FUNDA.
LEC RATIONALIZATION
WEEK 2 Post Test
The nurse is applying for a position with a home care organization that specializes in spinal cord
injury. In doing so, the nurse is applying for a position in _____care.
- Restorative
A patient who needs nursing and rehabilitation following a stroke would most benefit from
receiving care at a:
- Restorative care setting.
Health promotion programs focuses on
- Immunizations
You are caring for an adolescent patient who underwent a gastric banding procedure 6 months
previously. This adolescent tells you, “There is still a fat person inside of me.” This type of
statement illustrates a flaw in the self-concept of:
- Body image.
The setting of health care services that includes blood pressure and cancer screening is
_____care.
– Preventive
The nurse spends time with the patient and family reviewing the dressing change procedure for
the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse
is acting in which professional role?
- Educator
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their
patients. A nurse consultant decides to compare two types of treatment. The first is the
procedure currently used to assess for pressure ulcer risk. The second uses a new assessment
instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies
which career? -
Nurse researcher
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort,
and collects blood and sputum samples for analysis. Which standard of practice is performed?
– Assessment
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The
nurse explains the risk and benefits of the surgery to the family and discusses the patient's
wishes with them. The nurse is acting as the patient's:
- Advocate
Who established the Red Cross in the United States in 1882?
- Clara Barton
A female patient has just found a large lump in her breast. The physician needs to perform a
breast biopsy. The nurse helps the patient into the proper position and offers support during
the biopsy. The nurse is demonstrating: -
Presence involves a person-to-person encounter that
- Conveys a closeness and a sense of caring.
When a nurse enters a patient’s room and says “Good morning” before starting care, the nurse
combines nursing tasks and conversation. An important aspect of care for the nurse to
remember is the need to:
- Assess the patient’s emotional needs.
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the student that from a caring
perspective:
- Touch forms a connection between nurse and patient
A Muslim woman enters the clinic to have a woman's health examination for the first time.
Which nursing behavior applies Swanson's caring process of “knowing the patient?”
- Gaining an understanding of what a woman's health examination means to
the patient
When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is
an example of: - Instilling hope and faith.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all that
apply.)
- Patient advocate
A patient in the emergency department has developed wheezing and shortness of breath. The
nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of
practice is performed?
- Implementation
Which of the following is used by the nurse to identify the patient’s healthcare needs and
strengths and to establish and carry out a plan of care to meet those needs?
- Nursing process
A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his
parents made the decision that he would move home and they would help him in the final
stages of his disease. The family participates in his care, but lately the nurse has increased the
amount of time she spends with the family. Whenever she enters the room or approaches the
patient to give care, she touches his shoulder and tells him that she is present. This is an
example of what type of touch?
- Caring touch
A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love
for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the
patient's nurse that there is no place in nursing for spiritual caring. The patient's nurse replies:
- “Spiritual, mind, and body connections can affect health.”
Nurses in an acute care hospital are attending a unit-based education program to learn how to
use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of
education? - Continuing education
You are preparing a presentation for your classmates regarding the clinical care coordination
conference for a patient with terminal cancer. As part of the preparation you have your
classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor
asks the class why this document is important. Which of the following statements best
describes this code? - Defines the principles of right and wrong to provide patient
care
A nurse is caring for an older adult who needs to enter an assisted-living facility following
discharge from the hospital. Which of the following is an example of listening that displays
caring?
- The nurse listens to the patient's story while sitting on the side of the bed and
then summarizes the story.
Which of the following nursing activities is provided in a secondary health care delivery system?
- Doing endotracheal suctioning for a patient on a ventilator in the medical
intensive care unit
Which of the following are examples is NOT part of the primary care activities?
- Working with patients in a cardiac rehabilitation program
Care designed to prevent further progression of a disease is termed
- Tertiary prevention.
A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and
explains the procedure to the patient. She tells the patient what to expect; just before inserting
the catheter, she tells the patient to relax and that, once the catheter is in place, she will not
feel the bladder pressure. The nurse then proceeds to skilfully insert the Foley catheter. This is
an example of what type of touch? - Task-oriented touch
You are assigned to care for a patient who has just undergone a mastectomy for a malignant
tumor. You would most appropriately classify this self-concept component as: - Body image
stressor.
