What is the most appropriate comment or question to elicit additional information? The nurse is responsible for the care delivered to the patient and is accountable to the patients. The patient complains of pain in the legs. . The boy's father is with him while his mother and sister are back in Greece. Diagnosing, assessing, planning, implementing, evaluating It attempts to create conditions for optimal health. Established the Frontier Nursing Service 1. 4. Low blood pressure 5. 2. B. a) the nurse is not responsible, because the nurse was merely following the doctor's orders d) scope of practice 2. It is commonly done for infants, unconscious patients, disoriented patients, or in emergencies. 3. Which standard of practice is the nurse performing? . The nurse understands that tachypnea means: Encouraging the patient to exercise is a tertiary prevention against complications and disabilities related to peripheral vascular disease. 4. Annie is performing her duties well without supervision but still needs more experience and practice to develop a consciously planned nursing care. B. Risk diagnosis Diagnosis b) autonomy 1) Completeness (Disclosure) - tell patient everything regarding a treatment decision. However, a rectal temperature is contraindicated in patients having rectal disease, rectal surgery or diarrhea), The usual sequence for assessing the bowel is: External variables that affect the health of a person include socioeconomic factors such as cultural background, employment status, and family practices. e) value systems are not related to personal codes of conduct Development of a standardized NCP. 3rd intercostal space to the left of the midclavicular line b) values act as standards to guide behavior Autonomy involves the initiation of independent nursing interventions without medical orders. 3. The nurse is having difficulty communicating with the father. 3. The current health care provider's diagnosis will decide will the final diagnosis based on examinations and diagnostic tests. 1. Score will be posted as soon as . Was the first professor of nursing at Columbia University Teachers College The patient's age and gender. Arrange the stages of a patient-centered interview in the appropriate order. Identifying vulnerable people 3. 3. b) information clarification a) a patient decides to quit smoking following a diagnosis of lung cancer D. Decreased urine output Maintaining proper body image is not included in the holistic model. Select all that apply. A. Which characteristics best describe these changes? C. 3-day diet recall Maybe we're evolving out of the ethical sense your generation had." b) the nurse has visibly soiled hands after changing the bedding of a patient c) medication administration Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or expiration. B. 2. Fundamentals of Nursing Final Exam Test Bank new exam practice question and answers 2021 docs $16.99 Add to cart Quickly navigate to. [irp] Nclex Rn 31 Flashcards Quizlet. During the Quiz End of Quiz. Environmental health. 1. 5. Love and belonging refers to the need for relationships, and self-actualization is the need to feel fulfilled in life. 2. 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. Maitland Stewart founded the Frontier Nursing Service, which provided the first organized midwifery service in the United States. Nclex questions for Fundamentals of Nursing w, End of the module quiz (exponential form), Inleiding: HFS 3; journalistiek en deontologie, Nursing 101 Fundamentals of Nursing Practice, Julie S Snyder, Linda Lilley, Shelly Collins, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert. The nurse is working with a young childbearing family who has one child with a congenital heart disease. Total absence of all diseases, disorders, and syndromes. The holistic health model attempts to create conditions for optimal health. 1. b) the nurse places soiled bed linens and hospital gowns on the floor when making the bed It is used to understand the relationships of basic human needs. The patient's safety supersedes the convenience in scheduling this procedure. b) Answer the attorney's questions honestly and make sure that he understands your side of the story. The nurse researches aging theories that attempt to describe how and why aging occurs. The nurse practitioner has prescriptive authority and can call for investigative procedures such as chest x-rays to confirm the assessment findings. The nurse asks the patient if he or she has a history of substance abuse that has caused this pain. Which of these is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? Rigor mortis is the stiffening of the body that occurs about 2-4 hours after death. Do you use soap or shower gel?" The staff nurse is responsible for providing basic care to a group of patients in a hospital setting based on standards of professional practice. Catalyst _____. f) a nurse teaches new parents how to choose and use an infant car seat, The agent-host-environment model of health and illness is based on what concept? D. 0 degree. 