Fundamentals in Nursing is the foundation for all nurses. Which action should be the focus of this termination phase of the helping relationship? [irp] Nclex Rn 31 Flashcards Quizlet. A. Maintaining proper body image is not included in the holistic model. The nursing diagnosis improves the selection of nursing interventions by nurses in all practice settings, not specific settings. 2. Direct care of patients, Allocation of resources, Utilization of staff, and Medical and nursing research are all examples of ________. 2. Provides a minimum standard of knowledge for a registered nurse in practice. A blood pressure of 140/90 is considered hypertension. Which patient-related factors fall under health promotion nursing diagnosis? Fundamentals of Nursing: Exam 1 (Chapters 1, 2, & 4) Autonomy Ability or tendency to function independently Accountability State of being answerable for your own actions. 1,2,3 d) the nurse keeps hands higher than elbows when placing under faucet Activity b) malnutrition d) values influence beliefs about health and illness The nurse researches aging theories that attempt to describe how and why aging occurs. an aprn has Skip to document Ask an Expert Sign inRegister Sign inRegister Home 4. a) the nurse removes all jewelry including a platinum wedding band The throw rugs, low lighting, and low stool are hazards that can cause falls in the elderly. It's impossible to be ethical when working in a practice setting like this! His arm in a cast A patient is diagnosed with urinary stress incontinence. Baccalaureate degree program in nursing Which standard of practice is the nurse performing? C. Second right intercostal space at the sternal border The nurse's relationship doesn't directly affect the assessment, and taking advice from other nurses doesn't help the nurse form proper assessments. Location of the hospital Safety The nurse assesses his respiratory rate to be 30 breaths per minute and documents that Jake is tachypneic. "How often do you visit your healthcare setting?" d) document care accurately and honestly, When an older adult nurse complains to a younger nurse that nurses just aren't ethical anymore, which reply reflects the best understanding of moral development? Existing guidelines would be considered old and redundant under health care reform, and adopting new measures to suit the changes will help. Emotional factors D. Increased rate and depth of respiration 4. Problem-focused nursing diagnosis describes a clinical judgment concerning an undesirable human response to a health condition or life process that exists in an individual, family, or community. 2. He lost his wife just a month ago. The patient communicates properly during the interview. 3. ", B - nurse should ask permission to assist the patient with a bath, A nurse is providing instruction to a patient regarding the procedure to change his colostomy bag. queue.addQueue(y - 3); cout << "Queue Elements: "; 4. The patient is the best source for obtaining the data about his pain. Validate by getting diagnostic tests done. c) "Most complications of diabetes are related to neuropathy." Which type of nursing diagnosis is being followed in this scenario? Maintaining proper body image. Select all that apply. Verbal expression of worry Safety It is based on the belief that certain human needs are more basic than others. During the application of medication it is inappropriate to instill the medication directly into the tympanic membrane. a) students are not responsible for their acts of negligence resulting in patient injury b) by not requiring sick days from work 3 Spiritual factors f) effective advocacy may entail becoming politically active, A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. b) clinical procedures c) assuming a dependent role The HESI Fundamentals exam is a standardized test that is used by nursing programs to evaluate the knowledge and skills of prospective students in the fundamentals of nursing. Select all that apply. The amputation resulted in a change in physical appearance that caused a change in body image. Contributions from research build on the evidence for use of nursing diagnoses in identification of patients' health care problems. f) a patient proudly displays his certificate for completing a marathon, The American Association of Colleges of Nursing identified five values that epitomize the caring professional nurse. 4. c) keep any promises made to a patient or another professional caregiver A. [Show more] The lobes are parts of the lung. Being free from illness or injury Before meals Safe, High Quality. Independent nursing interventions involve actions that nurses initiate based on their own knowledge and skills without the direction or supervision of another member of the health care team. C. Angina queue.deleteQueue(); A respiratory rate of greater than 20 breaths per minute is tachypnea. e) hormone production increases Nursing diagnosis involves analyzing the assessed data. Ensure privacy by closing the door of the room or shutting the curtains. Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia? D. Aspirate urine from the tubing port using a sterile syringe. A. Before meals C. Bulla 2. e) a patient with MRSA Implements postoperative exercises for a patient who recently had surgery The home health nurse changing the wound dressing is an activity that is focused on preventing complications. Fundamentals of Nursing exam 1 - Fundamentals of Nursing Chapter 1 - Introduction of Nursing EXAM - Studocu chapters for exam 1 and exam 2in foundations fundamentals of nursing chapter introduction of nursing exam review from box pg.12 health people 2020 guidelines: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Period A. Sensitivity After the amputation, the patient was given crutches, and an occupational therapist assisted the patient to walk with crutches. You have nothing to worry about." a) risk factors What would be appropriate nurse responses in this situation? 5. d) false imprisonment, If an attorney representing a patient's family calls you and asks to talk with them about the case so they can better understand your actions, how should you respond? 1. Which stage of behavior change does the patient exhibit? A. What does SPICES stand for? What should the public understand about this exam? A chest x-ray film is not a nursing assessment; if a previous chest x-ray film had been performed, the nurse could review that report to confirm a lung problem. A. The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. Maslow's hierarchy model helps to understand the relationships of basic human needs. Patient-Centered Care Prolonged Vitamin B9 deficiency will lead to megaloblastic anemia while pernicious anemia results in deficiency in Vitamin B12. Which of the following facts to the nurse assuming responsibility for care of the patient? The inability of the nurse to validate data may lead to a mismatch between clinical cues and the nursing diagnosis. It decreases the side effects of medications. 3. A patient with hemiplegia (paralysis of one side of the body) has a high risk of injury because of his altered motor and sensory function, so safety is the nurse's main priority. Ts To Know For Nclex Flashcards Quizlet. Which communication skills is most effective in dealing with covert communication? Cyanosis is a slightly bluish, grayish skin discoloration caused by abnormal amounts or reduced hemoglobin in the blood. Error, proximal cause, and lack of concern Place the feeding 20 inches above the point of insertion of NGT The nurse should aspirate the urine from the port using a sterile syringe to obtain a urine specimen. 1. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. 2. c) civil law She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. 2. B. Which are examples of chronic illnesses? e) determine if the patient's culture requires pauses between conversation 5. The nurse's relevant knowledge Such communication may be revealed through body language, silence, withdrawn behavior, or crying. Maitland Stewart founded the Frontier Nursing Service, which provided the first organized midwifery service in the United States. Mary Adelaide Nutting was instrumental in the affiliation of nursing education with universities and became the first professor of nursing at Columbia University Teachers College in 1906. Which of the following is inappropriate nursing action when administering NGT feeding? c) wellness as a passive state The patient states, "Well, I haven't seen you before. D. Decreased urine output Select all that apply. This quiz consists of 25 important fundamental questions of nursing. Health promotion nursing diagnosis. Case manager. D. Partial rebreathing mask. Wheezes The professional behavior shown here by the nurse is autonomy. Advising the patient about measures to prevent accidents The nurse asks the patient if he or she has a history of substance abuse that has caused this pain. 1. C. Hyperextend the patient's neck Planning refers to developing a plan that prescribes strategies and alternatives to attain the expected outcome. d) attorneys, When someone has specialty knowledge, experience, and clinical judgment and meets certain criteria established by a nongovernmental association, as a result of which she was granted recognition in a specified practice area. c) a patient chooses to work fewer hours following a stress related myocardial infarction The question about informed consent does not provide information regarding the patient's cultural practices. These are evaluated by the employer. Fidgety hands and legs C. External hemorrhoids The S does not stand for situation, sensitivity, or separation of data. Genetics 1,2,3 1. The patient's previous medical reports and diagnostic reports help the nurse understand the patient's health status. 2) Allocation of resources. Prolonged deficiency of Vitamin B9 leads to: D. Chronic Renal Failure. 