A friend of a nurse calls and asks if she is still working at
Memorial Hospital. The nurse replies, "Yes." The friend tells the
nurse that his girlfriend's father was just admitted as a patient
and he wants the nurse to find out how he is. The friend states,
"Sue seems unusually worried about her dad, but she won't talk
to me and I want to be able to help her." What is the best initial
response the nurse should make? Correct Answer "Sorry, but
I'm not able to give information about patients to the public—
even when my best friend or a family member asks."
A nurse assesses patients in a physician's office who are
experiencing different levels of health and illness. Which
statements best define the concepts of health and illness?
Correct Answer Health and illness are individually defined by
each person.
Health is more than the absence of illness.
Illness is the response of a person to a disease.
A nurse follows accepted guidelines for a healthy lifestyle. How
can this promote health in others? Correct Answer By being a
role model for healthy behaviors
A nurse has taught a diabetic patient how to administer his daily
insulin. The nurse should evaluate the teaching-learning process
by: Correct Answer Deciding if the learning outcomes have
been achieved
,A nurse has volunteered to give influenza immunizations at a
local clinic. What level of care is the nurse demonstrating?
Correct Answer Primary
A nurse is caring for a 42-year-old male patient who is admitted
to the hospital with injuries sustained in a motor vehicle
accident. While he is in the hospital, his wife tells him that the
bottom level of their house flooded, damaging their belongings.
When the nurse enters his room, she notes that the patient is
visibly upset. The nurse is aware that the patient will most likely
be in need of which type of counseling? Correct Answer Short-
term situational
A nurse is counseling a 19-year-old male athlete who had his
right leg amputated below the knee following a motorcycle
accident. During the rehabilitation process, the patient refuses to
eat or get up to ambulate on his own. He says to the nurse,
"What's the point. My life is over now and I'll never be the
football player I dreamed of becoming." What is the nurse
counselor's best response to this patient? Correct Answer "I
understand this is difficult for you. Would you like to talk about
it now or would you prefer me to make a referral to someone
else?"
A nurse is discharging a patient from the hospital following a
heart stent procedure. The patient asks to see and copy his
medical record. What is the nurse's best response? Correct
Answer "I will need to check with our records department to get
you a copy."
, A nurse is documenting patient data in the medical record of a
patient admitted to the hospital with a diagnosis of appendicitis.
The physician has ordered 10 mg morphine IV every 3 to 4
hours. Which examples of documentation of care for this patient
follows recommended guidelines? Select all that apply. Correct
Answer 6/12/15 0945 30 minutes following administration of
morphine 10 mg IV patient reports pain as 2 on a scale of 1 to
10. M. Patrick, RN
6/12/15 0945 Patient reports severe pain in right lower quadrant.
M. Patrick, RN
6/12/15 0945 Patient states she does not want pain medication
despite return of pain. After discussing situation, patient agrees
to medication administration.
A nurse is documenting the care given to a 56-year-old patient
diagnosed with an osteosarcoma, whose right leg was
amputated. The nurse accidentally documents that a dressing
changed was performed on the left leg. What would be the best
action of the nurse to correct this documentation? Correct
Answer Draw a single line through the entry and rewrite it
above or beside it.
A nurse is looking for trends in a postoperative patient's vital
signs. Which documents would the nurse consult first? Correct
Answer Graphic record
A nurse is planning teaching strategies for patients addicted to
alcohol, in the affective domain of learning. What are examples
of strategies promoting behaviors in this domain? Correct
Answer The nurse explores the reasons alcoholics drink and
promotes other methods of coping with problems.
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