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Duplicate of NR222 Ex 1 Sample 2 - Prof B Flashcards | StudBud
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Duplicate of NR222 Ex 1 Sample 2 - Prof B
Duplicate of NR222 Ex 1 Sample 2 - Prof B
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1
“Describe for me a typical night's sleep. What do you do to fall asleep?" Phase of Care in Nursing interview?
Termination Phase
Orientation Phase
Validation Phase
Working Phase
2
Which statement reflects Nightingale's contribution to today's nursing practice?
Established hygiene practices and discovered use of antibiotics.
Established the first school of nursing in the U.S; recruited soldiers.
Established handwashing and insisted on only nurses to render wound care.
Established infection control practices, noting importance of handwashing.
3
Which part of the nursing process is involved in validating a reassessment of a patient's pain?
Planning
Evaluation
Assessment
Implementation
4
HP 2020/2030 addresses Determinants of Health (DOH). Which of the following best describes DOH?
Individual health care choices, family structure, family choices
Quality of healthcare, technological advances, exposure to toxins
Amount of stores in the community, lifestyle habits, individual care choice
Income, education, where people live and age
5
Spirit of the Chamberlain Care Model of Nursing includes which of the following?
Including the nurses' own prejudices and biases when providing care.
Asking to be reassigned to a different area without homeless population.
Showing respect, dignity, openness to understand the values of all clients
Avoiding care for clients who demonstrate english as second language.
6
Social determinants of health includes which of the following?
Social supports, financial resources, motivational factors
Spirituality focus, psychosocial integrity, physiological acute patterns
Quality of education, access to healthy food, language literacy
Spirituality focus, psychosocial integrity, physiological acute patterns
7
Which of the following activities should the nurse include as part of primary prevention?
Providing education about healthy food choices to promote a healthy heart.
Providing cholesterol screening.
Providing a list of cardiac rehabilitative programs for patient transfer.
Providing education about anti-hypertensive medications.
8
During hand-off, RN hears the client received pain med 12 hrs ago; RN administers pain med. Nursing Process missed:
Assessment
Planning
Outcome identification
Evaluation
9
Which statement is an example of an objective finding in the assessment step of the nursing process?
Nurse observes client with facial grimacing, heart rate 100, BP 150/96.
Client expresses concern about her baby crying all night.
Client verbalizes, "I haven't slept the past 24 hrs because of a headache."
Client reports discomfort to left chest spreading to neck & back.
10
Which statement best describes the major purpose of nursing scope and standards of practice?
Nursing Standards educate patients about the nursing process.
Nursing standards provide regulation of safe & quality nursing practice.
Nursing standards provide regulation of the number of registered nurses.
Nursing standards facilitate faster documentation of patient assessments.
11
Which type of interview question does the nurse first use when assessing the reason for a patient seeking health care?
Confirmation
Open-ended
Reflection
Problem-oriented
12
Which of the following best describes a food desert area?
An area w/limited access to foods containing vitamins and minerals.
An area w/abundant access to affordable and nutritious fresh foods.
An area w/limited access to all foods that are safe to eat.
An area w/ limited access to affordable, nutritious foods.
13
Which documentation information is most consistent with objective data?
The client indicates a history of high blood pressure.
The client reports pain in the right leg.
The nurse observes that the lab results include a high blood sugar level.
The client describes discomfort when taking deep breaths.
14
Nursing Standards/Scope of Practice describes competent, safe nursing practice;used for the following purposes (SATA):
Used as guidelines for unlicensed assistive personnel
Used to determine whether the nurse acted as any reasonably prudent nurse
Used as guidelines for nursing practice & nursing practice acts
Used to measure nursing conduct in a malpractice suit
15
A nurse rechecks the apical pulse of a client after administration of a cardiac med. Which part of the nursing process?
Implementation
Evaluation
Planning
Assessment
16
Which of the following best describes the purpose of the ethics committee within a health care organization?
Provides submission of ethical dilemmas from nurses at least once a year.
Makes decisions about all nursing policies; can dictate nursing practice.
