Exam 3 Study Guide & Book Questions
A home care nurse discusses with a patient when visits will occur and how long they will last. In what phase of the helping relationship is this type of agreement established? A. Orientation phase B. Working phase C. Termination phase D. All of the above
A
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? A. Determining the progress made in achieving established goals B. Clarifying when the patient should take medications C. Reporting the progress made in teaching to the staff D. Including all family members in the teaching session
A
A nurse is assessing a patient who was exposed to botulism from contaminate food supplies. Which symptom would the nurse expect to find in this patient? A. skeletal muscle paralysis that progresses symmetrically and in a descending manner B. flu-ike symptoms C. skin lesion with local edema that progresses, enlarges, ulcerates, and becomes necrotic D. petechial hemorrhages
A
A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating? A. A toddler playing with his 9-year-old brother's construction set B. A 4-year-old eating yogurt for lunch C. An infant covered with a small blanket and asleep in the crib D. A 3-year-old drinking a glass of juice
A
A nurse is attempting to communicate with a patient who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process? A. Speaking slowly and distinctly but not loudly B. Repeating the message in the same manner many times until understood C. Using medical terms and abbreviations more frequently D. Avoiding using a dictionary to help maintain focus on the patient
A
A nurse is preparing to teach a patient with asthma how to use his inhaler. Which teaching method would be the BEST choice to teach the patient this skill? A. Demonstration B. Lecture C. Discovery D. Panel session
A
A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. Which information is accurate and should be included in the teaching plan? A. Booster seats should be used for children until they are 4′9″ tall and weigh between 80 and 100 lb. B. Most U.S. states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle. C. Infants and toddlers up to 2 years of age (or up to the maximum height and weight for the seat) should be in a front-facing safety seat. D. Children older than 6 years may be restrained using a car seat belt in the back seat.
A
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? A. Pain B. Anxiety C. Depression D. Fluid volume deficit
A
A nurse who comments to her coworkers at lunch that her patient with a sexually transmitted disease has been sexually active in the community may be guilty of what tort? A. Slander B. Libel C. Fraud D. Assault
A
A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring patient safety and preventing falls? A. involve family members in the patient's care B. allow the patient to use the bathroom independently C. keep the patient sedated with tranquilizers D. maintain a high bed position so the patient will not attempt to get out unassisted
A
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? A. "New mothers need support." B. "The lack of a father is difficult." C. "How are you today?" D. "It is a very sad situation."
A
A nurse is performing safety assessments in a health care facility. Which statements reflect considerations a nurse should keep in mind when assessing a patient for safety? A. a person with a history of falls is likely to fall again B. some people are more prone to have accidents than others C. fires are responsible for most hospital incidents D. between 15% and 25% of falls result in fractures or soft tissue injury E. a medication regimen that includes diuretics or analgesics places a person at risk for falls F. a nurse whose behavior is reasonable and prudent and similar to what would be expected of another nurse in a similar circumstances is still likely to be found liable if a patient falls, especially if an injury results
A, B, E
A nurse is being sued for malpractice in a court of law. What elements must be established to prove that malpractice or negligence has occurred? Select all that apply. A. Duty B. Intent to harm C. Breach of duty D. Causation E. Punitive damages F. Fraud
A, C, D
A Nurse is writing an email to a U.S Congressman to support the promotion of health care issues. Which guidelines would ensure a properly written email? Select all that apply. A. The nurse should state the purpose of the email written briefly and clearly in the first paragraph B. The nurse should name the city and state where he or she lives and votes C. The nurse should avoid using specific examples from the workplace to support the position D. The nurse should ask the legislator to vote/for support what is being asked E. The nurse should try to keep the email to two pages and include a cover page with contact information F. The nurse should address the email to as many legislators as possible.
