NUR 4500 Exam Fall 2019 (100% ) - Oakland Community College | NUR4500 Exam Fall 2019 (100% )

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NUR 4500 Exam 100% latest - Oakland Community College Top of Form A nurse is carg for a client for whom segmental postural draage treatments are prescribed. The nurse should avoid schedule the tre... atment at what time? 1 At bedtime  2 After a meal 3 One hour before a meal 4 One hour after awakeng Bottom of Form Productive coughg duced by postural draage can cause nausea and vomitg. Because coughg must be encouraged after treatment, sleep will be postponed; however, as breathg is facilitated, sleep may become more restful. Approximately one hour before meals is a preferred time for postural draage; the resultg cough and production of mucus will subside before eatg. Upon awakeng, mucous secretions are plentiful and tenacious; postural draage at this time will be most beneficial. Top of Form Arrange the order of donng personal protective equipment (PPE) while carg for a client with isolation precautions.   1. Apply the cover gown, pull the sleeves down to the wrists, and tie the gown securely at the neck and waist 2. Apply clean gloves with the gown 3. Brg the glove cuffs over the edge of the gown sleeves 4. Apply either a surgical mask or a respirator around the mouth and nose 5. Apply eyewear or goggles snugly around the face and eyes Bottom of Form When preparg to enter an isolation room [1] [2], the nurse first needs to apply a cover gown pull the sleeves down to wrist, and tie securely at neck and waist. The nurse should wear either a surgical mask or a respirator around his or her mouth and nose. If necessary, apply eyewear or goggles snugly around the face and eyes. Next, the nurse should wear gloves with the gown and pull the glove cuffs over the gown sleeves. Top of Form A client expresses concern about beg exposed to radiation therapy because it can cause cancer. What should the nurse emphasize when formg the client about exposure to radiation? 1 The dosage is kept at a mimum.  2 Only a small part of the body is irradiated. 3 The client's physical condition is not a risk factor. 4 Nutritional environment of the affected cells is a risk factor. Bottom of Form Current radiation therapy accurately targets malignant lesions with ppot precision, mimizg the detrimental effects of radiation to healthy tissue. The dose is not as significant as the extent of tissue beg irradiated. When radiation therapy is prescribed, the healthcare provider takes to consideration the ability of the client to tolerate the therapy, determg that the benefit outweighs the risk. Nutritional environment of the affected cells does not fluence radiation's effect. Top of Form What nursg actions best promote communication when obtag a nursg history? Select all that apply.  1 Establishg eye contact  2 Paraphrasg the client’s message 3 Askg "why" and "how" questions  4 Usg broad, open-ended statements 5 Reassurg the client that there is no cause for alarm 6 Askg questions that can be answered with a "yes" or "no" Bottom of Form Eye contact dicates to the client that the nurse is listeng and terested. Paraphrasg is an effective terviewg technique; it dicates to the client that the message was heard and vites the client to elaborate further. Open-ended statements provide a milieu which people can verbalize their problems rather than be placed a situation of providg a forced response. Askg "why" and "how" questions can be threateng to the client, who may not have the answer to these questions. False reassurance is detrimental to the nurse-client relationship and does not promote communication. Direct questions do not open or promote communication. Top of Form A healthcare provider prescribes a standard walker (pick-up walker with rubber tips on all four legs). The nurse identifies what clical fdgs that dicate the client is capable of usg a standard walker? 1 Weak upper arm strength and impaired stama 2 Weight bearg as tolerated and unilateral paralysis 3 Partial weight bearg on the affected extremity and kyphosis  4 Strong upper arm strength and non–weight bearg on the affected extremity Bottom of Form A walker with four rubber tips on the legs requires more upper body strength than a rollg walker. A client who is non–weight bearg on the affected extremity is able to use a standard walker. A rollg walker is more appropriate for a client with weak upper arm strength and impaired stama who is less able to lift up and move a walker with four rubber tips. A client with unilateral paralysis is not a candidate for a standard walker; the client must be able to grip and lift the walker with both upper extremities and move the walker forward. A rollg walker is more appropriate for this client. A client with kyphosis is less able to lift up and move a walker with four rubber tips. Top of Form The registered nurse is teachg a nursg student about the safety guideles for nursg skills. Which statement by the student nurse dicates the need for further education? 1 "I should set up and prepare medications distraction-free areas."  2 "I should advise the certified medical assistant to admister travenous medication." 3 "I should be vigilant durg the entire process of medication admistration." 4 "I should identify each client usg at least two identifiers before admistratg medications." Bottom of Form Certified medical assistants are eligible to admister PO (by mouth) medications long-term care settgs some areas. The nurse should set up and prepare medications distraction-free areas. The nurse should be vigilant durg the entire process of medication admistration. The nurse should identify each client usg at least two identifiers before admisterg medications. Top of Form A nurse considers that communication lks people with their surroundgs. What should the nurse identify as the most important communication lk?  1 Social 2 Physical 3 Materialistic 4 Environmental Bottom of Form Without some form of communication, there can be no socialization. People teract with other social begs, not with animate objects. Physical, materialistic, and environmental surroundgs are all animate and cannot teract. Top of Form A primary nurse completes a nursg assessment of all assigned clients and develops a care plan for each client. Which element of decision-makg does the nurse execute this situation? 