CG訓(xùn)練學(xué)習(xí)通超星期末考試答案章節(jié)答案2024年

CG訓(xùn)練學(xué)習(xí)通超星期末考試章節(jié)答案2024年Dischargeplanningbeginswhentheclientisadmittedtothehospitalorhealthcarefacility.

答案:對(duì)Client-focusedcareisalsoknownasthetotalcareorcasemethod;theregisterednurseassumestotalresponsibilityforplanninganddeliveringcaretoaclient.

答案:對(duì)Totalcareistask-oriented,andtheteammemberfocusesonthedelegatedtaskratherthanthetotalclient

答案:錯(cuò)Nursesarerequiredtoreportcertaincommunicablediseasesorcriminalactivitiessuchaschildorelderabuseordomesticviolence;dogbiteorotheranimalbite,gunshot,orstabwounds,assaults,andhomicides;andsuicidestotheappropriateauthorities

答案:對(duì)Thenursecarryingoutaninaccurateprescriptionmaybelegallyresponsibleforanyharmsufferedbytheclient.

答案:對(duì)Clientshavearighttoprivacyinthehealthcaresystem

答案:對(duì)Onceaninformedconsentissigned,aclientcannotwithdrawtheconsent.

答案:錯(cuò)Aclientwhohasbeenmedicatedwithsedatingmedicationsoranyothermedicationsthatcanaffecttheclient’scognitiveabilitiesmustnotbeaskedtosignaconsent.

答案:對(duì)Clientdonothavetherighttorefuseatreatment.

答案:錯(cuò)Defamationisafalsecommunicationthatcausesdamagetosomeone’sreputation,eitherinwriting(libel)orverbally(slander).

答案:對(duì)Controlledsubstancesmustbekeptlockedsecurely,andonlyauthorizedpersonnelshouldhaveaccesstothem.

答案:對(duì)Floatingisunacceptable,illegalpracticeusedbyhealthcarefacilities.

答案:錯(cuò)Chargesofabandonmentmaybemadeagainstnurseswho“walkout”whenstaffingisinadequate.

答案:對(duì)Hindususuallyprefercremationandcasttheashesinaholyriver.

答案:對(duì)ClientsofBuddhismmayrefusemedicationsthatmayaltertheirawareness(e.g.,opioids).

答案:對(duì)AsianAmericansrelyprimarilyonthemodernWesternhealthcaredelieverysystem.

答案:錯(cuò)WhiteAmericansareusuallyfutureoriented.

答案:對(duì)Iflanguagebarriersposeaproblem,familymembersoftheclientorancillarystaffcanbeusedasinterpreters.

答案:錯(cuò)ProlongedeyecontactmaybeinterpretedasrudenessoraggressivebehaviorforWhiteAmericans.

答案:錯(cuò)AfricanAmericansarecompetentinstandardEnglish.

答案:對(duì)Whichofthefollowingtaskscanbeassignedtoalicensedprcticalnurse(LPN)

答案:intramuscularinjection;urinarycatheterization;dressingchanges;suctioningWhichofthefollowingtaskscanbeassignedtotheunlicensedassistivepersonnel(UAP)

答案:skincare;ambulation;hygienemeasures;collectingurinespecimenWhichofthefollowingrulesareethicalprinciles?

答案:autonomy;nonmalefience;beneficence;justice;veracity;fidelityWhich

identifies

accurate

nursing

documentation

notations?

Select

allthat

apply.

答案:The

client

slept

through

the

night;Abdominal

wound

dressing

is

dry

and

intact

without

drainage;The

client’s

left

lower

medial

leg

wound

is

3

cm

in

length

without

redness,

drainage,

or

edemaThefivecategoriesofCAMinclude

答案:Wholemedicalsystems;Mind-bodymedicine;Biologicallybasedpractices;Manipulativeandbody-basedpractices;EnergymedicineThenurseidentifieslow-risktherapiestoaclientandshouldincludewhichtherapy(s)inthediscussion?Selectallthatapply.

