Timby 7, 28 Concepts 44, 41 Flashcards
The nurse is discussing the use of technology in relation to patient education. Which of the following sites is considered the least creditable for patient education material? Governmental sites Educational sites Nonprofit sites Commercial sites
Commercial sites
The goal of all patient education is _______
Change
Which of the following statements regarding patient education is true?
A-Learning will occur whether or not the patient is ready to learn
B-Patient motivation will determine when, how, and if patient education will occur
C- if learning materials are well structured, the teaching techniques will not need to change based on the age of the patient
D- patient education focuses on giving health care providers more control regarding their patients health and learning needs
B-Patient motivation will determine when, how, and if patient education will occur
The nurse is teaching a patients family how to change a wound dressing. The nurse assembles the supplies necessary for the dressing change and demonstrates the procedure. The nurse then asks the family to demonstrate the dressing change. Which of the following best describes what the nurse has implemented? A- cognitive teaching B- psychomotor teaching C- affective teaching D- formal teaching
B- psychomotor teaching
Which nursing theorist most closely relates to the concept of patient education? A- jean Watson B- Florence nightingale C- Dorothea Orem D- Martha rogers
C- Dorothea orem
Developing a patient education plan based on an identified need is the responsibility of the Lpn/LVN?
A- true
B- false
B- false
Which of the following are considered adult learning principles? Select all that apply.
A- learning is voluntary and self initiated
B- learning is directed and controlled by the teacher
C- learning is reinforced by prompt feedback from the teacher
D- learning is related to an immediate need, problem, or deficit
E- learning cannot be effective within a group atmosphere
A
C
D
In which stage of the educational process does the nurse determine which teaching methods will be used to meet the patients educational needs? A- learner assessment B planning C- implementation D- evaluation
B- planning
Which statement best describes health literacy? Health literacy refers to
A- a patients ability to understand and interpret health related information and instructions
B- the process nurses use to impart health care information
C- the patients ability to read and understand all written materials.
D- the patients ability to read and follow prescription labels
A- a patients ability to understand and interpret health related information and instructions
True or false
The traditional nursing role not only involves physical care but also close emotional relationships
True
True or false
Silence is a form of nonverbal communication
False
True or false
A nurse develops a positive relationship with every client
False
True or false
Verbal communication is used to instruct, clarify, and exchange ideas
True
True or false
Affective touch has different meanings to people depending on their upbringing and cultural background
True
_________ includes nonverbal techniques such as facial expressions, posture, gestures, and body movements.
Kinesics
Mutual agreement on improvement of the clients immediate health problems occur in the _______ phase of the nurse client relationship
Terminating
__________ consists of vocal sounds that are not actually words, but which communicate a message
Paralanguage
_______ is an intuitive awareness of what a client is experiencing
Empathy
_______ is the use and relationship of space to aid a communication
Proxemics
The nurse is planning the discharge from the hospital of an 84-year-old client after recovery from hip surgery. The client intends on returning home, but the client’s children and hospital care team are skeptical of the client’s ability to safely live on their own and rehabilitate their hip. A family meeting has been organized. How can the care team minimize the client’s anxiety and foster therapeutic communication during this process?
Emphasize the potentially unsafe consequences of living independently.
Ensure that the client maintains as much control over the decisions as possible.
Ask the client’s physician to present a unified plan.
Present two options to the client and ask the client to choose one.
Ensure that the client maintains as much control over the decisions as possible.
A client with a new diagnosis of type 2 diabetes mellitus is being discharged after being admitted for acute hyperglycemia. The nurse prepares a discharge teaching plan for the client. In order to enhance the nurse-client partnership, what should the nurse include as a priority?
Emphasize the consequences of missing follow-up appointments.
Assess the client’s motivation to change.
Calculate the client’s body mass index.
Provide meaningful options for the client.
Provide meaningful options for the client
A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, “My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?” What is the nurse’s best response?
“Share with me the advantages and disadvantages of your options as you see them.”
“You should follow your physician’s recommendation and have the surgery.”
“When you see the physician this morning, request more information about the surgery.”
“It is a minimally invasive surgery with rapid recovery time, so you will do fine.”
“Share with me the advantages and disadvantages of your options as you see them.”
A nurse on a subacute geriatric ward is working with a male client who has a diagnosis of Alzheimer disease. How can the nurse best enhance therapeutic communication with this client?
Avoid assessing the client unless the client has a trusted family member nearby.
Ask the client frequently if the client understands what the nurse is saying.
Give the client plenty of time to make responses to questions that the nurse asks.
Ask the client to paraphrase or summarize the nurse’s statements.
Give the client plenty of time to make responses to questions that the nurse asks.
