FUNDAMENTAL OF NURSING

FUNDAMENTAL OF NURSING

( Basics of Nursing Practice)

1-                   An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." The nurse's best initial response is "Your parent is:

Working through acceptance of the situation."

2-                   During the beginning phase of a therapeutic relationship, a clear understanding of participants' roles is important because the client:

Needs to know what to expect from the relationship

3-                   The nurse is assessing a group of older adults. Which should the nurse consider to be least likely to be affected by aging?

Strategies to handle stress

4-                               What is the primary purpose of evidence-based nursing (EBP)?

Using results from research to improve the outcome of nursing care

5-                   A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to

Promote cell growth and bone union

6-                               Nursing actions for the older adult should include health education and promotion of self-care. Which is

most important when working with the older adult client? Reinforcing the client's strengths and promoting reminiscing

7-                   A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling breath sounds that are more obvious on inspiration. This assessment should be documented as:

Crackles

8-                   A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate? You are right because they may have a negative impact on people's health.

9-                   During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other physical characteristics are within the expected range. The nurse records these findings on the clinical record. Legally, how should the nurse's action be interpreted?

The nurse met the requirements set forth in the Nurse Practice Act.

10-                           Which of the following legal defenses is the most important for a nurse to develop?

Accountability

11-               A nurse applies a heating pad to a client's buttocks. Upon removal of the heating pad, the nurse discovers that the client has received burns due to incorrect settings when the heating pad was initiated. Which principle would legally apply?

The nurse could be held liable for the injury that occurred

12-                           The plan of care for the client was to lose 7 pounds by the end of the month. The client only lost 3 pounds.

The nurse should:

Reevaluate the plan of care for appropriateness.