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Fundamental of Nursing > EAQ prep for midterm > Flashcards

EAQ prep for midterm Flashcards

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1
Q

Which nursing theorist used anthropology to form a theory of universality?
Madeleine Leininger

Callista Roy

Imogene king

Dorothea Orem

A

Madeleine Leininger

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2
Q

Which statement is true regarding the goal of core measures?
They help recognize prejudices and assumptions about other people

They help reduce mortality, complications, and inpatient readmissions

They help provide care that fits with the patient’s own values, beliefs, and traditions

They help assess social, cultural and biophysical factors that influence patient treatment and care

A

They help reduce mortality, complications, and inpatient readmissions

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3
Q

Which term correlates with “the ability of family to cope with expected and unexpected stressors’’?

family diversity

family durability

family resiliency

family dynamics

A

family resiliency

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4
Q

which phase accurately describes the output component of the nursing process?

data entering the system

the end product of a system

data related to system functioning

the product and information obtained from the system

A

the end product of a system

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5
Q

The nurse wants to assess health literacy in a group of patients. which measure does the nurse use to evaluate word recognition?

Calm-Listen, affirm, respond, Add (C-LARA)

Test of functional health literacy in adults (TOFHLA)

Rapid estimate of adult literacy in medicine (REALM)

Culturally and linguistically appropriate services (CLAS)

A

Rapid estimate of adult literacy in medicine (REALM)

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6
Q

Which respiratory change occurs in older adults?

increased ciliary activity

increased number of alveoli

increased cough reflex

increased chest wall rigidity

A

increased chest wall rigidity

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7
Q

A community nurse in a diverse community is working with health care professionals to provide prenatal care for underemployed and underinsured south African women. which overall goal of healthy people 2023 does this represent?

assess the health care needs of individuals, families, or communities

develop and implement public health polices and improve access to care

gather information on incident rates of certain disease and social

increase life expectancy and quality of life (QOL) and eliminate health disparities

A

increase life expectancy and quality of life (QOL) and eliminate health disparities

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8
Q

which priority level would be assigned to a patient diagnosed with decreased gas exchanged

high

low

medium

intermediate

A

high

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9
Q

which concept of intersectionality involves unequal access to resources and services

overinclusion

marginalization

oppression

matrix of domination

A

oppression

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10
Q

which stage of cognitive learning involves the breakdown of information into organized parts?

applying

analyzing

evaluating

understanding

A

analyzing

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11
Q

which phase accurately describes feedback as it relates to the nursing process as a system?

data entering the system

the end product

data related to system functioning

the product and information obtained from the system

A

data related to system functioning

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12
Q

which action will the nurse take using the electronic health record(EHR) to help select the appropriate nursing diagnosis and intervention for a patient?

use standard nursing terminology

document information in a timely matter

confirm the patients diagnosis after receiving a handoff report

ensure the care plan accessible to all health care team members

A

use standard nursing terminology

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13
Q

which term is often applies to the age group balancing responsibilities related to care of children and care of aging parents?

the sandwich generation

the millennial generation

generation X

generation Y

A

the sandwich generation

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14
Q

A nurse who is an effective would possess which characteristic?(choose all that apply)

take initiative and sustain motivation, especially during times of uncertainty

maintain a neutral approach in decision making’

rebound from setbacks with positivity

identify the need to change and support change effectively

display impassivity toward other to avoid discrimination

A

take initiative and sustain motivation, especially during times of uncertainty

rebound from setbacks with positivity

identify the need to change and support change effectively

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15
Q

which evaluative measure for an ability to tolerate ambulation would the nurse use for a patient with limited mobility n the lower extremities who uses a walker?

score on a perceived-stress scale

presence of altered balance

limited mobility in lower extremities

observation of dyspnea while walking

A

observation of dyspnea while walking

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16
Q

according to Freud’s developmental theory which age group is referred to as the phallic stage?

infancy

toddler

preschool

adolescence

A

preschool

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17
Q

which patient behavior reflects the contemplation stage of change?

has integrated changes into their lifestyle

is activity involved in changing their behavior

has started considering a change in their behavior

in defensive when confronted about their behavior

A

has started considering a change in their behavior

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18
Q

which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?

