition Clustering Cultural competency Stereotyping
Cultural imposition
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship? Determining the progress made in achieving established goals Clarifying when the patient should take medications Reporting the progress made in teaching to the staff Including all family members in the teaching session
Determining the progress made in achieving established goals
During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after communicating the nursing care plan. What would be appropriate nurse responses in this situation? Select all that apply. Fill the silence with lighter conversation directed at the patient. Use the time to perform the care that is needed uninterrupted. Discuss the silence with the patient to ascertain its meaning. Allow the patient time to think and explore inner thoughts. Determine if the patient's culture requires pauses between conversation. Arrange for a counselor to help the patient cope with emotional issues.
Discuss the silence with the patient to ascertain its meaning. Allow the patient time to think and explore inner thoughts. Determine if the patient's culture requires pauses between conversation.
A nursing student is nervous and concerned about working at a clinical facility. Which action would BEST decrease anxiety and ensure success in the student's provision of patient care? Determining the established goals of the institution Ensuring that verbal and nonverbal communication is congruent Engaging in self-talk to plan the day and decrease fear Speaking with fellow colleagues about how they feel
Engaging in self-talk to plan the day and decrease fear
A nurse wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for himself. The nurse believes his dying is being prolonged painfully. The patient's doctor threatens the nurse with firing if the nurse raises questions about the patient's care or calls the consult. What ethical conflict is this nurse experiencing? Ethical uncertainty Ethical distress Ethical dilemma Ethical residue
Ethical distress
Nursing students are reviewing information about health care delivery systems in preparation for a quiz the next day. Which statements describe current U.S. health care delivery practices? Select all that apply. Access to care depends only on the ability to pay, not the availability of services. The Patient Protection and Affordable Care Act provides private health care insurance to underserved populations. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits. The uninsured pay for more than one third of their care out of pocket and are usually charged lower amounts for their care than the insured pay. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do. Quality of care can be defined as the right care for the right person at the right time.
Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do. Quality of care can be defined as the right care for the right person at the right time.
A nurse researcher keeps current on the trends to watch in health care delivery. What trends are likely included? Select all that apply. Globalization of the economy and society Slowdown in technology development Decreasing diversity Increasing complexity of patient care Changing demographics Shortages of key health care professionals and educators
Globalization of the economy and society Increasing complexity of patient care Changing demographics Shortages of key health care professionals and educators
During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristics of effective communication? Select all that apply. Group decision making Group leadership Group power Group identity Group patterns of interaction Group cohesiveness
Group decision making Group identity Group patterns of interaction Group cohesiveness
A nurse is using the ESFT model to understand a patient's conception of a diagnosis of chronic obstructive pulmonary disease (COPD). Which interview question would be MOST appropriate to assess the E aspect of this model—Explanatory model of health and illness? How do you get your medications? How does having COPD affect your lifestyle? Are you concerned about the side effects of your medications? Can you describe how you will take your medications?
How does having COPD affect your lifestyle?
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party payer who pays all or most of the care. This is an example of what mode of health care payment? Out-of-pocket payment Individual private insurance Employer-based group private insurance Government financing
Individual private insurance
A nurse is providing instruction to a patient regarding the procedure to change a colostomy bag. During the teaching session, the patient asks, "What type of foods should I avoid to prevent gas?" The patient's question allows for what type of communication on the nurse's part? A closed-ended answer Information clarification The nurse to give advice Assertive behavior
Information clarification
A nurse incorporates the "five values that epitomize the caring professional nurse" (identified by the American Association of Colleges of Nursing) into a home health care nursing practice. Which attribute is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? Altruism Autonomy Human dignity Integrity
Integrity
A 36-year-old woman enters the emergency department with severe burns and cuts on her face after an auto accident in a car driven by her fiancé of 3 months. Three weeks later, her fiancé has not yet contacted her. The patient states that she is very busy and she is too tired to have visitors anyway. The patient frequently lies with her eyes closed and head turned away. What do these data suggest? There is no disturbance in self-concept. This patient has ego strength and high self-esteem but may have a disturbance of body image. The area of self-esteem has very low priority at this time and should be ignored until much later. It is probable that there are disturbances in self-esteem and body image.
It is probable that there are disturbances in self-esteem and body image.
An RN working on a busy hospital unit delegates patient care to UAPs. Which patient care could the nurse most likely delegate to a UAP safely? Select all that apply. Performing the initial patient assessments Making patient beds Giving patients bed baths Administering patient medications Ambulating patients Assisting patients with meals
Making patient beds Giving patients bed baths Ambulating patients Assisting patients with meals
A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. The nurse's action reflects which principle of bioethics? Autonomy Beneficence Justice Fidelity Nonmaleficence
Nonmaleficence
Nurses use the NIC Taxonomy structure as a resource when planning nursing care for patients. What information is found in this structure? Case studies illustrating a complete set of activities that a nurse performs to carry out nursing interventions Nursing interventions, each with a label, a definition, and a set of activities that a nurse performs to carry it out, with a short list of background readings A complete list of nursing diagnoses, outcomes, and related nursing activities for each nursing intervention A complete list of reimbursable charges for each nursing intervention
Nursing interventions, each with a label, a definition, and a set of activities that a nurse performs to carry it out, with a short list of background readings
A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and gasping sounds. Based on these nonverbal clues, for which condition would the nurse assess? Pain Anxiety Depression Fluid volume deficit
Pain
A nurse is caring for patients of diverse cultures in a community health care facility. Which characteristics of cultural diversity that exist in the United States should the nurse consider when planning culturally competent care? Select all that apply. The United States has become less inclusive of same-sex couples. Cultural diversity is limited to people of varying cultures and races. Cultural diversity is separate and distinct from health and illness. People may be members of multiple cultural groups at one time. Culture guides what is acceptable behavior for people in a specific group. Cultural practices may evolve over time but mainly remain constant.
