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Funds 2 Exam 1
Funds 2 Exam 1
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1
The nursing student learns that which of the following is the guideline for nursing documentation?
Ethical Standards
HIPAA
Nursing Process
Code of Ethics
2
What four meta paradigms does nursing theory examine?
Nursing, Person, Health, Environment
Caring, Person, Health, Environment
Caring, Patient, Health, Energy
Nursing, Patient, Well-Being, Energy
3
An overweight patient shows a lack of perceived susceptibility to heart disease by stating:
I will investigate the online weight watchers programs that have helped me
I should lose a few pounds and try to exercise more often
I'm only a little overweight, there is no way I can have a heart attack
I don't think a little weight loss is related to heart disease
4
Which of the following is not appropriate for educating an ESL patient on post-operative home care?
Using a metaphor when describing something to the patient
Only teaching a few points a day
Reinforcing important statements multiple times
Using graphics such as models or drawings
5
The nurse is caring for a surgical pt who speaks only mandarin chinese. The nurse will NOT
Ask the family to translate so the pt doesnt get charged for an interpreter
Determine the pts role and function within the family
Consider the body structure of the patient for rehab needs
Use translation services of the institution 4 communication of care plan
6
The first man to be accepted into the military nursing services was
Luther Christman
Joe Hogan
Edward T. Lyon
Steve Miller
7
Accordin 2 Maslow's, nurse understands that which element(s) must be maintained 1st b4 a pt can reach self actualization
Self esteem
Safety
Nutrition
Love and belonging
8
Which precaution method should a nurse implement for a client diagnosed with rubeola (measles)?
Contact
Airborne
Don't go in
Droplet
9
nurse providing care 4 pt and addressing safety needs.nurse is aware that along w safety, the nurse should also consider
Feelings of accomplishment
Relationship
Food
Security
10
Who can do the following task? : Discharge teaching
LPN/LVN
UAP
Family
Registered Nurse
11
Which statement best reflects a principle common to all theories of health, wellness, and illness?
People are able to control factors that control health
Being able to meet the demands of one's role is necessary for health
Health is synonymous with a sense of well being
Many variables influence a person's perception of health
12
Which model of health is demonstrated by a pt who participates in Paralympics, speaks motivationally, and has a family?
Health Wellness Continuum
Adaptive
Eudaimonistic
Clinical
13
The nurse is caring for a pt who needs to be lying flat on the back in neutral anatomic positioning. Which position?
Orthopneic
Prone
Dorsal recumbent
Dorsal
14
Which external variables should NOT be addressed with a pt when providing education during a routine health care visit?
age
Use of tobacco
High fat diet
lack of physical activity
15
Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?
Pork roast, rice, vegetables, mixed fruit, milk
Crab salad on a croissant, vegetables with dip, potato salad, milk
Noodles & cream sauce w shrimp and vegetables, salad, mixed fruit, iced tea
Sweet and sour chicken with rice and vegetables, mixed fruit, juice
16
GU stands for genitourinary
True
False
17
Which of the following is a correct interpretation of the abbreviation “ad lib.”
before meals
at bedtime
approximately
as desired
18
pc stands for after meals
False
True
19
Which strategy would most help an English-speaking nurse to communicate with a pt for whom English is a second language?
Use acronyms when referring to community organizations
Slow down when speaking to articulate more clearly
Speak more loudly when the patient misunderstands
Abbreviate medical terminology as much as possible
20
Who is responsible for developing health promotion plans?
physician and nurse
client and nurse
client and physician
family and nurse
21
The UAP is assigned a bath in 601 & vitals in room 602, but the pt in 602 is sent to OR b4 the vitals can be taken
Right circumstances
Right task
Right directions and communication
Right person
22
Nurse tells UAP to obtain vs on her pt. Hrs later nurse realizes that her pt had a low BP of 80/50 that wasnt corrected
RIght task
Right directions and communication
Right person
Right supervision and evaluation
23
A nurse is educating students regarding the different educational domains. What would be an ex of the psychomotor domain
The nursing student is able to answer questions to a case study
The nursing student is able to answer questions to a case study
student able to demonstrate how 2 perform an accucheck on her diabetic pt
student able 2 answer NCLEX style practice question regarding a nurse skill
24
What model of health is shown by paraplegic pt who participates in the Paralympics, speaks motivationally, has a family?
Eudaimonistic
Health-Wellness Continuum
Clinical
Adaptive
25
What learning theory isthe nurse using by intentionally omitting a supply during a sterile dressing change demonstration
Behaviorism
Humanism
Pseduonism
Cognitivism
26
When considering different healthcare delivery systems, what category would a pt who is currently in the ICU for sepsis?
Primary
Restorative
Secondary
Tertiary
27
Presenting Reality: "Helping the client to differentiate the real from the real"
False
True
28
What is a correct interpretation of health disparities, as explained in Healthy People 2020?
