3,4,5 Preventing falls is a priority safety issue for older adults. Select all that apply. Which statement is the most therapeutic? Postural drainage to relieve respiratory congestion should take place: C. Second right intercostal space at the sternal border The World Health Organization (WHO) defines health as a "state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. A. Advising the patient about measures to prevent accidents 3. Regardless of educational preparation, the examination for RN licensure is exactly the same in every state in the United States. Ensure privacy by closing the door of the room or shutting the curtains. D. Aspirate urine from the tubing port using a sterile syringe. a) diabetes mellitus 1. 5. An accurate nursing diagnosis helps ensure effective and efficient nursing interventions. B. Vesicle By reviewing information to help the health care provider make decisions, the nurse serves as an advocate; this is not a caregiver role. The nurse is caring for a patient with a hearing impairment. When entering the room, what is the nurse's best response? Which of the following nursing theorists developed a conceptual model based on the belief that all persons strive to achieve self-care? Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant Arrange the different steps of a problem-oriented approach for comprehensive assessment in the appropriate order. "I just don't have any energy to get out of bed in the morning." e) a school nurse provides screening for scoliosis for the students 4) Medical and nursing research. Fa Davis Coursework, Quiz over Health and Wellness, and . Errors in data clustering occur when the nurse clusters prematurely, incorrectly or not at all. The nurse understands that tachypnea means: Which external variables influence this patient's health practices? Fundamentals of Nursing, Nursing Procedures and Skills Hand Hygiene and Handwashing Handwashing is the act of cleaning one's hands with the use of any liquid with or without soap for the purpose of removing dirt or microorganisms. Encouraging the patient to exercise regularly 2. A home health nurse is planning to provide . He is going through a divorce after 15 years of marriage and has been seeing his pastor to help him through this difficult time. The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." Planning refers to developing a plan that prescribes strategies and alternatives to attain the expected outcome. e) nomalficence, A professional nurse committed to the principle of autonomy would be careful to: x = queue.front(); A. Clarification f) filing of an incident report should be documented in the patient record, A nursing student asks the charge nurse about legal liability when performing clinical practice. Prescription of narcotics for pain relief is a secondary prevention, which is done after diagnosis. A. The cost of the patient's care is not dependent on the nursing diagnosis. c) patients with special advocacy needs include the very young and the elderly, those who are seriously ill, and those with disabilities B. Regularity of meal times D. Validation 3 Genomics C. Evaluation It is based on the belief that certain human needs are more basic and need to be met before others. C. Injury, error and assault Such communication may be revealed through body language, silence, withdrawn behavior, or crying. This inability to validate leads to errors in interpretation and analysis of data. This could ruin me! Which is an example of an interpreting error in nursing diagnostics? Select all that apply. It is the gradual decrease of the body's temperature after death: The patient is treated with bronchodilators and oxygen therapy. b) "May I help you with a bed bath now or later this morning?" The nurse is caring for a patient with a pressure ulcer on his left hip. a) provide the information and support a patient needed to make decisions to advance one's own interests Select all that apply. Active listening allows the patient to speak and shows the nurse's respect for what he or she has to say. D. Professional. It's a new age and the ethics are new!" An advocate may also provide additional information to help a patient decide whether or not to accept a treatment or find an interpreter to help family members communicate their concerns. Validating data refers to confirming the genuineness of the data collected. Evidence-Based Practice demonstrates knowledge of basic scientific methods, appreciates the strengths and weaknesses of scientific bases for practice, and recognizes the importance of regularly reading relevant journals. 2. The clinical nurse specialist. Place a pillow under the patient's knees The staff nurse is responsible for providing basic care to a group of patients in a hospital setting based on standards of professional practice. 