Podcast
Questions and Answers
What is the major difference between nursing students today and nursing students 50 years ago?
What is the major difference between nursing students today and nursing students 50 years ago?
The nurse is caring for a diabetic patient who expresses the desire to learn more about a diabetic diet in an attempt to gain better control of his blood sugar. The nurses actions will be based on which non-nursing theory?
The nurse is caring for a diabetic patient who expresses the desire to learn more about a diabetic diet in an attempt to gain better control of his blood sugar. The nurses actions will be based on which non-nursing theory?
The Quality and Safety Education for Nurses Initiative (QSEN) has identified which key competencies for nurses? Select all that apply.
The Quality and Safety Education for Nurses Initiative (QSEN) has identified which key competencies for nurses? Select all that apply.
The nurse is caring for a patient who is on a ventilator. The nurse is bathing the patient and talking to them as she is carrying out care, as well as telling the patient what is going to happen next. The nurse speaks to the patient in a soothing manner. The nurse is acting in which role? Select all that apply.
The nurse is caring for a patient who is on a ventilator. The nurse is bathing the patient and talking to them as she is carrying out care, as well as telling the patient what is going to happen next. The nurse speaks to the patient in a soothing manner. The nurse is acting in which role? Select all that apply.
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The nurse offers a patient two possible times to ambulate as the physician has ordered. The nurse is acting in which nursing role?
The nurse offers a patient two possible times to ambulate as the physician has ordered. The nurse is acting in which nursing role?
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The nurse is performing an extensive dressing change on a burn patient. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
The nurse is performing an extensive dressing change on a burn patient. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
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What type of nursing program would allow a student with a 4 year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a masters in nursing program?
What type of nursing program would allow a student with a 4 year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a masters in nursing program?
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A prospective nursing student desires a career that will allow him to provide patient care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full time position quickly due to economic hardship. What type of nursing program would best suit this student?
A prospective nursing student desires a career that will allow him to provide patient care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full time position quickly due to economic hardship. What type of nursing program would best suit this student?
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Nurses that enlist their services to the military are able to do so thanks to the work of which organizer of healthcare?
Nurses that enlist their services to the military are able to do so thanks to the work of which organizer of healthcare?
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Due to the rising cost of healthcare services, many procedures and treatments are being delivered in what type of setting?
Due to the rising cost of healthcare services, many procedures and treatments are being delivered in what type of setting?
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The nurse in a rehabilitative facility makes certain that the patient he is caring for is participating in group activities that are of interest to the patient. The nurse is ensuring which patient need is met?
The nurse in a rehabilitative facility makes certain that the patient he is caring for is participating in group activities that are of interest to the patient. The nurse is ensuring which patient need is met?
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The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
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A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. What organization best describes this process?
A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. What organization best describes this process?
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During the Christian era, nursing care excluded which area?
During the Christian era, nursing care excluded which area?
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Study Notes
Question 1 Analysis
- Nursing students today show a more diverse population
- The major difference between nursing students of today and those 50 years ago is that today's students reflect a more diverse population
Question 2 Analysis
- Change theory
- A nurse's actions are based on change theory when a patient wants to learn more about diabetic diet
Question 3 Analysis
- QSEN (Quality and Safety Education for Nurses) competencies include:
- Patient-centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Correct documentation
Question 4 Analysis
- The nurse is acting as a caregiver, communicator, and educator.
- The nurse cares for a patient on a ventilator, and is communicating and educating in a soothing manner.
Question 5 Analysis
- The nurse is acting as a manager and coordinator.
- The nurse is offering the patient two times for ambulation, according to the physician's orders
Question 6 Analysis
- The nurse is acting as an educator.
- The nurse explains each step of the burn patient's dressing change
Question 7 Analysis
- The program is a graduate entry program.
- This allows a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing
Question 8 Analysis
- The program is a licensed or vocational program.
- This program is best for the student who needs to quickly start working, due to economic hardship
Question 9 Analysis
- Dorothea Dix
- Nurses in the military are supported by the work of Dorothea Dix
Question 10 Analysis
- Outpatient facility
- Due to rising costs, many treatments and procedures are now being delivered in outpatient facilities.
