Download PN4002 FINAL LATEST ESSENTIAL EXAM QUESTIONS AND VERIFIED SOLUTIONS.pdf and more Exams Medicine in PDF only on Docsity!
PN4002 FINAL LATEST ESSENTIAL
EXAM QUESTIONS AND VERIFIED
SOLUTIONS
question-sympathy vs empathy - answer-sympathy is feeling compassion, sorrow, or pity for the hardships that another person encounters, while empathy is putting yourself in the shoes of another. question-when to terminate the nurse-client relationship? - answer-The patient no longer requires nursing care. The patient has met their health goals and can manage their care independently. The nurse's assignment changes due to shift changes or rotations. what is inference? - answer-A conclusion reached on the basis of evidence and reasoning question-therapeutic communication - answer-Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship. question-what might be compromised at the moment a patient learns of their diagnosis? - answer-their listening skills question-open ended vs close ended questions - answer-Open ended questions require more than a simple yes/no answer and reveal critical information Closed ended questions are short yes/no answers question-you notice a child that comes into the emergency department with giant welts on their body what do you do? - answer-ask about traditional or cultural practices
(but on a real note, report this!!) question-expressive vs receptive aphasia - answer-able to understand but not EXPRESS vs able to express but not RECEIVE question-what is apraxia - answer-Loss of the ability to execute or carry out learned (familiar) movements, despite having the desire and the physical ability to perform the movements question-what is disarthria - answer-Loss of control over speech muscles question-cultural competence - answer-the ability to interact effectively with people of different cultures question-age plays a role in conflict, true or false? - answer-true question-youre at work and see someone below you being criticized by another nurse. what do you do initally? - answer-recognize that it is happening question-what is hospice care - answer-A type of care given to patients with PROGNOSIS OF LESSS THAN 6 MONTHS to live that focuses on alleviating physical symptoms (NOT CURING) & addressing psychological, social, and spiritual concerns (of the patient's family as well). question-what is a change of shift report - answer-is given by a primary nurse to the nurse replacing him or her or by the charge nurse to the nurse who assumes responsibility for continuing care of the patient. question-why is a change of shift report important? - answer-continuity of care
question-circular questioning - answer-Circular questioning is a therapeutic technique that involves asking open-ended questions to explore relationships, communication, and beliefs question-True for False: there is a genetic component to mental health disorders - answer-true question-patient with acute mania who acts inappropriately in a group setting and what you would do - answer-cover and remove them question-bipolar disorder patient on lithium, what do you do - answer-monitor side effects and followup for lithium question-situational stress - answer-"Situational stress" refers to stress caused by a specific, temporary situation or event question-external stress - answer-produced by real threats and dangers, outside causes stress stemming from factors outside of oneself question-personal stress - answer-Stress is caused by changes in lifestyle, economic status, personal health, family/personal relationships, etc. question-Communicating with an Angry Client - answer-Stay calm and professional Listen actively and acknowledge their feelings (e.g., "I understand you're frustrated") Avoid arguing or getting defensive Use "I" statements instead of blaming (e.g., "I want to help find a solution") Set clear boundaries if needed (e.g., "I want to talk, but I can only do so if we remain respectful.") Offer solutions or compromises (e.g., "Let's see what we can do to resolve this."). question-Care of Clients with Dementia - answer-Use simple, clear language
Maintain eye contact and speak calmly Use nonverbal cues like gestures Encourage independence but offer assistance as needed Provide a structured routine Avoid arguing or correcting them harshly if they are confused question-Turning Conflict into Collaboration - answer-Recognize and confront poor behavior
- Discuss problem with involved parties
- Active listening
- Propose resolutions
- Summarize and document Environmental factors
- No tolerance policies on disruptive behavior
- Regular feedback
- Clarity of role responsibilities Separate emotions from the problem Focus on a solution, not winning Encourage mutual respect & active listening Use "I" statements and avoid blame Be willing to compromise. question-Speaking to Clients with Limited English - answer-Use simple language & avoid medical jargon Speak slowly and clearly Use an interpreter if needed Use visual aids or gestures Encourage nonverbal communication (e.g., nodding, pointing)
Set clear expectations and boundaries Avoid arguing or engaging in manipulation Redirect focus to problem-solving question-Dealing with an Aggressive Patient - answer-Ensure safety of all clients and staff Use a calm, non-threatening approach Redirect attention and offer de-escalation techniques If needed, call for additional assistance question-Talking to a Paranoid Client - answer-Avoid arguing about delusions Use a calm, reassuring tone Encourage trust without pushing too hard question-BCCNM Standards - answer-Client-centered care Professional accountability Confidentiality and privacy Ethical decision-making question-What to Do if a Patient Discloses Abuse - answer-Assess immediate safety Report to appropriate authorities Offer support and resources One feature of an effective group - answer-Group is able to examine own process question-Patient tells you that her husband is going to come home from his latch you know that pts husband dead for 10 years, best response is? - answer-U must miss ur husband a lot, it seems to you like he is almost here with u
