Chapter 38 Finding that First Job

Chapter 38 Finding that First Job

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A newly licensed nurse is being interviewed for a staff nursing position in a rehabilitation facility.The nurse will be required to administer medications and perform treatments for the clients, manyof whom have had strokes and have dysphagia. The interviewer asks the applicant what his firstaction will be when administering medications to a dysphagic client. What is the nurse’s mostcorrect response?1)A)”I would help the client put the medication is his or her mouth, and hold the cup of liquid forthe client.”B)”It’s best to use only thickened liquids for clients with dysphagia, so I would make sure Iadminister the medications with an appropriate liquid.”C)”I would ask the client to swallow a few sips of water.”D)”I would first provide a straw for the client to use to make it easier to swallow the medicine.”Answer:CExplanation:A)Professional behavior involves being competent and safe in one’s practice. Thenurse is expected to be able to apply the nursing process effectively and accuratelyin a given situation to determine how to proceed with a task. The nurse is alsoexpected to know basic medical terminology. Before giving anything orally to aclient with difficulty swallowing, the gag reflex should be assessed. This is bestdone by having the client swallow a few milliliters of water and determining if it issafe to continue with the medication administration. The client may or may not beable to use a straw; regardless of this, the ability to use a straw does not assess thegag reflex. Although using thickened liquids is correct for a client with dysphagia,it is not the first action that should be done. Helping the client put the medicationin his or her mouth and holding the cup of liquid for the client describes possiblenursing actions with a client with dysphasia, not dysphagia.AssessmentPhysiological Integrity-Reduction of Risk PotentialAnalysisB)Professional behavior involves being competent and safe in one’s practice. Thenurse is expected to be able to apply the nursing process effectively and accuratelyin a given situation to determine how to proceed with a task. The nurse is alsoexpected to know basic medical terminology. Before giving anything orally to aclient with difficulty swallowing, the gag reflex should be assessed. This is bestdone by having the client swallow a few milliliters of water and determining if it issafe to continue with the medication administration. The client may or may not beable to use a straw; regardless of this, the ability to use a straw does not assess thegag reflex. Although using thickened liquids is correct for a client with dysphagia,it is not the first action that should be done. Helping the client put the medicationin his or her mouth and holding the cup of liquid for the client describes possiblenursing actions with a client with dysphasia, not dysphagia.AssessmentPhysiological Integrity-Reduction of Risk PotentialAnalysis1
C)Professional behavior involves being competent and safe in one’s practice. Thenurse is expected to be able to apply the nursing process effectively and accuratelyin a given situation to determine how to proceed with a task. The nurse is alsoexpected to know basic medical terminology. Before giving anything orally to aclient with difficulty swallowing, the gag reflex should be assessed. This is bestdone by having the client swallow a few milliliters of water and determining if it issafe to continue with the medication administration. The client may or may not beable to use a straw; regardless of this, the ability to use a straw does not assess thegag reflex. Although using thickened liquids is correct for a client with dysphagia,it is not the first action that should be done. Helping the client put the medicationin his or her mouth and holding the cup of liquid for the client describes possiblenursing actions with a client with dysphasia, not dysphagia.AssessmentPhysiological Integrity-Reduction of Risk PotentialAnalysisD)Professional behavior involves being competent and safe in one’s practice. Thenurse is expected to be able to apply the nursing process effectively and accuratelyin a given situation to determine how to proceed with a task. The nurse is alsoexpected to know basic medical terminology. Before giving anything orally to aclient with difficulty swallowing, the gag reflex should be assessed. This is bestdone by having the client swallow a few milliliters of water and determining if it issafe to continue with the medication administration. The client may or may not beable to use a straw; regardless of this, the ability to use a straw does not assess thegag reflex. Although using thickened liquids is correct for a client with dysphagia,it is not the first action that should be done. Helping the client put the medicationin his or her mouth and holding the cup of liquid for the client describes possiblenursing actions with a client with dysphasia, not dysphagia.AssessmentPhysiological Integrity-Reduction of Risk PotentialAnalysis2)A newly licensed LPN/LVN is one of a group of newly hired nurses attending a 5-week orientationprogram. After 3 weeks of the program, the LPN/LVN does not feel she is getting the support fromthe charge nurse or staff on the unit where she will be working. To address her concern, the nurseshould initially plan to talk with:2)A)No one, as it probably is just a lack of self-confidence that is causing her to feel this way.B)The charge nurse of the unit.C)The coordinator of the orientation program.D)The other members of the orientation group to determine if they are feeling the same way.Answer:CExplanation:A)During an orientation period for a new hire, initial concerns are best discussedwith the program coordinator. The coordinator may suggest that the LPN/LVNdiscuss this with the charge nurse, may choose to discuss it herself or himself withthe charge nurse, or may arrange for a discussion with all three of the nursespresent. The orientation is more than halfway completed. If the nurse is going to beable to work effectively and with any degree of satisfaction on this unit, theproblem will need to be resolved. The new hire must trust herself or himself andfeel secure enough to raise the concern. It is inappropriate to discuss thisprofessional/personal difficulty with the other nurses in the orientation group.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis2
