Communication
A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" A good response is:
"You must be feeling scared and powerless."
A nurse is caring for a client who ingested a poison and is now experiencing a seizure. What is the priority action the nurse should take?
Check the patency of the client’s airway.
A nurse is planning to use the SBAR communication tool when calling a provider. What type of information is included in the B step?
Background or context of the situation
A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" How would you respond (define holistic nursing)?
"Holistic nursing care involves viewing the client as a whole."
What is the action of retrospectively making sense of occurrences, experiences, situations, or decisions and consequently learning from them?
What is: Reflection
A nurse communicates with the charge nurse that their assignment is unfair. What level of communication is this?
Interpersonal
The nurse should include that interpreting data is included in which step of critical thinking?
What is: Analysis
A charge nurse is providing teaching to a group of nurses on collaborative teamwork skills. Which of the teamwork skill includes providing feedback to the team?
What is: Mutual support
A nurse is taking a few days of personal time and focusing on self-care. What are some activities that reflect this focus?
What are: participating in regular exercise; daily meditation; being active in church.
What are the 5 phases of the nursing process?
What are: Assessment, Diagnosis, Planning, Implementation, and Evaluation
When using active listening skills, the nurse should:
Use intermittent eye contact
A novice nurse is planning care for an elderly patient with COPD and sepsis due to UTI. After completing the plan of care, what other action should the nurse do to enhance the skill of critical thinking?
What is: Request a review of the plan with the nurse's preceptor/mentor
A nurse overhears two assistive personnel (APs) disagreeing about client care assignments. Which of action by the nurse demonstrates conflict resolution?
What is: Confront the APs to discuss their argument.
The family members of a recent patient on the unit wrote a letter to the unit manager, expressing their appreciation for the way the client was treated in the hospital. The family mentioned characteristics that indicate the nurses were caring. What behaviors did the family most likely use to explain the caring actions of the nurse?
What are: treating client as a human being, maintaining client confidentiality, respecting the client, being honest with the client, listening attentively to the client, treating the client as an individual?
The nurse is caring for a patient that while in the hospital for an skin infection was newly diagnosed with hypertension. The nurse using the SMART goal method developed a goal for this patient in regards to learning his new high blood pressure medication, Lisinopril. What would the SMART goal be for this patient using all required elements?
What is: The patient will state the purpose of their new medication, Lisinopril, and when and how to take it by discharge from the hospital.
A nurse is caring for a client who has hypertension and is afraid to take his blood pressure medication. A therapeutic communication response of reflection to this statement is:
"You seem upset about taking your blood pressure medication."
What types of clinical information or cues, when patterned together can be translated into a nursing diagnosis for a patient?
What is: Salient cues
A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating what type of conflict management?
What is: Cooperating
A client's wishes about his care clash with what the nurse believes would be the best possible care for the client, this could cause a conflict between caring interventions and what other nursing concept?
What is: Ethics
What is finding unique solutions to unique problems when traditional interventions are not effective?
What is: Creativity
When educating a client about bowel prep for a colonoscopy the nurse should ensure understanding by?
Use layman's terms to explain the procedure, then ask the client to describe the procedure in her own words
The nurse is caring for a client with MS who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
What is: Provide referrals to other professionals who can help the client meet the goal
What is an important element of successful collaborative practice that occurs when 2 or more individuals show or feel honor or esteem toward one another?
What is: Mutual Respect
What type of knowledge is a pattern identified within nursing that refers to the nurse's ongoing self-exploration and self-actualization?
What is : Personal Knowing
Which type of communicators are honest, direct, and appropriate while being open to ideas and showing concern for the needs of others?