Powerpoint questions

Question 0

nurses must use critical thinking in thier day-to day practice, especially in circumstances surrounding client care and wise use of resurces. in which of the following situations would critical thinking be most beneficial?

Answer 0

educating a home health client about treatment options

Question 1

before beginning a particularly stressful shift in a critical care nursery, a nurse reviews personal attitudes and feelings about death and dying, dignity of people, and the parental role in understanding and questioning cares and treatments. this nurse is cultivating which of the following

Answer 1

self assessment

Question 2

a client comes into the ED with a productive cough, audible coarse crackles, elevated temp of 102.3, chils, and body aches. the nurse identifies the problem as resp compromise. the nurse is using which of the following

Answer 2

deductive reasoning

***reasoning from the general to the sepcific

Question 3

a nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse is familiar with may be quite foreign to the people in the new area. this nurse is practicing which of the attitudes of critical thinking

Answer 3

insight into egocentricity

Question 4

a 73 y.o client is in the hospital for pneumonia for the third time in six months. during the nursing history, the nurse discovers that the clients has few financial resources, lives alone, and has not received needed immunizations. to provide excellence in care, the nurse shoud:

Answer 4

request consultations with other disciplines

Question 5

the primary care physician has recommended to the nurse that the client be discharged to a rehab center for further care. the nurse discusses the recommendation with the family and client, who decide that this is not what they want to do. the nurse’s next action is to

Answer 5

discuss available acceptable options with the family

Question 6

when performing collaborative health care, the nurse must implement which of the following

Answer 6

rely on the expertise of other health care team members

Question 7

the home health nurse has made a visit to a client who is receiving several therapies by health team members in the home for arthritis and postop care. upon return to the home health office, the nurse plans to

Answer 7

communicate the client’s status to the rest of the team

Question 8

a nurse is caring for a young child in the ICU who is on the ventilator and drips to keep the child sedated. the child is experiencing increased ICP and the parents are having a loud argument at the child’s bedside. The nurse requests that the parents go to the waiting area so that the child will not be distrubed. when the parents refuse the nurse notifies

Answer 8

the charge nurse on duty

Question 9

a nurse is having difficulty with a particular product that is needed to care for a client. the nurse asks a more experienced colleague to suggest ways to use the product appropriately. this is an example of

Answer 9

staff authority

Question 10

the charge nurse on the night shift in the ER is notified by the police by phone that there has been an explosion in the community, which will bring a large number of clients to the hospitla. the nurse’s initial action is to

Answer 10

use the organizational chart to determine who manages disaters

Question 11

a nurse is reported to the charge nurse by a physician for ignoring an order that the physician gave regarding patient care. the charge nurse investigates the issue and finds that it appears as if the nurse did ignore the order. the charge nurse would

Answer 11

discuss the situation with the nurse in an office

Question 12

a charge nurse has made client assignments for the shift and learns that tow of the nurses are arguing over who is really going to care for one particular client. one nurse was directed by the nurse manager to care for the client because the client’s family requested that nurse. the other nurse was assigned care of the client by the charge nurse. the cause of this conflict is

Answer 12

inadequate communication

Question 13

a client is in the ED after experiencing trauma from an automobile accident. the client lost consciousness at the scene of the accident but is now awake and alert. the nurse anticipates that the client will

Answer 13

request that the nurse notify the client’s family

Question 14

the nurse is working in a busy pediatric ICU. several of the nurses on the unit are interested at the request of parents, in changing the rules to allow families to be present in a code situation for their child. the nurses are afraid to speak their minds openly because some of the doctors dont support the change and manager suggests a meeting of all concerned and might use which of the following to help with decision making

Answer 14

have group members present concerns and questions on paper

Question 15

while assessing a postop client for pain, the nurse notices the client is holding the surgical site and making facial grimaces. however, the client claims not to be hurting. what part of the communication process needs to be further clarified

