Worksheetstest 1
Total questions: 84
Worksheet time: 42mins
Therapeutic communication: What types of questions or statements are therapeutic?
Statements that focus on improving the health of the client
Closed-ended questions that limit patient responses
Directions that tell the patient what to do
Judgmental statements that evaluate the patient
Therapeutic communication: What type of questions do we ask starting the interview to learn the patient's concern?
Open-ended questions
Yes/no questions
Leading questions
Multiple-choice questions
Therapeutic communication: What types of questions or statements are nontherapeutic?
Asking personal questions or giving personal opinions
Advising or telling the patient what to do
Defending a person, place, or idea from verbal attack
Disagreeing, opposing the patient’s expressed idea, or interpreting what they mean
Therapeutic communication: What types of nonverbal communication are therapeutic?
Silence
Active listening
Eye contact
Exploring and confronting
Therapeutic communication: What types of nonverbal communication are nontherapeutic?
Looking at one’s watch during the interaction
Crossing arms across one’s chest
Not actively listening
Turning away while the patient speaks
Patient rights and ethic: What does autonomy mean?
Freedom to provide input and apply professional knowledge to patient care and clinical decision-making
Making decisions solely based on provider preferences
Obeying all instructions without question
Prioritizing organizational policy over patient wishes
Patient rights and ethic: How do we promote veracity?
Telling the truth and providing patients with the truth even when it may lead to patient distress
Avoiding difficult information to protect the patient
Delegating disclosure to non-clinical staff
Waiting until discharge to discuss critical information
Patient rights and ethic: How do we provide advocacy as nurses?
Preserving human dignity
Speaking on behalf of patients
Promoting human rights and equality
Following only physician orders
Delegation: What’s the first thing you should do if the UAP reports abnormal vital signs or blood glucose?
Validate and reassess
Document immediately without verification
Notify the family first
Order new medications
Delegation: Which tasks can safely be delegated to the UAP or LPN?
Vital signs
Pain reports
Fingerstick blood glucose
Initial nursing assessment
Delegation: Which tasks cannot be delegated?
Any intervention that requires independent, specialized nursing knowledge, skill, or judgment
Routine bathing and feeding
Transporting stable patients
Recording intake and output
Delegation: What document can help guide delegation by outlining scope of practice?
Nurse Practice Act (NPA)
Hospital visitor policy
Shift assignment sheet
Medication administration record
Interprofessional team: What is the biggest strategy to promote interprofessional collaboration?
Communicate effectively and respectfully with interprofessional team members
Hold separate meetings without other disciplines
Use discipline-specific jargon exclusively
Limit communication to written notes
Interprofessional team: What strategies promote effective communication among the multidisciplinary team?
Ensure the strategies you usually use are culturally appropriate for the individual
Assume all patients prefer the same communication style
Avoid adapting to cultural preferences
Communicate only through electronic messages
Interprofessional team: What is the role of each inter-professional team member?
Seek common understanding when communicating across roles and professions
Focus only on discipline-specific goals
Rely on one leader to speak for all members
Avoid clarifying roles during care
HIPAA: What is our role and responsibility in the protection of HIPAA rights?
Put safeguards in place to protect health information and ensure it is not used or disclosed improperly
Share patient information with any staff who request it
Store patient information on personal devices for convenience
Release information to family without verification
HIPAA: What must we get before divulging patient information over the phone?
Patient information such as name and date of birth and confirmation of the authorized third party
Verbal permission from any caller
The patient’s room number only
A general consent signed at admission without further checks
HIPAA: When do we notify patients of HIPAA rights?
Before treatment
At discharge only
Only if the patient requests it
After the first follow-up visit
HIPAA: Do patients need to sign something after we notify them of HIPAA rights, or can a patient refuse to sign the form and still receive treatment?
Patients may refuse to sign and still receive treatment
Patients must sign or treatment is withheld
Only emergency care can be given without a signature
Signatures are unnecessary for any care
Professional boundaries: In the interest of maintaining professional boundaries with our patients, what should we limit?
