chap 18 and 22

When communicating with a preschooler who is admitted to the hospital for a fractured arm, which is the best method for the nurse to describe the preschooler's impending surgery?

Encourage the preschooler to put a bandage on a teddy bear's arm.

In mastering QSEN competency of patient-centered care, effective tools need to be

attitudinal, cognitive, and developmentally appropriate

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, the nurse should

reassure the child's parents that this is common

When communicating with hospitalized infants and toddlers, the nurse knows

moving to the child's eye level and maintaining eye contact are important.

When assessing an adolescent to a hospital unit, the nurse knows they should keep in mind which of the following?

The nurse should use the "three wishes" question to assess cognitive level.

A patient experiences an unusually stressful life event that exceeds their resources and coping skills. The nurse recognizes the patient is experiencing which type of crisis?

situational

A patient is admitted to a psychiatric unit for crisis intervention. When caring for this patient, the nurse recognizes that crisis intervention is

a method of intervention with a goal of returning the patient to a level of functioning higher than their pre-crisis level.

A patient is experiencing a crisis is admitted to a nursing unit. When entering a patient's room, the nurse should attempt to establish rapport and engage the patient by

offering a brief introductory statement to quickly orient the patient to the purpose of crisis questions.

An older adult patient who is mourning the death of her spouse comes to the health clinic for follow up care for an irregular heartbeat. During the examination the patient tells the nurse, "I don't care about my irregular heartbeat; I will be with my husband soon." The best response by the nurse is,

"It sounds as if you would like to see your husband again."

A patient is admitted to a psychiatric unit with sever depression and thoughts of suicide. The patient is placed on suicide precautions. When caring for this patient, the nurse recognizes that

a major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self.

When caring for a preschooler, the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification, leading to a misunderstanding of messages. The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?

preoperational

When assessing a child's reaction to illness, it is important for the nurse to

Observe the interaction between parent and child.

The new graduate nurse is unsure how to operate a new intravenous pump After reading the directions, the new graduate nurse seeks the assistance of a more experienced nurse and asks for a demonstration on how to operate the new intravenous pump. The behavior exhibited by the new graduate nurse is

role clarity

A patient's adult children call the nurse hourly with concerns about their mother's death and end-of-life care. What is the nurse's best response to the family's needs?

Continue to provide frequent updates.

A nurse, who has been practicing for 4 years, demonstrates competence, speed, and flexibility when performing clinical skills. According to Benner, the nurse is practicing at which developmental stage?

proficiency

A novice nurse decides to attend a diabetes workshop after a patient was admitted to the unit with an insulin pump that the nurse was not familiar with. This is an example of:

professional self-awareness.

What is defined as the capacity to accurately recognize emotional reactions as they happen and to understand your responses to different people and situations?

self awareness

The nurse is caring for a patient who has just refused to undergo an invasive procedure that could possibly extend his life by a few months. The nurse supports the patient's decision based on which essential value?

autonomy

The nurse offers a patient's family a list of community resources and support groups and encourages them to become involved in the local Lupus chapter. This is an example of which professional nursing role responsibility?

client/Patient advocate role

The nurse contacts the client's case manager to provide information about the client's hospital treatment plan. This is an example of which type of advocacy?

collaboration

When documenting nursing care in the client's chart, the nurse does so accurately and honestly. The nurse is demonstrating which essential value of professionalism in nursing?

integrity

Which of the following is a nursing diagnosis associated with the effects of alteration in role relationships within the family and work environment?

ineffective role performance

When looking toward the future of nursing, it is important for nurse educators to teach student nurses that the wave of the future in nursing is in \n

. advanced practice and leadership roles.

The nurse is conducting an interview with the family of a client who has just been diagnosed with Alzheimer disease. The nurse wants to assess family role relationships. What would be an appropriate question?

"Who assumes responsibility for decision making?"

The nurse is caring for an older client with a fractured hip. The client asks the nurse about the nature of her condition. The nurse's response should be,

When you fell at home, you broke your hip.

The nurse is caring for a client on a rehabilitation unit who sustained a back injury in an auto accident, resulting in disability status from his job as a truck driver. The nurse should help the client to identify skills transferable to a future position by stating which of the following?

"Think of your strengths associated with your previous job position."

The economics of health care and diminishing numbers of health care providers led to legislative passage of the Patient Protection and Affordable Care Act (PPAC). This legislation is designed to

make health care accessibility a reality for all

Which aspect of role standards is influenced by institutional norms and may vary depending on the work environment?

role performance