A, B, D
A nurse is communicating the care plan to a patient who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply. A. The nurse maintains eye contact with the patient B. The nurse is patient and gives the patient time to respond C. The nurse communicates in a busy environment to hold the patient's attention D. The nurse keeps communication simple and concrete E. The nurse gives lengthy explanations of the care that will be given F. If there is no response, the nurse does not repeat what is said and takes a break
A, B, D
The nurse is teaching parents of toddlers how to prevent accidents and promote safety for their children. What are age-appropriate safety interventions for this age group? Select all that apply A. supervise the child closely to prevent injury B. childproof the house to ensure that poisonous products and small objects are out of reach C. instruct the child to wear proper safety equipment when riding bicycles or scooters D. do not leave the child alone in the bathtub or near water E. provide drug, alcohol, and sexuality education F. practice emergency evacuation measures with the child
A, B, D
A nurse is providing teaching to a patients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals. Select all that apply A. the nurse fails to accept that patients have the right to change their minds B. the nurse negotiates goals with the patient C. the nurse uses medical jargon frequently when discussing the teaching plan D. the nurse ignores the restrictions of the patient's environment E. the nurse evaluates what the patient has learned F. the nurse reviews educational media when planning learner objectives.
A, C, D
A 36-year-old patient who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the patient to expand on this and express her concerns in more specific terms? A. "When did you begin to wonder about this?" B. "Do you want more children?" C. "Feel like a woman..." D. Remaining silence
C
A nurse follows the universal patient compact principles for partnership when providing care for patients. Which nursing action does not reflect this philosophy? A. the nurse includes the patient as a member of the heath care team B. the nurse asks for family input from the assigned advocate of the patient C. the nurse makes health care decisions for a patient who is uncooperative D. the nurse allows the patient to review his own medical information
C
A nurse in a NICU fails to monitor a premature newborn according to the protocols in place, and is charged with malpractice. What is the term for those bringing the charges against the nurse? A. Appellates B. Defendants C. Plaintiffs D. Attorneys
C
A nurse is documenting assessment data for a new patient. What is the best source of assessment information for the nurse? A. nursing care plan B. health care provider C. patient D. family and friends
C
A nurse is teaching a 50-year-old male patient how to care for his new ostomy appliance. Which teaching aid would be most appropriate to confirm that the patient has learned the information? A. Ask Me 3 B. Newest Vital Sign (NVS) C. Teach-back method D. TEACH acronym
C
A nurse may attempt to help a patient solve a situational crisis during what type of counseling session? A. long-term counseling B. motivational counseling C. short-term counseling D. professional counseling
C
A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital signs during routine eye surgery, leading to the death of the patient. The nurse's attorney explained in court that the nurse was granted recognition in a specialty area of nursing. What is the term for this type of credential? A. Accreditation B. Licensure C. Certification D. Board approval
C
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? A. Determining the established goals of the institution B. Ensuring that verbal and nonverbal communication is congruent C. Engaging in self-talk to plan the day and decrease fear D. Speaking with fellow colleagues about how they feel
C
In a helping relationship, the nurse would most likely perform what action? A. Encourage the patient to independently explore goals the allow his or her human needs to be satisfied B. Set up a reciprocal relationship in which patient and nurse are both helper and person being helped C. Establish communication that is continuous and reciprocal D. Establish goals for the patient that are not set in a specific time frame
C
Nurses complete incident reports a dictated by the facility protocol. What is the primary reason nurses fill out an incident report? A. To document everyday occurrences B. To document the need for disciplinary action C. To improve quality of care D. To initiate litigation
C
When a nurse is planning for learning, who must decide who should be included in the learning sessions? A. the health care team B. the doctor and the nurse C. the nurse and the patient D. the patient and the patient's family
C
When attending a staff meeting, a nurse is participating in what type of communication? A. Intrapersonal communication B. Interpersonal communications C. Small-group communication D. Organizational communication
C
Which principle of teaching-learning is an accurate guideline for the nurse/teacher? A. patient teaching should occur independently of the nursing process B. past life experience should not be a factor when helping patients assimilate new knowledge C. the teaching-learning process can be facilitated by a helping relationship D. planning learner objectives should be done by the teacher alone
C
Which technique would a nurse employ when using listening skills appropriately? A. The nurse would try to avoid body gestures when listening to the patient B. The nurse would not allow conversation to lapse int periods of silence C. The nurse would listen to the themes in the patient's comments D. The nurse would stand close to the patient and maintain eye contact
C
While discussing home safety with the nurse, a patient admits that she always smokes a cigarette in bed before falling asleep at night. Which nursing diagnosis would be the priority for this patient? A. Impaired gas exchange related to cigarette smoking B. Anxiety related to inability to stop smoking C. Risk for suffocation related to unfamiliarity with fire prevention guidelines D. Deficient knowledge related to lack of follow-through of recommendation to stop smoking
C
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? A. 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." B. The nurse places a hand on the patient's arm and states, "You feel so alone." C. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your wife has been here every day." D. The nurse holds the patient's hand and asks, "What makes you feel so alone?"
