A 40-year-old man is diagnosed with colon cancer. While
interacting with the patient, the
nurse learns that he has a twin brother. Which nursing action is
appropriate for the patient's
brother? Select all that apply. One, some, or all responses may
be correct.
Some correct answers were not selected
1. Educate the patient's brother on reasons to get a colonoscopy.
2. Conclude that the patient's brother does not require
intervention .
3. Encourage the patient's brother to get an annual stool test.
4. Avoid doing anything because that is a responsibility of the
health care provider.
5. Avoid doing anything because the nurse is responsible for the
patient and not for the brother. Correct Answer 1. Educate the
patient's brother on reasons to get a colonoscopy.
3. Encourage the patient's brother to get an annual stool test.
Rationale
Because the patient was diagnosed with colon cancer before the
age of 50, it is likely that the patient's siblings
have a higher risk of developing colon cancer. Therefore, the
nurse should educate the twin brother to also get
a colonoscopy or other screening test, as recommended by
current guidelines for higher-risk patients. If the
patient had developed colon cancer after age 50, screening for
the brother would be less urgent. However,
,early onset in the patient means the risk of colon cancer is higher
for the brother. The nurse is as responsible
as the health care provider for screening for family members
who are at risk of colon cancer. The nurse should
provide care to both the patient and his brother.
A 50-year-old patient is admitted with acute exacerbation of
asthma. The patient is treated
by a clinical nurse specialist. The patient expresses thanks to the
clinical nurse specialist for
the care that all the nurses have provided. What are the minimal
educational qualifications
to become a clinical nurse specialist?
1. Basic nurse education
2. Registered nurse licensure
3. Doctoral degree in nursing
4. Master's degree in nursing Correct Answer 4. Master's
degree in nursing
Rationale
A master's degree in nursing is the educational requirement for a
clinical nurse specialist (CNS). Basic nursing
education is not a graduate degree. Registered nurse (RN)
licensure is not an educational qualification. A
doctoral degree exceeds the qualifications for a CNS.
STUDY TIP: Consider what additional education you may want
after you complete your basic nurse education.
Research what additional opportunities would be available to
you with an advanced degree.
p.4
,A 50-year-old patient is admitted with acute exacerbation of
asthma. The patient is treated
with bronchodilators and oxygen therapy. The patient is
clinically stable and is planned for
discharge. The nurse teaches the patient about deep-breathing
exercises. The nurse has
initiated these exercises to improve the patient's lung capacity.
Which professional behavior
is the nurse showing?
1. Advocacy
2. Autonomy
3. Accountability
4. Collaboration Correct Answer 2. Autonomy
Rationale
Deep-breathing exercises and chest physiotherapy are performed
to prevent respiratory complications. The
nurse does not need medical orders to prescribe breathing
exercises in this case. The professional behavior
shown here by the nurse is autonomy. Autonomy involves the
initiation of independent nursing interventions
without medical orders. Advocacy refers to protecting the
patient's human and legal rights and providing assistance in
asserting these rights when needed. Accountability means that
the nurse is responsible,
professionally and legally, for the type and quality of the nursing
care provided. Collaboration refers to nurse interaction with
interprofessional health providers to provide the best possible
care to the patient.
p. 3
, A 50-year-old patient is admitted with acute exacerbation of
asthma. The patient is treated
with bronchodilators and oxygen therapy. The patient is
clinically stable and is planned for
discharge. Who is responsible for teaching the patient about
managing asthma at home?
1. The staff nurse
2. The nurse educator
3. The nurse administrator
4. The clinical nurse specialist Correct Answer 2. The nurse
educator
Rationale
Patient education is a major role of the nurse educator. The other
types of nurses have different
responsibilities. The staff nurse is responsible for providing
basic care to a group of patients in a hospital
setting based on standards of professional practice. The nurse
administrator is responsible for managing the
quality of patient care provided by the nurses. The nurse
administrator also manages the different nursing
services that are delivered within a health care establishment.
The clinical nurse specialist is an expert clinician
in a particular area and provides specialized care.
STUDY TIP: A helpful method for decreasing test stress is to
practice self-affirmation. After you have
adequately studied and really know the material, start looking in
the mirror each time you pass one and say to
yourself-preferably out loud- 11
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