Answer 15

message

**the spoken message and the nonverbal message are incongruent

Question 16

the nurse is preparing to give care to a dying client whose family is at the bedside. the nurse considers that it would be importantt to have an appropraite facial expression, which would be

Answer 16

warmth and concern

Question 17

the nurse is caring or a 6y.o chilid who is about to undergo surgery. the nurse decides to use which communication technique to alleviate the child’s fear

Answer 17

using pictures and dolls to explain what will happen

Question 18

a client who is hard of hearing is preparingto be discharged from the hospital after being discharged from the hospital after being diagnosed with lupus erythematosis. the nurse has completed teaching for the client and has also prepared written instructions for the client to reinforce the teaching. the nurse next considers that it would be important to

Answer 18

check the instructions for grammar and spelling

Question 19

the nurse is conducting an admission interview. which of the following indicates that the nurse is attentively listening to the clients explanation

Answer 19

uh huh while nodding the head

Question 20

a client has just lost her second baby to preterm complications. the best therapeutic response by the nurse is

Answer 20

i am so sad for you. ill stay with you for a while if you need to talk

Question 21

communication among health professionals is a vital component of health care to clients. it can affect the quality of care provided and staff satisfaction. it even plays a role in medical errors and client safety. of the following which is a category of conversation that is especially difficult, is very important for staff to perform well, and yet is often left in silence

Answer 21

broken rules

Question 22

a nurse is working on a telemetry unit when one of the clients has a cardiac arrest. the client’s spouse is in the room when the code team arrives. which statement by the nurse is the best in this situation

Answer 22

your spouse’s heart stopped. all these people are here to help get it started

Question 23

assertive communication is an appropriate approach for nurses to use in the clinical area. it decreases the risk for miscommunication with colleagues, clients and their families. which of the following would be an example of this type of communication technique when a nurse is addressing a physician.

Answer 23

i am concerned that the client doesnt have adequate pain management

Question 24

the new nurse is learning to develop assertive qualities when communicating with clients and other health care professional. the nurse determines that one aspect of assertive communication includes

Answer 24

being aware of one’s body language

Question 25

the nurse is communicating with the physician about a physicians order that is causing the client to lose sleep at night. the client’s condition has imporved, and the nurse questions the need for continued close monitoring. the physician makes a derogatory remark about the pt and insists that the order be carried out. the nurse responds yes doctor, and reports back to the client. which of the follwoing could be the result of this exchange between the physician and nurse for the client

Answer 25

the clients progress may be compromised

Question 26

a home health client has a complicated case involving occupational therapy, resp therapy, a dietitian, the nurse, and a nurse’s aid who provides assistance with bathing, housekeeping and grocery shopping. who is responsible for coordinating the client’s care

Answer 26

nurse

Question 27

which skill would be most important to a nurse who provides community-based services in a mexican american senior center

Answer 27

having knowledge of the client’s culture

Question 28

the nurse is working with an older client in the home. during assessment, the nurse assesses that the client has lost 2more pounds, and the goal was for the client to gain 1lb. the nurse determines that the client might benefit from meals-on wheels when the client states

Answer 28

i dont have the ability to shop

Question 29

the most significant method of reducing the ongoing increase in the cost of health care in the US includes controlling which of the following

Answer 29

umbers of uninsured and underinsured persons

Question 30

a clinic in a rural area depends primarily on the services of a nurse practitioner. the legislation that allows this opportunity is which of the following

Answer 30

rural health clinics act

Question 31

the nurse has chosen to work in a health promotion setting because the nurse is aware that

Answer 31

prevention of disease and health promotion bring down health costs

Question 32

the new nurse is interveiwing for a position on a med/surg unit. the nurse asks the manager what opportunities the nurse will have to develop skill especially delegation. the manager tells the nurse that promoting delegation is a goal for the unit because

Answer 32

client satisfaction increases

Question 33

an RN has been assigned to care for several clients on the shift. an admission experiencing pneumonia is to arrive from the ED. the nurse plans to delegate which of the follwoign to the LVN regarding this client

