Podcast
Questions and Answers
Which level of prevention describes a nurse administering a vaccine to an infant?
Which level of prevention describes a nurse administering a vaccine to an infant?
To apply critical thinking, how would the nurse respond when a patient asks the nurse, "Why do I have a rash on my hand? It happened soon after I took penicillin for an infection"?
To apply critical thinking, how would the nurse respond when a patient asks the nurse, "Why do I have a rash on my hand? It happened soon after I took penicillin for an infection"?
Which description explains the evaluation tool of reflective journaling?
Which description explains the evaluation tool of reflective journaling?
Which information will the nurse elicit to help arrive at the probable cause when a patient is reporting severe abdominal pain in the right iliac region?
Which information will the nurse elicit to help arrive at the probable cause when a patient is reporting severe abdominal pain in the right iliac region?
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According to Kataoka-Yahiro and Saylor's clinical judgement model for nursing, which factor is a component of environment?
According to Kataoka-Yahiro and Saylor's clinical judgement model for nursing, which factor is a component of environment?
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The nurse reviews gathered data regarding a patient's pain symptoms and compares defining characteristics of acute pain with those for chronic pain. This process helps the nurse avoid making an error in which area of the nursing diagnostic process, leading to a correct diagnosis of acute pain?
The nurse reviews gathered data regarding a patient's pain symptoms and compares defining characteristics of acute pain with those for chronic pain. This process helps the nurse avoid making an error in which area of the nursing diagnostic process, leading to a correct diagnosis of acute pain?
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Which response will the nurse make when the patient expresses confusion regarding how to manage a leg wound after discharge?
Which response will the nurse make when the patient expresses confusion regarding how to manage a leg wound after discharge?
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Which type of question is used when starting the assessment of a patient?
Which type of question is used when starting the assessment of a patient?
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The nurse observes a student nurse and identifies that which action by the student reflects effective problem solving?
The nurse observes a student nurse and identifies that which action by the student reflects effective problem solving?
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Which action by the nurse reflects integrity?
Which action by the nurse reflects integrity?
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Which type of assessment is the nurse performing when using a finger to apply light pressure just above the intravenous site and asking the patient if any tenderness is felt after noting inflammation at the site?
Which type of assessment is the nurse performing when using a finger to apply light pressure just above the intravenous site and asking the patient if any tenderness is felt after noting inflammation at the site?
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Which category of nursing interventions will the nurse document for an intervention prescribed by the health care provider to treat the medical diagnosis of the patient?
Which category of nursing interventions will the nurse document for an intervention prescribed by the health care provider to treat the medical diagnosis of the patient?
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Which problem will the nurse add to the care plan after evaluating a diabetic patient with a problem with glucose control who is restless and asking repeated questions about an upcoming procedure on the big toe?
Which problem will the nurse add to the care plan after evaluating a diabetic patient with a problem with glucose control who is restless and asking repeated questions about an upcoming procedure on the big toe?
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Which interview technique is the nurse using when asking "what else is bothering you?" when collecting the history of a patient who reports shortness of air?
Which interview technique is the nurse using when asking "what else is bothering you?" when collecting the history of a patient who reports shortness of air?
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Which feature is true about standing orders?
Which feature is true about standing orders?
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Which criterion is used to evaluate efficacy of interventions?
Which criterion is used to evaluate efficacy of interventions?
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Which result could be caused by an incorrect nursing diagnoses?
Which result could be caused by an incorrect nursing diagnoses?
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Covering both the patient's and the patient's family's viewpoints is an example of which intellectual standard?
Covering both the patient's and the patient's family's viewpoints is an example of which intellectual standard?
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Which type of nursing intervention is an interdependent intervention?
Which type of nursing intervention is an interdependent intervention?
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The nurse is at which level of critical thinking when the nurse reads the institution's procedure manual prior to inserting a urinary catheter?
The nurse is at which level of critical thinking when the nurse reads the institution's procedure manual prior to inserting a urinary catheter?
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Which is a benefit of an accurate nursing diagnosis?
Which is a benefit of an accurate nursing diagnosis?
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Which action would a student nurse take when asked to perform a procedure that the student nurse has been trained in but has not performed in the hospital? Select all that apply.
Which action would a student nurse take when asked to perform a procedure that the student nurse has been trained in but has not performed in the hospital? Select all that apply.
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Which attitude is a component of critical thinking? Select all that apply.
Which attitude is a component of critical thinking? Select all that apply.
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Which type of interpretation error may occur with a nursing diagnosis? Select all that apply.
Which type of interpretation error may occur with a nursing diagnosis? Select all that apply.
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Which diagnosis type is a form of nursing diagnosis according to NANDA International (NANDA-I)? Select all that apply.
Which diagnosis type is a form of nursing diagnosis according to NANDA International (NANDA-I)? Select all that apply.
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Which action will the nurse include when discussing the need to respect patients' wishes and determine patient preferences related to culture regarding activities of daily living (ADLs)?
