A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

Planning

Assessment

Implementation

Evaluation

Answer and Explanation

The Correct Answer is A

A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.

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Correct Answer is A

Explanation

A. Reapplying a condom catheter for a client with urinary incontinence: This is a routine task that is appropriate for a nursing assistant to perform under supervision.
B. Feeding a stroke client who has difficulty in swallowing: This task requires careful monitoring for aspiration risks and should be performed by a licensed nurse or speech therapist.
C. Completing a sterile dressing change to a pressure ulcer: This task requires sterile technique and should be performed by a licensed nurse.
D. Reinforcing teaching with a client who is learning how to administer insulin: Teaching and reinforcing education should be performed by a licensed nurse.

A. Sit patiently, quietly, and engaged B. use open ended questions starting with Why C. use open ended questions starting with Tell D. Allow the client time to think a reflect E. Use close ended questions to establish an increase in communication

Correct Answer is ["A","C","D"]

Explanation

A. Sit patiently, quietly, and engaged. This shows the nurse is present and supportive, allowing the client to feel comfortable and respected.
B. Use open-ended questions starting with "Why."Questions starting with "Why" can be perceived as accusatory or confrontational, potentially increasing the client's discomfort.
C. Use open-ended questions starting with "Tell." Open-ended questions encourage the client to express themselves more freely, facilitating communication.
D. Allow the client time to think and reflect. Giving the client time respects their need to process thoughts and feelings before responding.
E. Use close-ended questions to establish an increase in communication. Close-ended questions can limit responses and do not encourage the client to open up or elaborate on their feelings.

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A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

Correct Answer is A

Explanation

During an interaction with a client, the nurse notes the patient remains silent. What would be appropriate nurse responses for this interaction? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

The nurse is collaborating with the multidisciplinary team. Which of the following statements by the nurse indicates an understanding for interprofessional collaboration?