Galen NSG 3100 exam 1 with complete verified solutions already graded A+

What is the least effective decision making process

establishing assumptions

what does the trial-and-error method of problem solving lack

exactness

The research process of problem solving is

most effective when used by experienced nurses

why is the nursing process method used in nursing

it creates interaction between client and nurse, used to set healthcare needs and goals and plans, and works well in all environments

what does critical thinking allow nurses to do during emergencies

recognize important cues

child cannot grasp the mechanics behind a spirometer so the nurse uses balloons and jar of bubbles instead, what does this represent

creativity and critical thinking

what does it mean when a nurse has a feeling of something going wrong or happening

intuition

a nurse observes a gsw patient and assumes the client is at an increased risk for hypovolemic shock after observing the blood spurting out of the wound. what is this an example of

inductive reasoning

while attending a nursing educator conference a nursing instructor obtains information about the use of concept maps and pathways. the instructor returns to work and uses these techniques, what does this show?

creating an environment that supports critical thinking

what is the definition of the nursing process

systematic rational method of planning and providing individualized nursing care

how are nursing cognitive skills learned

through reading and applying health related literature

what nursing process phase identified the most current scope and standards of nursing practice thats not recognized by the NCLEX

outcomes identifications and diagnosis

during the interview phase, what will the nurse consider may have a cultural implication?

physical distance between the nurse and client and seating arrangement

what is an example of an open-ended question that the nurse may use in the interview process

how have you been feeling lately

what is the name of the head to toe approach during a physical assessment

cephalocaudal

what framework is based on 11 functional health patterns and collects data about dysfunctional and functional behavior

Gordons functional health patterns

after health history and physical assessment, the nurse identifies discrepancies in the information. what is this process

validating

the nurse takes the clients vital signs, the nurse is performing which phase of the nursing process

assessing

the nurse reassesses a clients temperature 45 minutes after administering acetaminophen, this is an example of what type of assessment

ongoing

the nurse is measuring the drainage from a Jackson-Pratt drain. what is considered objective data?

the drainage measurement is 25 ml

what is the purpose of data collection and analysis

to identify actual or potential health concerns

which statement is a nursing diagnosis

potential for sleep-pattern disturbances

what is the purpose of a nursing diagnosis

to identify a client's problem and etiology

what might the nurse perform during the diagnosing component of the nursing process

compare data against current nursing standards, cluster or group the data to generate a tentative hypothesis, identify gaps and inconsistencies in the data

what is a nursing function during the diagnosing phase of the nursing process

clarify all inconsistencies in the data before making infereces

readiness for enhanced parenting is an example of which type of diagnosis

wellness diagnosis

which part of the following nursing diagnostic statements would be correct

impaired skin integrity related to immobility

how does the nurse begin a diagnostic label for a collaborative problem

potential complication for pneumonia atelectasis

"a client will walk to end of hallway without assistance by friday" is an example of what

short-term goal

client will ambulate 20 yard without assistance in 8 weeks is an example of a

long term goal

nurse instructs the client on turning, coughing, and deep breathing q2h. hat is the relationship of nursing interventions to problem status?

prevention interventions

nurse instructs the preoperative client to cough and deep breathe postoperatively to avoid respiratory complications, what type of intervention is this?

independent intervention

the home health registered nurse needs to assign a person to insert a foley catheter on a client, who can she delegate this task

LPN or LVN that is licensed

planning consists of which component

selecting nursing intervention

the nurse admits a client in active labor to the LD floor, when does the planning for the client care start

during the initial meeting

which component is part of the permanent client records

client care plan

when a nurse turns a client q2h due to stage 4 ulcers on the coccyx, what nursing process is being carried out

implementation

what are the benefits of a nursing intervention classification system

it helps demonstrate the impact that nurses have, assists educators to develop curricula for clinical nurses, standardizes and defines the knowledge base for nursing, facilitates the appropriate selection of a nursing intervention and communication of nursing treatments to other nurses

taxonomy of nursing outcome statements is developed to describe measurable states, behaviors, or perceptions to respond to which part of the nursing process

nursing interventions

evaluation of the clients healthcare while the client is still receiving care from the agency is called

concurrent audit

basic nursing interventions are based on

scientific knowledge, nursing research, and evidenced based practice

what is the 5th and last phase of the nursing process

evaluating

nurse documents goal and desired outcome if it was met, what part is this

conclusion

when implementing plan of care the nurse should do what

supervise unlicensed support personnel and evaluate the clients reaction to the planned interventions

which situation will the nurse need assistance with implementing in the nursing intervention

transferring a bilateral amputee from bed to chair

what are the two nursing phases that overlap each other in the nursing process

evaluating/assessing

what are the two parts in an evaluation nursing statement

conclusion and supporting data

what means freedom from disease causing microorganisms

asepsis

which consists of primarily nucleic acid and need a living host

viruses

what is not a sign of inflammation

fatigue

the most practical and inexpensive method for sterilizing at home

boiling water

what demonstrates further need for teaching with types of infections

acute infections may occur slowly, over a long period of time and last months or years

chain of infection, which is NOT one of the six links

hand hygiene

an antigen is

substance that induces a state of sensitivity or immune responsiveness

CDC recommends antimicrobial hand cleansing agents in all situations besides

when there are unknown multiple nonresistant bacteria

a nurse planning a safety instruction class for parents of adolescents knows that the focus of the class should be on

teaching adolescents about driver safety

what are the ways to improve accuracy of patient information

use two patient identifiers when providing care and eliminate transfusion errors for misidentification

evaluating parents understanding of safety measures for an infant, what shows they need more teaching

"I will keep trash bags in the kitchen in a reachable bottom shelf by the sink"

what is the most leading causes of injury among older adults

fall risk

what is the correct bath water temperature for an adult client

100 F to 115 F

cleaning of child's teeth, which indicates parent needs further teaching

"I'll use a hard tooth brush on my child's teeth"

how does the nursing teaching a client how to prevent dry skin with using further patient teachings

bath using soap or detergent only

When providing foot-care for a client the nurse would perform which of the following

When washing, inspect the skin of the feet for breaks or red or swollen areas

evaluating the client understands nail care, which shows the need for further teaching

cut and file around the end of the fingernail or toenail

nurse is evaluating a clients understanding of dental care, which needs further teaching

have a checkup by a dentist every other year

what shows a nurse not shaving a patients face properly

the student nurse holds the razor at a 90 degree angle and shaves in short/firm strokes in the direction of hair growth

Not appropriate measures for a nurse bathing a person with dementia

move quickly and let the person know when you are going to move him or her

the nurse needs to insert a hearing aid, which is not appropriate

gently press the ear-mold into the ear while rotating it forward