2. Quality Improvement The parents are trying to determine the risks of a second child being born with congenital heart disease. Fundamentals of Nursing Chapter 1 - Fundamentals of Nursing - Chapter 1 Advanced practice registered - Studocu About nursing today fundamentals of nursing chapter advanced practice registered nurse (aprn) generally the most independently functioning nurse. D. Assist the patient in fowler's position, A. c) Tricia, who has a family history of breast cancer 1. Prolonged deficiency of Vitamin B9 leads to: A 50-year-old patient is admitted with acute exacerbation of asthma. Being free from illness or injury c) the nurse removes gloves when patient care is completed 2 A. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? Nursing education includes a theoretical body of knowledge leading to defined skills, abilities, and norms. Prescription of antidepressants is a secondary prevention activity. Acceptance. A patient is affected with paraplegia following an automobile accident. d) most nursing programs carry group professional liability making student personal professional liability insurance unnecessary, A nurse caring for patients in the intensive care unit develops values from experience to form a personal code of ethics. Symptoms C. Capillary refill greater than 3 seconds and buccal cyanosis, What is the order of the nursing process? Select all that apply. The physician orders an oxygen therapy for him. This results to decreased urine output. c) a patient chooses to work fewer hours following a stress related myocardial infarction "Get adequate sleep regularly." a) incubation period The nurse documents this as: 5. C. Megaloblastic "Research gives backing to nursing diagnoses that are used to identify a patient's health care problem." c) values are ranked on a continuum of importance b) african american teenager who is 6 months pregnant c) invasion of privacy During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 minutes following assessment. A concept map helps the nurse think critically about the diagnosis of a patient. Which communication skills is most effective in dealing with covert communication? Physical examination with auscultation of the lungs 3. The nurse would interpret these findings as indicating which stage of infection? Educator b) licensure B. Assessment involves collecting data pertaining to patient's health or situation. Good luck! a) Imbalanced Nutrition: More than body requirements related to immobility 3,4 The statement indicates that the patient is in the stage of withdrawal. 3. Exploring new methods of providing care will enable nurses to provide care according to changing health care needs, because many nurses may need to work in community health centers, schools, and senior centers. 1,3,4,& 5 Select all that apply. After meeting the surgeon, the client decides to consult with a different surgeon about treatment options. The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound. Validate the findings with information from the patient's family. B. Cyanosis Seeing his pastor as a means of support Providing a safe environment 4. Strategy 4: Practice! 2. e) lifespan depends on a great extent to genetic factors 30 degrees C. Algor mortis Which of the fol. Following an assessment, the nurse is formulating a nursing diagnosis using the PES format. Problem-focused nursing diagnosis 3. Professional doctoral program in nursing Health does not refer to the state of total absence of all diseases, disorders, and syndromes but also includes components of mental health and spiritual health. 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. A. Brachial artery The nurse's hands are not visibly soiled. Accountability A patient states that he has difficulty sleeping in the hospital because of noise. It enhances the nursing care provided to the patient. Ensures standard nursing care for all patients Practice! According to the World Health Organization (WHO), what is the definition of health? A. 4. After initial interventions, the patient regained consciousness. Which of the following is a nursing diagnosis? If the head of the bed is elevated, the abdominal muscles and organs can be bunched up, altering the findings. 1. Select all that apply. a) appellates A. Martha Rogers Select all that apply. Diagnosis Flush 4. When entering the room, what is the nurse's best response? 2. Health promotion nursing diagnosis is a clinical judgment of a patient's motivation, desire, and readiness to increase well-being. Instead, it gives information regarding the patient's health status. Select all that apply. B. Right lower lobe, right upper lobe, left upper lobe, left lower lobe C. Right hypochondriac, left hypochondriac and umbilical regions 4. A. Hypothermia C. 3-day diet recall Asking open-ended questions and encouraging the patient to say more are part of the working phase. queueType queue; Planning refers to developing a plan that prescribes strategies and alternatives to attain the expected outcome. Validating data refers to confirming the genuineness of the data collected. 267 Cards -. d) cystic fibrosis 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. e) nomalficence, A professional nurse committed to the principle of autonomy would be careful to: D. Tomatoes. D. Adduct the patient's shoulder. Select all that apply. 