Question 11 Analysis
- Love and belonging
- The nurse is ensuring the patient's need for love and belonging through participation in group activities
Question 12 Analysis
- Collaborative intervention
- Administering pain medication based on a prn basis by the physician is a collaborative intervention.
Question 13 Analysis
- Clinical nurse specialist
- The person employed in the community-based activities and the facility's employment is a clinical nurse specialist.
Question 14 Analysis
- Psychiatric services
- During the Christian era, nursing care excluded psychiatric services.
Question 15 Analysis
- Collaborative functioning
- The nurse functioning in giving dosage ranges is an example of collaborative functioning
Question 16 Analysis
- Ambulate 30 ft, twice a day with assistance of walker
- This is a properly stated nursing intervention
Question 17 Analysis
- The RN (Registered Nurse)
- The RN is the healthcare provider who develops the plan of care for the patient.
Question 18 Analysis
- Community health centers/birth centers/acute care centers/ambulatory care centers/etc
- Current trends in nursing practice include the development of healthcare centers for various specializations
Question 19 Analysis
- Guidelines for providing care
- The Standards of Practice give nurses guidelines for providing care
Question 20 Analysis
- The nurse is acting as a communicator
- The nurse is communicating findings from the x-ray report with the physician
Question 21 Analysis
- The nurse is acting as a researcher
- The nurse is acting as a caregiver while caring for a young victim of a terrorist attack, by assisting the patient in dressing and bathing.
Question 22 Analysis
- A baccalaureate program
- The baccalaureate program allows a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX exam, and then a masters in nursing program.
Question 23 Analysis
- Associate level
- The director of nursing (DON) is most likely to hire a nurse prepared at the associate level
Question 24 Analysis
- Socialization
- The student beginning to use medical terminology is considering the socialization process.
Question 25 Analysis
- Increased incidence of chronic illness
- The increased incidence of chronic illness has influenced how nurses practice.
Question 26 Analysis
- American Journal of Nursing
- The American Journal of Nursing is the first nursing journal owned, operated, and published by nurses.
Question 27 Analysis
- The Goldmark Report
- Advocating for financial support for university-based schools of nursing was noted in the Goldmark Report .
Question 28 Analysis
- World War I and World War II
- The need for university-based nursing programs was brought to light during World War I and World War II.
Question 29 Analysis
- Lillian Wald
- The Henry Street Settlement was founded by Lillian Wald
Question 30 Analysis
- Dorothea Dix
- Dorothea Dix established the Nurse Corps of the United States Army
Question 31 Analysis
- Use of patients reparative processes
- Florence Nightingale classified nursing as the use of a patient's reparative processes.
Question 32 Analysis
- Victorian era
- The purpose of nursing was shaped by the Victorian era.
Question 33 Analysis
- Top-down flowchart
- A step-by-step reference showing how to administer medication is called a top-down flowchart.
Question 34 Analysis
- Institute of Medicine
- A nonprofit organization that distributes knowledge-related to healthcare for the purpose of improving health is called the Institute of Medicine.
Question 35 Analysis
- Control chart
- The graph displaying data on admission assessments and compliance variation limits is a control chart.
Question 36 Analysis
- What the consumer needs and wants
- The focus of quality in healthcare is what the consumer needs and wants.
Question 37 Analysis
- Deployment chart
- The diagram of an organization's emergency response is a deployment chart
Question 38 Analysis
- Critical pathway
- Used to improve quality of care, a 'road map' that guides daily care is called a critical pathway.
Question 39 Analysis
- Time plot
- When staff plot the level of patient satisfaction monthly for a year, this is considered a time plot.
Question 40 Analysis
- Pareto chart
- A bar graph that represents frequency of events in decreasing order is a Pareto chart.
Question 41 Analysis
- Physician-prescribed, nurse-prescribed
- To administer pain medication which is presented by the physician
Question 42 Analysis
- Ambulate in the hall
- The properly stated nursing intervention is to ambulate in the hall.
Question 43 Analysis
- Graduate entry program
- The graduate entry program allows a student with a 4-year degree in psychology to move into a masters degree program in nursing.