People may be members of multiple cultural groups at one time. Culture guides what is acceptable behavior for people in a specific group. Cultural practices may evolve over time but mainly remain constant.
A school nurse notices that a student is losing weight and decides to perform a focused nutritional assessment to rule out an eating disorder. What is the nurse's best action? Perform the focused assessment as this is an independent nurse-initiated intervention. Request an order from Jill's physician since this is a physician-initiated intervention. Request an order from Jill's physician since this is a collaborative intervention. Request an order from the nutritionist since this is a collaborative intervention.
Perform the focused assessment as this is an independent nurse-initiated intervention.
A nurse is caring for patients in a primary care center. What is the most likely role of this nurse based on the setting? Assisting with major surgery Performing a health assessment Maintaining patients' function and independence Keeping student immunization records up to date
Performing a health assessment
A patient who has been in the United States only 3 months has recently suffered the loss of her husband and job. She states that nothing feels familiar—"I don't know who I am supposed to be here"—and says that she "misses home terribly." For what alteration in self-concept is this patient most at risk? Personal Identity Disturbance Body Image Disturbance Self-Esteem Disturbance Altered Role Performance
Personal Identity Disturbance
A nurse is performing a psychological assessment of a 19-year-old patient who has Down's syndrome. The patient is mildly developmentally disabled with an intelligence quotient of 82. He told his nurse, "I'm a good helper. You see I can carry these trays because I'm so strong. But I'm not very smart, so I have just learned to help with the things I know how to do." What findings for self-concept and self-esteem would the nurse document for this patient? Negative self-concept and low self-esteem Negative self-concept and high self-esteem Positive self-concept and fairly high self-esteem Positive self-concept and low self-esteem
Positive self-concept and fairly high self-esteem
Nurses provide care to patients as collaborative members of the health care team. Which roles may be performed by the advanced practice registered nurse? Select all that apply. Primary care provider Hospitalist Physical therapist Anesthetist Midwife Pharmacist
Primary care provider Anesthetist Midwife
A nurse caring for patients in an institutional setting expresses a commitment to social justice. What action best exemplifies this attribute? Providing honest information to patients and the public Promoting universal access to health care Planning care in partnership with patients Documenting care accurately and honestly
Promoting universal access to health care
A nurse is counseling a husband and wife who have decided that the wife will get a job so that the husband can go to pharmacy school. Their three teenagers, who were involved in the decision, are also getting jobs to buy their own clothes. The husband, who plans to work 12 to 16 hours weekly, while attending school, states, "I was always an A student, but I may have to settle for Bs now because I don't want to neglect my family." How would the nurse document the husband's self-expectations? Realistic and positively motivating his development Unrealistic and negatively motivating his development Unrealistic but positively motivating his development Realistic but negatively motivating his development
Realistic and positively motivating his development
A nurse is about to perform pin site care for a patient who has a halo traction device installed. What is the FIRST nursing action that should be taken prior to performing this care? Administer pain medication. Reassess the patient. Prepare the equipment. Explain the procedure to the patient.
Reassess the patient.
A caregiver asks a nurse to explain respite care. How would the nurse respond? "Respite care is a service that allows time away for caregivers." "Respite care is a special service for the terminally ill and their family." "Respite care is direct care provided to people in a long-term care facility." "Respite care provides living units for people without regular shelter."
Respite care is a service that allows time away for caregivers."
A pediatric nurse is assessing a 5-year-old boy who has dietary modifications related to his diabetes. His parents tell the nurse that they want him to value good nutritional habits, so they decide to deprive him of a favorite TV program when he becomes angry after they deny him foods not on his diet. This is an example of what mode of value transmission? Modeling Moralizing Laissez-faire Rewarding and punishing
Rewarding and punishing
A 33-year-old businessperson is in counseling, attempting to deal with a long-repressed history of sexual abuse by her father. "I guess I should feel satisfied with what I've achieved in life, but I'm never content, and nothing I achieve makes me feel good about myself.... I hate my father for making me feel like I'm no good. This is an awful way to live." What self-concept disturbance is this person experiencing? Personal Identity Disturbance Body Image Disturbance Self-Esteem Disturbance Altered Role Performance
Self-Esteem Disturbance
A nurse is counseling parents attending a parent workshop on how to build self-esteem in their children. Which teaching points would the nurse include to help parents achieve this goal? Select all that apply. Teach the parents to reinforce their child's positive qualities. Teach the parents to overlook occasional negative behavior. Teach parents to ignore neutral behavior that is a matter of personal preference. Teach parents to listen and "fix things" for their children. Teach parents to describe the child's behavior and judge it. Teach parents to let their children practice skills and make it safe to fail.
