NUR 150 Final Exam Study Guide With
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"I know it seems strange, but I feel guilty being pregnant after the death of my son last
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year," said a woman during her routine obstetrical examination. The nurse spends extra
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time with this woman, helping her realize bonding with this unborn child will not mean she
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is replacing the one who died. Which nursing technique does this demonstrate?
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a. Providing curative therapy
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b. Promoting spirituality
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c. Facilitating mourning
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d. Eradicating grief - Correct Answers c
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A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps
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touching these needed items for care. The nurse has tried to explain to the patient that
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these lines should not be touched, but the patient continues. Which is the best action by
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the nurse at this time?
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a. Apply restraints loosely on the patient's dominant wrist.
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b. Notify the health care provider that restraints are needed immediately.
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c. Try other approaches to prevent the patient from touching these care items.
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d. Allow the patient to pull out lines to prove that the patient needs to be restrained. -
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Correct Answers c
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A female nurse is called into the supervisor's office regarding her deteriorating work
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performance since the loss of her spouse 2 years ago. The woman begins sobbing and
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says that she is "falling apart" at home as well. Which type of grief is the female nurse
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experiencing?
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a. Normal grief
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b. Perceived grief
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c. Complicated grief
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d. Disenfranchised grief - Correct Answers c
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A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient
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behavior will indicate to the nurse achievement of this outcome?
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a. States feels better after talking with family and friends
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b. Consumes high-carbohydrate foods when stressed
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c. Dislikes the support group meetings
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d. Spends most of the day in bed - Correct Answers a
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A hospital's wound nurse consultant made a recommendation for nurses on the unit about
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how to care for the patient's dressing changes. Which action should the nurses take next?
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,a. Include dressing change instructions and frequency in the care plan.
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b. Assume that the wound nurse will perform all dressing changes.
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c. Request that the health care provider look at the wound.
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d. Encourage the patient to perform the dressing changes. - Correct Answers a
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A male patient in stable condition is in the intensive care unit (ICU) and is asking to see his
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spouse and two daughters. What should the nurse do?
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a. Allow only 5 to 10 minutes with the family.
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b. Allow the wife and daughters to visit at the patient's request.
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c. Allow the two daughters to visit, and let the wife visit when they leave.
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d. Allow the wife and one daughter to enter the ICU but not the other daughter. - Correct
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Answers b
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A new nurse is confused about using evaluative measures when caring for patients and
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asks the charge nurse for an explanation. Which response by the charge nurse is most
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accurate?
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a. "Evaluative measures are multiple-page documents used to evaluate nurse
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performance."
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"Evaluative measures include assessment data used to determine whether patients have
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met their expecte
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b. outcomes and goals."
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"Evaluative measures are used by quality assurance nurses to determine the progress a
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nurse is making fr
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c. novice to expert nurse."
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d. "Evaluative measures are objective views for completion of nursing interventions." -
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Correct Answers b
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A new nurse notes that the health care unit keeps a listing of patient names in a closed
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book behind the front desk of the nursing station so patients can be located easily. Which
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action
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is most appropriate for the nurse to take?
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a. Talk with the nurse manager about the listing being a violation of the Health Insurance
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Portability an Accountability Act (HIPAA).
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b. Use the book as needed while keeping it away from individuals not involved in patient
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care.
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c. Move the book to the upper ledge of the nursing station for easier access.
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d. Ask the nurse manager to move the book to a more secluded area. - Correct Answers b
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A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing
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diagnosis will cause the nurse manager to intervene?
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A nurse believes that the nurse-patient relationship is a partnership and that both are
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equal participants. Which term should the nurse use to describe this belief?
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a. Critical thinking
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b. Authentic
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c. Mutuality
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d. Attend - Correct Answers c
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A nurse cares for the family's as well as the patient's needs using available resources.
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Which approach is the nurse using?
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a. Family as context
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b. Family as patient
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c. Family as system
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d. Family as caregivers - Correct Answers c
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A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of
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pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did
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the nurse write?
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a. Ineffective breathing pattern related to pneumonia
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b. Risk for infection related to chest x-ray procedure
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, c. Risk for deficient fluid volume related to dehydration
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d. Impaired gas exchange related to alveolar-capillary membrane changes - Correct
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Answers d
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A nurse encounters a family who experienced the death of their adult child last year. The
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parents are talking about the upcoming anniversary of their child's death. The nurse
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spends time with them discussing their child's life and death. Which nursing principle does
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the nurse's
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action best demonstrate? ll ll
a. Facilitation of normal mourning
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b. Pain-management technique
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c. Grief evaluation
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d. Palliative care - Correct Answers a
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ll A nurse has compassion fatigue. What is the nurse experiencing?
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a. Lateral violence and intrapersonal conflict
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b. Burnout and secondary traumatic stress
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c. Short-term grief and single stressor
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d. Physical and mental exhaustion - Correct Answers b
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A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon
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evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks.
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Which action will the nurse take next?
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a. Reassess the patient and situation.
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b. Revise the turning schedule to increase the frequency.
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c. Delegate turning to the nursing assistive personnel.
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d. Apply medication to the area of skin that is broken down. - Correct Answers a
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A nurse hears a co-worker state that anybody could be a nurse since it is so automated
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with infusion devices and electronic monitoring; technology is doing the work. What is the
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nurse's best response? ll ll
a. "Technology use has to be combined with nursing judgment."
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b. "The focus of effective nursing care is technology."
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c. "If it's so easy, why don't you do it?"
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d. "That is true in the 20th century." - Correct Answers a
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A nurse hears the following comments from different patients. Which patient comment
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does the nurse identify as faith?
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a. I go to church every Sunday.
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b. I believe there is life after death.
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c. I have something to look forward to each day.
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d. I get a feeling of awe when looking at the sunset. - Correct Answers b
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