Nursing Management
Personality Disorders and MISC
Child & Adolescent MH Disorders
Evidence Based Nursing Practice
Communication
100
The nurse assigned to care for five patients is concerned about the ability to care for this many patients. The nurse needs to:
What is be able to prioritize the needs of the patients and determine who is the sickest patient.
100
Which statement made by a pt with a borderline personality disorder indicates the treatment plan is effective? I feel empty and want to cut myself so I called you. I think you are the best nurse on the unit. I hate my doctor. The doctor never gives me what I ask for. I'm never going to get high on drugs again.
What is I feel empty and I want to cut myself so I called you.
100
The nurse understands that this most likely predisposes a child to Tourette's disorder?
What is Family history of the disorder.
100
Describes the concept of EBNP
What is It provides the use of recent research in current nursing practice.
100
This is how the grapevine is best controlled.
What is providing factual information in anticipation of employees' questions.
200
Of the following pts, this pt needs to be assessed first. 56 year old woman with H/O COPD admitted for DVT with dyspnea and increased HR. 72 year old who is scheduled for a right hip replacement and has not signed the consent form. 10 year old boy scheduled for a colonoscopy in the morning who has not had his bowel prep. 21 year old 2 days after casting for a radial fracture and is complaining of pain in the arm, fingers are slightly edematous but has + CSMs.
What is the patient who is 56 year old woman with history of COPD.
200
The nurse is monitoring for possible side effects related to prolonged use of methylphenidate/Ritalin. The nurse is most likely monitoring for
What is a decrease in rate of growth and development.
200
The nurse should include these interventions in the plan of care for a client with binge eating disorder
What is Encouraged the pt to keep a diary of foods and feelings.
200
Nursing activities that are necessary to provide evidence-based nursing care.
What is Systematically integrating nursing research findings and applying relevant evidence to practice.
200
The critical points to communicate during a shift report or hand-off communication.
What is client name, current physical status, activities that have contributed to current status, problems that have occurred during the shift, and nursing care to address problems.
300
A RN manages care for a small group of patients on a busy hospital unit. A LPN and a nursing assistant are also assigned to this group. Instead of delegating the RN would self assign which of the following patients? Comforting the grieving spouse of a terminally ill patient. Assessing a client newly admitted after a surgical procedure. Administering medications to the group of patients. Performing a colostomy irrigation for a patient who is day 5 postoperative.
What is assessing the client newly admitted after a surgical procedure.
300
A pt with borderline personality disorder tells the nurse that "I have made a new friend at work." A week later the pt explains that they are no longer talking. The pt says, "Too many people take advantage of me." The nurse recognizes that this is an example of the use of
What is Rationalization.
300
This factor places a child most at risk for development of a psychiatric disorder.
What is Being raised by a mother with chronic major depression.
300
The major function of the National Institute of Nursing Research.
What is major sources of federal grants to funding nursing research.
300
Mentee's role in a relationship with a Mentor.
What is Establishing personal short term and long term goals.
400
A charge nurse is supervising a LPN caring for a group of patients. Which of the following actions by the LPN indicates immediate intervention by the RN? Checks pts BP before giving NTG 0.4 mg SL. Brings breakfast for a pt that is scheduled for an echocardiogram at 11:30. Returns a pt to bed after the pt's HR increases from 72 to 96 while ambulating in the hall. Assists a pt to the bathroom 30 minutes after the pt returned from a cardiac catheterization.
What is assists a pt to the bathroom 30 minutes after the pt returned from a cardiac catheterization.
400
A good example of a mentoring relationship.
What is Advisor and partner.
400
A child known as the neighborhood bully recently set fire to a dumpster outside a supermarket. The parents reported that this event happened after their child was suspended from school for fighting. These behaviors are most consistent with
What is Conduct Disorder.
400
Magnet Recognition Program Designation is achieved by demonstrating that staff nurses are involved in evidence based practice and......
What is it recognizes healthcare organizations for quality patient care.
400
An appropriate comment to make by the charge nurse who is working with another nurse who consistently returns from lunch thirty minutes late, resulting in conflict among the staff member.
What is I need to talk to you about unit policies regarding break time.
500
A new graduate who recently passed the NCLEX, notes that an experienced LPN telephoned a physician for orders yesterday. This is not recognized as the LPN's role in this organization. Which of the following should the graduate nurse due? Observe to see if this occurs more than one time and addresses with administration if it occurs again. Inform the LPN about the policy and give feedback to the nurse manager. Feels she is on orientation and therefore not responsible to address these issues and does nothing. Believes that the LPN may take verbal orders having working in this hospital for over 20 years and is probably grandfathered in for this role so does nothing.
What is Informs the LPN about the policy and give feedback to nurse manager
500
What question should always be including while collecting a health history from a pt with a suspected eating disorder?
What is Does your mother have an eating disorder.
500
The parent of a 4 year old reported that her child moves constantly. The mother tried to get him interested in toys but he is easily distracted. He talks all the time and is awake every morning before she is. The mother enrolled him in preschool but the teacher could not handle him. This child's problem meets criteria for
What is attention deficit hyperactivity disorder.
500
The Joint Commission identifies what as the primary cause of untoward events that occurred in hospitals.
What is unclear ineffective communication.
500
The main reason people are not good listeners.
What is Emotional reactions interfering with actual message.