Chapter 1: Professional Nursing Practice
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Questions and Answers

What is the primary nursing diagnosis related to the presence of a pressure ulcer?

  • Impaired skin integrity (correct)
  • Deficient fluid volume
  • Risk for infection
  • Ineffective tissue perfusion
  • Which strategy is most effective in treating altered circulation and pressure for a patient with impaired skin integrity?

  • Administering pain relief medication
  • Frequently repositioning the patient (correct)
  • Increasing the patient's mobility
  • Providing nutritional supplements
  • What is the most appropriate outcome for a patient diagnosed with deficient fluid volume due to excessive diaphoresis?

  • Patient's hydration status is monitored
  • Patient has balanced intake and output (correct)
  • Patient's bedding is changed every hour
  • Patient expresses understanding of fluid needs
  • What is the primary purpose of the evaluation phase in the nursing process?

    <p>To assess effectiveness of interventions</p> Signup and view all the answers

    What is the goal of the assessment phase in the nursing process?

    <p>To collect data for diagnosing patient issues</p> Signup and view all the answers

    Which nursing action is least effective for a patient with impaired skin integrity?

    <p>Administering medications for weakness</p> Signup and view all the answers

    In the context of nursing, what does 'ineffective tissue perfusion' indicate?

    <p>Insufficient blood flow to the tissues</p> Signup and view all the answers

    If a nurse assesses a patient with a bacterial infection and notes they are excessively sweating, what should be of primary concern?

    <p>Fluid balance and volume</p> Signup and view all the answers

    What is the primary purpose of the assessment phase in nursing?

    <p>To identify realistic outcomes for health problems</p> Signup and view all the answers

    Which nursing diagnosis statement is properly structured?

    <p>Ineffective coping related to response to biopsy test results</p> Signup and view all the answers

    Which component is essential to include in a nursing diagnosis statement?

    <p>The problem with an etiology and the signs and symptoms</p> Signup and view all the answers

    Which task is appropriate to delegate to an experienced UAP for a patient with heart failure?

    <p>Obtain the patient’s blood pressure and pulse rate after ambulation</p> Signup and view all the answers

    What type of facility should the nurse arrange for the patient's transfer?

    <p>Transitional care facility</p> Signup and view all the answers

    Why is the use of medical diagnoses considered inappropriate in nursing diagnosis statements?

    <p>They do not indicate the patient's response to a health problem</p> Signup and view all the answers

    Which task is appropriate to delegate to the home health aide for a patient diagnosed with type 2 diabetes?

    <p>Help the patient with a daily bath and oral care</p> Signup and view all the answers

    What is a defining characteristic in writing a nursing diagnosis?

    <p>Observable signs and symptoms present in the patient</p> Signup and view all the answers

    How are hospitals primarily reimbursed for patient care?

    <p>Primarily on clinical outcomes and patient satisfaction</p> Signup and view all the answers

    Which option correctly describes a component of nursing diagnosis writing?

    <p>Stating the problem, its cause, and supporting data</p> Signup and view all the answers

    In the context of nursing diagnosis, what does NANDA stand for?

    <p>Nursing Diagnosis Association of North America</p> Signup and view all the answers

    Which statement accurately reflects the responsibilities of nurses regarding care delivered by others?

    <p>Nurses must coordinate all aspects of patient care including care provided by others.</p> Signup and view all the answers

    Which condition suggests that a patient is not yet ready for a residential care facility?

    <p>The patient requires ongoing medical assessments.</p> Signup and view all the answers

    What type of infections would negatively impact hospital reimbursement?

    <p>Catheter-related infections</p> Signup and view all the answers

    Which of the following tasks should NOT be delegated to the home health aide?

    <p>Teaching self-management skills for diabetes</p> Signup and view all the answers

    What is a characteristic of a transitional care facility?

    <p>It serves patients needing rehabilitation before discharge.</p> Signup and view all the answers

    Which task is inappropriate to delegate to an unlicensed assistive personnel (UAP)?

    <p>Check for the presence of bowel sounds and flatulence</p> Signup and view all the answers

    What task can a nurse delegate to a licensed practical nurse (LPN/LVN)?

    <p>Obtain bedside blood glucose before insulin administration</p> Signup and view all the answers

    What is the primary role of a case manager in a healthcare setting?

    <p>Coordinate the services that the patient receives</p> Signup and view all the answers

    Which statement accurately reflects the responsibilities of a registered nurse (RN) in a team?

    <p>Responsible for supervision and team coordination</p> Signup and view all the answers

    What type of task would an unlicensed assistive personnel (UAP) be unable to perform?

    <p>Assess a patient's neurological status</p> Signup and view all the answers

    Which task could a registered nurse (RN) properly assign to a float RN in the unit?

    <p>Performing an initial assessment for a newly admitted patient</p> Signup and view all the answers

    What is an example of a task requiring a registered nurse's expertise that should not be delegated?

    <p>Providing patient education on medication</p> Signup and view all the answers

    In a situation involving a patient with complex needs, which action should a case manager prioritize?

    <p>Coordinating care between various healthcare providers</p> Signup and view all the answers

    Which statement demonstrates a correct understanding of the nursing process?

    <p>The nursing process is a problem-solving tool used to identify and treat patients’ health care needs.</p> Signup and view all the answers

    What is the first action a nurse should take when a patient expresses discomfort about child care arrangements?

    <p>Gather more data about the patient’s feelings about the child-care arrangements.</p> Signup and view all the answers

    What nursing diagnosis is most appropriate for a patient who is paralyzed on the left side following a stroke and has developed a pressure ulcer?