You are assigned to care for a patient who retired 6 months ago. While providing care, you
identify that this patient is struggling emotionally with change. This situation is most likely
associated with the self-concept component of:
- Role-performance stressor.
WEEK 3 Post Test
You are invited to attend the weekly unit patient care conference. The staff discusses
patient care issues. This type of communication is:
- Small group.
In developing communication skills, when you consider a patient’s problems, it is
important to apply critical thinking and critical reasoning skills to improve communication
in assessment and care of the patient. This develops:
- Critical thinking.
Which of these is not an element of non- verbal communication?
- Name of the speaker
Helping relationships serve as the foundation of clinical nursing practice. Contracts for a
therapeutic helping relationship are formed during the:
- orientation stage
A nurse is planning the care for her patient. She always main an open line of
communication and ensure that the patient is comfortable and that all physical needs
have been met. This is a concept o:
- Setting of priorities
In diagnosing patients with communication problem, which of the following could be a
nursing diagnosis? (Select all that apply.)
- Anxiety
Social isolation
Ineffective coping
Compromised family coping
Powerlessness
Impaired social interaction
DABC
Which of the following is the primary nursing diagnostic label used to describe a patient
with limited or no ability to communicate verbally?
- Impaired verbal communication
A patient who is Spanish-speaking does not appear to understand the nurse's
information of wound care. Which action should the nurse take?
- Use a professional interpreter to provide wound care education in Spanish
A patient is evaluated in the emergency department after causing an automobile
accident while being under the influence of alcohol. While assessing the patient, which
statement would be the most therapeutic?
- “Tell me what happened before, during, and after the automobile accident tonight.”
A student nurse is reviewing a process recording with the instructor. The student
engaged the patient in a discussion about availability of family members to provide
support at home once the patient is discharged. The student reviews with the instructor
whether the comments used encouraged openness and allowed the patient to “tell his
story.” This is an example of which step of the nursing process?
- Evaluation
A 36-year-old patient who underwent a hysterectomy 4 days ago says to the nurse, “I
wonder if I’ll still feel like a woman.” Which of the following responses would most likely
encourage the patient to expand on this and express her concerns in more specific
terms?
- “Feel like a woman . . .”
A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy to help the
nurse find more time for this communication?
- Include communication while performing tasks such as changing dressings and
checking vital signs.
Which of the following developmental considerations is a nurse assessing when he/she
determines that an 8-year-old boy is not equipped to understand the scientific
explanation of his disease?
- Cognitive domain
Which of these statements explains the concept of teaching? (Select all that apply.)
- The concept of imparting knowledge through a series of directed activities.
- Consists of a conscious, deliberate set of actions that help individuals gain new
knowledge, change attitudes, adopt new behaviors, or perform new skills.
The Joint Commission's (TJC's) Speak Up Initiatives help patients understand their
rights when receiving care. Which of the following is correct?
Speak up if you have questions or concerns.
Ask a trusted family member or friend to be your advocate.
Use a health care organization that has been carefully evaluated.
- All of the above
Teaching as a communication closely parallels the communication process. The
learning objective is describes as:
- What the learner will be able to accomplish after instruction is given
Which activity shows a nurse engaged in primary prevention?
- A school health nurse provides a program to the first-year students on healthy eating.
The nurse assesses the following risk factors for coronary artery disease (CAD) in a
female patient. Which factors are classified as genetic and physiological? (Select all that
apply.)
- Mother died from CAD at age 48
- - History of hypertension
- Elevated cholesterol level
A patient registered at the local fitness center and purchased a pair of exercise shoes.
The patient is in what stage of behavioral change?
- Preparation
After a class on Pender's health promotion model, students make the following
statements. Which statement does the faculty member need to clarify?
- “Perceived self-efficacy is not related to the model.”
When taking care of patients, a nurse routinely asks if they take any vitamins or herbal
medications, encourages family members to bring in music that the patient likes to help
the patient relax, and frequently prays with her patients if that is important to them. The
nurse is practicing which model?
- Holistic
A nurse is conducting a home visit with an older-adult couple. While in the home the
nurse weighs each individual and reviews the 3-day food diary with them. She also
checks their blood pressure and encourages them to increase their fluids and activity
levels to help with their voiced concern about constipation. The nurse is addressing
which level of need according to Maslow?
