NUR 091 - FUNDA - LECTURE - PRACTICE | Lecture notes Nursing

NUR 091 - FUNDAMENTALS OF

NURSING PRACTICE (LECTURE)

P2 REVIEWER

SAS 13

1. 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?

a. Chronic pain is psychological in nature.

b. Patients are the best judges of their pain.

c. Regular use of narcotic analgesics leads

to drug addiction.

d. Amount of pain is reflective of actual

tissue damage

2. A patient who has just undergone a

recommendation would be an

appendectomy. When discussing with the

patient several pain-relief interventions, the

most appropriate

a. adjunctive therapy.

b. non-opioids.

c. NSAIDs.

d. PCA pain management.

3. A postoperative patient is using PCA. You

will evaluate the effectiveness of the

medication when:

a. you compare assessed pain w/baseline

pain.

b. body language is incongruent with reports

of pain relief.

c. family members report that pain has

subsided.

d. vital signs have returned to baseline

4. 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?

a. “I am not concerned with what I am

eating.”

b. “I am taking vitamin doses based on TV.”

c. “I am taking a daily MVI.”

d. “I am making eating choices according to

the recommended dietary allowances.”

5. You receive an order to begin enteral

tube feedings. The first step is to:

a. place the patient in a prone position.

b. irrigate the tube with normal saline.

c. check to see that the tube is properly

placed.

d. introduce a small amount of fluid into the

tube before feeding.

6. A patient with a long-standing history of

diabetes mellitus is voicing concerns about

kidney disease. The patient asks the nurse

where urine is formed in the kidney. The

nurse’s response is the:

a. Bladder.

b. kidney.

c. nephron.

d. ureter.

7. A health care provider may suspect that a

patient is experiencing urinary retention

when the patient has:

a. large amounts of voided cloudy urine.

b. pain in the suprapubic region.

c. spasms and difficulty during urination.

d. small amounts of urine voided two to

three times per hour.

Partial preview of the text

Download NUR 091 - FUNDA - LECTURE - PRACTICE and more Lecture notes Nursing in PDF only on Docsity!

NUR 091 - FUNDAMENTALS OF

NURSING PRACTICE (LECTURE)

P2 REVIEWER

SAS 13

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? a. Chronic pain is psychological in nature. b. Patients are the best judges of their pain. c. Regular use of narcotic analgesics leads to drug addiction. d. Amount of pain is reflective of actual tissue damage
A patient who has just undergone a recommendation would be an appendectomy. When discussing with the patient several pain-relief interventions, the most appropriate a. adjunctive therapy. b. non-opioids. c. NSAIDs. d. PCA pain management.
A postoperative patient is using PCA. You will evaluate the effectiveness of the medication when: a. you compare assessed pain w/baseline pain. b. body language is incongruent with reports of pain relief. c. family members report that pain has subsided. d. vital signs have returned to baseline
1. 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? a. “I am not concerned with what I am eating.” b. “I am taking vitamin doses based on TV.” c. “I am taking a daily MVI.” d. “I am making eating choices according to the recommended dietary allowances.”
2. You receive an order to begin enteral tube feedings. The first step is to: a. place the patient in a prone position. b. irrigate the tube with normal saline. c. check to see that the tube is properly placed. d. introduce a small amount of fluid into the tube before feeding.
3. A patient with a long-standing history of diabetes mellitus is voicing concerns about kidney disease. The patient asks the nurse where urine is formed in the kidney. The nurse’s response is the: a. Bladder. b. kidney. c. nephron. d. ureter.
4. A health care provider may suspect that a patient is experiencing urinary retention when the patient has: a. large amounts of voided cloudy urine. b. pain in the suprapubic region. c. spasms and difficulty during urination. d. small amounts of urine voided two to three times per hour.

