NRSG 110 Module 2 Exam

Which of the following individuals is at greater risk for respiratory illnesses from environmental causes? A) a farmer on a large farm B) a factory worker in a large city C) a woman living in a small town D) a child living in a rural area B) a factory worker in a large city Which of the following is an essential feature of professional nursing? Select all that apply. A) provision of a caring relationship to facilitate health and healing B) attention to a range of human experiences and responses to health and illness C) use of objective data to negate the patients subjective experience D) use of judgment and critical thinking to form a medical diagnosis E) advancement of professional nursing knowledge through scholarly inquiry F) influence on social and public policy to promote social justice A) provision of a caring relationship to facilitate health and healing B) attention to a range of human experiences and responses to health and illness E) advancement of professional nursing knowledge through scholarly inquiry F) influence on social and public policy to promote social justice What nursing organization first legitimized the use of the nursing process? American Nurses Association Which of the following group of terms best describes the nursing process? A) nursing goals, medical terminology, linear B) nurse-centered, single focus, blended skills C) patient-centered, systematic, outcomes-oriented D) family-centered, single point in time, intuitive C) patient-centered, systematic, outcomes-oriented A patient comes to the emergency department complaining of severe chest pain. The nurse asks the patient questions and takes vital signs. Which step of the nursing process is the nurse demonstrating? assessing A nurse is examining a 2-year-old. Based on her findings, she initiates a care plan for a potential problem with normal growth and development. Which step of the nursing process identifies actual and potential problems? diagnosing A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating? planning Based on an established plan of care, a nurse turns a patient every 2 hours. What part of the nursing process is the nurse using? implementing Which of the following statements indicates that a plan to assist a patient in developing and following an exercise program has been effective? A) I have just been too busy to do my daily exercises. B) I guess I will begin the activity we discussed next week. C) I know I should exercise, but my health is not very good. D) I have lost 10 pounds because I walk 2 miles every day. D) I have lost 10 pounds because I walk 2 miles every day. What name is given to standardized plans of care? critical pathways Legally speaking, how would the nurse ensure that care was not negligent? documenting the nursing actions in the patients record A nurse interviews a pregnant teenager and documents her answers on the patient record. At the same time, the nurse responds to the patients concerns and makes a referral for counseling and maternity care. This scenario is an example of which of the descriptors of the nursing process? dynamic A nurse working in an outpatient surgery center is responsible for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care? to identify strengths and problems An experienced ICU nurse is mentoring a student. The nurse tells the student, I think something is going wrong with your patient. What type of clinical decision making is the experienced nurse demonstrating? intuitive thinking A nurse is caring for a patient in the ER who was injured in a snow mobile accident. The nurse documents the following patient data: uncontrollable shivering, weakness, pale and cold skin, and suspects the patient is experiencing hypothermia. Upon further assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of 90F, which confirms the initial diagnosis. The nurse then devises a plan of care and continues to monitor the patient to evaluate the outcomes. This nurse is using what type of problem solving in her care of this patient? scientific Nurses make decisions in their practice every day. Which of the following are potential errors in this decision-making process? Select all that apply. B) avoiding information contrary to ones opinion C) selecting alternatives to maintain status quo F) failing to use appropriate resources Which of the following is one example of a patient benefit of using the nursing process? A) greater personal satisfaction B) decreased reliance on the nursing staff C) continuity of care D) decreased incidence of medical errors A) placing emphasis on the last data received B) avoiding information contrary to ones opinion C) selecting alternatives to maintain status quo D) being predisposed to multiple solutions E) prioritizing problems in order of importance F) failing to use appropriate resources C) continuity of care What is a systematic way to form and shape ones thinking? critical thinking What step in the nursing process is most closely associated with cognitively skilled nurses? planning A nurse asks a multidisciplinary team to collaborate to develop the most appropriate plan of care to meet the needs of an adolescent with a severe head injury. Which of the blended skills essential to nursing practice is the nurse using? interpersonal skills A student is asked to perform a skill for which he is not prepared. When using the method of critical thinking, what would be the first step to resolve the situation? purpose of thinking Members of the staff on a hospital unit are critical of a patients family who has different cultural beliefs about health and illness. A student assigned to the patient does not agree, based on her care of the patient and family. What critical thinking attitude is the student demonstrating? thinking independently Nurses apply critical thinking to clinical reasoning and judgment in their nursing practice every day. Which of the following are characteristics of this practice? Select all that apply. A) It is guided by standards, policies and procedures, ethics codes, and laws. B) It is based on principles of nursing process, problem solving, and the scientific method. C) It carefully identifies the key problems, issues, and risks involved. D) It is driven by the nurses need to document competent, efficient care. E) It calls for strategies that make the most of human potential. F) It is a skill that has been studied and evaluated to the point of perfection. Practice giving injections in the learning laboratory until you feel comfortable. A) It is guided by standards, policies and procedures, ethics codes, and laws. B) It is based on principles of nursing process, problem solving, and the scientific method. C) It carefully identifies the key problems, issues, and risks involved. E) It calls for strategies that make the most of human potential. As a beginning student in nursing, what is essential to the mastery of technical skills, such as giving an injection? D) promoting the dignity and respect of patients as people Which of the following interpersonal skills is essential to the practice of nursing? A) performing technical skills knowledgeably and safely B) maintaining emotional distance from patients and families C) keeping shared patient personal information confidential D) promoting the dignity and respect of patients as people A nurse believes her employer has violated the law and reports this to the appropriate law enforcement agency. What is this type of action called? whistle-blowing What function of the skeletal system is essential to proper function of all other cells and tissues? producing blood cells What is the role of the flat bones in the body? shape A patient with severe osteoarthritis is having a surgical hip replacement. This is possible because of the type of joint found in the hip. What type is it? ball-and-socket joint A nurse performing range-of-motion exercises on a bedfast patient moves the patients chin down onto the chest and then back to an upright position. The nurse then tilts the head as far as possible to each shoulder. What therapeutic movement is the nurse achieving with this exercise? Select all that apply. A) flexion B) adduction C) extension D) dorsiflexion E) pronation F) abduction A) flexion C) extension What term is used to describe the correction or prevention of disorders of body structures used in locomotion? orthopedics A nurse is assessing the activity level of a 5-month-old baby. What normal findings would be assessed? ability to sit and head control Which of the following activities are normally acquired in the toddler years? Select all that apply A) rolling over B) pulling to a standing position C) walking D) running E) jumping F) climbing stairs C) walking D) running E) jumping A nurse is teaching an older adult about activity. What information would be included in the teaching plan? the importance of regular exercise A nurse is assessing the muscles of an older adult. What will be assessed? mass, tone, strength Which of the following postural deformities might be assessed in a teenager? A) kyphosis B) rickets C) osteoporosis D) scoliosis D) scoliosis