Study sets, textbooks, questions
Upgrade to remove ads
Fundamentals Exam 2 Practice Test
Terms in this set (64)
Which of the following is a collaborative intervention?
A. Rubbing patients back to facilitate relaxation
B. measuring the patients blood pressure
C. Assessing the patients educational needs related to discharge
D. Administering prescribed medications to a patient
D. Administering prescribed medications to a patient
(Administering medications requires a physicians order and pharmacist to dispense, it is therefore a collaborative intervention for the nurse)
What is the most important reason for a nurse to remain calm, greet patient by name, and introduce herself to a new patient, even when the nurse is upset by something else that has happened?
These actions help to establish a trusting relationship
The nurse would try to identify the patients locus of control when trying to change health promotion behavior because she wanted to determine?
Perception of powerlessness
(people who feel powerless about preventing illness are least likely to engage in health promotion activities)
The Structural-functional theory views the family as
A social system with focus on outcomes
A nurse admitting a 75-year-old patient to the nursing unit, accompanied by his son. Using a life span approach to care, what is essential for the nurse to do?
Ask the patient if he has had any falls in the past year
(Falls are a major source of morbidity in hospitalized patients. On admission, nurse should ask all older adults (65 +) if they have had any falls in the past year)
A nurse spends time with a dying patient. She holds the patients hand and prays with her quietly. This action is most clearly an example of whose nursing theory?
(Science of Human Caring theory, which describes caring from a nursing perspective)
What form propositions when linked together and are considered "building blocks" of theories?
(provide a framework for a theory)
When assessing the level of cardiorespiratory fitness in healthy, middle-aged adults without joint restriction or mobility impairment, what screening activity would be most suitable for the nurse to ask the patient to perform?
(appropriate for most adults without mobility impairment or joint restriction or pain. rate: 24 steps per min for 3 mins)
How is critical pathway DIFFERENT from a standardized care plan? A critical pathway:
Specifies patient outcomes and interventions for each day, or other period of time
(some situations (labor and delivery) each hr)
Critical pathways include:
-standardized, not individualized
-Both critical pathways and standardized care plans are preprinted documents for a particular diagnosis or condition
Why is implementation know as the action phase of the nursing process? Because it is the stage in which the nurse:
Performs or delegates the planned interventions
Unit standards of care are:
- A description of minimal level of care a patient is expected to receive
- NOT part of the care plan that is included in the patients chart
Unit standards are not organized according to
What is wrong with this goal statment? "The patient will walk to the doorway with the help of one person."
(Its action verb is "patient" and its special conditions are "with the help of one person")
The nurse would advise which patient to have a fasting lipid panel performed at least once every 5 years?
Adult with total cholesterol greater than 150 mg/dL
A facility is using ______ nursing care when scientifically sound research data are used to make nursing care decisions.
Evidence-based nursing care uses
solid, scientific data to make decisions about the nursing practice
Most nurses see nursing as focusing on the entire person and his response to cellular changes. This global perspective of nursing is known as a nursing:
Paradigm (worldview or ideology)
What is the most global conceptual framework of a discipline?
A nurse has an educational background that prepares her to manage research project. Which nursing degree does this nurse most likely hold?
What is wrong with this nursing order? "3/10/2010. Provide measures to relieve anxiety at every patient contact. J. King, R.N."
Is vaguely worded (and is not individualized)
-it should specify which measures to use to relieve the patients anxiety
GOALS, not nursing interventions, need target times.
Which nurse is clearly using evidence-based practice? One who uses an intervention:
Published in the clinical practice guidelines of a national group
When do people typically begin to increase awareness of the compelling reality of death?
During what age group does people typically become more aware of the reality of death (thats ones life is limited), EVEN WITHOUT A LIFE-THREATING ILLNESS?
What process is continuous?
the nursing process
Evaluation provides information to begin:
another cycle of care
Nursing interventions are performed for the purpose of assessing health status, preventing and treating illness or disease, and promoting health. True or False?
Nursing interventions are actions based on clinical judgement and nursing knowledge. They are performed for the purpose of assessing health status, preventing and treating illness or disease, and promoting health.
The client has a nursing diagnosis of impaired Physical Mobility. Which of the following is a Nursing Outcomes Classification (NOC) outcome label to use with this diagnosis?
Activities of daily living
(physicical activity and strength outcomes are specific goals because they use the word "INCREASE," implying a target behavior.
NOC outcomes are
broad neutral labels, NOT goal statements
The nurse develops a goal on the nursing care plan that states: 9/26/10, 0900-By 0800 tomorrow, will reach tube-feeding goal of 80 mL/hour. How can the nurse best collect data to evaluate this goal? ( Note residual is the amount of undigested feeding remaining in the stomach; blood glucose levels are affected by calories ingested and digested.)