Checks all potential ethical dilemmas in/out of the health system.
Provides consultation and recommendation on complex ethical issues.
17
A client's experimental chemotherapy leads to kidney failure. Med D/C'd. This is an example of which ethical principle?
Fidelity
Autonomy
Nonmaleficence
Veracity
18
A nurse is ambulating a client in the hall to prevent lung complications. Which step in the nursing process is this?
Assessment
Implementation
Evaluation
Planning
19
Which of the following is true about medicare?
Medicare is a federally funded program.
Medicare is offerred at all employer benefit programs.
Medicare is for all ages as long as the person is a United States citizen.
Medicare is for women and children only.
20
After receiving bedside report at the beginning of his shift, the RN follows the steps of the nursing process (SATA):
Planning the care to help meet stated patient goals.
Ordering labs that are needed for the patient.
Collecting data and assessing the patient.
Listing the medical diagnosis.
21
Conducting a patient-centered interview, a first statement that a nurse would ask is which one of the following?
“Tell me what brought you to the hospital.”
“So, to summarize, you’ve lost about 6 pounds in the past month."
“My name is Terry. I’ll be the nurse taking care of you today.”
“Tell me how much weight you’ve lost in the past?"
22
A nurse offers pain medication, prior to helping the client ambulate. Ethical Principle:
Justice
Fidelity
Autonomy
Beneficence
23
Which of the following are examples of subjective data collected during assessment phase (SATA)?
The client's wife's verbalized client's need for a blanket.
The client's complaints of lack of sleep, and need for sleep medication.
The client's verbalized discomfort and need for pain medication.
The client's vital signs and gait (how a client walks).
24
Which is an example of the action stage of the Trans-theoretical model (TTM)?
"I am really enjoying this exercise class. I feel so much better!"
"I'm not overweight, I'm just 'big boned.' I feel with my weight."
"I saw the ad for weight loss. I'm thinking of calling the center."
"Doc said I need to lose weight. I'm too stressed to think about that."
25
Nurse is giving low dose aspirin (ASA) to a client diagnosed with coronary artery disease. Which level of prevention?
Primary
Tertiary
Primordial
Secondary
26
Nurse administers wrong med to a client, doesn't tell anyone, doesn't fill out an incident report. Ethical Principle:
Confidentiality
Veracity
Beneficence
Autonomy
27
Which services are included in the Medicare insurance benefit?
Medicare only pays for those who are disabled below the age of 65
Medicare pays for aid to dependent children and women
Pays for hosp, home health, hospice for 65/older, disabled, end stage renal
Pays for all costs r/t disease management including meds for all ages
28
Nurse gives wrong med to client. Nurse doesn't communicate to MD/fill out incident report. Ethical principle violation:
Beneficience
Autonomy
Safety
Veracity
29
Client w/advanced brain tumor; parents decides surgery, will be totally depend post op. Ethical Princip affecting client
Veracity
Fidelity
Autonomy
Beneficence
30
What information should a nursing student include in his presentation about nursing standards of care? (SATA)
Nursing standards of care are specific guidelines only for unlicensed assis
Nursing standards of care are defined in Nurse Practice Acts.
Nursing standards of care -used to measure nursing conduct in malpractice
Nursing standards of care are upheld by law, indicating standards for nurse
31
Which nursing action describes the evaluation step of the nursing process?
Nurse realizes need to reassess 30 m after pain medication given to client.
Nurse collects demographic data from the client during admission.
Nurse consults dietitian to discuss food choices and preferences of client.
Nurse administers the prescribed oxygen to a client short of breath.
32
Which of the following statements best explains one of the limitations of deontology?
The emphasis on relationships feels uncomfortable to decision makers.
It can be difficult to find agreement on which rules are important.
Single focus on power imbalances does not apply to all situations in ethics
33
Which nursing action should the nurse include in the assessment phase of the nursing process?
Identify the needed nursing actions to address the client's health problem.
Determine the success of the care goals.
Interview the client about current and past health history.
Develop the expected outcome with the patient.
