Nurs 211 Chapter 17 Final Exam
- Which examples are essential components for delegating nursing care to an
unlicensed assistive personnel (UAP)? Select all that apply.
A. The UAP has sufficient knowledge and skill for completing the task.
B. The nurse has clearly communicated instructions to the UAP.
C. The UAP can verbalize what information to report to the nurse.
D. The nurse seeks input from the UAP in planning the client’s care for the shift.
E. The UAP evaluates the client’s response after implementing the task and then
reports findings to the nurse - Which nursing interventions are appropriate to perform when addressing a risk
nursing diagnosis? Select all that apply.
A. Prevent the problem.
B. Reduce or eliminate risk factors.
C. Monitor the client’s status.
D. Promote a higher level wellness.
E. Collect additional data to rule out the diagnosis. - Which action is a responsibility of the nurse in the nurse-nurse team relationship?
A. Provide creative leadership to make the nursing unit a challenging place to work.
B. Communicate nursing’s perspective regarding the client and family.
C. Challenge the client to develop self-care abilities that promote health.
D. Intervene to promote healthy family functioning through education and advocacy.
. - A client cannot afford the treatment prescribed. Who would be the most appropriate
professional for the nurse to involve with the client’s care?
A. Nurse manager
B. Nurse case manager
C. Physician
D. Insurance company - The nurse must give instructions before discharge to a 13-year-old in a sickle cell
crisis. Three of the client’s friends from school are visiting. In order to assure effective
instruction, what should the nurse plan to do?
A. Delay the instruction until the visitors leave.
B. Give the visitors instructions to leave in 10 minutes.
C. Ask the client if the client has any questions.
D. Leave written information for the client to read later. - A nurse is caring for a postoperative client who reports a pain level of 6 on a scale
from 1 to 10. After administering the prescribed pain medication, which intervention
should the nurse include in the nursing care plan to monitor and evaluate pain?
A. Assess nonpharmacologic modalities used to reduce pain.
B. Implement the ABC guide of pain management.
C. Ambulate the client after administration of pain medication.
D. Review client goals for comfort. - A nurse is catheterizing a client. Which scenario demonstrates steps the nurse would
take to ensure client respect and privacy?
A. Verify the client’s identifiable information, explain the procedure to the family, and pull
the privacy curtain to allow the client to feel comfortable in having family close by.
B. Explain the procedure to the client, close the door to the room, and cover all areas of
the client, only exposing the area for catheterization.
C. Ask family members to leave the room briefly, close the door, and ask the client if he
or she would like a sheet to cover oneself.
D. Bring in another nurse to provide support and prevent questionable behaviors,
explain the procedure to the client, and close the door and privacy curtain prior to
beginning the procedure. - Before implementing any intervention, which questions should the nurse ask oneself?
Select all that apply.
A. “Is the client prepared for what needs to be done?”
B. “Do I have all the necessary supplies and equipment needed?”
C. “Do I have the skills to perform the intervention?”
D. “Can I do the intervention alone or do I need help?”
E. “Have I obtained permission from the physician to perform this intervention?”
- The nurse assigned to care for a client who has received a sedative has asked the
unlicensed assistive personnel (UAP) to help the client to the toilet. The nurse
demonstrates proper delegation skills by performing which actions? Select all that
apply.
A. Confirming that the UAP has successfully passed this skill competency
B. Being available for questions from the UAP
C. Giving a report on the client to the UAP and answering questions
D. Transferring accountability and responsibility for the client to the UAP
E. Confirming that the UAP has repeatedly completed similar tasks - Which task would be appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
A. Secure the client’s jewelry before surgery.
B. Reassess the client’s sacrum for redness when doing a bed bath.
C. Provide the client with assistance in transferring to the bedside commode.
D. Retrieve a unit of blood from the blood bank. - What are the goals of the research that is behind the Nursing Outcomes
Classification (NOC) system? Select all that apply.
A. To identify, label, and validate nursing-sensitive client outcomes and indicators
B. To teach decision making
C. To ensure appropriate reimbursement for nursing services
D. To communicate nursing to non-nurses
E. To evaluate the validity and usefulness of the classification in clinical field testing
F. To define and test measurement procedures for the outcomes and indicators
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