Answer 33

performing a focused assessment

Question 34

a graduate nurse is caring for clients and does not want to delegate tasks to the LVN because the nurse feels that the responsibility for care belongs to the RN. as a result the new nurse may

Answer 34

lose the trust of co workers

Question 35

a UAP has previously performed client transfers (bed to chair) safely on many occasions. it would be inappropriate to delegate this unsupervised task to the UAP under which of the following conditions

Answer 35

it is the client’s first time out of bed after surgery

Question 36

the BSN is the usual degree awarded to participants that have taken courses and

Answer 36

successfully completed a four-to five year program that offered courses in liberal arts, sciences, humanities, and nursing

Question 37

the ANA standards of practice for the RN describe which level of nursing care

Answer 37

competent

Question 38

while attending a continuing education seminar, several nurses from different states are discussing thier individual state requirements for nursing licensures. which of the following is the one common thread between all of the states departments of nursing

Answer 38

protect the public

Question 39

which characteristic is thought to generally distinguish a profession from other kinds of occupations

Answer 39

ongoing research

Question 40

continuing education is the responsibility of the nurse to keep abreast of changes within the nursing profession brought about by

Answer 40

scientific and technological advances

Question 41

health promotion is best represented by which of the following activities

Answer 41

preventing injuries in the home

Question 42

a pt with adult onset asthma is attempting to quit his two pack a day tobacco habit. the nurse, who has been practicing for four yrs, is assisting the client w/ supportive measures to improve his health status. the nurse is discussing the plan of care with the physcian. according to benners stages of nursing expertise in what stage is the nurse functioning

Answer 42

proficient

Question 43

which of the following women made significant contributions to the nursing care of soldiers during the civil war

Answer 43

harriet tubman

Question 44

a nurse providing care in a well-baby clinic is practicing within which area of nursing practice

Answer 44

preventing illness

Question 45

a nurse is caring for three clients who all demand that the nurse meet expectations immediately. the charge nurse asks the nurse to set up a room take a new admission from the emergency department. the nurse is experiencing

Answer 45

role conflict

Question 46

the nurse graduate is interviewing with different managers for a job after graduation. one manager tells the graduate of plans for the future and the goals for the direction of the unit. the graduate nurse concludes that his manager is also

Answer 46

a leader

Question 47

during a particularly heated staff meeting regarding staff assignments, the nurse manager makes this comment: when you all come to a decision, let me know and we’ll move on from there. This leader is best identified as which of the following

Answer 47

permissive leader

Question 48

a charge nurse has just started working on a rehab unit. the nurse responsibilities include the day-to-day management and coordination of therapies for the clients, client assignments, and scheduling. this is an example of which level of management

Answer 48

first level

Question 49

in order to gain the necessary info about a client’s situation, the nurse must be able to ask open-ended questions. which of the following is an example of this type of communication

Answer 49

what brings you to the hospital

Question 50

a client has been sullen and withdrawn since receiving a cancer diagnosis. as the nurse enters the rrom, the client asks for assistance with a shower. which feedback by the nurse is the most appropriate

Answer 50

this is a positive sign. ill be right back with your supplies

Question 51

during an interaction between a nurse and client, the nurse respect and an attitude that shows the nurse takes the clients opinions seriously. this would happen during which stage of the working phase

Answer 51

exploring and understanding thoughts and feelings

Question 52

the nurse is teaching a client and family about care that will be required after the client has been discharged. the client questions the nurse’s teaching and the nurse proceeds to explain the rationale behind the teaching activities. the assertive nurse expects which response by the client and family

Answer 52

increased compliance

Question 53

a client who has been hospitalized for a period of time is now being transferred to a rehab center for more long-term care. as the client is preparing to be discharged, the client asks the nurse if he can take his chart, since its his record. the nurse responds correctly by saying

Answer 53

actually, the orignal record is the property of the hospital, but your are welcome to copies of your records

