Practice Exam for NURS1020 Exam 3
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Practice Exam for NURS1020 Exam 3

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@wgaarder2005

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Questions and Answers

A nurse is utilizing evidence-based practice (EBP) when providing care to a patient. Which of the following best describes evidence-based practice?

  • Utilizing the nursing process without considering the latest research
  • Integrating the best current evidence with clinical expertise and patient preferences (correct)
  • Relying solely on personal clinical experience to make care decisions
  • Applying hospital policies without evaluating patient preferences
  • Which of the following is an example of evidence-based nursing practice?

  • Administering medications without reviewing current research guidelines
  • Assessing a patient based on their culture, preferences, and the latest research (correct)
  • Implementing interventions solely based on nurse’s personal experience
  • Performing all nursing tasks according to outdated procedures
  • A nurse is providing postoperative care and uses chewing gum to prevent ileus, based on recent research findings. This is an example of:

  • Personal clinical preference
  • Evidence-based practice (correct)
  • A unit-specific best practice
  • A hospital mandate
  • Which of the following describes "best practice" in nursing?

    <p>Using evidence to improve practice on a specific unit</p> Signup and view all the answers

    A nurse is evaluating their care decisions. Which of the following factors should they consider when making evidence-based decisions? (Select all that apply)

    <p>Latest research findings</p> Signup and view all the answers

    Which of the following statements best describes health equity?

    <p>Ensuring equal opportunities for all individuals to achieve their highest health potential</p> Signup and view all the answers

    A nurse is teaching a patient newly diagnosed with hypertension about lifestyle modifications. Which of the following topics should the nurse prioritize?

    <p>The importance of regular exercise, balanced nutrition, and stress management</p> Signup and view all the answers

    In the context of patient education, which teaching method would be most effective for teaching a skill, such as using an inhaler?

    <p>Lecture and demonstration</p> Signup and view all the answers

    A nurse assesses a patient’s motivation to learn about managing their diabetes. Which factor is most likely to increase the patient’s motivation?

    <p>Providing non-judgmental support during teaching</p> Signup and view all the answers

    Which of the following teaching techniques is used to confirm patient understanding of newly taught health information?

    <p>Teach-back method</p> Signup and view all the answers

    A nurse is developing a teaching plan for a patient. Which step should the nurse take first?

    <p>Assessing the patient’s needs, motivation, and ability to learn</p> Signup and view all the answers

    Which domain of learning is being targeted when a nurse helps a patient cope with the emotional aspects of a chronic illness?

    <p>Affective</p> Signup and view all the answers

    A nurse is caring for a patient from a non-Western culture who expresses a preference for holistic treatments over biomedical interventions. Which of the following nursing actions best respects the patient's cultural beliefs?

    <p>Educating the patient on combining both biomedical and holistic approaches, if feasible</p> Signup and view all the answers

    A nurse is preparing to conduct a health assessment with a patient who practices cupping as part of their cultural health practices. Which of the following is the most appropriate nursing action?

    <p>Asking the patient to explain the purpose and benefits of cupping</p> Signup and view all the answers

    A nurse working with a Native American patient notices that the patient avoids direct eye contact. Which of the following interpretations should the nurse make?

    <p>The patient’s cultural background may interpret eye contact differently</p> Signup and view all the answers

    A nurse is educating a Muslim patient who expresses concerns about a new medication because it contains gelatin. The nurse's best response to this concern is to:

    <p>Consult the pharmacy for a gelatin-free alternative</p> Signup and view all the answers

    A patient with limited English proficiency is being educated about their discharge instructions using an interpreter. Which of the following practices is inappropriate?

    <p>The nurse speaks directly to the interpreter to ensure accuracy</p> Signup and view all the answers

    A nurse is working with a patient who is experiencing spiritual distress due to an inability to practice daily rituals in the hospital setting. Which intervention is most appropriate?

    <p>Provide alternative options that allow the patient to practice elements of their rituals</p> Signup and view all the answers

    A nurse is aware that a patient's religious beliefs prohibit blood transfusions. The patient is scheduled for surgery with potential for significant blood loss. Which nursing action best demonstrates cultural sensitivity?

    <p>Discussing alternative methods to manage blood loss</p> Signup and view all the answers

    A patient is experiencing the alarm stage of the general adaptation syndrome (GAS) in response to acute stress. Which physiological changes would the nurse expect to observe in this stage?

    <p>Increase in blood glucose levels and epinephrine release</p> Signup and view all the answers

    A nurse is assessing an elderly patient who reports high levels of stress due to the recent loss of a spouse. The nurse understands that stress in older adults may present differently. Which of the following coping mechanisms is most commonly utilized by older adults?

    <p>Drawing on past experiences to manage current stressors</p> Signup and view all the answers

    During a patient’s response to chronic stress, which physiological reaction is most likely to occur during the resistance stage of the general adaptation syndrome?

    <p>Stabilization of hormone levels and repair of damage</p> Signup and view all the answers

    A patient in an acute care setting shows signs of severe anxiety, including hyperventilation and sweating. What is the nurse's priority intervention?

    <p>Stay with the patient to provide safety and reassurance</p> Signup and view all the answers

    A nurse observes that a patient is frequently anxious due to a recent diagnosis of chronic illness. The nurse plans to teach coping strategies. Which strategy would be least effective in helping the patient manage chronic stress?

    <p>Avoidance of stressors through isolation</p> Signup and view all the answers

    The nurse is caring for a patient experiencing the exhaustion stage of the general adaptation syndrome (GAS) due to prolonged stress. Which clinical manifestation would the nurse expect?

    <p>Impaired immune function and depletion of energy reserves</p> Signup and view all the answers

    A nurse is working with a patient who copes with stress by frequently expressing emotions and seeking social support. This coping mechanism is best described as:

    <p>Emotion-focused coping</p> Signup and view all the answers

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