The nurse is teaching a group of 8-year-old diabetics how to use and clean their glucose meters. After demonstrating the technique, the children perform a return demonstration
Which of the following methods of data collection is the nurse using to determine if the clients have mastered the skill? 1. Evaluation
2. Examination
3. Planning
4. Observation
4
Rationale 1: The student is observing the technique of the clients. The observed information is then processed in order to evaluate the effectiveness of the teaching. Evaluation and planning are two steps in the nursing process. Examination is a method of collecting physical data, such as listening to breathe sounds.
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The nurse is preparing information on breast cancer screening for a community health fair. Which information should the nurse include? (Select all that apply.)
1. Breast ultrasound every 5 years 2. Mammograms every year starting at age 40 3. Perform breast self-examination twice a month 4. Consider mammography every 5 years after age 50 5. Clinical breast examination every year starting at age 40
The nurse is planning approaches to use to begin the establishment of the nurse-patient relationship. Which therapeutic communication techniques will be most useful to achieve this goal? Select all that apply
a. Attentively listening as the patient describes their obsessive compulsive rituals b. Asking the anxious patient if they have a plan for controlling their current anxiety c. Encouraging the depressed patient to "come and talk with me whenever you want" d. Sitting quietly in the room while the non-communicating patient unpacks their belongings e. Responding to the patient's feelings of loss by stating, "I know that must have made you very sad."
The nurse is doing a holistic assessment on a patient prior to the initiation of antihypertensive medication. What will the best assessment include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Blood pressure 2. The biologic cause of the hypertension 3. Mood 4. Level of education 5. Belief in a higher power
A care aide who works in a long-term care facility recognizes the high incidence and prevalence of a stage I pressure ulcer in immobile older adults
Which of the following protocols in the facility would the care aide advocate changing? A) Residents with persistently low food intake are identified. B) Immobilized residents are turned every 2 hours during both day and night. C) Residents are frequently encouraged to increase their fluid intake. D) Wound dressings are applied promptly to all identified or potential pressure ulcers.