Test
Basic Nursing Quiz 6
Preguntas del test (20)
1A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient?
- AFollows commands when asked
- BCommunicates effectively using a translator
- CUses alternative methods of communication
- DInterprets messages accurately
2Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
- AIntrapersonal
- BInterpersonal
- CGroup
- DSmall group
3A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days. Her daughter comes to visit her. The patient has asked that her daughter not be told her diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, “My mother claims she has pneumonia, but I know she is not telling me the truth.” The daughter asks the nurse to tell her what is truly wrong with her mother. The nurse should tell her that:
- AHer mother has requested that her case not be discussed with anyone, not even family.
- BHer mother has an inoperable brain tumor, but does not wish anyone to know.
- CShe needs to speak to the physician in charge of her mother’s care.
- DHer mother is very sick with a serious case of pneumonia that could lead to death.
- AHer mother has requested that her case not be discussed with anyone, not even family.
4The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. Before inserting the tube, the nurse must explain the procedure to the patient. Which explanation by the nurse is best, assuming that all provide correct information?
- A“Lie still, please; I need to elevate the head of the bed and insert this tube into your face."
- B“I’m going to insert an NG tube and connect it to low Gomco to keep your stomach empty.”
- C“I’m going to insert a tube through your nose into your stomach to prevent you from vomiting.”
- D“I’m going to insert an NG tube through your nares to suction your secretions and prevent emesis.”
- A“Lie still, please; I need to elevate the head of the bed and insert this tube into your face."
5A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or chemotherapy. The nurse believes that the patient should be treated. She coerces her into receiving treatment by continuing to remind the patient about her responsibilities for raising her children. What type of behavior has the nurse displayed?
- APaternalism
- BBeneficence
- CAutonomy
- DNon-maleficence
6When using the SBAR model to communicate with a physician, what information does the nurse offer first?
- AStatement of the problem and its probable cause
- BHx of information related to and leading up to the situation
- CNurse's name, pt's name, and reason for the communication
- DA solution to the problem or what is needed from the physician
7A homeless patient is admitted with an infected leg wound. According to Maslow’s hierarchy of needs, which nursing intervention meets one of his basic physiological needs?
- AProviding the pt with a dinner tray
- BAdministering antibiotics as prescribed
- CIrrigating a wound with normal saline solution
- DEncouraging the pt to express his feelings
8A patient who speaks only Punjabi was admitted to the hospital after a motor vehicle accident. Assuming that the nurse does not speak Punjabi, what is the best way to communicate with this patient?
- AAsk a family member to serve as a translator
- BRequest the services of a hospital translator
- CUse sign language for communicating
- DSpeak in English and frequently ask, "Can you hear me now?"
9The nurse is caring for a group of patients on the medical-surgical unit. Which patient is most likely to experience the most difficulty in adapting to a change in body image? The patient:
- AWith hypothyroidism who has coarse, dry, thinning hair and weight gain
- BWho is obese and who underwent gastric bypass surgery
- CWith peripheral vascular disease who required a wound graft
- DWho suffered a traumatic amputation of the left leg in an industrial accident
- AWith hypothyroidism who has coarse, dry, thinning hair and weight gain
10A patient newly diagnosed with breast cancer tells the nurse, “I’m worried I won’t live to see my children grow up.” Which response by the nurse best conveys concern and active listening?
- A“There have been many advances in breast cancer treatment; hope for the best.”
- B“Breast cancer is a serious disease; I can understand why you’re worried.”
- C“You’re strong and have youth on your side to fight the breast cancer.”
- D“May the odds be ever in your favor!”
- A“There have been many advances in breast cancer treatment; hope for the best.”
11A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she notes that he is restless and grimacing. Considering the patient’s nonverbal communication, what action should the nurse take first?
- AAdminister pain medication to the pt
- BAssess to determine the cause of the grimacing
- CLeave the pt's room so he can rest quietly
- DTurn and reposition the pt
12A patient has asked the nurse to explain her laboratory results. The nurse informs the patient that he must first assist another patient to the bathroom and then he will explain the results. The nurse assists the other patient to the bathroom and then returns to explain the results to the patient. What moral principle has the nurse displayed?
- AFidelity
- BAutonomy
- CMaleficence
- DNon-beneficence
13Which of the following is a nonverbal behavior that enhances communication?
- ASmiling awkwardly at the pt
- BAsking mostly open-ended questions
- CMaintaining a distance of 6-12 inches
- DSitting down to speak with the pt
14Which nursing diagnosis is categorized as a psychosocial, rather than a self-concept, diagnosis?
- ASituational Low Self-Esteem
- BDisturbed Body Image
- CIneffective Individual Coping
- DDisturbed Personal Identity
15An alert, oriented, and competent frail older adult man has been told that he is dying, and has asked to have a DNAR order put on his chart. The patient’s family does not agree with his decision and asks the healthcare team to ignore the request. The healthcare team does not comply with the family’s wishes, and after several days the family takes the matter to court. The court sides with the family and orders the healthcare team to remove the DNAR order. This is an example of which of the following?
- AAn effort to keep peace on the unit
- BSettlement of an issue by force
- CAn integrity-producing compromise
- DAn ethically sound compromise
16A patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago. Which response by the nurse is best?
- A“Tell me more about your experience with your high blood pressure medication.”
- B“Why did you stop taking your high blood pressure medication?”
- C“You’re lucky you didn’t have a stroke; you really need to take your medication.”
- D“It’s very important to take your blood pressure medication.”
- A“Tell me more about your experience with your high blood pressure medication.”
17Which statement by the nurse indicates that the nurse-patient relationship is entering the termination phase?
- A“I’m leaving for the day. Is there anything I can do for you before I leave?”
- B“Hello. My name is Katrina, and I’m going to be your nurse today.”
- C“You seem upset today. Would you like to talk about whatever is bothering you?”
- D“I’ll be admitting you to our nursing unit as soon as I obtain your health history.”
- A“I’m leaving for the day. Is there anything I can do for you before I leave?”
18A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and oriented and, after giving it much thought, has decided that he wants to be removed from the ventilator. The nurse believes the patient intends suicide but supports his final decision. When the ventilator is removed, the nurse remains with the patient to support him. The nurse’s action demonstrates respect for what moral principle?
- AAutonomy
- BBeneficence
- CFidelity
- DNon-maleficence
19A health center that is interested in purchasing IV infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors. Which type of group has been organized?
- AOngoing
- BShort-term
- CSelf help
- DWork-related social support
20After a physician discusses cancer treatment options with a patient, the patient asks the nurse which treatment he should choose. Which response by the nurse is best?
- A“I’ll give you some information about each option.”
- B“Why don’t you see what your wife thinks.”
- C“If I were you, I’d go with chemotherapy.”
- D“What do you think about radiation therapy?”
- A“I’ll give you some information about each option.”
Información
- Descripción
- Test sobre Basic Nursing Quiz 6, creado por mminter002 el 11/10/2014.
- Autor
- mminter002
- Idioma
- English
- Visitas
- 359
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