4. Which of the following would be an appropriate nursing action? Impending ankle surgery A. The student wants to advocate for these residents. He does not have a primary health care provider because he has never really been sick and his parents never took him to the physician when he was a child. C. Give the patient a glass of warm milk before bedtime - info medical personnel can look at Select all that apply. . b) bronchial pneumonia ATI Quiz Fundamentals 1 Flashcards Quizlet ATI Nursing Fundamentals Practice 1 Flashcard reviewer University Gurnick Academy Course Vocational Nursing 120 (Sean220, VN 320) 94 Documents Academic year:2022/2023 Uploaded byAlec Afanes Helpful? The nurse is conducting a home visit with an older adult couple. Caregiver 2 3. D. Planning, evaluating, diagnosing, assessing, implementing. A. Thigh The nurse is conducting a physical assessment on a patient admitted to the hospital with hypertension. a) "I'm sorry, but I can't talk with you. A. Brachial artery 2. Family report 1,4,5 Administration of a liquid feeding into the stomach Which of Gordon's model of 11 functional health patterns should the nurse address in her assessment? 2. 2. Upgrade Profi Fundamentals of Nursing Science Medicine Nursing Terms in this set (204) origination of the word "nurse" from the latin word "nutrix" meaning to nourish Interrelated roles of nurses communicator, teacher, counselor, leader, researcher, advocate, collaborator coping with disability and death nurses use optimal function of maximum strengths and potentials, refer to community . Which American Nursing Association (ANA) standard of nursing practice is the registered nurse practicing? Arrange the stages of a patient-centered interview in the appropriate order. 119 Celsius at 12 psi. The nurse documents this as: During a physical assessment, the nurse closes and door and provides drape to promote privacy. Separation of data. C. Intestine Which QSEN competency is the nurse referring to? Considering the patient's age, screening tests for colon cancer are performed, and the patient is advised to begin a high-fiber diet. Select all that apply. By reviewing information to help the health care provider make decisions, the nurse serves as an advocate; this is not a caregiver role. Errors in the diagnostic statement occur when the etiology portion of the diagnostic statement goes the nurse's scope of practice. a) cliche' 30 Questions | By Rnpedia | Updated: Sep 19, 2022 | Attempts: 9326 . 2. After meeting the surgeon, the client decides to consult with a different surgeon about treatment options. The family cannot provide information to reveal that the cough is a lung problem. 1. When entering the room, what is the nurse's best response? Which level of need is the nurse addressing, according to Maslow? Doing you job under your scope of practice. Diagnosis is analyzing data to determine problems. If the head of the bed is elevated, the abdominal muscles and organs can be bunched up, altering the findings. Family practice of not routinely seeing a health care provider C. Decreased serum sodium levels She is troubled when the patient's doctor tells her that she'll be fired if she raises questions about his care or calls the consult. The student has a low-grade fever. b) the importance of family 5. e) lifespan depends on a great extent to genetic factors D. Close the patient's door from 9pm to 7am. Situation A patient states that he has difficulty sleeping in the hospital because of noise. What nursing action is appropriate when obtaining a sterile urine specimen from an indwelling catheter to prevent infection? Fundamentals of Nursing Exam 1 Flashcards | Quizlet Fundamentals of Nursing Exam 1 4.6 (25 reviews) Term 1 / 58 During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. Continue with existing guidelines. Use of closed-ended questions. 1,2,3 D. Increased rate and depth of respiration. Share Questions Settings. Deep breathing exercises and chest physiotherapy are performed to prevent respiratory complications. The patient's verbal expression of worry, fidgety hands and legs, and a quiver in voice are defining characteristics of anxiety. Prescribing antidepressant medications to the patient. The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." The standards of practice are planning, diagnosis, and assessment. A. Papule Using open-ended questions encourages the patient to tell his or her story and actively describe his or her health status. D. 0 degree Developed the American Red Cross while she was a Civil War nurse. Advocate A. Medical diagnosis C. Give the patient a glass of warm milk before bedtime 1. 3. a) an incident report is used as disciplinary action against staff members It could affect the quality of patient care. Summarize some of the current bioethical issues. 4. Food preferences 2 b) a nurse teaches a patient with an amputation how to care for the residual limb Medical record summary of x-ray film findings Fundamentals of Nursing NCLEX Practice | Quiz #1: 75 Questions Fundamentals of Nursing NCLEX Practice | Quiz #2: 75 Questions Fundamentals of Nursing NCLEX Practice | Quiz #3: 75 Questions Fundamentals of Nursing NCLEX Practice | Quiz #4: 75 Questions Fundamentals of Nursing NCLEX Practice | Quiz #5: 75 Questions Planning What did Mary Adelaide Nutting contribute to the development of nursing as a profession? What level of care is the nurse demonstrating? Fundamentals of Nursing: Role in Professional Nursing - 79 cards; Fundamentals of nutrition - 155 cards; Fundamentals-oxygen-Becky - 24 cards; Fundamentals-precautions-Becky - 27 cards; Fundamentals Quiz 1 - 133 cards; Fundamentals - Skin Integrity & Wound Healing - 54 cards; Fundamentals Test one - 78 cards; Fundamentals Test #1 - 68 cards . b) values act as standards to guide behavior C. Making of individualized patient care 3. 