In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

Belief tool

The FICA assessment tool

Hope scale

The spiritual well-being scale

Answer and Explanation

The Correct Answer is D

A. The belief tool typically involves assessing specific beliefs but does not encompass the broader scope of spiritual well-being.
B. The FICA assessment tool focuses on Faith, Importance, Community, and Address, but it is not characterized by a lengthy questionnaire.
C. The Hope scale assesses a patient's sense of hope but does not specifically address spirituality in depth.
D. The spiritual well-being scale includes multiple questions that explore various aspects of spirituality, including the relationship with God and life purpose, making it the most appropriate choice for this assessment.

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Correct Answer is B

Explanation

A. "Risk for infection related to chest x-ray procedure" is not an appropriate diagnosis because a chest x-ray is a diagnostic tool, and pneumonia itself is the concern for infection.
B. "Impaired gas exchange related to alveolar-capillary membrane changes" is correct as pneumonia causes inflammation and consolidation in the lungs, which directly impacts gas exchange.
C. "Risk for deficient fluid volume related to dehydration" does not apply specifically to pneumonia unless the patient presents signs of dehydration, which is not indicated in the scenario.
D. "Ineffective breathing pattern related to pneumonia" could also be a valid diagnosis, but the primary concern given the information provided is gas exchange impairment.

A. Remove eyewear/face shield and goggles. B. Perform hand hygiene, leave room, and close door. C. Remove gloves. D. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. E. Remove mask by strings; do not touch outside of mask. F. Dispose of all contaminated supplies and equipment in designated receptacles.

Correct Answer is A,D,E,C,F,B

Explanation

A. The eyewear or face shield is typically removed first to prevent contamination of the face.

D. After eyewear is removed, the gown should be untied and removed without touching the outside to avoid contamination.

E. The mask is removed next, ensuring to only touch the strings to prevent exposure to contaminants.

C. Gloves are then removed as they are considered the most contaminated.

F. Contaminated supplies and equipment should be disposed of properly to maintain a safe environment.

B. Finally, hand hygiene is performed before leaving the room and closing the door.

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In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?

Correct Answer is B

Explanation

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Correct Answer is A,D,E,C,F,B

Explanation

While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

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A nurse is reviewing the electrocardiogram (ECG) results. Which portion of the conduction system does the nurse consider when evaluating the P wave?

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

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