A young girl is having problems urinating postoperatively. You remember that children may have trouble voiding: a. in bathrooms other than their own. b. in a urinal. c. while lying in bed. d. in the presence of a person other than one of their parents.
A newly admitted patient states that he has recently had a change in medications and reports that stools are now dry and hard to pass. This type of bowel pattern is consistent with: a. abnormal defecation. b. Constipation c. fecal impaction. d. fecal incontinence
To maintain normal elimination patterns in the hospitalized patient, you should instruct the patient to defecate 1 hour after meals because: a. The presence of food stimulates peristalsis. b. mass colonic peristalsis occurs at this time. c. irregularity helps to develop a habitual pattern. d. neglecting the urge to defecate can cause diarrhea. SAS 14
A patient complains of chest pain. When assessing the pain, you decide that its origin is cardiac—rather than respiratory or gastrointestinal—when it: a. does not occur with respiratory variations. b. is peripheral and may radiate to the scapular region. c. is aggravated by inspiratory movements. d. is non-radiating and occurs during inspiration.
1. A patient with a tracheostomy has thick tenacious secretions. To maintain the airway, the most appropriate action for the nurse includes: a. tracheal suctioning. b. oropharyngeal suctioning. c. nasotracheal suctioning. d. orotracheal suctioning.
2. When evaluating a post-thoracotomy patient with a chest tube, the best method to properly maintain the chest tube would be to: a. strip the chest tube every hour to maintain drainage. b. place the device below the patient’s chest. c. double clamp the tube except during assessment. d. remove the tubing from the drainage device to check for proper suctioning.
3. A patient is diaphoretic and has an oral temperature of 104° F. These are classic signs of: a. ADH deficit. b. extracellular fluid loss. c. insensible water loss. d. sensible water loss.
4. The body’s fluid and electrolyte balance is maintained partially by hormonal regulation. Which of the following statements shows an understanding of this mechanism? a. “The pituitary secretes aldosterone.” b. “The kidneys secrete antidiuretic hormone.” c. “The adrenal cortex secretes antidiuretic hormone.” d. “The pituitary gland secretes antidiuretic hormone.”

As a first-year nursing student, you are assigned to care for a dying patient. To best prepare you for this assignment, you will want to: a. complete a course on death and dying. b. control your emotions about death and dying. c. compare this experience to the death of a family member. d. develop a personal understanding of your own feelings about grief and death.
The nurse is caring for an older client in a long-term care facility. Which action contributes to encouraging autonomy in the client? a. Planning meals b. Decorating the room c. Scheduling haircut appointments d. Allowing the client to choose social activities
The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicate effective coping? Select all that apply. a. Neglecting personal grooming b. Looking at old snapshots of family c. Participating in a senior citizens program d. Visiting the spouse’s grave once a month e. Decorating a wall with the spouse’s pictures and awards received
The long-term care nurse is performing assessments on several of the residents. Which are normal age-related physiological changes the nurse should expect to note? Select all that apply. a. Increased heart rate b. Decline in visual acuity c. Decreased respiratory rate d. Decline in long-term memory e. Increased susceptibility to urinary tract infections f. Increased incidence of awakening after sleep onset
1. The visiting nurse observes that the older male client is confined by his daughter-in-law to his room. When the nurse suggests that he walk to the den and join the family, he says, “I’m in everyone’s way; my daughter-in-law needs me to stay here.” Which is the most important action for the nurse to take? a. Say to the daughter-in-law, “Confining your father-in-law to his room is inhumane.” b. Suggest to the client and daughter-in-law that they consider a nursing home for the client. c. Say nothing, because it is best for the nurse to remain neutral and wait to be asked for help. d. Suggest appropriate resources to the client and daughter-in-law, such as respite care & senior citizens center.
2. The nurse is reviewing the assessment data of a client admitted to the unit. The nurse notes that the admission nurse documented the client is experiencing anxiety as a result of a situational crisis. The nurse plans care for the client, determining that this type of crisis could be caused by which event? a. Witnessing a murder b. The death of a loved one c. A fire that destroyed the client’s home d. A recent rape episode experienced by the client