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. A. Martha Rogers Based on Benner's theory she is a/an: Newborn screening is done to every newborn in the Philippines. "Nursing diagnosis offers an approach to ensure comprehensive nursing assessment." [23] 1. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. This is a good example of: The nurse is learning about the holistic health model of nursing. 3. A rectal temperature is usually recommended whenever an oral temperature is contraindicated (e.g. 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. 2 Founded public health nursing in New York City It is inconvenient and impractical to contact the patient's previous physician or nurse to obtain data about the patient. Independent Use attentive techniques and encourage the patient to say more. Errors in the diagnostic statement occur when the etiology portion of the diagnostic statement goes the nurse's scope of practice. 3) Voluntariness - The patient must be free to accept or reject the treatment; no pressure or coercion to give consent. a) keep splashes on the sterile field to a minimum 1. [Show more] External factors impacting health practices include family beliefs and economic impact. a) fatty tissue is redistributed B. Select all that apply. A 76-year-old patient with peripheral vascular disease (PVD) developed gangrene of the left foot and underwent an amputation. It includes diagnostic label, etiological statement, and symptoms or defining characteristics. 2. a) assault B - implementation of nonthreatening information by showing respect. The standards of practice are planning, diagnosis, and assessment. 2. The patient is depressed due to the loss of the foot and has been prescribed antidepressants. a) a patient with rubella A. The nurse assesses his respiratory rate to be 30 breaths per minute and . 3. Which patients would be considered vulnerable populations? C. Doctor and family It is based on the belief that certain human needs are more basic and need to be met before others. A 76-year-old patient has come to a clinic for a regular check-up. 2. 3 The nasal cannula is the most comfortable method of delivering oxygen because it allows the patient to talk, eat and drink. D. 0 degree 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." 800 to 1,400 ml A. Scurvy The nurse combines conventional medicine along with complementary and alternative therapies, which are effective, economical, and noninvasive. Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. queue.addQueue(x + 5); 3-day diet recall is an example of dietary history. a) "I'm sorry, but I can't talk with you. Pulse greater than 100 beats per minute is tachycardia. Patient-centered care 4. Which level of need is the nurse addressing, according to Maslow? 4. Select all that apply. 1. 2. Adreno-cortical response is activated. The correct order of the nursing process is assessing, diagnosing, planning, implementing, evaluating. A patient in the action stage of behavior change will actively engage in change. 1. 5. 2. queue.addQueue(16); 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. During the teaching session, he asks, "What type of foods should I avoid to prevent gas?" A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. Which statements best describe a characteristic of the development of a personal value system? From which potential sources might the nurse obtain patient information? Defining characteristics of a patient involves observable assessment cues such as patient behavior and physical signs that support each problem-focused diagnostic judgment. b) use the time to perform the care that is needed uninterrupted Which is an example of an interpreting error in nursing diagnostics? Failure to seek guidance Referring the patient to social support groups Select all that apply. Closed-ended questions do not encourage storytelling. Situation C. Algor mortis 1,2,3 Play as. Which statements are the examples of this process? B. Nasal packing Flashcard Maker: Kayla Seay. Tertiary measures are taken after permanent, irreversible disability and focus on rehabilitation. 4 f) a patient proudly displays his certificate for completing a marathon, The American Association of Colleges of Nursing identified five values that epitomize the caring professional nurse. A - maintain confidentiality; non judgemental. "How does this health problem affect you and your family?" Caregiver If a patient sues a nurse for malpractice, the patient must be able to prove: a) public law Vesicular breath sounds are low pitch, soft intensity on expiration. The nurse has to obtain his health history, and asks the patient various open-ended questions. B. Nasal cannula The patient's question allows for what type of communication? The most comfortable method of delivering oxygen to Mr. Jose is by: 2. B. Apex of the heart What did Mary Adelaide Nutting contribute to the development of nursing as a profession? 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. 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. Fundamentals of Nursing Safety First: A Nurse's Guide to Promoting Safety Measures Throughout the Lifespan 1. 