D
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? A. "I'm just the IV therapist checking your IV." B. "I've been transferred to this division and will be caring for you." C. "I'm sorry, my name is John Smith and I am your nurse." D. "My name is John Smith, I am your nurse and I'll be caring for you until 11 PM."
D
A registered nurse assumes the role of nurse coach to provide teaching to patients who are recovering from a stroke. Which nursing intervention directly relates to this role? A. The nurse uses discovery to identify the patients' personal goals and create an agenda that will result in change. B. The nurse is the expert in providing teaching and education strategies to provide dietary and activity modifications. C. The nurse becomes a mentor to the patients and encourages them to create their own fitness programs. D. The nurse assumes an authoritative role to design the structure of the coaching session and support the achievement of patient goals.
A
An attorney is representing a patient's family who is suing a nurse for wrongful death. The attorney calls the nurse and asks to talk about the case to obtain a better understanding of the nurse's actions. How should the nurse respond? A. "I'm sorry, but I can't talk with you; you will have to contact my attorney." B. "I will answer your questions so you'll understand how the situation occurred. C. "I hope I won't be blamed for the death because it was so busy that day." D. "First tell me why you are doing this to me. This could ruin my career!"
A
Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill patient. These nurses can validate this specialty competence through what process? A. Certification B. Accreditation C. Licensure D. Litigation
A
When deciding what information the patient needs to meet the learner objectives successfully, the nurse is planning which part of the teaching plan? A. content B. teaching strategies C. learning activities D. learning domains
A
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? A. Cliché B. Giving advice C. Being judgmental D. Changing the subject
A
Which development consideration is a nurse assessing when he or she determines that an 8 year old boy is not equipped to understand the scientific explanation of his disease? A. intellectual development B. motor development C. emotional maturity D. psychosocial development
A
A nurse is using the SBAR technique for hand-off communication when transferring a patient. What are examples of the use of this process? Select all that apply A. S: the nurse handling the transfer described the patient's situation to the new nurse B. S: the nurse discusses the patient's symptoms with the new nurse in charge C. B: the nurse gives the background of the patient by explaining the patient's history D. A: the nurse presents an assessment of the patient to the new nurse E. R: the nurse explains the rules of the patient to the new nurse F. R: the nurse gives recommendations for the future care of the patient to the new nurse
A, C, D, F
Nurses plan patient learning based on the patient's developmental stage. Which nursing actins best reflect this consideration? Select all that apply A. the nurse directs the health teaching for a 3-year-old to the parents B. the nurse provides lengthy explanations of a procedure to a preschool child C. the nurse includes a school-aged child in the teaching-learning process D. The nurse uses the same learning strategies for an adolescent as for an adult E. the nurse avoids relating teaching for an adult to a social role F. the nurse provides material that is useful immediately to adult patients
A, C, D, F
Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as protect the patient from harm. What are examples of legal safeguards for the nurse? Select all that apply. A. The nurse obtains informed consent from a patient to perform a procedure B. The health care provider is a responsible for administration of a wrongly prescribed medication C. The nurse educates the patient about the Patient Bill of Rights D. The nurse executes health care provider orders without questioning them E. The nurse documents all patient care in a timely matter F. The nurse claims management is responsible for inadequate staffing leading to negligence
A, C, E
Nurses follow nursing practice rules when working within the profession. What are examples of state-mandated rules? Select all that apply. A. Nurse practice acts B. Medicare and Medicaid provisions for reimbursement of nursing services C. Nursing educational requirements D. Delegation trees E. Composition and disciplinary authority of board of nursing F. Medication administration
A, C, E
A nurse us applying restraints to a confused patient who has threatened the safety of a roommate. Which actions would the nurse perform when properly applying restraints to a patient? Select all that apply. A. check facility policy for the application of restraints and secure a health care provider's order B. choose the most restrictive type of device that allows the least amount of mobility C. pad bony prominences D. for a restraint applied to an extremity, ensure that the restrain is tight enough that a finger cannot be inserted between the restraint and the patient's wrist of ankle E. fasten the restraint t the side rail F. remove the restrain at least every 2 hours or according to facility policy and patient need