question-69 y/o pt admitted for fractured femur, she wil undergo surgery to repair leg, with a tremor in her voice, she ask the nurse when she can walk again, how should the nurse respond - answer-You are concerned, you wont be able to walk for some time after surgery? question-A trait that is necessary to establish and carry out the vision an goals of an organization is - answer-Leadership question-When caring for a client it is important for nurse and family to understand... - answer- Individual family members have different perspectives question-The nurse family relationship in client depends on what - answer-A reciprocal relationship question-A client says to nurse "the night nurse needs to go back to school she gave me shot in wrong arm, what is therapeutic reps nose by nurse - answer-Sounds like u had a bad night, let me see if i can do anything question-Nurse Richard meets Nora in the hall, mentions "I'm still on restriction on unit, and i want to walk on my own andattent off unit activity , will you ask doctor to change the order for me?" What is the best response? - answer-Thats a good topic for you to talk about with doctor, you will meet her at 2 am question-The most honest communication is made through - answer-Non verbal communication question-It is important that nursing students commit to - answer-Life long learning question-Nurse is caring for client transferring to acute rehab, to ensure continuity of care, the nurse should? - answer-Communicate clients use of coping skills question-Important for you as both student nurse and nurse to - answer-Practice tolerance towards others
question-69 y/.o patient discharges for coronary care unit for angina and agioplasty, understands smoking habit is a risk factor for cardiac diseae, which of the following to help stop smoking - answer-Provide her with info with smoking cessation programs in the community question-Main barrier to effective communition is tendency that most people: - answer-Judge and evaluate question-Nurse manager strategy is working on by creating climate that views negotiation as a collaborative effort - answer-Clarifications of role expectations question-Which of following is true regarding conflict in work place: - answer-All of the above:
- inevitable
- Bullying is prevalent in health care settings
- It can lead to team growth question-Mr Danny and his wife is attending hospital class on low cholesterol diet, nurse ask if they got questions, she is anxious, and he states that he cannot eat rabbit food, what response by nurse is best? - answer-The risk for heart disease doubles when blood cholesterol is elevated, a low cholesterol diet may not mean giving up on foods you like question-Nurse in long term care, enter room and sees UHP administering spray for client, and noticed that its gone when spray applied. - answer-Inform Barry that it is nurses role to administer the meds, and report incident question-Nurse manager sees the need to take steps to promote conflict resolution, to promote that she should? - answer-Avoid emotion during discussion question-Which approach by nurse facilitates conutnity and consistency of clients care? - answer-Coordinate regular client focus conferences attended by relevant healthcare members
question-Speech impairment that effects many people that has a stroke is called - answer-apahsia question-Has dad advanced dementia and can't communicate, has hip fracture, what is best to help with post OP pain - answer-Provide analgesics at regular intervals and observe question-Nurses must be able to support pt in various areas of living those are: - answer-All of the above
- sprituaslity
- Sexuality
- Ethnicity
- Aging question-Mr Han admitted to using home, 3rdstage Alzheimer's, ms Han crying and saying when will he get better, I don't know what i will do, why can't doctor fix him" what is best response by nurse? - answer-Mrs han alzhemers is not reversible lets sit down and talk question-When working o hospital nurse should begin discharge planning at which time - answer-With clients admission question-Ms prim admitted for right tibial fracture, ER says she fell at home, admits to drinking a lot past week, disoriented at time and forgets where she is, does not answer appropriately, she is probably experiencing? - answer-delirium question-Which of following is most important advantage of computer charting - answer- Reduction of errors question-When documenting client care,nurse recognizes which of the following is true? - answer-Each nurse should anticipate having client record subpoenaed at some time during nursing career
question-Sense of empowerment - answer-starts within the individual question-Effective team collaboration - answer-· Includes patient and family and not just healthcare providers who are involved with the direct care. question-Duty to report - answer-· Nurse's responsibility to be accountable for their own actions. Nurses are also responsible for maintaining their competency. · If there are signs of incompetency - bring this attention to the nurse supervisor question-ECG - answer-· Checks the electrical activity of the heart - if there are any variations in a patient's HR · Doesn't send electricity question-Smoking cessation - answer-reduces the amount of cardiovascular disease and stroke question-Critical thinking - answer-applying, analyzing and evaluating information gathered through observation or experience. It promotes constructivism question-constructivism - answer-the formation of new knowledge question-. Confrontation - answer-argumentative situation between two opposing parties and inviting others to engage in conflict question-Maslow's Hierarchy of Needs - answer-(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization question-SBAR - answer-S: Situation B: Background A: Assessment
R: Recommendation question-Ageism - answer-prejudice based on age, mostly the elder population question-Assessment - answer-· collection of pertinent data (subjective and objective) to determine current state of health. This is part of the nursing process - promotes working towards a common goal question-What do you Document - answer-· everything the patient says, especially if the patient makes a statement that shows harm to self and others (disclosure) question-· Task group - answer-groups of individuals brought together to accomplish a specific action question-· Self-help group - answer-A group made up of people with similar problems who help and support one another without the direct leadership of a clinician. Also called a mutual help group. question-· Teaching group - answer-convey knowledge and information to a number of individuals question-· Self-awareness group - answer-Includes activities as values clarification, awareness of personal assets, limitations, etc. question-delirium - answer-acute condition of confusion, disorientation, disordered thinking and memory, agitation, and hallucinations question-dementia - answer-a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning.
