Geriatric
Eating, bathing, dressing and toileting are examples of what type of ADL?
Functional ADL's
What type of precaution is applied to ALL patients at ALL times?
Standard Pre-cautions
When does discharge planning begin for a patient?
Upon admission.
The nurse asks a patient where the pain is and the patient responds by pointing to the area of pain. Which form of communication did the patient use?
Non-verbal communication
What is referred to as the principle of avoiding evil?
Nonmaleficence
Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?
a. Most older patients are ill and disabled. That's why we care for so many of them in the hospital.
b. Older adults are many times still interested in sexual relations.
c. Patients over age 65 are still lifelong learners.
d. Many older adult patients remain independent enough to live alone.
a. Most older patients are ill and disabled. That's why we care for so many of them in the hospital.
If a patient has an Absolute Neutropenic Count < 1000, what type of pre-caution will this patient be placed on?
*What should the nurse in charge of scheduling take into consideration when assigning nurses for this patient?*
Neutropenic pre-caution.
No staff with a cold or sore throat should be assigned to care for this client.
A newly hired experienced nurse is preparing to change a patients abdominal dressing and hasnt done it before at this hospital. Which action by the nurse is best?
a. Ask another nurse to do it so the correct method can be viewed.
b. Check the policy and procedure manual for the agency's method.
c. Change the dressing using the method taught in nursing school.
d. Ask the patient how the dressing change has been recently done.
b. Check the policy and procedure manual for the agency's method.
A nurse wants to present information about flu immunizations to the elderly in the community. Which type of communication should the nurse use?
a. Interpersonal
b. Public
c. Transpersonal
d. Small group
b. Public
A preceptor is working with a new nurse on documentation. Which situation will cause the preceptor to intervene?
a. The new nurse uses a black ink pen to chart.
b. The new nurse charts consecutively on every other line.
c. The new nurse ends each entry with signature and title.
d. The new nurse keeps the password secure.
b. The new nurse charts consecutively on every other line.
A patient asks the nurse what the term polypharmacy means. The nurse defines this term as
a. Multiple side effects experienced when taking a medication.
b. The concurrent use of many medications.
c. The many adverse drug effects reported to the pharmacy.
d. The risks of medication effects due to aging.
b. The concurrent use of many medications.
The nurse is caring for a patient who has cultured positive for Clostridium difficile. Which of the following nursing actions would be appropriate given this organism?
a. Instruct assistive personnel to use soap and water rather than sanitizer to clean hands.
b. Place the patient on Droplet Precautions.
c. Wear an N95 respirator when entering the patient room.
d. Teach the patient cough etiquette.
a. Instruct assistive personnel to use soap and water rather than sanitizer to clean hands.
During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in about a month. The nurse is in which phase of the helping relationship?
a. Pre-interaction
b. Orientation
c. Working
d. Termination
b. Orientation
A nurse wants to present information about flu immunizations to the elderly in the community. Which type of communication should the nurse use?
a. Interpersonal
b. Public
c. Transpersonal
d. Small group
b. Public
A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering, and for malpractice. What key point will the prosecution attempt to prove?
a. The CPR procedure was done incorrectly.
b. The patient would have died if nothing was done.
c. The patient was resuscitated according to policy.
d. Patients with brittle bones might sustain fractures when chest compressions are done.
a. The CPR procedure was done incorrectly.
Which of these patient statements is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
a. I need to increase my fat intake and limit protein.
b. I should discontinue my fitness club membership for safety reasons.
c. I'm up to date on my immunizations, but at my age, I don't need the tetanus vaccine.
d. I still keep my dentist appointments even though I have partials now.
d. I still keep my dentist appointments even though I have partials now.
The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. What items will the nurse need to care for this patient? (Select all that apply.)
a.Private room
b. Negative-pressure airflow in room
c. Communication signs for Droplet Precautions
d. Communication signs for Airborne Precautions
e. Surgical mask, gown, gloves, eyewear
f. N95 respirator, gown, gloves, eyewear
a. Private room
b. Negative-pressure airflow in room
d. Communication signs for Airborne Precautions
f. N95 respirator, gown, gloves, eyewear
A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that he should not touch these lines, but the patient continues. What is the best action by the nurse at this time?
a. Apply restraints loosely on the patients dominant wrist.
b. Try other approaches to prevent the patient from touching these care items.
c. Notify the health care provider that restraints are needed immediately to maintain the patients safety.
d. Allow the patient to pull out lines to prove that the patient needs to be restrained.
b. Try other approaches to prevent the patient from touching these care items.
A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute. In which domain did learning take place?
a. Kinesthetic
b. Cognitive
c. Affective
d. Psychomotor
b. Cognitive
A nurse works full-time on the oncology unit at the hospital and works part-time on weekends giving immunizations at the local pharmacy. While giving an injection on a weekend, the nurse caused injury to the patients arm and is now being sued. How will the hospitals malpractice insurance provide coverage for this nurse?
a. It will provide coverage as long as the nurse followed all procedures, protocols, and policies correctly.
b. The hospitals malpractice insurance covers this nurse only during the time the nurse is working at the hospital.
c. As long as the nurse has never been sued before this incident, the hospitals malpractice insurance will cover the nurse.
d. The hospitals malpractice insurance will provide approximately 50% of the coverage the nurse will need.
b. The hospitals malpractice insurance covers this nurse only during the time the nurse is working at the hospital.
A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?
a. Return demonstration
b. Computer instruction
c. Verbalization of steps
d. Cloze test
a. Return demonstration
List the 4 diseases that require airborne precautions.
3) Rubeola (measles)
4) Disseminated Herpes Zoster (Shingles)
The palliative teams primary obligation to a patient in severe pain includes which of the following?
a. Supporting the patients nurse in her grief
b. Providing postmortem care for the patient
c. Teaching the patient the stages of grief
d. Enhancing the patients quality of life
d. Enhancing the patients quality of life
A nurse has taught a patient about healthy eating habits. Which learning objective/outcome is most appropriate for the affective domain?
a. The patient will state three facts about healthy eating.
b. The patient will identify two foods for a healthy snack.
c. The patient will verbalize the value of eating healthy.
d. The patient will cook a meal with low-fat oil.
c. The patient will verbalize the value of eating healthy.
A new nurse notes that the health care unit keeps a listing of patient names in a closed book behind the front desk of the nursing station so patients can be located easily. What action is most appropriate for the nurse to take?
a. Move the book to the upper ledge of the nursing station for easier access.
b. Talk with the nurse manager about the listing being a violation of the Health Insurance Portability and Accountability Act (HIPAA).
c. Use the book as needed while keeping it away from individuals not involved in patient care.
d. Ask the nurse manager to move the book to a more secluded area.
c. Use the book as needed while keeping it away from individuals not involved in patient care.