A nurse is discussing the nursing process with a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process?

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HESI Fundamentals 2023 Quizlet Questions

Question 1 of 5

A nurse is discussing the nursing process with a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process?

Correct Answer: A

Rationale: In the nursing process, the planning step involves determining priorities and goals based on the identified problems. Choice A is correct as it reflects the nurse's role in identifying the most important client problems to address, which aligns with the planning phase. Choices B, C, and D are incorrect. Choice B involves data collection, which is a part of the assessment phase, not planning. Choice C pertains to the implementation of care, which occurs after the planning phase. Choice D involves evaluation of a specific intervention, not planning.

Question 2 of 5

When admitting a client, what information should the nurse record in the client's record first?

Correct Answer: A

Rationale: When admitting a client, the nurse's first step should be to assess the client. Assessment is crucial as it helps establish a baseline of the client's condition, identify any immediate concerns, and guide the development of an individualized plan of care. Recording the client's medical history, plan of care, or vital signs may follow the initial assessment but are secondary to the primary assessment process.

Question 3 of 5

What is the first step a healthcare professional should take when preparing to provide tracheostomy care?

Correct Answer: A

Rationale: Performing hand hygiene is the initial step a healthcare professional should take when preparing to provide tracheostomy care. This step is crucial to prevent the transmission of pathogens and reduce the risk of infection to the client. By cleansing the hands, the healthcare professional ensures patient safety. While gathering equipment, explaining the procedure, and assessing the client are essential components of tracheostomy care, they should occur after performing hand hygiene to maintain aseptic technique and minimize the risk of introducing harmful microorganisms to the client.

Question 4 of 5

A client diagnosed with a terminal illness asks the nurse about the nurse's religious beliefs related to death and dying. An appropriate nursing response is to:

Correct Answer: B

Rationale: Encouraging the client to express their own thoughts about death and dying is an appropriate nursing response in this situation. It allows the client to explore and express their feelings, fears, and beliefs, facilitating a therapeutic conversation. Sharing personal beliefs (choice A) may not be appropriate as it could impose the nurse's beliefs on the client and hinder open discussion. Redirecting the conversation to medical treatment (choice C) may avoid addressing the client's emotional and spiritual needs. Informing the client that the nurse's beliefs are not relevant (choice D) dismisses the client's concerns and does not encourage open communication.

Question 5 of 5

A group member is being taught about expected changes of aging by a nurse. Which statement by the group member shows effective learning?

Correct Answer: A

Rationale: Choice A is the correct answer because as individuals age, there is a normal decline in cardiac efficiency, leading to a slower return to baseline heart rate after exercise. This statement demonstrates an understanding of an expected change related to aging. Choice B is incorrect as vision typically declines with age due to changes in the eye's structure. Choice C is incorrect because aging usually leads to a decrease in skin elasticity. Choice D is incorrect as hearing tends to decline rather than become more acute with age.

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