Exam 1 Flashcards
Which caring process would be included in Swanson's theory? (select all) A.) Bias B.) Knowing C.) Doing for D.) Being with E.) Randomization
B.) Knowing
C.) Doing for
D.) Being with
Which of the following is an example of a patient with a health disparity? (select all)
A.) A patient who is a homosexual sexual preference
B.) A patient unable to access primary care services
C.) A patient living with a chronic disease
D.) A family who relies on public transportation
E.) A patient who has had a history of smoking for 10 years
B.) A patient unable to access primary care services
C.) A patient living with a chronic disease
E.) A patient who has had a history of smoking for 10 years
A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an appointment at the local health clinic to get an annual mammogram because she has no transportation. She gets the annual screening because her mother had breast cancer. Which of the following are social determinants of this woman’s health? (Select all that apply.)
A.) Medicaid insurance B.) Annual screening C.) Mother’s history of breast cancer D.) Lack of transportation E.) Woman’s age
A.) Medicaid insurance
D.) Lack of transportation
E.) Woman’s age
During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient may have a health literacy problem?
A.) Patient has difficulty completing a registration form at a medical office
B.) Patient asks for written information about a health topic
C.) Patient speaks Spanish as primary language
D.) Patient states unfamiliarity with a newly ordered medicine
A.) Patient has difficulty completing a registration form at a medical office
A nurse desires to communicate with a young woman who is Serbian and who has limited experience with being in a hospital. The nurse has 10 years of experience caring for Serbian women. The patient was admitted for a serious pregnancy complication. Apply the LEARN model and match the nurse’s behaviors with each step of the model.
A.) The nurse notes that she has learned that fathers can visit mothers at any time in both Serbia and the United States.
B.) The nurse shares her perception of the woman’s experiences as a patient.
C.) The nurse asks the patient how she can maintain bed rest when she returns home.
D.) The nurse attends to the patient and listens to her story about hospitals in Serbia.
E.) The nurse involves the patient in a discussion of the treatment options for her condition.
L: D.) The nurse attends to the patient and listens to her story about hospitals in Serbia.
E: B.) The nurse shares her perception of the woman’s experiences as a patient.
A: A.) The nurse notes that she has learned that fathers can visit mothers at any time in both Serbia and the United States.
R: E.) The nurse involves the patient in a discussion of the treatment options for her condition.
N: C.) The nurse asks the patient how she can maintain bed rest when she returns home.
Health care organizations must provide which of the following based on federal civil rights laws? (Select all that apply.)
A.) Provide language assistance services at all points of contact free of charge.
B.) Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services.
C.) Use patients’ family members to interpret difficult topics.
D.) Ensure that interpreters are competent in medical terminology.
E.) Provide language assistance to all patients who speak limited English or are deaf.
All the above
A.) Provide language assistance services at all points of contact free of charge.
B.) Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services.
C.) Use patients’ family members to interpret difficult topics.
D.) Ensure that interpreters are competent in medical terminology.
E.) Provide language assistance to all patients who speak limited English or are deaf.
A nurse working in a large occupational health clinic knows that many of the workers at her company are marginalized and at risk for poor health outcomes. Which of the following individuals are most likely to be marginalized?
A.) Wives of the employees
B.) The head supervisors of the company
C.) Workers who have a high school education
D.)Workers employed for less than a year at the company
C.) Workers who have a high school education
A mother is concerned about her child’s flulike symptoms. You learn from the health assessment that the mother practices use of “hot” and “cold” foods to treat ailments. Which of the following foods do you expect the mother to use to treat her child?
A.) Chicken
B.) Yogurt
C.) Fresh fruits
D.) Eggs
D.) Eggs
Which explanation provided by the nurse is the most accurate meaning for “providing culturally congruent care”?
A.) It fits the patient’s valued life patterns and set of meanings.
B.) It is the same set of values as those of the health care team member providing daily care.
C.) It holds one’s own way of life as superior to those of others.
D.) It redirects the patient to a more socially expected set of values.
A.) It fits the patient’s valued life patterns and set of meanings
Which statement made by a new graduate nurse about the teach-back technique requires intervention and further instruction by the nurse’s preceptor?
A.) “After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient’s technique.”
B.) “The teach-back technique is an ongoing process of asking patients for feedback.”
C.)“Using teach-back will help me identify explanations and communication strategies that my patients will most commonly understand.”