A, C, F
Which nursing actions would most likely help improve communications with patients and achieve a more effective helping relationship? Select all that apply A. The nurse controls the tone of his or her voice so that it conveys exactly what is meant B. The nurse remains focused on the topic at hand and does not allow the patient to divert from the topic C. The nurse makes statements that are as simple as possible, gearing the conversation to the patient's level D. The nurse feels free to use words that might have different interpretations when using the same language as the patient E. The nurse never admits a lack of knowledge to the patient to avoid undermining the patient's confidence in the helping relationship F. The nurse takes advantage of any available opportunities to communicate information to patients in routine caregiving situations
A, C, F
Newly hired nurses in a busy suburban hospital are required to read the state nurse practice act as part of their training. Which topics are covered by this act? Select all that apply. A. Violations that may result in disciplinary action B. Clinical procedures C. Medication administration D. Scope of practice E. Delegation policies F. Medicare reimbursement
A, D
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. A. Group decision making B. Group leadership C. Group power D. Group identity E. Group patterns of interaction F. Group cohesiveness
A, D, E, F
A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply A. the nurse uses critical thinking skills to assess the learning needs and learning readiness of the parents B. the nurse identifies general, attainable, measurable, and long-term goals for patient learning when developing learning objectives C. the nurse includes group teaching and formal teaching in every teaching plan D. the nurse does not allow time constraints, schedules, and the physical environment to influence the choice of teaching strategies E. the nurse formulates a verbal or written contract with the patient F. the nurse relates new learning material to the patient's past life experiences to help him or her to assimilate new knowledge
A, E, F
A nurse fails to alert a health care provider of a change in a patient's condition for the worse. This is an example of what aspect of malpractice? A. Duty B. Breach of duty C. Causation D. Damages
B
A nurse forms a contractual agreement with a morbidly obese patient to achieve optimal weight goals. Which statement best describes the nature of this agreement? A. "This agreement forms a legal bond between the two of us to achieve your weight goals." B. "This agreement will motivate the two of us to do what is necessary to meet your weight goals." C. "This agreement will help us determine what learning outcomes are necessary to achieve your weight goals." D. "This agreement will limit the scope of the teaching session and make stated weight goals more attainable."
B
A nurse has taught a patient with diabetes how to administer his daily insulin. How should the nurse evaluate the teaching-learning process? A. By determining the patient's motivation to learn B. By deciding if the learning outcomes have been achieved C. By allowing the patient to practice the skill he has just learned D. By documenting the teaching session in the patient's medical record
B
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? A. "I placed a request to have 8th of August off, but I'm working and I have a doctor's appointment." B. "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?" C. "I will need to call in on the 8th of August because I have a doctor's appointment." D. "Since you didn't give me the 8th of August off, will I need to find someone to work for me?"
B
A nurse is caring for a patient who is admitted to the hospital with injuries sustained in a motor vehicle accident. While he is in the hospital, his wife tells him that the bottom level of their house flooded, damaging their belongings. When the nurse enters his room, she notes that the patient is visibly upset. The nurse is aware that the patient will most likely be in need of which type of counseling? A. Long-term developmental B. Short-term situational C. Short-term motivational D. Long-term motivational
B
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. A closed-ended answer B. Information clarification C. The nurse to give advice D. Assertive behavior
B
A nurse is teaching first aid to counselors of a summer camp for children with asthma. This is an example of what aim of health teaching? A. Promoting health B. Preventing illness C. Restoring health D. Facilitating coping
B
A nurse states the following to another nurse who is constantly forgetting to wash her hands between patients: "It looks like you keep forgetting to wash your hands between patients. It's really not safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? A. Aggressive B. Assertive C. Nonassertive D. Therapeutic
B
A nursing student asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true? A. Students are not responsible for their acts of negligence resulting in patient injury. B. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. C. Hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor. D. Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary.