4. Cultural background may also influence an individual's beliefs about causes of illness and remedies or practices to restore health. Difficulty paying bills Greeting the patient, explaining your role, and ensuring privacy are parts of the orientation phase. Accountability means that the nurse is responsible, professionally and legally, for the type and quality of the nursing care provided. Educating the patient a) "Would you prefer a bath or a shower?" . queue.addQueue(y - 3); cout << "Queue Elements: "; Select all that apply. Health is not only the state of being free from illness or injury or the absence of signs and symptoms. d) "Why are you doing this to me? Developed the American Red Cross while she was a Civil War nurse. A. A male patient has been laid off from his construction job and has many unpaid bills. Sample Decks: 5 Professional Identity/critical judgement, 5 Chapter 4 Critical Thinking In Nursing, 5 Chapter 4 In Quizzes. Which are examples of chronic illnesses? (An infant's apex is located at the third or fourth intercostal space just to the left of the midclavicular line), The correct site at which to verify a radial pulse measurement is the: These factors may affect the health of a person. It recognizes the natural healing abilities of the body. He lost his wife just a month ago. ", A nurse administers the wrong medication to a patient and the patient is harmed. A. C. Give the patient a glass of warm milk before bedtime d) achieving recovery and rehababilitation, Which clinic patient is most likely to have annual breast examinations and mammograms based on the physical human dimension? A. A patient who has abstained from drug use for the past 6 months and is following a proper health regimen is in the maintenance stage of behavior change. 1. 1,3 f) effective advocacy may entail becoming politically active, A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. B. Instill the medication directly into the tympanic membrane Problem 2. 1 Pia's serum sodium level is 150 mEq/L. 3 1,2,3 She is troubled when the patient's doctor tells her that she'll be fired if she raises questions about his care or calls the consult. Acknowledgement Chapter 01 - Fundamentals of Nursing 9th edition - test bank Fundamentals of Nursing 9th edition - test bank University Rowan College of South Jersey Course Nursing I (NUR 131) 54 Documents Academic year:2017/2018 Uploaded byTimothy Robert Helpful? According to Nursing Diagnosis Association-International (NANDA-I), health promotion nursing diagnosis involves a clinical judgment concerning motivation and desire to increase well-being and actualize human health potential. The correct order of the nursing process is assessing, diagnosing, planning, implementing, evaluating. Shock Which of the following would be an appropriate nursing action? Assessment is the process of collecting data related to the health and illness of the patient. 2, 3, 1, 5, 4 D. Rectum, pancreas, stomach and liver. 2 A. Administer a sedative at bedtime, as ordered by the physician The impending ankle surgery and subsequent hospitalization are related factors and do not define the data cluster, which is a set of signs or symptoms gathered during assessment and grouped together in a logical way. 2. c) "Ethics is genetically determined it's like having blue or brown eyes. Fundamentals Exam 1 Which is the first step in health promotion, wellness education, and illness prevention? C. Decreased peristalsis and positional discomfort c) plan care in partnership with patients The patient's question allows for what type of communication? The registered nurse coordinates care delivery and uses strategies to promote health and a safe environment. Algor mortis is the decrease of the body's temperature after death. 1. Lh Layla12 days ago awsome! The patient is ready to perform regular exercises. . 1. Food preferences The most comfortable method of delivering oxygen to Mr. Jose is by: Use your book or dictionary to define each term. Advice or assistance from other nurses in the facility. 4. 3. This provides a standardized minimum knowledge base for nurses. 5. Try to finish it with 100 percent accuracy, so you can have a better idea of how well you are prepared and what do you need to improve. C. External hemorrhoids b) assuming the sick role A patient complains of pain when swallowing solid food. 1,2,3 The average daily amount of urine excreted by an adult is: Introduce yourself and explain your role. The tertiary preventive measures in this case would include implantation of a prosthetic foot, referring the patient for vocational retraining, and referring the patient to social support groups. d) rewarding and punishing, A nurse who is working in a hospital setting after graduation from a local college uses value clarification to help understand the values that motivate patient behavior. Becky is on NPO since midnight as preparation for blood test. 1. Select all that apply. A 65-year-old male patient is admitted to the hospital with severe abdominal pain. b) cover the nose and mouth with gloved hands if a sneeze is imminent Your response is. The lobes are parts of the lung. 2 Instead, it gives information regarding the patient's health status. 5th left intercostal space along the midclavicular line During the review of systems in a nursing history, the nurse learns that the patient has been coughing mucus. Both internal and external variables influence a person's health. 99 $. b) health and illness are individually defined by each person Problem-focused nursing diagnoses describe a clinical judgment concerning an undesirable human response to a health condition that exists in an individual or a community. f) medicare reimbursement, People bringing the charges against someone are called: Nursing fundamentals exam questions can be tricky and sometimes there are two "best" answers and you must determine which one is the best for that particular scenario. Caregiver 3. d) ageism, What is the leading cause of cognitive impairment in old age? B. Ambulate the patient for 5 minutes before he retires What educational setting would be most appropriate for this process? The nurse's prior clinical experience The nurse must complete a master's in nursing program to become eligible for doctoral programs. Further assessment after the nursing diagnosis is essential to evaluate the effectiveness of the activities performed. a) by being a role model for healthy behaviors D. Vesicular. 