答案:Touch;Massage;Relaxation;PrayerThe

nurse

employed

in

a

long-term

care

facility

is

planning

assignments

for

the

clients

on

a

nursing

unit.

The

nurse

needs

to

assign

four

clients

and

has

a

licensed

practical

(vocational)

nurse

and

three

unlicensed

assistive

personnel

(UAP)

on

a

nursing

team.

Which

client

would

the

nurse

most

appropriately

assign

to

the

licensed

practical

(vocational)

nurse?

答案:A

client

requiring

abdominal

wound

irrigations

and

dressing

changes

every

3

hoursA

new

unit

nurse

manager

is

holding

her

first

staff

meeting.

The

manager

greets

the

staff

and

comments

that

she

has

been

employed

to

bring

about

quality

improvement.

The

manager

provides

a

plan

that

she

developed

and

a

list

of

tasks

and

activities

for

which

each

staff

member

must

volunteer

to

perform.

In

addition,

she

instructs

staff

members

to

report

any

problems

directly

to

her.

What

type

of

leader

and

manager

approach

do

the

new

manager’s

characteristics

suggest?

答案:AutocraticThe

registered

nurse

is

planning

the

client

assignments

for

the

day.

Which

is

the

most

appropriate

assignment

for

an

unlicensed

assistive

personnel

(UAP)?

答案:A

client

who

requires

urine

specimen

collectionsThe

nurse

is

giving

a

bed

bath

to

an

assigned

client

when

an

unlicensed

assistive

personnel

(UAP)

enters

the

client’s

room

and

tells

the

nurse

that

another

assigned

client

is

in

pain

and

needs

pain

medication.

Which

is

the

most

appropriate

nursing

action?

答案:Cover

the

client,

raise

the

side

rails,

tell

the

client

that

you

will

return

shortly,

and

administer

the

pain

medication

to

the

other

clientA

nurse

has

received

the

assignment

for

the

day

shift.

After

making

initial

rounds

and

checking

all

of

the

assigned

clients,

which

client

should

the

nurse

plan

to

care

for

first?

答案:A

client

with

a

fever

who

is

diaphoretic

and

restlessThe

nurse

employed

in

an

emergency

department

is

assigned

to

triage

clients

coming

to

the

emergency

department

for

treatment

on

the

evening

shift.

The

nurse

should

assign

priority

to

which

client?

答案:A

client

with

chest

pain

who

states

that

he

just

ate

pizza

that

was

made

with

a

very

spicy

sauceThe

nurse

is

assigned

to

care

for

four

clients.

In

planning

client

rounds,

which

client

should

the

nurse

assess

first?

答案:A

client

receiving

nasal

oxygen

who

had

difficulty

breathing

during

the

previous

shiftThe

nurse

employed

in

a

hospital

is

waiting

to

receive

a

report

from

the

laboratory

via

the

facsimile

(fax)

machine.

The

fax

machine

activates

and

the

nurse

expects

the

report,

but

instead

receives

a

sexually

oriented

photograph.

Which

is

the

most

appropriate

nursing

action?

答案:Call

the

nursing

supervisor

and

report

the

incidentThe

nurse

calls

the

heath

care

provider

(HCP)

regarding

a

new

medication

prescription

because

the

dosage

prescribed

is

higher

than

the

recommended

dosage.

The

nurse

is

unable

to

locate

the

HCP,

and

the

medication

is

due

to

be

administered.

Which

action

should

the

nurse

take?

答案:Contact

the

nursing

supervisorAn

87-year-old

woman

is

brought

to

the

emergency

department

for

treatment

of

a

fractured

arm.

On

physical

assessment,

the

nurse

notes

old

and

new

ecchymotic

areas

on

the

client’s

chest

and

legs

and

asks

the

client

how

the

bruises

were

sustained.

The

client,

although

reluctant,

tells

the

nurse

in

confidence

that

her

son

frequently

hits

her

if

supper

is

not

prepared

on

time

when

he

arrives

home

from

work.

