1170 week 11

When the nurse is educating an adult patient about health promotion activities, which of the following is the most important internal patient factor for the nurse to consider?

• Emotional wellness

• Developmental Stage

• Professed Spirituality

• Levels of education and literacy

Which of the following was the main reason why health care facilities in the British colonies were increasingly needed during the eighteenth-century British regime?

• scurvy

• bubonic plague

• increased birth rate

• infectious diseases

While documenting an adolescent’s health history, the nurse recognizes that the patient began to act out behaviourally and engage in risky behaviour when her parents divorced. In consider-ing a nursing diagnosis of Altered self-concept, the nurse would gather what information?

• How long the parents were married

• How the patient views her behaviours

• Why the parents are divorcing

• Why she is acting out of control

The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as

• Health-related quality of life

• Evidence-informed practice

• A goal of the Canada Health Act

• The ecological model of health

Which of these patient scenarios is most indicative of critical thinking?

• Administering pain relief medication according to what was given on the last shift

• Asking a patient what pain relief methods, pharmacological and nonpharmacological, have worked in the past

• Offering pain relief medication based on prescriber orders

• Explaining to the patient that his reports of severe pain are not consistent with the minor procedure that was performed

The nurse needs a reminder of professional responsibility when performing which of these actions?

• Making an informed clinical decision

• Making an ethical decision

• Making a clinical decision in the patient's best interest

• Making a clinical decision that is based on previous shift assessments

Which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?

• Using an objective approach in all situtations

• Obtaining data in an orderly manner

• Improving a plan of care while thinking back on interventions performed

• Providing evidence-informed explanations for all nursing interventions

A patient’s plan of care includes the goal of increasing mobility this shift. As the patient is ambulating to the bathroom at the beginning of the shift, the patient suffers a fall. How should the nurse first revise the plan of care?

• Asking physiotherapy to assist the patient because of the new injuries

• Disregarding all previous diagnosis and establishing a new plan of care

• Reassessing the patient

• Setting new priorities for the patient

In which step of the nursing process does the nurse determine whether the patient’s condition has improved and whether the patient has met expected outcomes?

• Assessment

• Planning

• Implementation

• Evaluation

What is the purpose and distinction of using a concept map when a plan of care is implemented?

• Quality assurance in the health care facility

• Multidisciplinary communication

• Provision of standardized format of the patients problems

• Identification of the relation of the patient problems and interventions