a) autonomy Arrange the behavioral changes seen in the patient due to the changed body image, starting with the first change to the last. In an adult, pull the pinna upward C. Gurgles 1. B. B. His arm in a cast 3) Utilization of staff. A. The nurse is learning about the holistic health model of nursing. Fundamentals Of Nursing 8th . d) "I agree! Front. Preventing falls is a priority safety issue for older adults. D. Partial rebreathing mask. Select all that apply. It prevents further assessment. . 5. Question 4 1 out of 1 points A client is having difficulty climbing stairs and reports shortness of breath. A - termination phase occurs when the conclusion of the initial agreement is acknowledged. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. d) remove goggles, mask, gloves, gown, and perform hand hygiene, A nurse is caring for an obese 62-year-old patient with arthritis who has developed and open reddened are over his sacrum. 4. By definition, the nurse understands that the patient has had pain for more than: The P stands for problem, the E stands for etiology or related factor, and the S stands for symptoms or defining characteristics. a) "Would you prefer a bath or a shower?" a) violations that may result in disciplinary action 3. Closed-ended questions do not encourage storytelling. Expansion of the current taxonomy of nursing diagnosis 3. d) nurse advocates make good health care decisions for patients and residents Errors in data collection D. Second left intercostal space at the sternal border, A. Responsibility Carrying on duties associated with particular job. b) Answer the attorney's questions honestly and make sure that he understands your side of the story. Option A refers to Biot's breathing. Advising a high-fiber diet to prevent colon cancer. d) people with chronic illnesses have poor health beliefs By reviewing information to help the health care provider make decisions, the nurse serves as an advocate; this is not a caregiver role. Was the first professor of nursing at Columbia University Teachers College 90 degrees Lower the client to the floor and place a pad under the client's head. 1. Contemplative. Which are examples of chronic illnesses? What should the nurse do when communicating with this patient? The nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. It could affect the patient's cost of treatment. Factors such as help from neighbors, location of the hospital, and location of the patient are external variables. d) scope of practice Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant Which statement regarding liability is true? Validate by contacting the patient's previous doctor. Continue with existing guidelines. 3. Errors in the diagnostic statement b) only patients with visible blood, body fluids, or sweat 1. The patient is depressed due to the loss of the foot and has been prescribed antidepressants. Contributions from research build on the evidence for use of nursing diagnoses in identification of patients' health care problems. queue.addQueue(y); Which activities are included in the orientation phase of an interview? C. Decreased peristalsis and positional discomfort b) information clarification Caregiver 5th left intercostal space along the midclavicular line The fifth stage is rehabilitation, in which the patient tries to learn new ways of coping with the impairment. Diagnosis D - allows nurse to gain understanding of a patients comment. 1. Which action should be the focus of this termination phase of the helping relationship? D. Validation A. Croupette [Show more] Advocacy B. Pellagra What personal strategy for combatting compassion fatigue and promoting resiliency in a nurse given by the nursing student indicates a need for further teaching? Start A. D. Sister Callista Roy. 1. Spiritual factors 3. C. Love A. While performing the health assessment, which back-channeling techniques may the nurse use during the patient interview? A 65-year-old male patient is admitted to the hospital with severe abdominal pain. Planning Direct care of patients, Allocation of resources, Utilization of staff, and Medical and nursing research are all examples of ________. His parents want him to value good nutritional habits and they decide to deprive him of a favorite TV program when he becomes angry after they deny him foods not on his diet. B. Diabetes Mellitus Absence of symptoms and signs with normal lab reports This provides a standardized minimum knowledge base for nurses. 1. Professional doctoral program in nursing B. Instill the medication directly into the tympanic membrane a) remove gown, goggles, mask, gloves, and exit Save. A 65-year-old male patient is admitted to the hospital with severe abdominal pain. Development of a standardized NCP. "Engage in regular relaxation activities.". Which of the following is a nursing diagnosis? Internal variables include a person's developmental stage, intellectual background, perception of functioning, and emotional and spiritual factors. