Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child's family in the plan of care. Inclusion of the family meets which of Maslow's basic human needs?
A. Love and belonging
Love and belonging involve relationships, family, and social connections.
B. Self-actualization
Self-actualization is about achieving one's full potential, which is not the primary concern in this context.
C. Self-esteem
Self-esteem involves confidence and self-worth, which is not the focus here.
D. Physiologic
Physiologic needs are basic physical requirements such as food and shelter.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals proctored exam. Take the full exam now
Full Explanation
A. Love and belonging involve relationships, family, and social connections.
B. Self-actualization is about achieving one's full potential, which is not the primary concern in this context.
C. Self-esteem involves confidence and self-worth, which is not the focus here.
D. Physiologic needs are basic physical requirements such as food and shelter.
Similar Questions
A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?
A. "Would you tell me about all of your medical issues?"
This question is too broad and might overwhelm the client.
B. "Would it help to discuss your feelings about this hospitalization?"
This question is focused on feelings, which may not directly lead to health history data.
C. "Do you want to talk about your health concerns?"
This question is close-ended and may not elicit detailed information.
D. "What brought you to the hospital?"
This open-ended question invites the client to share relevant health information and reasons for admission.
Full Explanation
A. This question is too broad and might overwhelm the client.
B. This question is focused on feelings, which may not directly lead to health history data.
C. This question is close-ended and may not elicit detailed information.
D. This open-ended question invites the client to share relevant health information and reasons for admission.
A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?
A. Inform the provider that the client is withdrawing consent.
Informing the provider is the correct action, as the provider needs to be aware of the client's decision to withdraw consent.
B. Remind the client the consent form has already has been signed.
Reminding the client about the signed consent form does not respect their autonomy to change their mind.
C. Discuss alternatives to the procedure.
Discussing alternatives might be helpful later, but the immediate action should be to inform the provider.
D. Explain why this procedure is necessary.
Explaining the necessity of the procedure may be coercive and does not honor the client's current decision.
Full Explanation
A. Informing the provider is the correct action, as the provider needs to be aware of the client's decision to withdraw consent.
B. Reminding the client about the signed consent form does not respect their autonomy to change their mind.
C. Discussing alternatives might be helpful later, but the immediate action should be to inform the provider.
D. Explaining the necessity of the procedure may be coercive and does not honor the client's current decision.
Which best exemplifies malpractice?
A. The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions.
While this is an error, it did not result in a serious or lasting harm.
B. The nurse applies an ice pack to a client's lower back without an order and the client feels better.
This action, though without an order, resulted in a positive outcome.
C. The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur.
This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.
Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.
Full Explanation
A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.