1. Wheezes It allows the nurse to see the big picture when he or she forms conclusions or makes decisions about a patient's health condition. Collaboration refers to nurse interaction with interdisciplinary health professionals to provide the best possible care to the patient. Jake is complaining of shortness of breath. Tertiary measures are taken after permanent, irreversible disability and focus on rehabilitation. a) only patients with diagnosed infections Employment status The HESI Fundamentals exam is a standardized test that is used by nursing programs to evaluate the knowledge and skills of prospective students in the fundamentals of nursing. Select all that apply. The question regarding how the health problem affects the patient and his or her family provides information regarding cultural practices followed by the family. The Doppler study of the lower extremities reveals peripheral vascular disease (PVD). A 50-year-old patient is admitted with acute exacerbation of asthma. 3. The nurse must: c) untie gown waiststrings, remove gloves, goggles, gown, mask; perform hand hygiene His arm in a cast The P does not stand for period, prevention, or predication. Activity Back channeling D. 0 degree D. Frequent bowel sounds. 2. Impending ankle surgery Which statements apply to the immunity theory of aging? While assessing the behavior of a patient with a drug addiction, the nurse observes that the patient has abstained from taking drugs for the past 6 months and has been practicing healthy eating habits. Fundamentals of Nursing Nursing Test Bank This section is the practice quiz for fundamentals of nursing that can help you think critically and augment your review for the NCLEX. Health care reform will cause changes in the delivery of nursing care, and more services will be in community-based care settings. The third stage is acknowledgement in which the patient moves through a period of grieving to the next stage of accepting the impairment. 3. Cultural variables must be incorporated into the child's plan of care. Select all that apply. If the head of the bed is elevated, the abdominal muscles and organs can be bunched up, altering the findings. This is an example of: One of Nurse Cathy's co-workers is Annie who is flexible in any given situation. Which nursing assessments would be best for the nurse to use to confirm a lung problem? The nurse notices that the venipuncture site is red and swollen. Pulse greater than 100 beats per minute is tachycardia. d) the facility manager completes the incident report After initial interventions, the patient regained consciousness. During the procedure, the client begins to cough and has difficulty breathing. She also views the goal of nursing as helping the patient to develop self-care practices to maintain maximum wellness. Symptoms - info medical personnel can look at Prescribing narcotic drugs for pain relief A patient with a 20-year history of diabetes mellitus had a lower leg amputation. b) an incident report is used as a means of identifying risks 1. B. 3. Dorothea Orem's conceptual model is based on the premise that all persons need to achieve self-care. A. D. Press the tragus of the ear a few times to assist flow of medication into the ear canal. b) by not requiring sick days from work C. Disconnect the catheter from the tubing and get urine 4. Select all that apply. Validate by getting diagnostic tests done. It would be corrected automatically in the system. 2. a) Jane, whose best friend had a benign breast lump removed "Nursing diagnosis improves the selection of nursing interventions by nurses in certain practice settings.". Advocacy Health promotion diagnosis. Informatics. Hyperthermia is a NANDA-approved nursing diagnosis. The nurse is performing her role as a/an: Carolinas College of Health Sciences The patient states, "Well, I haven't seen you before. The critical care nurse is using a computerized decision support system to correctly position ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. Successfully passing the NCLEX-RN does not guarantee safe, standard, nor ethical practice. Continue with existing guidelines. The nurse's relevant knowledge Sensitivity A chest x-ray film is not a nursing assessment; if a previous chest x-ray film had been performed, the nurse could review that report to confirm a lung problem. 4. B. "Engage in regular relaxation activities.". B. Dorothea Orem While performing health promotion nursing diagnoses, the nurse should focus on the patient's readiness to eat nutritious food and the patient's readiness to enhance coping skills and to perform regular exercise. D - touch conveys acceptance; open-ended question allows free verbalizing by patient. A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge plan for the patient. Choose the letter of the correct answer. The nurse needs to direct the patient to gain more information. D. Macule. ", D - request specific information regarding complications, During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after she communicates the plan of care. Select all that apply. A. 90 degrees B. D. Adduct the patient's shoulder. Which type of nursing diagnosis is being followed in this scenario?

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