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. b) the importance of family 5. y = 5; 122 Celsius at 16 psi. Advising the patient to avoid milk products B. Nasal cannula Shock Upgrade Profi Nursing 101 Fundamentals of Nursing Practice Exam1, Part 1 38 studiers in the last day Terms in this set (49) During a physical assessment, the nurse closes and door and provides drape to promote privacy. The nurse teaches the patient about deep breathing exercises. Informatics. Stress from the divorce and the loss of a job B. Cyanosis D. Aspirate urine from the tubing port using a sterile syringe B. Faith6 months ago excellent TEST BANK - FUNDAMENTALS OF NURSING TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) Table of Contents Table of Contents 1 Chapter 01: Introduction to Nursing Chapter 02: Theory, Research, and Evidence-Based Practice Chapter 03: Health, Well. 1. Cultural background may also influence an individual's beliefs about causes of illness and remedies or practices to restore health. When a change in body image results from an event such as a leg amputation, the patient generally adjusts in the following phases: shock, withdrawal, acknowledgment, acceptance, and rehabilitation. D - touch conveys acceptance; open-ended question allows free verbalizing by patient. D. Nurse and doctor. Select all that apply. C. Capillary refill greater than 3 seconds and buccal cyanosis, What is the order of the nursing process? What technique(s) best encourage(s) a patient to tell his or her full story? d) stages of illness, When providing health promotion classes, a nurse uses concepts from models of health. C. Cabbage Inaccurate understanding of cues is a diagnostic error related to interpretation. Separation of data. b) Impaired Physical Mobility related to pain and discomfort 1. b) patient advocacy is primarily done by nurses Safe, High Quality. Evidence-Based Practice Instead, this question gives information regarding the patient's knowledge about the medications. "What should you know before signing an informed consent?" Genomic information allows health care providers to determine how genomic changes contribute to patient conditions and influence treatment decisions. A. Papule D. Increased rate and depth of respiration. A medical diagnosis is a general term that involves the identification of a condition based on a specific evaluation of physical signs and symptoms. Opposing current trends will not help improve the quality of nursing care, whereas accepting health care reform will be beneficial to all. 2 3. It decreases the side effects of medications. Prolonged deficiency of Vitamin C leads to scurvy and Pellagra results in deficiency in Vitamin B3. nursing fundamentals Test Bank Downloads May 2nd, 2018 - Latest 2012 Potter amp Perry 8th Fundamentals of Nursing USD 25 00 Grab It Kozier amp Erb?s Fundamentals of Nursing 2015 10e Study Aid USD 25 00 Grab It forums.usc.edu.eg 3 / 17. 2. It helps ensure effective and efficient nursing interventions. Flush d) both the nurse and the physician are responsible for their respective actions, A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. Safety Nurse and patient Ask the manager to talk with the father and keep him out of the unit. The nurse needs to understand how the Greek culture impacts the father's health beliefs and communication with health care providers. 3. What is the benefit of an accurate nursing diagnosis? A. Hypothermia Maintaining proper body image. A. A patient has a lung infection. Select all that apply. Active listening Assessment Blister, chicken pox). Situation C. Florence Nightingale 2. Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or expiration. 2. 3. Mary Adelaide Nutting was instrumental in the affiliation of nursing education with universities and became the first professor of nursing at Columbia University Teachers College in 1906. The nurse's prior clinical experience Collaboration refers to nurse interaction with interdisciplinary health professionals to provide the best possible care to the patient. 3. Place a pillow under the patient's knees 1. Validate by asking the patient directly. Maitland Stewart founded the Frontier Nursing Service, which provided the first organized midwifery service in the United States. Risk nursing diagnosis The nurse enumerates ways of dealing the situation. queue.addQueue(y - 3); cout << "Queue Elements: "; B. Vesicle Which of the following is inappropriate nursing action when administering NGT feeding? 1,3 Health promotion nursing diagnosis. c) hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor b) ethical distress C. Megaloblastic anemia Based on the holistic model of care, which activities should the nurse encourage the patients to perform? queue.deleteQueue(); Select all that apply. Jaundice is a yellow discoloration of the skin, mucous membranes and sclera caused by excessive amounts of bilirubin in the blood. 2. 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. Cultural background influences beliefs, values, and customs. Their perceptions of the serious nature of diseases and their history of preventive care behaviors (or lack of them) influence how patients will think about health. Providing a safe environment 4. 1. The staff nurse Inaccurate understanding of cues. D. A surgical opening through the abdomen to the stomach. 4. "The nurse is responsible and accountable to the patients." B. Nasal cannula B. Prescription of narcotics for pain relief is a secondary prevention, which is done after diagnosis. 4 Flashcard Maker: Kayla Seay. 1,2,4 Which tertiary preventive measures should be advised for this patient? The nurse is performing her role as a/an: Carolinas College of Health Sciences D. Increased rate and depth of respiration d) "What specific complications have you experienced? This could ruin me! 3/28/22, 6: 44 PM Fichas de aprendizaje ATI Fundamentals Practice A, B, & Final, ATI Fundamentals Review 2019 | Quizlet Page 2 of 41 A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. In this case, activities for primary prevention include counseling for smoking cessation, advising the patient to avoid milk products, and advising a high-fiber diet. The inability of the nurse to validate data may lead to a mismatch between clinical cues and the nursing diagnosis. Teamwork and Collaboration. After initial interventions, the patient regained consciousness. Educational or employment records can also provide important health-related data. Which stage of behavior change does the patient exhibit? Select all that apply. Which patient-related factors fall under health promotion nursing diagnosis? } C. Give the patient a glass of warm milk before bedtime b) a patient shows off a new outfit that she is wearing after losing 20 pounds Maslow's hierarchy model helps to understand the relationships of basic human needs. During a physical assessment, the nurse closes and door and provides drape to promote privacy. Jake is complaining of shortness of breath. 1,2,4, 4. Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia? What did Mary Adelaide Nutting contribute to the development of nursing as a profession? It is based on the belief that certain human needs are more basic than others. 4. Problem-focused nursing diagnosis describes a clinical judgment concerning an undesirable human response to a health condition or life process that exists in an individual, family, or community. A patient is affected with paraplegia following an automobile accident. The best site for verifying a pulse rate is the apex of the heart, where the heartbeat is measured directly. What is the most appropriate action? 1. The nurse practitioner has prescriptive authority and can call for investigative procedures such as chest x-rays to confirm the assessment findings. a) advocacy is the protection and support of another's rights The patient's previous medical reports and diagnostic reports help the nurse understand the patient's health status. 1,2,5 3. This results to decreased urine output. 3. a) stroke Verbal expression of worry This is an example of what type of inappropriate communication technique? It recognizes the natural healing abilities of the body. 2. Fundamentals of Nursing exam 1 - Fundamentals of Nursing Chapter 1 - Introduction of Nursing EXAM - Studocu chapters for exam 1 and exam 2in foundations fundamentals of nursing chapter introduction of nursing exam review from box pg.12 health people 2020 guidelines: Skip to document Ask an Expert Sign inRegister Sign inRegister Home 4. He does not have a primary health care provider because he has never really been sick and his parents never took him to the physician when he was a child. Initially, when the patient becomes aware of the paralysis, the sudden impairment causes shock. Diagnosis involves assessing the data to identify the nature and cause of the illness. 3. Quality Improvement is the Quality and Safety Education for Nurses (QSEN) competency that uses tools such as flowcharts and diagrams to make the care process explicit. Planning refers to developing a plan that prescribes strategies and alternatives to attain the expected outcome. 4. When entering the room, what is the nurse's best response? 1. Location of the hospital 3. The nurse must complete a master's in nursing program to become eligible for doctoral programs. This is an example of what mode of value transmission? The Doppler study of the lower extremities reveals peripheral vascular disease (PVD). Asking open-ended questions and encouraging the patient to say more are part of the working phase. Comprehensive Nursing Pharmacology NCLEX Practice | Quiz #1: 50 Questions Previous Next Comprehensive Nursing Pharmacology NCLEX Practice | Quiz #2: 50 Questions Recommended Resources Select all that apply. Opening a closed drainage system increase the risk of urinary tract infection. What is the most appropriate comment or question to elicit additional information? Exam 1 Fundamentals Of Nursing Flashcards Quizlet. 2. Fundamentals of Nursing Safety First: A Nurse's Guide to Promoting Safety Measures Throughout the Lifespan 1. Medical diagnosis 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. Blood pressure of 140/90 Environmental health. The nurse administrator also manages the different nursing services that are delivered within a health care establishment. A. Health promotion nursing diagnosis is a clinical judgment concerning motivation and the desire to increase well-being and actualize human health potential. The patient is clinically stable and is planned for discharge. 5 pages 2020/2021 None. The nurse has initiated these exercises to improve the patient's lung capacity. 