A student nurse is taking public transportation home after clinical. When she sees a friend, she immediately takes a seat next to her and begins a conversation, saying, "You know that older man who lives in the apartment next to you? Well, I took care of him today in the hospital". The student nurs...
A student nurse is taking public transportation home after clinical. When she sees a friend, she
immediately takes a seat next to her and begins a conversation, saying, "You know that older man
who lives in the apartment next to you? Well, I took care of him today in the hospital". The student
nurse is not respecting which of the following principles? - ANSWERConfidentiality
When recording information for the review of systems, the interviewer must document: -
ANSWERthe presence or absence of all symptoms under the system heading.
The nurse is conducting a heath history on an adult client. Which technique can facilitate open
communication between the client and the nurse? - ANSWERSit on a chair that is 4 feet away from
the patient's stretcher.
Which phase of the interview uses communication techniques to collect health data? -
ANSWERWorking phase
OLDCARTS is a mnemonic that helps the clinician to remember to address characteristics specific to: -
ANSWERsymptoms.
The most appropriate introduction to use to start an interview with an older adult patient is: -
ANSWER"Mr. Jones, I am going to ask you some questions about your health so that we can plan
your care."
The nurse is caring for a client who is scheduled for surgery. Which of the following responses from
the nurse is appropriate? - ANSWER"Tell me how you feel about having surgery."
A patient seeks care for "debilitating headaches that cause excessive absences at work." On further
exploration, the nurse asks, "What makes the headaches worse?" With this question, the nurse is
seeking information about: - ANSWERaggravating factors.
Spirituality is defined as: - ANSWERa personal effort to find meaning and purpose in life.
, What is one way nurses use critical thinking in regard to the nursing process? - ANSWERCritical
thinking helps nurses work through the analysis, develop alternatives, and implement the best
interventions
To perform an accurate assessment of heart rate, the examiner can do which of the following? Select
all that apply - ANSWERCount the radial pulse for 30 seconds, if the pulse is regular, and multiply by
two.
If irregular, auscultate the heart and count beats for 1 minute.
The nurse is conducting an exam on a five year-old child. Which finding would require immediate
follow up by the nurse? - ANSWERHeart rate 60 beats per minute
The nurse knows that elements of the general survey include: - ANSWERPatient's hygiene and dress,
speech, posture, and mobility.
When performing a physical assessment, the technique the nurse will always use first is: -
ANSWERinspection
When working with a patient in acute pain, the nurse knows that the most reliable indicator of pain
is: - ANSWERPatient self-report
The nurse knows that the first Korotkoff sound when taking a patient's blood pressure indicates: -
ANSWERSystolic pressure
When conducting a respiratory assessment with an adult patient, which of the following would the
nurse consider as a normal respiratory rate range? - ANSWER12-20
When examining a patient, the nurse remembers to follow which principle of Standard Precautions?
- ANSWERWear gloves when in contact with patient's mucous membranes
The dorsa of the hands are used to determine: - ANSWERtemperature
A common error in blood pressure measurement includes: - ANSWERwaiting less than 15 seconds
before repeating the reading on the same arm.
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