224 Final

The nurse is taking a tour of a home care agency as part of the interview process. Which services should the nurse recognize as being provided through this health agency?

A case manager arranging services to meet the clients need for physical therapy after a fall A durable supply company delivering a wheelchair to a client with spina bifida A nurse assessing the feet of a homebound diabetic client

While reviewing a health insurance plan, the nurse learns that a client has coverage for durable medical equipment (DME). What care need should the nurse identify as being covered by the clients health plan?

A hospital bed

The nurse is explaining the definition of being a nurse to a new nursing assistant. Which themes should the nurse include when talking with the assistant?

Adaptive Client-centered An art A science

The nurse is applying Neumans systems model during client care. Which response should the nurse identify as an intrapersonal stressor to a client?

Adverse reaction to medication

A client who has been the recipient of home health care has made the decision to discontinue hemodialysis. The client understands all the consequences of this decision and is not supported by his family. The nurse is meeting with the family to help them understand the significance of the clients decision and to help them support the client during this difficult time. In which role is the nurse functioning?

Advocate

A nurse educator believes computers can enhance student learning. Which actions should the instructor take to demonstrate this belief?

Allow students to research a nursing topic either by going to the library or via an online literature search. Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules. Use PowerPoint slides to reinforce complex concepts during classroom lecture Assign a collaborative group project to students enrolled in an online course.

The ANAs proposal for entry level for professional practice initiated debate among nurses. Which nurse would be at greatest risk if the ANA proposal were implemented?

An RN with an associate degree who has a head nurse position

The nurse is planning to apply to graduate school to earn a masters degree in nursing. On what should the nurse expect the programs curriculum to focus?

An advanced leadership role

The nurse educator is considering ways to impact the learning of students through the use of computer technology. Which actions should the educator take to achieve this goal?

Assign distance learners to conduct a research study of current evidence-based articles on caring for the diabetic client. Require a clinical group to make daily reflective entries in an online journal. Encourage the learners to access online NCLEX review questions as a way to assess their classroom learning.

A faculty member is speaking to prospective students interested in enrolling in the BSN program at the university. What should the faculty member emphasize as a major incentive for students to select a BSN program over an ADN program?

Better opportunity for career advancement

A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client?

Bring your information to the clinic so we can go through it together.

A small nursing program has limited access to clinical sites, especially those with specialty areas. What should the nurse educators consider as an option to allow students hands-on simulated clinical experience in these areas?

CAI

A high school graduate is considering entering a nursing program that offers a baccalaureate degree. What organization accreditation should the nurse use to help select a nursing program?

CCNE (Commission on Collegiate Nursing Education)

The nurse wants to search for articles having to do with a client care problem. Which database should the nurse use to find this information?

CINAHL

The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity. Before going to the clients home, what should the nurse do?

Call for an escort.

The nurse ensures that a patient is covered during a bath. In which nursing role is the nurse functioning?

Caregiver

The nurse practitioner is working with a staff nurse to change the plan of care for a client with a terminal illness. In which areas of nursing practice are these nurses functioning?

Caring for the dying

Nursing students have been assigned to develop their own theory of nursing. What should they include in their theory, often referred to as the metaparadigm for nursing?

Client, environment, health, and nursing

Members that are non-nurses

Clinical nurse specialist

The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital. Which computerized approach should the nurse consider to complete this required education?

Complete a computerized tutorial on client safety

The nurse is participating in the development of a research study. What elements of the computer should the nurse ensure are in place before the study begins?

Computer speed adequate Word processing program Computer storage capacity adequate Appropriate software programs

The nurse accesses previous hospitalization information to learn more about the clients previous health history. In what way is the availability of the clients health information assisting with the planning to address new care needs?

Constant availability of client health information

Nursing students are researching how cultural practices affect the dying process of terminal cancer clients. For their research, which theory will the students most likely explore?

Critical theory

A nurse practitioner feels it is important to participate in nursing research. Which activity is most appropriate for this nurses level of education and position?

