Nur-100 Foundations of Nursing Exam 2, Answered

Nur-100 Foundations of Nursing Exam 2, Answered-A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse f ...

Nur-100 Foundations of Nursing Exam 2, Answered-A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? - Include communication while performing tasks such as changing dressings and checking vital signs. A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says, "I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange is an example of which element of the transactional communication process? - Obtaining feedback A patient who is Spanish-speaking does not appear to understand the nurse's information on wound care. Which action should the nurse take? - Use a professional interpreter to provide wound care education in Spanish A nurse prepares to contact a patient's physician about a change in the patient's condition. Using SBAR (Situation, Background, Assessment, and Recommendation) communication, which of the following is the correct order? 1."She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 pm yesterday. She complains of a poor appetite." 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night." - B. 4, 1, 2, 3 A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better meet your health care needs." Which therapeutic communication technique did the nurse use in this situation? - D. Humility A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this problem? - Talk with the preceptor or manager and ask for assistance in handling this issue A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? - Working phase A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic? - Tell me what happened before, during, and after the automobile accident tonight." A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process? - Evaluation When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply.) - Check for needed adaptive equipment. Give the patient time to respond to questions Keep communication short and to the point. Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply.) - Reduce the risk of errors to the patient Provide optimum level of patient care Improve patient outcomes Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? (Select all that apply.) - Gaining an understanding of patient's motivations Recognizing patient's strengths and supporting their efforts Identifying differences in patient's health goals and current behaviors Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility? (Select all that apply.) - Collaboration between staff members from sending and receiving departments Using a standardized transfer policy and transfer tool The nurse uses silence as a therapeutic communication technique. What is the purpose of the nurse's silence? (Select all that apply.) - Prompt the patient to talk when he or she is ready Allow the patient time to think and gain insight A patient needs to learn to use a walker. Which domain is required for learning this skill? - Psychomotor domain A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? - Provide only the information that the patient needs to go home When planning for instruction on cardiac diets to a patient with heart failure, which of the following instructional methods would be the most appropriate for someone identified as a visual/spatial learner? - Colored visual diagrams that categorize foods according to fat and sodium content A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation? - Telling approach An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse: - Allows the patient time to express himself or herself and ask questions. A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? - Expressing the importance of learning the skill correctly A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? - Demonstration When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, the nurse tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? - Analogy A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first? - How to use an inhaler during an asthma attack A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse providing? - Health promotion and illness prevention A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of: - A learning objective The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) - When the patient states that he or she is pain free Just before lunch, when the patient is most awake and alert The nurse is organizing a disease prevention program for a specific cultural group. To effectively meet the needs of this group the nurse will: (Select all that apply.) - Involve those affected by the problem in the planning process. Assess commonly held health beliefs among the cultural group Include cultural practices that are relevant to the specific community A manager is reviewing the nursing documentation entered by a staff nurse in a patient's electronic medical record and finds the following entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which of the following statements is most appropriate for the manager to make to the staff nurse who entered this information? - Enter only objective and factual information about a patient in the medical record. A preceptor observes a new graduate nurse discussing changes in a patient's condition with a physician over the phone. The new graduate nurse accepts telephone orders for a new medication and for some laboratory tests from the physician at the end of the conversation. During the conversation the new graduate writes the orders down on a piece of paper to enter them into the electronic medical record when a computer terminal is available. At this hospital new medication orders entered into the electronic medical record can be viewed immediately by hospital pharmacists, and hospital policy states that all new medications must be reviewed by a pharmacist before being administered to patients. Which of the following actions requires the preceptor to intervene? The new nurse: - Gives a newly ordered medication before entering the order in the patient's medical record. As the nurse enters a patient's room, the nurse notices that the patient is anxious. The patient quickly states, "I don't know what's going on; I can't get an explanation from my doctor about my test results. I want something done about this." Which of the following is the most appropriate way for the nurse to document this observation of the patient? - The patient stated feelings of frustration from the lack of information received regarding test results." The nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA) regulations with the patient during the admission process. The patient states, "I'm not familiar with these HIPAA regulations. How will they affect my care?" Which of the following is the best response? - HIPAA provides you with greater protection of your personal health information. A patient states, "I would like to see what is written in my medical record." What is the nurse's best response? - "You have the right to read your record." Which of the following documentation entries is most accurate? - Patient walked 50 feet and back down hallway with assistance from nurse; HR 88 and regular before exercise, HR 94 and regular following exercise." A group of nurses is discussing the advantages of using computerized provider order entry (CPOE). Which of the following statements indicates that the nurses understand the major advantage of using CPOE? - A. "CPOE reduces transcription errors." The nurse is working the evening shift at a hospital that uses military time for documentation. The nurse administered morphine 2 mg intravenously (IV) for pain at 3:45 PM, changed the dressing over the patient's abdominal incision at 5:34 PM, and administered Ancef 1 g IV at 8:00 PM. Using correct military time, which of the following is the correct label of documentation for each task with the time that it was completed? - 15 45, 17 34, 20 00 The nurse is caring for a patient with a nasogastric feeding tube who is receiving a continuous tube feeding at a rate of 45 mL per hour. The nurse enters the patient assessment data and information that the head of the patient's bed is elevated to 20 degrees. An alert appears on the computer screen warning that this patient is at a high risk for aspiration because the head of the bed is not elevated enough. This warning is known as which type of system? - Clinical decision support system While reviewing the pulmonary assessment entered by a nurse in a patient's electronic medical record (EMR), a physician notices that the only information documented in that section is "WDL" (within defined limits). The physician also is not able to find a narrative description of the patient's respiratory status in the nurse's progress notes. What is the most likely reason for this? - The EMR uses a charting-by-exception format. What is the appropriate way for a nurse to dispose of information printed out from a patient's electronic health record? - Place papers with patient information in a secure canister marked for shredding