2nd CN (Optic) B. Liver To promote correct anatomic alignment in a supine patient, the nurse should: 2 A group of nurses is organizing an educational session to teach the population of a particular community about the roots of cardiovascular disease and its impact on the human body. 3. Select all that apply. A nursing health promotion diagnosis is a clinical judgment of a person's, family's, or community's motivations, desires, and readiness to increase well-being. A. Pulse rate greater than 100 beats per minute The student wants to advocate for these residents. External factors impacting health practices include family beliefs and economic impact. a) diabetes mellitus B. D. Gastrostomy feeding tubes, B. Nasal packing Errors in data clustering In primary prevention, measures are taken before the occurrence of disease or dysfunction. e) a patient with MRSA Select all that apply. The nurse finds the patient to be short of breath with an increased respiratory rate of 30 breaths per minute. 2. 2. Risk nursing diagnosis 1,2,3 These data can be obtained with written permission from the patient or his guardian. Which activities are considered tertiary health promotion? b) Sarah, who lives in a low-income neighborhood B. Difficulty paying bills D. Validation. Physical examination with auscultation of the lungs Both internal and external variables influence a person's health. 2. A. 2. c) keep any promises made to a patient or another professional caregiver Independent nursing interventions involve actions that nurses initiate based on their own knowledge and skills without the direction or supervision of another member of the health care team. The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound. Utilizing hand gestures is not a genuine way to communicate with a patient from another culture. Which assessment questions should the nurse ask when obtaining data about the patient's cognitive-perceptual pattern? Errors in interpretation and analysis of data. a) a patient decides to quit smoking following a diagnosis of lung cancer 1. 3. These abilities can be used in patient care by incorporating complementary and alternative therapies such as music therapy and relaxation therapy. a) "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code." The question regarding how the health problem affects the patient and his or her family provides information regarding cultural practices followed by the family. Nursing Fundamentals Exam 1 Practice Test Flashcards | Quizlet Nursing Fundamentals Exam 1 Practice Test 5.0 (3 reviews) Term 1 / 129 A nurse is caring for a patient who recently had coronary bypass surgery. C. Administer analgesic 30 minutes before physical therapy treatment. 3. 2 4. The staff nurse is responsible for providing basic care to a group of patients in a hospital setting based on standards of professional practice. 5. b) giving advice Fundamentals of Nursing Exam 2 1) The nurse is inserting a nasogastric tube in an adult client. D. Chronic Renal Failure. a) assault To be effective, the nursing care plan developed in the planning phase of the nursing process must reflect the individualized needs of the patient. This is an example of a nurse's role as a/an: Nurse Cathy on the other hand, knows the case immediately even before a diagnosis is done. Ts To Know For Nclex Flashcards Quizlet. f) visual and hearing acuity diminishes, An experienced nurse tells a younger nurse who is working in a retirement home that older adults are different and do not have the same desires, needs, and concerns as other age groups. Assessment is collecting comprehensive patient data, The nurse is caring for a patient with end-stage lung disease. 115 cards Convert Metric Units Of Mass and Volume . 2. c) laissez-faire Complete physical, mental, and social well-being int x, y; D. Sister Callista Roy. Prolonged gasping inspiration followed by a very short, usually inefficient expiration It could produce a psychological disorder in the patient. This inability to validate leads to errors in interpretation and analysis of data. 121 Celsius at 15 psi. What does SPICES stand for? What could be the effect of an incorrect nursing diagnosis? The nurse is caring for a patient with a pressure ulcer on his left hip. Which action should the nurse take? Select all that apply. Practice! Summarize some of the current bioethical issues. Medical diagnosis This 50-question NCLEX practice quiz covers different nursing pharmacology topics but mostly anti-infectives, antibiotics, and topical agents. Identifying risk factors d) Nancy, whose family encourages regular physical examinations, Health promotion activities may occur on a primary, secondary, or tertiary level. Care for the boy using hand gestures as if he were from the local community. External variables that affect the health of a person include socioeconomic factors such as cultural background, employment status, and family practices. Foundation of Nursing Questions and Answers. Create your own Quiz . The nurse does not need medical orders to prescribe breathing exercises in this case. Select all that apply. The amputation resulted in a change in physical appearance that caused a change in body image. a) fill the silence with lighter conversation directed at the patient Health is not only the state of being free from illness or injury or the absence of signs and symptoms. It's a new age and the ethics are new!" 18 cards Monica E. Theory Final Exam . Back channeling reinforces interest in what the patient has to say and shows the nurse's desire to hear the full story. B. Select all that apply. B. Errors in data clustering Secondary prevention focuses on individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions. Referring the patient for vocational retraining An incorrect nursing diagnosis may affect the quality of patient care. The patient is not alcoholic but is allergic to milk and seafood. It is the gradual decrease of the body's temperature after death: B. Dorothea Orem Defining characteristic. According to Patricia Benner's category in specialization in nursing, Annie is a/an: The clinical instructor is discussing about the Nursing Process. 