Sharing personal business and pursuing sexual or close emotional relationships with patients or those close to them
Discussing evidence-based care plans
Clarifying medication instructions
Educating on discharge needs
Professional boundaries: In the interest of maintaining professional boundaries with our patients, what should we encourage our patients to do (which ethical concept)?
Autonomy
Paternalism
Secrecy
Dependency
Nursing process: Which step of the nursing process provides the tools necessary to develop an individualized care plan?
Assessment
Diagnosis
Planning
Implementation
Nursing process: What does client-centered care mean?
Focuses on the patient and their particular health care needs; encourages patient participation in care to achieve nursing standards
Focuses primarily on organizational efficiency and staffing needs
Centers on provider preferences and clinical routines
Relies on standardized protocols without patient input
Nursing process: What tasks or processes are involved in each step of the nursing process?
Assessment: collect, categorize, record data and interview; Diagnosis: identify health problems and risk factors; Planning: select standardized plans, set outcomes/goals and individualized interventions; Implementation: do, delegate, record; Evaluation: evaluate outcomes and care plan
Assessment: write orders; Diagnosis: choose medications; Planning: schedule staff; Implementation: transfer patients; Evaluation: audit billing
Assessment: interpret labs only; Diagnosis: physician-only task; Planning: no goals; Implementation: documentation only; Evaluation: optional
Assessment: visual inspection only; Diagnosis: patient self-labeling; Planning: remove goals; Implementation: avoid delegation; Evaluation: discontinue care regardless of outcomes
Nursing process: What is the order of the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
Diagnosis, Assessment, Planning, Evaluation, Implementation
Planning, Implementation, Assessment, Diagnosis, Evaluation
Assessment, Planning, Diagnosis, Implementation, Evaluation
Documentation: In addition to accuracy and completeness, what is important to ensure in our documentation?
Write the patient’s own words when possible and record only the most important patient words using concrete, specific information
Paraphrase extensively and avoid patient quotes
Document every detail regardless of relevance
Use vague general statements to save time
Documentation: If we get behind in a nursing task (such as q4h vitals), should we document the vitals when they were taken or when they were due to be checked?
Document when they were taken
Document when they were due
Do not document late vitals
Estimate times based on unit schedule
Documentation: What is the difference between subjective and objective data?
Subjective data is what the patient says; objective data is what can be observed or measured
Subjective data comes from lab tests; objective data comes from patient report
Subjective data is always unreliable; objective data is always accurate
Subjective data is identical to the review of systems; objective data is identical to diagnoses
Documentation: Why is it important to make sure use of herbal supplements is documented?
Herbal products are unregulated, often mislabeled, may contain undisclosed additives or contaminants, can interact with conventional drugs, and may be toxic if used improperly or at high doses
Herbal products are always safe and require no documentation
Documentation of supplements is optional and rarely clinically relevant
Herbal products cannot cause allergic reactions
Standards of practice and code of ethics: Is the ANA code of ethics legally enforced?
Yes
No
Only in federal facilities
Only for advanced practice nurses
Standards of practice and code of ethics: What does the code of ethics provide?
Behavior and integrity guidance
Billing and reimbursement rules
Medication dosing standards
Unit staffing ratios
Standards of practice and code of ethics: What is practical knowledge vs theoretical knowledge?
Practical knowledge involves exercising a skill; theoretical knowledge focuses on understanding concepts and guiding actions and steps to follow
Practical knowledge is memorizing facts; theoretical knowledge is performing tasks
Practical knowledge is optional; theoretical knowledge is mandatory
Practical knowledge applies only to procedures; theoretical knowledge applies only to ethics
Standards of practice and code of ethics: What are standards of practice and what do they encourage?
They direct and maintain safe and clinically competent nursing practice and promote and guide clinical practice, encouraging safety and competence
They primarily regulate hospital finances
They serve only as historical documents
They discourage clinical judgment
Standards of practice and code of ethics: Which regulatory agency is affiliated with the nurse practice act?