- Physiological
Helping relationships serve as the foundation of clinical nursing practice. Contracts for a
therapeutic helping relationship are formed during the :
- orientation stage.
In which of the following phases of the helping relationship is an agreement or contract
about the relationship established?
- Orientation phase
Which of the following statement about the internal factors affecting communication is
accurate?
- Emotional status like hopelessness and euphoria.
A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy to help the
nurse find more time for this communication?
- Include communication while performing tasks such as changing dressings and
checking vital signs.
Interpersonal communication is the most frequently used in nursing situations and lies
at the heart of nursing practice. Which of these is NOT a result of this kind of
communication?
- self-talk
Which of the following statements about the communication process is accurate?
- Communicating people receive and send messages through verbal and nonverbal means,
which occur simultaneously.
A nurse is talking with a young-adult patient about the purpose of a new medication.
The nurse says, “I want to be clear. Can you tell me in your words the purpose of this
medicine?” This exchange is an example of which element of the transactional
communication process?
- Obtaining feedback
WEEK 4 Post Test
A patient you are assisting has fallen in the shower. You must complete an incident
report. The purpose of an incident report is to:
- aid in the hospital’s quality improvement program.
When working with an older adult who is hearing-impaired, the use of which techniques
would improve communication? (Select all that apply.)
- Keep communication short and to the point
Check for needed adaptive equipment.
Give the patient time to respond to questions.
You are in the process of admitting an ethnically diverse patient. To plan culturally
competent care, you will conduct a cultural assessment that includes: - Ethnohistory
Which of the following statement about the internal factors affecting communication is
accurate?
-
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure.
When completing the admission paper work, the nurse needs to record: - objective data
that are observed.
A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy to help the
nurse find more time for this communication?
- Include communication while performing tasks such as changing dressings and
checking vital signs.
A patient who is Spanish-speaking does not appear to understand the nurse's
information of wound care. Which action should the nurse take? - Use a professional
interpreter to provide wound care education in Spanish
Health disparities are unequal burdens of disease morbidity and mortality rates
experienced by racial and ethnic groups. These disparities are often exacerbated by:
all of the above.
Prejudice
stereotyping
bias
Professional nursing specialty organizations seek to: --
- improve the welfare of nurses in specialty areas.
all of the above.
expand nursing roles.
improve standards of practice.
In which of the following phases of the helping relationship is an agreement or contract
about the relationship established?
- Orientation phase
A nurse is planning the care for her patient. She always maintains an open line of
communication and ensure that the patient is comfortable and that all physical needs
have been met. This is a concept of:
- Setting of priorities
Information regarding a patient’s health status may not be released to non–health care
team members because: - legal and ethical obligations require health care providers to
keep information strictly confidential.
A nurse records that the patient stated his abdominal pain is worse now than last night.
This is an example of: - narrative charting.
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career ? - Nurse researcher
WEEK 5 Post Test
When a smiling and cooperative patient complains of discomfort, nurses caring for this
patient often harbor misconceptions about the patient's pain. Which of the following is
true?
- Patients are the best judges of their pain.
A postoperative patient is using PCA. You will evaluate the effectiveness of the
medication when: - you compare assessed pain w/baseline pain.
A patient has just undergone recommendation would be: an appendectomy. When
discussing with the patient several pain-relief interventions, the most appropriate
- PCA pain management.
You receive an order to begin enteral tube feedings. The first step is to:
-
Which sleep-hygiene actions at bedtime can the nurse delegate to the nursing
assistant? (Select all that apply.) -
The nurse is developing a plan of care for a patient experiencing obstructive sleep
apnea (OSA). Which intervention is appropriate to include on the plan? --
- Elevate head of bed and assume a side or prone position.
The effects of immobility on the cardiac system include which of the following? (Select
all that apply.) -
Thrombus formation
Orthostatic hypotension
Increased cardiac workload
A 22-year-old new mother is breastfeeding. You ask her if she is taking the correct
quantities of nutrients. Which statement reflects that she understands the dietary
guidelines?
- “I am making eating choices according to the recommended dietary allowances.”
Which statement made by the parent of a school-age child requires follow-up by the
nurse?
- “I encourage evening exercise about an hour before bedtime.”
You receive an order to begin enteral tube feedings. The first step is to:
-