1. a) white male diagnosed with HIV 1. A 76-year-old patient with peripheral vascular disease (PVD) developed gangrene of the left foot and underwent an amputation. c) plan care in partnership with patients a) cliche' 2. It reduces the cost of treatment to the patient. f) otitis media, Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. The clinical nurse specialist. Fundamentals of nursing include basic nursing skills, caring for the perioperative patient, positioning patients, medication administration, patient safety, and more. The nursing diagnosis improves the selection of nursing interventions by nurses in all practice settings, not specific settings. Fulfilling psychosocial need 3. 4. It includes diagnostic label, etiological statement, and symptoms or defining characteristics. 6 months The nurse administrator is responsible for managing the quality of patient care provided by the nurses. The head nurse is teaching student nurses about internal and external variables related to the development of a disease. b) student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse 1 B. 3. c) justice a) the nurse is not responsible, because the nurse was merely following the doctor's orders a) risk factors In this case the patient's language, age, and gender are internal variables. This may trigger nausea and vomiting, During application of medication into the ear, which of the following is inappropriate nursing action? 1. Pia's serum sodium level is 150 mEq/L. Claire is admitted with a diagnosis of chronic shoulder pain. f) a white baby born with cerebral palsy, A nurse has volunteered to give influenza immunizations at a local clinic. the patient who have undergone oral or nasal surgery, infants and those who have history of seizures, etc.). 3 months Algor mortis is the decrease of the body's temperature after death. Select all that apply. (Nursingcrib.com, nclexreviewers.com, nclexonline.com). The nurse is teaching a group of nursing students about the application of a nursing diagnosis to nursing practice. 2. B. c) being judgmental Which information is important in assisting the parents in this decision? Much of the nursing care related to secondary prevention is delivered in homes, hospitals, or skilled nursing facilities. A. Brachial artery Responding to a patient's questions is a part of educating the patient, not giving care. A registered nurse should adopt an environmentally healthy and safe approach. She wants to enroll in a program that is of short duration and makes her eligible to take the nursing licensure exam. 1) Direct care of patients. 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. - info medical personnel can look at "I just don't have any energy to get out of bed in the morning." 3. The nurse would interpret these findings as indicating which stage of infection? Use of open-ended questions Inaccurate data Introduce yourself and explain your role. Teamwork and collaboration Which statements are the examples of this process? A. a.allow the child to Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew d) board approval, If a review of a patient's record revealed that she never consented to a surgery, of which intentional tort might the surgeon have been guilty? "How often do you visit your healthcare setting?" The patient wants to go home on oxygen and be comfortable. Broccoli, cabbage and tomatoes are good source of Vitamin C. When assessing a patient's level of consciousness, which type of nursing intervention is the nurse performing? 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. While teaching about Quality and Safety Education for Nurses (QSEN) competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit." 5. The nurse has many roles to perform. The nurse suspects a pulmonary pathology and asks for a chest x-ray to confirm the findings. b) the nurse has visibly soiled hands after changing the bedding of a patient 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. queue.addQueue(x); B. Dorothea Orem Which nursing assessments would be best for the nurse to use to confirm a lung problem? Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. c) decrease in size and function of the thymus causes infections A patient in the contemplative stage will consider making lifestyle changes for the next 6 months. The nurse is conducting a home visit with an older adult couple. "Care delivery by nurses is only based on orders given by the health care provider." f) nurses should not let their values influence patient care, Five-year-old Bobby has dietary modifications related to his diabetes. 159 cards Nursing Fundamentals Of Nursing Practice all cards What are the most important roles of the nurse (5) Caregiver Advocate Educator Researcher Leader What are the 5 steps in the nursing process?
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