Question 44 Analysis
- Licensed or vocational program
- A prospective nursing student who needs a full-time position quickly and has economic hardship should seek a licensed or vocational program
Question 45 Analysis
- Patient-centered care.
- Patient-centered care is a type of care that focuses on client needs and desires.
Question 46 Analysis
- Evaluation
- The review of patient information happens during the evaluation phase.
Question 47 Analysis
- Implementation
- The phase of administering a prn medication is considered implementation
Question 48 Analysis
- Implementation
- The phase during which a nurse administers medication is known as implementation.
Question 49 Analysis
- Implementation
- This is a phase of the nursing process, where the plan or care is carried out
Question 50 Analysis
- Planning
- This a phase of the nursing process and the goal is to prepare a plan that will help meet patient outcomes
Question 51 Analysis
- Outcome identification
- The nurses statement on the patients healing process is an example of outcome identification
Question 52 Analysis
- North American Nursing Diagnosis Association International (NANDA)
- The organization that defines nursing diagnoses is NANDA
Question 53 Analysis
- Registered nurses
- Only licensed registered nurses are able to make a nursing diagnosis
- Registered nurses are licensed to make a nursing diagnosis
Question 54 Analysis
- Real health problems
- The nurse is seeking to identify the patients real health problems, by assessing the patient.
Question 55 Analysis
- Problem-solving approach
- The nursing process is synonymous with a problem-solving approach.
Question 56 Analysis
- Collecting/validating data
- Comparing cues to normal function
- Referring to textbooks/journals/research
Question 57 Analysis
- Validate with the patient
- The patient's cues should be validated by the nurse
Question 58 Analysis
- The preparatory phase of the nursing history
- The nurse is focused on collecting data in the preparatory phase.
Question 59 Analysis
- The concluding phase of the nursing history/interview
- Asking the patient's family members to leave the room is appropriate during the conclusion of the interview, and before the beginning of the assessment (to ensure privacy)
Question 60 Analysis
- The nurse needs to ascertain the need for patient care.
- During the visit, the nurse must make an assessment in the patient's care.
Question 61 Analysis
- The health assessment
- The nurse needs to perform the health assessment during the initial point of contact
Question 62 Analysis
- Objective data
- The objective data includes what the nurse hears by listening to the patient
Question 63 Analysis
- Inspection, palpation, percussion, auscultation
- These are techniques used by the nurse to provide patient care.
Question 64 Analysis
- Identify actual and potential nursing diagnosis
- The nurse is responsible for establishing this prior to the nursing process
Question 65 Analysis
- Patient medical history
- If a patient is considered a poor historian of their medical history, the nurse must consult with the patient's family to acquire accurate information
Question 66 Analysis
- Patient's gait/mannerisms
- The nurse should note that the patient has a specific way of walking
Question 67 Analysis
- Family
- The family is the most important person in the patient's care
Question 68 Analysis
- A Catholic ritual
- The Catholic custom of baptism is a ritual
Question 69 Analysis
- Cultural relativism
- A person's behavior is considered in terms of their culture and beliefs
Question 70 Analysis
- Community-based health measures
- To meet criteria, hospitals must conduct assessments in community health settings.
Question 71 Analysis
- Physical assessment
- The physical assessment of the patient is performed upon the initial physical contact of the home health visit
Question 72 Analysis
- Observation and assessment of the patient's record
- The patient's record contains information the nurse can use during the assessment of their condition.
Question 73 Analysis
- Describe a functional health problem
- A nursing diagnosis is intended to describe a functional health problem.
Question 74 Analysis
- Risk for impaired skin integrity related to bed rest
- This is an example of a nursing diagnosis for a 78-year-old patient confined to bed
Question 75 Analysis
- Critical thinking
- The analysis of assessment cues and formulating a diagnosis involves critical thinking
Question 76 Analysis
- A set of clinical cues
- A nurse can determine an accurate diagnosis for the patient by collecting a set of clinical cues
Question 77 Analysis
- It describes the patient's condition
- An impaired state of equilibrium is defined as the patient's condition
Question 78 Analysis
- Imbalanced nutrition: less than body requirements
- This nursing diagnosis fits the presented patient case
Question 79 Analysis
- Collaborative health problems
- Problems that require actions/interventions from both the physician and nurses are collaborative health problems
Question 80 Analysis
- Nursing diagnoses
- NANDA-I is the organization that defines nursing diagnoses
Question 81 Analysis
- Condition
- The primary factor of priority when setting priorities for cardiac surgery patients is the patient's physical condition.
