Practice Quiz Answers
A parent tells the pediatric nurse practitioner, “I’ve never told anyone this information about my son.” This is an example of:
A) Identifying problems and goals
B) Building trust
C) Clarifying roles
Correct Answer: B
Explanation: This response is an example of trust. Trusting another person involves risk and vulnerability, but it also fosters open, therapeutic communication and enhances the expression of feelings, thoughts, and needs.
A. This statement is not an example of identifying problems and goals.
C. This statement is not clarifying roles of the nurse and client.
D. This statement is not an example of revealing. Although the parent may have provided information that was never before revealed, in this statement the parent is indicating that there is trust between himself or herself and the nurse practitioner.
Which of the following is the best example of complete documentation?
A) “8:30 AM - Client received aspirin and oxycodone (Percodan; 1 tablet) PO”
B) “12:15 PM - I gave the client morphine 10 mg IM at 11:10 AM, but did not document it then”
C) “2:45 PM - Acetylsalicylic acid (ASA) gr X given for temperature of 38.1° C”
D) “8:30 PM - Abdominal dressing change at 7:30 PM. No s/s of infection, and wound edges approximating well”
Correct Answer: C
Explanation: This is the best example of a late entry. The time is indicated along with the action and an objective observation
A. This notation is not complete. It does not indicate why the aspirin and oxycodone (Percodan) was given (i.e., what was the client’s level of pain? Where was the pain located?)
B. The nurse does not need to document about herself, only about the client. In this option, the nurse does not indicate why the morphine was given (such as the client’s level of pain or location of pain).
D. This entry is not complete. It does not state the size of the wound, type of dressing used, or the client’s...