MedSurge1 Week 1

Which phase of the nursing process encompasses the establishment of expected outcomes?

Planning

A Jewish patient, who adheres to the dietary laws of his faith, is in traction and confined to bed. He needs assistance with his evening meal of chicken, rice, beans, a roll, and a carton of milk. Choose the nursing approach that is most representative of promoting wellness. The nurse:

Prepares the environment and the over-bed table and inspects the contents of the dinner tray. The nurse asks the patient whether he would like to make any substitutions in the foods and fluids he has received.

Which of the following variables significantly influence non-adherence to a prescribed regimen? Select all that apply.

• Personal attitudes • Self-concept • Social support • Emotional make-up

The nurse is preparing to educate a patient about the home care of an abdominal wound. What patient behaviors does the nurse notice that demonstrate readiness to learn? (Select all that apply.)

• The patient has accepted the therapeutic regimen. • The patient requests a contact number if there are questions. • The patient shows the motivation to learn.

Which of the following would be the least important reason that nurses utilize research in nursing practice?

Financial obligation

The nurse is teaching a client with diabetes how to perform checks of blood glucose level. To optimize learning, it is best for the nurse to

Have the client return demonstrate.

Which of the following is the goal of patient and family education?

Improvement of patient outcomes

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client

In a quiet room

A current trend in health education that significantly influences nursing practice is:

Increased emphasis on patient involvement in their own care.

Quality Assurance (QA) focuses on which of the following?

Individual incidents or errors and minimal expectations

Which of the following is a nursing diagnosis related to health education?

Ineffective health maintenance

When a person works to prevent relapse and to sustain the gains made from the actions taken, he or she is in which stage of the Transtheoretical Model of Change?

Maintenance

A nurse who works in a retirement village uses the Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) to estimate a patient's ability to read and comprehend medication directions. A recent patient scored a grade of 3 on a scale of 0-7. Which of the following indicates the nurse's interpretation of that score?

May not be able to read prescription labels

Which action by the nurse can negatively affect the patient's ability to learn?

Negative criticism when the patient is unsuccessful so that inappropriate behavior patterns will not be learned

Which of the following would be categorized as a mid-level practitioner?

Nurse midwives

Which of the following would be considered an expanded nursing role?

Nurse practitioner (NP)

Which of the following would NOT be categorized as a mid-level practitioner?

Nursing assistants

Using the concept of the wellness-illness continuum, what would the nurse include in the development of a nursing care plan for a chronically ill patient?

Encourage positive health characteristics within the limits of the specific illness.

Which step of the nursing process determines if the patient understands the health teaching that is provided?

Evaluation

After teaching nursing students about the health-illness continuum, the instructor determines that teaching was successful when the students state which of the following?

"A person can be both healthy and ill at the same time."

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration.

"Can you repeat for me the information I just reviewed about weighing food portions?"

The nurse is educating the client about management of diabetes. An inappropriate statement by the nurse is

"Checks of blood glucose level are to be done ac and hs."

Which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s?

"The quality assurance programs focus on processes used to provide care and improving those processes."

The Medicare program was enacted during which year?

1965

Consuming which of the following is a strategy to enhance health as part of health promotion?

A diet rich in grains

A recommended approach to planning health teaching is applying the trans-theoretical model, which considers the stages of behavioral change. The stage in which the patient engages in calorie counting to reduce weight is called:

Action

Which of the following would be considered a dependent nursing action?

Administering medications

A nurse is caring for a patient who is experiencing fear, anxiety, and feelings of powerlessness after receiving a diagnosis of cancer. The nurse develops a teaching plan focusing on the patient's diagnosis and treatment options to promote the patient's sense of control over the situation. Using Maslow's Hierarchy of Human Needs, which of the following categories is the nurse attempting to meet?

Safety and security

Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications

Scope of practice

According to Maslow's hierarchy of human needs, which of the following is the highest level of need(s)?

Self-Actualization

The nurse is working at an institution that uses a collaborative practice model. Which of the following would most likely be reflected at this institution?

Shared accountability for care

Although nurse practice acts may vary state by state, all recognize several basic principles supporting the legal parameters for all registered nurses. Select the activity that falls under the scope of nursing practice.

Appraising and enhancing an individual's health-seeking perspective

A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness?

Ask whether the patient would like to make any substitutions in the foods and fluids received.

The nurse identifies a patient's inability to pour a liquid medication into a measuring spoon. This is an example of what part of the nursing process?

Assessment

Which of the following populations, now in the majority, is projected to be in the minority by the middle to late 21st century?

Caucasians

An example of a nursing action that modifies a teaching program because a learner is not experientially ready is:

Changing the wording in a teaching pamphlet so that a patient with a fourth-grade reading level can read and understand the sentences.

In today's healthcare arena, which is an important consideration for a nurse to consider when promoting national healthcare goals to a client?

Communicating with clients about various choices they can make about healthcare

Which of the following programs focus on processes used to provide care?

Continuous Quality Improvement (CQI)

Continuous quality improvement (CQI) was identified in the 1990s as a system that would focus on improving quality of care by applying processes. Select all of the processes that apply to CQI.

• Analyzing similar clinical situations to identify repetitive tasks • Assessing the impact of financial parameters and reimbursement models on patient care delivery • Examining different processes that affect patient care

A nurse, working in a health clinic, treats a variety of conditions on a daily basis. One disorder that is rapidly increasing and is the leading cause of secondary morbidity is:

Obesity

A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which of the following would the nurse include in presentation when describing disease patterns?

Obesity along with conditions associated with it has become a major health concern.

A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include?

Participation in decision making that is shared by all involved

Which of the following is an important role for a nurse in the health care delivery system?

Participation in disease prevention and health promotion activities

An example of evidence-based practice would be:

Patients on bed rest are turned every 2 hours to prevent the formation of bedsores.

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching?

Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

According to Maslow, which category of needs represents the most basic on the hierarchy?

Physiologic needs

According to Maslow's hierarchy of needs, which of the following is the lowest-level need?

Physiological needs

A client is experiencing anorexia related to the adverse effects of cancer treatment. Using Maslow's hierarchy, the nurse identifies this need as reflecting which of the following?

Physiology

The termination stage of the Transtheoretical Model of Change occurs when:

The person has the ability to resist relapse back to unhealthy behavior.

When does the implementation phase of the teaching-learning process end?

When teaching strategies have been completed

teaching the client taking digoxin

requires another opportunity for practice

The primary task of nursing research includes which of the following?

Contributing to the scientific base of nursing practice

In many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior?

Direct observation of behavior

With the changing population of health care consumers, it has become necessary for nurses to work more closely with other nurses across disciplines. What nursing function has increased in importance because of this?

Discharge planning

To address the needs of a chronically ill patient and promote the concept of wellness, a nursing care plan should outline steps to:

Encourage positive health characteristics within the limits of the disease.

According to the American Academy of Family Physicians, prostate examination should be done at which of the following intervals?

Yearly

today, increasing emphasis in placed on heal, health promotion

teaching the patient

What is the priority responsibility for the nurse providing patient teaching? (Select all that apply.)

• Determining individual needs for teaching • Motivating each person to learn • Presenting information at the level of the learner

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.

• Health education and maintenance • Promoting health • Preventing illness

Which of the following is an example of adherence to treatment? Select all that apply.

• Increasing daily activities • Taking prescribed medications • Self-monitoring for signs and symptoms of illness • Maintaining a healthy diet

Which of the following is accurate regarding wellness? Select all that apply.

• One tries to maximize one's own health. • It is the result of adopting lifestyle behaviors for the attainment of one's highest potential. • It requires a conscious commitment.