Exam 36: Clinical Decision Making

The nurse is prioritizing care for a client based upon nursing diagnoses.If following Maslow's hierarchy of needs,list the order in which the nurse should provide care to the client.

The nurse manager is concerned that a staff nurse is having difficulty prioritizing client care needs.Which did the manager observe the nurse perform that caused these concerns? Select all that apply.

A novice nurse is planning care for an older adult client with a wound infection and systemic blood infection.The nurse completes the plan of care and decides to complete which action to enhance the skill of critical thinking?

The nurse is conducting a class for a group of expectant mothers regarding basic infant care techniques.Upon completion of the class,what should the nurse expect the participants to do?

The nurse is taking the time to reflect on a care situation in which a client sustained a cardiac arrest and died.On which areas should the nurse focus when performing this reflection? Select all that apply.

The nurse is selected to participate on a committee to write critical pathways for a specific set of medical diagnoses.Which are advantages of using this approach when providing client care? Select all that apply.

A nurse receives a shift report and is preparing to care for clients assigned on a medical-surgical unit.Which client should the nurse plan to assess first?

The nursing instructor is evaluating a concept map created by a student for a client's plan of care.Which characteristics on the map indicate that the student created the map appropriately? Select all that apply.

The nurse is prioritizing care needed for a group of clients according to urgency.Which care should the nurse identify as being medium priority? Select all that apply.

The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery bypass surgery.The client has lost 10 pounds,is continuing to experience pain,and is not eating.What should be the nurse's next action?

The nurse is caring for an older school-age client who is sleeping when the menu choices for dinner are brought to the room.Which intervention should the nurse use to meet the dietary needs of this client?

The nurse is collecting data about a client's current health status.Which statement would assist in gathering subjective data about the client?

A client with aspiration pneumonia is diaphoretic,pale,and taking gasping breaths.Which is the priority nursing action?

A client who has just been diagnosed with diabetes mellitus is being instructed by the nurse regarding diet and exercise.Which client statements indicate that further teaching is required? Select all that apply.

A client recovering from knee surgery is being prepared to ambulate for the first time.Prior to getting the client up,what should the nurse do?

The nurse is preparing to provide care to a group of clients.Which specific areas should the nurse focus in order to prioritize the clients' care needs? Select all that apply.