B
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? A. "Would you prefer a bath or a shower?" B. "May I help you with a bed bath now or later this morning?" C. "I will be giving you your bath. Do you use soap or shower gel?" D. "I prefer a shower in the evening. When would you like your bath?"
B
A school nurse is preparing a teaching session on safety for parents of school-aged children. What would be an appropriate topic for this age group? A. selecting toys for the developmental level B. providing drug, alcohol, and sexuality education C. teaching stress reduction techniques D. providing close supervision to prevent injuries
B
Review of a patient's record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. Which intentional tort has been committed? A. Assault B. Battery C. Invasion of privacy D. False imprisonment
B
The nurse is caring for an 80-year-old patient who was admitted to the hospital in a confused and dehydrated state. After the patient got out of bed and fell, restraints were applied. She began to fight and was rapidly becoming exhausted. She was black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this patient? A. sedate her with sleeping pills and leave the restraints on B. take the restraints off, stay with her, and talk gently with her C. leave the restraints on and talk with her, explaining that she must calm down D. talk with the patient's family about taking her home because she is out of control
B
The nurse is performing a safety belt fit test for a young patient at a well-child checkup. What criteria confirm that the child may sit in the back seat of a vehicle with a lap and shoulder belt in place? A. The knees do not bend at the edge of the seat when back is against vehicle's seat back. B. the seat belt stays low on the hips and is not resting on the soft part of the stomach C. the shoulder belt does not lay on the collarbone or shoulder when fastened D. the child's feet touch the floor of the car when belted in with the lap and shoulder belt
B
When a patient says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? A. long-term counseling B. motivational counseling C. short-term counseling D. professional counseling
B
Which diagnosis would best describe a situation in which a woman has a knowledge deficit concerning child safety for her toddler who is currently being treated for burns and was previously treated for a fracture from a fall? A. deficient knowledge: child safety, related to inexperience with the active developmental stage of a toddler B. risk for injury, related to mother's lack of knowledge about child safety C. readiness for enhanced parenting, related to child safety knowledge deficit D. deficient knowledge: child safety, related to mother's lack of experience and socioeconomic level
B
A nurse caring for patients in a skilled nursing facility assesses patient motivation to participate in care. Based on the health belief model, which patients would be most motivated? Select all that apply A. a patient who does not view himself as susceptible to the disease B. a patient who views a disease as a serious threat C. a patient who believes there are actions that will reduce the probability of contracting the disease D. a patient who believes the threat of taking actions against a disease is not as great as the disease itself E. a patient who believes that noncompliance is not an option F. a patient who believes that doing nothing is preferable to painful treatments
B, C, D
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe steps of this procedure and why it is performed? Select all that apply. A. An incident report is used as disciplinary action against staff members. B. An incident report is used as a means of identifying risks. C. An incident report is used for quality control. D. The facility manager completes the incident report. E. An incident report makes facts available in case litigation occurs. F. Filing of an incident report should be documented in the patient record.
B, C, E
A nurse is teaching the RACE acronym to a student nurse as a guide for a fire safety plan in the facility. Which statements accurately reflect steps in this procedure? Select all that apply A. R - race to the front of the building to call for help B. R - rescue anyone in immediate danger C. A - activate the fire code system and notify the appropriate person D. C - check if the fire is contained or spreading to the hallways E. C - confine the fire by closing doors and windows F. E - extinguish the fire with an appropriate fire extinguisher
B, C, E
A nurse is communicating the care plan for a patient who is unconscious. Which nursing actions best facilitate this process? Select all that apply. A. The nurse speaks to the patient in a louder-than-normal voice B. The nurse is careful about what is said in the patient's presence since hearing is the last sense to go. C. The nurse assumes the patient can hear and discusses things that would normally be discussed D. The nurse raises environmental noises to stimulate the patient E. The nurse does not use touch to communicate with the patient F. The nurse speaks with the patient before touching him or her
B, C, F
A nurse is planning teaching strategies based on the affective domain of learning for patients addicted to alcohol. What are examples of teaching methods and learning activities promoting behaviors in this domain? Select all that apply. A. The nurse prepares a lecture on the harmful long-term effects of alcohol on the body. B. The nurse explores the reasons alcoholics drink and promotes other methods of coping with problems. C. The nurse asks patients for a return demonstration for using relaxation exercises to relieve stress. D. The nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem. E. The nurse uses a pamphlet to discuss the tenants of the Alcoholics Anonymous program to patients. F. The nurse reinforces the mental benefits of gaining self-control over an addiction.
