NUR166 EXAM 2 Chapters 13-21

A nursing student who prides herself on excellent communication skills received feedback from the clinical faculty citing her need to improve communication. Which statement is consistent with the comment?

• Assisted patient to select meals based on their cultural dietary observances

• Delivered nursing care based on patient's needs and preferences

• Documentation in the electronic health record included partial lists of interventions

• Reported a low fingerstick blood glucose to the primary nurse

A nursing student is caring for a patient who states that they have been living on the street for a year, since losing their job. Which response by the student best reflects a person-centered response?

• I'm sorry to hear you've had this experience.

• Tell me about your experience this past year.

• Let's get you bathed; it must be dirty where you've been.

• How do you pay for your food?

While packing an infected abdominal wound, the patient shouts at the nurse and screams that the nurse is incompetent. Which person-centered practice could the nurse use to revise their approach to the patient?

• Requesting another nurse perform the dressing change next time

• Researching decision making

• Engaging in reflective practice

• Applying cognitive skills related to the surgical procedure

A nursing student enters the patient's room to find the patient on the floor in a puddle of urine. Which statement best reflects the student's use of clinical reasoning?

• Mr. Jones, are you hurt?

• I reminded you not to get out of bed!

• Did you need to get to the bathroom quickly?

• Shall I call your family?

A nursing student admires a nurse on the clinical unit whose critical thinking indicators (CTIS) the student would like to develop. Which behavior of the nurse best demonstrates using CTIS?

• Adhering to the medication administration record when telling the patient it is not yet time for pain medication

• Determining a patient with diabetes is not adhering to the treatment plan when hyperglycemia is present

• Demanding the lab returns to draw a patient's blood

• Identifying patients receiving anticoagulants who are at risk for bleeding

Nurses are expected to have the skills necessary to continually improve the quality and safety of the health care system where they work. Which skills are examples of nursing actions based on the QSEN competency of quality improvement? Select all that apply.

• A nurse administrator sets up a committee to review the procedure manual and recommend any needed changes.

• A nurse coordinator calls a meeting of all the health care professionals involved in the care of a patient.

• A nurse uses the Internet to find new evidence-based recommendations for care of patients with cystic fibrosis.

• A nurse manager schedules a staff meeting to review patient outcomes on the hospital unit.

• A nurse schedules a meeting with the nurse manager to review and update the policies for patient admissions.

A nursing student is caring for a patient who has been recently diagnosed with a chronic illness. Which response by the student best reflects empathy and understanding?

• It must be hard for you to accept this diagnosis.

• How are you managing your daily activities?

• Do you have any family or friends to support you?

• What are your thoughts about your diagnosis?

A nurse is caring for a patient who is refusing to take their medication. Which approach by the nurse best demonstrates patient-centered care?

• Force the patient to take the medication.

• Explain the importance of the medication to the patient.

• Ignore the patient's refusal and leave the room.

• Report the patient's refusal to the doctor.

A nursing student is assigned to a patient who speaks a different language. Which action by the student best reflects cultural sensitivity?

• Use a translator app to communicate with the patient.

• Ask the patient to communicate in English.

• Ignore the language barrier and proceed with care.

• Request a different patient assignment.

A nursing student is caring for a patient who is showing signs of depression. Which response by the student best reflects empathy and understanding?

• Why are you feeling so down?

• Have you considered seeking professional help?

• It must be hard for you to go through this.

• Do you have any hobbies or activities you enjoy?