Clinical Nursing Skills Exam
Review
Course Introduction
Clinical Nursing Skills provides students with the foundational knowledge and hands-on experience necessary for delivering safe, effective patient care in a clinical setting. Emphasizing core competencies such as patient assessment, vital signs measurement, medication administration, wound care, intravenous therapy, and infection control, this course integrates theory with practical application. Students will develop clinical judgment and critical thinking skills, practice evidence-based procedures, and cultivate effective communication and teamwork. Through simulation labs and supervised clinical practice, learners gain confidence and proficiency, preparing them to meet the challenges of modern nursing practice.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Today,professional nursing education begins at the A) undergraduate level.
B) graduate level.
C) advanced practice level.
D) administrative level.
Answer: A
Q2) In the circular transactional model of communication,
A) questions are framed in order to recognize the context of the message.
B) people take only complementary roles in the communication.
C) the context of the communication is unimportant.
D) the purpose of communication is to influence the receiver.
Answer: A
Q3) The nurse recognizes that feedback loops
A) do not allow for correction of original information.
B) are solely based on the General Systems Theory.
C) do not allow for validation of information.
D) allow the human system to correct its original information.
Answer: D
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Chapter 2: Professional Guides for Nursing Communication
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) In regard to informed consent,which of the following statements is true?
A) Only legally incompetent adults can give consent.
B) Only parents can give consent for minor children.
C) It is not required that the client be told about costs and alternatives to treatment.
D) Consent must be voluntary.
Answer: D
Q2) When practicing effective and correct communication,the nurse should
A) speak in a clear voice.
B) be concise when providing client education.
C) be concrete when communicating with clients.
D) focus entirely on abstract communication techniques with clients.
E) ensure that communication with clients is complete.
F) provide courteous communication when interacting with clients.
Answer: A,B,C,E,F
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4
Chapter 3: Clinical Judgment and Ethical Decision Making
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The best method for nurse educators to teach professional values is
A) reading the ANA code.
B) laissez-faire.
C) role modeling.
D) values clarification.
Answer: C
Q2) Which of the following case examples represents the ethical concept of distributive justice?
A) A famous baseball player receives a heart transplant.
B) An older adult who has government insurance is denied standard cancer treatment.
C) During a visit to his physician's office, a client demands antibiotics for his cold and is given a prescription.
D) A client suffering from cirrhosis of the liver is placed on a transplant list.
Answer: B
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Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) A nurse attends an in-service aimed to educate staff about reporting hospital errors.The nurse demonstrates understanding when listing which of the following as consistent with error reporting within the United States?
A) Error reporting is transparent
B) Errors are overreported
C) Errors are underreported
D) Providers are not concerned about consequences of reporting errors
Q2) The nurse is teaching the student nurse about how to use SBAR when calling a physician.The student nurse verbalizes understanding of SBAR when stating that SBAR is A) used as a situational briefing.
B) utilized strictly within the hospital setting.
C) not used in e-mails due to HIPAA rules.
D) never recorded within the client's chart.
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6
Chapter 5: Developing Therapeutic Communication Skills
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse asks a newly admitted client,"Can you tell me what brought you to the hospital today?" The purpose of an open-ended question is to
A) influence the direction of an acceptable response.
B) encourage the client to answer the question with a one-word response.
C) allow clients latitude in telling their story.
D) allow the client to engage in a passive relationship with the nurse.
Q2) The nurse demonstrates understanding of the concept of metacommunication through
A) recognizing the impact of communication on others.
B) actively listening with good eye contact.
C) implementing barriers to effective communication.
D) ensuring that verbal and nonverbal messages are incongruent.
Q3) A client tells the nurse,"I am having a tough time and I am scared about the future." Which of the following responses by the nurse is the best feedback?
A) "I know what you mean."
B) "You should do something about it."
C) "I really don't think you are having a tough time."
D) "You are having a tough time and you are scared."
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Page 7
Chapter 6: Variation in Communication Styles
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18 Flashcards
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Sample Questions
Q1) Which of the following is a description of metacommunication?
A) Communication style
B) Nonverbal communication
C) Verbal communication
D) Nonverbal and verbal communication
Q2) In relation to gender differences in communication,which of the following is true?
A) Men use more verbal communication in interpersonal relationships.
B) Women smile more often.
C) Men require less personal space than women.
D) Men have a greater range of vocal pitch.
Q3) When communicating with a client,which of the following best demonstrates the use of nonverbal communication?
A) Ignoring nonverbal cues
B) Holding the client's hand
C) Conversing with the client
D) Using incongruent nonverbal behaviors
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8
Chapter 7: Intercultural Communication
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following statements is true?
A) A Muslim client may refuse to take insulin if it contains beef.
B) African American males have a lower chance of developing cancer.
C) Hispanic clients make small talk before discussing their health problems.
