Nokea
What core value of nursing care is missing when a nursing intervention is delegated to a UAP?
- A. communication
- B. patient teaching
- C. nurse/patient dynamic
- D. competent care
Correct Answer: C
Rationale: Delegating to a UAP may miss the nurse/patient dynamic, as the professional relationship and holistic assessment provided by the nurse are not fully replicated.
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A nurse documents the following diagnosis for a hospitalized patient: Risk for Imbalanced Nutrition: More Than Body Requirements. What is the major goal of interventions for a risk diagnosis?
- A. reduce or eliminate contributing factors
- B. prevent the problem
- C. collect additional data
- D. promote higher-level wellness
Correct Answer: B
Rationale: The major goal for a risk diagnosis is to prevent the problem from occurring by addressing risk factors and implementing preventive measures.
What phrase best describes nurse-initiated interventions?
- A. nurse-prescribed interventions
- B. physician-prescribed interventions
- C. healthcare team interventions
- D. interventions based on medical orders
Correct Answer: A
Rationale: Nurse-initiated interventions are best described as nurse-prescribed, as they are independently ordered by nurses based on their scope of practice and patient needs.
A student is ambulating a patient for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
- A. Take the patients vital signs after ambulation.
- B. Ask the patients wife to assist with ambulation.
- C. Delay ambulation until the following shift.
- D. Ask another student to help with ambulation.
Correct Answer: D
Rationale: Asking another student to help anticipates potential complications (e.g., falls) by ensuring additional support is available during ambulation.
What characteristic of a competent nurse practitioner enables nurses to be role models for patients?
- A. sense of humor
- B. writing ability
- C. organizational skills
- D. good personal health
Correct Answer: D
Rationale: Good personal health enables nurses to model healthy behaviors, serving as role models for patients in promoting wellness.
The researchers developing classifications for interventions are also committed to developing a classification of which of the following?
- A. diagnoses
- B. outcomes
- C. goals
- D. data clusters
Correct Answer: B
Rationale: Researchers focus on classifying outcomes alongside interventions to measure the effectiveness of nursing actions and ensure patient-centered care.