Question 1

Which of the following best demonstrates a nurse using critical thinking when providing person-centred care? The nurse:

Accepted Answer

Listing alternative interventions shows that the nurse is using critical thinking to consider multiple options for providing person-centred care, rather than simply relying on a single planned intervention. This approach reflects a holistic, individualized approach to care. Evaluating interventions with a more experienced nurse may be helpful, but it does not necessarily demonstrate critical thinking focused on person-centred care. Reviewing a laboratory manual may be necessary for certain aspects of care, but does not necessarily show critical thinking focused on person-centred care. Developing concern when a planned intervention fails is important, but it alone does not demonstrate critical thinking focused on person-centred care.

Question 2

The nurse is using a clinical pathway to provide healthcare to a person. Which of the following is correct about clinical pathways? They:

Accepted Answer

Clinical pathways are standardized, evidence-based plans of care used to improve consistency, quality, and efficiency of clinical care. They involve multiple healthcare providers (not just nursing staff) and ensure continuity of care throughout a patient's treatment. They can be helpful for specific diagnoses rather than nonspecific ones and often involve diagnostics as part of the plan of care.

Question 3

The nurse is implementing a plan of care for a person. After providing care, what should the nurse do as the final step in the process?

Accepted Answer

Documenting the care provided is the final step in the nursing process, as it provides a record of the care given and serves as a communication tool for other healthcare providers. Reassessing the person and setting daily priorities of care may be ongoing processes, and providing a verbal handover report may be necessary but is not the final step in the process of implementing a plan of care.

Question 4

The new graduate nurse is studying the Australian Nursing and Midwifery Council Code of Professional Conduct Statements. Which of the following is/are part of these statements? (Select all that apply.)

Accepted Answer

The answer of The new graduate nurse is studying the...

Question 5

The nurse is preparing a person to return home following a brief hospitalisation. Which of the following is most important in preparing to teach the patient how to care for himself after discharge?

Accepted Answer

Familiarity with adult learning principles is most important in preparing to teach the patient how to care for himself after discharge. Understanding how adults learn can help the nurse determine the most effective teaching methods, such as hands-on demonstrations or written instructions, to help the person retain the information and apply it at home. The other options may also be important, but familiarity with adult learning principles is the most crucial in this situation.

Question 6

The nurse is reviewing the outcome of person-centred care provided according to the plan of care. Which of the following nursing process steps would the nurse use next?

Accepted Answer

After providing person-centred care according to the plan of care, the next nursing process step would be evaluation to assess the effectiveness of the care provided and whether the outcomes were achieved. This will help to identify any necessary modifications or adjustments to the plan of care.

Question 7

At the completion of an assessment, the nurse chooses a nursing diagnosis to best define the person's health problems. Which type of clinical judgement does the nurse use?

Accepted Answer

The nurse uses diagnostic reasoning to choose a nursing diagnosis based on the data collected during the assessment process. This involves analyzing and interpreting the data to identify the underlying health problems and select the most appropriate nursing diagnosis. The nursing process and evidence-based practice are broader concepts that encompass all aspects of nursing care, while clinical pathways are structured plans of care that outline the expected course of treatment for a specific health condition.

Question 8

A graduate nurse is attending a seminar regarding the role of the nurse as a person advocate. After the session, the students engage in a discussion. Which of the following statements by the graduate nurse indicates a need for further education?

Accepted Answer

The statement "Person advocates have the authority to make decisions for the person" is incorrect. As a person advocate, the nurse should support and advocate for the person in decision-making but not make decisions for them. The other statements are all accurate in describing the role of the nurse as a person advocate.

Question 9

The nurse is creating outcome criteria for the nursing diagnoses for a person. Which of the following would the nurse include when creating the criteria? They should be written:

Accepted Answer

Outcome criteria should be written in a way that addresses the person, is time-specific, and measurable so that progress towards the goals can be accurately tracked and evaluated. B, C, and D do not fully capture the essential requirements for effective outcome criteria.

Question 10

A nurse has delegated the collection of vital signs, including blood pressure readings, to an assistant in nursing. The nature of this work means the nurse is:

Accepted Answer

The nurse is accountable for the care that was delegated, which includes the collection of vital signs by an assistant in nursing. The nurse must ensure that the assistant is properly trained and supervised, and must also review the vital sign observations to ensure that they are accurate and within normal ranges. While the assistant is responsible for collecting the vital signs, the nurse remains accountable for the overall care provided to the patient.