Which action will the nurse include when discussing the need to respect patients' wishes and determine patient preferences related to culture regarding activities of daily living (ADLs)?
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When delivering patient care, which intervention does the nurse perform as part of the evaluation process?
When delivering patient care, which intervention does the nurse perform as part of the evaluation process?
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Which direct care interventions will the nurse perform when noting a patient with a terminal illness replies in a monosyllabic tone and has limited eye contact?
Which direct care interventions will the nurse perform when noting a patient with a terminal illness replies in a monosyllabic tone and has limited eye contact?
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Which goal is the nurse evaluating based on the following reassessment: On removal of the intravenous (IV) line from the right arm, the site was clean and dry with no signs of redness or tenderness?
Which goal is the nurse evaluating based on the following reassessment: On removal of the intravenous (IV) line from the right arm, the site was clean and dry with no signs of redness or tenderness?
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Which action is an example of a collaborative intervention?
Which action is an example of a collaborative intervention?
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Study Notes
Levels of Prevention
- Administering a vaccine to an infant represents primary prevention aimed at preventing disease.
Critical Thinking in Nursing
- When asked about a rash post-penicillin, a nurse should assess the patient’s history and signs of potential allergic reaction.
Reflective Journaling
- Reflective journaling serves as an evaluation tool for critical thinking and self-assessment in nursing practices.
Patient Assessment for Abdominal Pain
- To determine the cause of severe abdominal pain in the right iliac region, gather information on the patient's medical history, onset, character, and associated symptoms.
Environment in Clinical Judgment
- Kataoka-Yahiro and Saylor’s model identifies environmental factors, such as available resources and comfort, as influences on clinical judgment.
Nursing Diagnostic Process
- Comparing acute versus chronic pain attributes helps prevent diagnostic errors, ensuring accurate identification of acute pain.
Patient Education Response
- If a patient is confused about wound care post-discharge, the nurse should provide clear, step-by-step instructions and offer to demonstrate.
Assessment Question Types
- Open-ended questions are typically used to initiate patient assessments, allowing for comprehensive responses.
Effective Problem Solving
- A student nurse demonstrates effective problem solving by seeking guidance and assistance when faced with a challenging patient situation.
Integrity in Nursing
- Acting truthfully and ethically, such as reporting accurate patient information, demonstrates integrity in nursing.
Assessment Techniques
- Light pressure over an intravenous site while assessing tenderness indicates a physical assessment technique.
Interventions Documentation
- Nursing interventions are documented under the category prescribed by the healthcare provider for medical diagnoses.
Care Plan Adjustments
- After evaluating a diabetic patient with glucose control issues and restlessness, add anxiety or confusion due to medical procedures to the care plan.
Interview Techniques
- Using prompts like “what else is bothering you?” is a technique to encourage comprehensive patient history collection.
Standing Orders
- Standing orders facilitate prompt interventions based on established protocols without direct physician orders.
Evaluating Interventions Efficacy
- The criterion for evaluating intervention efficacy includes patient outcomes and progress toward set goals.
Incorrect Nursing Diagnoses Consequences
- Incorrect nursing diagnoses can lead to inappropriate treatment plans and further health complications.
Intellectual Standards
- Covering perspectives of both the patient and family exemplifies the intellectual standard of fairness in nursing.
Interdependent Nursing Interventions
- Interdependent interventions involve collaboration among healthcare professionals for patient-centered care.
Level of Critical Thinking
- Reading institutional policies before procedures indicates the nurse is engaging in basic critical thinking.
Benefits of Accurate Nursing Diagnoses
- Accurate nursing diagnoses enable targeted interventions and improve patient care outcomes.
Student Nurse Procedure Handling
- A student nurse should communicate their training level and seek supervision when tasked with unfamiliar procedures.
Attitudes in Critical Thinking
- Open-mindedness and inquisitiveness are essential attitudes that bolster critical thinking in nursing.
Interpretation Errors in Diagnoses
- Interpretation errors in nursing diagnosis may pertain to misreading patient data or underestimating symptom severity.
Diagnosis Types According to NANDA-I
- Diagnosis types per NANDA International include actual, risk, and health promotion diagnoses.
Respect for Patient Preferences
- Discussing patients' wishes and cultural preferences regarding activities of daily living (ADLs) is crucial for respectful care.
Evaluation Process in Care
- In delivering patient care, continuous evaluation includes reassessing patient responses and outcomes of interventions.
Direct Care Interventions for Terminal Illness
- For terminal illness patients showing limited engagement, provide comfort and emotional support through conversation and presence.
Goal Evaluation after IV Removal
- The goal evaluated post-IV removal is the maintenance of site integrity, indicated by cleanliness and absence of redness or tenderness.
Collaborative Interventions
- Collaborative interventions involve coordinating with other healthcare team members for holistic patient care.
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Description
This quiz explores the different levels of prevention in nursing, specifically focusing on the administration of vaccines. Participants will assess scenarios to identify whether they exemplify primary, secondary, or tertiary prevention. Test your knowledge on nursing interventions and public health practices.