I have given the patient acetaminophen because they have a fever of 100.5 F

I will continue to monitor the patient temperature since it has been elevated

I am concerned about the patients temperature of 100.5 F because of their risk for infection

I have updated the electronic health record with the patients current temperature and interventions

A

I am concerned about the patients temperature of 100.5 F because of their risk for infection

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19
Q

which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?

I have given the patient acetaminophen because they have a fever of 100.5 F

I will continue to monitor the patient temperature since it has been elevated

I am concerned about the patients temperature of 100.5 F because of their risk for infection

I have updated the electronic health record with the patients current temperature and interventions

A

I am concerned about the patients temperature of 100.5 F because of their risk for infection

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20
Q

which explanation describes input as it relates to the nursing process as a system?

data or information that comes from a patients assessment

the change in the patients status as a result of nursing care

data related to system functioning

the product and information obtained from the system

A

data or information that comes from a patients assessment

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21
Q

which evaluative criterion would the nurse use to measure nursing care for a patient who is short of breath?

observe the patients level of comfort

measure the respiratory rate

ask the patient if breathing is easier

administer a bronchodilator

instruct the patient to perform deep breathing

A

observe the patients level of comfort

measure the respiratory rate

ask the patient if breathing is easier

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22
Q

A patient with end-stage lung disease wants to go home on oxygen and be comfortable. the family wants the patient to have a new surgical procedure. the nurse explains the risks and benefits of the surgery to the family and discusses the patients wishes. which role is the nurse demonstrating for the patient?

educator

advocate

caregiver

manager

A

advocate

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23
Q

which statement by the nursing student indicates effective learning regarding the authority element of the decision-making process?

I will develop a plan of care for my patients

I will be responsible for my actions and decisions

I will make my decisions about the scheduling of work

I will ask the self-care team to brief the patient on discharge

A

I will ask the self-care team to brief the patient on discharge

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24
Q

By which age has the young adult usually completed physical growth?

18

20

25

30

A

20

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25
Q

which level of prevention describes a nurse conducting health awareness training programs at a community center?

primary

secondary

tertiary

indirect

A

primary

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26
Q

which implementation skill describes a nurse explaining to the patient about inserting a feeding tube?

cognitive

technical

interpersonal

psychomotor

A

interpersonal

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26
Q

which implementation skill describes a nurse explaining to the patient about inserting a feeding tube?

cognitive

technical

interpersonal

psychomotor

A

interpersonal

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27
Q

which theory states that the patient adapts to changes in phycological needs, self-concept, and interdependence domains?

Roy’s

Orem’s

Peplau’s

Henderson’s

A

Roy’s

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28
Q

which developmental theorist explained the behavior of a 4-year-old who fantasizes about the parent of the opposite sex?

Sigmund Freud

Arnold Gesell

Erik Erikson

Jean Piaget

A

Sigmund Freud

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29
Q

Which theory would the nurse include in a session on moral development stages in children?

Piaget’s Theory

Freud’s theory

Kohlberg’s theory

Erikson’s theory

A

Kohlberg’s theory

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30
Q

Which type of grief is exemplified when the survivor of a motor vehicle accident attempts suicide because of feeling responsible for the friends death?

Delayed

masked

exaggerated

ambiguous

A

exaggerated

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31
Q

Which nursing theory is useful for developing interpersonal relationships?

Leininger’s

Roy’s

Peplau’s

Nightingale’s

A

Peplau’s

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32
Q

Which leadership quality can result in the success of the health care organization after decentralization?

Delegation

Decisions making

team communication

clinical care coordination

A

Decisions making

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33
Q

which therapy does the nurse suggest to help older adults recall their past to resolve current conflicts?

Reminiscence

Validation therapy

Reality orientation

Therapeutic communication

A

Reminiscence

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34
Q

The nurse discusses the would health organization recommendations to prevent chronic noncommunicable illness with a group of adult community members. which exercise routine would the nurse suggest?