    <p>Impaired skin integrity related to altered circulation and pressure.</p> Signup and view all the answers

    In the nursing process, which phase follows the assessment of a patient's needs?

    <p>Diagnosis of the patient's health issues.</p> Signup and view all the answers

    Which is NOT a primary use of the nursing process?

    <p>To explain interventions to healthcare teams.</p> Signup and view all the answers

    What is an essential component of the nursing process during the assessment phase?

    <p>Gathering comprehensive patient information.</p> Signup and view all the answers

    Which of the following describes a characteristic of the nursing diagnosis?

    <p>It identifies patient problems that require nursing intervention.</p> Signup and view all the answers

    When planning care for a patient with a pressure ulcer, which aspect should the nurse prioritize?

    <p>Regularly assessing the skin condition.</p> Signup and view all the answers

    Which action is considered the highest priority when a nurse is working to promote patient safety?

    <p>Ensuring client safety</p> Signup and view all the answers

    What should a nurse include when preparing a patient for discharge to enhance safety?

    <p>Providing a list of current medications to the patient and caregiver</p> Signup and view all the answers

    In which order should the nurse communicate patient status using the SBAR format?

    <p>D, B, C, A</p> Signup and view all the answers

    Which of the following actions does NOT directly contribute to improving patient safety?

    <p>Prioritizing the nurse’s own comfort in the workplace</p> Signup and view all the answers

    What practice helps clients promote their own safety while hospitalized?

    <p>Encouraging the client and family to be active partners in care</p> Signup and view all the answers

    What is a key component of the nurse's assessment in promoting patient safety during medication administration?

    <p>Identifying potential side effects and interactions</p> Signup and view all the answers

    Which scenario represents a failure in ensuring patient safety?

    <p>The caregiver does not monitor hand hygiene</p> Signup and view all the answers

    Which of the following is an inappropriate response to a patient showing signs of distress?

    <p>Ignoring the symptoms until the scheduled assessment</p> Signup and view all the answers

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    Study Notes

    Chapter 1: Professional Nursing Practice

    • Multiple Choice Question 1: The nurse's role is to assist the patient in developing an individualized plan for maintaining health, a response consistent with the ANA's definition of nursing.

    • Multiple Choice Question 2: Evidence-based practice utilizes research, clinical expertise, and patient preferences as guidelines for care.

    • Multiple Choice Question 3: The nursing process is a scientific method for diagnosing and treating patients' health care problems, not primarily for explaining interventions to other healthcare professionals.

    • Multiple Choice Question 4: The nurse should gather further information about the patient's feelings regarding child care arrangements before taking any other action.

    • Multiple Choice Question 5: Impaired skin integrity related to altered circulation and pressure is the best diagnosis for a patient with a pressure ulcer arising from left-sided paralysis.

    • Multiple Choice Question 6: A balanced intake and output is an appropriate outcome when a patient has a diagnosis of deficient fluid volume related to diaphoresis.

    • Multiple Choice Question 7: Evaluation in the nursing process determines if interventions met desired patient outcomes effectively.

    • Multiple Choice Question 8: Assessment in the nursing process gathers data to diagnose patient problems.

    • Multiple Choice Question 9: A correct nursing diagnosis statement includes a NANDA nursing diagnosis coupled with a defining characteristic as the etiology. The phrase "altered tissue perfusion related to heart failure" is a correct format for diagnoses.

    • Multiple Choice Question 10: A nursing diagnosis should include the problem, its etiology, and symptoms—interventions and outcomes are not included in the nursing diagnosis statement.

    • Multiple Choice Question 11: Delegating tasks to unlicensed assistive personnel (UAP) is appropriate for tasks including accurately measuring vital signs. Delegating tasks such as patient teaching or assessment necessitates RN guidance.

    • Multiple Choice Question 12: The nurse cannot delegate assessments, plan creation, or patient teaching to LPNs/LVNs—These are professional nursing tasks.

    • Multiple Choice Question 13: LPNs/LVNs are qualified to document patient condition or perform tests such as blood glucose checks with appropriate guidance.

    • Multiple Choice Question 14: The case manager coordinates the patient's care across different settings, but does not directly provide care in the hospital or home.

    • Multiple Choice Question 15: A transitional care setting is the appropriate facility for a patient needing continued rehabilitation before discharge to home or long-term care.

    • Multiple Choice Question 16: Tasks such as monitoring blood glucose, teaching about diet, and providing assessments are not appropriate tasks for an aide to perform; they are in the domain of registered nurses and require proper training and education.

    • Multiple Choice Question 17: Quality care is primarily based on clinical outcomes and patient satisfaction, and not on reimbursement for costs of care or electronic documentation.

    • Multiple Choice Question 18: Informatics and technology competencies are demonstrated when nurses use computerized systems for patient care documentation and communication.

    • Multiple Choice Question 19: The key considerations when delegating to an LPN/LVN include institutional policies, patient stability, the state nurse practice act, and the experience of the LPN/LVN.

    Other

    • SBAR: The situation-background-assessment-recommendation format follows a specific sequence for communicating patient information: the situation, background, assessment, and recommendation.
    • *Safe Medication Administration: Safe medication administration requires proper labeling, proper patient identification, verifying lab results before administering medications, and discharging patient with a list of current medications.

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    Description

    This quiz tests your understanding of key concepts in professional nursing practice as outlined in Chapter 1. Questions cover the nurse's role, evidence-based practice, the nursing process, and patient assessment. Prepare to assess your knowledge of the foundational principles of nursing.

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