NURS 1190 Exam Prep

A patient had hip surgery 24 hours ago. The nurse refers to the written plan of care, noting that the patient has a device collecting wound drainage. The physician is to be notified when the accumulation in the device exceeds 100 mL for the day. When the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currently in the device. This is an example of

• Planning

• Assessment

• Intervention

• Nursing Diagnosis

In observing a new mother breastfeeding her baby, the public health nurse observes that the baby is fussy and is not sucking effectively. The nurse reviews the baby's record and finds that he has lost a considerable amount of weight since birth. The nurse conducts an assessment and notes that the baby has poor skin turgor. The mother reports that he urinates infrequently and sleeps only for very short periods of time between feedings. The nurse concludes that the baby is dehydrated and is at risk of becoming malnourished. This is an example of

• Inference

• Problem Solving

• Diagnostic Reasoning

• Applying Nursing practice Standards

The nurse sits down to talk with her patient, whose sister died 2 weeks ago. The patient reports that she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble, and the patient explains that she cannot concentrate or even solve simple problems. The nurse records the results of her assessment, describing the patient's problem as ineffective coping. This conclusion reflects the nurse's use of

• Inference

• Nursing Process

• Evaluation Critera

• General Critical Thinking competencies

Inference presents as which Critical Thinking Behaviour?

• Observe patterns and formulate conclusions

• Ask how you can improve your clinical performance

• Consider opposing points of view

• Defend your conclusions

A nurse is asked to participate in a procedure that conflicts with her personal values. Which resource should she consult to guide her actions in this situation?

• Best Practice Guidelines (RNAO)

• Standards of Nursing Practice (CNO)

• Union regulations

• Code of Ethics

Paul participates in a standardized patient simulation exercise designed to enhance therapeutic communication skills when working with clients experiencing mental health challenges. Later he asks, “What did I learn about myself that could hinder my therapeutic engagement with mental health clients? And, how can I rephrase my responses so that they do not have an unintended, detrimental effect on my nurse–patient relationships?” This is an example of

• Knowing the Patient

• unconscious bias and judgmental attitudes
• Reflection

• self-criticism and avoidance

What Question would you ask when in the Assessment phase of the nursing process?

• What actions will help the patient achieve his or her desired outcomes?

• How can I help the patient achieve his or her desired outcomes?

• What is the patient's health-related concern?

• What are the patient's desired health outcomes?

What Question would you ask when in the Nursing Diagnosis Phase of the Nursing process?

• How can I help the patient achieve his or her desired outcomes?

• What is the patient's health-related concern?

• How will I know if the patient has achieved his or her desired outcomes?

• What actions will help the patient achieve his or her desired outcomes?

What is the most influential health determinant?

• Personal health practices

• Health care services

• Income and social status

• Physical environment

At what are health promotion activities aimed?

• Providing protection against disease

• Increasing the level of well-being

• Avoiding injury or illness

• Teaching clients to learn to live with their limitations