Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes?

When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as which type of prevention?

The primary health care nurse would recommend screening based on known risk factors, because of which action?

At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?

The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. How should the nurse consider this group?

When there is evidence that supports a screening for an individual patient but not for the general population, the nurse would expect the United States Preventive Services Task Force Grading to be what?

Interrelated concepts to professional nursing a nurse manager would consider when addressing concerns about the quality of health promotion include which concepts? (Select all that apply.)

A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?

The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?

The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

The nurse and the patient are conversing face to face. What communication technique is being demonstrated?

The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, "I should be over this by now; this happened years ago." Which response(s) by the nurse will facilitate communication? (Select all that apply.)

A patient is admitted to the intensive care unit for congestive heart failure. Using the situation–background–assessment–recommendation (SBAR) format, put the following statements in the order in which the nurse should report changes to the health care team.

A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment. How can the student nurse best generalize this model?

The nurse is implementing a plan of care for a patient newly diagnosed with type 2 diabetes mellitus. The plan includes educating the patient about diet choices. The patient states that they enjoy exercising and understand the need to diet; however, they can't see living without chocolate on a daily basis. Using the principles of responding in the Model of Clinical Judgment, how would the nurse proceed with the teaching?

A new graduate nurse is working with an experienced nurse to chart assessment findings. The new nurse notes that the physical therapist wrote on the chart that the patient is lazy and did not want to participate in assigned therapies this AM. The experienced nurse asks the new nurse what may be going on here. What is the best explanation for this statement?

A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient's condition, questions its appropriateness, and examines alternative treatments. What is the nurse’s best action?

A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan?

A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem?

A new nurse appears to be second-guessing herself and is constantly calling on the other nurses to double-check their plan of care or rehearse what they will say to the doctor before she call on the patient's behalf. This seems to be annoying some of the nurse's coworkers. What is the nurse manager's best response?

A nurse has committed a serious medication error and has reported the error to the hospital's adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error?

A nurse is caring for a patient in a long-term care facility who has not been sleeping well. She notes that the patient is new to the facility, has been refusing therapy, and is also not eating well. The nurse interprets this to mean that the patient has been having trouble adjusting. The nurse decides to meet with the patient's care team. The team decides to assess the patient’s willingness to participate in group recreational activities, the patient agrees to participate. After 1 week, the nurse reevaluates the plan of care and notes that the patient has been sleeping much better. Which of the following terms best describe processes used in the nurse’s plan? (Select all that apply.)

What is the most appropriate resource to include when planning to provide patient education related to a goal in the psychomotor domain?

The nurse educator would identify a need for further teaching when the student lists the which example as a type of learning?

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that involves which quality?

Barriers to patient education the nurse considers in implementing a teaching plan include which factor?

Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?

When planning to evaluate a patient's satisfaction with a teaching activity, what is the most appropriate strategy?

Interrelated concepts to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include which factor?

One of the first nurse researchers to document evidence-based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues?

The nurse administrator is doing a study that entails gathering data about new employees over a 10-year period. Which research method would be the best one to use for this type of study?

The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results?

The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?

How does the Iowa model transcend mere nursing care? (Select all that apply.)

Which statements are true about the Iowa model of EBP? (Select all that apply.)

The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)

The nurse is working on a plan of care with her patient which includes turning and positioning and adequate nutrition to help the patient maintain intact skin integrity. The nurse helps the patient to realize that this breaks the chain of infection by eliminating which element?

While reviewing the complete blood count (CBC) of a patient on her unit, the nurse notes elevated basophil and eosinophil readings. The nurse realizes that this is most indicative of which type of infection?

Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?

A nurse is teaching a group of business people about disease transmission. He knows that he needs to reeducate when one of the participants states which of the following?

In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?

The nurse is caring for a patient with a diagnosed case of Clostridium difficile. The nurse expects to implement which of the following interventions? (Select all that apply.)

Individuals of low socioeconomic status are at an increased risk for infection because of which of the following? (Select all that apply.)

The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?

Which assessment finding would the earliest and most sensitive indicator that there is an alteration in intracranial regulation?

When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?

Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?

The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

The nurse preparing to care for a patient after a suspected stroke would question which order?

After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?

A nurse is interviewing at an agency owned by a national religious organization that serves homeless and uninsured patients. A large poster display shows a proposed addition that would add 16 beds to the facility that will be funded from profits of the previous 3 years of operation. The nurse recognizes that the agency is most likely what type of agency?

A nurse is reported for taking prescribed patient medications for their personal use. Who has direct authority over deciding if the nurse may keep their professional license to continue practicing as a nurse?

The annual report for a hospital shows that external environment factors are affecting the amount of new staff hired. What is a likely factor contributing to this outcome?

A nurse manager recognizes that systems theory identifies that there is a social component within an organization that affects the overall functioning of the system. What indicator would demonstrate to the nurse manager that the social needs of an organization are being met?

A quality improvement committee is reviewing discharge surveys. Results show that patients and their families have difficulty finding departments and areas of the hospital. What action by the committee would best address this concern for the organization?

A nurse manager finds an unsigned note reporting that patient care standards are not consistently being followed. Within the organizational structure, what is the best action for the manager?

A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?

A hospital organization is applying for Magnet© status to show excellence in nursing practice. What components would indicate that the hospital is meeting Magnet© principles? (Select all that apply.)

The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the student understands this problem when the student makes which statement?

A patient diagnosed with hypertension asks the nurse how this disease could have happened to them. What is the nurse’s best response?

The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse’s best response?

The patient is brought to the emergency department after a motor vehicle accident. The patient is diagnosed with internal bleeding. What is the priority of care for this patient?

A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?

A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the concept of perfusion when the student makes which statement?

The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?

The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?

Which assessment finding would the earliest and most sensitive indicator that there is an alteration in intracranial regulation?

When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?

Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?

The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

The nurse preparing to care for a patient after a suspected stroke would question which order?

After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?

A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. What is the nurse’s best response?

An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?

Mobility for the patient changes throughout the life span. What is the term that best describes this process?

The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse knows the unlicensed assistive personnel understands the concept of mobility and proper moving techniques when making which statement?

The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the concept of mobility when making which statement?

What percentage of hip fractures is the result of falls?

The lack of weight bearing leads to what effects on the skeletal system?