Summary Professional Nursing Practice & Overview of the Nursing Process Topics
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Course
NURSING
Institution
NURSING
The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. The nurse is explaining the nursing processes by giving examples. Which examples should the nurse give while explaining nursing asse...
Professional Nursing Practice &
Overview of the Nursing Process Topics:
Chapter 1, Nursing Today , Professional
nursing practice , Chapter 17, Nursing
Diagnosis , Nursing Diagnosis , Chapter
18, Planning Nursing Care , and Nursing
Planning
The nurse educator is delivering a lecture on nursing as a profession to a group of
nursing students who have recently joined the baccalaureate nursing degree course.
The nurse is explaining the nursing processes by giving examples. Which examples
should the nurse give while explaining nursing assessment? - answerRecording body
temperature two hours after administering antipyretic medication.
Asking the patient about hygiene and sanitation in the patient's community.
Identifying the signs of respiratory distress in a hospitalized patient.
The nurse is responsible for collecting comprehensive data about the patient's health.
The nurse records the body temperature after 2 hours to assess the effectiveness of the
antipyretic medication. The nurse also asks the patient about the hygiene of the
surrounding environment to assess the risk of acquiring infections caused by unhygienic
surroundings. Nursing assessment also includes identifying the signs of a particular
condition. Teaching a patient about the lifestyle changes required to reduce risks of
ischemic heart disease is an example of the nursing process of implementation, not
assessment. Asking the patient to demonstrate a technique after teaching it forms a part
of the evaluation process, not the assessment process.
The nurse in a geriatric clinic collects the following information from an 82-year-old
patient and her daughter, the family caregiver. The daughter explains that the patient is
"always getting lost." The patient sits in the chair but gets up frequently and paces back
and forth in the examination room. The daughter says, "I just don't know what to do
because I worry she will fall or hurt herself." The daughter states that, when she took
her mother to the store, they became separated, and the mother couldn't find the front
entrance. The daughter works part-time and has no one to help watch her mother.
Which of the data form a cluster, showing a relevant pattern? - answerPacing, Patient
getting lost easily and getting up frequently
, A group of nursing students is being taught independent nursing interventions. Which
interventions should be included in the teaching? - answerIndependent nursing
interventions pertain to activities of daily living, health education and promotion, and
counseling. They also include activities such as repositioning a patient to relieve pain.
Administration of analgesics and starting an intravenous infusion require an order from
a healthcare provider.
A student nurse is gathering information from an elderly patient. Which of the student
nurse's actions indicates the need for further teaching? - answerWhile interviewing the
patient, the nurse should not sit straight in the chair because it affects awareness,
attention, and immediacy. Therefore, the nurse should lean forward while taking the
interview. Good eye-to-eye contact is a signal of readiness to initiate interaction with the
patient. Therefore, the nurse should maintain good eye contact with the patient. Giving
more time for the patient to answer the questions will help the patient to understand the
situation and respond accordingly. Nodding the head is an important social function,
because it ensures interaction between the nurse and patient.
The nurse is caring for a patient who has been admitted to the hospital with pneumonia.
Which assessment findings of the patient can the nurse group together to formulate a
data cluster? - answer2 Wheezing in left lung bases
3 Respiration 20 breaths/minute
5 Shortness of breath with ambulation
A data cluster is a set of signs or symptoms gathered during assessment and grouped
together in a logical way. Respiratory rate, lung sounds, and shortness of breath are
respiratory assessment findings that may be grouped together to manage a respiratory
problem. Weakness and dysuria aren't directly related to respiratory issues.
The nurse is teaching nursing students about medical diagnoses. Which statements by
the students indicate effective learning? - answerA medical diagnosis is the
identification of a disease condition based on a specific evaluation of physical signs,
symptoms, the patient's medical history, and the results of diagnostic tests.
Osteoarthritis and diabetes mellitus are medical diagnoses, because these can be
diagnosed by a healthcare provider through diagnostic tests and medical history.
Medical diagnoses are based on the results of diagnostic tests. A primary healthcare
provider is licensed to describe medical diagnoses and treat diseases. Acute pain is a
nursing diagnosis. It can be easily identified by observing a patient's signs and
symptoms and does not require any specific diagnostic test. A medical diagnosis does
not include a clinical judgment about an individual and his or her family.
p. 225
Following an assessment, the nurse is formulating a nursing diagnosis using the PES
format. What does the S in PES stand for? - answerPES is a three-part nursing
diagnosis format. It includes the diagnostic label, etiological statement, and symptoms
or defining characteristics. The P stands for problem, the E stands for etiology or related
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