Fundamentals Exam 2 Practice Test Questions Answered 100% correct

Fundamentals Exam 2 Practice Test Questions Answered 100% correct Which of the following is a collaborative intervention? A. Rubbing patients back to facilitate relaxation B. measuring the patients blood pressure C. Assessing the patients educational needs related to discharge D. Administering prescribed medications to a patient D. Administering prescribed medications to a patient (Administering medications requires a physicians order and pharmacist to dispense, it is therefore a collaborative intervention for the nurse) What is the most important reason for a nurse to remain calm, greet patient by name, and introduce herself to a new patient, even when the nurse is upset by something else that has happened? These actions help to establish a trusting relationship The nurse would try to identify the patients locus of control when trying to change health promotion behavior because she wanted to determine? Perception of powerlessness (people who feel powerless about preventing illness are least likely to engage in health promotion activities) The Structural-functional theory views the family as A social system with focus on outcomes A nurse admitting a 75-year-old patient to the nursing unit, accompanied by his son. Using a life span approach to care, what is essential for the nurse to do? Ask the patient if he has had any falls in the past year (Falls are a major source of morbidity in hospitalized patients. On admission, nurse should ask all older adults (65 +) if they have had any falls in the past year) A nurse spends time with a dying patient. She holds the patients hand and prays with her quietly. This action is most clearly an example of whose nursing theory? Jean Watson (Science of Human Caring theory, which describes caring from a nursing perspective) What form propositions when linked together and are considered "building blocks" of theories? Concepts (provide a framework for a theory) When assessing the level of cardiorespiratory fitness in healthy, middle-aged adults without joint restriction or mobility impairment, what screening activity would be most suitable for the nurse to ask the patient to perform? Step Test (appropriate for most adults without mobility impairment or joint restriction or pain. rate: 24 steps per min for 3 mins) How is critical pathway DIFFERENT from a standardized care plan? A critical pathway: Specifies patient outcomes and interventions for each day, or other period of time (some situations (labor and delivery) each hr) Critical pathways include: -medical orders -standardized, not individualized -Both critical pathways and standardized care plans are preprinted documents for a particular diagnosis or condition Why is implementation know as the action phase of the nursing process? Because it is the stage in which the nurse: Performs or delegates the planned interventions Unit standards of care are: - A description of minimal level of care a patient is expected to receive - NOT part of the care plan that is included in the patients chart Unit standards are not organized according to nursing diagnosis What is wrong with this goal statment? "The patient will walk to the doorway with the help of one person." TARGET TIME (Its action verb is "patient" and its special conditions are "with the help of one person") The nurse would advise which patient to have a fasting lipid panel performed at least once every 5 years? Adult with total cholesterol greater than 150 mg/dL A facility is using ______ nursing care when scientifically sound research data are used to make nursing care decisions. Evidence-based Evidence-based nursing care uses solid, scientific data to make decisions about the nursing practice Most nurses see nursing as focusing on the entire person and his response to cellular changes. This global perspective of nursing is known as a nursing: Paradigm (worldview or ideology) What is the most global conceptual framework of a discipline? Paradigm A nurse has an educational background that prepares her to manage research project. Which nursing degree does this nurse most likely hold? Doctoral degree What is wrong with this nursing order? "3/10/2010. Provide measures to relieve anxiety at every patient contact. J. King, R.N." Is vaguely worded (and is not individualized) -it should specify which measures to use to relieve the patients anxiety ... GOALS, not nursing interventions, need target times. Which nurse is clearly using evidence-based practice? One who uses an intervention: Published in the clinical practice guidelines of a national group When do people typically begin to increase awareness of the compelling reality of death? Young Adulthood & Middle Age During what age group does people typically become more aware of the reality of death (thats ones life is limited), EVEN WITHOUT A LIFE-THREATING ILLNESS? Middle Age What process is continuous? the nursing process Evaluation provides information to begin: another cycle of care Nursing interventions are performed for the purpose of assessing health status, preventing and treating illness or disease, and promoting health. True or False? True: Nursing interventions are actions based on clinical judgement and nursing knowledge. They are performed for the purpose of assessing health status, preventing and treating illness or disease, and promoting health. The client has a nursing diagnosis of impaired Physical Mobility. Which of the following is a Nursing Outcomes Classification (NOC) outcome label to use with this diagnosis? Activities of daily living (physicical activity and strength outcomes are specific goals because they use the word "INCREASE," implying a target behavior. NOC outcomes are broad neutral labels, NOT goal statements The nurse develops a goal on the nursing care plan that states: 9/26/10, 0900-By 0800 tomorrow, will reach tube-feeding goal of 80 mL/hour. How can the nurse best collect data to evaluate this goal? ( Note residual is the amount of undigested feeding remaining in the stomach; blood glucose levels are affected by calories ingested and digested.) Check feeding residual every 2 hours (assess the ability to tolerate the tube feeding) A tennis professional has surgical repair of a rotator cuff injury and is not participating in physical; therapy. This is an example of? Tertiary Prevention Tertiary Prevention focuses on stopping the progress of the disease and returning the individual to the pre-illness phase Which is the best example of a well-stated desired outcome? The patient will: State pain 4 on a scale of 1-10 within 1 hour after receiving pain medication Pain outcome: is the most specific and measurable or observable "use incentive spirometer" should specify how long and how often "increase the distance"should say how much he/she should increase the difference and what the baseline distance is "verbalize side effects" should specify by what date the patient is expected to so this What health condition would be considered acute illness? A patient with: Appendicitis Examples of chronic illnesses Diabetes mellitus, AIDS, and multiple sclerosis A 28-year old client underwent surgery for testicular cancer. Which factor might increase the clients recovery time? History of tobacco use (because it increases recovery time from other illnesses, injury and surgery. -advanced age might be a factor of increase recovery time in young people) For which behavior should the nurse observe when assessing the familys ineffective pattern for coping with stress of illness and hospitalization of a family member? Avoiding coming to the hospital to visit family member Ineffective coping can trigger family abuse or neglect and dysfunctional family relationships An 85-year-old patient with hypertension (elevated blood pressure) was admitted to the hospital with dehydration. He has pressure sores on his back and hip. what tasks could the registered nurse delegate to unlicensed assistive personnel? Helping the patient to turn and reposition in bed & taking the patients blood pressure and reporting changes in skin condition