Critically analyzing and interpreting research for application to practice

A nurse educator has taught the same courses for the past 5 years and each year implements a few minor changes. Over this time, the educator has stored the grade data, including homework and assignment scores, in order to track trends following the implemented changes. What is the educator using to maintain this information?

Data warehousing

The nurse has two older parents who were recently hospitalized at the same time and are being discharged home on the same day. What should the nurse do to ensure these family members receive the highest quality of care in the home?

Determine if custodial support is needed for the parents. Find out when the home care nurse is scheduled to arrive.

The nurse is teaching health and wellness principles to junior high students. According to Orems theory, which category of self-care requisite is the nurse using to guide this teaching?

Developmental

The nurse enrolled in graduate courses is able to continue studies while visiting abroad. What has this nurses nursing school implemented to make this possible?

Distance learning

While assessing a clients environment for safety concerns, the nurse finds that most of the rooms in the house have only one outlet with various cords entering the outlet. When this concern is shared with the client and spouse, they state that this is the way weve lived for years. What should the nurse do?

Document the findings and the client and spouses response to the concern.

The nurse would like to admit a client to home health care, but is worried about insurance reimbursement. What client action is causing the nurse to question if home care can be prescribed for this client?

Drives a car for trips to the barber

The nurse is caring for clients in Stage II/III Alzheimers disease. If Orems theory is applied, which type of nursing system should the nurse use when providing client care?

Educative

During a home visit, the nurse explains the procedures for preventing infection in a central venous access device to the spouse who watches while the nurse hooks the client to the medication infusion. Which role is the nurse performing at this time?

Educator

The student nurse is reviewing the code of ethics prior to beginning a clinical assignment. On what areas should the nurse focus when providing client care?

Ensure the safety of all clients. Maintain client confidentiality. Provide care in a professional manner.

A registered nurse is supervising several LPNs who provide patient care. Which responsibility should the registered nurse expect to complete?

Evaluating the care provided to the client

The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a clients health care need. What actions should the nurse take before implementing these findings?

Examine how the findings fit with the clients health needs. Determine if resources are available to implement the findings. Identify organization policies to support or address the findings.

The nurse researcher is testing the effects of a new dressing preparation on certain participants, while continuing to use older but more familiar products on others. Which type of research design is the nurse using?

Experimental

During a hospital stay, the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs. In which level of Peplaus model should the nurse determine that this patient is functioning?

Exploitation

A nurse is caring for a client with a severe head trauma. Each shift, the nurse pays attention to the lighting, atmosphere, and surroundings the client is exposed to. The nurse is functioning according to the assumptions of which nursing theorist?

Florence Nightingale

The nurse is reviewing public health and health promotion roles for available for nurses. To which leader should the nurse attribute the development of these roles?

Florence Nightingale

Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify with in their practice. Understanding the importance of developing a therapeutic relationship between themselves and their clients, especially in this unit, to which theorist would they most likely be drawn?

Hildegard Peplau

The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program?

Home accident prevention

A nurse educator incorporates stress, power, authority, and personal space along with other concepts and considers these concepts essential knowledge for use by nurses. From which theorist is the educator applying principles into the curriculum?

Imogene King

To help a home health client with a difficult medication regime, the nurse contacts the pharmacist for ideas to facilitate the process. Which behavior did the nurse demonstrate when caring for this client?

Indirect care

A client asks what is done to keep computerized personal health information confidential. How should the nurse respond?

Information in our system requires a password to retrieve.

The nurse researcher is determining the best way to formulate a research problem. What should the nurse identify if implementing the PICO format?

Intervention to use Problem of interest Comparison of treatments Outcome of the treatments

The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse?

Knowledge about the legal system Approaches to collecting evidence Information necessary when providing testimony in court Training in identification, evaluation, and documentation of injuries

After completing an initial assessment, the nurse identifies teaching that the client will need. Why did the nurse identify learning needs for this client?