Question 82 Analysis
- Does not contain documented scientific rationales
- The clinical care plan prepared by students usually differs from the registered nurse's in that it will often not contain scientific rationales
Question 83 Analysis
- Evaluation
- The phase of the nursing process performed when a nurse reviews the patient's healing and recovery is evaluation.
Question 84 Analysis
- Outcome criteria
- In outcome identification, the qualifier for the outcome is outcome criteria.
Question 85 Analysis
- To provide a basis for the scientific rationale; to address the problem in the nursing diagnosis; and/or to evaluate the plan of care developed.
- The purpose for outcome identification is to provide a basis for the scientific rationale
Question 86 Analysis
- Resolve the patients anxiety
- The priority outcome for the patient is the resolution of their anxiety
Question 87 Analysis
- Outcome criteria
- The outcome criteria listing source is a computerized information system to classify patient outcomes.
Question 88 Analysis
- Provide individualized care
- The nurse identifies outcomes of care for different patients to support individualized care
Question 89 Analysis
- Family
- The family is essential in the assessment of a patient who is unconscious, and unable to give input.
Question 90 Analysis
- Pain
- If the patient is experiencing pain, it's important to take immediate action to manage it
Question 91 Analysis
- Outcome evaluation
- A yearly performance evaluation is an example of outcome evaluation.
Question 92 Analysis
- To determine the patient's behavioral response to nursing interventions; to appraise the extent to which a patient's goals were attained or problems were resolved; to assess the member's roles; to ensure the plan of care was followed as originally prepared.
- The purpose of evaluation is to look at different aspects of patient care.
Question 93 Analysis
- The plan of care.
- When the nursing plan or care is developed, the nurse will be prepared.
Question 94 Analysis
- Process evaluation
- A nurse manager evaluating the staff members performance is a process evaluation.
Question 95 Analysis
- Structure evaluation.
- When a charge nurse is evaluating if there are sufficient nurses and equipment needed for patients, the evaluation is a structure evaluation.
Question 96 Analysis
- Patient's goals have been achieved
- The phase during discharge is evaluation of the patient's goals.
Question 97 Analysis
- Psychosocial
- Encouraging a mother to attend support groups for parents with deceased children is a psychosocial intervention.
Question 98 Analysis
- Coordinating
- The nurse is coordinating the delivery of the patient's care from one area to another
Question 99 Analysis
- Technical skill
- Administering insulin is a technical skill in diabetes care
Question 100 Analysis
- Documentation
- Documentation is the act of relaying/reporting information, which helps to understand patient's conditions
Question 101 Analysis
- Documentation is required of the appropriate procedure to follow.
- When an error occurs in the documentation of patient care, there are proper procedures to follow and record this in the chart.
Question 102 Analysis
- Access to records outside of the facility's location; Increased accuracy of treatment; Easier access to data for research; Greater accuracy and improved patient care
- The benefits of having electronic patient charts are access from multiple locations; increased treatment accuracy; useful for research; and more accurate patient care.
Question 103 Analysis
- Objective data
- The objective data is a fact-based or quantifiable assessment finding, which, in this case, is related to assessing the patient's lungs
Question 104 Analysis
- SOAP note
- This is a type of progress notes in which the assessment is documented in a systematic manner.
Question 105 Analysis
- Narrative Note
- A clinical note relaying the daily care the patient has undergone using details.
Question 106 Analysis
- Nursing care plan
- A nursing care plan relays the information needed for the patient's care, as needed.
Question 107 Analysis
- Review of the patient.
- Reviewing a patient's information is important to be sure of the patient's current health status, and/or if there is anything abnormal happening
Question 108 Analysis
- Study patient records
- Studying/accessing the patient's medical records can inform the nurse about details of the patient's health condition.