B, D, F
Nurses on a hospital burn unit meet a a group to discuss procedures. Which statements accurately describe the functions of group dynamics? Select all that apply. A. Ideally, a group leader is selected who alone uses his or her talents and interpersonal strengths to assist the group to accomplish goals B. Effective groups possess members who elicit mutually respectful relationships C. The group's ability to function at a high level depends on only the group leader's sensitivity to the needs of the group and its individual members D. If a group member dominates or thwarts the group process, the leader or other group members must confront him or her to promote the needed collegial relationship E. In an effective group, power is used to "fix" immediate problems without considering the needs of the powerless F. In an effective group, members support, praise, and critique one another
B, D, F
The nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patients would the nurse consider to be in this category? Select all that apply. A. A patient who is older than 50 B. A patient who has already fallen twice C. A patient who is taking antibiotics D. A patient who experiences postural hypotension E. A patient who is experiencing nausea from chemotherapy F. A 70-year-old patient who is transferred to long-term care
B, D, F
A lawyer is describing the litigation process to a nurse named in a malpractice lawsuit. Which statements by the lawyer accurately describe this process? Select all that apply. A. "The defendant is the person who is initiating the lawsuit" B. "The process of bringing and trying this lawsuit is called litigation" C. "As the defendant, you will be presumed guilty until proven innocent" D. "We will start litigation in the first-level court known as the appellate court" E. "The opinions of appellate judges are published and become common law" F. "Malpractice is the term generally used to describe negligence by professional personnel"
B, E, F
Which topics would the nurse be most likely to explore with a patient with the aim of restoring health? Select all that apply A. immunizations B. patient and nurse's expectations of one another C. community recourses D. hygiene E. orientation to treatment center and staff F. the medical and nursing regimens and how the patient can participate in care
B, E, F
A nurse is teaching patients of all ages in a hospital setting. Which examples demonstrate teaching that is appropriately based on the patient's developmental level? Select all that apply. A. The nurse plans long teaching sessions to discuss diet modifications for an older adult diagnosed with type 2 diabetes. B. The nurse recognizes that a female adolescent diagnosed with anorexia is still dependent on her parents and includes them in all teaching sessions. C. The nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers. D. The nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis. E. The nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce the teaching. F. The nurse continues a teaching session on STIs for a sexually active male adolescent despite his protest that "I've heard enough already!"
C, D, E
A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan? Select all that apply. A. Sixty percent of U.S. fire deaths occur in the home. B. Most fatal fires occur when people are cooking. C. Most people who die in fires die of smoke inhalation. D. Fire-related injury and death have declined due to the availability and use of smoke alarms. E. Fires are more likely to occur in homes without electricity or gas. F. Fires are less likely to spread if bedroom doors are kept open when sleeping.
C, D, E
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. A. Fill the silence with lighter conversation directed at the patient. B. Use the time to perform the care that is needed uninterrupted. C. Discuss the silence with the patient to ascertain its meaning. D. Allow the patient time to think and explore inner thoughts. E. Determine if the patient's culture requires pauses between conversation. F. Arrange for a counselor to help the patient cope with emotional issues.
