Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making

Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making Related

Review Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making related questions and content

You have passed your NCLEX-PN examination and have just been employed as an LPN on a medical surgical unit. The registered nurse (RN) in charge asks you to do the admission assessment on a new patient who has just arrived by ambulance from a long-term care facility. The patient had undergone a total hip replacement within the previous 2 weeks and has developed a fever. You tell the nurse you thought an LPN could not do the admission assessment or, at most, could do only certain portions of it. The nurse, who is very busy, says, 'Please just do it. I'll cosign it, so it will be fine.' Which of the following actions should you take next?

  • A. Call the supervisor to discuss the nurse's instructions to you.
  • B. Refuse to do the admission assessment but offer to get the patient settled in, take his vital signs, and review the chart for orders.
  • C. Check the facility's policy manual.
  • D. Do the assessment as requested.
Correct Answer: B,C

Rationale: Checking the facility's policy manual (C) ensures you act within your scope of practice. Refusing to do the admission assessment but offering to perform tasks within your role (B) is appropriate, as LPNs typically cannot perform initial admission assessments, which are reserved for RNs.

You may also like to solve these questions

Specified diagnoses are those that clearly apply to one defined patient need, so that any more description would only be redundant.

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: True. Specified diagnoses are concise and address a single, clear patient need without unnecessary elaboration.

Nursing diagnoses and medical diagnoses both use the names of diseases.

  • A. TRUE
  • B. FALSE
Correct Answer: B

Rationale: False. Nursing diagnoses focus on patient responses to health conditions, not disease names, which are used in medical diagnoses.

The evaluation step of the nursing process is the step in which the plan of care is either changed or continued.

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: True. Evaluation determines whether the care plan is effective, leading to its continuation, modification, or termination.

A student in your class is given the name of a patient for whom she will provide care the following day in clinical. She goes to the unit, which specializes in diabetes care, to find out information and sees the patient sitting in a wheelchair with his chart in his lap. He is on his way to radiology for an x-ray. She notes that his left leg is amputated just below the knee and that his right foot is bandaged. Your class has been studying diabetes and the student knows that vascular problems and amputations are unfortunate complications of diabetes. She plans to study about diabetic foot care tonight so that she will be prepared for clinical the next day. Which of the following represents an accurate statement about her decision to study diabetic foot care?

  • A. It reflects careful observation and good planning.
  • B. The amputation and bandage are pretty obvious, so her plan is just common sense.
  • C. She should read the patient's specific foot care program before reading about general diabetic foot care.
  • D. She has made a serious thinking error.
Correct Answer: A,C

Rationale: The student's decision reflects careful observation and good planning (A) because she is proactively preparing for clinical by studying relevant content based on her observations. Additionally, reading the patient's specific foot care program first (C) would ensure her study is tailored to the patient's needs, enhancing her preparation.

To assess bowel sounds, which assessment technique will you use?

  • A. Inspection
  • B. Palpation
  • C. Auscultation
  • D. Percussion
Correct Answer: C

Rationale: Auscultation is used to listen to bowel sounds with a stethoscope, assessing gastrointestinal function.

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