Fundamentals Flashcards
Which nursing process would the nurse undertake when collecting the medical history of a client?
Assessment
- client information is part of an assessment
When conducting a client interview, what response is an example of back channeling?
“All right, go on.”
- active listening prompts
Probing a client
open-ended questions help obtain more information unit; the client says nothing more
Which program is least liekly to focus on medication delivery process modification?
experimental research
Which documentation would the nurse utilize to report that a client’s degree of edema has a depth of 8 mm?
4+
Edema mm and grade + are a ratio of
2mm= 1+
Which of these ethical issues related to the long-term care settings
guardianship
power of attorney
advance directives
responsible party designation
DNR orders
Adherence to pt’s bill of rights
Which activity places a client at risk for hyperthermia?
performing activity in high humidity
What is a great indication of motivation to learn?
readiness or requesting information
Which nursing interventions indicate client care that supports physical functioning?
maintain nutritional status
and regular bowel patterns
In palliative care, the nurse is the
pt advocate
evaluate physical emotional and spiritual needs
Subjective data
what the client says
Objective data
observed
During a routine physical, a 50 y/o client ask why a stool specimen for occult blood testing was prescribed. which response would the nurse utilize?
Starting at your gae, this test is performed routinely as part of an assessment for colon cancer
- describe what you know do not infer information about client
MEDLINE
database to find studies related to allied health science
Medicare is used for
people over 65
Which research design would the nurse researcher utilize when examining subjects’ responses to chlorhexidine and povidone-iodine as antiseptics?
experimental
- researcher is involved with variables
Which nursing practice is associated with self-regulation skill?
reflecting on one’s experience
The nurse tells the client who they are and explains a procedure to be performed. which critical thinking attitude is the nurse applying?
confidence
A client with sickle cell anemia is experiencing a vaso-occlusive crisis and has a PCA pump. 5/10 pain on right elbow, “locked out” for another 10 mins. What action should the nurse implement?
TV diversion
Prescribed prn warm, wet compress on the elbow
Call the HCP
Inform needs to wait until med is available
Prescribed prn warm, wet compress on the elbow
- vasodilation will help reduce the pain of vaso-occulsive pain
Which principle refers to the professional obligation of the nurse to assume responsibility for actions?
accountability
Percussion
tapping the skin with fingertips causes vibrations in the underlying tissues
Internal variable
emotional factors
School health nursing programs have which goal
health promotion
Which variable is an example of an external variable?
socioeconomic factors
Which is the role of a case manager in a healthcare organization?
follow up with a client after discharge
Which purpose describes the Nurse Practice Acts?
describe and define the legal boundaries of nursing practices within each state
Which role is the nurse fulfilling when explaining the reason for IV infusion and kit to the client?
educator
In which sequence of techniques would the nurse assess a client’s abdomen?
inspection
auscultation
percussion
palpation
Percussion is used for
kidney inflammation
Which step in the nursing process would involve promoting a safe environment for the client?
implementation
Planning stage contains
strategies and alternatives to achieve specific outcomes
During diagnostic stage contains
analyze assessment data to determine health care issues
Which function is the role of the nurse administrator in a health care setting?
preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and development
Nurse practitioner provides
comprehensive care and directly manages the medical care of clients who are healthy or have chronic conditions
Nurse educators provide
knowledge about current nursing practices, trends, theories, and necessary skills in labs and clinical settings
When informing the health care provider of a client requesting pain med after surgery, which role did the nurse play
advocate
Which theory focuses on developing the interpersonal relationships between the nurse, client, and family?
Peplau
Orem’s theory
client’s self care needs
Leininger’s theory
recognizes the importance of culture and its influence on everything that involves the client and providers of care
Henderson’s theory
assisting the individual in the performance of activities they can perform unaided that will contribute to health, recovery, or a peaceful death
NIC Taxonomy
Behavioral
Psychosocial functioning and lifestyle chnage
NIC Taxonomy
Community
supports the health of the community
NIC Taxonomy
Physiological
supports physical functioning
NIC Taxonomy
Health system
supports the effective use of the hospital resources
- give support services for the delivery of care
The nurse assessed a client’s pulse rate and recorded the score as 3+. which descriptor reflects the strength of the pulse
strong, full
(4+ bounding, 2+ expected, 1+ diminished)
Which physiological changes are expected during the 1st trimester of pregnancy?
fatigue
morning sickness
breast enlargement
2nd=increased libido/3rd Braxton Hicks
Which skill in critical thinking requires the nurse to be orderly in data collection?
interpretation
Analysis
info about a client is collected with an open mind
Inference
data collected about the client helps solving an existing problem
Evaluation
results of nursing actions
What standards are important for critical thinking
specific
relevant
What attitudes are required for critical thinking?
fairness
confidence
independence
WHO defines health as
state of complete physical, mental, and social well being
While assessing a client after surgery, which finding would the nurse obtain from the primary source?
primary source = pt
severity of pain
Which statement describes a client in the stage of contemplation in the stages of change?
considers chnage within the next 6 months
Stages of Change
Precontemplation - not intend to chnage
Contemplation - considers change
Action - actively engaged in change
Sustained - beginning 6 months after the action started and continues indefinitely
Maintenance stage
Which point would the nurse not associate with grand theories of nursing?
Mishel’s theory of uncertainty in illness (middle theory)
The nurse speaking in support of the best interest of vulnerable client reflects which nursing duty?
advocacy