4 c) behaviors to promote health Mark the letter of the letter of choice then click on the next button. 4. According to this model, the purpose of nursing is to help man achieve maximum health in his environment. When entering the room, what is the nurse's best response? 4. 3,4,5 The nurse identifies it as which type of diagnosis? Select all that apply. Advice or assistance from other nurses in the facility. It's impossible to be ethical when working in a practice setting like this! The nurse's knowledge about this patient would result in which type of assessment approach at this time? Martha Roger's life process model views man as an evolving creature interacting with the environment in an open, adaptive manner. Back channeling reinforces interest in what the patient has to say and shows the nurse's desire to hear the full story. The nurse is conducting a physical assessment on a patient admitted to the hospital with hypertension. Shock 1. In this case the patient's language, age, and gender are internal variables. D. Aspirate urine from the tubing port using a sterile syringe } Inaccurate understanding of cues. a) white male diagnosed with HIV B. Liver queue.addQueue(y); a) Jane, whose best friend had a benign breast lump removed Encourage client to implement guided imagery when pain begins. 110 Report Document Comments Please sign inor registerto post comments. 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. What is this sort of credential called? Deep breathing exercises and chest physiotherapy are performed to prevent respiratory complications. C. Marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea Patient education is a major role of the nurse educator. b) a patient with diptheria 5th left intercostal space along the midclavicular line 3) Utilization of staff. D. Macule. 5. Health promotion nursing diagnosis is a clinical judgment concerning motivation and the desire to increase well-being and actualize human health potential. c) only patients with nonintact skin B. 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. Which patient-related factors fall under health promotion nursing diagnosis? 3. B. a) violations that may result in disciplinary action According to Maslow's hierarchy of needs, which of the following is a basic physiologic need after oxygen? The height of the feeding is above 12 inches above the point of insertion, bot 20 inches. c) use forceps soaked in a disinfectant 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. e) the nurse uses friction motion when washing for a least 15 seconds What technique(s) best encourage(s) a patient to tell his or her full story? Select all that apply. d) changing the subject, A 76-year-old patient states, "I have been experiencing complications of diabetes." d) "What specific complications have you experienced? According to Maslow, activity is one of the man's most basic physiologic needs, along with oxygen, shelter, food, water, thirst, sleep and temperature maintenance. The registered nurse implements the identified plan, which includes care coordination, health teaching, health promotion, consultation, prescriptive authority, and treatment. 5. The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. A client is receiving 115 ml/hr of continuous IVF. Pia should avoid food high in sodium like processed food. Expansion of the current taxonomy of nursing diagnosis Use sterile gloves when obtaining urine d) stages of illness, When providing health promotion classes, a nurse uses concepts from models of health. "Do you know about the side effects of the medications that you are using?". Pallor is an unnatural paleness or absence of color in the skin indicating insufficient oxygen and excessive carbon dioxide in the blood. Select all that apply. 3 4. The test covers a range of topics, including anatomy and physiology, pharmacology, and nursing practices. 3 B. b) "I don't agree that nurses were more ethical in the past. Explore new methods of providing care. c) certification d) health as a constantly changing state, A nurse follows accepted guidelines for a healthy lifestyle. a) advocacy is the protection and support of another's rights The P stands for problem, the E stands for etiology or related factor, and the S stands for symptoms or defining characteristics. Back channeling Acknowledgement b) a patient shows off a new outfit that she is wearing after losing 20 pounds C. Nasal catheter Educational or employment records can also provide important health-related data. Independent A. Select all that apply. All the flowing are essential standard precautions used in the care of all patients irrespective of whether they are diagnosed infectious or not, except one. a) only patients with diagnosed infections c) assuming a dependent role d) the nurse cleans the most soiled items in the patient's bathroom first and follows with the cleaner items, C - nurse should move equipment away from body when cleaning to prevent contaminated particles from settling, A school nurse is performing an assessment of a student who states: "I'm too tired to keep my head up in class." c) the nurse to give advice C. Florence Nightingale (Nursingcrib.com, nclexreviewers.com, nclexonline.com). 3. 3. Location of the patient This inability to validate leads to errors in interpretation and analysis of data. Which type of nursing diagnosis is being followed in this scenario? 2 B. Sardines The nurse's relationship doesn't directly affect the assessment, and taking advice from other nurses doesn't help the nurse form proper assessments. Nurses have the right to participate in the decision-making process for the patient, so they need not always rely on the prescription given by the health care provider for delivering care. Diagnosis is analyzing data to determine problems. B. Vesicle D - allows nurse to gain understanding of a patients comment. a) risk factors Notify the health care provider immediately. 2,3,5 3. c) plan care in partnership with patients C. Making of individualized patient care By reviewing information to help the health care provider make decisions, the nurse serves as an advocate; this is not a caregiver role. 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. C. Assessing, diagnosing, planning, implementing, evaluating A. Which statement made by the patient indicates that the patient is experiencing a problem with body image? Using decision support systems is an example of using and gaining competency in informatics. Question 4 1 out of 1 points A client is having difficulty climbing stairs and reports shortness of breath. "How often do you visit your healthcare setting?" Option B is apneustic breathing and option C is the Cheyne-stokes breathing. B. Diabetes Mellitus The critical care nurse is using a computerized decision support system to correctly position ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. 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. 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. Errors in data clustering occur when the nurse clusters prematurely, incorrectly or not at all. A medical diagnosis is a general term that involves the identification of a condition based on a specific evaluation of physical signs and symptoms. 4. 3. 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? "Nursing diagnosis improves the selection of nursing interventions by nurses in certain practice settings.". d) a patient with tuberculosis S - skin breakdown, A nurse is following the principles of medical asepsis when performing patient care in a hospital setting. a.allow the child to Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Jake is complaining of shortness of breath. Helping the patient improve health status 4.. D - touch conveys acceptance; open-ended question allows free verbalizing by patient. 4. 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. b) malnutrition b) demographic variables 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. 1. The amputation resulted in a change in physical appearance that caused a change in body image. Maintenance A. 1) Direct care of patients. Master's degree in nursing. Pia's serum sodium level is 150 mEq/L. Increased adrenalin production in the immobile patient results in decrease peristalsis and colon motility and more tightly constricted sphincters. After meals A. Seen in metabolic acidosis and renal failure. 1. 5. D. Lung Data clusters are meaningful and usable patient data that are organized at the initial stage of analysis and interpretation of assessment data. C. Gurgles This is an example of what type of inappropriate communication technique? A home health care nurse visits a patient's home to change a wound dressing. Nurse and patient Referring the patient for vocational retraining 5. Cultural variables must be incorporated into the child's plan of care. Implanting a prosthetic foot in the left leg She also views the goal of nursing as helping the patient to develop self-care practices to maintain maximum wellness. 3. Diagnosis This quiz consists of 25 important fundamental questions of nursing. 1 A nurse manager is teaching staff how to use a new piece of hospital equipment. "I just don't have any energy to get out of bed in the morning." An advocate protects the patient's human and legal right to make choices about care. Medical diagnosis c) hispanic male who has type II diabetes 1 A patient with a 20-year history of diabetes mellitus had a lower leg amputation. 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. B. A. 4. Physiological A nursing risk diagnosis describes human responses to health conditions or life processes that may develop in a vulnerable individual, family, or community. 5. 3. Utilizing hand gestures is not a genuine way to communicate with a patient from another culture. Select all that apply. D. A surgical opening through the abdomen to the stomach. (1) Assessment (2) Nursing Diagnosis (3) Planning (4) Implementation (5) Evaluation 99 Add to cart. B. Nasal cannula 3. C. Megaloblastic anemia D. Press the tragus of the ear a few times to assist flow of medication into the ear canal. The patient's previous medical records and data d) the nurse keeps hands higher than elbows when placing under faucet
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