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Final Review
Transitions
| Question | Answer |
|---|---|
| what is the aim of nursing? | Promote health, prevent illness, care for the ill, and assist in coping with disability and terminal illness |
| A nurse is facilitating a patients ability to cope with a chronic illness. Which example reflects this nursing aim? | 1. Assisting the patient in reviewing the positive experiences in their life. 2. Providing range of motion exercises to a client with a stroke 3. Administering a flu vaccine 4. Teaching adolescents about water and driving safety |
| Why was Florence Nightingale a nursing pioneer? | She maintained statistics recognized as the beginning of nursing research |
| What is the role of nursing based on the American Nurses Association? | The nurse focuses on the human experience and responses when caring for individuals, families, groups, and communities. |
| What aspect of nursing does the nurse use for the base of education for a patient scheduled for a procedure to rule out a cerebral aneurysm? | The science of nursing |
| Which nursing actions demonstrate the aim of professional nursing to promote health? | Providing education on sexually transmitted diseases at a college health center Serving as a role model for health for patients by maintaining a healthy weight discussing lifestyle decisions that would enhance the well-being of a teenager. |
| After gathering data, reviewing the health record (EMR), on a client admitted for a surgical procedure, what is the next step in the nuring process the nurse will use? | Analyzing/diagnosing |
| List the common elements of a Nurse Practice Act, regardless of the state | Defining the legal scope of nursing practice Excluding untrained and unlicensed people from practicing nursing Enforcing rules and regulation defined by the nurse practice act Defining legal requirements and titles for RN's and LPN's |
| You are working as a nurse in a pediatric practice assessing the psychosocial development during a wellness visit. What theorist's work would you use? | Erikson |
| What exemplifies the primary focus of nursing? | Providing thoughtful patient centered care in all settings |
| A nurse working in a long term care facility focuses on assisting a client to adapt to their environment. | Myra Levine |
| What nursing theorist used nursing interventions for people demonstrating ineffective adaptive responses | Sister Callista Roy; The Roy Adaption Model |
| You are caring for a client admitted to the hospital for a stroke. Using the hierarchy of basic human needs, which intervention is most appropriate? | 1. Ensuring that the patient has family and friends visit him 2. Helping the patient to fill out an advanced directive form 3. Finding a safe environment for the patient upon discharge. 4. Teaching the patient to call for help before ambulating.* |
| You and your classmates are conducting a study to determine which mouth rinse best improves oral comfort of patients receiving chemotherapy. You identify the mouth rinse as which component of the study? | Variable |
| You are immunizing children against measles. At what level of preventative care are you engaging? | Primary |
| You are caring for an adolescent with a traumatic lower extremity amputation due to a motor vehicle accident. Which human needs will you set as a priority for this client? | Self esteem needs |
| You are performing a pain assessment on a patient from another culture. What is the most accurate documentation of pain? | Pain rating scale |
| As a prison nurse you are caring for a new prisoner brought to the infirmary. The prisoner is disoriented and complains about the noise, bright lights, and lack of privacy. What nursing problem would you document in the EMR | Culture shock |
| How do you provide culturally respectful care? | Ask open-ended questions Use observation and listen to acquire knowledge of the beliefs and values of patients Incorporate the suggestions of a patient's folk medicine practitioner into the care plan |
| You are preparing to transfer a patient to the OR for surgery> The patient states: "I no longer want to have the surgery". After ensuring the client understands the consequences of the surgery and notifying the surgeon, what ethical principle takes priority? | Advocacy |
| A fellow nursing student appears sedated and has an odor of alcohol during your pre-clinical huddle. What is your best action? | Sharing your suspicion with your clinical instructor |
| When assisting the health care provider obtaining informed consent form a non-speaking English patient, what action is essential? | Validate the client can describe the procedure they have agreed to |
| Intentional or unintentional acts of wrong doing is what? | Tort |
| What must be established to prove malpractice or negligence? | Duty Breach of duty Causation |
| As a home care nurse you discuss the frequency and duration of your visits with your client. In which phase of the helping relationshiop si this type of agreement established? | Orientation phase |
| Establishing a dynamic relationship in which active communication is reciprocal is what? | Helping relationship |
| Rude, intimating verbal or nonverbal behavior is | Incivility |
| How do you promote an effective helping relationship? | Controlling their tone of voice to convey exactly what is meant communicate as simply as possible, gearing the conversation to the patient level finding opportunities to communicate information to clients during routine care |
| Recognizing your client with a new COPD diagnosis requires teaching to learn how to use the prescribed inhalers. What is your first step? | Determine the client's learning needs |
| Writing learning outcomes for a patient recently diagnosed with type II diabetes requires what? | Collaborating with the patient to determine the overall need, followed by specific outcomes |
| When teaching an adult patient patient how to control stress through relaxation techniques, what should you consider for qualities of the adult learner? | Help the patient draw from their previous experiences as a resource to reduce stress |
| As a nurse manager you value employee satisfaction and use a variety of activities to motivate your staff to be the best nurses possible. What style of leadership are you using? | Democratic |
| in looking at health delivery systems, what factor reflects a source of conflict in health care today? | Improving health with a simultaneous cost reduction |
| What is the greatest advantage of a PPO health care plan? | cost-effectiveness |
| List the chief functions of the home health care nurse? | Providing continuity of care Administering medications Providing teaching and counseling Developing a nursing care plan |
| Patient comes to the ER due to respiratory distress. Diagnosis is pneumonia but the patient refuses to stay for treatment. What best reflects your responsibility as the nurse? | Notifying the health care provider and ask the patient to sign an AMA discharge form |
| What is a QSEN competency of evidenced based practice when caring for patients? | Researching best practices to prevent the spread of infection in health care provider offices |
| Weighing the pros and cons of various interventions to relieve complex cancer pain, including meds and counseling characterizes what interventions and process | Clinical Reasoning |
| After you complete an initial assessment on a patient complaining of abdominal distress, you determine the patient is having diarrhea. You are now formulating the health problem of altered bowel elimination. What skill are you using? | Clinical Judgment |
| What does the nursing process do? | Acts as a process to develop, deliver, and evaluate care Represents a mental model and an organized way of thinking Formulates the framework for predictable approach to review best practices Identifies etiologies for diagnosing actual and potential health problems |
| In the short procedures unit you are assessing a new patient prior to surgery. In the introductory phase, what action would you do first? | Determine the patient's ability to participate and the patient's comfort |
| You are caring for a patient with a diagnosis you have never dealt with or heard of. What do you do? | Consult a nursing reference |
Created by:
PRO Teacher
lygervase
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