Nokea
You are admitting a patient to your medical unit after the patient has been transferred from the emergency department. What is your priority nursing action at this time?
- A. Identifying the immediate needs of the patient
- B. Checking the admitting physicians orders
- C. Obtaining a baseline set of vital signs
- D. Allowing the family to be with the patient
Correct Answer: A
Rationale: Among the nurses important functions in health care delivery, identifying the patients immediate needs and working in concert with the patient to address them is most important. The other nursing functions are important, but they are not the most important functions.
You may also like to solve these questions
A nurse is planning a medical patients care with consideration of Maslows hierarchy of needs. Within this framework of understanding, what would be the nurses first priority?
- A. Allowing the family to see a newly admitted patient
- B. Ambulating the patient in the hallway
- C. Administering pain medication
- D. Teaching the patient to self-administer insulin safely
Correct Answer: C
Rationale: In Maslows hierarchy of needs, pain relief addresses the patients basic physiologic need. Activity, such as ambulation, is a higher level need above the physiologic need. Allowing the patient to see family addresses a higher level need related to love and belonging. Teaching the patient is also a higher level need related to the desire to know and understand and is not appropriate at this time, as the basic physiologic need of pain control must be addressed before the patient can address these higher level needs.
The home health nurse is assisting a patient and his family in planning the patients return to work after surgery and the development of postsurgical complications. The nurse is preparing a plan of care that addresses the patients multifaceted needs. To which level of Maslows hierarchy of basic needs does the patients need for self-fulfillment relate?
- A. Physiologic
- B. Transcendence
- C. Love and belonging
- D. Self-actualization
Correct Answer: D
Rationale: Maslows highest level of human needs is self-actualization, which includes self-fulfillment, desire to know and understand, and aesthetic needs. The other answers are incorrect because self-fulfillment does not relate directly to them.
A nurse has accepted a position as a clinical nurse leader (CNL), a new role that has been launched within the past decade. In this role, the nurse should prioritize which of the following activities?
- A. Acting as a spokesperson for the nursing profession
- B. Generating and disseminating new nursing knowledge
- C. Diagnosing and treating health problems that have a predictable course
- D. Helping patients to navigate the health care system
Correct Answer: D
Rationale: The CNL is a nurse generalist with a masters degree in nursing and a special background in clinical leadership, educated to help patients navigate through the complex health care system. The other answers are incorrect because they are not what nursing has identified as the CNL role.
A group of nursing students are participating in a community health clinic. When providing care in this context, what should the students teach participants about disease prevention?
- A. It is best achieved through attending self-help groups.
- B. It is best achieved by reducing psychological stress.
- C. It is best achieved by being an active participant in the community.
- D. It is best achieved by exhibiting behaviors that promote health.
Correct Answer: D
Rationale: Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do not teach that disease prevention is best achieved through attending self-help groups, by reducing stress, or by being an active participant in the community, though each of these activities is consistent with a healthy lifestyle.
A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristic should the nurse cite?
- A. These programs establish consequences for health care professionals actions.
- B. These programs focus on the processes used to provide care.
- C. These programs identify specific incidents related to quality.
- D. These programs seek to justify health care costs and systems.
Correct Answer: B
Rationale: Numerous models seek to improve the quality of health care delivery. A commonality among them is a focus on the processes that are used to provide care. Consequences, a focus on incidents, and justification for health care costs are not universal characteristics of quality improvement efforts.