Question 11 pts In which situation is it most appropriate
Question 11 pts
In which situation is it most appropriate for the nurse to perform a focused or problem-centered history?
Group of answer choices
Patient is admitted to a long-term care facility.
Patient has a sudden and severe shortness of breath.
Patient is admitted to the hospital for a scheduled surgery.
Patient in an outpatient clinic has cold and influenza-like symptoms.
Flag question: Question 2Question 21 pts
When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?
Group of answer choices
Disease originates from the external environment.
The individual human is a closed system.
Nurses are responsible for a patients health state.
Holistic health views the mind, body, and spirit as interdependent.
Flag question: Question 3Question 31 pts
A visiting nurse is making an initial home visit for a patient who has several chronic medical problems. Which type of database is most appropriate to collect in this setting?
Group of answer choices
A follow-up database
A focused database
A complete database
An emergency database
Flag question: Question 4Question 41 pts
The clinic nurse is caring for a patient who has been coming to the clinic weekly for blood pressure checks since she changed medications 2 months ago. Which is the most appropriate action for the nurse to take?
Group of answer choices
Collect a follow-up database and then check the patients blood pressure.
Ask the patient to read her health record and indicate any changes since her last visit.
Check the patients blood pressure.
Obtain a complete health history on the patient before checking her blood pressure.
Flag question: Question 5Question 51 pts
Which critical-thinking skill helps the nurse see relationships among the data?
Group of answer choices
Validation
Clustering related cues
Identifying gaps in data
Distinguishing relevant from irrelevant
Flag question: Question 6Question 61 pts
The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? (Select all that apply.)
Group of answer choices
Inspiratory wheezes noted in left lower lobes
Hypoactive bowel sounds
Nonproductive cough
Edema, +2, noted on left hand
Patient reports dyspnea upon exertion
Rate of respirations 16 breaths per minute
Flag question: Question 7Question 71 pts
When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
Group of answer choices
Low self-esteem
Lack of knowledge
Abnormal laboratory values
Severely abnormal vital signs
Flag question: Question 8Question 81 pts
During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems?
Group of answer choices
Form a committee to conduct research studies.
Post published research studies on the units bulletin boards.
Encourage the nurses to visit the library to review studies.
Teach the nurses how to conduct electronic searches for research studies.
Flag question: Question 9Question 91 pts
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. Which action should the nurse take next?
Group of answer choices
Notify the patients physician.
Document the sound exactly as it was heard.
Validate the data by asking another nurse to listen to the breath sounds.
Assess again in 20 minutes to note whether the sound is still present.
Flag question: Question 10Question 101 pts
The nursing process is a sequential method of problem solving that nurses use and includes which steps?
Group of answer choices
Assessment, treatment, planning, evaluation, discharge, and follow-up
Admission, assessment, diagnosis, treatment, and discharge planning
Admission, diagnosis, treatment, evaluation, and discharge planning
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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