D) Asian clients frequently challenge health care workers.
Q2) When caring for a client from a different culture,which of the following is the best assessment approach by the nurse?
A) "Are there any special cultural beliefs about your illness that might help me give you better care?"
B) "Describe to me your position of greatest relief from pain and discomfort."
C) "I will return shortly to give you a pain medication. Is there anything else that you need?"
D) "I will roll your bed down and place a pillow between your legs."
Q3) The nurse is performing an admission assessment on an Asian client.The intake includes a cultural assessment.The nurse should ask the client,
A) "Does a minister, priest, or rabbi visit you?"
B) "Do you feel understood and loved?"
C) "What language do you prefer to speak?"
D) "Does life have meaning and value for you?"
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Page 9
Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) When leading a group meeting,the nurse notices two group members talking.Which of the following represents the best intervention by the nurse?
A) Ask the group, "Have you noticed who is talking at this time?"
B) Tell the two group members, "I would like you to stop talking."
C) Provide the two group members with a verbal summary of what the group has been discussing.
D) Ask the two group members, "Would you share your comments with the group?"
Q2) A member of a support group frequently whispers to other members of the group and appears indifferent and passive during group meetings.Which of the following nonfunctional self-roles is represented in this situation?
A) Aggressor
B) Avoider
C) Blocker
D) Self-confessor
Q3) A breast cancer support group is an example of a A) closed group.
B) private group.
C) homogeneous group.
D) heterogeneous group.
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Page 10
Chapter 9: Self Concept in Professional Interpersonal
Relationships
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A client has just had his status changed to "comfort care only." The nurse recognizes that the client is spiritually distressed.The nurse understands that spiritual pain
A) cannot be inferred from the client's behavior.
B) is not as severe as physical pain.
C) cannot be verbally shared.
D) can be as severe as physical pain.
Q2) Identify the type of perceptual alteration represented in the following example: Jim,a 12-year-old,states,"I am different from others in my physical education class because I am the class dunce."
A) Distorted reality
B) Selective attention
C) Self-fulfilling prophecy
D) Cognitive distortion
Q3) Which of the following statements is true about self-esteem?
A) It is an objective emotional process.
B) Achievements lead to high self-esteem.
C) It is the emotional value a person places on his or her self-concept.
D) It is a concept that becomes fixed.
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Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse practices "here and now" focus on problem identification,with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-client relationship?
A) Orientation
B) Preinteraction
C) Termination
D) Working
Q2) A primary difference between a therapeutic helping relationship and a social relationship is
A) enjoyment.
B) amount of listening.
C) worth to participants.
D) the focus.
Q3) Which stage of the nursing process corresponds to the exploitation part of the working phase of the therapeutic relationship?
A) Diagnosis
B) Assessment
C) Implementation
D) Planning
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Page 12
Chapter 11: Bridges and Barriers in Therapeutic Relationships
16
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Sample Questions
Q1) Which of the following is true about trust?
A) The sender feels it.
B) It is difficult to demonstrate professionally.
C) It is an intuitive process.
D) The trusting client feels comfortable revealing needs.
Q2) Which of the following is a violation of client confidentiality?
A) Sharing of information about a communicable disease
B) Stating client's diagnosis during change of shift report
C) Photographing a client's wound to monitor the healing process
D) Discussing private information about the client casually with others
Q3) Which of the following is true regarding personal space?
A) Individuals living in a Western culture need 40 square feet of personal space.
B) Direct eye contact causes a need for less space.
C) People need less space when they are anxious.
D) The elderly need more control over their personal space.
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13
Chapter 12: Communicating With Families
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16 Flashcards
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Sample Questions
Q1) When caring for clients,it is important for the nurse to understand that A) treatment plans should be tailored around personal family goals.
B) meaningful involvement in the client's care will be consistent among family members.
C) the nurse should listen to only immediate family members when considering implications for family involvement.
D) individual family members have different perspectives.
Q2) The nurse-family relationship in client care depends on what type of relationship between the nurse and the family?
A) A dependent relationship
B) A relationship that begins informally
C) A reciprocal relationship
D) A relationship that promotes inequality between the nurse and family
Q3) Regardless of how uniquely they are defined,strong emotional ties and durability of membership characterize
A) family function.
B) family process.
C) family relationships.
D) family ecomap.
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14
Chapter 13: Resolving Conflicts Between Nurse and Client
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client yells,"Take this mess away from here.How could anyone eat this food? What kind of place are you running here?" The nurse uses skills of assertiveness to promote change that is focused on A) feelings.
B) attitudes.
C) behaviors.
D) motivations.
Q2) A nurse manager is educating nurses about the risk of violence experienced by nurses and social workers in their workplace when compared to other professionals.The nurse manager states that nurses and social workers are at A) three times greater risk to experience violence in their workplace than are other professionals.
