Test Bank for Skills in Clinical Nursing 9th Edition by Berman

Test Bank for Skills in Clinical Nursing 9th Edition by Berman

Skills in Clinical Nursing, 9e (Berman/Snyder)

Chapter 1   Essential Skills

1) The nurse is caring for a client who developed an infection after admission to the hospital.

Which term should the nurse use when documenting this infection?  nursing | Nursing/Integrated 1. Nosocomial infection

2.  Bacterial infection

3.  Health care-associated infection

4.  Therapeutic infection

Answer:  1

Explanation:  1. A nosocomial infection is an infection that originates specifically in the hospital.

2.  Not enough information is provided to determine whether the infection is bacterial in nature.

3.  A health care-associated infection can originate in any health care setting. 

4.  There is no such thing as a therapeutic infection.

Page Ref: 7

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: V.B.1. Demonstrate effective use of technology and standardized practices that support safety and quality | AACN Essential Competencies: II.5. Participate in quality and client safety initiatives, recognizing that these are complex system issues that involve individuals, families, groups, communities, populations, and other members of the health care team | NLN Competencies: Knowledge and Science: Knowledge:

Relationships between knowledge/science and quality and safe client care | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1. Define the key terms used in essential skills and equipment that protect nurses and clients.

2) The nurse is caring for a group of clients. For which situation should the nurse use a Situation, Background, Assessment, and Recommendation (SBAR) process? Select all that apply.

1.  Discharging a client

2.  Transferring a client to another unit

3.  Contacting the primary care provider

4.  Changing from day to evening shift

5.  Informing family members of client status

Answer:  2, 3, 4

Explanation:  1. The SBAR is not used for discharging a client.

2.  The SBAR is used to enhance the safety of the client in situations where nurses are communicating with other members of the health care team, such as when transferring the client to another unit.

3.  The SBAR is used to enhance the safety of the client in situations where nurses are communicating with other members of the health care team, such as when contacting the primary care provider. 

4.  The SBAR is used to enhance the safety of the client in situations where nurses are communicating with other members of the health care team, such as when conducting change-ofshift report.

5.  The SBAR is not used for notifying family members of the client's status.

Page Ref: 14

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment; Management of Care Standards:  QSEN Competencies: V.B.1. Demonstrate effective use of technology and standardized practices that support safety and quality | AACN Essential Competencies: II.5. Participate in quality and client safety initiatives, recognizing that these are complex system issues that involve individuals, families, groups, communities, populations, and other members of the health care team | NLN Competencies: Knowledge and Science: Knowledge:

Relationships between knowledge/science and quality and safe client care | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1. Define the key terms used in essential skills and equipment that protect nurses and clients.

3) A client with HIV/AIDS is being treated for a Pneumocystis carinii infection. In order to reduce the spread of infection, in which of the following areas should the nurse instruct this client? 

1.  Engaging in self-care

2.  Respiratory hygiene/cough etiquette

3.  The use of sexual barriers

4.  Standard precautions

Answer:  2

Explanation:  1. Teaching self-care might be indicated for this client, but it is not related to reducing the spread of infection. 

2.                  The client with a respiratory infection would benefit most from learning how to use respiratory hygiene/cough etiquette in order to reduce the risk of spreading infection to others. 

3.                  Although teaching the use of sexual barriers would reduce the risk of sexually transmitted infections, it is not the priority need at this time. 

4.                  Standard precautions are used by the health care provider and are not generally taught to clients.

Page Ref: 5

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment; Safety and Infection Control

Standards:  QSEN Competencies: V.B.2. Demonstrate effective use of strategies to reduce risk of harm to self or others | AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Knowledge and Science: Knowledge: Relationships between knowledge/science and quality and safe client care | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching and Learning

Learning Outcome:  1. Define the key terms used in essential skills and equipment that protect nurses and clients.

4) The nurse reviews the care needs for assigned clients. Which task would be appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

1.  Measuring vital signs

2.  Measuring and recording intake and output

3.  Postmortem care

4.  Providing telephone advice

5.  Weighing the client

Answer:  1, 2, 3, 5

Explanation:  1. Vital sign measurement is an appropriate task to delegate to the UAP.

2.  Recording intake and output is an appropriate task to delegate to the UAP.

3.  Providing postmortem care is an appropriate task to delegate to the UAP.

4.  Tasks requiring advanced education such as assessment, interpretation of data, planning client care, or evaluating care are not delegated to the UAP. Telephone advice involves gathering data, analysis, and planning care, which would all be beyond the scope of practice. 

5.  Weighing the client is an appropriate task to delegate to the UAP.

Page Ref: 4

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment; Management of Care

Standards:  QSEN Competencies: II.B.5. Assume role of team member or leader based on the situation | AACN Essential Competencies: IX.14. Demonstrate clinical judgment and accountability for patient outcomes when delegating to, and supervising, other members of the health care team | NLN Competencies: Teamwork: Practice-Know-How: Function competently within one's own scope of practice as leader or member of the health care team and manage delegation effectively | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2. Recognize when it is appropriate to assign skills to unlicensed assistive personnel.