Which

is

the

most

appropriate

nursing

response?

答案:“As

a

nurse,

I

am

legally

bound

to

report

abuse.

I

will

stay

with

you

while

you

give

the

report

and

help

find

a

safe

place

for

you

to

stay.”Nursing

staff

members

are

sitting

in

the

lounge

taking

their

morning

break.

An

unlicensed

assistive

personnel

(UAP)

tells

the

group

that

she

thinks

that

the

unit

secretary

has

acquired

immunodeficiency

syndrome

(AIDS)

and

proceeds

to

tell

the

nursing

staff

that

the

secretary

probably

contracted

the

disease

from

her

husband,

who

is

supposedly

a

drug

addict.

Which

legal

tort

has

the

UAP

violated?

答案:SlanderA

nursing

instructor

delivers

a

lecture

to

nursing

students

regarding

the

issue

of

client’s

rights

and

asks

a

nursing

student

to

identify

a

situation

that

represents

an

example

of

invasion

of

client

privacy.

Which

situation,

if

identified

by

the

student,

indicates

an

understanding

of

a

violation

of

this

client

right?

答案:Observing

care

provided

to

the

client

without

the

client’s

permissionA

hospitalized

client

tells

the

nurse

that

a

living

will

is

being

prepared

and

that

the

lawyer

will

be

bringing

the

will

to

the

hospital

today

for

witness

signatures.

The

client

asks

the

nurse

for

assistance

in

obtaining

a

witness

to

the

will.

Which

is

the

most

appropriate

response

to

the

client?

答案:“I

will

call

the

nursing

supervisor

to

seek

assistance

regarding

your

request.”The

nurse

who

works

on

the

night

shift

enters

the

medication

room

and

finds

a

co-worker

with

a

tourniquet

wrapped

around

the

upper

arm.

The

co-worker

is

about

to

insert

a

needle,

attached

to

a

syringe

containing

a

clear

liquid,

into

the

antecubital

area.

Which

is

the

most

appropriate

action

by

the

nurse?

答案:Call

the

nursing

supervisorThe

nurse

arrives

at

work

and

is

told

to

report

(float)

to

the

intensive

care

unit

(ICU)

for

the

day

because

the

ICU

is

understaffed

and

needs

additional

nurses

to

care

for

the

clients.

The

nurse

has

never

worked

in

the

ICU.

The

nurse

should

take

which

action

first?

答案:Identify

tasks

that

can

be

performed

safely

in

the

ICUA

client

is

brought

to

the

emergency

department

by

emergency

medical

services

(EMS)

after

being

hit

by

a

car.

The

name

of

the

client

is

unknown,

and

the

client

has

sustained

a

severe

head

injury

and

multiple

fractures

and

is

unconscious.

An

emergency

craniotomy

is

required.

Regarding

informed

consent

for

the

surgical

procedure,

which

is

the

best

action?

答案:Transport

the

victim

to

the

operating

room

for

surgeryThe

nurse

hears

a

client

calling

out

for

help,

hurries

down

the

hallway

to

the

client’s

room,

and

finds

the

client

lying

on

the

floor.

The

nurse

performs

an

assessment,

assists

the

client

back

to

bed,

notifies

the

health

care

provider

of

the

incident,

and

completes

an

incident

report.

Which

statement

should

the

nurse

document

on

the

incident

report?

答案:The

client

was

found

lying

on

the

floorThe

nurse

educator

asks

a

student

to

list

the

five

categories

of

complementary

and

alternative

medicine

(CAM),

developed

by

the

National

Center

for

Complementary

and

Alternative

Medicine.

Which

statement,

if

made

by

the

nursing

student,

would

indicate

an

understanding

of

the

five

categories

of

CAM?

答案:Whole

medical

systems,

mind-body

medicine,

biologically

based

practices,

manipulative

and

body-based

practices,

and

energy

medicineAn

antihypertensive

medication

has

been

prescribed

for

a

client

with

hypertension.