Differ in care received from 1 person 2 other based on socioeconomic status
= access to resources 4 every1, regardless of ability 2, pay, culture etc
Patient satisfaction with their healthcare
Providing culturally competent care such as offering translation services
29
Which of the following is not appropriate for educating an ESL patient on post-operative care?
Reinforcing important statements multiple times
Using graphics such as models or drawings
Only teaching a few points a day
Using a metaphor when describing something to the patient
30
What aspect of cultural identity is demonstrated by immigrants using technology while maintaining traditional dress?
Assimilation
Ethnocentrism
Acculturation
Socialization
31
Challenging is "giving a response that makes clients prove their statement or point of view"
False
True
32
Which right of delegation was violated when an LPN was assigned a patient with a new tracheostomy that dislodged?
Right task
Right circumstances
Right direction
Right person
33
best action for nurse teaching discharge instructions to a kid's dad when moms r typically primary caregivers in culture
Ask dad if he's comfy gettin discharge instruction or would rather wait mom
Give a printout of instructions so the dad can bring them home to his wife
Give the dad a list of credible internet sources that the mom can use
Go over the discharge instructions w w dad & let him relay the info to mom
34
Which action by the nurse is essential to providing culturally congruent care?
Understand that environmental context need not be documented.
Recognize one’s own personal cultural heritage, patterns, and biases.
Assume that cultural values are identical for all members of one family.
Follow established patient interview guidelines without variation.
35
When a nurse is providing care for a client who has been diagnosed with TB the nurse should implement which precaution
Airborne
Droplet
Contact
Dont go In
36
The student asks the faculty member why the electronic health record is so important. What response by the staff is best
EHRs cost less to create and store digitally than paper charts
Allows all hospital providers the ability to see the whole record
Creates opportunities for research studies and data collection
Helps eliminate duplicate diagnostic testing
37
The nurse is providing care for a pt who needs to be positioned for enema. Which position would be appropriate?
Dangling
Sim's
Fowler's
Orthopneic
38
DC standings for dressing change
False
True
39
Who is not responsible for developing health promotion plans?
Physician
Nurse
Practitioner
Client
40
Who can NOT do the following task: Trach care management
UAP
Registered Nurse
Family
LPN/LVN
41
rn is caring for a pt who has suffered an MI. pt has been seen by pt/ot & is prepping for dc.delegate the UAP what task?
Pain assessment
Nothing
Assisting with bathing
Teaching about a low sodium diet
42
Who can do the following task? Insert Foley
Family member
UAP
Dietician
Registered Nurse
43
Nurse is prioritizing a client's problems based on Maslow's hierarchy of needs. nurse would address which problem 1st?
Fear of the Unknown
Poor Understanding
Lack of Sleep
Social Isolation
44
nurse is caring for a pt who's diagnosed w COPD and is experiencing difficulty exhaling. Which position is appropriate?
Prone
Orthopenic
Dangling
Lateral
45
Which action by the nurse is essential to providing culturally congruent care?
Understand that environmental context need not be documented.
Recognize one’s own personal cultural heritage, patterns, and biases.
Follow established patient interview guidelines without variation.
Assume that cultural values are identical for all members of one family.
46
The registered nurse understands that which of the following is inappropriate to document?
All medications administered or withheld
Nursing opinions of the patient's needs
Nursing diagnoses and interventions
Accurate timely and relevant info
47
What is the nurse's next best action when a client says, "I already know all about that and don't need more teaching"?
Document the client’s refusal of education
Ask the client to tell you what they already know
Return at a later time and offer the education again
Return at a later time and offer the education again
48
What essential info should the nurse NOT give the UAP to ensure the right direction & communication for pt ambulation?
Client ate 50% of his breakfast this morning
Client ambulates with a walker
Client had pain med about 30 minutes ago
Client in room 203- Bed B
49
use SBAR to speak to dr regarding an asthma pt. nurse would b using this communication tool right if they did what 4 "R"
Reminded the dr that the pt was admitted 3 days ago for status asthmaticus.
Requests an albuterol nebulizer treatment to be ordered
Informs the provider that pt has a higher RR, low O2 sat, and is wheezing
Intro them self & asked if the dr is familiar w the pt they r calling about
50
Which of the following actions by a new nurses would warrant immediate intervention by their preceptor?
nurse takes an order for a med and has another nurse repeat back the order
nurse documents all nursing interventions at the patient's bedside
nurse docs the name and credentials of another nurse who was a 2nd witness
nurse looks up her moms EMR is admitted on another floor 4 pneu problem
51
What intervention should b initiated 1st by nurse assigned 2 care 4 culturally diverse pt admitted w significant BO
Seek information to determine the underlying cause of the body odor.
Contact family members or friends to learn more about the situation.
Ask the patient to bathe prior to conducting an admission assessment.
Approach the patient with washcloths and towels ready to give a bath.
52
When communicating with a client who speaks a different language, which best practice should the nurse implement?
