WorksheetsFoundations in Nursing - Chapter 13: Blended Competencies, C
Total questions: 15
Worksheet time: 8mins
When the nurse is administering furosemide 20 mg to a client in congestive heart failure, what phase of the nursing process does this represent?
assessment
planning
implementation
evaluation
The correct progression of steps of the nursing process is:
assessment, diagnosis, planning, implementation, and evaluation.
planning, assessment, diagnosis, evaluation, and implementation.
diagnosis, implementation, assessment, evaluation, and planning.
implementation, planning, evaluation, assessment, and diagnosis.
A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
Assessing
Diagnosing
Planning
Implementing
An adolescent with diabetes has a nursing diagnosis of noncompliance related to activities that interfere with the treatment plan as evidenced by elevated blood glucose levels. The outcome for this client is to maintain blood glucose levels between 70 and 110 mg/dL (3.89 and 6.11 mmol/L). The main intervention is to educate the client about the effects of abnormal blood glucose level on the body and ensure that the client has the resources to be compliant. Evaluation reveals that the client's blood glucose level remains elevated and that the outcome has not been met. What is the most appropriate action by the nurse?
Modify the plan of care to find alternative ways to meet client needs.
Reevaluate the plan of care at a later date.
Refer the client to the social worker.
Terminate the plan of care because the client will not listen to health care providers.
Which group of terms best describes the nursing process?
Nursing goals, medical terminology, linear
Nurse-centered, single focus, blended skil
Patient-centered, systematic, outcome-oriented
Family-centered, single point in time, intuitive
Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?
"I have just been too busy to do my daily exercises."
"I guess I will begin the activity we discussed next week."
"I know I should exercise, but my health is not very good."
"I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."
A nurse is concerned about the requirements needed to complete all of her courses successfully. Which of the following factors would assist her to be successful?
Begin studying the night before the test
Refine writing skills
Implement time-management skills
Read the text following the class
A nurse takes the vital signs of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?
Assessment
Diagnosis
Implementation
Evaluation
An older adult client is being admitted to the hospital for treatment of a fractured hip. Which part of the nursing process would the nurse carry out first ?
Assessment
Evaluation
Nursing diagnosis
Outcome planning
The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client’s desired outcome of a pain scale score less than 4 on a scale of 0 to 10?
Call the surgeon to report the pain level.
Continue making rounds on other clients and let the client rest.
Evaluate the client’s pain level after the appropriate amount of time has elapsed for the pain medication to take effect.
Modify the plan of care to include an additional pain medication because the client’s pain is so severe.
On a particular 12-hour day shift, the nurse–client ratio on a busy floor is lower than usual because a member of the health care team called in sick for the day. Which example shows this nurse practicing with a good sense of legal competence in response to this challenge?
To save time, the nurse asks an experienced coworker what the safe dosage of a medication for a client would be rather than look it up.
Instead of documenting every 2 hours per hospital protocol, the nurse documents a detailed shift assessment and an end-of-shift note to cover what has happened during the shift.
The nurse leaves some tasks that cannot be completed during the day shift for the night shift, including the 4 pm labs.
Following the chain of command, the nurse requests help completing the tasks essential to client care that day.
The nurse is caring for a client in a critical care unit. The client's cardiac monitor alarms, and the nurse recognizes the rhythm as atrial flutter. What two skills did the nurse use to interpret this cardiac rhythm?
Cognitive and technical skills
Interpersonal and ethical skills
Cognitive and ethical skills
Interpersonal and technical skills
Giving medication occurs in which step of the nursing process?
Assessment
Planning
Implementation
Evaluation
A nurse who is not familiar with using automated intravenous (IV) pumps is moving to a unit that unit that uses them frequently. The nurse is anxious about using the device. What is the most appropriate way for the nurse to lessen this anxiety?
Just start using the device as needed when providing care to clients, maintaining a confident, positive attitude.
Ask more experienced nurses on the unit to describe to the nurse how to use the device.
Research the literature for best practices when using the device.
Practice using the device under the supervision of a more experienced nurse before using it with a client.
What is the best way for a nurse to obtain a full set of data when performing an assessment of a client?
Complete a systematic nursing history and nursing examination.
Have a nursing student perform the assessment and report it back to the nurse.
Make educated generalizations about the client’s health to determine focused client problems.
Make interpretations based on client behaviors.
