patient-centered care and cultural competence is to improve nursing care. Which step should the nurse take first?

Assessing own biases and attitude

RN is preparing to insert NG tube To determine the length of the tube to be inserted, how should RN measure the tube

From the tip of the earlobe to the nose to the xiphoid process

What statement is most reliable indicator that an older pt has the correct understanding of health promotion activities

“I still keep my dentist appointments even though I have partials now.”

health promotion goals for a female pt who smokes cigarettes, has HTN, & has a BMI of 26. What goals should RN include

The client will walk for 30 min 5 days a week.

Which medical diagnosis will cause the nurse to question an order for acupuncture?

Acquired immunodeficiency syndrome (AIDS)

a pt who has recently experienced a stroke. What question/statement is best to assess ability to learn

“Please read this handout and tell me what it means.”

A nurse is assessing the patient’s meaning of illness. Which area of focus by the nurse is priority?

On the way a pt reacts to disease

RN assessing 17 yo adolescent’s cognitive development. What behavior indicates adolescent has reached formal operations

Discusses the topic of justice in society

RN teaching the staff about human physical development. Which information indicates the RN needs additional instruction

“Development proceeds at a slower rate during the embryonic stage.”

RN determines that a middle-aged pt is a typical example of the “sandwich generation.” What is the pt caught between

Caring for children and aging parents

RN is assessing a group of pts for hospice services. RN should recommend hospice care for which of the following clients

A client who has terminal cancer and needs assistance with pain management

RN is reviewing info about the HIPAA with a new RN. What statement indicates the need for further teaching

Information about a client can be disclosed to family members at any time.

Which information from the nurse indicates a correct understanding of emerging adulthood?

It is a type of independent exploration

A nurse is caring for a group of patients. Which patient will the nurse see first?

Pt receiving TPN infusing with same tubing for 26 hours

Which characteristic tends to make a nurse the best communicators with patients?

Developed critical thinking skills

A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?

This is concurrent use of many medications.

A nurse’s goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

Review the patient’s list of medications at each visit.

pt who is dying. The RN should incorporate the principle of nonmaleficence into practice by taking what action

Withholding a dose of narcotic pain med when pt has respiratory depression

A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?

Accessibility of health care services

A nurse is developing a plan of care for an older adult. Which information will the nurse consider?

Needs to be individualized to the patient’s unique needs.

RN is concerned about pulmonary aspiration when providing care to the pt w/an intermittent tube feeding. first action?

Verify tube placement before feeding.

RN orienting a new RN about documentation of a pt info in the EMR. What shows the RN understands purpose of documenting

Documentation is a communication tool for interprofessional health care

Pt dx w/cardiovascular dz is receiving dietary instructions from the RN, what info from the pt indicate teaching is good

Limit cholesterol to less than 300 mg/daily.

RN teaching a group of healthy adults about the benefits of flu immunizations. What type of pt education is RN providing

Promotion of health and illness prevention

teaching parents of a 3 yo who is at risk for developmental delays. Which instruction will RN include in teaching plan

Encourage play as your child is exploring the surroundings

RN is creating a DC plan. What RN statement indicates the RN understands when discharge planning should be implemented

“I will begin upon the client’s admission to the facility.”

teen dx w/anxiety disorder is referred for biofeedback training, parents don't want their child to take meds

Biofeedback will help me w/my thoughts & physiological responses to stress

RN receiving change-of-shift report for a group of pts RN anticipates what activity in delivering care using RN process

Collect and organize client data.

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?

A pt demonstrates how to inject insulin

parenting class for families with adolescents. Which health concerns will the RN include in the teaching session?

Suicide, Eating disorders, Sexually transmitted infections

Which information from the parent of an 8-month-old infant will cause the nurse to intervene?

