NUR 164 Exams Review Flashcards
The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?
Their own cultural orientation
T/F As primary caregivers, nurses are NOT involved in identifying, preventing, controlling, and teaching the patient about infection.
False
The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of nurses to help make needed changes in health care. Which are included in the six prelicensure knowledge, skills, and attitudes (KSAs) for nursing and graduate students?
- Patient-centered care
- Teamwork and Collaboration
- Evidence-based Practice
There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing?
Person
All of the following are factors to consider when caring for clients with limited income. Which one is the most important?
Basic human needs may go unmet.
A 20-year-old housekeeper, born and educated in Iraq, wears the traditional clothing and head covering. A 50-year-old client tells the nurse, “They are in our country and should dress like we do.” What is this statement an example of?
Cultural Imposition
A client is demonstrating signs of spiritual distress. In which way would the nurse fail to provide spiritual care to this client?
The nurse does not understand the relationship between mind, body, and spirit.
A client in a physician’s office has a blood pressure (BP) reading of 150/92 mm Hg. What must be considered prior to this client being diagnosed as having hypertension?
The client must have at least two blood pressure reading that are elevated for the diagnosis.
The nurse is applying evidence-based practice (EBP) during a client’s wound care. What characteristics of evidence-based practice (EBP) does the nurse demonstrate?
- The nurse blends the science and art of nursing.
- The nurse uses the best evidence available
- The nurse is using a problem-solving approach.
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?
Know the client’s cultural personal space preferences.
In what way can a nurse differentiate strong research from poor research?
By critiquing the study
During an assessment, a client reports performing self-care techniques to balance the hot disease state of diabetes. Which health belief should the nurse realize that this client practices?
Holistic
A beginning student is reading a published research article. Where in the article would the student find the abstract?
At the beginning.
Which site is used to auscultate blood pressure?
Brachial
Fungi
Plant-like organism present in air, soil, and water.
Bacteria
Most significant and most prevalent in hospital settings
Virus
Smallest of all microorganisms.
The nurse recognizes that the most common way for microorganisms to spread is through
Direct Contact
Various sounds are heard when assessing a blood pressure. What does the first sound heard through the stethoscope represent?
Systolic Pressure
The nurse is caring for a client with Clostridium Difficile. What actions should nurse take?
- Wear a gown when caring for the client.
- Put on gloves before entering the client’s room
A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse’s license to practice nursing?
The nurse’s license may be revoked or suspended.
What are healthy self-care practices that the nurse can utilize for herself?
- Engage in an activity, such as painting, that she enjoys.
- Attend a continuing education class on assertiveness.
- Practice meditation for 5 minutes on a regular basis
- Schedule adequate time for hygiene and eating before attendance at work.
The nurse thoughtfully plans care for an assigned client. What should the nurse do to provide culturally competent care?
Become familiar with any facet of the client’s culture that may have an impact on the care.
The following procedures have been ordered and implemented for a hospitalized client. Which procedure carries the greatest risk for a healthcare-associated infection (HAI)?
Urinary Catheterization.
When assessing a client’s vital signs, a nursing student has explained to the client each of her next actions prior to assessing the client’s temperature, pulse, and blood pressure. However, the nursing student did not announce her intention to assess the client’s respiratory rate prior to measuring it. What is the rationale for the nursing student’s decision to withhold this information?
The client may alter the rate of respirations if the client is aware that his breaths are being counted.
A well-developed PICOT question helps the nurse:
Search for Evidence
A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
Negligence
Nursing research is linked most closely to:
Nursing Process
A nurse is assessing a client who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would the client most likely exhibit?
Tachycardia.
The nurse knows that the basic concept of all patient care that is implemented to prevent the spread of infection form blood, bodily fluids, secretions, nonintact skin, and mucus membranes is
Standard Precautions.
_______ is a guide for making accurate, timely, and appropriate clinical decisions.
Evidence-based practice (EBP)
History Timeline in chronological order
- During the crusades, religious orders provided nursing care to the sick
- Florence Nightingale administered care to British soldiers during the Crimean War.
- Mary Elizabeth Mahoney graduated from the New England Hospital for Women and Children as America’s first African American Nurse
- Clara Barton organized the American Red Cross
- Margaret Sanger advocated for contraception and family planning in the United States.
When evidence-based practice is used, patient care will be:
Variable according to the situation.
A staff nurse asks a student, “why in the world are you studying nursing theory?” How would the student best respond?
“It helps explain how nursing knowledge and practice improves patient care.”
The nurse has done a literature search and found 25 possible articles on the topic that she is studying. To determine which of those 25 best fit her inquiry, the nurse first should look at:
The abstracts
Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:
Systematically conducted research studies.
A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
This is culturally appropriate behavior.