The content and experience mimic the exam in every way possible, providing the most authentic preparation experience for students. You know that an incident report was filed yesterday after a nurse inadvertently missed a scheduled dose of the patients antibiotic. They are to break into groups of four and complete a health-promotion teaching project and present a report to their fellow students. C Nursing care may be coordinated by members of two different health disciplines. The patients son and daughter-in-law are strongly opposed to the patients request. .
The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What strategy can you use to give ethical care to this patient? A The patient is legally unable to refuse basic life support. An additional goal includes efforts to promote positive health practices at an early age. Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. It is not characterized by acute bronchospasm, alveolar distention, or excessive gas exchange. The physician arranges for the amniocentesis to be performed. Enacting the patients wishes around visitors is an example of this.
The ethnic background of the health care provider and the personality of the physician are not considered variables that appear to influence the degree of adherence to a prescribed therapeutic regimen. What is most important for the nurse to assess when providing instructions on self-management to these patients? What nursing diagnosis is most relevant to this assessment finding? A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. This nurses actions do not constitute diagnosis. One outcome of this phenomenon is the development of organized self-care education programs. The nurses action is an example of which therapeutic communication technique? The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. The goal should specify that the patient administer the EpiPen. C Read the facilitys policy on restraints.
This report does not specifically address matters such as hospital funding, nursing education, or resource allocation. The nurse should describe skills in which of the following domains? The other answers are incorrect because self-fulfillment does not relate directly to them. Which of the nurses actions best demonstrates these priorities? Ans: D Feedback: During the evaluation phase of the nursing process, the nurse determines the patients response to nursing interventions. Critical thinking does not identify the nurses goal for the patient or provide a collaborative basis for assigning care. There may be generalized wheezing the sound of airflow through narrowed airways , first on expiration and then, possibly, during inspiration as well.
Chest palpation and auscultation and assessment of fluid balance are not prioritized over postural drainage. Systemic corticosteroids may be necessary to decrease airway inflammation in patients who fail to respond to inhaled beta-adrenergic medication. Ans: B Feedback: It is mandatory in most settings to have a physicians order before restraining a patient. Teaching the patient is also a higher level need related to the desire to know and understand and is not appropriate at this time, as the basic physiologic need of pain control must be addressed before the patient can address these higher level needs. It is well known that stress decreases the immune response, thereby making individuals more susceptible to infectious diseases.
B Ask the boy whether he now understands how to use his inhaler. C Contact a social worker or mediator to intervene. Evaluators should perform this evaluation in what way? Ans: D Feedback: Critical thinking involves reasoning and purposeful, systematic, reflective, rational, outcome-directed thinking based on a body of knowledge, as well as examination and analysis of all available information and ideas. Ans: D Feedback: Although some infectious diseases have been controlled or eradicated, others are on the rise. A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. D Encourage a disease-free state, Ans: B Feedback: One of the goals of patient education is to encourage people to adhere to their therapeutic regimen.
This specific process is not described as extrapolation, inference, or characterization. A The patient requests a visit from the hospitals diabetic educator. Tachypnea is much more likely than bradypnea. A Fine or coarse crackles on auscultation B Wheezes or diminished breath sounds on auscultation C Reduced respiratory rate or lethargy D Slow, deliberate respirations Ans: B Feedback: Wheezing and diminished breath sounds are consistent with bronchospasm. Restraints are not without risks, but they should not normally limit a patients safety.
A A learning contract B A star chart C A point system D A food-reward system Ans: A Feedback: Using a learning contract or agreement can also be a motivator for learning. If a nurse practicing in an oncology clinic had the goal of improving patient outcomes and nursing care by influencing the patient, the nurse, and the health care system, what would most accurately describe this nurses title? Ans: B Feedback: Studies have shown the negative effects of stress on health and a cause-and-effect relationship between stress and infectious diseases, traumatic injuries e. C The nurse should decline to care for the patients considering abortion. A Stress impairs sleep patterns. The patient with urosepsis who is frequently ringing the call bell is requesting assistance to the bedside commode; this is appropriate behavior that will not result in patient harm.
D Make the information directly relevant to the patients condition. Nurses who work in the venue of genetics-related nursing do not notify family members of the results of an individuals genetic testing, and they do not provide written reports to insurance companies concerning the results of genetic testing. The other answers are incorrect because they are not the basis for the growth in nursing care delivered in the home setting. The ability to handle criticism is important, but to a lesser degree than cultural competence. This proactive intervention is a more precise example of health promotion than the other cited examples. Chapter 04: Health Education and Promotion 1.
When identifying the variables that affect local residents health promotion behaviors, what question should the nurse seek to answer? D Order soft restraints from the storeroom. Other variables include illness states, values, emotional readiness, and physical readiness. Self-esteem and autonomy would not be on the list because they are not skills. The other answers are incorrect because the change in focus of health care is not an increasing need for self-care among our aging population; our focus is shifting away from disease management, not toward it; and we are moving away from the management of acute conditions to managing chronic conditions. Health-promotion programs can generally be offered almost anywhere in the community, but the workplace is often more convenient for the adult, working population. C Minor respiratory infections are considered to be self-limited and are not treated. Confidentiality relates to the concept of privacy.