NURS 100 FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS LATEST 2023/2024 GRADED A+. While completing an admission database, the nurse is interviewing a patient who states “I am allergic to latex.” Which action will the
nurse take first?
Ask the patient to describe the type of reaction.
A patient...
NURS 100 FINAL EXAM REVIEW QUESTIONS WITH ANSWERS | LATEST 2023/2024 | GRADED A+ Chapter10—CaringforFamilies A nurse is assessing the family unit to determine the family’s ability to adapt to the change of a member having surgery. Which area is the nurse monitoring? Family resiliency A nurse reviews the current trends affecting the family. Which trend will the nurse find? More grandparents are raising their grandchildren. A spouse brings the children in to visit their mother in the hospital. The nurse asks how the family is doing. The husband states, “None of her jobs are getting done, and I don’t do those jobs, so the house and the kids are falling apart.” How will the nurse interpret this finding? The family structure is rigid. A nurse cares for the family’s as well as the patient’s needs using available resources. Which approach is the nurse using? Family as system A nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient’s family. Which action should the nurse take to help relieve stress? Provide education. A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family? Extended A nurse is assessing a child that lives in a car with family members who presents to the emergency department. Which area should the nurse assess closely? Ears The nurse is interviewing a patient who is being admitted to the hospital. The patient’s family went home before the nurse’s interview. The nurse asks the patient, “Who decides when to come to the hospital?” What is the rationale for the nurse’s action? To assess the family structure A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene? Tells the family not to leave the bedside A nurse is using the family as context approach to provide care to a patient. What should the nurse do next? Assess how much the family provides the patient’s basic needs. The nurse is caring for a patient in hospice. The nurse notes that the patient is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the patient and family and develops a plan of care with them using community resources. Which approach is the nurse using? Family as system The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, “I have no family. They’re all gone.” When asked, “Who prepares your meals?” the patient states, “I do, or I go out.” Which approach should the nurse use for this patient? Family as context The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing. Which statement by the nurse will most likely elicit a positive response from the patient and family? “You’re hesitant about changing the dressing like I was before I was shown an easier way; would you like to see?” The nurse is providing discharge teaching for an older-adult patient who will need tube feedings at home. The spouse is the only source of care and states “I will not be able to perform the feedings due to arthritis.” Which action should the nurse take? Arrange for home care. A nurse is assessing threats concerning the family. Which areas will the nurse include in the assessment? ( Select all that apply.) Homelessness Domestic violence Presence of illness Changing economic status A nurse is assessing the realms of family life. Which processes will the nurse assess? ( Select all that apply.) Developmental Interactive Integrity Coping A nurse is focusing on the interactive processes of family life and is asking the patient questions. Match the questions the nurse will ask to the interactive process. Who is the “peacekeeper” of the family? Roles How are house rules established? Family nurturing How often does the family hug each other? Intimacy expression Who at your workplace is close to the family? Social suppor Chapter16—Nursing Assessment The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase? Completes a comprehensive database A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first? Focus on the patient’s presenting situation. After reviewing the database, the nurse discovers that the patient’s vital signs have not been recorded by the nursing assistive personnel (NAP). Which clinical decision should the nurse make? Ask the NAP to record the patient’s vital signs before administering medications. The nurse is gathering data on a patient. Which data will the nurse report as objective data? Respirations 16 A patient expresses fear of going home and being alone. Vital signs are stable and the incision is nearly completely healed. What can the nurse infer from the subjective data? The patient is apprehensive about discharge. Which method of data collection will the nurse use to establish a patient’s database? Performing a physical examination A nurse is gathering information about a patient’s habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information? Perform a thorough nursing health history. While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do? Consider cultural differences during this assessment. A nurse has already set the agenda during a patient-centered interview. What will the nurse do next? Ask about the chief concerns or problems. The nurse is attempting to prompt the patient to elaborate on the reports of daytime fatigue. Which question should the nurse ask? “What reasons do you think are contributing to your fatigue?” A nurse is conducting a nursing health history. Which component will the nurse address? Patient expectations While the patient’s lower extremity, which is in a cast, is assessed, the patient tells the nurse about an inability to rest at night. The nurse disregards this information, thinking that no correlation has been noted between having a leg cast and developing restless sleep. Which action would have been best for the nurse to take? Ask the patient about usual sleep patterns and the onset of having difficulty resting. The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago). Which type of assessment approach is the nurse using? Problem-oriented assessment Which statement by a nurse indicates a good understanding about the differences between data validation and data interpretation? “Validation involves comparing data with other sources for accuracy.” Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient? The nurse determines to remove a wound dressing when the patient reveals the time of the last dressing change and notices old and new drainage. While completing an admission database, the nurse is interviewing a patient who states “I am allergic to latex.” Which action will the nurse take first? Ask the patient to describe the type of reaction. A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse’s initial action in response to these observations? Ask the patient about the facial grimacing with movement. The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview? The patient’s room with the door closed
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