1 Authority 2 Autonomy  3 Responsibility 4 Accountability Bottom of Form Responsibility refers to duties and activities that an dividual is employed to perform. Authority refers to the legitimate power to give commands and make fal decisions specific to a given issue. Autonomy refers to freedom of choices and the responsibility for the choices. Accountability refers to dividuals beg answerable for their actions. Top of Form While carg for a client dealg with pa, the nurse assesses the health status and prioritizes his or her needs. Which phase of the helpg relationship is observed? 1 Workg phase  2 Orientation phase 3 Termation phase 4 Preteraction phase Bottom of Form Durg the orientation phase, the nurse assesses the health status of the client and prioritizes his or her needs. Durg the workg phase, the nurse encourages and helps the client to set treatment goals. the termation phase, the nurse evaluates the achievement of treatment goals with the client. the preteraction phase, the nurse reviews the client’s medical and nursg history and talks to the caregivers. Top of Form Arrange the events of communication throughout the nursg process chronological order.   1. Assessg the medical records and diagnostic tests   2. trapersonal analysis of the assessment fdgs 3. Performg verbal, visual, auditory, and tactile health teachg activities 4. Documentg expected outcomes   5. Identifyg the factors affectg the outcomes Bottom of Form The first step of communication throughout the nursg process is assessment, which volves assessg medical records and diagnostic tests. The second step is nursg diagnosis, which volves the trapersonal analysis of assessment fdgs. The third step is planng, which volves the documentation of expected outcomes. The fourth step is implementation, which volves performg verbal, visual, auditory, and tactile health teachg activities. The fal step is evaluation, which volves identifyg the factors affectg the outcomes. Top of Form A nurse reviews a client’s record to learn the nature of an illness and the client’s response to it. What purpose of the client record is beg fulfilled? 1 Research  2 Education 3 Reimbursement 4 Communication Bottom of Form A client’s record contas a variety of formation, cludg diagnoses, signs and symptoms of disease, successful and unsuccessful therapies, diagnostic fdgs, and client behaviors. This formation is for the education of the healthcare staff. When a client record is used to gather statistical data on the frequency of clical disorders, complications, and specific medical and nursg therapies, it serves the purpose of research. The client’s record is reviewed for criteria of severity of illness and tensity of service to determe reimbursement. A client’s record is a way for healthcare team members to communicate client needs and progress, dividual therapies, content of consultations, client education, and discharge planng. Top of Form A parent observes that the child is dressg on his or her own and is self-feedg. Which stage of life does the child belong to accordg to Erikson's theory of psychosocial development? 1 itiative versus guilt 2 Trust versus mistrust 3 dustry versus feriority  4 Autonomy verses sense of shame and doubt Bottom of Form Accordg to Erikson's theory of psychosocial development, autonomy verses sense of shame and doubt stage is seen children ages 1 to 3 years. By this age, the child is more accomplished some basic self-care activities such as walkg, feedg, and toiletg. Therefore, the child who is learng to dress himself or herself and self-feed is the autonomy verses sense of shame and doubt stage. the itiative versus guilt stage, the child likes to pretend and try out new roles. Fantasy and imagation allow them to explore their environment. the trust versus mistrust stage, the fant requires a consistent caregiver who is available to meet his or her needs. From this basic trust caregivers comes trust himself or herself, others, and the world. dustry versus feriority is seen school-aged children (6-11 years). this stage, children will apply themselves to learng socially productive skills and learng to play with peers. Top of Form A nurse is teachg a parent about the different temperaments that a child may display. What personality aspects would a difficult child display? Select all that apply.  1 A difficult child is highly active, irritable, and irregular habits.  2 A difficult child displays an tense and primarily a negative mood.  3 A difficult child adapts slowly to new routes, people, or situations. 4 A difficult child displays a mild-to-moderately tense mood that is typically positive. 