Theory 110A
Maslow's Hierarchy of Needs
(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
A nurse is providing an in-service to a group of newly licensed nurses about the definition of nursing developed by the American Nurses Association (ANA). Which of the following information should the nurse include in the teaching? (Select all that apply.)
-Protects and promotes client's health -Avoids illness and injuries through health promotion -Uses the nursing process to facilitate client care -Advocates for the care of the client
Clinical judgement
Ability to make decisions and solve problems in a situation through using your nursing knowledge
A Nurse is preparing a teaching plan for a client who is learning to walk with a cane. The nurse should identify that which of the following actions is part of the evaluation step of the teaching plan?
Ask the client to demonstrate walking with the cane.
A charge nurse is teaching a newly licensed nurse the importance of client confidentiality. Which of the following professional standards should the charge nurse refer to in the teaching?
Code of ethics for nursing
A Nurse is admitting a client who has a partial hearing loss. Which of the following is the priority by the nurse?
Determine is the client uses hearing aids
A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes. Which of the following actions should the nurse plan to take first?
Determine what the client knows about managing diabetes
A Nurse is providing an in-service on the healthy people 2030 framework. Which of the following information should the nurse include?
Establish health objectives for Americans
A Nurse is taking a class on professionalism. The nurse should include which of the following is an example of accountability?
Following the rights of medication administration to administer a medication to a client.
A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?
Health promotion
Clinical Judgement steps
Noticing, Interpreting, Responding, Reflecting Noticing: What did you notice in your assessment? Interpreting: What does the clinical data that you noticed mean? Responding: How will you respond based on your interpretation of relevant clinical data? Reflecting (re-evaluate): What is your evaluation of how the patient responded? Was it expected or not?
Nursing Process
Problem solving approach to the identification and treatment of patient problems that is the foundation of nursing practice. The 5 phases of the nursing process are assessment (nursing), diagnosis (analysis), planning, implementation, and evaluation.
American Nurses Association (ANA)
Professional organization that represents all registered nurses. Serves as a resource for nurses that need recommendations or course of action when relevant health care issues arise
A Nurse is teaching a client who has been newly diagnosed with diabetes. Which of the following information demonstrates health literacy by the client?
The client understands to take their blood glucose daily.
A Nurse is preparing a teaching plan for a client about hand hygiene. The nurse should identify that which of the following actions is part of the planning step?
The nurse should identify teaching strategies about hand hygiene for the client as part of the planning step of the teaching plan
Nursing Process
five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating
A Nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?
Asking open-ended questions.
Nursing: Scope and Standards of Practice
Outlines the expectations of the professional role within which all RNs must practice and delineates the standards of care and associated competencies for professional nursing. Provides guidelines for nurses to follow in order to provide safe, quality, and competent care to clients
A nurse is teaching a newly hired nurse about cell phone use in the workplace. Which of the following information should the nurse include in the teaching?
Request for assistance from the clients room
A Nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five eights of delegation?
Right communication
clinical judgement model explained
Six cognitive skills 1) recognizing cues 2) analyze cues 3) prioritize hypotheses 4) generate solutions 5) take action 6) evaluate outcomes These skills give nurses the ability to make decisions and solve problems by making sense of information in a situation
SBAR, huddles, and CUS(Concerned, Uncomfortable, Safety)
These methods offer a structured way to discuss patient care among team members
Principles of Nursing Practice
This standard provides guidance to nurses on issues related to pay, staffing, and any other topic that can promote professional practice
A Nurse is using an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?
Using silence. The use of silence is a therapeutic communication technique. Silence gives the nurse and client time to think, sort out feelings, and reflect on what has already been said. It also demonstrates the nurse's willingness to be patient and allow the time needed to formulate thoughts or make decisions. Silence can be especially therapeutic when a client is grieving