My baby always rides in the front-facing car seat when I go to the store

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NR222 Final

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Questions 100

Answers

1
A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing?
Cognitive development
Moral development
Biophysical development
Psychosocial development
2
A patient comes from a close-knit family. The patient’s family functions as context. You will need to evaluate:
family attainment of developmental tasks
family satisfaction with its new level of functioning
individual family members caring about one another
attainment of patient needs
3
patient-centered care and cultural competence is to improve nursing care. Which step should the nurse take first?
Learn about the world view of others
Developing cultural skills
Understanding organizational forces
Assessing own biases and attitude
4
RN is preparing to insert NG tube To determine the length of the tube to be inserted, how should RN measure the tube
From the tip of the earlobe to the nose to the xiphoid process
From the tip of the earlobe to the xiphoid process
From the tip of the nose to the earlobe
From the tip of the earlobe to the nose to the xiphoid process
5
What statement is most reliable indicator that an older pt has the correct understanding of health promotion activities
“I still keep my dentist appointments even though I have partials now.”
“I should discontinue my fitness club membership for safety reasons.”
up-to-date on my immunizations, but at my age, I don’t need influenza shot
“I need to increase my fat intake and limit protein.”
6
health promotion goals for a female pt who smokes cigarettes, has HTN, & has a BMI of 26. What goals should RN include
The pt will list foods that are high in calcium, which should be avoided
The client will increase calorie intake by 200 cal per day.
The client will replace cigarettes with smokeless tobacco products.
The client will walk for 30 min 5 days a week.
7
pt who wants needs to be met & is impatient & demanding when these needs are not met immediately. Interpret Freud
The Oedipus complex is functioning
The superego is functioning
The ego is functioning
The id is functioning
8
Which medical diagnosis will cause the nurse to question an order for acupuncture?
Acquired immunodeficiency syndrome (AIDS)
Low back pain
Migraine headaches
Osteoarthritis
9
a pt who has recently experienced a stroke. What question/statement is best to assess ability to learn
“Please read this handout and tell me what it means.”
“What do you want to know about strokes?”
“On a scale from 1 to 10, tell me where you rank your desire to learn.”
“Do you feel strong enough to perform the tasks I will teach you?”
10
A nurse is assessing the patient’s meaning of illness. Which area of focus by the nurse is priority?
On the way a pt reacts to family/social interactions
On the malfunctioning of psychological processes
On the malfunctioning of biological processes
On the way a pt reacts to disease
11
pt in rural area that does not have public transportation. What psychosocial change does the RN focus on as a priority
Social isolation
Retirement
Environment
Sexuality
12
RN assessing 17 yo adolescent’s cognitive development. What behavior indicates adolescent has reached formal operations
Questions where the ice is hiding when ice has melted in a drink
Hits other students to deal with environmental change
Discusses the topic of justice in society
Uses play to understand surroundings
13
RN & a pt work on strategies to reduce wt. Which phase of the helping relationship is the nurse in with this patient?
Working
Orientation
Preinteraction
Termination
14
Involving self-awareness, reflecting on practice, and knowledge of a patient's core cultural background is defined as:
Cultural humility
Cultural competence
Professionalism
Psychoosocial history
15
RN teach staff about a RN theory that view a person, family, or community develop a normal line of defense. What theory
Pender's Health Promotion Model
Neuman Systems Model
Ego defense model
Immunity model
16
Comparison of data with another source to determine data accuracy is known as:
Documentation
Interpretation
Validation
Data Collection
17
A nurse is working in the delivery room. Which action is priority immediately after birth?
Monitoring infant-parent interactions
Promoting parent-newborn physical contact
Maintaining an open airway
Determining true gestational age
18
RN teaching the staff about human physical development. Which information indicates the RN needs additional instruction
“Development proceeds in a cephalocaudal pattern.”
“Development proceeds at a slower rate during the embryonic stage.”
“Development proceeds at a predictive rate from the moment of conception.”
“Development proceeds in a proximal-distal pattern.”
19
RN determines that a middle-aged pt is a typical example of the “sandwich generation.” What is the pt caught between
Caring for children and aging parents
Advancing in career or retiring
Job responsibilities or family responsibilities
Stopping old habits and starting new ones
20
pt has just started on enteral feedings, and is now reporting abdominal cramping. Which action will the nurse take next?
Consult with the health care provider about prokinetic medication.
Slow the rate of tube feeding.