Stand close to the client and speak loudly
Speak to the client and the family together
Arrange for an interpreter to translate
Speak loudly and slowly
53
The registered nurse knows that medical record documentation is NOT important for which reasons?
Improves communication between providers
It is where the nurse records thoughts about patient care
The record becomes a legal document
It is the record of care provided
54
Fx stands for fracture
False
True
55
Which component of Health Belief Model is demonstrated when a pt recognizes a family hx of disease predisposes him to it
Adherence to factors
Modification of factors
Liklihood of action
Perception of susceptibility
56
Which of the following is an example of primary prevention for a client with a family history of colon cancer?
pt has a part of colon removed that has cance cells, receives a temp ostomy
The patient participates in an ostomy support group
Pt gets colonoscopy q 5 years instead of q 10 bc of his family history.
The patient avoids a diet high in fat and red meat
57
Passing Judgement: "Giving opinions and approving or disapproving responses, moralizing, or implying ones own values"
False
True
58
The nurse is removing PPE. Which nursing action demonstrates the appropriate technique for removing a mask?
Tie the strings in a bow
Touch the mask by the strings only
Bend the strip at the top of the mask
Loop the ties over the ears
59
Giving Common Advice: "Telling the client what to do"
True
False
60
Dunn’s wellness grid, which category does a pt w asthma who follows preventive care & avoids poor air quality fall in
Emergent high level wellnessq
Protective poor health in favorable environment
Poor health in unfavorable environment
High level wellness in favorable environment
61
Dunn’s wellness grid, what category does a pt w asthma who follows preventive care and avoids poor air quality fall into
Protected poor health in favorable environment
Emergent high level wellness
Poor health in unfavorable environment
High level wellness in favorable environment
62
C stands for calcium
True
False
63
CA stands for cancer
True
False
64
What interventions can the LVN/LPN NOT complete?
Have the dietician speak with the patient about increasing fluids
Remind the patient to avoid mouthwashes
Provide mouth care every two hours when the patient is awake
Observe the lips, tongue, and mucus membranes
65
Who can do the following task? Yankauer (oral) suction on a patient?
LPN/LVN
All of the above
Registered Nurse
UAP
66
Using the concept of “Maslow’s Hierarchy”, the nurse knows to address which clients' needs
first
?
issue with elimination
Inadequate nutrition
Comfort, sleep, and warmth
Oxygen, cardiac function
67
nurse is caring for pt who's having difficulty breathing & is at risk for aspiration. Which position should the pt go in
Prone
Fowler's
Dorsal
Orthopneic
68
When leaving an isolation room, which should the nurse first remove with the grossly soiled gown.
Untie the strings at the neck first
Release the neck ties of the gown and allow the gown to fall forward
Grasp the sleeve of the dominant arm and remove it with a gloved hand
Untie the strings at the waist first
69
Who can NOT do the following task: Assisting with ADLs
None (they can all assist)
UAP
LPN/LVN
Registered Nurse
70
Which of the following is an example of an external variable that could impact someone’s health?
Advanced age
Religious beliefs
Family history of diabetes
Friends
71
Pt reports that he believes he'll "never kick the habit" smoking bc he tried before and failed.What stage of TTM is this
Pre-contemplation Stage
Termination Stage
Contemplation Stage
Preparation Stage
72
Which of the following would prompt the nurse to delay the teaching to a different time?
The patient asks several repetitive questions
pt expresses excitement over learning the new skill bc they want more indep
The pt informed they will need 2go back 2 OR for more of their bowel remove
73
Dx stands for diagnosis
False
True
74
What type of doc is the nurse using when writing paragraph-form note on a pt w-o access to all electronic chart feature
Charting by exception
Narrative Charting
SOAPIE note
Flow sheet
75
A nurse is caring for an asian pt & orders rice for every meal w-o consulting the client. Whatis the nurse displaying?
Prejudice
Discrimination
Stereotyping
Racism
76
Which strategy would most help an english speaking nurse to communicate w a pt for whom english is a 2nd language
Abbreviate medical terminology as much as possible.
Slow down when speaking to articulate more clearly.
Speak more loudly when the patient misunderstands.
Use acronyms when referring to community organizations.
77
Tx stands for treatment
False
True
78
Which concept about health do nurses need to appreciate?
Perceptions of health vary among cultures.
There must be an absence of illness for a person to be considered healthy.
To be considered healthy a person needs to be productive.
Underlying consensus exists among theorists about the definition of health.
79
Which of the following legal guidelines is NOT essential to follow when documenting in a client's record?
All entries should be timed
All entries should be dated
Document objective data, leaving out personal bias
Document all care done that day by the end of the shift
80
What is the most appropriate action for a nurse when noticing a staff member reading a pt's chart from another unit?
Don’t worry since this staff member has a hospital ID badge.
Ask the charge nurse if this person is allowed to read the record.
Tell the patient that someone from off the unit was reading the record.
tell the person that they may not read records of pts not assigned 2 them
