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Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 2 Terms in this set (148) During the change-of-shift report the night nurse states that a client mentioned having a bad experience with surgery in the past. The nurse was called away and was$9.99
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Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 2 Terms in this set (148) During the change-of-shift report the night nurse states that a client mentioned having a bad experience with surgery in the past. The nurse was called away and was
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CGAP - Certified Government Auditing Professional
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CGAP - Certified Government Auditing Professional
Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 2
Terms in this set (148)
During the change-of-shift report the night nurse states that a client mentioned having a bad experience with surgery in the past. The nurse was called away and was unable to continue the conversation wi...
Nursing 101 Fundamentals of Nursing Practice Exam 1, Part
2
Jeremiah
Terms in this set (148)
During the change-of-shift report the night D. Discipline
nurse states that a client mentioned having a
bad experience with surgery in the past. The Discipline includes completing the task at hand, including assessments (which were not
nurse was called away and was unable to completed on the previous shift). Integrity includes recognizing when one's opinions
continue the conversation with the client. The conflict with those of others and finding a mutually satisfying solution. Confidence is
nurse tells the day shift nurse about the demonstrated in one's presentation and belief in one's knowledge and abilities.
comment and notes that the client appears Perseverance helps the critical thinker to find effective solutions to client care
anxious. When the day shift nurse visits the problems, especially when they have been previously unresolved.
client to clarify the client's bad experience
with surgery, the nurse is exhibiting which
aspect of critical thinking?
A. Integrity
B. Discipline
C. Confidence
D. Perseverance
A client tells the nurse, "I'm not happy with A. Fairness
the way the patient care technician did my
bath. He just seemed to be in a hurry and did Fairness involves analyzing all viewpoints to understand the situation completely
not wash my back like I asked." The nurse before making a decision. Curiosity gives the critical thinker the motivation to continue
decides to go talk with the technician to to ask questions and learn more. Risk taking involves trying different ways to solve
learn his side of the story as well. This is an problems.
example of:
A. Fairness
B. Curiosity
C. Risk taking
D. Responsibility
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The surgical unit has initiated the use of a D. Consistency
pain rating scale to assess the severity of
clients' pain during their postoperative Using the same pain scale for all clients and ratings promotes consistency—each nurse
recovery. The nurse assigned to a client can has the same measurement scale to compare assessments. Relevance refers to how
look at the pain flow sheet to see the client's applicable the assessment is. An assessment has depth when it deals with less obvious
pain scores over the last 24 hours. Use of the issues. Specificity refers to the ability of the assessment to provide information about
pain scale is an example of adherence to the particular problem of interest.
which intellectual standard?
During the day the nurse spends time C. Problem Solving
instructing a client in how to self-administer
insulin. After discussing the technique and This is an example of problem solving because the nurse is taking a problem to a
demonstrating an injection, the nurse asks supervisor for help in finding a different approach. Reflection is the process of
the client to try it. After the client makes two purposefully thinking back and recalling a situation to discover its purpose or meaning.
attempts it is clear that the client does not Risk taking involves trying a different approach. Client assessment is the first step in the
understand how to prepare the correct process of instruction.
dose. The nurse discusses the situation with
the charge nurse and asks for suggestions.
This is an example of:
A. Reflection
B. Risk taking
C. Problem solving
D. Client assessment
A nurse uses an institution's procedure C. Basic critical thinking
manual to confirm how to insert a Foley
catheter. The level of critical thinking the At the basic level of critical thinking, a learner trusts the experts and follows a
nurse is using is: procedure step by step. Complex critical thinkers separate themselves from authorities
A. Commitment and analyze and examine choices more independently. Commitment is the third level of
B. Scientific method critical thinking in which the person anticipates the need to make choices without
C. Basic critical thinking assistance from others. The scientific method is a process of problem solving.
D. Complex critical thinking
A nurse refers to a client's postsurgical C. Assessment
written plan of care, noting that the client
has a drainage device collecting wound Assessment is the process of observing and collecting data. Planning is the step in
drainage. The surgeon is to be notified when which the diagnosis is analyzed for problem resolution. Intervention consists of the
drainage in the device exceeds 100 ml for steps actually taken after planning. Evaluation measures the effectiveness of the plan.
the day. The nurse carefully notes the
amount of drainage currently in the device.
This is an example of:
A. Planning
B. Evaluation
C. Assessment
D. Intervention
The nurse asks a client how she feels about C. Knowledge application
impending surgery for breast cancer. Before
initiating the discussion the nurse reviewed The nurse sought appropriate information to be able to communicate more
information about loss and grief in addition knowledgeably with the client. Experience is acquired through clinical learning
to therapeutic communication principles. The situations. Problem solving is a series of steps to resolve a problem. Clinical decision
critical thinking component involved in the making is a process in which critical thinking steps are followed for problem resolution.
nurse's review of the literature is:
A) Experience
B) Problem solving
C) Knowledge application
D) Clinical decision making
Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 2
2/22
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Which of the following is the most accurate B. Client reports sharp pain in elft anterior knee
information to give a nurse during change-
of-shift reporting? The information in option 2 represents objective data that the nurse can use as part of
A) Client refuses to take medications. baseline information. "Encouraged" and "more" are vague terms. "Concern" is also
B) Client reports sharp pain in left anterior vague; relating the exact concern would be more accurate. Option 1 may be true, but
knee. accurate data would also report why the client refused medication.
C) Client encouraged to consume more
fluids.
D) Client expressed concern about pending
surgery.
On entering a client's room during change- D. Ask the client and spouse if they need smoe time alone right now.
of-shift rounds, the nurse notices that the
client and spouse have their backs turned to The situation suggests that the nurse entered during a stressful time. Offering privacy
each other, and both have their arms folded would be appropriate. Because the situation indicates tension between the couple, this
across their chests. The best action for the is not the time to initiate teaching.
nurse to take at this time is to:
A) Introduce himself or herself and begin
discharge teaching.
B) Proceed with the tasks the nurse was
intending to perform.
C) Say nothing and leave quickly, closing the
door behind.
D) Ask the client and spouse if they need
some time alone right now.
The nurse is assessing the urinary history of a C. "Why do you get up at night?"
middle-aged married woman. The nurse asks
her if she gets up at night. She replies, "Yes." Perhaps it is the client's husband who is getting up in the middle of the night because of
What other question should the nurse ask? a prostate problem, and this is why she is awakened. The nurse should not assume
A) "How many times do you get up at night?" nocturia without further assessment questions.
B) "How long have you been getting up at
night?"
C) "Why do you get up at night?"
D) "How easily do you go back to sleep after
you get up?"
A client with diabetes mellitus who takes D. Scientifially based clinical judgment
daily insulin injections is scheduled for
surgery the next day. The client is to take The nurse is demonstrating awareness of the effect of insulin, which is to lower blood
nothing by mouth (NPO status) after glucose level. Because the client will be NPO status for a long period of time, no
midnight. The nurse questions whether insulin calories will be consumed. Giving the usual injection of insulin could cause the client to
should be given the morning of surgery. This experience hypoglycemia.
is an example of:
A) Problem solving
B) Previous experience
C) Clinical practice guideline
D) Scientifically based clinical judgment
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