The nurse is creating a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor? a. A crisis state indicates that the client has a mental illness. b. A crisis state indicates that the client has an emotional illness. c. Presenting symptoms in a crisis situation are similar for all clients experiencing a crisis. d. A client’s response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client. SAS 16
An elderly patient who lives in an adult assisted-living facility mentions that he is experiencing hearing and vision changes. During your assessment, you would associate this type of sensory deprivation with: a. stable effect. b. altered perception. c. improved task completion. d. increased need for social interaction.
A patient with glaucoma is being discharged from the hospital. When teaching the patient and family ways to improve home safety, the nurse tells the family to: a. use throw rugs to prevent tripping. b. paint the floor black and white to improve perception. c. install extra incandescent lighting. d. install handrails painted the same color as the walls.
1. Which of the following populations have the highest incidence of STI? (Select all that apply.) a. Hispanic women age 15 to 24 years b. African-American men age 15 to 24 years c. Caucasian men age 50 to 58 years d. Caucasian women age 42 to 53 years
2. Upon admission, when gathering a patient’s sexual history, nurses should: a. focus only on physical factors that affect sexual functioning. b. discuss sexual concerns only if the patient raises questions or concerns. c. use emotionally laden terms when discussing sexual concepts. d. include questions related to sexual function.
3. When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals: a. maintain their belief systems and worship practices. b. develop a relationship with a higher being. c. establish a cultural connectedness with the purpose of life. d. achieve the balance needed to maintain health and well-being.
4. To assess, evaluate, and support a patient’s spirituality, the best action a nurse can take is to: a. assist the patient to use faith to get well. b. refer the patient to the health care facility chaplain. c. provide the patient with a variety of religious literature. d. determine the patient’s perceptions and belief system.

This is defined as an approach to healthcare that utilizes the most current research available in order to improve the health and safety of patients while reducing overall costs and variation in health outcomes. a. Nursing research b. Outcome-based practice c. PICOT research d. Evidence-based practice
Which of the following is not to be determined when evaluating any changes made in evidence-based practice? a. When evaluating an EBP change determine: b. Was the change effective? c. Are assessment data enough? d. Are modifications needed?
In asking a clinical question, the P stands for: a. Patience b. Population c. Pinterest d. Picot
Which of the following can provide a review of the evidence on a clearly formulated question in research? a. Randomized controlled trials b. Expert opinions c. Systematic reviews d. Meta-analysis
All are considered to be under the quantitative research, except: a. Experimental b. Evaluation c. Survey d. Ethnography
1. This is known to be the foundation of research. a. Review of related literature b. Data gathering c. Scientific method d. Evidence-based practice
2. In EBP, acceptable sources of evidence are: (Select all that apply) a. Textbooks and articles from health care literature b. Quantity improvement and risk management data c. Standards of care d. Infection control data e. Retrospective chart reviews f. Clinicians’ opinion SAS 18
3. Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the: a. orientation stage. b. working stage. c. termination stage. d. pre interaction stage.
4. A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? a. Working phase b. Pre-interaction phase c. Termination phase d. Orientation phase

A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this problem? a. Challenge the nurses in a public forum to embarrass them and change their behavior. b. Talk with the department secretary and ask if this has been a problem for other nurses. c. Talk with the preceptor or manager and ask for assistance in handling this issue. d. Say nothing and hope things get better
In which of the following phases of the helping relationship is an agreement or contract about the relationship established? a. Orientation phase b. Working phase c. Termination phase d. All of the above
Which of the following statements about the internal factors affecting communication is accurate? a. Physiologic status like anxiety and anger. b. Emotional status like hopelessness and euphoria. c. Unmet needs such as being optimist or pessimist. d. All of the above
A nurse is planning the care for her patient. She always maintains an open line of communication and ensures that the patient is comfortable and that all physical needs have been met. This is a concept of: a. Goals and outcomes b. Setting of priorities c. Teamwork and collaboration d. Nursing Diagnosis
1. When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply) a. Check for needed adaptive equipment. b. Exaggerate lip movements to help the patient lip read. c. Give the patient time to respond to questions. d. Keep communication short and to the point. e. Communicate only through written information.
2. 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? a. Include communication while performing tasks such as changing dressings and checking vital signs. b. Ask the patient if you can talk during the last few minutes of visiting hours. c. Ask Pastoral care to come back a little later in the day. d. Remind the nurse to complete all her tasks and then set up remaining time for communication.
3. A patient who is Spanish-speaking does not appear to understand the nurse's information of wound care. Which action should the nurse take? a. Arrange for a Spanish-speaking social worker to explain the procedure b. Ask a fellow Spanish-speaking patient to help explain the procedure c. Use a professional interpreter to provide wound care education in Spanish d. Ask the patient to write down questions that he or she has for the nurse