Lack of knowledge related to health conditions and self-care

During a home visit, the nurse is concerned that a client recovering from hip replacement surgery is at risk for falling in the home. What information from the home assessment did the nurse use to come to this conclusion?

Laminated floors highly polished Scatter rugs in the kitchen and bathroom

The nurse has been asked to participate on the hospitals Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession?

Lavinia Dock

A client tells the nurse about researching on the Internet for information about a newly prescribed medication. What should the nurse respond to the client?

Lets look at some of the sites youve been visiting.

The manager identifies that a nurse is practicing professionalism. What did the manager observe to come to this conclusion?

Maintaining specific character and spirit

The nurse has accepted a position as a case manager. What should the nurse expect to perform when functioning in this role?

Managing a clients hospital stay

A nurse has implemented the use of noncontact therapeutic touch. Which theorist is the nurse using as a basis for this intervention?

Martha Rogers

The staff nurse is considering membership in the National League for Nurses. What should the nurse expect as a member of this organization?

Members that are non-nurses

The nurse is accessing information about standard classification of terms prior to documenting in a clients computerized clinical record. Which systems should the nurse consider using for this documentation?

NANDA The Omaha system HHCC NOC

The nurse educator develops the research question Do students who study in groups score better on the NCLEX exam when compared to students who study independently? Which phrase should the educator identify as the dependent variable?

NCLEX scores of both groups

The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care. Which type of credential should the nurse expect to earn after attending this program?

None because this program is designed to enhance a skill

A client has been receiving home care for several weeks. Which individual should the nurse realize is responsible for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?

Nurse

A home health client has a complicated case involving occupational therapy, respiratory therapy, a dietitian, the nurse, and a nurses aide who provides assistance with bathing, housekeeping, and grocery shopping. Which care provider should be prepared to coordinate this clients care?

Nurse

The nurse has starting working in a state other than the one in which the nursing education program was located. Which of the following should the nurse consult in order to understand the implications of this change of venue?

Nurse State Practice Act

The nurse is hired to provide home care through a community agency that is operated by the state health department and financed by taxes. In which type of agency is this nurse employed?

Official

The nursing instructor is explaining the present economic challenges in health care to students in a community health course. What should the instructor emphasize as being important for the students to be aware of?

Passage of the Affordable Care Act

A group of nurses is researching how care providers of Stage I/II Alzheimers clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?

Phenomenology

A client being discharged needs physical therapy for progressive ambulation, wound care to treat a postoperative wound, and assistance with the payment of hospital bills. Before the nurse contacts a home care agency, who should write the order for the client to receive home care?

Physician

A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The client has a central venous access device and requires weekly infusion therapy. What is the best way for the nurse to protect the client against infection?

Practice strict aseptic technique during the infusion process.

The nurse is caring for several acutely ill patients. What nursing action demonstrates professional autonomy?

Prioritizing client according to client needs

A client has agreed to participate in a research study. Which action would constitute risk of harm to this client?

Providing the clients name as a participant in the study

Reliability

Range, variance, and standard deviation

A home health client lives alone in a small apartment and has only one phone, which is a land line. What safety recommendation should the visiting home health nurse make for this particular client?

Recommend that the client be enrolled in an emergency response system.

The nurse researcher is using an instrument that provides similar results each time its implemented. Which term should the researcher use to describe the quality of this instrument?

Reliability

During a home visit, the client with terminal cancer undergoes respiratory arrest. The client has agreed to a DNR (do not resuscitate) order; however, the spouse tells the nurse to call 911. What action should the nurse take?

Remind the spouse of the clients desires.

The nursing student completes a literature review on evidence-based practice (EBP). Which action indicates that the student understands EBP?

Repositioning a client at risk for skin breakdown every 2 hours

The nurse researcher is considering whether the findings of a project may present uncertain results in the clinical area. Upon which criteria is the researcher reflecting?