2. 4. C. Collaborative Shallow breaths interrupted by apnea C - confusion Adreno-cortical response is activated. 120 Celsius at 15 psi. 4. 3. 1. a) violations that may result in disciplinary action 3. queue.addQueue(x + 5); During the review of systems in a nursing history, the nurse learns that the patient has been coughing mucus. Select all that apply. Autonomy involves the initiation of independent nursing interventions without medical orders. b) "May I help you with a bed bath now or later this morning?" Genomics Choose the letter of the correct answer. Love and belonging Evidence-Based Practice demonstrates knowledge of basic scientific methods, appreciates the strengths and weaknesses of scientific bases for practice, and recognizes the importance of regularly reading relevant journals. Active listening allows the patient to speak and shows the nurse's respect for what he or she has to say. 2. 5. 3. What typical units of data are distributed over sites? b) battery queue.addQueue(y); f) a patient diagnosed with adenovirus infection, How would a nurse remove PPE when leaving the room? Which steps in this procedure are performed correctly? Successfully passing the NCLEX-RN does not guarantee safe, standard, nor ethical practice. Which statements accurately describe aspects of this procedure? Dependent The S1 heart sound is best heard at the apex of the heart, at the fifth intercostal space along the midclavicular line. e) nurse advocates do whatever patients and residents want "The nurse is responsible to provide specific health care to patients." Complete physical, mental, and social well-being A quiver in the patient's voice while talking 3 [Show more] Preview 3 out of 27 pages A. c) by never exposing others to any type of illness Select all that apply. 3. 1 The nursing diagnosis essentially helps the nurse identify patient health problems. a) a patient decides to quit smoking following a diagnosis of lung cancer "Establish a good work-family balance." D. Vesicular. This may trigger nausea and vomiting, During application of medication into the ear, which of the following is inappropriate nursing action? A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. This 50-question NCLEX practice quiz covers different nursing pharmacology topics but mostly anti-infectives, antibiotics, and topical agents. Problem-focused nursing diagnosis 4. Introduce yourself and explain your role. Which activity represents secondary prevention? 5. a) Imbalanced Nutrition: More than body requirements related to immobility A. 1. Help from neighbors Action Which nursing standards of practice should the nurse adopt while caring for this patient? B. Which nursing assessments would be best for the nurse to use to confirm a lung problem? Both internal and external variables influence a person's health. 4 1. It is not appropriate to pass the child to another nurse unless that nurse has a better understanding of the Greek language and culture. Which of the following is an expected response? C. Evaluation A group of nurses is organizing an educational session to teach the population of a particular community about the roots of cardiovascular disease and its impact on the human body. Bioethical issues. 4. a) a closed-ended answer C. Nasal catheter Low blood pressure Fa Davis Coursework, Quiz over Health and Wellness, and . 3. Catalyst _____. A patient has arrived at the emergency department (ED) complaining of fatigue and memory loss. Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or expiration. (An infant's apex is located at the third or fourth intercostal space just to the left of the midclavicular line), The correct site at which to verify a radial pulse measurement is the: Economic variables may affect a patient's level of health by increasing the risk for disease and influencing how or at what point the patient enters the health care system. 5. 3. To be effective, the nursing care plan developed in the planning phase of the nursing process must reflect the individualized needs of the patient. Select all that apply. Notify the health care provider immediately. 1,2,5 4. Although diagnosing is basically the nurse's responsibility, input from the patient is essential to formulate the correct nursing diagnosis. Place the feeding 20 inches above the point of insertion of NGT Planning According to Patricia Benner's category in specialization in nursing, Annie is a/an: The clinical instructor is discussing about the Nursing Process. D. Proximal cause, negligence and nurse error. A. In this case the patient's language, age, and gender are internal variables. Algor mortis is the decrease of the body's temperature after death. Information is organized into units covering the NCLEX major client needs categories: Safe and Effective Care Environment, Health Promotion, Psychosocial Integrity and Physiological Integrity.