Change the tube feeding to a high-fat formula.
Instill cold formula to “numb” the stomach.
21
cultural issue w/pt health care belief system & enables pts & families for meaningful & supportive care. What concept?
Transcultural nursing
Marginalized groups
Culturally congruent care
Health care disparity
22
A pt asks RN for a nonmedical approach for excessive worry and work stress. Which therapy should the nurse recommend?
Chiropractic care
Herbs
Acupuncture
Meditation
23
RN is assessing a group of pts for hospice services. RN should recommend hospice care for which of the following clients
A client who has terminal cancer and needs assistance with pain management
pt who is recovering from a stroke and needs someone to provide care
A client who has dementia and needs help with activities of daily living
pt who has DM & is having difficulty self-administering insulin
24
RN is reviewing info about the HIPAA with a new RN. What statement indicates the need for further teaching
A pt's address would be an example of personally identifiable information
Information about a client can be disclosed to family members at any time.
HIPAA established regulation of individually identifiable health info
"HIPAA is a federal law, not a state law."
25
RN asks a pt where their pain is located, and the pt respond by pointing to the area of pain. What form of communication
Verbal
Nonverbal
Intonation
Vocabulary
26
Which information from the nurse indicates a correct understanding of emerging adulthood?
It is a type of independent exploration
It is a type of marriage and parenthood.
It is a type of extended adolescence.
It is a type of young adulthood
27
A nurse is caring for a group of patients. Which patient will the nurse see first?
Pt receiving continuous enteral feeding with same tubing for 24 hours
Patient receiving total parenteral nutrition of 2-in-1 for 50 hours
Pt receiving continuous enteral feeding with same feeding bag for 12 hours
Pt receiving TPN infusing with same tubing for 26 hours
28
Which characteristic tends to make a nurse the best communicators with patients?
Ability to maintain perceptual biases
Effective psychomotor skills
An interest in different kinds of people
Developed critical thinking skills
29
A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
This is many adverse drug effects reported to the pharmacy.
This is concurrent use of many medications.
This is the multiple risks of medication effects due to aging.
This is multiple side effects experienced when taking medications.
30
RN helping parents who have a child w/ADHD. Which strategy will the RN share with the parents to decerase stress
Routine preventative health visits
Speech articulation skills
Time management skills
Assertiveness training for the family
31
A nurse’s goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?
Teach that polypharmacy is to be avoided at all cost.
Review the patient’s list of medications at each visit.
Avoid information about adverse effects.
Focus only on prescribed medications.
32
pt who is dying. The RN should incorporate the principle of nonmaleficence into practice by taking what action
Discussing advance directives with the client and the client's family
Withholding a dose of narcotic pain med when pt has respiratory depression
Providing comfort care measures to the client
Allowing the client's family unlimited visitation at the time of death
33
A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?
Accessibility of health care services
Incidence of diseases
Outcomes of health conditions
Prevalence of complications
34
A nurse is developing a plan of care for an older adult. Which information will the nurse consider?
Must be based on chronological age alone.
Should be standardized because most geriatric patients have the same needs.
Focuses on the disabilities that all aging persons face.
Needs to be individualized to the patient’s unique needs.
35
Which assessment finding of an older pt, who has a urinary tract infection, requires an immediate nursing intervention?
Temperature of 97.9
Death of a spouse 2 months ago
Confusion
Presbycusis
36
RN is concerned about pulmonary aspiration when providing care to the pt w/an intermittent tube feeding. first action?
Run the formula over 12 hours to decrease overload.
Observe the color of gastric contents.
Add blue food coloring to the enteral formula.
Verify tube placement before feeding.
37
RN orienting a new RN about documentation of a pt info in the EMR. What shows the RN understands purpose of documenting
Documentation is a communication tool for interprofessional health care
Documentation provides info to the pt about financial charges for care
“Documentation provides information for a client audit.”
“Documentation allows providers to monitor the nurse’s activities.”
38
Pt dx w/cardiovascular dz is receiving dietary instructions from the RN, what info from the pt indicate teaching is good
Limit cholesterol to less than 300 mg/daily.
Avoid high-fiber foods.
Eat fish at least 5 times/week.
Maintain a prescribed carbohydrate intake.
39
A preadolescent patient is experiencing maturational stress. Which area will the nurse focus on when planning care?
Self-esteem issues
Physical appearance
Identity issues
Major changing life events
40
RN teaching a group of healthy adults about the benefits of flu immunizations. What type of pt education is RN providing