The nurse educator on a busy medical unit that serves a diverse population is discussing the importance of therapeutic nurse-client relationships with a group of recent nursing graduates. What principle should the nurse educator promote?
View each client as a unique individual with unique needs and priorities.
View each client on the unit in light of the client’s medical diagnosis and necessary treatment.
Remember that there is a wide gap between nurses’ knowledge and the learning needs of clients.
Aim to minimize differences in the care that clients receive in order to promote justice.
View each client as a unique individual with unique needs and priorities
A palliative care nurse possesses numerous skills that have enhanced the nurse-client relationship and communication in the past. One of these skills that has benefited previous clients is affective touch. Before using this technique, the nurse must consider:
the client’s prognosis.
the client’s culture.
the client’s diagnosis.
the institutional policies.
The clients culture
A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, “If my doctor did a good job, I would not be here right now!” What is the nurse’s best response?
Stand and say, “I can see this interview is making you uncomfortable, so we can continue later.”
Be silent and allow the client to continue speaking when ready.
Nod and say, “I agree. If I were you, I would get a new doctor.”
Smile and say, “Don’t worry, I am sure the physician is doing a good job.”
Be silent and allow the client to continue speaking when ready
The nurse is assisting a client with managing activities of daily living while hospitalized. Which role of the nurse–client relationship is the nurse providing?
Collaborator
Caregiver
Delegator
Educator
Caregiver
A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy?
“I see you have been crying. Do you want me to call someone for you?”
“Don’t worry, I have seen lots of people with cancer do fine.”
“I see you are upset. Would you like to talk?”
“I am sorry to hear you have cancer. I would be upset too, is there anything I can do?”
“I see you are upset. Would you like to talk?”
A nurse is caring on an acute medical unit in the hospital. The nurse is caring for the client collaboratively with a licensed practical/vocational nurse (LPN/LVN). Which information will the nurse consider when deciding what nursing care to delegate to the LPN/LVN? Select all that apply.
scope of practice
hospital policy
client stability
LPN/LVN proficiency level
LPN/LVN teaching ability
scope of practice,
hospital policy,
client stability,
LPN/LVN proficiency level
A nurse is conducting an admission assessment of a client who will be receiving treatment for a kidney infection. To foster therapeutic conversation, which action should the nurse take?
Sit one to two feet away from the client.
Avoid directly discussing the client’s kidney infection.
Remove as many distractions from the interaction as possible.
Avoid silence during the conversation.
Remove as many distractions from the interaction as possible
The nurse is caring for a client who has been ringing the call bell frequently and talking to the nurse for prolonged periods of time, making it difficult for the nurse to perform duties for other clients in a timely manner. Which statement by the nurse will be most effective in addressing client needs while optimizing efficiency for the nurse?
“Why are you frequently ringing your call bell?”
“I have 10 minutes to talk with you and will come back after I complete some of my other duties.”
“I am not sure that I understand your concerns, will you please clarify them?”
“You continue to ring your call bell but are not specific about what your needs are.”
“I have 10 minutes to talk with you and will come back after I complete some of my other duties.”
The nurse is talking with a client who has received a diagnosis of Crohn disease. The client states, “I just feel my life is not going to be very easy because of this.” What is the most therapeutic nursing response?
“Things could always be worse, it could be a more serious disease.”
“If I were you, I would investigate alternate therapies instead of traditional medications.”
“You are feeling as though life will be more difficult.”
“That is not true, you could have a great life once you adjust to the changes.”
“You are feeling as though life will be more difficult.”
The nurse is demonstrating how to administer allergy injections so that the client may be able to continue the injections at home. The client states, “I am just not sure how I am going to do this by myself.” What is the most therapeutic response by the nurse?
“There are many people who do this independently without difficulty.”
“You are finding it difficult to consider administering the medication by yourself.”
“Ask your health care provider to give you something else other than shots.”
“What is so hard about doing this?”
“You are finding it difficult to consider administering the medication by yourself.”
A client with chronic hyperparathyroidism expresses that she is fed up with her diet and can no longer continue with it. What should the nurse’s appropriate response to the client be?
“What is the reason that you cannot adhere to the prescribed diet plan?”
“I think it is not so difficult to follow the suggested dietary restrictions.”
“You may be having a difficult time staying on that diet; let’s discuss it.”
“It’s important to stay on the diet to prevent formation of kidney stones.”
“You may be having a difficult time staying on that diet; let’s discuss it.”
The wife of a client who is terminally ill expresses to the nurse that she is unable to see her husband die and she may not come to the health care facility anymore. What should the nurse’s response to her be?
“Your husband would come to know that you are not here, and you would feel guilty.”
“You are right; after all, your husband knows that you love him. We will take care of him.”
“I think at this stage of the disease, you should focus on your husband and not yourself.”