The

client

tells

the

clinic

nurse

that

they

would

like

to

take

an

herbal

substance

to

help

lower

their

blood

pressure.

The

nurse

should

take

which

action?

答案:Encourage

the

client

to

discuss

the

use

of

an

herbal

substance

with

the

health

care

providerAn

Asian

American

client

is

experiencing

a

fever.

The

nurse

recognizes

that

the

client

is

likely

to

self-treat

the

disorder,

using

which

method?

答案:Foods

considered

to

be

yinThe

nurse

is

preparing

a

plan

of

care

for

a

client

who

is

a

Jehovah’s

Witness.

The

client

has

been

told

that

surgery

is

necessary.

The

nurse

considers

the

client’s

religious

preferences

in

developing

the

plan

of

care

and

should

document

which

information?

答案:The

administration

of

blood

and

blood

products

is

not

allowedThe

nurse

is

providing

discharge

instructions

to

a

Chinese

American

client

regarding

prescribed

dietary

modifications.

During

the

teaching

session,

the

client

continuously

turns

away

from

the

nurse.

The

nurse

should

implement

which

best

action?

答案:Continue

with

the

instructions,

verifying

client

understandingWhen

communicating

with

a

client

who

speaks

a

different

language,

which

best

practice

should

the

nurse

implement?

答案:Arrange

for

an

interpreter

to

translateThe

ambulatory

care

nurse

is

discussing

preoperative

procedures

with

a

Japanese

American

client

who

is

scheduled

for

surgery

the

following

week.

During

the

discussion,

the

client

continually

smiles

and

nods

the

head.

How

should

the

nurse

interpret

this

nonverbal

behavior?

答案:Reflecting

a

cultural

valueThehead-tiltisthepreferredmethodofopeninganairway.

答案:對(duì)Interruptionsinchestcompressionsneedtobeminimized.

答案:對(duì)Acompression-to-ventilationratioof15:1isrecommendedforadult.

答案:錯(cuò)Acompression-to-ventilationratioof30:2isrecommendedforadult.

答案:對(duì)Theadultchestiscompressedtoadepthoflessthan2inchesandcompressionsshouldbehardandfastatarateof

lessthan100compressionsperminute.

答案:錯(cuò)Theadultchestiscompressedtoadepthofatleast2inchesandcompressionsshouldbehardandfastatarateofatleast100compressionsperminute.

答案:對(duì)ThesequenceforbasicCPRforhealthcareproviders(HCPs)followstheABC(airway,breathing,compressions)sequence

答案:錯(cuò)ThesequenceforbasicCPRforhealthcareproviders(HCPs)followstheCAB(compressions,airway,breathing)sequence.

答案:對(duì)The

nurse

is

performing

cardiopulmonary

resuscitation

(CPR)

on

an

adult

client.

When

performing

chest

compressions,

the

nurse

should

depress

the

sternum

by

how

many

inch(es)?

答案:2

inchesThe

nursing

instructor

asks

a

nursing

student

to

describe

the

procedure

for

performing

abdominal

thrusts

on

an

unconscious

pregnant

woman

at

32

weeks’

gestation.

The

student

describes

a

component

of

the

procedure

correctly

if

the

student

states

that

he

will

take

which

action?

答案:Place

a

rolled

blanket

under

the

right

abdominal

flank

and

hip

areaThe

nurse

witnesses

the

collapse

of

a

victim

in

her

neighborhood

and

suspects

cardiac

arrest.

Which

action

should

the

nurse

take

first?

答案:Activate

the

emergency

response

systemThe

nurse

is

teaching

cardiopulmonary

resuscitation

(CPR)

to

a

group

of

nursing

students.

The

nurse

asks

a

student

to

describe

the

reason

why

blind

finger

sweeps

are

avoided

in

infants.

The

nurse

determines

that

the

student

understands

this

reason

if

the

student

makes

which

statement?

答案:“The

object

may

be

forced

back

farther

into

the

throat.”The

nurse

is

performing

cardi