150 minutes of moderate-intensity activity per week

60 minutes of vigorous aerobic activity per week

strengthening exercises 4 or more days per week

for older adults with limited mobility to enhance balance 2 or more days per week

A

150 minutes of moderate-intensity activity per week

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35
Q

which endocrine change is associated with aging?

increased sensitivity to insulin

increased thyroid secretions

decreased ability to respond to stress

decreased anti-inflammatory hormone secretions

A

decreased ability to respond to stress

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36
Q

While caring for an 8 year old patient the nurse finds that the child appears scared of the parents and has bruises on the soles of his feet and on the back. which laws obligate the nurse to report suspected abuse to law enforcement authorities?

public health laws

good Samaritan laws

mental health parity act (MHPA)

failure to act laws

A

public health laws

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37
Q

which system is responsible for the physiology of flight-or-flight Reponses?

renin-angiotensin

respiratory

sympathetic nervous

parasympathetic nervous

A

sympathetic nervous

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38
Q

Which goal is appropriate for the patient who is at high risk of skin injuries?

Patient will be turned every 2 hours within 24 hours

patient skin will remain intact through discharge

patients skin condition will improve by discharge

patient will begin a weight-loss program

A

patient skin will remain intact through discharge

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39
Q

which description explains the evaluation tool of reflective journaling/

dialogue that allows for questions, differing viewpoints, and sharing of experiences

consciously thinking through an activity or experience’

a visual representation of patient problems and interventions that shows their relationships to one another

a reasoning process used to cognitively apply and analyze the thoughts, actions, and knowledge apply and analyze the thoughts, action, and knowledge to make sound clinical judgements

A

consciously thinking through an activity or experience

40
Q

Which statement describes a patient who is in the precontemplation stage to quite smoking?

Intends to quite smocking in the next 6 months

has begun making plans for smoking cessation

is actively taking measures to quite smoking

does not intend to quit smoking this year

A

does not intend to quit smoking this year

41
Q

A patient is scheduled for a mastectomy. which intervention is performed out of respect for the patients autonomy? (choose all that apply)

review the surgical procedure

explain the risks and benefits of the procedure

withhold information about the possible harmful effects

ensure that the patient reads the surgery documents and signs the consent form

ensure that the patient makes full advance payment

A

review the surgical procedure

explain the risks and benefits of the procedure

ensure that the patient reads the surgery documents and signs the consent form

42
Q

Which method of a patient teaching is suitable just prior to a colonoscopy?

telling

entrusting

reinforcing

participating

A

telling

43
Q

Gesell’s theory of development is based on which principle?

moral development

Psychosocial development

psychosexual development

biophysical development

A

biophysical development

44
Q

In the communication process which person is the receiver of the message?

The person who encodes a message

the person who decodes a message

the person who delivers a message

the person who seeks feedback

A

the person who decodes a message

45
Q

Which nursing intervention is appropriate for a dying patient who has fatigue?

increases fiber in the patients diet

encourage the patient to eat small, frequent meals of preferred foods

educate the patient about energy conservation

providing an opportunity for the patient to express feelings through active listening

A

educate the patient about energy conservation

46
Q

which condition does the nurse suspect in an older adult who reports gradual hearing decline?

delirium

dementia

presbyopia

presbycusis

A

presbycusis

47
Q

Which intervention for a patient with an amputated left foot who is depressed is a tertiary preventive measure?

implanting a prosthetic foot for the left leg

referring the patient for a vocational retraining

referring the patient to an occupational therapist

advising the patient about measures to prevent accidents

administering antidepressant medication to the patient

A

implanting a prosthetic foot for the left leg

referring the patient for a vocational retraining

referring the patient to an occupational therapist

48
Q

Which communication technique is nontherapeutic?

sympathizing

focusing

clarifying

summarizing

A

sympathizing

49
Q

Which definition describes the knowing component of Swansons theory of caring?

being emotionally present for the patient

facilitating the patients passage through changes in life

striving to understand an event as it has meaning in the life of the patient

caring for the patient as the nurse would have done for themselves

A

striving to understand an event as it has meaning in the life of the patient

50
Q

When an older adult states even though I turn up the volume on my television, I cant seem to hear it what condition would the nurse suspect?