“You have been coming here every day; are you taking some time for yourself?”
“You have been coming here every day; are you taking some time for yourself?”
The nurse is caring for a client with Alzheimer disease who has difficulty with verbal expression. What intervention(s) can the nurse provide that will facilitate communication with the client? Select all that apply.
Make verbal corrections when the client states something incorrectly
Use visual cues or gestures to clarify verbal meanings
Maintain eye contact during the conversation
Speak at a louder volume to attract the client’s attention
Rephrase the information if the client demonstrates misunderstanding
Use visual cues or gestures to clarify verbal meanings,
Maintain eye contact during the conversation,
Rephrase the information if the client demonstrates misunderstanding
A nurse anticipates collaborating with the nurse aide, physical therapist, surgeon, and respiratory therapist in which circumstance?
caring for a client following a total hip replacement
ambulating a client with a new leg cast and crutches
feeding a client who has difficulty swallowing after a stroke
preparing a client to receive treatment for partial-thickness or second-degree burns
Caring for a client following a total hip replacement
Which quality in a nurse helps the nurse to become effective in providing for a client’s needs while remaining compassionately detached?
Sympathy
Kindness
Empathy
Commiseration
Empathy
A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting?
Humility
Curiosity
Empathy
Sympathy
Empathy
The nurse is meeting a client in the clinic for the first time to establish care. Which action can the nurse perform to initiate the nurse–client relationship in the introductory phase?
Create a plan for the client’s health care and implementing the plan.
Identify the health problems that the client is experiencing at this time.
Encourage the client to make decisions related to one’s health care independently.
Discuss the goals for treatment and how they will be achieved.
Identify the health problems that the client is experiencing at this time.
The nurse and client are looking at a client’s heel pressure injury. The client asks, “Why is there a small part of this wound that is dry and brown?” What is the nurse’s appropriate response?
“You are seeing undermining, a type of tissue erosion.”
“That is called slough, and it will usually fall off.”
“This is normal tissue.”
“Necrotic tissue is devitalized tissue that must be removed to promote healing.”
“Necrotic tissue is devitalized tissue that must be removed to promote healing.”
A nurse uses enzymatic debridement to promote the healing of wounds for a client in the health care facility. For which type of wounds would the nurse use this type of debridement?
uninfected wounds
deep wounds
extensive wounds
small wounds
Uninflected wounds
When assessing a wound that a client sustained as a result of surgery, the nurse notes well-approximated edges and no signs of infection. How will the nurse document this assessment finding?
avulsion
abrasion
laceration
incision
Incision
The nurse is providing care for a client whose recent health deterioration has led to a nursing diagnosis of Risk for Impaired Tissue Integrity. What assessments should the nurse consequently perform? Select all that apply.
assessing the client’s bowel and bladder function
assessing the client’s hair distribution pattern
monitoring the client’s nutritional status
assessing the client’s level of mobility
monitoring the client’s fluid intake
assessing the client’s bowel and bladder function,
monitoring the client’s nutritional status,
assessing the client’s level of mobility,
monitoring the client’s fluid intake
The nurse has collected blood from a client for laboratory analysis. Which dressing will the nurse select to cover the site from which the blood was drawn?
tape with eyelets
gauze
hydrocolloid
transparent
Gauze
A nurse is preparing to change the dressing on an elderly client’s sacral wound that developed after a prolonged period of immobility prior to admission. Which action should the nurse perform while performing an aseptic change of this client’s dressing?
performing hand washing before the dressing change and after removing the existing dressing
donning sterile gloves before removing the existing dressing from the client’s wound
administering oral or subcutaneous analgesics during the dressing change
irrigating the wound bed with chlorhexidine or hydrogen peroxide to remove debris from the wound bed
performing hand washing before the dressing change and after removing the existing dressing
The nurse is caring for a client with an ankle sprain. Which client statement regarding an ice pack indicates that nursing teaching has been effective?
“I must wait 15 minutes between applications of cold therapy.”
“I can let this stay on my ankle an hour at a time.”
“I will put a layer of cloth between my skin and the ice pack.”
“I should keep this on my ankle until it is numb.”
“I will put a layer of cloth between my skin and the ice pack.”
In consultation with a wound care nurse, a nurse has included wound irrigation in the nursing care plan of a client. What characteristic of the client’s wound would justify the use of irrigation during the wound care regimen?
The client’s wound in healing well, but the client has risk factors for impaired tissue integrity.
There is debris on the client’s wound bed but granulation has begun to form.
There is a drain in place in the client’s wound, but output over the past 24 hours has been scant.
The client’s wound is a surgical wound that is held in place with staples.
There is debris on the client’s wound bed but granulation has begun to form.