B) four times greater risk to experience violence in their workplace than are other professionals.
C) no greater risk to experience violence in their workplace than are other professionals. D) two times greater risk to experience violence in their workplace than are other professionals.
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Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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18 Verified Questions
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Sample Questions
Q1) The concept of well-being consists entirely of the ability to
A) work at producing an income.
B) perform activities of daily living.
C) define one's subjective experience of life satisfaction.
D) partner with a health professional.
Q2) When conducting an initial assessment,a client informs the nurse about difficulty getting to doctors' appointments due to lack of transportation.When considering examples of PRECEDE Diagnostic Behavioral Factors,the nurse recognizes this as what type of factor?
A) Reinforcing factor
B) Epidemiologic factor
C) Enabling factor
D) Predisposing factor
Q3) Precede components of the Precede/Proceed Model of Health Promotion include which of the following?
A) Social diagnosis
B) Epidemiological diagnosis
C) Implementation
D) Outcome evaluation
E) Educational and organizational diagnosis
Page 16
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) Accurate documentation of client health teaching is a critical component of quality care.When documenting in the client's chart about health teaching for a client admitted for alcoholism,the nurse should write
A) "Client was educated on the physical complications of alcoholism."
B) "Client received written and verbal instructions on diet and vitamin therapy."
C) "Client was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance."
D) "Client was able to identify five triggers for relapse and was assisted to develop a relapse prevention plan."
Q2) Which of the following statements is true related to home care?
A) The nurse should consider herself a member of the family when entering the client's home.
B) The nurse should arrive at the client's home unannounced to get an accurate picture of the client's situation.
C) Part of the teaching assessment includes appraisal of the home environment.
D) The nurse should wash her hands in the kitchen sink when visiting the client.
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Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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12 Verified Questions
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Sample Questions
Q1) A client is experiencing anxiety related to hospitalization.When assessing this client,the nurse anticipates which assessment finding?
A) Increased socialization
B) Improved sleep
C) Greater recall ability
D) Disengagement from the stressor
Q2) A short-term mild level of stress that acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage is known as
A) stress.
B) eustress.
C) stressor.
D) distress.
Q3) A client tells the nurse,"I think I'm losing my mind." The best response by the nurse is
A) "Tell me what you are experiencing right now."
B) "You should take a nap now; it will help you to feel better."
C) "If you say that you're losing mind, you really will lose your mind."
D) "I don't think you really feel that you are losing your mind."
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Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) The nurse is caring for a client who is nonverbal.When caring for this client,the nurse should
A) insist the client communicate in a two-way mode.
B) continue to initiate communication in a one-way mode.
C) refrain from explaining procedures because the client will not understand.
D) limit orienting cues in order to reduce environmental stimuli.
Q2) When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be
A) speak distinctly while exaggerating words.
B) attempt to use sign language.
C) use pictographs.
D) explain what is happening in complex terms.
Q3) Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?
A) Vision-impaired client
B) Client with a hearing loss
C) Mentally ill client
D) Client with schizophrenia
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Chapter 18: Communicating With Children
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15 Flashcards
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Sample Questions
Q1) The nurse recognizes that guidelines for developing a workable limit-setting plan include having consequences that are
A) applied after a detailed verbal exchange with the client.
B) person centered, not situation centered.
C) applied in a matter-of-fact manner, without lengthy discussion.
D) applied at a time negotiated between the nurse and client.
Q2) When communicating with hospitalized infants and toddlers,the nurse knows
A) she should use long sentences with soothing words.
B) she cannot communicate with a preverbal infant.
C) moving to the child's eye level and maintaining eye contact are important.
D) she should pick up an 18-month-old infant immediately.
Q3) The nurse is caring for a postoperative preschooler who is crying and has been refusing to eat.The best communication strategy for the nurse to use is to
A) avoid providing the child with simple explanations.
B) assign the child to a different nurse in order to optimize socialization.
C) give the child some clay, crayons, and paper.
D) encourage the child to express complex thoughts and feelings.
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Page 20
Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations.When communicating with this client,the nurse should
A) use words directly applicable to the client's daily routine.
B) restate ideas using different words in a different sequence.
C) refrain from validating the meaning of the client's responses.
D) ask the client questions that require more than a yes or no answer.
Q2) When visiting a client in his or her home,the home health nurse notes that the client frequently shifts the conversation to reminisce.Which of the following communication techniques would be most effective for the nurse to use with this client?
A) Restating
B) Changing the subject
C) Providing information
D) Asking about the client's life history
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21
Chapter 20: Communicating With Clients in Crisis
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Sample Questions
Q1) A client experiences an unusually stressful life event that exceeds their resources and coping skills.The nurse recognizes the client is experiencing which type of crisis?
