1. When using critical thinking, the nurse

1. When using critical thinking, the nurse is aware that decision-making involves: 1) Having a knowledge base and clinical skills. 2) Identifying the problem and choosing the most cost-efficient solution. 3) Trying multiple options until the most appropriate one is found. 4) Logically consider alternatives and make choices. 2. )An older resident in a long-term care home is experiencing loneliness because he is on isolation precautions. Which is the most appropriate goal statement for the client? 1) The patient will use deep breathing relaxation exercises when feeling stressed tonight at 6 pm. 2) The patient will be provided with a back massage every evening before bedtime at 7 pm. 3) The patient will participate in the group bingo session tonight at 6 pm. 4) The patient will report feeling rested after awakening in the morning at 8 am 3. What is methicillin-resistant staphylococcus aureus (MRSA) colonization? 1)When the staphylococcus bacteria invade the tissues and cause symptoms 2)When bacteria can be cultured from an individual who has an infection 3)When a person carries MRSA but has no symptoms of illness 4)When illness suggestive of MRSA is present but no bacteria can be isolated. 5. Nurse practitioners working in a rural community health center are developing teaching strategies for patients with complex treatment requirements. Which of the following actions of the nurse best represents utilizing the humanist theory of learning? 1) Facilitating learners by serving primarily as a resource or mentor. 2) Developing teaching methods that are targeted to learning styles. 3)praising the learners for modelling the correct behaviours. 4)) Allowing for practice and demonstration time before evaluating 6. When developing a teaching plan, the step of the nursing process is utilized, in which step of the nursing process is teaching strategies identified? 1)Assessment 2)Implementation 3)Evaluation 4)Planning 7. Documentation arranged in chronological order, from the time the nurse starts the shift until the nurse enters the documentation the client record is an example of Which of the following? 1)Problem-oriented recording 2) Source-oriented recording 3)Plan care 4)Narrative charting () It consists of written notes that include routine care, normal findings, and client problems. 8. Based on a CNO documentation practice standards and organization policies, the nurse would document the client’s daily dressing change and safety precautions in the 1)Progress notes- 2)Flowsheet- 3)Kardex-. 4)MAR 9. The nurse is planning to instruct the client about the use of acetylsalicylic acid for arthritis, inflammation, and fever. Which of the following should be included when teaching the client about this medication? 1)Sedation is a common side effect of this drug 2)Take this medication on an empty stomach. 3)Report any dizziness or fatigue to the nurse 4)Constipation can result from overuse of this analgesic case study Mrs. Bleaky is a 65-year-old widow who was visiting her friend from out of town. She has been experiencing a severe headache with blurred vision for the past three hours, and her friend insisted she go to the emergency unit. The doctor admitted her for observation, and she will have an MRI test booked for tomorrow. Mrs. Bleaky is pale and diaphoretic. There is a slight tremor in both her hands. Her friend has left, and she is alone in the semi-private room. The nurse asked the client if there was anything she would like at the moment, and she responded with a slight tremor in her voice, saying, “don’t worry about me, I’ll be okay, I guess.” When the nurse asks about her family, she says that she has one son who lives in Ajax with his wife and two small children. She says she usually talks to her son regularly, especially when she has problems. 10 A,. Using the case study, select and analyze two (2) relevant data cues and/or clusters of data. (6 marks) b) Write one (1) NANDA priority nursing diagnosis that reflects the above data analysis. (2 marks) c) From the priority nursing diagnosis that you developed in b). identify one (1) expected outcome. (1 mark) d) For the above-stated nursing diagnosis and expected outcome, identify two (2) nursing interventions. (1 mark) 11. Explain the purpose of medication reconciliation and identify three (2) instances when one should be completed.

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