Check feeding residual every 2 hours (assess the ability to tolerate the tube feeding)
A tennis professional has surgical repair of a rotator cuff injury and is not participating in physical; therapy. This is an example of?
focuses on stopping the progress of the disease and returning the individual to the pre-illness phase
Which is the best example of a well-stated desired outcome? The patient will:
State pain <4 on a scale of 1-10 within 1 hour after receiving pain medication
is the most specific and measurable or observable
"use incentive spirometer" should specify
how long and how often
"increase the distance"should say
how much he/she should increase the difference and what the baseline distance is
"verbalize side effects" should specify
by what date the patient is expected to so this
What health condition would be considered acute illness? A patient with:
Examples of chronic illnesses
Diabetes mellitus, AIDS, and multiple sclerosis
A 28-year old client underwent surgery for testicular cancer. Which factor might increase the clients recovery time?
History of tobacco use
(because it increases recovery time from other illnesses, injury and surgery.
-advanced age might be a factor of increase recovery time in young people)
For which behavior should the nurse observe when assessing the familys ineffective pattern for coping with stress of illness and hospitalization of a family member?
Avoiding coming to the hospital to visit family member
Ineffective coping can trigger
family abuse or neglect and dysfunctional family relationships
An 85-year-old patient with hypertension (elevated blood pressure) was admitted to the hospital with dehydration. He has pressure sores on his back and hip. what tasks could the registered nurse delegate to unlicensed assistive personnel?
Helping the patient to turn and reposition in bed & taking the patients blood pressure and reporting changes in skin condition
What type of disability is most common for noninstitutionalized persons in the united states?
-(lowest: sensory disability)
Life transitions that young adults experience as they mature are most typically perceived as:
Occurring in a predictable order
The nurse is responsible for setting up special equipment (oxygen, suction). Aside from that, which of the following procedures can the nurse delegate in its entirety to nursing assistive personnel (NAP)?
Preparing a room for a newly admitted patient
A patient with a 30-year history of tobacco use has decided to quit smoking and is preparing a plan to ensure that she is successful in this endeavor. Which of the change stages by Prochaska and DiClemente if the patient experiencing?
(exist when a decision to change a behavior has been made and a plan is prepared)
A research article describes a multicenter study in which 5,000 healthy patients between the ages of 30 and 65 were given a medication. Effects were observed, which included change in blood pressure with the prescribed drug. Study findings indicate this medication is safe for healthy patients between the ages of 30 and65 when given for a defined medical condition. What can you most resonably infer from this information? Qualitative or Quantitative study?
Nursing interventions Classification (NIC)
-NIC interventions can be used in all specialty areas of nursing practice
- The American Nurses Association (ANA) has approved it for use
Wellness of each family member is critical to the:
health of the family unit
Family wellness can be promoted by:
addressing both individual and family concerns
The nurse planning a health promotion and wellness screening program considers which factor as the greatest risk for cardiovascular diseases?
BMI greater than 30
Other high risk factors of heart disease:
smoking, alcohol, high blood cholesterol, high blood pressure, and diabetes
The criterion reads: "Hallways clear and free of equipment." This is an example of a criterion that would be appropriate in which type of evaluation?
The nurse has written this diagnosis for patient: Ineffective Airway Clearance related to weak cough secondary to incisional pain. What outcome is essential for the nurse to include in the care plan?
Airways clear to auscultation
For every nursing diagnosis, it is essential to have one goal that, if achieved:
would show resolution of the problem
How is qualitative research different from quantitative research? Qualitative research:
Reports data in the form of words
(qualitative research research focuses on individual experience and usually involves only a few participants)
The nurse is developing a care plan for a patient admitted to the intensive care unit with upper gastrointestinal bleeding. Which intervention by the nurse may help the family cope with the emergent hospitalization?
Keeping the family informed of the patients progress
The nurse ohones the lab to schedule a blood test for a hospitalized patient. She also schedules an x-ray for the same day. Both of these require the patient to be NPO (to have no food or water by mouth) for several hours prior to the tests. The nurse makes sure the patient has something to drink at the last possible moment before the patient is NPO. After the tests, when analyzing the urine output, she takes into consideration that the patient has had nothing to drink for the past 7 hours. This is a good example of:
Coordination of Care
scheduling treatments and activities with other departments and putting together bits and pieces of information
working with other professionals to plan, make decisions, or perform interventions
transfer of the responsibility for a task to another person while retaining the accountability for the outcomes
to make the nursing intervention specific for a particular patients unique needs
Sets found in the same folder
Fundamentals of Nursing EXAM 2
Fundamentals Test 2 NCLEX Questions
Fundamentals of Nursing
FUNdamentals of Nursing - Exam 1
Sets with similar terms
Nursing 101 Exam*
Week 1 - Practice Questions
Other sets by this creator
Pharm 1 quiz
Pharm Ch 29
Pharm Ch 28
Pharm Ch 8
Other Quizlet sets
Wines of the World Fall 2019
HOS Exam #2
What are the three different types of names of medications?
what are the four responsibilities of nurses for patients who are in pain?
A client experiencing acute alcohol withdrawal is upset about going through detoxification. Which goal should be the priority for the nurse?
which type of discipline case involves accepting gifts and money from a client while caring for him or her?