111 Units 5&6

Which intervention is appropriate to include for improving sleep in the older adult?

A pt has a diagnosis of narcolepsy. What behavior would the nurse expect the pt to exhibit?

The nurse knows that vivid dreaming occurs during which sleep phase of the sleep cycle?

A pt. complains of not being able to sleep while in the hospital. What is a priority action?

Which of the following is a characteristic of REM?

A pt complains of shoulder pain during a gallbladder attack. How does the nurse document this?

The highest level of integration of sensory impulses of pain occurs in which region?

A patient is verbalizing pain at his surgical site. The nurse’s first action is to:

When the nurse takes the patient’s nursing history, he or she sits:

The nurse is taking a sleep history from a patient. Which statement needs further follow-up?

Experience with an EHR has shown that the outcomes of its use include

What is a purpose of a hand-off report?

Which of the following statements would be most likely to block communication?

What does the nurse first address when using the SBAR approach to report dyspnea to a doctor?

Pain that is poorly localized and originates in body organs is known as:

At which stage of NREM sleep are sleep walking and enuresis most likely to occur?

In which of the following systems would a nurse organize data according to the SOAP format?

What action by the nurse would most ensure accurate interpretation of patient communication?

Which statement by the nurse best promotes reflection by a hospitalized patient?

Which intervention is appropriate to include in a plan of care for a patient with narcolepsy?

Which nursing measure best promotes sleep in a school-age child?

The nurse knows that a desired outcome for a sleep-deprived pt has been met when the pt states:

A pt reports that she has had pain in her leg for the last 2 years. This is what type of pain?

The nurse is caring for a 6-year-old . What would the nurse use to assess the level of pain?

Which of the following examples best explains personal space?

Which disease/disorder description is related to disturbed sleep?

Which question is most appropriate when a nurse is assessing a pt who may have sleep apnea?

Identify behaviors that foster the development of trust. (Select all that apply.)

Which lifestyle changes should the nurse recommend to a patient with recent onset of insomnia?

Since a pt's medical record is a legal document, the nurse knows that it is important to chart:

Which means of pain control can be explained on the basis of the gate control theory?

Your pt. is crying. Which actions facilitate therapeutic communication? (Select all that apply)

Which symptom does the nurse recognize as a physiologic response to acute pain?

Charting by exception (CBE) means

Requirements for nursing documentation do not include

Which attributes are important in nursing documentation? (Select all that apply.)

Which of the following guidelines for charting patient information is accurate?

The basic guideline used for nursing documentation is:

Physical assessment requires the nurse to function most often in which area of a pt’s space?

On which of the following patients should a sleep history be obtained?