C, D, E
Nurses practice within legal and mandatory standards of the nursing profession. What are examples of voluntary standards in nursing? Select all that apply. A. State nurse practice acts B. Rules and regulations of nursing C. American Nurses Association Standards of Practice D. Professional standards for certification of individual nurses in general practice E. Process of certification F. Process of licensure
C, D, E
Which nursing actions help improve listening skills when conversing with patients? Select all that apply A. The nurse sits with the patient in a comfortable environment with arms and legs crossed in a relaxed position B. The nurse always maintains eye contact with the patient in a face-to-face pose C. The nurse uses appropriate facial expressions and body gestures to indicate that he or she is paying attention to what the patient is saying D. The nurse thinks before responding to the patient, even if this creates a lull in the conversation E. The nurse listens for themes in the patient's comments F. If an action being performed does not allow for conversation, the nurse pretends to listen to the patient rather than interrupting the patient's conversation
C, D, E
Nurses commit both intentional and unintentional torts when practicing within the profession. What are examples of intentional torts in nursing practice? Select all that apply. A. A nurse forgets to put the side rails up on a crib and the toddler falls out B. A nurse does not report a change in patient's condition in a timely matter C. A nurse threatens to hit an older adult patient who has dementia and is wailing D. A nurse seeks employment in a hospital after falsifying credentials on a resume E. A nurse places a patient who is a fall risk in restraints without the proper order F. A nurse makes disparaging remarks to the staff about a patient who has an STI
C, D, E, F
The nurse uses the acronym TEACH when planning care for patients on a busy hospital ward. Which intervention accurately represents an aspect of this acronym? Select all that apply A. T- the nurse turns to the health care provider for support B. E - the nurse educates the patient before treatment C. A - the nurse acts on every teaching moment D. C - the nurse clarifies often E. H - the nurse helps the patient cope when education fails F. H - the nurse honors the patient as a partner in the education process
C, D, F
Nurses develop helping relationships with patients when caring for them. Which statements describe qualities of a helping relationship? Select all that apply A. The helping relationship occurs spontaneously B. The helping relationship is characterized by an equal sharing of information C. The helping relationship is built on the patient's needs, not on those of the helping person D. A friendship must develop from an effective helping relationship E. A helping relationship is dynamic F. A helping relationship is purposeful and time limited
C, E, F
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? A. The use of reflective questions B. The use of closed questions C. The use of assertive questions D. The use of clarifying questions
D
A nurse administers the wrong medication to a patient and the patient is harmed. The health care provider who ordered the medication did not read the documentation that the patient was allergic to the drug. Which statement is true regarding liability for the administration of the wrong medication? A. The nurse is not responsible, because the nurse was following the doctor's orders. B. Only the nurse is responsible, because the nurse actually administered the medication. C. Only the health care provider is responsible, because the health care provider actually ordered the drug. D. Both the nurse and the health care provider are responsible for their respective actions.
D
A nurse is counseling a 19-year-old athlete who had his right leg amputated below the knee following a motorcycle accident. During the rehabilitation process, the patient refuses to eat or get up to ambulate on his own. He says to the nurse, "What's the point. My life is over now and I'll never be the football player I dreamed of becoming." What is the nurse counselor's best response to this patient? A. "You're young and have your whole life ahead of you. You should focus on your rehabilitation and make something of your life." B. "I understand how you must feel. I wanted to be a famous singer, but I wasn't born with the talent to be successful at it." C. "You should concentrate on other sports that you could play even with prosthesis." D. "I understand this is difficult for you. Would you like to talk about it now or would you prefer me to make a referral to someone else?"