Restoration of health
Coping with impaired functions
Promotion of health and illness prevention
Health analogies
41
RN is teaching a pt relaxation techniques to decrease stress. What finding will support RN eval that the therapy is good
Dilated pupils
Decreased heart rate
Increased blood sugar
Elevated blood pressure
42
The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?
Maintain initiative
Maintain industry
Maintain intimacy
Maintain identity
43
teaching parents of a 3 yo who is at risk for developmental delays. Which instruction will RN include in teaching plan
Insist that your child discuss various points of view.
Encourage play as your child is exploring the surroundings
Discuss world events with your child to foster language development.
Actively encourage child to read lengthy books to foster reading abilities
44
RN is creating a DC plan. What RN statement indicates the RN understands when discharge planning should be implemented
“I will begin upon the client’s admission to the facility.”
“I will begin once the client’s discharge order is written.”
“I will begin once the client’s insurance company approves DC coverage.”
“I will begin 48 hr before the client’s discharge.”
45
older-adult wearing a hearing aid and watching TV. Which technique should the nurse use to facilitate communication?
Chew gum
Use at least 14 point print
Speak clearly and loudly
Turn off television
46
teen dx w/anxiety disorder is referred for biofeedback training, parents don't want their child to take meds
Biofeedback will help me w/my thoughts & physiological responses to stress
Biofeedback will allow me to manipulate my stressed-out joints.”
“Biofeedback will let me assess and redirect my energy fields.”
“Biofeedback will direct my energies in an intentional way when stressed.”
47
RN receiving change-of-shift report for a group of pts RN anticipates what activity in delivering care using RN process
Set client-centered, measurable & realistic goals.
Collect and organize client data.
Critically analyze client data to determine priorities.
Determine the effectiveness of interventions
48
A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
A family member listens to a lecture on DM
A pt demonstrates how to inject insulin
An RN presents information about diabetes
A primary care provider hands a diabetes pamphlet to the patient
49
Educator is discussing community mental health w/RN students. What is a secondary prevention
Community recreational center
Outpatient rehabilitation center
Daycare center
Crisis center
50
parenting class for families with adolescents. Which health concerns will the RN include in the teaching session?
Suicide
Eating disorders
Violence/homicide
Sexually transmitted infections
51
Which information from the parent of an 8-month-old infant will cause the nurse to intervene?
My baby always rides in the front-facing car seat when I go to the store
“My baby cries every time he sees a new person.”
“I made sure the slats on the crib were less than 2 inches apart.”
“I removed the mobile after my baby could reach it.”
52
A nurse is using the holistic approach to care. Which goal is the priority?
Use complementary and alternative therapies.
Join physical care with a vegan diet.
Integrate spiritual treatments.
Incorporate the mind-body-spirit connection.
53
A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?
Speak in a high pitch to help patients hear better.
Avoid uncomfortable silences after questions by helping patients
Ask pts to recall past experiences that correspond with their interests.
Provide several topics of discussion at once to promote independence
54
RN teaching parent of a school-aged child about accidents most common in this age-group What topic should the RN address
Drownings
Automobile
Falls
Poisonings
55
Despite working in a highly stressful RN unit & accepting additional shifts, a new RN has a strategy to prevent burnout
Strengthen friendships outside the workplace.
Use progressive muscle relaxation.
Write for 10 minutes in a journal every day.
Delegate complex nursing tasks to nursing assistive personnel.
56
During a routine physical, RN obtaining a history a 50-year-old Pt reports pain & redness in R breast what action is 1st
Tell the pt that redness is not a cause for concern and is quite common.
Inform her that redness is the precursor to normal breast enlargement
Assess the patient as thoroughly as possible
Explain to the patient that breast tenderness is normal at her age.
57
A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?
Listening to music
Singing
Massaging back
Visualizing peaceful settings
58
RN documenting info in EMR. Which of the following nursing actions jeopardizes client confidentiality
Using a computer terminal in a non-public area
Sharing computer passwords with coworkers
Logging out of the computer before leaving a terminal
Preventing an unidentified worker from viewing a health record on computer
59
RN teaches stress-reduction & relaxation training to a health ed group of pt after cardiac surgery, what intervention
Tertiary
Primary
Quad
Secondary
60
RN teaching a pt family member about permanent tube feeding at home. Which purpose of pt education is the RN meeting
Coping with impaired function
Illness Prevention
Restoration of health
Health promotion
61