There are specific legal guidelines and regulations for the documentation related to home care. When providing care for a patient who is a Medicaid recipient, what is most important for the nurse to document? a. The medical diagnosis and the supplies needed for the patient. b. A summary of the patient’s income tax paid during the previous year. c. The specific quality of nursing care that is needed. d. The patient’s homebound status and the specific need for skilled nurse care.
A home health nurse has completed a visit to a patient and has immediately begun to document the visit. Accurate documentation that is correctly formatted is necessary for which of the following reasons? a. Accurate documentation guarantees that the nurse will not be legally liable for unexpected outcomes. b. Accurate documentation ensures that the agency is correctly reimbursed for the visit. c. Accurate documentation allows the patient to gauge his or her progress over time. d. Accurate documentation facilitates safe delegation of care to unlicensed caregivers.
A medical nurse has obtained a new patients health history and completed the admission assessment. The nurse has followed this by documenting the results and creating a care plan for the patient. Which of the following is the most important rationale for documenting the patients care? a. It provides continuity of care. b. It creates a teaching log for the family. c. It verifies appropriate staffing levels. d. It keeps the patient fully informed.
1. A family whose religion limits the use of some forms of technology is admitting their grandfather to your unit. They express skepticism about the fact that you are recording the admission data on a laptop computer. What would be your best response to their concerns? a. “It’s been found that using computers improves our patients' care and reduces their health care costs.” b. “We have found that it is easier to keep track of our patient’s information this way rather than with pen and paper.” c. “You’ll find that all the hospitals are doing this now, and that writing information with a pen is rare.” d. “The government is telling us we have to do this, even though most people, like you, are opposed to it.” SAS 20
2. A travel nurse has taken an assignment at a health care facility where nurses assume responsibility for a caseload of patients over a period of time. This type of nursing exemplifies: a. team nursing. b. primary nursing. c. functional nursing. d. decentralized management.
3. Nurses have the potential to be very influential in shaping healthcare policy. Which of the following factors contributes most to nurses' influence? a. Nurses are the largest health professional group. b. Nurses have a long history of serving the public. c. Nurses have achieved some independence from physicians in recent years. d. Political involvement has helped refute negative images portrayed in the media.

All of the following are aspects of the full-spectrum nursing role. Which one is essential for the nurse to do in order to successfully carry out all of the others? a. Thinking and reasoning about the client's care b. Providing hands-on client care c. Carrying out physician orders d. Giving instructions to assistive personnel
The patient says to the Charge Nurse, "I have a great group of nurses. The RN and UAP are all very attentive to my care needs and work very well together." Which nursing model of care is this unit following? a. Team nursing b. Case method nursing c. Functional nursing d. Primary nursing
The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of? a. Team nursing b. Case method nursing c. Primary care delivery d. Functional nursing care
A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment? a. Planning nursing care independently of others b. Assigning work according to the expertise of group members c. Being responsible for care planning 24 hours a day d. Carrying out the majority of personal care for your patients
1. The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of? a. Team nursing b. Case method nursing c. Primary care delivery d. Functional nursing care
2. With modular nursing, who checks the completion of tasks assigned to a team member? a. The charge nurse b. The area manager c. The team leader d. Another team member
3. Which statement is correct concerning primary nursing care? a. Requires minimal RN staffing b. Is easy to implement c. Provides challenging work d. Has proved to be a failure
4. What is the goal of case management? a. Containing health-care costs b. Providing challenging work c. Enhancing professionalism d. Decreasing length of hospital stays SAS 21
5. Pepper is particularly drawn to the idea of becoming an advanced practice registered nurse (APRN). Pepper’s career options for becoming an APRN include which of the following? (Select all that apply) a. Physician assistant (PA) b. Clinical nurse specialist (CNS) c. Certified nurse midwife (CNM) d. Certified RN anesthetist (CRNA)