The Board of Nursing
Centers for Disease Control and Prevention
Food and Drug Administration
Department of Labor
Standards of practice and code of ethics: What is the difference between standards of practice and the nurse practice act?
Standards of practice provide guidelines for nursing practice; the nurse practice act is a set of state statutes defining scope of practice, education standards, licensure requirements, and grounds for disciplinary actions
Both are identical and interchangeable
Standards of practice are legal statutes; the nurse practice act is voluntary guidance
The nurse practice act applies only to hospitals, while standards apply only to clinics
Maslow’s hierarchy of needs and prioritization: Which needs are typically prominent for patients during end-of-life?
Love and belonging
Physical comfort
Mental and emotional needs
Spiritual needs and practical tasks
Maslow’s hierarchy of needs and prioritization: What does the ABC acronym stand for in the ABC prioritization method?
Airway, Breathing, Circulation
Airway, Blood pressure, Consciousness
Assessment, Basics, Care plan
Alertness, Breathing, Compression
What are safety and security needs? Select all that apply.
Protection
Emotional and physical support
Order and law
Stability
Shelter
Which list correctly shows the order of needs from bottom to top?
Physiological; Safety and security; Love and belonging; Self-esteem; Cognitive; Aesthetic; Self-actualization; Transcendence
Physiological; Love and belonging; Safety and security; Self-esteem; Aesthetic; Cognitive; Self-actualization; Transcendence
Safety and security; Physiological; Love and belonging; Self-esteem; Cognitive; Aesthetic; Self-actualization; Transcendence
Physiological; Safety and security; Self-esteem; Love and belonging; Cognitive; Aesthetic; Transcendence; Self-actualization
What does the medical abbreviation BID mean?
Twice a day
Three times a day
Four times a day
As needed
What does the medical abbreviation TID mean?
Three times a day
Twice a day
Four times a day
By mouth
What does the medical abbreviation QID mean?
Four times a day
Three times a day
Every
As needed
What does the medical abbreviation PO mean?
By mouth
As needed
Every
Twice a day
What does the medical abbreviation Q mean?
Every
By mouth
As needed
Four times a day
What does the medical abbreviation PRN mean?
As needed
By mouth
Every
Three times a day
Convert the dose: 1 oz equals how many milliliters?
30 ml
15 ml
5 ml
60 ml
Convert the mass: 1 kg equals how many pounds?
2.2 lbs
1.0 lb
3.3 lbs
0.45 lb
Convert the volume: 1 tbs equals how many milliliters?
5 ml
10 ml
15 ml
30 ml
When do we discontinue use of restraints?
After 4 hours for adults and after 2 hours for children, as prescribed
Only when the patient requests removal
After 8 hours for adults and 4 hours for children
At the end of the nurse’s shift
What is a priority nursing task to minimize risks for restrained patients?
Ensure restraint movement is allowed a little, fit properly and discreetly, and are easy to remove or change
Immobilize the patient completely to prevent any movement
Place restraints loosely so they can be slipped off if uncomfortable
Hide restraints under blankets so they are not visible
How do we safely identify a patient?
Verify name and date of birth using the wristband
Ask the roommate to confirm the patient’s identity
Use the patient’s room number
Check the patient’s diagnosis
What should you do if you have two patients with the same name?
Verify with date of birth
Assign a temporary nickname
Use the bed number to distinguish them
Proceed without further checks
Where do we place identification bands?
On the wrist
On the ankle
On the IV line
In the chart pocket
What’s the second-best place to place identification bands in the event of multiple injuries?
On the bed
On the neck
On the wheelchair
On the door
What can increase the risk of falls? Select all that apply.
Slippery floors
Stairs
Low toilet seats
High bed
Which step of the nursing process helps identify risk factors for safety concerns?
Diagnosis
Planning
Implementation
Evaluation
How can we prevent falling hazards in a patient’s room? Select all that apply.