B)During an orientation period for a new hire, initial concerns are best discussedwith the program coordinator. The coordinator may suggest that the LPN/LVNdiscuss this with the charge nurse, may choose to discuss it herself or himself withthe charge nurse, or may arrange for a discussion with all three of the nursespresent. The orientation is more than halfway completed. If the nurse is going to beable to work effectively and with any degree of satisfaction on this unit, theproblem will need to be resolved. The new hire must trust herself or himself andfeel secure enough to raise the concern. It is inappropriate to discuss thisprofessional/personal difficulty with the other nurses in the orientation group.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisC)During an orientation period for a new hire, initial concerns are best discussedwith the program coordinator. The coordinator may suggest that the LPN/LVNdiscuss this with the charge nurse, may choose to discuss it herself or himself withthe charge nurse, or may arrange for a discussion with all three of the nursespresent. The orientation is more than halfway completed. If the nurse is going to beable to work effectively and with any degree of satisfaction on this unit, theproblem will need to be resolved. The new hire must trust herself or himself andfeel secure enough to raise the concern. It is inappropriate to discuss thisprofessional/personal difficulty with the other nurses in the orientation group.PlanningSafe, Effective Care Environment-Coordinated CareAnalysisD)During an orientation period for a new hire, initial concerns are best discussedwith the program coordinator. The coordinator may suggest that the LPN/LVNdiscuss this with the charge nurse, may choose to discuss it herself or himself withthe charge nurse, or may arrange for a discussion with all three of the nursespresent. The orientation is more than halfway completed. If the nurse is going to beable to work effectively and with any degree of satisfaction on this unit, theproblem will need to be resolved. The new hire must trust herself or himself andfeel secure enough to raise the concern. It is inappropriate to discuss thisprofessional/personal difficulty with the other nurses in the orientation group.PlanningSafe, Effective Care Environment-Coordinated CareAnalysis3)A newly licensed nurse is in the nursing department of a long-term care facility completing anapplication for a staff nursing position and is asked if she would like to take the requiredmedication test now or set up another time to come in for the test. What is the most professionalresponse by the nurse?3)A)”I would like to complete it now and I have scheduled enough time so I won’t need to rush.”B)”I don’t know how I will do, but I’ll go ahead and take it now.”C)”I have another appointment in 1/2-hour, so I would like to arrange another time.”D)”I’d like to wait and brush up on medications and math before I take your test.”Answer:A3
Explanation:A)Wanting to complete the test now offers the best indication that the applicant hasthought about and made a plan for what might occur during an applicationprocess that is being held in person. The nurse, especially if newly licensed, isexpected to have a familiarity with commonly-prescribed medications and be ableto calculate drug dosages without needing to review. The nurse may have somemild anxiety about the test; it is not appropriate to verbalize the anxiety or towonder out loud how one may do on it.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationB)Wanting to complete the test now offers the best indication that the applicant hasthought about and made a plan for what might occur during an applicationprocess that is being held in person. The nurse, especially if newly licensed, isexpected to have a familiarity with commonly-prescribed medications and be ableto calculate drug dosages without needing to review. The nurse may have somemild anxiety about the test; it is not appropriate to verbalize the anxiety or towonder out loud how one may do on it.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationC)Wanting to complete the test now offers the best indication that the applicant hasthought about and made a plan for what might occur during an applicationprocess that is being held in person. The nurse, especially if newly licensed, isexpected to have a familiarity with commonly-prescribed medications and be ableto calculate drug dosages without needing to review. The nurse may have somemild anxiety about the test; it is not appropriate to verbalize the anxiety or towonder out loud how one may do on it.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationD)Wanting to complete the test now offers the best indication that the applicant hasthought about and made a plan for what might occur during an applicationprocess that is being held in person. The nurse, especially if newly licensed, isexpected to have a familiarity with commonly-prescribed medications and be ableto calculate drug dosages without needing to review. The nurse may have somemild anxiety about the test; it is not appropriate to verbalize the anxiety or towonder out loud how one may do on it.AssessmentSafe, Effective Care Environment-Coordinated CareApplication