5 A difficult child responds with mild but passive resistance to novelty or changes route. Bottom of Form A difficult child is highly active, irritable, and irregular habits. A difficult child displays an tense and primarily negative mood and adapts slowly to new routes, people, or situations. An easy child displays a mild-to-moderately tense mood that is typically positive. A slow-to-warm up child responds with mild but passive resistance to novelty or changes route. Top of Form A nurse needs to record a client’s data from admission until discharge. Which record will the nurse use? 1 Acuity record  2 Source record 3 Hand-off records 4 Problem-oriented medical record Bottom of Form The nurse will use the source record for writg formation from the client’s admission until discharge. This record has a separate section for each disciple (such as the admission sheet, nursg records, and medication). Acuity records are not part of a client’s medical record. They are useful for determg the hours of care and staff required for a given group of clients. A hand-off record is used when up-to-date formation about a client’s condition, required care, treatments, medications, services, and any recent or anticipated changes is to be communicated. The problem-oriented medical record (POMR) is a method of documentation that places emphasis on the client’s problems. this record, data is organized by problem or diagnosis. Top of Form A registered nurse is teachg a nursg student about Peplau’s theory, which focuses on terpersonal relations. Which statements of the nursg student dicate an understandg of the theory? Select all that apply.  1 "This theory creates a maturg force."  2 "This theory volves the nurse actg as a resource and surrogate."  3 "This theory cludes three phases that characterize the terpersonal relationship." 4 "This theory focuses on the terpersonal relationship between the client and the client’s family." 5 "This theory focuses on the terpersonal relationship that is fluenced by only the nurse’s perceptions." Bottom of Form Hildegard Peplau’s theory focuses on developg the terpersonal relationship between the nurse, the client, and the client’s family. This theory develops a nurse-client relationship that is fluenced by both the nurse’s and the client’s perceptions and preconceived ideas. Peplau’s theory is unique: the collaborative nurse-client relationship creates a maturg force through which terpersonal effectiveness meets the client’s needs. Accordg to this theory, the nurse acts as a resource person, counselor, and surrogate. Accordg to Peplau, the three phases that characterize the nurse-client terpersonal relationship are orientation, workg phase, and termation. Top of Form A registered nurse is teachg a student nurse about a rapid-improvement event (RIE), a quality improvement model. Which statement by the student nurse dicates effective learng?  1 "It is a very tense, usually week-long, event." 2 "It is done by an dividual to evaluate a problem." 3 "It is appropriate to use when a mor problem exists." 4 "It takes a long time to measure the effect of changes this event." Bottom of Form Rapid-cycle improvement, or a rapid-improvement event (RIE), is a quality improvement model that is very tense and usually lasts for a week. It is a group activity which a group gets together to evaluate a problem with the purpose of makg radical changes to the current process. It is appropriate to use when a serious problem exists that greatly affects client safety and needs to be solved quickly. this event, changes are made with a very short time. The effects of the changes are measured quickly and results are evaluated. Top of Form A nurse is analyzg and explag the demographics of a population under research. What phase of the nursg process is the nurse exercisg? 1 Diagnosis phase  2 Evaluation phase 3 Assessment phase 4 Implementation phase Bottom of Form When the nurse is analyzg and terpretg the demographics of a study population, the nurse is exercisg the evaluation phase. Durg the diagnosis phase, the nurse develops hypotheses related to the drug study. Durg the assessment phase, the nurse formulates the theoretical framework, reviews the literature, and identifies the study variables. Durg the implementation phase, the nurse obtas the necessary approvals, recruits subjects, and implements the study protocol. Top of Form A nurse needs to provide preventive and primary care to adults durg a health camp. Which of these actions should the nurse perform? Select all that apply.  1 The nurse should discuss vaccations.  2 The nurse should discuss family planng. 3 The nurse should discuss adult day care services. 4 The nurse should struct the health camp about the self-care at home.  5 The nurse should struct the health camp about road safety measures. Bottom of Form While providg preventive and primary care, the nurse may discuss vaccations and family planng. Road safety measures like seat belts, air bags, and helmets are also part of a primary health care program. Day care services are associated with restorative care. structions about home self-care are also part of restorative care. Top of Form Which program is an example of a contug education program?  1 A program on carg for the elderly with dementia offered by a university 2 A program on culturally sensitive approaches health care for the hospital nursg staff 3 A trag on the use of computers to mata health records by the health care stitution 4 A program on safe prciples for admisterg chemotherapy for nurses the oncology department Bottom of Form The program on carg for the elderly with dementia offered by a university is an example of a contug education program. Such programs are formal, organized educational programs offered by universities, hospitals, or professional nursg organizations. An -service education program is held the stitution or health care agency to crease the competencies of the nurses employed there. Therefore the programs on culturally sensitive approaches health care, use of computers, and safe prciples for admisterg chemotherapy are Top of Form Accordg to Erikson’s theory, at which age would a child develop self-control and dependence?  1 18 months to 3 years old 2 3 to 6 years old 3 6 to 12 years old 4 12 to 19 years old Bottom of Form Accordg to Erikson’s theory, between the ages of 18 months and 3 years, a child develops self-control and dependence. At the age of 3 to 6 years old, a child is highly imagative. At the age of 6 to 12 years old, a child is engaged tasks and activities. Between the ages of 12 and 19 years of age, a child can differentiate between identity and role confusion. [Show More]

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