D.) “Using pictures, drawings, and models can enhance the effectiveness of the teach-back technique.”
A.) “After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient’s technique.”
Match the cultural concepts on the left with the correct definitions
- Etic world view __________
- World view __________
- Cultural desire __________
- Intersectionality __________
- Emic world view __________
a. Factor that shapes how people perceive others and how they relate to reality
b. Insider’s perspective in an intercultural encounter
c. A policy model that describes factors and power structures that shape and influence life
d. An outsider’s perspective in an intercultural encounter
e. The motivation of a health care professional to “want to” engage in cultural competency
1: d, 2: a, 3: e, 4: c, 5:b
A nurse enters a patient’s room at the beginning of a shift to conduct an assessment of his condition following a blood transfusion. The nurse cared for the patient on the previous day as well. The patient has a number of issues he wishes to share with the nurse, who takes time to explore each issue. The nurse also assesses the patient and finds no signs or symptoms of a reaction to the blood product. The 209nurse observed the patient the prior day and sees a change in his behavior, a reluctance to get out of bed and ambulate. Which of the following actions improve the nurse’s ability to make clinical decisions about this patient? (Select all that apply.)
- Working the same shift each day
- Spending time during the patient assessment
- Knowing the early mobility protocol guidelines
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation
- Spending time during the patient assessment
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation
Match the concepts for a critical thinker with the application of the term.
- Truth seeking
- Open-mindedness
- Analyticity
- Systematicity
a. Anticipate how a patient might respond to a treatment.
b. Organize assessment on the basis of patient priorities.
c. Be objective in asking questions of a patient.
d. Be tolerant of the patient’s views and beliefs.
1:c, 2:d, 3:a, 4:b
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:
- Creativity.
- Fairness.
- Clinical reasoning.
- Applying ethical criteria.
- Applying ethical criteria.
The REFLECT model can improve learning after providing patient care. Place the steps of this model in the correct order:
- Think about your thoughts and actions at the time of a situation.
- Review the knowledge you gained from the experience.
- Review the facts of the situation.
- Set a schedule for completing your plan of action.
- Consider options for handling a similar situation in the future.
- Recall any feelings you had at the time of the situation.
- Create a plan for future situations.
3,1,6,2,5,7,4
One element of clinical decision making is knowing the patient. Which of the following activities affect a nurse’s ability to know patients better? (Select all that apply.)
- Caring for similar groups of patients over time
- Reading the evidence-based practices appropriate to patients
- Learning how patients typically respond to their clinical situations
- Observing patients
- Engaging with patients experiencing illness
- Caring for similar groups of patients over time
- Learning how patients typically respond to their clinical situations
- Observing patients
- Engaging with patients experiencing illness
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?
- Responsibility
- Humility
- Accurate
- Fairness
- Responsibility
A nurse has been caring for a patient with a chronic wound that has not been healing. The nurse talks with a nurse specialist in wound care to find alternative approaches from what the health care provider ordered for dressing the wound. The two decide that because of the patient’s allergy to tape a nonallergenic dressing will be used. The nurse obtains an order from the health care provider for the new dressing. After two days there is improvement in the wound. This is an example of which critical thinking standards? (Select all that apply.)
- Clear
- Broad
- Relevant
- Risk taking
- Creativity
- Relevant
- Risk taking
- Creativity
nurse is assigned to care for a woman who is expecting her first child. The nurse organizes herself and plans to gather data about the patient by applying Pender’s health promotion model, including the patient’s characteristics and experiences and situational influences. She plans to observe patient behavior and consider the patient’s psychosocial issues. Such data will offer a clear understanding to help the nurse identify the patient’s needs. This is an example of which of the following concepts? (Select all that apply.)
- Diagnostic reasoning
- Deductive reasoning
- Inductive reasoning
- Assessment
- Problem solving
- Deductive reasoning
4. Assessment
A nurse is caring for a patient who has poor pain control. The patient has a history of opioid abuse. During the day the patient made frequent requests for a pain medication. In order to make an effective clinical decision about this patient, the nurse needs to ask questions about the data available on the patient to make a thorough and thoughtful decision. The nurse asks herself, “How does my view about the patient’s pain tolerance compare with the patient’s, and does that pose a problem?” This is an example of:
- A question about assumptions.
- A question about evidence.
- A question about procedure.
- A question about perspective.
- A question about perspective.
