BSN 225 - HESI FUNDAMENTALS EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
Question : Which health pattern in Gordon's model describes
the patient's spiritual attitude?
- Value-belief pattern
- Role-relationship pattern
- Cognitive-perceptual pattern
- Self-perception-- self-concept pattern
CORRECT ANSWER: A. Value-belief pattern
According to Gordon's model, there are 11 health patterns.Each pattern describes a particular characteristic. The value- belief pattern describes a patient's spiritual attitude, the values and beliefs that guide the choices or decisions of the patient. The role-relationship pattern describes a patient's pattern of role engagements and relationships. The cognitive=perceptual pattern describes memory, decision- making ability, language adequacy, and sensory-perceptual patterns/ A patient's concept of self or perception of self is described by the self-perception--self-concept pattern
Question : Which standard of practive is the nurse
performing when applying a cold compress to a patient's sprained ankle and instructing the patient to elevate the leg?
- Diagnosis
- Evaluation
- Assessment
- Implementation
CORRECT ANSWER: C. Implementation
The nurse is delivering care to the patient; therefore the standard practived by the nurse is implementation.Developing a nuring diagnosis involves analyzing the assessed data. Evaluation refers to determining the effectiveness of the implemented patient care in meeting the patient goals. Assessment is the process of collecting data related to the health and illness of the patient
Question : which standard of practive is being performed
when a nurse administers the prescribed medicated nebulizer treatment to a patient who has developed wheezing and shortness of breath in the emergency department?
- planning
- evaluation
- assessment
- implementation
CORRECT ANSWER: D. implementation
implementation phase is where the nurse follows through on the decided plan of action. Once the patient and the nurse on the diagnosis, a plan of action can be developed. Each problem is assigned a clear, measurable goal for the expected outcome. Once all nusing intervention actions have taken
place, the nurse completes an evaluation to determine if the patient goals have been met. The first step of the nursing process is assessment. During this phase, the nurse gathers information about a patient's psychological, physiologic, sociologic, and spiritual status.
Question : Which trait of critical thinking is the nurse
exhibiting when instructing the parents of a malnourished child to make the child's food colorful and attractive?
- fairness
- curiosity
- discipline
- creativity
CORRECT ANSWER: D. creativity
Nurses require various traits such as creativity, fairness, risk taking, curiousity, discipline, and perseverance. In this case the nurseis trying to stimulate the appetite of the child by instructing the parents to make the food colorful and attractive. This shows that the nurse is using the trait of creativity. Fairness is the trait of a nurse who avoids personal bias while caring for a patient/ Curiosity is the trait of a critical thinking nurse who always tries to ask "why?" A disciplined nurse follows a systemativ approach to plan and achieve goals.
Question : Which Quality and Safety in the Education of
Nurses (QSEN) competency is the nurse exhibiting by working with a couple to determine what they know about their medications and helping them decide on one care provider rather than two when caring for an older-adult couple in a community-based assisted living facility?
- safety
- informatics
- patient-centered care
- teamwork and collaboration
CORRECT ANSWER: B. safety
Helping patients understand the consequences and complications of multiple health care providers and multiple medications helps ensure patient safety. Informatics is a multidisciplinary field that uses health inforamtion technology to improve health care via any combination of high quality, higher efficiency, and new opportunities.Patient-centered care focuses on direct care rendered to patients. Teamwork and collaboration seeks information or help from other health care professions and disciplines
Question : A 40-year-old patient is experiencing poorly
controlled hypertension. The dietitian recommends several dietary modifications to the patient. The patient tries to explain the reason for her poor dietary compliance; she says she works extra hours and does not have the time to cook.