Kyphosis

keratoses

presbyopia

presbycusis

A

presbycusis

51
Q

which minimum font size should be used for printed materials intended for a visually impaired patient?
(enter whole number)

A

14

52
Q

The surgical nurse is collecting the necessary documents to obtain a patients informed consent before surgery. In which instance would the nurse refrain from obtaining informed consent?

the patient voices no concerns regarding the surgery

the patient was administer morphine

the patients family members are not present

the surgery is associated with risk of severe complication

A

the patient was administer morphine

53
Q

Which type of theory would be helpful to the nurse when gaining knowledge about the underlying pathology of a disease?

grand

educational

biomedical

prescriptive

A

biomedical

54
Q

Which element is the final step of the nursing process?

counseling

discharge

evaluation

implementation

A

evaluation

55
Q

The nurse is caring for a Korean women who has just delivered her first baby. which would the nurse anticipate the family to provide as the first meal to the woman?

tomato soup

sweetcorn soup

seaweed soup

hot garlic soup

A

seaweed soup

56
Q

Which modifications will the nurse make to the care plan for a patient with diabetes who can no longer prepare or administer inulin because if tremors and has a caregiver who lives in the home?

continue with current care plan

charge the medication to an oral form

instruct the caregiver to prepare the insulin but have the patient administer it

teach the caregiver to prepare and inject the insulin

A

teach the caregiver to prepare and inject the insulin

57
Q

Which phase of the helping relationship is involved when the nurse and a patient meet and become acquainted?

working

orientation

termination

preinteraction

A

orientation

58
Q

Which action would the nurse take for a patient who continues to have congested lungs after coughing and deep-breathing exercises?

double the dose of antibiotics

hand over the patient to another nurse

repeat the patients chest x-ray

increase frequency of coughing and deep-breathing exercises

A

increase frequency of coughing and deep-breathing exercises

59
Q

which information is true about chronic grief?

suicides is a high risk for patients with this type of grief response

it may last for years or decades

a patient with this type of grief response often exhibits maladaptive obsessions

it is associated with self-destructive behaviors’

A

it may last for years or decades

60
Q

when teaching tool is beneficial for patients with reading comprehension problems and visual deficits?

graphs

physical objects

audiovisual materials

computer instructions

A

audiovisual materials

61
Q

Which chronic disease is associated with the costliest health care?

cancer

diabetes

dementia

heart disease and stroke

A

diabetes

62
Q

Which symptom is managed by the nurse offering ice chips to the dying patient?

fatigue

dehydration

constipation

altered nutrition

A

dehydration

63
Q

Which statement about Kohlberg’s theory of moral development is accurate?

stages 3 and 4 are found in the postconventional level

the theory expands upon Freuds psychanalytic theory

Kohlberg identified 6 stages of moral development under three levels

this theory is especially useful for understanding children younger than 4 years of age

A

Kohlberg identified 6 stages of moral development under three levels

64
Q

which action is appropriate when nurse finds a patient scheduled for an appendicectomy is crying and infers this is because of anxiety?

the nurse h=that the patient is frightened of surgery

the nurse ignores it because such behavior is normal

the nurse infers that the patient does not want to be admitted to a hospital

the nurse validates the inference by asking the patient about the crying behavior

A

the nurse validates the inference by asking the patient about the crying behavior

65
Q

which option explains the primary purpose for the nurse performing evaluated measures?

to verify specific nursing interventions were completed

to validate the nurse’s physical assessment

to make sure the nurse made the correct nursing diagnoses

to determine whether a patient met expected outcomes

A

to determine whether a patient met expected outcomes

66
Q

which definition relates to the family durability?

the uniqueness of each family unit

the ability of the family to cope with expected and unexpected stressors

the interactions between family member that are affected by a family’s makeup and function

a system of support and structure within a family that extends beyond the walls of the household

