d.The right direction/communication: The com-
munication should be a clear, concise
description of the objective and expectations.
e.The right supervision: There should be
appropriate monitoring, evaluation as needed,
and feedback.
REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Sample Answers
1.How might the nurse empower Ms. Kohls with the
knowledge and ability to be a leader of her peers?
The nurse could help Ms. Kohls identify her
strengths, evaluate how she acomplishes work, clar-
ify her values, and determine how she can
contribute to the community by being a leader in
her school. The nurse can also empower Ms. Kohls
by teaching her how to find the resources necessary
to be knowledgeable about STIs and feel confident
in her role as a leader.
2.What would be a successful outcome for Ms. Kohls?
By next visit, Ms. Kohls describes the incidence of
STIs and lists interventions to prevent spreading
these diseases.
By next visit, Ms. Kohls states that she feels confident
in her ability to lead fellow students in a group dis-
cussion on STIs
3.What intellectual, technical, interpersonal, and/or
ethical/legal competencies are most likely to bring
about the desired outcome?
Intellectual: ability to identify leadership skills
appropriately and apply personal leadership skills to
a variety of patient situations; knowledge of the
incidence and prevention of STIs
Interpersonal: strong people skills; ability to commu-
nicate with and instill confidence in patients
Ethical/Legal: ability to advocate for patients and
provide them with legally sound counsel
4.What resources might be helpful for Ms. Kohls?
Information on STIs, information on leadership
styles and how to propose and overcome resistance
to change
CHAPTER 24
PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.a 2.c 3.c 4.d 5.b
6.a 7.d 8.b 9.b
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, b, e
2.a, e, f
3.b, c, e
4.c, d, f
5.a, d, e
6.b, c, d, f
7.a, c, e
Fill-in-the-Blank Questions
1.5.2 L/minute
2.Width 8 cm, length 21 cm
- 2
- 100 F
5.102.2F
6.37.5C
DEVELOPING YOUR KNOWLEDGE BASE
IDENTIFICATION
- a.Temporal
b.Carotid
c. Brachial
d.Radial
e.Femoral
f. Popliteal
g.Posterior tibial
h.Dorsalis pedis
MATCHING EXERCISES
1.b 2.i 3.d 4.g 5.a
6.h 7.e 8.j 9.c 10.f
11.l 12.i 13.g 14.d 15.a
16.f 17.j 18.h 19.e 20.c
21.k 22.e 23.g 24.f 25.a
26.c 27.d
SHORT ANSWER - a.Circadian rhythms: Predictable fluctuations in
measurements of body temperature and blood
pressure exhibit a circadian rhythm (e.g., body
temperature is usually approximately 0.6C lower
in the early morning than in later afternoon and
early evening)
b.Age: Body temperatures of infants and children
respond more rapidly to heat and cold air
temperatures than in adults. The older adult
loses some thermoregulatory control and is at
risk for harm from extremes in temperature.
c. Gender: Body temperature tends to fluctuate
more in women than in men, probably as a
result of normal, cyclic fluctuations in the release
of their sex hormones.
d.Stress: The body responds to both physical and
emotional stress by increasing the production of
epinephrine. As a result, the metabolic rate
increases, raising the body temperature.
e.Environmental temperature: Exposure to
extreme cold without adequate protective cloth-
ing can result in heat loss severe enough to cause
hypothermia. Exposure to extreme heat may
result in hyperthermia.
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364 ANSWER KEY
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