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Ch. 13 Prep U
Blended Competencies, Clinical Reasoning & Process of Person-Centered Care
| Question | Answer |
|---|---|
| A nurse has completed a client assessment & is preparing to identify appropriate nursing concerns. Which areas will likely address in the nursing concern? | Altered mobility, altered nutrition, ineffective coping |
| Which is a characteristic of person-centered care? | It is a framework for providing care |
| Which statement best conveys the role of intuition in nurses problem solving | intuition can be a clinically useful adjunct to logical problem solving |
| The nurse is caring for an obese client who needs to be turned every 2 hours. Which action by this nurse is an example of reflection-for-action | Reflecting on prior experience & best practice, the nurse includes assistance with turning in the clients plan of care |
| The nurse administers pain medication to a postoperative client. Which nursing intervention will assist with the clients unrelieved [ain? | Repositioning the client |
| The nurse is deliberately engaged in a purposeful activity that leads to action, improvement of practice, & better client outcomes. What activity is the nurse most likely performing? | Reflection |
| Which activity is the clearest example of the evaluation step in the nursing process? | Checking the clients blood pressure 30 minutes after administering captopril |
| A nurse technician is assigned to take clients vital signs. When making rounds, the nurse notices the vital signs are very different from what they were at the beginning of the shift. What is most appropriate for the nurse to do about these findings | Assess the clients vital signs again |
| The nurse is attentive & responsive to the health care needs of individual clients & ensures the continuity of care when leaving these clients. What interpersonal skill is the nurse displaying? | Developing accountability |
| While working as part of an interdisciplinary group developing a clients plan of care, a nurse asks the question "can you give me an example" the nurse is demonstrating which standard for judging thinking | Clarity |
| A nurse identifies the following "the client will report a pain rating of 4 or less within 30 to 45 min. of receiving prescribed analgesic." The nurse has identified: | outcome |
| Research has demonstrated that a common source of hospital-acquired infections is the hub on the IV tubing. Which nursing practice competency is displayed when health care institutions recommend that providers always wash hands & wear gloves? | Evidence-based practice |
| A client reports hearing voices in the head that tell the client to do bad things. When the nurse enters the clients room, the client is talking out loud to someone but there is nobody in the room. how should the nurse record this assessment | document this assessment based on the clients behaviors |
| A nurse is reading a journal article about providing individualized care. Which aspect would the nurse most likely read about as the almost universally accepted method for providing nursing care? | nursing process |
| Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: | uses critical thinking to direct care for the individual client |
| When using the nursing process, the nurse notes that there is a great deal of overlapping of the steps, with each step flowing into the next. What is the term for this characteristic of the nursing process? | Dynamic |
| The nurse has measured from the tip of the clients nose to the earlobe & down to the xiphoid process before inserting a NG tube & attaching it to low suction. Which components of the nursing process has the nurse demonstrated | Planning; implementing |
| the nurse is deliberately engaged in a purposeful activity that leads to action, improvement of practice, & better client outcomes. What activity is the nurse most likely performing? | Reflection |
| Which is the most appropriate example of the assessment phase of the nursing process? | Palpating a mass in the right lower quadrant of the abdomen |
| The nursing student can best learn & improve skills while minimizing for clients by which of the following | Using simulation laboratories |
| which statement is true of the nursing process? | scientific problem solving can occur within the nursing process |
| The nurse administers pain medication to a postoperative client. Which nursing intervention will assist with the clients unrelieved pain? | Repositioning the client |
| Which action is performed in the implementation step in the nursing process? | Documenting the nursing care and client responses |
| The nurse is caring for an obese client who needs to be turned every 2 hrs. Which action by this nurse is an example of reflection-for-action | Reflecting on prior experience & best practice, the nurse includes assistance with turning in the clients plan of care |
| A nurse is reading a journal article about providing individualized care. Which aspect would the nurse most likely read about as the almost universally accepted method for providing nursing care? | Nursing process |
| The nurse is assisting with the creation of a plan of care for a client with newly diagnosed diabetes mellitus When creating the plan of care, what is the priority action for the nurse? | involving the client with all the steps of the process in care development |
| The nurse is performing an assessment on a client who reports having a rash on the back that is red and raised. What would be the next nursing action? | Assess the clients back visually |
| Which statement best conveys the role of intuition in nurses problem solving | intuition can be a clinically useful adjunct to logical problem solving |
| caring for an underweight female client diagnosed with a new food allergy to wheat, rye,& oats & with the nurse identifies the nursing concern of altered nutrition that is less the required. What is the most appropriate intervention for this client | Administer a high-calorie diet. excluding wheat, rye and oats |
Created by:
ahawkins3436