Basic Care

Question 1

A student nurse approaches the instructor and states” the staff nurse tolf me to witness the surgical consent after the surgeon signs it.” Which is the best response by the instructor?

Answer 1

Students are not to serve as a witness to legal papers. Lets explain this to the staff nurse.

Question 2

The nurse is caring for a client that has been confused and climbing out of the bed. Which action should the nurse take if the nurse must leave the room to take care of another client?

Answer 2

Don’t leave the client alone and request that another nurse sit one on one with the client.

Question 3

A nurse discovers that a neighbor is a client on the unit in which the nurse works although the nurse is not assigned to care for that client. The nurse accesses the electronic medical record (EMR) to find out what the client’s diagnosis is. What action may clients take if they are aware of this type of incident?

Answer 3

Report the incident as a HIPPA violation.

Question 4

A staff nurse comes to work and accepts the assignments of clients. After a verbal altercation with the nurse manager about the assignment, the nurse states “I quit” and leaves the facilites. Which action may the nurse manager take?

Answer 4

Report the nurse for abandonment of care.

Question 5

A client is to be transfered from the acute care facility to a rehabilitation facility after suffering a stroke. The nurse is gathering papers to send to the accepting facility but is unsure what to send. Which action should the nurse take?

Answer 5

Consult the charge nurse.

Question 6

Deficiency Needs

Answer 6

simple survival needs

Question 7

Growth needs

Answer 7

related to personal fufilment

Question 8

Hierarchy of Needs

Answer 8

Needs are ranked from the lowest to the highest levels of importance to the individual’s survival.

Question 9

Hierarchy of Needs steps 1-5

Answer 9

Physiologic needs, safety needs, love needs, esteem needs, self-actualization needs

Question 10

Physiological Needs

Answer 10

Need for air, water, elimination, rest and sleep, and thermoregulation. Sex is unnecessary for individual survival, but it is necessary for the survival of mankind.

Question 11

Safety needs

Answer 11

Need for shelter and freedom from harm and danger.

Question 12

Love needs

Answer 12

Need for affection, feelings of belongingness, and meaningful reactions with others.

Question 13

Esteem needs

Answer 13

Need to be well thought of by oneself as well as by others.

Question 14

self-actualization needs

Answer 14

Need to be self-fufilled, learn, create, understand, and experience one’s potential.

Question 15

Are the primary nursing priorities.

Answer 15

basic survival needs

Question 16

Regression

Answer 16

Focussing on a lower level need that has already been fufilled, is common in illness or injury.

Question 17

Example of Regression

Answer 17

A client recovering from an illness will focus their physical and emotional energies on recovery (physical needs) before returning to employment (security).

Question 18

Survival needs-is the client lacking oxygen?

Answer 18

The nurse looks for cyanosis (blueness of the skin) and difficulty breathing

Question 19

Safety needs-is the client likely to fall?

Answer 19

The nurse looks for an unsteady gait, bruising on the limbs, and history of paralysis.

Question 20

Belonging needs-is the client crying, depressed, or angry?

Answer 20

The nurse looks for isolation from other and an inability to control frustration.

Question 21

As a nurse, you will constantly evaluate the oxygentation status of your clients. Various situations can threaten the body’s oxygen supply.

Answer 21

Emphysema, asthma, paralysis, or secretions may make breathing diffucult; circulation may be impaired, this preventing oxygen from reaching the cells.