Nursing 109

N109: Foundations in Nursing Practice Study Guide 135. A nurse is caring for a hospice patient who has struggled with making end-of-life decisions. The nurse has encouraged the patient to focus on his accomplishments, self-worth, and his life overall with hopes that a positive self-esteem shift will help him process some of the tough decisions. The nurse is helping the patient to achieve balance in the ________ component. a. Physical b. Mental c. Spiritual d. Environmental 136. A nurse is observing her patient who is using a transcutaneous electrical nerve stimulation (TENS) unit and determines that more teaching is required if the patient applies the electrodes along trigger points. a. True b. False 137. Organ recipients are matched to donors by age and sex. a. True b. False 138. When communicating a delegated task to the nursing assistant, an optimal direction might be: a. “Keep an eye on this hallway while I’m eating lunch.” b. “Let me know whether anything happens with this confused patient.” c. “Please offer the patient the bedpan every two hours on the even hours. Let me know the total urine output at 2 pm.” d. “Let me know if you observe any signs of a heart attack.” 139. Assessing the cognitive functioning of an elderly patient who is being taught a complicated medicine regimen should be the first action the nurse should take. a. True b. False 140. A home health nurse makes a home visit and discovers that the patient’s family is not following the established care plan. What would be the next nursing action? a. Insisting that the family abide by the care plan as directed by the nurse b. Reporting the inability of the family to care for the patient to the nurse’s supervisor c. Reassessing the patient’s situation and developing a new plan of care d. None of the above

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