Question 109 Analysis
- Legal document
- The patient's medical records function as legal documents
Question 110 Analysis
- Quality assurance
- Audit of patient records is primarily for quality assurance
Question 111 Analysis
- Communication and evaluation
- An audit can provide both communication, by relaying/reporting information; and/or evaluation, by evaluating the patient's procedure
Question 112 Analysis
- Communication
- Sharing patient information is an aspect of communication
Question 113 Analysis
- Secondary prevention
- Performing a mammogram is an example of secondary prevention
Question 114 Analysis
- Tertiary prevention
- The treatment of a total knee replacement is an example of tertiary prevention
Question 115 Analysis
- Coordination of care with the healthcare team
- The most important action in nursing care is coordination within the healthcare team
Question 116 Analysis
- A resale shop
- A resale shop will be beneficial for obtaining items such as baby beds.
Question 117 Analysis
- Infestation with roaches
- Infestations should be reported and addressed immediately in a home assessment
Question 118 Analysis
- Possible need for home care
- This would be a significant/important factor for the family in planning for the care/management of the elderly patient
Question 119 Analysis
- Assessment
- The assessment of the patient's socioeconomic status is a relevant aspect of overall care
Question 120 Analysis
- In-home phase
- The nurse should implement the patient's initial assessment at the in-home phase
Question 121 Analysis
- Patient's goals and/or needs
- Prioritizing a patient's goals/needs is important during the visit
Question 122 Analysis
- Medical diagnoses
- The reason a nurse conducts a patient's assessment is to determine possible/suspected medical diagnoses
Question 123 Analysis
- Actual health problems
- The nurse should focus on the patient's actual health problems
Question 124 Analysis
- Medical diagnoses
- The nurse is focused on determining the medical diagnosis(es)
Question 125 Analysis
- Evaluation
- The nurse would evaluate the outcome of the patient with the assessment
Question 126 Analysis
- Outcome identification/patient goals
- A written plan of care's goal is to identify patient outcomes
Question 127 Analysis
- North American Nursing Diagnosis Association International (NANDA-I)
- NANDA defines nursing diagnoses
Question 128 Analysis
- Registered nurses
- The authorized person to make nursing diagnoses are registered nurses
Question 129 Analysis
- A nursing intervention
- Providing/giving the patient a bath pan is a nursing intervention for a patient's ability to bathe
Question 130 Analysis
- The patient's actual and/or potential problems
- The overall goal of a written plan of care is to identify the patient's actual and/or potential problems.
Question 131 Analysis
- Patients daily needs
- Identifying the patient's daily needs is required to develop a plan of care
Question 132 Analysis
- A patient's problems
- The goal of a written plan of care is to identify and meet the patient's problems
Question 133 Analysis
- Documentation
- Documentation of patient needs is necessary to provide quality patient care.
Question 134 Analysis
- The patient's actual health problems
- The purpose to formulate the nursing diagnoses is to identify the patient's health problems
Question 135 Analysis
- Objective data
- When data are gathered on the patient and their condition, from an observable assessment, and is factual this is objective data.
Question 136 Analysis
- Patient's normal daily fluid intake
- The nurse must know the patient's daily fluid intake
Question 137 Analysis
- Dehydration
- An elevated BUN without renal compromise may indicate dehydration.
Question 138 Analysis
- Functional health assessment
- The functional health assessment is completed prior to patient discharge
Question 139 Analysis
- Focussed assessment
- The nurse is assessing the patient for one issue
Question 140 Analysis
- Assessment and planning
- The first task a home health nurse must accomplish is the assessment and planning for the patient.
Question 141 Analysis
- Community-based nursing/Antepartum nursing
- Community based nursing focuses on the well-being of the population and would be best for pre-partum care
Question 142 Analysis
- Community-based healthcare
- Home health and healthcare developed alongside communities is best described as community-based healthcare
Question 143 Analysis
- Secondary-level healthcare
- This is an example of a facility that performs secondary level care.
Question 144 Analysis
- Primary healthcare
- An example of primary-level healthcare is screening that is performed at a school, in this case, screening for hearing.
Question 145 Analysis
- To provide individualized care; to evaluate a patient's care; or to determine patient goals
- The goals of a nursing care plan are met when they are tailored to the patient, and addressed/addressed by the healthcare team
Question 146 Analysis
- Case manager
- A case manager is tasked/responsible for a patient's care and/or coordination
Question 147 Analysis
- Community health
- This type of care is designed by the patient, to address the needs of the community.