A

a system of support and structure within a family that extends beyond the walls of the household

67
Q

To apply critical thinking how would the nurse respond when a patient asks the nurse why do i have a rash on my hand? it happened soon after I took penicillin for an infection?

ask the patient about a hypothesis for the cause of the rash

inquire why the patient is concerned

use knowledge from previous experiences

determine which health care provider prescribed the drug

A

use knowledge from previous experiences

68
Q

which type of problem is a high priority?

one related to nonurgent needs of the patient

one related to life-threatening needs of a patient

one focused on the patients long term health care needs

one focused only on the physiological diagnosis

A

one related to life-threatening needs of a patient

69
Q

The nurse stops to help in an emergency at the scene of an accident. the injured party files a suit and the insurance of the nurses employing institution does not cover the nurse. which would probably cover the nurse in this situation?

the nurses automobile insurance

the nurses homeowners insurance

the good Samaritans laws, which grant immunity from suit if there is no gross negligence

the patient care partnership, which may grant immunity form suit of the injured party consents

A

the good Samaritans laws, which grant immunity from suit if there is no gross negligence

70
Q

A patient is brought to the hospital after a motor vehicle accident. which law makes it mandatory for the health care agency to provide emergency care to patient before transferring them to other hospital?

good Samaritans laws

mental health parity act (MHPA)

Americans with disabilities act (ADA)

emergency medical treatment and active labor act (EMTALA)

A

emergency medical treatment and active labor act (EMTALA)

71
Q

Which critical thinking attitude motivates the nurse to communicate and know more about a patients?

curiosity

creativity

perseverance

self-confidence

A

curiosity

72
Q

Which purpose is served by predictive and presymptomatic genetic testing?

help identify fetuses that have certain disease during a pregnancy

identify a genetic condition that will make a patient ill in the future

provide information regarding a person carrying a gen that can cause a disease

find variation that increase a persons chance of developing a specific disease

A

find variation that increase a persons chance of developing a specific disease

73
Q

which educational program would the nurse recommend to a student who wants to enroll in the shortest available prelicensure nursing program?

BS

AS

DR

MS

A

AS

74
Q

which is the correct when providing care to a married couple form different cultural backgrounds?

advise the couple about effective ways to earn money

arrange a meeting with the local lawyer for divorce

make a final decision on behalf of a the couple

learn more about the culture of wife and the husbands and help them appropriate decisions

A

learn more about the culture of wife and the husbands and help them appropriate decisions

75
Q

which activity would be a component of the evaluation phase of the nursing program? (choose all that apply)

determining goals

writing expected outcomes

assessing the patient for nursing needs

measuring a patient clinical progress

judging if the desired change has occurred

A

measuring a patient clinical progress

judging if the desired change has occurred

76
Q

which determination does an evaluative measure make?

if the nursing education meets the standards of care

if the nurses follow the nursing process

if the nurses record the number of patient falls

if the nursing care was effective for meeting expected outcomes

A

if the nursing care was effective for meeting expected outcomes

77
Q

which component of a nursing theory can be either abstract or concrete and is used to communicate meaning?

concepts

definitions

assumptions

phenomenon

A

concepts

78
Q

Which theory of grief and mourning includes denial and acceptance?

stages of dying

attachment theory

rondos “R” process model

grief tasks model

A

stages of dying

79
Q

Which type of report is given at the end of a shift so that the next nurse can follow the appropriate treatment plan and care for the patient?

discharge summary

incident report

hand-off report

telephone report

A

hand-off report

80
Q

Which patient problem would be a high priority?

risk of skin breakdown

need for rehabilitation

mild anxiety

chest pain

A

chest pain

81
Q

Which level of communication is exhibited by the nurse performing a mental rehearsal on how to deal effectively in difficult situations with increased confidence?

public

small-group

intrapersonal

interpersonal

A

intrapersonal

82
Q

The nurse wraps and ties a cloth to prevent bleeding from the sit of injury for a patient who is a victim of a traffic accident. The patient is taken to the hospital and presents with signs of infection. which action will be taken against the nurse?