RN assumes a variety of roles while working w/pts. What describes the RN role of protecting pt & supporting decisions
Educator
Manager
caregiver
Advocate
62
The nurse is caring for a patient receiving total parenteral nutrition (TPN). Which action will the nurse take?
Wear a sterile mask when changing the central venous catheter dressing
Run lipids for no longer than 24 hours.
Take down a running bag of TPN after 36 hours.
Clean injection port with alcohol 5 seconds before and after use.
63
RN giving a presentation about pt confidentiality to a group of RN. What is an example of violation of confidentiality
Reporting laboratory findings to a member of the client’s family
Discussing a client’s surgical procedure with the nurse manager
Identifying the pt by name when making a referral for home health services
Notifying the provider of physical examination findings
64
pt family is in a state of disagreement over the care of their family member. The nurse should report the situation to?
Clinical education specialist
Hospital administrator
Hospital ethics committee
Quality improvement committee
65
A mother has delivered a healthy newborn. Which action is priority?
Closely supervising the interaction between newborn and parents
Keeping the newborn in the nursery during the first hour after delivery
Encouraging close physical contact as soon as possible after birth
Avoid leaving the newborn alone with mother, first 8 hr after delivery
66
pt who has cancer & is receiving palliative care. Which of the following statements by the pt indicates understanding
“This treatment should help me live a little longer.”
“I am thinking of getting a second opinion.”
“I am hoping this will limit my discomfort.”
“This is not working and I plan to stop treatment.”
67
RN is teaching a pt about the Speak Up Initiatives. Which information should the nurse include in the teaching session?
Ask an RN to be your advocate or supporter
The RN is the center of the health care team
Inappropriate medical tests are the most common mistakes
If you still do not understand ask again
68
RN completing a pts history & physical exam. Which of the following information should the RN consider subjective data
Petechiae
Blood pressure
Nausea
Cyanosis
69
An example of subjective data would be:
The patient appears sad because she is crying
The patient is flushed
The patient states, "I have a headache".
The patient appears to be in pain when I press on his abdomen
70
RN teaching a parenting class. One of the topics is human development. What statement indicates more teaching is needed
The school-aged child still needs total assistance in all safety activities
The toddler may have temper tantrums from parent’s acting on safety rules
“The preschooler has the ability to play in small groups.”
“The toddler may use parallel play.”
71
pt asks about clinic in town that is allopathic & complementary practitioners. What would best describe the clinic
Naturopathic medical
Homeopathic
Ayurvedic
Integrative medical
72
occupational health RN in the clinic of an industrial plant is developing a guidebook for workers ?secondary prevention?
Teach plant workers about proper lifting techniques.
Set up an influenza immunization campaign.
Collaborate w/PT to develop program for injured employee to return to work
Help plant workers identify signs of carpal tunnel syndrome.
73
older adult client who is sedentary plan a new exercise regimen. What activities should be recommended
Running
Jumping rope
Tennis
Walking
74
Chinese pt using the teach-back technique. Which action by the RN indicates successful implementation of this technique
Asks, “What will you tell your spouse about changing the dressing?”
Asks, “Does this make sense?”
Asks, “Do you think you can do this at home?”
RN is using core measures to reduce health disparities.
75
rn is teaching a class on health promotion & illness prevention. RN should include that what for secondary prevention
Referring a client who has had a mastectomy to a support group
Teaching foot care to a client who has diabetes
Providing a community program on stress reduction
Performing monthly breast self-examinations
76
learning objective/outcome has the highest priority for a pt w/life-threatening, severe food allergies that requires epi
The patient will learn about food labels
The pt will administer epinephrine
The patient will identify the main ingredients in several foods
The patient will list the side effects of epinephrine
77
RN teaching a RN about methods to reduce costs of Pt care. Which of the following statements shows understanding
I should wait to empty my pt drainable colostomy until it is 3/4 full
"I should encourage clients to receive an annual flu immunization."
"I should delegate providing closed irrigation to the assistive personnel
I should recommend my pt will establish tracheostomy use sterile tech
78
A nurse’s goal is to provide teaching for restoration of health. Which situation indicates the RN is meeting this goal?
Teaching a woman who recently had a hysterectomy about possible adoption
Teaching a family member to provide passive range of motion for a stroke
Teaching a teenager with a broken leg how to use crutches
Teaching expectant parents about changes in childbearing women
79
A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?
Unplanned pregnancies
Climacteric factors
Retirement