Question 148 Analysis
- Transcultural nursing
- Removing pork from a meal tray, according to a patient's religion/beliefs, is an example of appropriate intervention/care within transcultural nursing.
Question 149 Analysis
- Culture
- The traits that make up a particular part of a culture are included in this concept, which includes cultural beliefs or practices.
Question 150 Analysis
- Racism
- The patient's refusal to allow an Asian person to care for him is an example of racism.
Question 151 Analysis
- All that apply
- The nurse should include all of these items/details in the presentation(A, B, C, D, & E) about disparities/differences.
Question 152 Analysis
- Cultural norms/relativity
- The differences in communication styles of different people and their culture(s)
Question 153 Analysis
- Culture shock
- The Chinese teen experiencing cultural change is an example of culture shock.
Question 154 Analysis
- Culture
- A nurse should consider culture when conducting ethnographic assessments.
Question 155 Analysis
- Ethnicity
- The nurse should consider the patient's ethnicity when asking questions.
Question 156 Analysis
- First Nations
- People of Canadian Indian descent prefer to be identified as First Nations.
Question 157 Analysis
- Tribal medicine man
- The most important person to include in the care of the patient is the tribal medicine man
Question 158 Analysis
- A rite/ritual
- The act/custom of baptism is a rite or ritual.
Question 159 Analysis
- Cultural relativity
- Eye contact is a cultural factor, and the nurse must be aware of this during the interactions.
Question 160 Analysis
- All that apply
- The nursing profession is becoming more diverse
Question 161 Analysis
- Key informant
- Key informants are those who have information that can be relayed/communicated in an accurate manner.
Question 162 Analysis
- Healthcare culture
- It's important to understand the culture of the healthcare system from the patient's perspective.
Question 163 Analysis
- Impaired
- The patient's ability to maintain their daily activities is impacted
Question 164 Analysis
- Beliefs
- A patient's belief system is a factor in their health
Question 165 Analysis
- Assess the patient's health status and coping mechanisms
- A primary aspect of a proper nurse interaction/intervention during the pre-operative patient assessment is to evaluate/consider the patient's health status
Question 166 Analysis
- Objective information
- Using objective data/facts to manage the patient's situation
Question 167 Analysis
- Cultural Awareness
- The nurse needs to be aware of cultural differences, to provide effective communication and care
Question 168 Analysis
- The patient's needs
- The nurse needs to prioritize the patient's needs/concerns about their care.
Question 169 Analysis
- The patient's response
- The patient's response to care must be noted and be a consideration for assessment
Question 170 Analysis
- Working phase
- This is the phase where a formal contract typically arises with a patient
Question 171 Analysis
- Common understanding
- A shared understanding is needed from the patient and the nurse to enable effective patient care
Question 172 Analysis
- Medical terminology
- Use of medical terminology is needed during communication
Question 173 Analysis
- Communication channel
- The nurse-patient interaction occurs through communication channels
Question 174 Analysis
- Decoding
- A misunderstanding, where the patient responds in a garbled way, means that the patient has difficulties decoding
Question 175 Analysis
- An incongruent relationship.
- The statement indicates an incongruency in the patient's statement, which could indicate anxiety
Question 176 Analysis
- Congruent relationships.
- In this scenario the nurse's description demonstrates a congruent relationship
Question 177 Analysis
- Conveyance of information
- The goal of documentation is to convey essential information about the patient's care
Question 178 Analysis
- Therapeutic communication; interpersonal; and/or intrapersonal
- The use/application of these techniques is essential in patient care.
Question 179 Analysis
- Knowledge deficit
- The elderly woman has limited literacy and no family support, which indicates a knowledge deficit
Question 180 Analysis
- Peer influence/social pressure
- The patient’s statement that their neighbor has said they should be in bad health is an example of peer influence
Question 181 Analysis
- Age and developmental state
- When admitting an adolescent to a hospital, the nurse should consider the adolescent's age/developmental state when interacting/assesses their patient
Question 182 Analysis
- Wellness
- This is an overall well-being of an individual and would be the best aspect for a patient's life.
