HESI EXIT FAMILY NURSE PRACTITIONER ANDADVANCED PRACTICE REGISTERED NURSE (APRN)FINAL EXAM 2.HESI EXIT FAMILY NURSE PRACTITIONER FINALEXAMS(GRADED
... [Show More] A,RATIONALE AND 100% VERIFIED).1. Which of the following nursing actions demonstrates that the nurseunderstands the nursing process?a) Prioritizing patient goals, documenting all health records precisely,conducting the health history, and documenting the nursing diagnosisb) Reviewing health record, documenting patient goals, identifying etiologyof the nursing problem, and evaluating treatment outcome.c) Assessing for allergies, administering analgesic, obtaining baseline vitalsigns, and documenting nursing diagnosis as acute paind) Obtaining vital signs, documenting nursing diagnosis as acute pain,administering analgesic, and evaluating comfort leveld) Obtaining vital signs, documenting nursing diagnosis as acute pain,administering analgesic, and evaluating comfort levelRationale: Steps of the nursing process in order are: Assessment, Diagnosis,Planning, Implementation, and Evaluation. Assessment is the systematiccollection of data to determine the patient's health status and any actual orpotential health problems. Nursing diagnoses are actual or potential healthproblems that can be managed by independent nursing interventions.Planning is the development of goals and outcomes. Implementation is theactualization of the plan of care through nursing interventions. Evaluationis the determination of the patient's responses to the nursing interventionsand the extent to which the outcomes have been achieved.2. The nurse educator is planning a teaching session for nursing studentsrelated to treatment and management of gestational diabetes. The nurseeducator arranges for a dietitian, pharmacist, and physician assistant toparticipate in the lesson plan. Which professional nurse competency is thenurse educator demonstrating?
a) Evidence-based practiceb) Patient-centered carec) Interdisciplinary teamworkd) Quality improvement measuresc) Interdisciplinary teamworkRationale: By integrating interdisciplinary core competencies into theirrespective curricula the nurse educator is demonstrating interdisciplinaryteamwork. A case-study approach planning care around individual patientpreferences is an example of patient-centered care. Conducting anevidence-based literature review related to gestational diabetes reflectsevidence-based practice. Providing education related tomeasures/indicators or tools used to assess the level of care providedwithin a system of care to populations of patients with gestational diabetesexemplifies a quality improvement measure.3. A nursing student observes the home care nurse provide education to apatient with congestive heart failure (CHF). The nurse teaches the patienthow to read food labels and calculate sodium content. The nursing studentrecognizes that the home care nurse is aware of which of the followingbasic principles of patient education?a) The home care nurse is providing hospital discharge instructionsb) The home care nurse has a physician order to teach a 2-g sodium dietc) Patients are required to learn about their therapeutic nutritional regimend) Patient instruction related to self-care activities promotes patientindependenced) Patient instruction related to self-care activities promotes patientindependenceRationale: Teaching is a function of nursing to assist patients to alterlifestyle patterns that increase health risk. By teaching the client how tocalculate sodium content of foods the nurse is facilitating independence innutrition disease management. Patients have the right to decide whether ornot to learn. Teaching is an independent function of nursing and does notrequire a physician's order. Teaching related to food labels in the patien [Show Less]