Question 1

Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)

Accepted Answer

Clinical reasoning is a cognitive process that uses formal and informal thinking to gather and analyze patient data, evaluate the significance of the information, and consider alternative actions. Clinical reasoning is a complex developmental process based on rational and deliberate thought and developing an outcome focused on optimum patient care. Clinical reasoning is based on the scientific method of inquiry; it is not based solely on intuition.

Question 2

Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)

Accepted Answer

Oral health instructions to parents of children should include use of fluoridated water and dental hygiene beginning with the first tooth eruption. In addition, early childhood caries is a preventable disease and should be included in the teaching session. Dental caries is a common, not rare, chronic disease of childhood. Childhood caries may begin before the first birthday.

Question 3

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Development of a care plan

Accepted Answer

Planning involves the development of a care plan based on the information gathered during the assessment and diagnosis phases.

Question 4

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Interventions are put into action

Accepted Answer

Implementation is the step where the nurse puts the planned interventions into action.

Question 5

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

-The patient's right to be self-governing

Accepted Answer

Autonomy refers to the patient's right to make their own decisions and have control over their own medical care. This value often competes with the value of beneficence or doing what is in the patient's best interest according to medical professionals. In ethical dilemmas, autonomy may take precedence over beneficence if the patient has the capacity to make their own decisions.

Question 6

Which are included in the evaluation step of the nursing process? (Select all that apply.)

Accepted Answer

Evaluation is the last step in the nursing process. The nurse gathers, sorts, and analyzes data to determine whether (1) the established outcome has been met, (2) the nursing interventions were appropriate, (3) the plan requires modification, or (4) other alternatives should be considered. Establishing priorities and selecting expected patient goals are done in the outcomes identification stage. Determining if a risk or actual dysfunctional health problem exists is done in the diagnosis stage of the nursing process.

Question 7

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Problem identification

Accepted Answer

Diagnosis refers to identifying the problem or the health condition of the patient based on the assessment data gathered.

A) Assessment: This is the first step of the nursing process that involves collecting subjective and objective data related to the patient's health status.

C) Outcomes identification: This step involves setting measurable and achievable goals for the patient in collaboration with the patient, family, and healthcare team.

D) Planning: This is the phase where the nursing care plan is developed based on the diagnosis and patient goals are prioritized.

E) Implementation: This is where the nursing interventions outlined in the care plan are carried out.

F) Evaluation: The final step in the nursing process is to determine whether the patient goals have been met, and whether the care plan needs to be adjusted or revised.

Question 8

Which responsibilities are included in the pediatric nurse's promotion of the health and well-being of children? (Select all that apply.)

Accepted Answer

The pediatric nurse's role includes promoting disease prevention, providing support and counseling, establishing a therapeutic relationship, and participating in ethical decision making; a pediatric nurse does not need to establish lifelong friendships or provide financial assistance to children and their families. Boundaries should be set and clear.

Question 9

The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)

Accepted Answer

The Healthy People 2020 leading health indicators provide a framework for identifying essential components for child health promotion programs designed to prevent future health problems in our nation's children. Some of the leading health indicators include decreasing tobacco use, improving immunization rates, and increasing access to health care. Reducing the incidence of cancer and decreasing the number of eating disorders are not on the list as leading health indicators.

Question 10

The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)

Accepted Answer

Overweight youth have increased risk for a cluster of cardiovascular factors that include hypertension, altered glucose metabolism, and dyslipidemia. Irritable bowel disease and asthma are not linked to obesity.

Question 11

The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?

Accepted Answer

Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. For example, the number of nursing staff, the skill level of the nursing staff, and the education and certification of nursing staff indicate the structure of nursing care. The average age of the nurses, salary range, and number of nurses who have applied but were not hired for the unit are not nursing-sensitive indicators.

Question 12

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Determines if the outcome was met

Accepted Answer

Evaluation is the step in the nursing process where the nurse determines if the outcome was met.

Question 13

Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)

Accepted Answer

Actions that show overinvolvement include buying clothes for patients, showing favoritism toward a patient, and spending off-duty time with patients and families. Focusing on technical aspects of care is an action that indicates underinvolvement, and asking questions if families are not participating in care indicates a positive action.

Question 14

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

-The obligation to promote the patient's well-being

Accepted Answer

Beneficence refers to the obligation to promote the well-being of the patient, which is often in competition with other moral values such as respect for autonomy, nonmaleficence, and justice.

Question 15

The nurse is determining if a newborn is classified in the low birth weight (LBW) category of less than 2500 g. The newborn's weight is 5 lb, 4 oz. What is the newborn's weight in grams? Record your answer in a whole number.
__________________

Accepted Answer

The answer of The nurse is determining if a newborn...

Question 16

The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)

Accepted Answer

Families that struggle with lower incomes, homelessness, and migrant status generally lack the resources to provide their children with adequate food intake, nutritious foods such as fresh fruits and vegetables, and appropriate protein intake. Working parents and single parent status do not mean the families will struggle to provide adequate nutrition.

Question 17

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

-The obligation to minimize or prevent harm

Accepted Answer

Nonmaleficence refers to the obligation to minimize or prevent harm. The other options are:

A) Autonomy: the right of individuals to make decisions for themselves
C) Beneficence: the obligation to do good and promote the well-being of others
D) Justice: the obligation to treat people fairly and equitably, and to distribute benefits and harms in a fair manner.

Question 18

The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)

Accepted Answer

The patient's medical record should include: initial assessments, reassessments, nursing care provided, and the patient's response of care provided. Incident reports are not documented in the patient's chart.

Question 19

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Purposeful collection of data

Accepted Answer

Purposeful collection of data is the definition of Assessment in the nursing process.

Answer: B
 Diagnosis is the step in the nursing process where the nurse identifies the client's health problem based on the assessment data.

Answer: C
 Outcomes identification is the process of determining expected outcomes for a specific client and is typically done after the diagnosis has been made.

Answer: D
 Planning involves the development of a care plan that outlines nursing interventions designed to address the client's health problems.

Answer: E
 Implementation is the stage in which interventions are carried out.

Answer: F
 Evaluation is the final step of the nursing process in which the effectiveness of the plan of care is assessed.

Question 20

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Expected patient goals

Accepted Answer

Outcomes identification is the step of the nursing process where the nurse identifies expected patient goals based on the assessment and diagnosis.

Quiz 1: Perspectives of Pediatric Nursing

Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)

Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Development of a care plan

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Interventions are put into action

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition. -The patient's right to be self-governing

Which are included in the evaluation step of the nursing process? (Select all that apply.)

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Problem identification

Which responsibilities are included in the pediatric nurse's promotion of the health and well-being of children? (Select all that apply.)

The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)

The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)

The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Determines if the outcome was met

Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition. -The obligation to promote the patient's well-being

The nurse is determining if a newborn is classified in the low birth weight (LBW) category of less than 2500 g. The newborn's weight is 5 lb, 4 oz. What is the newborn's weight in grams? Record your answer in a whole number. __________________

The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition. -The obligation to minimize or prevent harm

The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Purposeful collection of data

MATCHING The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition. -Expected patient goals