Question 1

The nursing faculty member explains to the nursing student that using nursing aesthetics includes which of the following activities? (Select all that apply.)

Accepted Answer

Nursing aesthetics is the low-tech,high-touch art of nursing.Components can include imagery,music therapy,and touch.Care planning and administering medications do not fall under this category of nursing action.

Question 2

The perinatal nurse caring for a 24-year-old mother of an infant born at 26 weeks' gestation is providing discharge teaching.The patient is going to travel to the specialty center approximately 200 miles away,where her daughter is receiving care.The nurse tells the patient that it is normal for her to feel which emotions? (Select all that apply.)

Accepted Answer

Separation of family members needing care in specialty or tertiary care settings often leads to feelings of anxiety,abandonment,fear,and guilt,all of which can be overwhelming in the setting of a serious physical illness in a family member.It would not be common for a family member to feel in control.

Question 3

The perinatal nurse is aware of changes in women's and children's health-care settings that affect family care.What factors do these changes include? (Select all that apply.)

Accepted Answer

Many changes have occurred across health-care settings that have affected family care.Hospitals have redesigned their policies to be family-friendly and have liberalized visiting policies to decrease stress on the family.Alternative care settings have been developed in part to combat escalating medical costs,and patients have high-acuity illnesses and needs across all of these settings.There has been no decrease in the population of pediatric patients.

Question 4

The nurse recognizes that caring for patients and families is challenging due to which of the following factors? (Select all that apply.)

Accepted Answer

Advances in medical care,increased technology,and the potential for legal ramifications should nurses not use EBP and best-practice guidelines all increase the complexity and challenges in providing nursing care.Neither cultural diversity nor patient expectations are decreasing.

Question 5

The nurse listens to a mother and her 4-year-old child as they communicate with each other primarily to determine which of the following? (Select all that apply.)

Accepted Answer

Listening to the cultural voices and experiences of family and patients affirms their value and is critically important to unifying the nurse-patient relationship.This method of interaction allows the nurse to understand family values,family developmental aspects,and the family's cultural aspects.It also motivates patient movement toward positive health-promoting activities.It is not primarily to determine areas for improvement,although the nurse may be able to role model better communication for a patient/family.Listening to communication is also not primarily to determine the family's understanding of health care.

Question 6

The nurse mentor explains to the new nurse that multiple societal changes have given families greater power in health care.What changes have contributed to this shift? (Select all that apply.)

Accepted Answer

The infusion of multiple cultures and beliefs about health-care systems,along with exponential growth in scientific and technologic capabilities,has been a major force in shaping the structure and delivery of nursing care.In addition,increased consumer access to health-related information through the Internet,mass media,and other sources that may or may not be accurate;the unprecedented rise in health-care costs;and the increasing imposition of cumbersome regulations have also contributed to change.Changes in care settings to include new community-based sites have also led to increased power for families/consumers and family-centered decision making.

Question 7

A nurse is describing the use of evidence-based practice (EBP)guidelines to a nursing student.Which explanation of EBP is most accurate?

Accepted Answer

EBP combines investigational guidelines and scientifically sound interventions with clinical expertise and the patient's values and preferences.MEDLINE is one of three primary sources for EBP information;the other two are the Cochrane Database of Systematic Reviews Library and the Agency for Healthcare Research and Quality.The staff members do not have to be actively involved in research to use EBP.Using research findings to plan interventions is part,but not all,of the EBP process.

Question 8

A nurse manager expects all employees to be patient advocates.Which nursing action best demonstrates this nursing role?

Accepted Answer

In the advocate role,the nurse should promote patient-/family-centered care and work to provide the patient with more control,power,and self-determination in the health-care setting.The nurse who arranges a family-physician conference to clarify treatment plans is advocating for the patient.Giving contact information for assistance agencies and working on political campaigns are also ways of demonstrating advocacy,but are too limited in scope to be the best answer.The nurse advocate must ensure he or she is speaking for the patient and the patient's desires,not inserting personal values and beliefs into the process.

Question 9

A nursing manager wants to increase the staff's attention to patients' spirituality.Which action by a nurse would best demonstrate this concept?

Accepted Answer

Spirituality does not necessarily equate with religion;it is more a concept related to a person's beliefs about the meaning of life.Although all actions might be incorporated in a comprehensive discussion of spirituality,the best demonstration of attention to this characteristic is inquiring about the meaning the patient ascribes to life.

Question 10

A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier.What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?

Accepted Answer

For a language barrier,using a professional interpreter is not only the best way to manage communication,it is also legally required.The best short-term goal for the patient and family is to obtain understanding of the patient's illness and treatment and state,through the interpreter,that this is the case.Communicating long-term desires is a better long-term outcome for this diagnosis.Nodding the head and saying "yes" do not always indicate agreement,understanding,or approval.In some cultures this behavior signifies respect.Understanding the differences in nonverbal communication between cultures is not an appropriate short-term goal.