Question 11

The nurse is consulting a clinical pathway to help make person-centred care decisions. Which type of care delivery model is this nurse most likely using to provide person-centred care?

Accepted Answer

Clinical pathways are tools used in case management nursing to guide the delivery of person-centred care. Clinical pathways provide a standardized plan of care that is tailored to the needs of an individual patient, promoting the delivery of coordinated, efficient, and effective care.

B, C, and D are not accurate choices because total patient care, primary nursing, and task-oriented nursing are all care delivery models; however, none of these models are specifically associated with the use of clinical pathways in the provision of person-centred care.

Question 12

As a leader and manager, the nurse has an important role in promoting continuous quality improvement in person-centred care. What does this involve?

Accepted Answer

Clinical governance involves a systematic approach to maintaining and improving the quality of patient care within a health system, which is essential for continuous quality improvement in person-centred care.

Question 13

The nurse is preparing to provide person-centred care information to a group of assistants in nursing. Which type of care delivery system is this nurse most likely using to provide person-centred care?

Accepted Answer

Team nursing is a care delivery system in which a group of nurses work together to provide care to a group of patients. This type of system allows for more individualized care, as each nurse is responsible for a smaller number of patients.

Question 14

The nurse working on a quality improvement study wants to evaluate a person-centred care process. Which of the following will the nurse use to evaluate this process?

Accepted Answer

The nursing process is a person-centred approach that involves assessing, diagnosing, planning, implementing, and evaluating care, making it suitable for evaluating person-centred care processes.

Question 15

A new nurse tells her mentor, 'You always seem so poised when you interact with the person. It is as if you always know what to do. Can you teach me how to do that?' Which characteristic does this mentor possess in relation to critical thinking?

Accepted Answer

Self-confidence is a key characteristic of critical thinking, especially in nursing, as it allows the individual to trust their judgment and skills when making decisions and interacting with patients. This confidence is what the new nurse observes in her mentor's poised interactions.

Question 16

While providing care to a person, the nurse stops to assess a new person-centred problem. Which type of assessment is this?

Accepted Answer

Focused assessment involves the nurse gathering data about a specific problem or issue that has arisen while providing care to the person. This type of assessment is often done in response to a change in condition or a new problem that the person has experienced.

Question 17

A person-centred care issue has been raised about the actions taken by a nurse who was asked to provide care to a person whose healthcare decisions were considered controversial. The unit's nurse manager is concerned that care was not appropriately provided. Which of the following should be consulted to protect the person and to evaluate the care in question?

Accepted Answer

The answer of A person-centred care issue has been raised...

Question 18

The nurse pauses to reflect on a previous person-centred care situation before providing care to a person at present. This nurse is using which critical thinking skill?

Accepted Answer

Reflection is the process of thinking back on a situation or experience to gain insights and learn from it. In this scenario, the nurse is pausing to reflect on a previous person-centred care situation before providing care to someone else. This demonstrates the use of reflection as a critical thinking skill, as the nurse is taking time to process what they learned from the previous experience and apply it to the present situation. Reasoning, clarification, and divergent thinking are also important critical thinking skills, but they are not being specifically demonstrated in this scenario.

Question 19

A person tells the nurse, 'I have pain in my leg when I stand too long.' Which type of data is this?

Accepted Answer

This type of data is subjective, meaning it is based on the person's personal experience and perception of their pain.

Question 20

Which of the following would a nurse use to guide the preparation of a smoking cessation plan for a specific person?

Accepted Answer

The nursing process is a systematic framework that guides nursing practice, including assessment, diagnosis, planning, implementation, and evaluation. Using the nursing process, a nurse can assess a person's readiness to quit smoking, diagnose the specific factors contributing to their smoking habit, and develop a personalized plan for smoking cessation that addresses their unique needs and preferences. Evidence-based practice, variance analysis, and clinical pathways may also be useful in developing a smoking cessation plan, but they are not as comprehensive as the nursing process when it comes to individualized care planning.

Quiz 1: Medical-Surgical Nursing in the Twenty-First Century