Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers, Exams of Nursing

Download Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers and more Exams Nursing in PDF only on Docsity! Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers -address the client with the appropriate title and her last name -use a mix of open-ended and close-ended questions -perform the general survey before the examination - correct answer A nurse is introducing herself to a client as the first step of a comprehensive physical examination. Which of the following strategies should the nurse use with this client? -posture -skin lesions -speech - correct answer A nurse in a provider's office is documenting his findings following an examination he performed for a client new to the practice. Which of the following parameters should he include as part of the general survey? auscultation - correct answer A nurse is collecting data for a client's comprehensive physical examination. After the nurse inspects the client's abdomen, which of the following skills of the physical examination process should she perform next? -plan to allow plenty of time for position changes -make sure the client has any essential sensory aids in place -tell the client to take her time answering questions -invite the client to use the bathroom before beginning the examination - correct answer A nurse is performing a comprehensive physical Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers examination of an older adult client. Which of the following interventions should the nurse use in consideration of the client's age? dorsal surface - correct answer A nurse in a family practice clinic is performing a physical examination of an adult client. Which part of her hands should she use during palpation for optimal assessment of skin temperature? basic - correct answer A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food". The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? responsibility - correct answer A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that she is allergic to the antibiotic, and call the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? -the client is nonadherent with coughing, deep breathing, and dangling -the client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers "I will determine the most important client problems that we should address." - correct answer A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process? Participate in a unit meeting to discuss feelings about the patient deaths - correct answer Two patient deaths have occurred on a medical unit in the last month. The staff notices that everyone feels pressured and team members are getting into more arguments. As a nurse on the unit, what will best help you manage this stress? Applying ethical criteria. - correct answer A nurse has seen many cancer patients struggle with pain management because they are afraid of becoming addicted to the medicine. Pain control is a priority for cancer care. By helping patients focus on their values and beliefs about pain control, a nurse can best make clinical decisions. This is an example of: Basic critical thinking. - correct answer A nurse prepares to insert a Foley catheter. The procedure manual calls for the patient to lie in the dorsal recumbent position. The patient complains of having back pain when lying on her back. Despite this, the nurse positions the patient supine with knees flexed as the manual recommends and begins to insert the catheter. This is an example of: Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers responsible - correct answer A nurse is preparing medications for a patient. The nurse checks the name of the medication on the label with the name of the medication on the doctor's order. At the bedside the nurse checks the patient's name against the medication order as well. The nurse is following which critical thinking attitude: discipline (2) - correct answer By using known criteria in conducting an assessment such as reviewing with a patient the typical characteristics of pain, a nurse is demonstrating which critical thinking attitude? reflection - correct answer A nurse just started working at a well-baby clinic. One of her recent experiences was to help a mother learn the steps of breastfeeding. During the first clinic visit the mother had difficulty positioning the baby during feeding. After the visit the nurse considers what affected the inability of the mother to breastfeed, including the mother's obesity and inexperience. The nurse's review of the situation is called: identify the problem collect data formulate a question or hypothesis test the question or hypothesis evaluate results of the study - correct answer Place the steps of the scientific method in their correct order with number 1 being the first step of the process. Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers Spending time establishing relationships with patients - correct answer An aspect of clinical decision making is knowing the patient. Which of the following is the most critical aspect of developing the ability to know the patient? diagnostic reasoning - correct answer A nurse enters a 72-year-old patient's home and begins to observe her behaviors and examine her physical condition. The nurse learns that the patient lives alone and notices bruising on the patient's leg. When watching the patient walk, the nurse notes that she has an unsteady gait and leans to one side. The patient admits to having fallen in the past. The nurse identifies the patient as having the nursing diagnosis of Risk for Falls. This scenario is an example of: truth seeking - correct answer Be objective in asking questions of a patient. open-mindedness - correct answer Be tolerant of the patient's views and beliefs analyticity - correct answer Anticipate how a patient might respond to a treatment. Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers nurse applies the information gained to suspect that the patient has a mobility problem. This conclusion is an example of: A problem-oriented approach - correct answer A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters the patient's room and notices him to be diaphoretic, holding his chest and breathing with difficulty. The nurse immediately checks the patient's heart rate and blood pressure and asks him, "Tell me where your pain is." Which of the following assessment approaches does this scenario describe? Working phase - correct answer The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you have difficulty falling or staying asleep? This series of questions would likely occur during which phase of a patient-centered interview? "You have four children; do you have any concerns about going home and caring for them?" - correct answer A nurse is assigned to a 42-year- old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of the following approaches demonstrates the nurse's cultural competence in assessing the patient's health care problems? Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers Open-ended - correct answer Which type of interview question does the nurse first use when assessing the reason for a patient seeking health care? Patient's level of function. - correct answer A nurse is checking a patient's intravenous line and, while doing so, notices how the patient bathes himself and then sits on the side of the bed independently to put on a new gown. This observation is an example of assessing: Self-perception-self-concept pattern - correct answer A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right leg tells the nurse practitioner that he is worried about his ability to continue to support his family. He tells the nurse he feels that he has let his family down after having an auto accident that led to the loss of his left leg. The nurse listens and then asks the patient, "How do you see yourself now?" On the basis of Gordon's functional health patterns, which pattern does the nurse assess? "My name is Todd. I'll be the nurse taking care of you today. I'm going to ask you a series of questions to gather your health history." "Tell me what brought you to the hospital." "You say you've lost weight. Tell me how much weight you've lost in the last month." "So, to summarize, you've lost about 6 lbs in the last month, and your appetite has been poor—correct?" Potter Perry Fundamentals of Nursing I CH 15,16,17,18,19,20 Questions And Answers "I have no further questions. Thank you for your patience." - correct answer A nurse is conducting a patient-centered interview. Place the statements from the interview in the correct order, beginning with the first statement a nurse would ask. Tell me what makes your headaches begin. - correct answer During a visit to the clinic, a patient tells the nurse that he has been having headaches on and off for a week. The headaches sometimes make him feel nauseated. Which of the following responses by the nurse is an example of probing? Collection of information from patient's family members Recognition that further observations are needed to clarify information Comparison of data with another source to determine data accuracy - correct answer Which of the following examples are steps of nursing assessment? An observation of how a patient turns and moves in bed The care recommendations of a physical therapist The results of a diagnostic x-ray film - correct answer When a nurse conducts an assessment, data about a patient often comes from which of the following sources? The skin around the wound is tender to touch