sherpath week 1 quiz and lesson: fundamentals
What specific aspect of a profession does the development of theories provide?
Body of knowledge Theories establish a specific nursing body of knowledge that is unique to the discipline, which is one criterion of a profession.
Which criteria establish nursing as profession?
- Licensure - Specialized body of knowledge - Higher education
Which vital sign measurements of adult patients would require the nurse to immediately notify the health care provider?
158 pulse rate 8 respirations 50/30 blood pressure
Which vital sign measurements are unexpected?
60 pulse rate for a 1-year-old 35 respirations for a 6-year-old SpO2 90% for a 15-year-old
What is the expected pulse range for an adult patient? Record your answer as whole numbers separated by a hyphen
60-100
Which nursing action demonstrates accountability?
Accepting responsibility for decisions
Which actions are strictly a nurse's responsibility?
Assess patients to determine if medically stable. Interpret vital sign measurements. Report significant vital sign findings to the health care provider. Reassess any unexpected vital sign values.
Nurses demonstrate a positive attitude by which actions?
Attending Suspending value judgments Helping patients develop resources
A profession has specific characteristics. In regard to how nursing meets these characteristics, which criteria are consistent and standardized processes?
Code of ethics Licensing Body of knowledge Altruism
Which action would the nurse take before notifying the health care provider about a patient's vital signs?
Compare the findings to the patient's baseline
When the patient and nurse first meet, which characteristics should the nurse portray?
Consistency Confidentiality Safety
Which entries would the nurse include when documenting vital signs?
Date of assessment Time of assessment Numeric results of the assessment
Which actions are required for proper documentation of vital signs?
Date of assessment Time of assessment Numerical results of assessment
Which information about a patient's pain is accurate?
It is a subjective experience
Which actions are responsibilities of the nurse when assigning vital signs to the unlicensed assistive personnel (UAP)?
Ensure that the UAP uses the proper technique for measuring vital signs. Validate that the UAP knows what values need to be reported immediately for each patient Ensure that the UAP is competent to perform vital sign assessments. Validate that the UAP uses appropriate equipment.
What is the primary reason for the nurse's "use of self" when communicating with a patient?
Establishing rapport
Which are qualities of a therapeutic nurse-patient relationship?
Evaluating the relationship Providing patient treatment
How frequently would the nurse take vital sign measurements for a stable hospitalized patient?
Every 4 to 8 hours
Which characteristic used by the nurse to build trust with the patient is exemplified when the nurse's outward behavior is congruent with inner feelings?
Genuineness
Which situations require vital sign assessment?
In ongoing care During an inpatient stay Before and after surgery As part of a physical assessment
Which components of therapeutic listening does the nurse demonstrate when speaking with Mr. Chang?
Offering empathy and support Clarifying and summarizing important points Using engaging posture and focusing on the patient
Which factors influence the interpretation of a patient's vital signs?
Patient status Consideration of patient's baseline vital signs Standard range for vital sign values Patient's unique medical condition
Which finding takes precedence when interpreting a patient's vital sign values?
Patient's baseline result
When the nurse views a patient as being worthy of care and concern, the nurse is displaying which characteristic?
Positive regard
Which response indicates a nurse has a correct understanding about the components of a vital sign assessment?
Pulse is the detectable rhythmic expansion of an artery from the pumping action of the heart."This is a correct statement because pulse is the detectable rhythmic expansion of an artery from the pumping action of the heart and is measured as the number of beats per minute.
Which tasks would the nurse delegate to the unlicensed assistive personnel (UAP)?
Report vital signs for a stable patient. Measure vital signs for a stable patient.
Which finding is unexpected for a 15-year-old patient?
Respirations 30
Which vital sign finding indicates the adult patient is improving?
Respiratory rate decreases from 36 to 20.
What must the nurse possess in order to help others?
Self-awareness
Which communication technique does the nurse use after Mr. Chang shakes his head and begins crying?
Silence
Which are characteristics of the nurse who communicates assertively?
Stands up for own rights Stands up for the rights of others Chooses relevant words and actions
Which action would the nurse take for a stable patient who is scheduled for a transfer to the rehabilitation unit later in the afternoon?
Take vital signs before the transfer.
The nurse supports a patient's decision to decline more cancer treatment and to be cared for by a hospice team, even though the nurse personally thinks the patient should seek more treatment. The nurse is practicing which nursing role?
advocacy
the nurse engages in therapeutic use of self when using which therapeutic listening technique?
being patient
How frequently would the nurse assess vital signs for a patient with a head injury who suddenly reports a severe headache and whose blood pressure rises from 118/62 to 170/94?
every 5 minutes
Which measurements are included as cardinal vital signs?
pulse, respiration rate, and blood pressure
Which action would the nurse take when the unlicensed assistive personnel (UAP) reports the patient's pulse increased from 74 beats/min to 100 beats/min and the temperature increased from 99° to 101.8°F (37.2° to 38.8°C)?
reasses
