3410 final

Which theorist supports the developmental framework of family assessment?

Duvall

A nurse is reviewing a journal article about basic human needs and how they can be applied as a framework for prioritizing nursing care. Place the interventions listed below in order of priority, based on client needs. Use all options.

Ensuring adequate fluid intake Encouraging the client's spiritual practices Referring the client to a support group Encouraging the client to set attainable goals Providing education focusing on the client's strengths to maximize potential

A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment?

Limited time in learning to be a marital partner

While providing care to a client, a nurse encounters an ethical problem. The nurse knows the right thing to do, but the facility's policies interfere with the nurse's ability to follow through in doing the right thing. Which condition is the nurse experiencing?

Moral distress (wrong - ethical agency)

Consultation and diagnostic tests are included in which level of health care?

Secondary care

A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status? Select all that apply.

Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones Limited number of institutions providing health care

involves the ability to always do the ethically right thing because we know it is the right thing to do.

ethical agency

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help them maintain independence

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

integrity

occurs when a nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action

moral distress

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention?

provide care transition at discharge for speech therapy

The capacity to recover, adapt, and even thrive in the face of threats, misfortune, or challenging times is termed

resilience

two (or more) clear moral principles apply but support mutually inconsistent courses of action

ethical dilemma

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions?

evaluating

A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I cannot do it anymore." What ethical problem is the adult child experiencing?

moral distress (wrong - ethical dilemma)

the developed capacity to respond well to morally distressing experiences and to emerge strong.

moral resilience

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle?

Fidelity (wrong - Nonmaleficence)

A client comes to the health center for a follow-up visit. Assessment reveals that the client is experiencing problems ambulating and moving about due to degenerative joint disease; in addition, the client is feeling isolated due to the limitations in mobility. The client also reports feeling anxious about the future related to the mobility issues and being unable to fulfill the role as the major provider. Which need would the nurse identify as the priority?

Mobility

Nurses who value client advocacy follow what guideline?

They give priority to the good of the individual client rather than to the good of society in general. (wrong - They choose the claims of the client's well-being over the claims of the client's autonomy)

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:

agent

Which statement by the nurse is an example of deception?

"This injection of procaine will feel like a little pinch."

A client comes to the emergency room complaining of abdominal pain, fever, chills, and nausea. Upon further examination the client is diagnosed with appendicitis. What type of illness does the nurse identify this client to have?

Acute

A nursing student's parents are both physicians. The nursing instructor may feel the student has

Been socialized in healthcare

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world

The parents of a blended family have a baby boy age six months who is due for immunizations. The clinic closest to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital near their home. Which type of factor is the primary influence on this aspect of the family's health?

Community health care structure

The community offers physician offices, a county health department, a community hospital, an assisted living facility, two nursing homes, and hospice. The nurse recognizes that these agencies represent which type of community factor?

Community healthcare structure

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?

Tertiary prevention

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?

The father is an engineer and the mother is an elementary school teacher.

Which is the best definition of ethics?

The formal, systematic study of moral beliefs (wrong - The adherence to formal personal values)

The nurse instructor has completed a session detailing major factors differentiating exacerbations from remissions. The instructor determines the session is successful when the students point out which factor(s) can contribute to exacerbations? Select all that apply.

client is facing a potential eviction immune system is functioning poorly sleep has been disrupted due to family issues

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold privacy and confidentiality.

sharing client information only to the caregivers directly assigned to client care - confidentiality keeping the door closed while conducting physical assessment - privacy obtaining the client's permission before allowing a student nurse to assist with care - privacy logging off the electronic health record after documenting assessment information - confidentiality asking the client to sign a medical release form before providing information to the health insurance company - confidentiality

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee?

Assist in decision making based on the client's best interests.

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

sit with the client and ask them about their feelings