Question 11

A clinic nurse is evaluating a child who has been treated for a cough and fever for several weeks,without resolution of the symptoms.The child and family are recent immigrants to America.What actions by the nurse are most appropriate? (Select all that apply.)

Accepted Answer

Increased international travel and immigration require the nurse to be culturally sensitive and also aware of the possibility of a patient having a disease not commonly seen in the United States.In this scenario,the nurse should assess for culturally relevant health-care practices to ensure that the prescribed treatment is acceptable to the family members,investigate their understanding using a professional interpreter if needed,and research illnesses endemic to the family's country of origin.The nurse should not simply tell the family members that they cannot use herbal or folk remedies.The nurse should attempt to include these traditional methods of healing when possible.

Question 12

A nurse has been teaching a patient who seems impatient and does not retain much of what is taught.What action by the nurse would be best to facilitate the patient's learning?

Accepted Answer

Learning is not likely to be effective if the patient has unmet basic human needs such as hunger,pain,a full bladder,or fear.The nurse should assess for those needs and meet them before continuing.Labeling a patient as uncooperative is counterproductive and judgmental and does nothing to enlist the patient's cooperation.Written information (if the patient is literate)is always a good idea,but doing nothing more than that will not improve the patient's learning when basic needs are unmet.Returning at a later time also does not meet the patient's needs.

Question 13

A new nurse manager wants to initiate changes on the inpatient pediatric unit at a regional referral center.Which actions by the manager would be most helpful? (Select all that apply.)

Accepted Answer

Caring for children at regional referral centers creates problems for families who are impacted by the separation and the high-acuity illness of their child.Changes should consider the emotional needs of the families,both child and family growth and development theories,and evidence-based practice.Family partnering is a way to involve families in the care of their children and is more beneficial to families than nurse-driven care.

Question 14

A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.What action by the nurse will best promote effective communication?

Accepted Answer

In the situation where the nurse is unfamiliar with the patient's culture,the nurse should pattern verbal and nonverbal communication after the patient's own style.There is no indication that this patient does not speak English,so using an interpreter,talking slowly using simple language,and using mostly nonverbal communication is inappropriate.

Question 15

A nurse is demonstrating the professional role of provider of care to a nursing student.Which action by the nurse is most relevant to this professional role?

Accepted Answer

One of the major responsibilities of the nurse as provider of care is to maintain competency in using monitoring and therapeutic equipment.This is a vital safety measure for the patient.The nurse as provider of care should assess all of the patient's physical,psychosocial,and spiritual needs,not just the priority physical needs.Supervising other personnel may or may not be part of a nurse's job description.Choosing to delegate an activity is not a core role of the provider of care.

Question 16

The nurse working with patients understands that health promotion can include which of the following? (Select all that apply.)

Accepted Answer

Health promotion can and should include a belief in the power base of the patient to make meaningful changes in his or her life,an attitude that finds meaning in the shared experience of illness,a shared understanding of the nature of the health threat,and a shared vision about hopes for the future.The nurse needs to recognize and honor the patient-defined state of unity and holism in order to engage nursing aesthetics in practice.

Question 17

A nurse wishes to improve critical thinking skills.Which of the following actions would be helpful for this nurse? (Select all that apply.)

Accepted Answer

Critical thinking evolves from experience,seeking knowledge,practicing skills,self-reflection,open-mindedness,calculated risk-taking,and devotion to listening with a goal of True comprehension and understanding.Making checklists is not part of critical thinking.

Question 18

To be effective when providing information to a patient,the nurse should assess the patient for which of the following? (Select all that apply.)

Accepted Answer

An effective teacher should assess the patient's cultural beliefs and values,information desired,preferred learning style,and level of current understanding before planning and implementing teaching.The patient's past medical history is not essential information for teaching.

Question 19

The nurse understands that changes in family characteristics are related to which of the following influences? (Select all that apply.)

Accepted Answer

Social and technological advances of the past half century have changed family structure,function,and definition.With the increasing acceptance and technological methods of birth control options made available to families since the 1970s,family size has also changed.The feminist movement of the 1970s sent large numbers of mothers outside the home and into the work environment.With increased population mobility and two-income families there are fewer support persons available than before,when living near a large extended family was the norm.Mass media is an important determinant of social behavior.

Question 20

A nurse uses evidence-based practice (EBP)to plan and implement nursing care.What action by the nurse best demonstrates this process?

Accepted Answer

The nurse who has incorporated EBP into nursing care is able to predict,and assess for,potential problems and complications because of knowledge of relevant research.Assessment,planning,implementation,and evaluating are steps in the traditional nursing process.Specific research findings do not need to be specifically incorporated into a nursing care plan and,in fact,without including clinical expertise and patient preferences,scientific findings are incomplete.A concept map is an alternative to the traditional nursing care plan.

Quiz 1: Traditional and Community Nursing Care for Women, Families, and Children