Nokea
Therapeutic communication begins with?
- A. Knowing your client
- B. Knowing yourself
- C. Showing empathy
- D. Encoding
Correct Answer: B
Rationale: Therapeutic communication begins with knowing yourself (B); self-awareness prevents bias, per Rogers. Knowing the client (A) follows, empathy (C) builds later, encoding (D) is technical. B lays the foundation, making it correct.
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When documenting an assigned client's record during and at the end of the shift, the nurse must keep in mind which of the following facts?
- A. In order to get the care done for all assigned clients, the charting must be as brief as possible.
- B. The proper format, such as SOAP or PIE, as chosen by the hospital, must be adhered to.
- C. The chart is a legal document and may be all a nurse has to support care that was given if called to court.
- D. Clients need to be assessed and the care documented at least once every hour during the shift.
Correct Answer: C
Rationale: Documentation is a cornerstone of nursing practice, and recognizing the chart as a legal document is paramount. It serves as the primary evidence of care provided, protecting the nurse in legal disputes by detailing actions, observations, and client responses. If called to court, this record may be the only defense against claims of negligence or improper care, making accuracy and completeness essential. Brevity might compromise detail, undermining its legal value, while specific formats like SOAP enhance clarity but aren't the core issue. Hourly documentation isn't universally required unless specified by policy; the focus is on capturing significant events. This understanding ensures nurses document with precision, safeguarding both client care and professional accountability in a legal context.
The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?
- A. Ask a question about a clinical practice
- B. Summarize findings from multiple studies that are related to a particular nursing practice
- C. Recommend best practice
- D. Complete a meta-analysis
Correct Answer: B
Rationale: In evidence-based practice (EBP), the second step after posing a question is a systematic review, where the nurse summarizes findings from multiple studies on a specific nursing practice like pain relief methods. This involves synthesizing data from diverse sources, assessing consistency, and identifying patterns, not just asking a question (step one) or recommending practice (later step). A meta-analysis, a statistical synthesis, may follow but isn't required here. Systematic review builds a comprehensive evidence base, revealing what works e.g., studies showing non-opioid pain options reduce side effects setting the stage for appraisal and application. It's meticulous, reducing bias by including all relevant research, ensuring nurses ground decisions in a broad, reliable overview rather than isolated findings, critical for effective, patient-centered care.
Too narrow cuff will cause what change in the Client's BP?
- A. True high reading
- B. True low reading
- C. False high reading
- D. False low reading
Correct Answer: C
Rationale: A narrow cuff e.g., under-sized overcompresses, yielding a false high BP e.g., 140/90 vs. true 120/80. True readings need proper fit; wide cuffs may lower falsely. Nurses select cuffs e.g., per arm size for accuracy, per measurement standards.
Which of the following statement is NOT true about pulse pressure?
- A. Pulse pressure is the difference between the systolic and diastolic pressure
- B. Normal pulse pressure is 40 mmHg
- C. Pulse pressure increases when the systolic pressure is elevated and the diastolic pressure remains the same
- D. Elderly people have decreased pulse pressure due to loss of elasticity in the blood vessels
Correct Answer: D
Rationale: Pulse pressure is systolic minus diastolic (A), typically 40 mmHg (B), and rises if systolic increases with stable diastolic (C), per cardiovascular norms. Elderly have increased pulse pressure (D) due to arterial stiffness systolic rises, diastolic may drop making D untrue. Aging widens pulse pressure, not narrows it, contradicting D, thus it's the correct answer as the false statement.
After a month, Mr. Gary's wife started going to her old routine, She said 'Gary would want me to continue living my life' This is an example of what stage of grieving?
- A. Denial
- B. Anger
- C. Bargaining
- D. Acceptance
Correct Answer: D
Rationale: Resuming routine with 'Gary would want is acceptance (D), per Kubler-Ross peace with loss, moving forward. Denial (A), anger (B), and bargaining (C) resist or alter reality. Acceptance reflects her adjustment, making it correct.