Question 183 Analysis
- Health.
- The dynamic balance among physical aspects.
Question 184 Analysis
- Health
- Health is a dynamic state that is influenced constantly by internal and external factors.
Question 185 Analysis
- Primary Prevention
- Educating women about self breast exams is a primary preventive measure
Question 186 Analysis
- Secondary prevention
- The example of total knee replacement is considered tertiary prevention. This would entail the prevention of further injury to the patient.
Question 187 Analysis
- Coordination of patient care
- When planning patient care for transfer, such as from a hospital to home health care, effective communication will help coordinate the patient's care
Question 188 Analysis
- Clearly defining the purpose and expectations of the admission.
- It is important to define the purpose and expectations when the patient is admitted, to avoid confusion and to ensure appropriate care
Question 189 Analysis
- Actual health problems.
- The assessment of patient's health problems is a vital aspect of the visit, in which the nurse must identify and address these problems
Question 190 Analysis
- Medical diagnosis.
- The nurse needs to determine a medical diagnosis prior to creating a patient plan
Question 191 Analysis
- Physical problems present during the visit.
- The objective data, in an assessment must address observable physical problems that are present.
Question 192 Analysis
- Respiratory
- Respiratory infections are the most common infections seen in children.
Question 193 Analysis
- Eustachian tube.
- The eustachian tube helps to drain the fluids, and when it does not allow this, it can cause an infection.
Question 194 Analysis
- Respiratory disease.
- This type of complication is/can occur during treatment or when the patient's health is reduced
Question 195 Analysis
- Communicable
- Identifying communicable diseases is essential in the care and monitoring of patients
Question 196 Analysis
- Fluid intake
- A common treatment for respiratory issues/diseases is fluid intake
Question 197 Analysis
- Assess the lung sounds and respiratory rate
- The nurse first needs to assess the patient's lung sounds and their respiratory rate, to evaluate the patient's condition and develop a care plan
Question 198 Analysis
- Adequate Ventilation.
- Airflow is an important area of care
Question 199 Analysis
- Air pollution
- The cause of asthma attacks, in metropolitan areas, is air pollution.
Question 200 Analysis
- Respiratory distress/respiritory problems
- This is a serious condition and the patient will need immediate care.
Question 201 Analysis
- Fatigue
- The mother in this case is likely experiencing fatigue, emotional distress, and/or depression.
Question 202 Analysis
- Neurological condition(s)
- Patients with neurological conditions are likely to be at risk of falling/accidents/health issues
Question 203 Analysis
- Primary cause
- The primary reason for this condition is a neurological issue/problem.
Question 204 Analysis
- Objective data.
- When reviewing the patient's chart, collect all objective data for a full assessment
Question 205 Analysis
- A and C
- The nurse should look at these aspects of a patient's record to complete evaluations
Question 206 Analysis
- Objective data; and/or patient complaints
- This may be considered a subjective data point in the nurse's assessment/ documentation
Question 207 Analysis
- Notify the physician
- The patient needs to have the condition evaluated since his respiratory rate is abnormally low.
Question 208 Analysis
- A and E
- Patient comments and/or if the patient is in a high risk category
Question 209 Analysis
- Notify the physician.
- The patient's condition needs evaluation/attention from the physician because the situation is potentially life-threatening.
Question 210 Analysis
- Neurologic disorders
- The particular risk-factor increase is increased for female nurses in the oncology/cancer care units who deal with patients experiencing neurologic disorders
Question 211 Analysis
- Falls.
- Falls are a very common health concern, particularly for elderly patients. Interventions should be used to improve safety.
Question 212 Analysis
- Environmental hazards, and/or, accidents.
- These particular occurrences are major causes of death for patients in their later/elderly stages.
Question 213 Analysis
- Social pressure
- Social pressure may influence a teen's risk behaviors.
Question 214 Analysis
- Trial and error
- This describes how children learn from experience.
Question 215 Analysis
- Safety zones
- The importance of safety techniques and procedures is essential for children's safety, particularly for those in the preschool age group.
Question 216 Analysis
- Centers for Disease Control and Prevention (CDC)
- This organization determines injuries and deaths in the US, which can inform the prevention strategies.
