LPN Nursing Fundamentals

LPN Nursing Fundamentals Related

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A nurse working on a busy acute care unit is planning care for a group of clients. Which nursing action best exemplifies the primary focus of the nurse's role?

  • A. The nurse focuses on the procedures being performed for clients that day
  • B. The nurse adjusts the environment of the client to facilitate provision of care
  • C. The nurse monitors the health status of the client throughout the shift
  • D. The nurse comforts a client who received bad results from a diagnostic test
Correct Answer: D

Rationale: Nursing's primary focus is promoting health and wellness holistically, partnering with clients to address physical, emotional, and spiritual needs. Comforting a client after bad diagnostic results exemplifies this, offering emotional support during distress, reinforcing trust, and aiding coping core to nursing's caring essence. Focusing on procedures prioritizes tasks over people, while adjusting the environment supports care delivery indirectly. Monitoring health status is vital but reactive, not the central focus. Comforting reflects nursing's commitment to the whole person, not just illness, aligning with its mission to foster well-being across diverse settings. This action embodies the nurse's role as a compassionate advocate, pivotal in acute care where emotional needs often peak alongside physical ones, enhancing overall client resilience.

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The name of the nursing diagnosis is linked to the etiology with the phrase:

  • A. as manifested by'
  • B. related to'
  • C. evidenced by'
  • D. due to'
Correct Answer: B

Rationale: In nursing diagnoses, a standardized format connects the problem to its cause. The phrase 'related to' is used to link the identified health issue, such as 'Impaired Mobility,' to its etiology, like 'joint stiffness,' forming a clear cause-and-effect relationship. 'As manifested by' and 'evidenced by' describe symptoms or signs supporting the diagnosis, not the cause. 'Due to' is less specific and not part of the formal nursing diagnosis structure outlined by NANDA International. This format ensures clarity in care planning, allowing nurses to address underlying causes effectively, enhancing patient outcomes through targeted interventions based on this relationship.

The nurse planned Mr. Gary's care to save time. This is an example of?

  • A. Time management
  • B. Priority setting
  • C. Health policy
  • D. Patient advocacy
Correct Answer: A

Rationale: Planning care to save time is time management (A) efficient organization, per definition. Priority (B) orders, policy (C) rules, advocacy (D) rights not time-specific. A fits the nurse's scheduling for Mr. Gary, making it correct.

Postulated that FAITH is the way of behaving. He developed four theories of faith and development based on his experience.

  • A. Giligan
  • B. Westerhoff
  • C. Fowler
  • D. Freud
Correct Answer: B

Rationale: John Westerhoff's faith theory (1970s) sees faith as evolving behavior e.g., from received to owned faith through life events. Gilligan's ethics, Fowler's abstract faith, and Freud's psychology differ. His experiential stages affiliative, searching guide nursing's spiritual care, helping patients express faith through actions, enhancing holistic support.

During a Romberg test, the nurse asks the patient to assume which position?

  • A. Sitting
  • B. Standing
  • C. Genupectoral
  • D. Trendelenburg
Correct Answer: B

Rationale: The Romberg test assesses balance while standing with eyes open and closed.

A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

  • A. Will cause dark staining of the surrounding skin
  • B. Produces a cooling sensation when applied
  • C. Can alter the function of the thyroid
  • D. Produces a burning sensation when applied
Correct Answer: D

Rationale: Sulfamylon cream causes a burning sensation on application to burns, a known effect due to its penetration into damaged tissue, requiring pain management a pediatric care priority. Staining, cooling, or thyroid impact aren't typical. Nurses prepare for this, using analgesics to ease discomfort, supporting healing in young clients.

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