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ISPN考试模拟试题(十)

Questions

1. A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation?

A. Procedures used to implement client care

B. Sequence of steps used to meet the client’s needs

C. Activities employed to identify a client’s problem

D. Mechanisms applied to determine nursing goals for the client


2. Place each step of the nursing process in the order that they should be used.

A. ______ Identify goals for care.

B. ______ Develop a plan of care.

C. ______ State client’s nursing needs.

D. ______ Obtain client’s nursing history.

E. ______ Implement nursing interventions.


3. A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing process should include interpretation of data collected about the client?

A. Analysis

B. Assessment

C. Nursing interventions

D. Proposed nursing care


4. Which nurse collaborates directly with the client to establish and implement a basic plan of care after admission?

A. Primary nurse

B. Nurse clinician

C. Nurse coordinator

D. Clinical nurse specialist


5. A newly oriented home health nurse on a first visit checks the client’s vital signs and obtains a blood sample for an international normalization ratio (INR). After completion of these tasks, the client asks the nurse to straighten the blankets on the bed. What is the nurse’s most appropriate response?

A. “I would, but my back hurts today.”

B. “OK. It will be my good deed for the day.”

C. “Of course. I want to do whatever I can for you.”

D. “I would like to, but it is not in my job description.”

Rationales

1.B

The nursing process is a step-by-step method that scientifically provides for a client’s nursing needs.

A, C, D,This is only one step in the nursing process.

Client Need: Management of Care;

Cognitive Level: Knowledge;

Integrated Process: Teaching/Learning;

Nursing Process: Planning/Implementation;

Reference: Ch 2, Nursing Process


2. D, C, A, B, E

D,First the nurse should gather data.

C,Based on the data, the client’s needs are assessed.

A,After the needs have been determined, the goals for care are established.

B,The next step is planning care based on the knowledge gained from the previous steps.

E,Implementation follows the development of the plan of care.

Client Need: Management of Care;

Cognitive Level: Analysis;

Nursing Process:Planning/Implementation;

Reference: Ch 2, Nursing Process


3.A 

An actual or potential client health problem is based on the analysis and interpretation of the data previously collected during the assessment phase of the nursing process.

B,Gathering data is included in the client’s assessment.

C,Nursing interventions are based on the earlier steps of the nursing process.

D,The plan of care includes nursing actions to meet client needs. The needs must first be identified before nursing actions are planned.

Client Need: Management of Care;

Cognitive Level: Comprehension;

Integrated Process: Teaching/Learning;

Nursing Process:Planning/Implementation;

Reference: Ch 2, Nursing Process


4.A 

The primary nurse provides or oversees all aspects of care, including assessment, implementation, and evaluation of that care.

B,A clinician is an expert teacher or practitioner in the clinical area.

C,The nurse coordinator oversees all the staff and clients on a unit and coordinates care.

D,A clinical nurse specialist is a title given to a nurse specially prepared for one very specific clinical role. It requires a master’s degree level of education.

Client Need: Management of Care;

Cognitive Level: Comprehension;

Nursing Process: Planning/Implementation;

Reference: Ch 1, Society and Health


5.C

Helping the client to meet physical needs is within the role of the nurse;arranging blankets on the client’s bed is an appropriate intervention.

A,The nurse’s comfort needs should not take precedence over the client’s needs;the nurse should not assume responsibility for the role of care provider if incapable of providing care.

B, It is not a good deed but fulfills the expected role of the nurse; this response sounds grudgingly compliant.

D,This is within the nurse’s job description.

Client Need: Management of Care;

Cognitive Level: Application;

Integrated Process: Caring;

Nursing Process: Planning/Implementation;

Reference: Ch 2, The Nurse-Client Relationship

小编寄语:只要坚持向前,路途再远,也能和梦想相见.Fighting!


时间:2019-05-14 15:08:48
 
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