Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

(Barry) #1
Technical: ability to use the Internet to research lit-
erature to obtain knowledge to develop a plan of
care for Ms. Kronk
Interpersonal: ability to empathize with patients,
sharing their struggles and celebrating their
achievement of valued goals
Ethical/Legal: ability to serve as a trusted and effec-
tive patient advocate
4.What resources might be helpful for Ms. Kronk?
Printed materials on healthy diets, exercise plans,
referrals to other healthcare professionals (such as
fitness trainers)

CHAPTER 15


PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.b 2.c 3.d 4.c 5.b
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, b
2.a, e, f
3.b, c, e, f
4.d, e, f

DEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Physician-initiated intervention
2.Protocols
3.Community (or public health) interventions
4.Indirect care
5.Nursing Interventions Classification
6.Collaborative interventions
MATCHING EXERCISES
1.a 2.b 3.a 4.c 5.b
6.c
CORRECT THE FALSE STATEMENTS
1.False—nurse
2.True
3.False—Protocols
4.False—nurse
5.True
6.False—nothing about the plan of care is fixed
7.True
8.False—not sufficient
9.False—reassess the strategy
10.True
11.True
SHORT ANSWER


  1. a.Interpret the specialists’ findings for patients and
    family members.
    b.Prepare patients to participate maximally in the
    plan of care before and after discharge.


c. Serve as a liaison among the members of the
healthcare team.
2.Sample answers:
a.Nurse variable: A nurse with overwhelming out-
side concerns
b.Patient variable: A patient who gives up
c. Healthcare variable: Understaffing causes
overworked nurses.


  1. a.If patients and their families want to participate
    actively in seeking health, preventing disease
    and illness, recovering health, and learning to
    cope with altered functioning, they must possess
    effective self-care behavior.
    b.The nursing actions planned to promote patient
    goal/outcome achievement and the resolution of
    health problems should be carefully executed. It
    is important that the nurse use time wisely to
    maximize each patient encounter to help the
    patient achieve his/her goals/outcomes.
    4.Sample answer:
    Mr. Franks may need a psychological evaluation
    to assess his adjustment to his new environment.
    Efforts should be made to get Mr. Franks involved
    in his new life so he shows interest in himself and
    others.
    5.Sample answer:
    As well as care for pregnancy, this patient should
    receive counseling on planning economical, nutri-
    tious meals and should be alerted to any social
    services in her community that could provide some
    relief in this area.
    6.Sample answers:
    a.Administering a prescribed medication to a patient
    b.A nurse lobbies for a new recreational facility in
    a nursing home
    c. A nurse participates in a free blood pressure
    screening at a local mall
    REFLECTIVE PRACTICE USING CRITICAL
    THINKING SKILLS
    Sample Answers
    1.What might be the nurse’s response when advocat-
    ing for Antoinette and her family?
    The nurse’s first responsibility is to her patient. In
    this case, the nurse must investigate the
    circumstances surrounding Antoinette’s family life
    that are causing her failure to thrive. A referral to
    social services may be in order to help the family
    with childcare and the necessities of life. The nurse
    should also investigate any community services
    available to help this family.
    2.What would be a successful outcome for this patient?
    By next visit, Antoinette is in the normal range of
    growth for her age and reaches the appropriate
    developmental milestones.
    Antoinette’s grandmother states that she is less
    overwhelmed with her role as caregiver and is
    receiving help from community services


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ANSWER KEY 347


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