Question 54

a hospital fails to be reimbursed for care a particular client received while in the ED. the client came in with chest pain, which was later diagnosed a gastric reflux. a problem in documentation that may have caused the lack of reimbursement would be which of the following

Answer 54

the client’s record contained an incorrect DRG

Question 55

a nurse makes an entry in a client’s chart that includes documentation about the routine care, assessment findings, and client problems. this documentation is arranged in a chronological order, from the time the nurse started the shift until the nurse entered the documentation in the client’s record. this is an example of which of the following

Answer 55

narrative charting

Question 56

a client has specific cultural needs w/ regard to the plan of care. this info would be found in which of the following

Answer 56

problem list

Question 57

a client didnt meet the goal of walking unassisted, w/o assistive devices, by discharge from rehab. the case manager using a critical pathway would identify this as which of the following

Answer 57

a variance

Question 58

a nurse works in a hospital that utilizes a charting by exception doc system. when providing care and performing assessments, the nurse may not address all of the sections on a client’s flow sheet, especially if the client didnt require the particular care mentioned in these sections. in order for the nurse to indicate that these areas were addressed, but no care was needed, the best actions is to

Answer 58

write N/A on the flow sheet in areas that arent applicable to that client

Question 59

the nurse is doing teaching regarding medication admin for a client who is being discharged. which of the following instructions should be rewritten for this client

Answer 59

lasix 20 mg, po BID

Question 60

the nurse is preparing to turn client care over to the next shift. the client asks the nurse to wait in the room instead of always leaving, because the client is alone until the next nurse arrives. the best response by the nurse to the client is

Answer 60

i need to tell the new nurse how you are progressing with care

Question 61

a nurse is working on a psych lock down unit and is preparing to start shift duties. the off going shift remains on the floor to miantain the safety of the clients. which type of reporting might this unit use

Answer 61

tape recorded report

Question 62

during the change-of shift report, the nurse reports that the client is having resp difficulty. what should the nurse add to this report

Answer 62

her resp rate is up to 28breaths/min
oral temp is 100
HR is 96

Question 63

a new client has been admitted to the unit during the night shift. the admitting nurse identifies the client by name, room, and bed number and would include which of the following next

Answer 63

reason for admission

Question 64

a client who is receiving care in the home tells the nurse that the PT had the client run up and down the stairs today. the client has a nursing dx of activity intolerance r/t chronic resp disease. the nurse realize that

Answer 64

there is a barrier of communication in the care

Question 65

the nurse determines that there is a need to contain health care costs, which continue to rise. one method of attempting to curtail costs is socialized medicine in which

Answer 65

physicians are employees of the state

Question 66

the nursing director who has the ability and willingness to assume responsibillity for his or her actions and to accept the consequences of his or her behavior is demonstrating what management principle

Answer 66

accountability

Question 67

an RN has been assigned to care for several clients on the shift. an admission experiencing pneumonia is to arrive from the ED. the nurse plans to delegate which of the following to the LVN regarding this client

Answer 67

performing a focused assessment

Question 68

the nurse is caring for a number of clients and has delegated vitals signs for clients to the UAP for the 7am to 3pm shift. in order to be ready to give a report to the next shift, the nurse would tell the UAP

Answer 68

i would like the results charted by 1pm

Question 69

a grad nurse is caring for clients nd doesnt wwnt to delegate tasks to the LVN cuhs the nurse feels that the responsibility for care belongs to the RN. as a result, the nurse nurse may

Answer 69

lose the trust of coworkers

Question 70

a UAP has previously performed client transfers (bed to chair) safely on many occasions. it would be inappropriate to delegate this unsupervised task to the UAP under which of the following conditions

Answer 70

it is the client’s first time out of bed after surgery

Question 71

an RN is considering additional education to provide nonemergency acute care in an ambulatory clinic. this nurse is considerin which epanded career role

Answer 71

nurse practitioner