the nurse will not be face any action

the nurse will be given warning for gross negligence

the nurse will face liable charges for not getting an informed consent

the nurse will be sued for not obtaining prescription from the health care provider begore intervening

A

the nurse will not be face any action

83
Q

which action would the nurse take for a dying patient who is breathing loudly?

administer narcotics

elevate head of the bed

apply lip balm to the patients lips

position the patient on the right side

A

elevate head of the bed

84
Q

which question would be most relevant when the nurse is seeking more specific information about an area?

are you feeling better now

how has your pain affected your life at home

how many times a day do you take pain medication

are you worried that you will not be able to return to your usual way of life

A

how has your pain affected your life at home

85
Q

which lifestyle choice is an example of a risk factor? (choose all that apply)

poor nutrition

smoking cigarettes

regular vigorous physical activity

excessive alcohol consumption

exposure to second hand smoke

A

poor nutrition

smoking cigarettes

excessive alcohol consumption

exposure to second hand smoke

86
Q

which statement describes the process of evaluation?

is ongoing and comprehensive

occurs at particular intervals set by the nurse

requires a quick check of a patient

is performed once in the nursing process

A

is ongoing and comprehensive

87
Q

The nurse instructs the patient to hold the syringe like a dart. which instructional method did the nurse use?

telling

analogy

demonstration

simulation

A

analogy

88
Q

Which action would the nurse take when the patient needs to void right before the nurse begins to initiate an intravenous (IV) line?

sedate the patient

start the IV line immediately

insert a foley catheter

assist the patient to the bathroom

A

assist the patient to the bathroom

89
Q

When preparing a research project which level of evidence is highest for a scientific study?

single nonexperimental cohort study

controlled trial without randomization

systematic review of a qualitative study

meta-analysis of a randomized clinical trial

A

meta-analysis of a randomized clinical trial

90
Q

Which symptom is the nurse addressing when advising the caregiver of a patient who is terminally ill increase fiber in the patients diet?

fatigue

nausea

diarrhea

constipation

A

constipation

91
Q

according to Orem’s theory which goal is appropriate for the patient?

self-care

adaptation

synergy

health transitions

A

self-care

92
Q

which action would the nurse take when the patient asks for a bedpan as the nurse is reassessing the patient?

call the assistive personnel(AP) and ask the person to bring a bedpan for the patient

assist the patient onto the bedpan

quickly finished the reassessment

reassure the patient that an AP will bring bedpan soon

A

assist the patient onto the bedpan

93
Q

Which action is an example of an independent nursing intervention?(choose all that apply)

provide health education

start intravenous (IV) fluids

administer a hypertension agent

assist with daily activities

reposition a patient

A

provide health education

assist with daily activities

reposition a patient

94
Q

which statement made by the student nurse indicates a need for further teaching regarding delegation?

providing appropriate monitoring is the principle of right direction

none of the steps if the nursing process should be delegated

delegation s the act of transferring responsibility but retaining the accountability of the task

one of the rights of delegation right supervision provides appropriate monitoring and feedback

A

providing appropriate monitoring is the principle of right direction

95
Q

Which type of order describes a prewritten prescription in the intensive care unit (ICU) that states in case of a headache, acetaminophen is to given to the patient?

protocol

intervention

standard prescription

standing order

A

standing order

96
Q

A nurse describes arterial blood pressure as like water flowing though a hose which teaching technique does this exemplify?

analogy

role play

demonstration

simulation

A

analogy

97
Q

which method does the nurse use to teach insulin administration to a patient with newly diagnosed diabetes?

simulation

demonstration

group instruction

one- on-one discussion

A

demonstration

98
Q

which interpretation will the nurse make when a 65 year old patient scheduled for a cholecystectomy asks a number of questions is restless and has poor eye contact when speaking?

the patient is anxious

the patient has major depression

the patient has visual impairment

the patient has age-related cognitive impairment

A

the patient is anxious

Fundamental of Nursing (14 decks)

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