Nurses have different educational backgrounds and function under many titles in their practice setting. If a nurse practicing in an oncology clinic had the goal of improving patient outcomes and nursing care by influencing the patient, the nurse, and the health care system, what would most accurately describe this nurse’s title? a. Nursing care expert b. Clinical nurse specialist c. Nurse manager d. Staff nurse
Nursing is, by necessity, a flexible profession. It has adapted to meet both the expectations and the changing health needs of our aging population. What is one factor that has impacted the need for certified nurse practitioners (CNPs)? a. The increased need for primary care providers. b. The need to improve patient diagnostic services c. The push to drive institutional excellence d. The need to decrease the number of medical errors SAS 22
Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups. These disparities are often exacerbated by: a. bias. b. stereotyping. c. prejudice. d. all of the above.
You are in the process of admitting an ethnically diverse patient. To plan culturally competent care, you will conduct a cultural assessment that includes: a. biocultural history. b. Ethnohistory. c. negotiation. d. ethnocentrism.
1. Professional nursing specialty organizations seek to: a. improve standards of practice. b. expand nursing roles. c. improve the welfare of nurses in specialty areas. d. all of the above.
2. The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior? a. Reflecting cultural value b. An acceptance of treatment c. Client agreement to the required procedures d. Client understanding of the preoperative procedures
3. The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff a member asks the nurse educator to describe the concept of acculturation. The nurse educator should make which of the most appropriate responses? a. "It is a process of learning a different culture to adapt to a new or changing environment." b. "It is a subjective perspective of the person's heritage and a sense of belonging to a group." c. "It is a group of individuals in a society who are culturally distinct and have a unique identity." d. "It is a group that shares some of the characteristics of the larger population group of which it is a part."

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The client should implement which best action. a. Continue with instructions, verifying client understanding. b. Walk around the client so that the nurse constantly faces the client. c. Give the client a dietary booklet and return later to continue with instructions. d. Tell the client about the importance of the instructions for the maintenance of health care.
You are a community health nurse who provides care to a group of Hispanic people living in an area that is predominantly populated by Caucasian people. How would you characterize the Hispanic people in this community? a. An underclass b. A subgroup c. A minority d. An exception
You are caring for an elderly woman who predominantly identifies with an East Asian culture. How can you best demonstrate an awareness of culturally congruent care? a. Maintain eye contact at all times. b. Try to speak the patient’s native language. c. Use touch when communicating. d. Establish effective communication.
An emergency department nurse is preparing to inspect and palpate the head and scalp of an older adult who experienced a fall. A member of which group would most likely consider this examination as a violation of norms? a. Jewish b. Asian American c. Islamic d. African American
1. The nurse is helping a patient choose her menu options for the following day. The nurse reads out the option of ham with scalloped potatoes and the patient states that her religion does not allow this. Which of the following is most likely the patient’s religion? a. Roman Catholicism b. Buddhism c. Islam d. Mormonism SAS 23
2. Your patient is about to undergo a controversial orthopedic procedure. The procedure may cause periods of pain. Although nurses agree to do no harm, this procedure may be the patient’s only treatment choice. This example describes the ethical principle of: a.autonomy. b.fidelity. c.justice. d.nonmaleficence.
3. If a nurse decides to withhold a medication because it might further lower the patient’s blood pressure, the nurse will be practicing the principle of: a.responsibility. b.accountability. c.competency. d.moral behavior.
4. A nurse is caring for a patient who states, “I just want to die.” For the nurse to comply with this request, the nurse should discuss: a.living wills. b.assisted suicide. c.passive euthanasia. d.advance directives.

NUR 091 - FUNDA - LECTURE - PRACTICE, Lecture notes of Nursing

Related documents

Partial preview of the text

Download NUR 091 - FUNDA - LECTURE - PRACTICE and more Lecture notes Nursing in PDF only on Docsity!

NUR 091 - FUNDAMENTALS OF

NURSING PRACTICE (LECTURE)

P2 REVIEWER

SAS 13