NURS 222 EXAM 2 (CHAPTERS 14-18)
QUESTIONS WITH VERIFIED ANSWERS
A formal care plan allows the nurse the to: - correct
answer- - individualize care
-set priorities
-facilitate communication between nurses
-promote continuity of high-quality, cost-effective care
-coordinate the patient's care
-evaluate the patient's response to care
-Create a record used for evaluation, research, reimbursement
and legally
A nurse is applying Tanner's clinical judgment model in the care
of a postpartum client. Which action by the nurse will constitute
the first step in this process? - correct answer- noticing
the significant aspects of the client's condition
A nurse is interviewing a hospitalized client. Which nurse-client
positioning facilitates an easy exchange of information? -
correct answer- If the client is in bed, the nurse sits in a
chair placed at a 45-degree angle to the bed.
,A nurse is navigating a busy morning on a hospital unit and is
struggling to finish the necessary tasks in the time available. In
response, the nurse has assigned morning hygiene tasks for two
clients to an unlicensed assistive personnel (UAP). What QSEN
competency is this nurse exemplifying? - correct answer-
teamwork and collaboration
A nursing student is progressing successfully through the nursing
curriculum, which integrates Tanner's model of clinical
judgment. The student's use of this model can be most directly
evaluated and quantified using what tool? - correct answer-
The Lasater Clinical Judgment Rubric
AEB - correct answer- as evidenced by
Assessment methods: auscultation - correct answer- the
act of listening with a stethoscope produced within the body
Assessment methods: Inspection - correct answer-
Performing deliberate, purposeful observations in a systematic
manner
,Assessment methods: Palpation - correct answer- using
the sense of touch to assess skin temperature, turgor, texture,
and moisture as well as vibrations within the body
Assessment methods: Percussion - correct answer- the
act of striking one object against another to produce sound
Brenner's Novice- to- Expert model of development - correct
answer- -Novice nurses (new graduates) make clinical
judgements that do not consider all elements and rely on the
concrete
- As they practice, they become more astute, thinking expands
- Advanced beginner
- Competent
- Proficient
- Expert
Competencies develop - correct answer- - The nurse is
able to use and integrate al experiences from education, life
experiences, health care experiences, and reflection
Data includes all pertinent patient information.... - correct
answer- - collected by the nurse and other health
, - care professionals
During an emergency, how is an assessment performed? -
correct answer- - Performed when a physiologic or
psychological crisis is present
- Identify life-threatening problems
- Preservation of life is the priority
- Time is of the essence
-ABCs
Establishing Priorities - correct answer- Maslow's
hierarchy of human needs -> patient preference -> patient
preference -> anticipation of future problems -> Critical
thinking/clinical reasoning and judgement
Example to differentiate between Critical thinking and Clinical
reasoning - correct answer- Critical thinking may be used
to access the EHR and learn to navigate through the screens, but
clinical reasoning is used to decide what you should review,
when to review it and how each piece of data relates to others
to create a clinical practice.
QUESTIONS WITH VERIFIED ANSWERS
A formal care plan allows the nurse the to: - correct
answer- - individualize care
-set priorities
-facilitate communication between nurses
-promote continuity of high-quality, cost-effective care
-coordinate the patient's care
-evaluate the patient's response to care
-Create a record used for evaluation, research, reimbursement
and legally
A nurse is applying Tanner's clinical judgment model in the care
of a postpartum client. Which action by the nurse will constitute
the first step in this process? - correct answer- noticing
the significant aspects of the client's condition
A nurse is interviewing a hospitalized client. Which nurse-client
positioning facilitates an easy exchange of information? -
correct answer- If the client is in bed, the nurse sits in a
chair placed at a 45-degree angle to the bed.
,A nurse is navigating a busy morning on a hospital unit and is
struggling to finish the necessary tasks in the time available. In
response, the nurse has assigned morning hygiene tasks for two
clients to an unlicensed assistive personnel (UAP). What QSEN
competency is this nurse exemplifying? - correct answer-
teamwork and collaboration
A nursing student is progressing successfully through the nursing
curriculum, which integrates Tanner's model of clinical
judgment. The student's use of this model can be most directly
evaluated and quantified using what tool? - correct answer-
The Lasater Clinical Judgment Rubric
AEB - correct answer- as evidenced by
Assessment methods: auscultation - correct answer- the
act of listening with a stethoscope produced within the body
Assessment methods: Inspection - correct answer-
Performing deliberate, purposeful observations in a systematic
manner
,Assessment methods: Palpation - correct answer- using
the sense of touch to assess skin temperature, turgor, texture,
and moisture as well as vibrations within the body
Assessment methods: Percussion - correct answer- the
act of striking one object against another to produce sound
Brenner's Novice- to- Expert model of development - correct
answer- -Novice nurses (new graduates) make clinical
judgements that do not consider all elements and rely on the
concrete
- As they practice, they become more astute, thinking expands
- Advanced beginner
- Competent
- Proficient
- Expert
Competencies develop - correct answer- - The nurse is
able to use and integrate al experiences from education, life
experiences, health care experiences, and reflection
Data includes all pertinent patient information.... - correct
answer- - collected by the nurse and other health
, - care professionals
During an emergency, how is an assessment performed? -
correct answer- - Performed when a physiologic or
psychological crisis is present
- Identify life-threatening problems
- Preservation of life is the priority
- Time is of the essence
-ABCs
Establishing Priorities - correct answer- Maslow's
hierarchy of human needs -> patient preference -> patient
preference -> anticipation of future problems -> Critical
thinking/clinical reasoning and judgement
Example to differentiate between Critical thinking and Clinical
reasoning - correct answer- Critical thinking may be used
to access the EHR and learn to navigate through the screens, but
clinical reasoning is used to decide what you should review,
when to review it and how each piece of data relates to others
to create a clinical practice.