- Greater cooperation
- Better communication
- Less dysfunctional conflict question-What is motivation? - answer-Motivation supplies the will to do what is necessary to accomplish a mission. question-What do you need to remember about caring for a patient that is family? - answer- Remember all fam members have diff perspectives- know their healing process (cultural) question-Nurse and family of a patient have what type of relationship? - answer-Reciprocal question-Pt complaining about 5 things another nurse did- what are you going to say? - answer- apologize, validate opinion, ensure their voice is being heard, address is there anything I can do to help you RN- don't make excuses question-If you as a clinical student dont look up pts meds and diagnoses prior to what r u gonna do? - answer-let your instructor know question-What kind of communication is always the most honest? - answer-nonverbal question-PN students are committed to lifelong learning? T/F - answer-T question-As a PN u have to learn to tolerate other ppl? T/F - answer-T question-PN students have to communicate in what 3 important ways? - answer-clear, empathetic and open question-Before any type of procedure such as arthroscopy what do you needn't to ensure gets done prior? - answer-consent form
question-When ur in a staff meetings what are inappropriate ways to communicate? - answer- shouting over ppl, rude, passive aggressive, not addressing conflict question-Assertive response example? - answer-"I" statements question-qualities it takes to be in a team or group? - answer-effective listening, participation, respect, bring smt to table, each person needs to have smt unique- only LPNs and rn is not okay question-Democratic leader has what quality? - answer-equal participation for each member question-If ur manager allows u to work a variety of shifts- what leadership style? - answer- democratic question-Empowerment comes from? - answer-within question-Necessary for self empowerment? - answer-Confidence or self esteem question-Pt is apprehensive of ECG- don't want electricity to go through body- what can u say? - answer-no electricity goes through the body question-What does critical thinking involve? - answer-ensure your thoroughly thinking- using original thinking to create new knowledge question-If a pt is quite stressed what strategy can we use to help cope? - answer-stress reduction methods- deep breathing question-Conflict in the workplace is ______. - answer-its inevitable learning process that leads to growth, more bullying in healthcare question-What is major barrier to effective communication? - answer-judgement and evaluation from the other person
question-Using medical jargon can do what to a pt? - answer-Confuse them or they might misunderstand question-What is affect? - answer-A person's outward expression of their inner mood. Example: smiling question-What is aphasia? - answer-inability to speak question-What is autism? - answer-a mental condition, present from early childhood, characterized by difficulty in communicating and forming relationships with other people and in using language and abstract concepts. question-What is ageism? - answer-prejudice or discrimination on the basis of a person's age question-In group work what is helpful? - answer-silence, disagreement and questions question-When u have effective group, what do you want to ensure? - answer-make sure that u negotiate and build a consensus- give and receive feedback- take responsibilty- don't leave when things get hard question-Terminating contact and relationship w a pt- what do you do? - answer-follow through w what u said u will do question-Nurse tryna gossip w u about another nurse, what do you say? - answer-say "direct your concerns at that nurse in question" question-Pt that increasing SOB, what do you do? - answer-tell physician question-As a nurse we need to ensure we are providing support in terms of their spirituality, age, sexuality T/F - answer-T
question-Someone is impeding surgery, what can you say? - answer-say "this might be difficult for u" question-Negative or hostile person/pt- how should you respond? - answer-dont react and listen to what they are saying to avoid escalation question-Maslow's Hierarchy of Needs are? - answer-(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization question-What is SBAR? - answer-Situation Background Assessment Recommendation question-What is an assessment? - answer-the collection of data about the individual's health state question-Example of trust? - answer-Allowing someone to do a procedure on you because you believe in them- that they'll do as best as they can question-example of acceptance - answer-An example of acceptance would be agreeing with the theory of evolution. question-Example of judgement? - answer-The definition of judgment is an opinion, decision or a sentence given by a court of law. An example of judgment is a blonde woman automatically being treated as dumb. question-Example of honesty? - answer-The definition of honest is someone or something that is truthful, trustworthy or genuine. An example of honest is someone telling their friend that a meal they prepared had too much salt.