A) Developmental
B) Private
C) Adventitious
D) Situational
Q2) A client enters the emergency department.When performing the initial admission assessment,the nurse recognizes which client behavior as an indicator that the client may become violent?
A) Coherent speech
B) Flat affect
C) A relaxed posture
D) Confusion
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Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) Which of the following individuals is most likely experiencing a delayed grief reaction?
A) A 22-year-old army pilot on leave from the Iraq war who talks about the death of his crew member
B) A 93-year-old women, whose husband of 73 years died 1 year ago, who reminisces about their life together
C) A 54-year-old man suffering from alcoholism who just completed a 28-day inpatient rehabilitation talking about the death of his wife 3 years ago
D) A child whose parents were divorced 3 months ago and is acting out at school
Q2) A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care.The nurse's best response is to
A) provide detailed, scientific information.
B) discuss physical symptoms.
C) withhold information to avoid unnecessary fears.
D) provide frequent updates.
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Chapter 22: Role Relationships and Interprofessional Communication
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Sample Questions
Q1) Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and
A) aesthetics.
B) altruism.
C) justice.
D) truth.
Q2) The nurse is conducting an interview with the family of a client who has just been diagnosed with Alzheimer disease.The nurse wants to assess family role relationships.What would be an appropriate question?
A) "What are your likes and dislikes?"
B) "Who assumes responsibility for decision making?"
C) "How would you describe your job?"
D) "How do you like to be treated?"
Q3) The nurse contacts the client's case manager to provide information about the client's hospital treatment plan.This is an example of which type of advocacy?
A) Role modeling
B) Educational informing
C) Collaboration
D) Anticipatory guidance
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Chapter 23: Communicating With Other Health
Professionals
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Sample Questions
Q1) When supervising an unlicensed assistive personnel (UAP),the nurse offers unwarranted criticism that causes the UAP to feel defensive.The initial response by the UAP should be to
A) verbally defend against the unwarranted criticism.
B) allow the nurse to continue to project unwarranted criticism.
C) recognize the unwarranted criticism.
D) recognize that the unwarranted criticism must be directly related to the actual behavior that is being criticized.
Q2) The nurse manager is working with staff members to promote conflict resolution.The nurse manager recognizes that additional teaching is warranted when a staff member states,
A) "I will solicit the perspectives of others."
B) "I will remember to criticize ideas, not people."
C) "I will demonstrate manipulation when working with others."
D) "I will avoid becoming emotional when discussing the conflict."
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25
Chapter 24: Communicating for Continuity of Care
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Sample Questions
Q1) The nurse is caring for a client with a chronic health condition.The nurse recognizes that in order to achieve high-quality health outcomes for this client,which of the following should occur?
A) Clients and families must have consistency of personnel.
B) Clients and families must have irresponsible relationships.
C) Clients and families should be provided with vague information.
D) Ongoing collaborative support from coordinated health services is discouraged.
Q2) The nurse recognizes that a potential barrier to effective team communication includes which of the following?
A) Team role clarity
B) Lack of territoriality
C) Professional rivalries
D) Transparent job responsibilities
Q3) Which of the following best describes continuity of care?
A) It involves only clients with acute physical conditions.
B) It involves client-centered high-quality care across clinical settings.
C) It should focus on episodic hospital care of seriously ill clients.
D) Relational, informational, and functional are its key components.
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Chapter 25: Documentation in an Electronic Era
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Sample Questions
Q1) Review the charting sample and determine which documentation error occurred.
1000: Hygienic care given
1100: Complaint of leg pain
1300: Appetite good,resting comfortably
A) Recording on the wrong chart
B) Failure to document an intervention
C) Failure to document a discontinued medication
D) Failure to record outcome of an intervention
Q2) When completing documentation on each client,the nurse recognizes that documentation serves what purposes?
A) It communicates to others whether or not care was received.
B) It conveys pertinent information about the client's condition and response to treatment interventions.
C) It substantiates the quality of care by showing adherence to care standards.
D) It provides evidence for reimbursement.
E) It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best practice" interventions.
F) It is not a source for communicating care to others due to HIPAA rules and regulations.
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Chapter 26: Communicating at the Point of Care:
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Q1) AHRQ's analysis of 146 studies of the impact of computer health modules on client outcomes found that these programs
A) failed to engage client attention.
B) succeeded in engaging client attention.
C) caused a decline in client clinical health.
D) had no significant impact on client outcomes.
Q2) A nursing instructor educates a student nurse about standards of effective communication.The nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a standard of effective communication?
A) Clear
B) Timely
C) Lengthy
D) Complete
Q3) Which of the following best describes a laptop computer?
A) It is less powerful than a tablet.
B) It should not be taken into a client's home.
C) It is used to chart and transmit a client's care.
D) It does not allow for information to be transmitted in a wireless fashion.
Page 28
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