Menopause
80
RN interviewing a pt who will undergo diagnostic testing, RN should ask about pt potential allergies, during what phase
Assessment
Planning
Evaluation
Implementation
81
middle-aged adult, the RN observes uneven weight bearing and decreased range of joint motion. Which area is priority
Abuse potential
Self-esteem issues
fall precautions
Stroke prevention
82
teaching young adults about health risks. What shows the young adult indicates a correct understanding of the teaching
“I don’t do drugs. I do drink coffee, but caffeine is not a drug.”
It’s probably safe for me to start smoking
My mother had appendicitis so this increases my chance
Control the amount of stress in my life may decrease the risk of illness
83
senior student reports that freshman is crying & is not adjusting to college life. RN recognizes this is stress
You must make an appointment for the freshman student to obtain medications
Give the freshman student this list of university and community resources
recommend that you help the freshman student start packing bags to go home
“Let’s call 9-1-1 because this freshman student is suicidal.”
84
RN completing initial admission assessment & history for a pt. What action for the RN to take
Teach the client about his diagnosis.
Document the client's allergies in the electronic medical record.
Develop a plan of care for the client.
Provide a schedule of visiting hours to the client's family.
85
A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?
Continuously provide reassurance to the patient
Implementing reminisce to support memory
Demonstrating respect for the patient
Projection of a sense of relaxation
86
RN wants to present information about flu immunizations to the older adults in the community. What type of communication
Public
Intrapersonal
Interpersonal
Small group
87
Health disparities are unequal burden of morbidity & mortality rate experienced by racial groups that are exacerbated by
All of the above
Bias
Prejudice
Stereotyping
88
A community health RN reviewing the levels of dz prevention. Which of the following activities is an example of tertiary
Testing new nurses for exposure to tuberculosis.
Performing screening for sexually transmitted infections
Administering influenza immunizations at a local health fair
Providing treatment for pts who have chronic obstructive pulmonary disease
89
Pt develops a foodborne dz from E- coli. When taking a health history, what food item did the pt ingest
Undercooked ground beef
Custard
Soft cheese
Improperly home canned food
90
A pt who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the RN use?
Computer instruction
Written test
Return demonstration
Verbalization of steps
91
confused older-adult, wearing thick glasses & hearing aid. What intervention is the priority to facilitate communication
Limit conversations with the patient
Use gestures and other nonverbal cues
Focus on tasks to be completed
Allow time for the patient to respond
92
RN assessing the risk of intimate partner violence for pts. Which population should the nurse focus on most for IVP?
Middle-aged adults
Nonsubstance abusers
White males
Pregnant females
93
RN using the proximodistal pattern to assess an infant’s growth & development as normal. What assessment is normal
Lifts head before grasps
Bangs objects before turns
Laughs before coos.
Walks before crawls.
94
A young male patient is diagnosed with testicular cancer. Which action will the nurse take first?
Allow time for the patient’s friends.
Find support for the family and patient.
Ask about the patient’s priority needs.
Provide information to the patient.
95
Before meeting the pt, RN talks to other caregivers about the pt. What phase of the helping relationship is the nurse in
Working
Termination
Preinteraction
Orientation
96
from 1st to last stage 1. Initiative/guilt2. Trust/mistrust3. Industry/inferiority4. I.d/role confusion 5 autonomy/shame
2, 5, 3, 1, 4
2, 3, 1, 5, 4
2, 1, 3, 5, 4
2, 5, 1, 3, 4
97
A formerly independent older pt becomes severely withdrawn upon admission to a nursing home, what action should be first
Encourage the patient to eat meals in the dining room with others.
Allow the patient to incorporate personal belongings into the room
Offer a reward to the patient for participation in all events.
Advise the patient of the importance of attending mandatory activities.
98
RN preparing to administer a prescribed med to a cpt. What actions should the RN plan to take to demostrate advocacy
Tell the client that refusal of the medication is considered non-compliance
Inform the client that the medication is the same as taken at home.
Encourage the client to verbalize questions.
Insist the client take prescribed medications
99
older-adult at home who requires teaching for dressing changes. The family will change the dressing. ?positive response?
“I used to change the dressing the same way"
“I don’t know who showed you how to change a dressing"
“You’re doing that all wrong. Let me show you how to do it.”
“You’re hesitant about changing the dressing like I was before I was shown"
100
Pt needs constant care in the home setting & for whom the care is provided by family. What action to relieve stress
Focus primarily on the patient
Provide education
caregiver to do as much as possible
Point out weaknesses

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