D
A nurse is filing a safety event report for an older adult patient who tripped and fell when getting out of bed. Which action exemplifies an accurate step of this process. A. the nurse adds the information in the medical record B. the nurse calls the primary health care provider to fill out and sign the safety event report C. the nurse provides an opinion of the physical and mental condition of the patient that may have precipitated the incident D. the nurse details the patient's response and the examination and treatment of the patient after the incident
D
A nurse is named as a defendant in malpractice lawsuit. Which action would be recommended for this nurse? A. Discuss the case with the plaintiff to ensure understanding of each other's positions B. If a mistake was made on a chart, change it to read appropriately C. Be prepared to tell your side to the press, if necessary D. Do not volunteer any information on the witness stand
D
A nurse is writing learner objectives for a patient who was recently diagnosed with type 2 diabetes. Which statement describes the proper method for writing objectives? A. the nurse writes one or two broad objectives rather than several specific objectives B. the nurse writes general statements for learner objectives that could be accomplished in any amount of time C. the nurse plans learner objectives with another nurse before obtaining input from the patient and family D. the nurse writes one long-term objective for each diagnosis, followed by several specific objectives
D
A nurse who "unblocks" and "cleans" congested areas of energy in a patient's body to promote comfort is applying the phenomenon known as: A. "Unruffling" touch B. Interpersonal touch C. Tactile manipulation D. Therapeutic touch
D
A nurse who is caring for newborn infants delivers care by using the sense that is most highly developed at birth. Which example of nursing care achieves this goal? A. The nurse speaks to the infant in a loud voice to get attention B. The nurse plays "peek-a-boo" with the infant C. The nurse wears colorful clothing to stimulate the infant D. The nurse gently strokes the baby's cheek to facilitate breastfeeding
D
A nurse who obtains a license to practice nursing by misrepresenting him- or herself is guilty of what tort? A. Slander B. Fraud C. Libel D. Assault
D
A nurse working in a pediatrician's office receives calls from parents whose children have ingested toxins. What would be the nurse's best response? A. Administer activated charcoal in tablet form and take child to the ED. B. Administer syrup of ipecac and take child to the ED. C. Bring the child in to the primary care provider for gastric lavage. D. Call the PCC immediately before attempting any home remedy.
D
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? A. "Do you take two injections of insulin to decrease the complications?" B. "Most health care providers recommend diet and exercise to regulate blood sugar." C. "Most complications of diabetes are related to neuropathy." D. "What specific complications have you experienced?"
D
A state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. This is an example of what type of law? A. Public law B. Private law C. Civil law D. Criminal law
D
A student nurse is assisting an older adult patient to ambulate following hip replacement surgery, and the patient falls and reinjures the hip. Who is potentially responsible for the injury to this patient? A. The student nurse B. The nurse instructor C. The hospital D. All of the above
D
A veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75-year-old woman who died after slipping into a coma during routine outpatient hernia surgery. The nurse admitted failing to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurse's action pure negligence, stating that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked three quarters of a mile the morning of her surgery and had sung in her church choir the day before. What criteria must be established to prove that the nurse is guilty of malpractice or negligence in this case? A. The surgeon who performed the procedure called the nurse's action pure negligence, saying that the patient could have been saved. B. The fact that this patient should not have died since she was a healthy grandmother of 10, who was physically active and involved in her community. C. The nurse intended to harm the patient and was willfully negligent, as evidenced by the tragic outcome of routine hernia surgery. D. The nurse had a duty to monitor the patient's vital signs, and due to the nurse's failure to perform this duty in this circumstance, the patient died.
D
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? A. "You need to speak to the patient quietly so you don't disturb the other patients." B. "Let me help you with your transfer technique." C. "When you are finished, be sure to apologize for your rough demeanor." D. "When your patient is safe and comfortable, meet me at the desk."
D
In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing actions would most likely be covered by these laws? A. Any emergency care where consent is given B. Negligent acts performed in an emergency situation C. Medical advice given to a neighbor regarding her child's rash D. Emergency care for a choking victim in a restaurant
D
Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. What is an example of the proper use of social media by a nurse? A. A nurse describes a patient on Twitter by giving the room number rather than the name of the patient B. A nurse posts pictures of a patient who accomplished a goal of losing 100lbs and later deletes the photo C. A nurse describes a patient on Twitter by giving the patient's diagnosis rather than the patient's name D. A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's
D
When teaching an adult patient how to control stress through relaxation techniques, the nurse should consider what assumption concerning adult learners? A. as an adult matures, his or her self-concept becomes more dependent; therefore, this patient must be made aware of the importance of reducing stress. B. the adult learner is not as concerned with the immediate usefulness of the material being taught as he/she is with the quality of the material C. as patients, adults are the least likely to resist learning because of preconceived ideas about the teaching-learning process D. the nurse should be able to draw from the previous experience of the patient to emphasize the importance of stress reduction
D
