Refer the patient the health care facility chaplain

MODULE 21
1. Which of the following is the first step of the research process?

a. Analyze data
b. Identify problem
c. Conduct study
d. Use the findings
Answer: B
RATIONALE: Identifying a problem is the first step of the research process.

Answer: D
RATIONALE: Sometimes you use data gathered from a health care setting to examine clinical trends when developing clinical questions. For example, most hospitals keep monthly records on key quality of care or performance indicators such as medication errors or infection rates.

1. Which of the following populations have the highest incidence of STI? (Select all that apply.) a. Hispanic women age 15 to 24 years
b. African-American men age 15 to 24 years
c. Caucasian men age 50 to 58 years
d. Caucasian women age 42 to 53 years
Answer: A B
RATIONALE: The highest incidence of STI occurs in the 15-to-24-year-old age group and in Hispanic and African American populations.

Answer: D
RATIONALE: Sexual function is an important part of taking a sexual history, as it can indicate other problems the patient may be having.

3. When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals:
a. maintain their belief systems and worship practices.

b. refer the patient to the health care facility chaplain.

c. provide the patient with a variety of religious literature.

c. termination stage.

d. preinteraction stage.

a. Challenge the nurses in a public forum to embarrass them and change their behaviour. b. Talk with the department secretary and ask if this has been a problem for other nurses.

c. Talk with the preceptor or manager and ask for assistance in handling this issue.

5. In which of the following phases of the helping relationship is an agreement or contract about the relationship established?

a. Orientation phase
b. Working phase
c. Termination phase
d. All of the above
Answer: A
RATIONALE: When the nurse and patient meet and get to know one another. Also, it form contracts with the patient that specify who will do what.

d. All of the above
Answer: B
RATIONALE: Letter B is the correct answer since emotional status includes anxiety, anger, hopelessness and euphoria. Physiologic status is pain, hunger, nausea, weakness and dyspnea. Unmet needs are safety, security, love and belonging.

7. A nurse is planning the care for her patient. She always main an open line of communication and ensure that the patient is comfortable and that all physical needs have been met. This is a concept of:
a. Goals and outcomes
b. Setting of priorities
c. Teamwork and collaboration
d. Nursing Diagnosis
Answer: B
RATIONALE: When you plan to have lengthy interactions with a patient, it is important to address physical care priorities first so the discussion is not interrupted.

e. Communicate only through written information.

Answer: A C D
RATIONALE: Letters A C and D are one of the tips to improve communication with older adults who have hearing impairment except B and E.

d. Remind the nurse to complete all her tasks and then set up remaining time for communication.

Answer: A
RATIONALE: Including communication while implementing some nursing procedures or tasks to your patients provide respect, comfort and expression of feelings. Also, communication helps build a therapeutic nurse-patient relationship.

b. regulations require health care institutions to document evidence of physical and emotional well-being.

c. reimbursement issues related to patient care and procedures may be of concern.

c. lengthy entry using lay terminology.

d. abbreviations familiar to the nurse.

d. charting by exception.

Answer: C
RATIONALE: Writing subjective data, which includes the information the patient verbalizes, is written in narrative charting

Answer: D

RATIONALE: Any deviation from the norm, such as a patient fall, can be used to improve quality. Incidents are gathered and assessed to see if there is a way to prevent it from happening again.

b. Emotional status like hopelessness and euphoria.

c. Unmet needs such as being optimist or pessimist.

c. Give the patient time to respond to questions.

d. Keep communication short and to the point.

a. Include communication while performing tasks such as changing dressings and checking vital signs.

b. Ask the patient if you can talk during the last few minutes of visiting hours.

a. Arrange for a Spanish-speaking social worker to explain the procedure
b. Ask a fellow Spanish-speaking patient to help explain the procedure
c. Use a professional interpreter to provide wound care education in Spanish
d. Ask the patient to write down questions that he or she has for the nurse
Answer: C
RATIONALE: Provide professional interpreter for patients who do not speak English (or your language/dialect) as needed.

MODULE 24
A travel nurse has taken an assignment at a health care facility where nurses assume responsibility for a caseload of patients over a period of time. This type of nursing exemplifies: a. team nursing.

1. A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paper work, the nurse needs to record:
a. an interpretation of patient behavior.

b. objective data that are observed.

b. SOAP documentation.

c. narrative charting.

b. provide information about patients from one unit to another unit.

c. ensure proper care for the patient.

c. remind the staff member that she is working under the license of the RN.

d. allow the staff member to perform only skills that the RN is able to teach certified nursing assistants to perform.

d. abbreviations familiar to the nurse.

Answer: B
RATIONALE: Objective data are part of the assessment portion of the nursing process. All data collected during the nursing process should be documented.

Answer: C
RATIONALE: Writing subjective data, which includes the information the patient verbalizes, is written in narrative charting

3. A patient you are assisting has fallen in the shower. You must complete an incident report.

Answer: D
RATIONALE: Any deviation from the norm, such as a patient fall, can be used to improve quality. Incidents are gathered and assessed to see if there is a way to prevent it from happening again.