Teach the parents to reinforce their child's positive qualities Teach parents to ignore neutral behavior that is a matter of personal preference. Teach parents to let their children practice skills and make it safe to fail.
A student nurse is on a clinical rotation at a busy hospital unit. The RN in charge tells the student to change a surgical dressing on a patient while she takes care of other patients. The student has not changed dressings before and does not feel confident performing the procedure. What would be the student's best response? Tell the RN that he or she lacks the technical competencies to change the dressing independently. Assemble the equipment for the procedure and follow the steps in the procedure manual. Ask another student nurse to work collaboratively with him or her to change the dressing. Report the RN to his or her instructor for delegating a task that should not be assigned to student nurses.
Tell the RN that he or she lacks the technical competencies to change the dressing independently.
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the UAPs have been trained to obtain the initial nursing assessment. What is the best response of the new RN? Allow the UAPs to do the admission assessment and report the findings to the RN. Do his or her own admission assessments but don't interfere with the practice if other professional RNs seem comfortable with the practice. Tell the charge nurse that he or she chooses not to delegate the admission assessment until further clarification is received from administration. Contact his or her labor representative to report this practice to the state board of nursing.
Tell the charge nurse that he or she chooses not to delegate the admission assessment until further clarification is received from administration.
A nurse is using the implementation step of the nursing process to provide care for patients in a busy hospital setting. Which nursing actions best represent this step? Select all that apply. The nurse carefully removes the bandages from a burn victim's arm. The nurse assesses a patient to check nutritional status. The nurse formulates a nursing diagnosis for a patient with epilepsy. The nurse turns a patient in bed every 2 hours to prevent pressure injuries. The nurse checks a patient's insurance coverage at the initial interview. The nurse checks for community resources for a patient with dementia.
The nurse carefully removes the bandages from a burn victim's arm. The nurse turns a patient in bed every 2 hours to prevent pressure injuries. The nurse checks for community resources for a patient with dementia.
A hospice nurse is caring for a patient with end-stage cancer. What action demonstrates this nurse's commitment to the principle of autonomy? The nurse helps the patient prepare a durable power of attorney document. The nurse gives the patient undivided attention when listening to concerns. The nurse keeps a promise to provide a counselor for the patient. The nurse competently administers pain medication to the patient.
The nurse helps the patient prepare a durable power of attorney document.
A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so alone." Which response by the nurse is the most therapeutic action? The nurse stands at the patient's bedside and states, "I understand how you feel. My mother said the same thing when she was ill." The nurse places a hand on the patient's arm and states, "You feel so alone." The nurse stands in the patient's room and asks, "Why do you feel so alone? Your wife has been here every day." The nurse holds the patient's hand and asks, "What makes you feel so alone?"
The nurse holds the patient's hand and asks, "What makes you feel so alone?"
A nurse is performing patient care for a severely ill patient who has cancer. Which nursing interventions are likely to assist this patient to maintain a positive sense of self? Select all that apply. The nurse makes a point to address the patient by name upon entering the room. The nurse avoids fatiguing the patient by performing all procedures in silence. The nurse performs care in a manner that respects the patient's privacy and sensibilities. The nurse offers the patient a simple explanation before moving her in any way. The nurse ignores negative feelings from the patient since they are part of the grieving process. The nurse avoids conversing with the patient about her life, family, and occupation.
The nurse makes a point to address the patient by name upon entering the room. The nurse performs care in a manner that respects the patient's privacy and sensibilities. The nurse offers the patient a simple explanation before moving her in any way
A 16-year-old patient has been diagnosed with Body Image Disturbance related to severe acne. In planning nursing care, what is an appropriate goal for this patient? The patient will make above-B grades in all tests at school. The patient will demonstrate, by diet control and skin care, increased interest in control of acne. The patient reports that she feels more self-confident in her music and art, which she enjoys. The patient expresses that she is very smart in school.
The patient will demonstrate, by diet control and skin care, increased interest in control of acne.
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents? The use of reflective questions The use of closed questions The use of assertive questions The use of clarifying questions
The use of clarifying questions
A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is MOST basic to providing culturally competent care? Learning the predominant language of the community Obtaining significant information about the community Treating each patient at the clinic as an individual Recognizing the importance of the patient's family
Treating each patient at the clinic as an individual
A nurse caring for patients in the intensive care unit develops values from experience to form a personal code of ethics. Which statements best describe this process? Select all that apply. People are born with values. Values act as standards to guide behavior. Values are ranked on a continuum of importance. Values influence beliefs about health and illness. Value systems are not related to personal codes of conduct. Nurses should not let their values influence patient care.
Values act as standards to guide behavior. Values are ranked on a continuum of importance. Values influence beliefs about health and illness.