Question 217 Analysis
- Implement drowning prevention strategies.
- Drowning is a significant cause of death, particularly for children in southwestern states
Question 218 Analysis
- Normal aging
- Peripheral cyanosis and clubbing of the nails can indicate normal aging
Question 219 Analysis
- A bruit on the neck (carotid artery)
- There was a palpable and or audible heart beat/pulse. It's an abnormal assessment finding related to an obstruction from the blood vessels (e.g., in this case, a carotid artery).
Question 220 Analysis
- Eliciting the client's blink reflex
- Assessing the trigeminal nerve includes eliciting the client's blink reflex
Question 221 Analysis
- Near Vision/near-sided vision
- The nurse is likely assessing the patient for near vision problems
Question 222 Analysis
- Percussion of the liver
- Percussion is a technique of tapping on the skin to asses the patient's response, to help determine the condition of the organ or part of the body.
Question 223 Analysis
- Objective data.
- Objective data in this situation relates to the patient stating or describing their symptoms.
Question 224 Analysis
- Bed scale.
- A bed scale would be the appropriate scale for the comatose patient.
Question 225 Analysis
- 24 Hour diet recall.
- Dietary information over a 24-hour period is needed for the nurse to complete a full assessment.
Question 226 Analysis
- Patient's history and assessment
- The nurse needs to know the patient's past history, to determine their care needs
Question 227 Analysis
- Comprehensive health assessment
- A comprehensive health assessment is important during a patient's initial visit
Question 228 Analysis
- Objective data
- Nurses should record/document factual observable data on the patient
Question 229 Analysis
- Focused assessment.
- Assessing a patient with a current problem is a focused assessment.
Question 230 Analysis
- Tachycardia
- This term is the fast rate of heart beats
Question 231 Analysis
- Blood pressure
- This will indicate possible issues with the heart
Question 232 Analysis
- Blood pressure readings
- Assessing the patient's blood pressure is essential, to look at the normal readings for this type of patient
Question 233 Analysis
- Decrease the blood glucose
- To determine if the patient is overmedicated and the medications and/or dosage is needed
Question 234 Analysis
- Normal pulse range
- The normal range of a healthy adult's pulse rate (heartbeats per minute).
Question 235 Analysis
- Patient with a herniated disk
- Rectal temperatures should not be taken for patients with a herniated disc due to possible increased complications from insertion/injury.
Question 236 Analysis
- Temperature drops with age.
- Elderly patients lower temperatures are typically due to their age, not due to a health issue.
Question 237 Analysis
- Hypothalamus.
- The hypothalamus is the portion of the brain that regulates body temperature.
Question 238 Analysis
- 96.6 to 100.4°F
- This is the common range of an adult's oral temperature.
Question 239 Analysis
- Significant/Abnormal
- A blood pressure of 210/110 is considered abnormally high
Question 240 Analysis
- Intact skin and mucous membranes.
- This is the most important part of preventing infections
Question 241 Analysis
- Body-substance isolation
- The appropriate precaution to take is a body-substance isolation procedure
Question 242 Analysis
- To clean rooms between patients
- Disinfecting the rooms between/after patient usage
Question 243 Analysis
- Immediately deposit uncapped needles into a puncture-proof plastic container
- The needle should be placed in a safe area that is not readily available to others.
Question 244 Analysis
- Urinary tract
- The Urinary Tract is an area in the body, where nosocomial infections often occur
Question 245 Analysis
- Semen
- When transmitting the HIV virus from one person to another, semen is the vehicle for this infection.
Question 246 Analysis
- Mosquitoes
- The West Nile Virus is primarily carried via mosquitoes
Question 247 Analysis
- Bacteria
- Infectious diarrhea may be caused by bacteria
Question 248 Analysis
- Septicemia
- An infection throughout the entire body from a bacteria is known as septicemia
Question 249 Analysis
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Description
Test your knowledge on the roles and competencies of modern nurses compared to their predecessors. This quiz covers essential nursing theories, patient care practices, and the Quality and Safety Education for Nurses Initiative (QSEN). Explore how the nursing profession has evolved and the importance of effective patient communication and education.