7.Answers will vary with student’s experiences.
8.Answers will vary with student’s experiences.
9.Sample answers:
a.“I’m Nurse Brown and I’ll be your nurse this
week. What would you like to accomplish with
this time, and how can I help you get through
this period?”
b.“What family members do you expect to see
while you are here? Would you trust them to
make decisions about your care if you were
unable to do so yourself?”
c. “What are your goals, hopes, and dreams in life?
How do you hope to accomplish them? How
will your hospitalization affect these goals?”
d.“Tell me about your life at home/school/work.
Is there anyone or anything in particular that
you will miss during your recuperation?”- a.Do I know the legal boundaries of my practice?
b.Do I own my personal strengths and weaknesses
and seek assistance as needed?
c. Am I knowledgeable about, and respectful of,
patient rights?
d.Does my documentation provide a legally
defensible account of my practice?
REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Sample Answers
1.How might the nurse use blended nursing skills to
respond to this patient situation?
The nurse should investigate the reasons Ms. Horvath
is not cooperating with the teaching session on
wound care for her child. Possible reasons include
fear, fatigue, lack of knowledge of possible con-
sequences if the wound is not kept clean (i.e.,
infection), and being overwhelmed with family
responsibilities. The nurse should use blended skills
to advocate for this family and seek out possible
resources (such as help from relatives or the
community) to help remedy this situation.
2.What would be a successful outcome for this
patient and her family?
Ms. Horvath states the consequences of improper
wound care and demonstrates changing the dress-
ings on her daughter’s wound.
3.What intellectual, technical, interpersonal, and/or
ethical/legal competencies are most likely to bring
about the desired outcome?
Intellectual: knowledge of the science of nursing
care related to wound care
Technical: ability to competently change dressings
on a wound and teach this skill to the caretaker
Interpersonal: ability to counsel Ms. Horvath who is
finding it difficult to respond to the challenge of
caring for her daughter at home
Ethical/Legal: commitment to patient safety and
quality care, including the ability to report problem
situations immediately
4.What resources might be helpful for Ms. Horvath?
Counseling services, community services, help from
relatives, printed materials on wound careCHAPTER 12
PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.d 2.c 3.c 4.a 5.c
6.b 7.d 8.d
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, d, e
2.c, d, f
3.b, c, f
4.a, d, f
Prioritization Question
1.Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:ANSWER KEY 341
bedfacDEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Patient support people, patient record
2.Database nursing assessment
3.Validation
4.Reflective
5.Focused
6.Time-lapsed
7.Minimum data set
MATCHING EXERCISES
1.f 2.j 3.e 4.c 5.g
6.i 7.k 8.a 9.b 10.d
11.a 12.b 13.a 14.a 15.b
16.b
SHORT ANSWER- a.Make a judgment about a patient’s health status.
b.Make a judgment about a patient’s ability to
manage his/her own healthcare.
c. Make a judgment about a patient’s need for
nursing.
d.Refer the patient to a physician or other health-
care professional.
e.Plan and deliver individualized, holistic nursing
care that draws on the patient’s strengths. - a.Patient: Most patients are willing to share infor-
mation when they know it is helpful in planning
their care.
b.Support people: Family members, friends, and
caregivers are helpful sources of data when a
patient is a child or has a limited capacity to
share information with the nurse.
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