Researchability

The nurse is offering free occult blood screening at a community health fair. Which level of practice is the nurse providing?

Restoring health

The nurse has defined a research problem. What action should the nurse take next?

Review the literature.

A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students test grades. The instructor reports group data for published research. Which research right did the instructor implement?

Right of privacy

The nurse is evaluating the results of a study prior to implementing its findings into practice. Which action should the nurse take when scientifically validating the research results?

Scrutinizing how the study was conceptualized, designed, and conducted in order to make a judgment about the overall quality of its findings

A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation. According to Neumans model, which level of intervention should the nurse realize this patient is experiencing?

Secondary prevention

Researchability

Significance

A nurse researcher is exploring and formulating research problems. Which criteria should the nurse researcher consider in this process?

Significance Researchability Feasibility Interest to the researcher

A researcher is conducting a study with single-parent families within a school system. What sample is the researcher using?

Single-parent families

The student nurse contacts a number of other students to create a study group. What behavior is the student nurse demonstrating?

Socialization

A nurse manager is responsible for scheduling the staff of all units in a critical care hospital. Which program should the manager use for computerized scheduling?

Spreadsheet

A staff nurse is serving as a preceptor for nursing students. In which level of Benners proficiency is this nurse practicing?

Stage IV

After the data have been analyzed, the nurse realizes that the probability has a value of less than .05. What should this finding indicate to the nurse?

Statistically significant

A client wishes to discontinue cancer treatment. If acting as the client advocate, which statement should the nurse make to the clients physician?

The client is making his own decision.

During orientation with a home care agency, the nurse is learning the difference in care delivery between home health nursing and community nursing. What should the nurse understand as being the focus of home health care nursing?

The individual and his or her family

Passage of the Affordable Care Act

The normal difficulties of adolescence

The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patients history should the nurse use to understand the patients nursing career?

The patients first patient care experiences were during a time of war.

While a nurse is conducting a health assessment, the individual asks why the term patient is being used. What should the nurse explain about the implication of the term patient?

The person is seeking assistance because of illness.

The nurse educator is reviewing concerns about the use of research for evidence-based practice. What particular concerns should the nurse highlight when discussing the use of research with the students?

The research environment results in strictly constructed and controlled circumstances. There is a best solution or practice for any specific research question. Evidence-based practice is most applicable to physiological problems. Research evidence can be flawed when applied to various cultures and ethnic groups.

The nurse is concerned that the spouse of a home care client with multiple sclerosis is experiencing caregiver role strain. What did the nurse observe to come to this conclusion?

The spouse expresses feelings of anger. The spouse reports decreased energy.

The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing in numbers?

Third-party payers who support cost control measures The increase in the older adult population

A Department of Nursing within a medical center is adopting the theory that is founded on 14 fundamental needs of individuals. Which nurse theorist is this department using to guide client care?

Virginia Henderson

The nurse is beginning a physical assessment of a client who is freelance computer information technologist. On which areas should the nurse place particular emphasis during this assessment?

Vision Back flexibility Hand range of motion Range of motion of arms

A nursing student is assigned to develop a research question using a quantitative approach. Which question should the student write that demonstrates this approach?

What dressing selections work best for a wound dehiscence?

During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the clients care to begin?

When the physician signs the plan of care the nurse develops

An older client being discharged from an acute care facility is prescribed home care. When should the home care nurse see the client to understand needs for safety and mobility?

While the client is still a patient in the acute care hospital

The nurse is attending a seminar that focuses on the changes within the home health care industry. Which statements that the nurse makes indicate an understanding of home care as a primary health service delivery system?

With people living well into their 70s and 80s, the healthcare system is being stressed immensely. The cost of acute hospital-based health care has become an economic burden to most people. A clients chronic cardiac problems can be monitored well with in-home health services. It relieves so much stress when care can come to them instead of their going to the health provider.

A seasoned nurse is a mentor for a new graduate. Which of the standards of professional performance is the seasoned nurse practicing?

collegiality