NUR 321 VCE # 1 Lesson 3- Critical Thinking in Nursing Practice QUESTIONS AND ANSWERS BEST STUDY GUIDE FOR YOUR EXAMS

Document Content and Description Below

A nurse is preparing to start her shift on a medical-surgical unit. Which of the following factors concerning the change-of-shift report (hand-off report) will be most important for the nurse to con... sider? (Hint: See pages 357-358 in your textbook.) a. Next anticipated dressing change b. Patient's personality c. Patient's family support d. Off-going nurse's opinion about the patient's family background Ans: a 2. Indicate whether the following statement is true or false. Physiologic diagnoses have a higher priority than psychologic diagnoses. Ans: false 3. Indicate whether the following statement is true or false. The Kardex provides a filing system for recording the physician's orders. Ans: false VCE 1: Lesson 3: Critical Thinking in Nursing Practice 4. The statement that outlines the desired change in the patient's condition or behavior is termed the __________________________. (Hint: See page 238 in your textbook.) Ans: goal 5. You are assigned to provide care to a patient who has recently had abdominal surgery. When you are updating the nursing care plan, which of the following patient outcomes would be appropriate to include? Select all that apply. a. The nurse will observe the patient's understanding of use of the incentive spirometer. b. The patient will demonstrate an increased level of comfort. c. The patient will initiate turning and deep breathing within 2 hours. d. The patient will be more comfortable. e. The patient will report lessened pain using the pain scale within 3 hours. Ans: c, e 6. A review of the care planned for a patient during a given shift reveals the interventions listed below. Which of these interventions is classified as an independent nursing intervention? Select all that apply. a. Anchor an indwelling Foley catheter. b. Discontinue IV. c. Refer the patient for home health care. d. Review complications to report after discharge. e. Record intake and output. Ans: a, e 7. The nurse is assisting a newly graduated nurse in completing a care plan. Which of the nursing interventions planned by the graduate and listed below indicate the need for further instruction? Select all that apply. a. Push fluids. b. Monitor blood pressure. c. Monitor blood pressure every 4 hours. d. Call physician for elevated temperature. e. Assist patient to turn, cough, and deep-breathe every 2 hours. Ans: a, b, d 8. A (n) (A.)________________________ (B.)______________________ is a preprinted form with orders for routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems. Ans A: Standing VCE 1: Lesson 3: Critical Thinking in Nursing Practice Ans B: Order 9. A patient has become disabled as a result of an automobile accident. The case manager has documented concerns about the patient's ability to perform instrumental activities of daily living. Based on your knowledge, what activities are included in this listing? Activity and exercise management could include bathing, dressing, preparing food and drink for consumption, ambulating, shopping, house cleaning, writing checks, or taking medications. Exercise 2 Online This exercise will take approximately 45 minutes to complete. Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the signin window.) From the Patient List, select Patricia Newman (Room 406).  Click on Get Report.  Click on Go to Nurses' Station.  Click on Chart and select the chart for Room 406.  Click on and review the Nursing Admission and History and Physical. 10. What is Patricia Newman's chief complaint at the time of admission? Patient stated, “I think I have pneumonia again”. 11. According to Patricia Newman's past medical history, she has a history of several medical disorders. Listed below are her primary medical diagnoses. Prioritize these disorders in order of importance for this hospital admission (1 through 5 with 1 being the most important). A. Tobacco use _________5________ B. Emphysema _________2________ C. Pneumonia _________1________ D. Osteoporosis _________4________ E. Hypertension _________3________ VCE 1: Lesson 3: Critical Thinking in Nursing Practice 12. During the nursing admission, Patricia Newman described her health as "not very good." This is an example of: a. objective data. b. back channeling. c. defining characteristics d. subjective data. Ans: d Click on Return to Nurses' Station. Click on 406 at the bottom of the screen. Review the Initial Observations. 13. Based on your knowledge of Patricia Newman's condition and review of the Initial Observations, which of the following tasks should the nurse perform first after entering the room? a. Assess patient's vital signs. b. Check patient's armband for identification. c. Assess patient's neurologic status. d. Determine patient's chief concern at this time. Ans: b Click on Patient Care and then on Nurse-Client Interactions. Select and view the video titled 0730: Prioritizing Interventions. (Note: Check the virtual clock to see whether enough time has elapsed. You can use the fastforward feature to advance the time by 2-minute intervals if the video is not yet available. Then click again on Patient Care and on Nurse-Client Interactions to refresh the screen.) 14. Critique the nurse-patient interaction in the video. What strengths does the nurse display in her interaction with Patricia Newman? The nurse displayed good therapeutic communication with the patient during the introduction and when she explained what she would be doing. Mrs. Newman seemed very comfortable with Suzanne and was at ease telling her how she was feeling. 15. What action should the nurse take after receiving report? [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages