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NURS 106 EXAM 1 REVIEW QUESTIONS
Terms in this set (29)
A nurse on the unit previously gave pain medication to the patient for incisional pain, which the patient rated as 7 out of 10 on the pain scale. The nurse now checks on the patient 30 minutes later and documents that the patient now rates the pain as a 1 out of 10 on the pain scale. Which standard of practice did the nurse perform?
A patient on the surgical unit develops a surgical wound infection. The nurse irrigates the surgical wound and changes the dressing every 8 hours. Which standard of practice is performed?
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?
The nurse attends the interdisciplinary team meeting as director of the cardiac service line. The director presents information on the budget for the service line and the strategic directions for the next fiscal year. The nurse is acting in what professional role?
A nurse conducted a literature review on effective methods for patient teaching. Based on the literature search, the nurse develops a unit-based protocol for using the teach-back method when providing patient teaching. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
Teamwork and Collaboration
The nurses on an acute care medical floor notice an increase in the number of patient falls. The unit introduces a new patient rounding program. The nurse assigned to the project gathers data to monitor the effectiveness of the rounding program over a 6-month period. The nurse is practicing in which nursing role?
Nurses at a large medical center are participating in an education program led by staff educators to learn how to use an intravenous infusion pump to administer medications safely. This is which type of education?
You are preparing a presentation for your nursing course on the topic of professional standards of care. Which statement(s) best describe(s) professional standards of care? (Select all that apply.)
A. Describe a competent level of behavior in the professional role Correct
B. Protect the patient's confidentiality
C. Are based on scientific research Correct
D. Ensure patient-centered care for all patients
E. Define the principles of right and wrong to provide patient care
You are caring for a patient who was a victim of intimate partner violence. She tells you that she is very concerned about where she will stay once she leaves the hospital. According to Maslow's hierarchy of needs, with which level of needs are you most concerned?
Safety and Security
A 50-year-old woman decides to have an annual mammogram. Which level of prevention is this patient practicing?
A 55-year-old patient is being discharged from the hospital after a heart attack. He is being referred to a cardiac program where he will receive education on healthy eating, exercise, and stress reduction. This is an example of:
A 30-year-old woman has just found out that her mother has been diagnosed with breast cancer. This is an example of which type of risk factor for the 30-year-old?
A 45-year-old woman diagnosed with depression states, "I don't understand why everyone thinks I should seek counseling." This is an example of which state of behavior change?
Which of the following are examples of external variables influencing illness behavior? (Select all that apply.)
A. Social group
B. Cultural background
C. Patient perception of the illness
D. Accessibility of health care
_____ is behavior that is motivated by the desire to increase well-being and actualize human health potential, whereas _____ is behavior that is motivated by a desire to avoid illness, detect it early, or maintain function within the constraints of an illness. (Put a comma and space between each answer choice.)
Health promotion, health protection
A _____ is any situation, habit, environmental condition, physiological condition, or other variable that increases the vulnerability of an individual to an illness.
Your adult patient is scheduled for an x-ray film of the head. He is refusing to go, despite the fact that the x-ray film will give vital information related to his chief complaint of a headache. The nurse learns of the patient's refusal and comes in to the patient's room saying, "If you don't go to this x-ray, I'll have to give you a shot to put you out." In your opinion, has the nurse committed a legal mistake?
Yes, the nurse may have committed an assault on the patient by verbally threatening him.
A nurse has received a letter from the State Board of Nursing in which he practices that he has been placed on probation and that his license is suspended. The nurse has received no other information about this action. What, if any, claims does this nurse have?
The nurse has a claim against the State Board of Nursing for violating his rights to due process.
A patient's daughter is speaking to the nurse caring for her father. The daughter has presented the nurse with a document identifying her as the spokesperson for the patient when he is no longer capable of speaking for himself. Which of the following best characterizes the daughter's legal relationship with her ailing father?
Health care proxy
A health care provider has written an order for a patient to receive a medication every 6 hours for 7 days. You note that the patient has indicated that she is allergic to this medication (rash, shortness of breath). Which of the following should you do first?
Place a hold on the MAR
A patient's visitor has fallen in the patient's room. Which of the following is the most appropriate action for the nurse to take?
Assist the visitor and document with an occurence report
You are caring for a patient who will undergo a bone marrow aspiration, a difficult and painful procedure necessary to monitor the progress of recuperation after bone marrow transplantation. You are eager to minimize pain for this patient. You review the medical record for previous successful pain-management plans. You discuss the procedure with the patient. You advocate for the patient when the health care provider arrives to prepare for the procedure. Which ethical principle best describes the reasons for your actions?
According to annual assessments performed by the Federal Government, certain groups of people in the United States have poor or no access to health care. You decide to write an editorial to your local newspaper expressing your opinion about this situation. Which ethical principle would you incorporate into your editorial?
Justice since this concept addresses questions about the fair distribution of health care resources
Ethical dilemmas often arise over a conflict of opinions. Each of the following steps constitutes a correct step to take toward resolution of an ethical dilemma. What order should these steps be taken?
1. Clarify your own values about the issue.
2. Call a meeting in which those involved in the dilemma can discuss (negotiate) the possible solutions to the dilemma.
3. State the problem clearly in a way that all involved can understand.
4. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma.
A patient tells the nurse, "I have had this dull ache in my side now for 4 days; it really hurts when I bend over." The nurse responds, "All right, go on." The nurse's response is an example of:
The nurse prepares to administer care to a patient by first positioning him more comfortably. She inspects his surgical wound and reinforces the dressing with extra tape. She explains the procedure that she will use for insertion of a urinary catheter. She prepares the patient and inserts the catheter. Which of the following steps is a dependent nursing intervention?
Insertion of the urinary catheter
A patient has a pressure ulcer resulting from urine incontinence and sustained pressure over her coccyx. The nursing plan of care includes a goal of "Pressure ulcer heals in 3 weeks." Which of the following is an evaluative measure for this goal?
Measure the diameter of the ulcer
A nurse has been interviewing a newly assigned patient. The cues from the assessment suggest that the patient has a problem breathing. The nurse does not validate the findings by doing a physical examination. This is an example of which type of error?
Error in data collection
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