Chapter 10 Blended Competencies

Chapter 10  Blended Competencies

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nursing student uses evidence-based practice findings in the development of a care plan. This is an example of which type of nursing skill?
A)
Cognitive skill
B)
Technical skill
C)
Interpersonal skill
D)
Ethical/legal skill
Ans:
A

Feedback:

The student is demonstrating the use of cognitive skills, which is characterized by identifying scientific rationales for the client’s plan of care, selecting nursing interventions that are most likely to yield the desired outcomes, and using critical thinking to solve problems. Technical skills focus on manipulating equipment skillfully to produce a desired outcome. Interpersonal skills are used to establish and maintain a caring relationship. Ethically and legally skilled nurses conduct themselves in a manner consistent with their personal moral code and professional role responsibilities.

2.
A nurse has come on day shift and is assessing the client’s intravenous setup. The nurse notes that there is a mini-bag of the client’s antibiotic hanging as a piggyback, but that the bag is still full. The nurse examines the patient’s medication administration record (MAR) and concludes that the night nurse likely hung the antibiotic but failed to start the infusion. As a result, the antibiotic is three hours late and the nurse has consequently filled out an incident report. In doing so, the nurse has exhibited which of the following?
A)
Ethical/legal skills
B)
Technical skills
C)
Interpersonal skills
D)
Cognitive skills
Ans:
A

Feedback:

Reporting problems and unacceptable practices is an aspect of ethical/legal skills. Technical skills enable the safe performance of kinesthetic tasks while interpersonal skills are the manifestations of caring. Cognitive skills encompass knowledge and critical thinking.

3.
A client who has been admitted to the hospital for the treatment of a gastrointestinal bleed requires a transfusion of packed red blood cells. Which of the following aspects of the nurse’s execution of this order demonstrates technical skill?
A)
Starting a new, large-gauge intravenous site on the client, and priming the infusion tubing
B)
Understanding the Rh system that underlies the client’s blood type
C)
Ensuring that informed consent has been obtained and properly filed in the client’s chart
D)
Explaining the process that will be involved in preparing and administering the transfusion
Ans:
A

Feedback:

Performing tasks that require manual dexterity is a manifestation of technical skills. Explaining the transfusion process is largely dependent on interpersonal skills, while understanding the theory behind blood types is indicative of cognitive skills. Informed consent lies within the domain of legal/ethical skills.

4.
In which of the following situations would the nurse be most justified in implementing trial-and-error problem solving?
A)
The nurse is attempting to landmark an obese client’s apical pulse.
B)
The nurse is attempting to determine the range of motion of a client’s hip joint following hip surgery.
C)
The nurse is attempting to determine which PRN (as needed) analgesic to offer a client who is in pain.
D)
The nurse is attempting to determine whether a poststroke client has a swallowing deficit.
Ans:
A

Feedback:

Trial-and-error problem solving can be dangerous to the client. Testing range of motion by trial-and-error could result in dislocation; trial-and-error drug administration could result in over- or under-medicating; trial-and-error assessment of a potential swallowing deficit could result in aspiration. Each of these situations warrants more systematic problem solving. Trial-and-error landmarking of an anatomically difficult point, such as the apex of an obese client’s heart, does not pose a threat to the client and a reasonable amount of “hunting” for the apical pulse may be necessary.

5.
What nursing organization first legitimized the use of the nursing process?
A)
National League for Nursing
B)
American Nurses Association
C)
International Council of Nursing
D)
State Board of Nursing
Ans:
B

Feedback:

Although the term “nursing process” was first used by Lydia Hall in 1955 and nursing theorists delineated specific steps in a process approach to nursing, use of the nursing process was legitimized in 1973, when the American Nurses Association’s Congress for Nursing Practice developed Standards of Practice to guide nursing performance.