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Summary Nursing Fundamentals (West Coast University) Nclex-RN Cheat Sheet.docx
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Fundamentals of Nursing Exam 11. During rounds, a charge nurse hears the patient care
technician yelling loudly to a patient regarding a transfer from
the bed to chair. When entering the room, what is the nurse's
best response?
a) "You need to speak to the patient quietly. You are disturbing
the patient."
b) "Let me help you with your transfer technique."
c) "When you are finished, be sure to apologize for your rough
demeanor."
d) "When your patient is safe and comfortable, me me at
the desk.": D - discuss any concerns privately
2. A public health nurse is leaving the home of a young mother
who has a special needs baby. The neighbor states, "How is
she doing, since the baby's father is no help?" What is the
nurse's best response?
a) "New mothers need support."
b) "The lack of a father is difficult."
c) "How are you today?"
d) "It is a very sad situation.": A - maintain confidentiality;
, non judgemental
3. A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
a) the use of reflective questions
b) the use of closed questions
c) the use of assertive questions
d) the use of clarifying questions: D - allows nurse to
gain understanding of a patients comment.
4. A nurse enters a patient's room and examines the patient's
IV fluids and cardiac monitor. The patient states, "Well, I
haven't seen you before. Who are you?" What is the nurse's
best response?
a) "I'm just the IV therapist checking you IV."
b) "I've been transferred to this division ans will be caring for
you."
c) "I'm sorry, my name is John Smith and I am your nurse."
d) "My name is John Smith, I am your nurse and I'll be caring for
you until 11 p.m.": D - identify self, let patient know
,what will be happening, and time period
5. A nurse enters the room of a patient with cancer. The patient
is crying and states, "I feel so alone." Which statement is the
most therapeutic?
, a) the nurse stands at the patient's bedside and states, "I
understand how you feel. My mother said the same thing
when she was ill."
b) the nurse places a hand on the patient's arm and states,
"You feel so alone."
c) the nurse stands in the patient's room and asks, "Why do
you feel so alone? You wife has been here every day."
d) the nurse holds the patient's hand and asks, "What makes
you feel so alone?": D - touch conveys acceptance;
open-ended question allows free verbal- izing by patient
6. A nurse caring for a patient who is hospitalized following a
double mas- tectomy is preparing a discharge plan for the
patient. Which action should be the focus of this termination
phase of the helping relationship?
a) determining the progress made in achieving established
goals
b) clarifying when the patient should take medications
c) reporting the progress made in teaching the staff
d) including all family members in the teaching session: A
- termination phase occurs when the conclusion of the initial
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