Use of call light
Fall risk alerts
Hourly rounds
How else can we prevent falling hazards in a patient’s room? Select all that apply.
Place the bedside near the nursing station when appropriate
Keep the floor clean and dry
Use adequate light
If a patient is a very high fall risk, what can we do as a precaution?
Activate a bed alarm
Apply wrist restraints
Lower room temperature
Restrict fluids
What precautions do we take for a patient at risk for seizures? Select all that apply.
Rails up and padded
Bed low
Dim the lights at all times
Keep the door locked
What precautions can we take to promote fire safety at home? Select all that apply.
Smoke detectors
Caution with cigarette use
Do not leave candles unattended
Use holiday lights safely
Take care with electric cords
What is the first thing you should do if you experience a fire at home?
Call 911
Search the house for valuables
Take a shower
Open all windows
How do we minimize smoke inhalation during fire evacuation? Select all that apply.
Stay calm
Have a window open if possible
Keep mouth and nose covered
What is the first thing you should do if you get a needlestick injury? Select all that apply.
Wash the area
Complete an incident report
Ignore if there is no bleeding
Wait until the end of the shift to report
What is the best way to provide culturally competent care? Select all that apply.
Provide interpreter services
Recruit and retain minority staff
Provide training to increase cultural awareness, knowledge, and skills
How do we practice cultural awareness? Select all that apply.
Promote cultural literacy and awareness through learning opportunities
Educate on cultural norms, customs, and etiquette
Provide language training and cross-cultural communication skills
How do we communicate with a patient using an interpreter? Select all that apply.
Speak directly to the patient, not to the interpreter
Speak more slowly rather than more loudly and use short segments at an even pace
Pause so the interpreter can interpret
How do we respond to patients’ beliefs about alternative medicine? Select all that apply.
Ask; patients will tell
Explain the science
Be respectful and nonjudgmental
How else should we respond to patients’ beliefs about alternative medicine? Select all that apply.
Collaborate
Compromise and negotiate
Engage the individual in conversation about their practices using open-ended questions
Can we allow patients to utilize alternative medicine instead of conventional (“Western”) medicine?
Yes
No
What type of questions assess learning needs and start conversations?
Open-ended questions
Yes/no questions
Leading questions
Rhetorical questions
What is the best way to ensure our teaching is adequate? Select all that apply.
Communicate clearly
Involve family members
Address strengths and limitations
What should we teach patients about obtaining information from the internet?
Some of the information could be misleading
All online sources are reliable
Only government websites are misleading
Information online is always better than what clinicians provide
How do we accommodate patients with sensory impairments? Select all that apply.
Turn your face toward the person and ensure it is well-lit so lip movements can be seen
Do not shout or over-exaggerate words or lip movements
Speak clearly and slightly slower while keeping natural rhythms
Which screenings are recommended for children? Select all that apply.
Annual examinations
Growth
Development
Cognitive skills
Abuse
Which screenings are recommended for adolescents? Select all that apply.
Annual exams
Growth and development
Mental health, stress, alcohol, and drug
Which screenings are recommended for young adults? Select all that apply.
Comprehensive exam at least every 3 years
Pap smear
STI screenings
Which screenings are recommended for older adults? Select all that apply.
Functional skills
Hearing
Fall risk
Which additional screenings are recommended for older adults? Select all that apply.
Eye exam
BP
Blood glucose
Which level of prevention involves screening for early detection and treatment?
Secondary
Primary
Tertiary
Quaternary
Which level of prevention aims to prevent disease before it develops?
Primary
Secondary
Tertiary
Quaternary
Which level of prevention minimizes further complications or restores health?
Tertiary (Rehab)
Primary
Secondary
Preventive counseling
What must be documented upon admission? Select all that apply.
Vital signs
Labs
Medical history
Present illness
Findings
What needs should we address before safely discharging a patient? Select all that apply.
Written instructions
Step-by-step instructions for procedures at home
Names and numbers of providers and community services
Plans for follow-up
