N109: Foundations in Nursing Practice

N109: Foundations in Nursing Practice Study Guide 184. Informed consent is the basis of decision-making in healthcare. a. True b. False 185. Who is responsible in the following situation? Mrs. Love complains of chills on the third day you are caring for her. The nursing assistant comes to you and reports that she has a temperature of 101.8 F. As you assess Mrs. Love, you discover that her wound looks more inflamed, is hot to the touch, and has some yellowish- green drainage. Mrs. Love tells you that it’s been like that for two days. Checking her chart, you discover that the LPN who had done the dressing changes documented a similar appearance two days ago. a. The physician, nurse’s assistant, and you b. The LPN c. You (as the RN) and the LPN d. You (as the RN) 186. Being able to balance the emotional as well as the logical side of discussions is _________. a. A principle of Kohlberg’s theory b. The formal operational stage c. A component of Fowler’s theory d. The post-formal thought process 187. A Native American male patient has been hospitalized. His wife tells the nurse that he is depressed due to this illness. What is the most appropriate nursing diagnosis for depression? a. Knowledge deficit due to European American health practices b. Spiritual distress due to body not in communication with nature c. Ineffective coping due to separation from family d. None of the above 188. Suggesting that a patient’s family not see the patient during his last days/hours because it might be distressing to him can be helpful to the family. 1. True 2. False 189. Which of the following is not a goal for nursing care of patients with actual or potential sensory alterations? a. To promote optimal functioning of existing senses b. To control the environment to create only meaningful sensory stimuli c. To promote the patients’ acceptance of dependency d. None of these are goals for this particular patient

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