A
Mrs. Brown, 69 years old, is admitted for treatment of a fractured femur. She will undergo surgery to repair her leg. With a tremor in her voice she asks the nurse when she will be able to walk again. How should the nurse respond?
A) “You are concerned you won’t be able to walk for some time after the surgery?”
B) “You can walk whenever you want after your surgery.”
C) “Your doctor will discuss this with you when you see him after the surgery.
D) “You’re frightened you won’t be able to walk again?”
A) “You are concerned you won’t be able to walk for some time after the surgery?”
Critical thinking involves:
A) Following doctor’s orders without question
B) Knowing facts to pass the test
C) Thorough thinking and the use of original thinking to create new knowledge
D) Being obedient and doing all that is asked of you; consideration of the consequences is not important
C) Thorough thinking and the use of original thinking to create new knowledge
Which of the following behaviours is helpful in group work?
A) Times of Silence
B) Disagreement
C) Asking questions
D) All of the above
D) All of the above
When communicating with a client’s physician, the nurse suggests ordering a STAT chest radiograph for a client who is experiencing dyspnea. This is an example of which component of the SBAR format for communicating with the client’s physician?
A) Situation
B) Assessment
C) Background
D) Recommendation
D) Recommendation
Paraphrasing is the receiving skill of:
A) Changing the phrasing of a message.
B) Checking on the sender’s feelings and negotiating for their meaning.
C) Being able to reply to the message to the sender’s satisfaction.
D) Being able to restate the message and feelings, without evaluation, to the sender’s satisfaction.
D) Being able to restate the message and feelings, without evaluation, to the sender’s satisfaction.
When caring for a client’s it is important for the nurse and family to understand:
A) Treatment plans should be tailored around personal family goals
B) Meaningful involvement in the client’s care will be consistent among family members
C) The nurse should listen to only immediate family members when considering implications for family involvement
D) Individual family members have different perspectives
D) Individual family members have different perspectives
The nurse is scheduled for a year evaluation by the nursing supervisor. When planning for this meeting, the nurse should recognize the important of:
A) Scheduling the evaluation during a time when anxiety level is high
B) Becoming reactive when faced with constructive criticism
C) Demonstrating defensiveness when discussing the evaluation with the supervisor
D) Listening carefully during the evaluation and paraphrasing constructive criticism
D) Listening carefully during the evaluation and paraphrasing constructive criticism
Which of the following are appropriate when terminating contact with a client?
A) Gently turn the conversation to light, social topics.
B) Follow through with what you said you would do.
C) Excuse yourself early on the last visit.
D) Tell the client what a good patient he or she has been.
B) Follow through with what you said you would do.
Which of the following statement is true about the relationship between leadership and management?
A) Leadership provides vision/direction and management makes sure that the work gets done
B) A good manger can always compensate for ineffective leadership
C) Leaders are most effective when they are heavily involved with day-to-day management of an organization
D) Managers are natural-born leaders
A) Leadership provides vision/direction and management makes sure that the work gets done
Which of the following are considerations in the use of self-disclosure?
A) Nurses provide information through self-disclosure that they want to share with the client.
B) Self-disclosure may promote trust by the nurse
C) Nurses can help themselves by discussing client’s problems with them.
D) Nurses can help clients by sharing and then shifting the focus back to the patient.
D) Nurses can help clients by sharing and then shifting the focus back to the patient.
A client says to the nurse, “That night nurse needs to go back to school. She gave me a shot in the wrong arm, she forgot to fill my water pitcher, and she wouldn’t answer my light!” What would be a therapeutic response by the nurse?
A) “We are always understaffed on nights. I’m sure the nurse did the best she could.”
B) “Well, the least competent nurses do sort of drift to the night shift. I don’t blame you for being upset.”
C) “You seem fine this morning. I guess it couldn’t have been all that bad.”
D) “Sounds like you had a bad night. Tell me more about it and let’s see if there is anything I can do to help you now.”
D) “Sounds like you had a bad night. Tell me more about it and let’s see if there is anything I can do to help you now.”
The major barrier to effective communication is the tendency most people have to:
A) Talk too much
B) Talk too little
C) Judge and evaluate
D) Not listen
C) Judge and evaluate
Your head nurse has just confronted you about your consistent lateness. An appropriate response would be which of the following?
A) “I didn’t do it, and I’ll never do it again.”
B) “As Ashleigh Brilliant says, ‘I may not be totally perfect, but parts of me are excellent.’”
C) “Yes, I have been having a problem getting here on time.”
D) “If you think I’m late now, you should have seen me at my last job.”
C) “Yes, I have been having a problem getting here on time.”
Effective delegation requires:
A) Clearly defined tasks
B) Budget cuts and limitations
C) The manager’s willingness to carry through with the job
D) A mentality of “being all things to all people”
A) Clearly defined tasks
What are some examples of “overt” disruptive behaviours? Name 2
The most honest communication is made through:
A) Tone of voice
B) Nonverbal communication
C) Verbal communication
D) Facial expression only
B) Nonverbal communication
Confrontation is:
A) Directly expressing one’s view of, and feelings about, the conflict while inviting the other to do the same.
B) Standing up to the opposition and making them back down when you are in the right.
C) Letting other people know how you feel in uncertain terms.
D) A direct expression which explains to another person how you are thinking about a situation
A) Directly expressing one’s view of, and feelings about, the conflict while inviting the other to do the same.
Ageism is defined as:
A) Prejudice against the elderly
B) Positive discrimination
C) Support for the elderly
D) Cultural prejudice
A) Prejudice against the elderly
Ms. Potter has been admitted to your unit with a diagnosis of right tibial fracture. Her emergency department notes say that she fell at home. She admits to having “a lot to drink” over the past week. She is disoriented to time, forgets where she is momentarily, is easily distracted, and has a short attention span. She does not answer questions appropriately. She is probably experiencing:
A) Delusions
B) Delirium
C) Dementia
D) Dilemma
B) Delirium
What are some examples of “covert” disruptive behaviours? Name 2
A client is being scheduled for an arthroscopy. Which of the following would be most important for the nurse to ensure before the procedure?
A) Client is in a fasting state
B) Client has signed a consent form
C) Client knows how long the test will take
D) Client has instructions for self-care
B) Client has signed a consent form
The speech impairment that affects many people who have had a stroke is called:
A) Affect
B) Aphasia
C) Autism
D) Ageism
B) Aphasia
One advantage of using the nursing process when caring for patients and residents is:
A) The nursing process helps to make assignments of patient care easier
B) It provides a common way of thinking for all licensed nurses
C) The nursing process is for use by the RN only
D) The nursing process allows the students to learn nursing skills more quickly
B) It provides a common way of thinking for all licensed nurses
Which of the following is the most important advantage of computerized charting?
List some steps in giving constructive criticism: