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A registered nurse is explaining the Quality and Safety Education for Nurses (QSEN) competencies to a nursing student. What information should the nurse provide about the competency teamwork and collaboration?

"A nurse should be able to work effectively within nursing and inter-professional teams by promoting open communication and shared decision-making to provide client care."

A registered nurse is educating a nursing student about the process of resolving an ethical dilemma. What information should the nurse provide regarding negotiation of outcomes?

"A nurse should provide a personal point of view."

A registered nurse is educating a client about the three levels of prevention through different scenarios. Which scenario mentioned by the nurse is an example of secondary prevention?

"A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."

"Don't include eggs in my diet because eggs contribute to excess body heat."

A nurse understands that the effects of different variables on a client's health beliefs and practices can help healthcare providers to plan and deliver individualized care. Which statement made by the client should the nurse consider as an influence of the client's intellectual background on his or her health beliefs? "Don't include seafood or ham in my diet because it is against my beliefs." "Don't include eggs in my diet because eggs contribute to excess body heat." "I do not smoke or drink because these intoxicants are major sins." "I am not taking any of my prescribed medications because I recently lost my job."

"Don't include eggs in my diet because eggs contribute to excess body heat."

A nurse is educating an older adult for the purpose of promoting wellness. What instruction should the nurse give to reduce the risk of disability?

"Engage in physical activities to stay fit."

A registered nurse is teaching a nursing student about Healthcare Effectiveness Data and Information Set (HEDIS). Which point mentioned by the student post-teaching needs correction?

"Healthcare Effectiveness Data and Information Set (HEDIS) conducts surveys via a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago."

Which statement by a client scheduled for bariatric surgery indicates to the nurse that further preoperative teaching is necessary?

"I'm going to have a figure like a model in about a year."

A registered nurse is educating a nursing student about abortion-related issues. Which statement provided by the nursing student post-teaching needs correction?

"If a woman is in her first trimester, she may end her pregnancy according to state regulations."

A nursing student is listing the different aspects of obtaining informed consent from clients. Which point mentioned by the nursing student needs correction?

"Informed consent is an important part of the nurse-client relationship; it is a vital part of the nursing duty."

A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate?

"It refers to promoting open discussion whenever error occurs without fear of recrimination."

A registered nurse is teaching a nursing student about malpractice insurance. Which statement by the nursing student requires correction?

"Most private insurance policies for nurses are primary policies that begin covering the nurse even before all hospital insurance coverage has been exhausted."

A registered nurse is teaching a nursing student about nursing research. Which points mentioned by the nursing student post-teaching are accurate? Select all that apply.

"Research means to search again or to examine carefully." "Nursing research is a way to identify new knowledge, improve professional education and practice, and use resources effectively." "The knowledge that is generated provides a scientific basis for nursing practice and validates the effectiveness of nursing interventions."

A nursing student is listing key points about ethics and values. Which point listed by the nurse indicates a need for more education?

"The American Nurses Association (ANA) code of ethics ensures that the code remains constant."

A registered nurse is educating a nursing student about the stages of changes in a client's health behavior. Which statement describes the stage of contemplation?

"The client considers a change within the next 6 months."

A nurse is following the guidelines for high-quality documentation and reporting. Which guideline followed by the nurse while documenting factual records indicates a need for additional training?

"The client seems restless."

What information should the nurse provide when explaining the benefits of illness prevention activities to a client? "These activities aim to teach people how to care for their own health." "These activities enable people to maintain or enhance their health levels." "These activities help protect clients from actual or potential health threats." "These activities encourage people to reach an optimal state of physical, mental, and social well-being."

"These activities help protect clients from actual or potential health threats."

A nursing student is listing the steps that need to be followed to provide competent care for vulnerable populations. Which point listed by the nursing student is accurate?

"Understand the client's cultural beliefs, values, and practices to determine their specific needs and interventions."

A nursing student is recalling the importance of the Magnet Recognition Program. Which statements about the program are accurate? Select all that apply.

- The Magnet Recognition Program empowers the nursing team to make changes and be innovative. - The Magnet Recognition Program recognizes health care organizations that achieve excellence in nursing practice. - The Magnet Recognition Program has clinical promotion systems and research and evidence-based practice programs.

A nursing student is listing the steps that need to be considered when preparing discharge planning for a client. Which steps listed by the nursing student are accurate? Select all that apply.

-"Teach the client the safe and effective use of medications and medical equipment." -"Remember that discharge planning is a centralized, coordinated, interdisciplinary process." -"Develop a care plan that moves the client from the hospital to another level of healthcare."

A nursing student is discussing aspects of the American Nurses Association (ANA) code of ethics. Which ANA Code of Ethics statements discussed by the nursing student are accurately stated? Select all that apply.

-"The nurse coordinates with other healthcare providers to meet health needs." -"The nurse takes part in the advancement of the profession by contributing to the practice and education." -"The nurse's primary commitment is to the client, whether it be an individual, family, group, or community."

-A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. -A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. -A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.

What are the purposes of public health laws? Select all that apply.

-Advocating for the rights of people -Regulating health care and healthcare financing -Ensuring professional accountability for the care provided

A nurse notes that a client with dementia refuses to eat. Instead of informing the primary healthcare provider, the nurse threatens to force-feed the client, and proceeds to apply restraints in order to do so. What legal charges may be brought up against the nurse? Select all that apply.

-Assault -Malpractice -False imprisonment

A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Select all that apply.

-Battery -Assault -False Imprisonment

What steps should a nurse take when caring for a client to prevent nursing malpractice? Select all that apply.

-Be alert about common sources of client injuries. -Gain knowledge regarding current nursing practices. -Communicate with the client regarding tests and treatment plans.

A victim of an automobile crash is brought to the hospital. The nurse notes that the client is in need of cardiopulmonary resuscitation (CPR). What factors should the nurse remember before performing CPR? Select all that apply.

-Cardiopulmonary resuscitation is an emergency treatment that is provided without a client's consent. -Cardiopulmonary resuscitation is not performed on adult clients who have already consented to a do not resuscitate order either verbally or in writing. -Cardiopulmonary resuscitation is performed on appropriate clients unless a do not resuscitate order has been signed and made part of the client's record.

A nurse is caring for a community-dwelling older adult with dementia. What interventions should the nurse take to ensure the client's well-being? Select all that apply.

-Foster human dignity and maintain the best possible functioning, protection, and safety -Show the caregiver techniques to dress, feed, and toilet the older adult -Protect the client's rights and provide support to maintain the physical and mental health of family members

A nursing student lists examples of health promotion activities. Which examples are accurate? Select all that apply.

-Good nutrition -Regular exercise -Weight reduction

A nursing student is listing risk factors that affect the health and wellness of a client. Which risk factors listed by the nursing student are accurate? Select all that apply.

-Lifestyle -Environment -Genetic and physiological factors

What should the nurse consider to be limitations of assisted living? Select all that apply.

-Most residents need to pay privately. -Only home care nurses can visit the clients. -Average monthly fee is $3,022 for a private unit

What activities would the nurse state are involved in providing a secondary level of preventive care? Select all that apply.

-Preventing the spread of communicable disease -Providing facilities to limit disability and prevent death -Providing adequate treatment to arrest the disease process

A nurse is caring for a community-dwelling older adult with hypertension. What interventions should the nurse take to ensure the client's well-being? Select all that apply.

-Promote dietary modifications by using varied techniques -Assess the client's current lifestyle and promote lifestyle changes -Monitor the client's blood pressure and weight and establish blood pressure screening programs

A nursing student is noting the characteristics of the secondary level of prevention. What points should the nursing student note? Select all that apply.

-Secondary prevention focuses on individuals with health problems and illnesses. -Secondary prevention activities are directed at diagnosis and prompt interventions. -Secondary prevention includes screening techniques and treating diseases at early stages.

A nurse notes that a famous client has received an incorrect dose of medication due to the malfunction of the intravenous (IV) device, but does not inform the primary healthcare provider. Instead the nurse tells a colleague that the medication could not be given due to the client's inappropriate behavior. The nurse then updates media personnel about the client's health status. What legal charges may be brought up against the nurse? Select all that apply.

-Slander -Malpractice -Invasion of privacy

A client is injured from falling from a hospital bed on which the side rails were not raised appropriately. The client's family files a malpractice suit against the nurse responsible for taking care of the client. Which statements regarding the lawsuit are accurate? Select all that apply.

-The defendant obtains all of the plaintiff's medical records in the discovery phase -The jury uses certain standards of care to determine whether the nurse acted properly -The plaintiff outlines what the defendant did wrong and how it resulted in injury in the pleadings phase

In what instances can a minor give consent for himself or herself for medical treatment? Select all that apply.

-The minor can give consent for any venereal disease. -The minor can give consent if he or she is lawfully married. -The minor can give consent for a drug or substance abuse.

What does a community-based nurse do as a change agent? Select all that apply.

-The nurse empowers clients and their families to creatively solve problems. -The nurse works with clients to solve problems and helps clients identify an alternative care facility. -The nurse empowers clients to become instrumental in creating change within a health care agency.

A registered nurse is educating a student nurse about the concept of "floating." What information should the nurse provide? Select all that apply.

-The nurse needs to request and receive an orientation to the unit -The nurse needs to learn about the policies of the institution regarding floating before accepting employment. -The nurse must inform supervisors about any lack of experience in caring for the type of clients in the assigned nursing unit.

What important step should the community nurse take when dealing with older adults with a confusional states problem? Select all that apply.

-The nurse should provide a protective environment. -The nurse should recommend applicable community resources. -The nurse should demonstrate proper hygiene to the primary caretaker.

What services do nurse-managed clinics provide in preventive and primary care services? Select all that apply.

-Wellness counseling -Health risk appraisal -Employment readiness

A nurse is obtaining consent from an unemancipated minor to perform an abortion. When would the nurse consider the consent-giving process to be appropriately completed? Select all that apply.

-When consent has been given specifically by a court -When self-consent has been granted by a court order -When consent has been obtained from at least one parent of the minor

a Nurse is assessing a client's degree of edema and finds 8 mm of depth. How does the nurse document this condition?

???

A nursing student is evaluating different examples of variables that influence the health beliefs and practices of clients. Which scenario is an example of an external variable?

A client stops taking medications after the disappearance of symptoms to cut down on medical bills.

What does the nurse understand by the word felony?

A felony is a crime of a serious nature that has a penalty of imprisonment for longer than one year or even death.

A listing of facts related to the incident as witnessed by the nurse

A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing the client's medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow-up incident report? A statement that the nursing staff was not at fault because the client initiated the accident A listing of facts related to the incident as witnessed by the nurse The name of the nurse who was responsible for implementing the restraints The potential reasons why the restraints were not in place at the time of the fall

A listing of facts related to the incident as witnessed by the nurse

A registered nurse is educating a nursing student about the different levels of prevention with different scenarios. Which scenario is an example of tertiary prevention?

A nurse educates a community about the need to integrate individuals' limb amputations into the professional sphere.

What is the rationale for performing sponge, needle, and instrument counts in the operating room?

A nurse is responsible for performing sponge and instrument counts as a part of routine surgical standards.

A registered nurse is explaining healthcare settings and services to a nursing student. Which scenario mentioned by the registered nurse is considered secondary acute care?

A nurse prepares a client who has suffered from repeated cerebral attacks for a CT scan.

What are the clinical manifestations of inhalation anthrax? (Select all that apply) A. Fever B. Fatigue C. Rhinitis D. Dry cough E. Sore throat

A, B, D, E

What sites would be safe and inexpensive for temperature measurement? (Select all that apply.) A. Skin B. Oral C. Axilla D. Rectal E. Tympanic Membrane

A, C

The professional obligation of a nurse to assume responsibility for actions is referred to as what?

Accountability

Which of the following legal defenses are the most important for a nurse to develop?

Accountability

A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." What stage of health behavior change has the client reached?

Action stage

A nurse is caring for a client with renal failure. The client wants to go back home but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. What role does the nurse play here?

Advocate

What are the purposes of public health laws? Advocating for the rights of people Prohibiting the purchase or sale of organs Regulating health care and healthcare financing Ensuring professional accountability for the care provided Encouraging healthcare professionals to assist in emergencies

Advocating for the rights of people Regulating health care and healthcare financing Ensuring professional accountability for the care provided

Nurses are held responsible for the commission of a tort. What is the definition of a tort?

An illegality committed by one person against the property or person of another

A client says, "None of the medications will work on me because I am away from my holy land." What course of action should the nurse take to comply with teamwork and collaboration competency according to the Quality and Safety Education for Nurses (QSEN)? Provide care to the client with respect to his or her diversity, values and beliefs Approach the agency chaplain to discuss the spiritual needs of the client Conduct thorough research on the effect of emotional distress on the client's health Use the flow chart data to provide the best care and monitor the outcome of care processes

Approach the agency chaplain to discuss the spiritual needs of the client

Which antipyretic medication may cause Reye syndrome in children? Aspirin (Anacin) Naproxen (Aleve) Ibuprofen (Advil) Dantrolene (Dantrium)

Aspirin (Anacin)

Assault Malpractice False imprisonment

A nurse is teaching a group of parents about child abuse. What definition of assault should the nurse include in the teaching plan?

Assault is a threat to do bodily harm to another person.

A nurse is teaching a group of parents about child abuse. What definition of assault should the nurse include in the teaching plan? Assault is a threat to do bodily harm to another person. Assault is a legal wrong committed by one person against the property of another. Assault is a legal wrong committed against the public that is punishable by federal law. Assault is the application of force to another person without lawful justification.

Assault is a threat to do bodily harm to another person.

Assess the client's drug intake and ensure that the individual does not leave the healthcare facility.

A nurse is caring for a client who has been admitted to a healthcare facility for the treatment of sinus disorders. The nurse discovers that the client is a cocaine addict. What task followed by the nurse is the best way to deal with the situation? Teach the client about safe medication storage and the danger of polypharmacy. Educate the client about his or her correct body mechanics and promote stress management. Assess the client's drug intake and ensure that the individual does not leave the healthcare facility. Assist with adequate personal hygiene, nutrition, and hydration and provide emotional support to the family.

Assess the client's drug intake and ensure that the individual does not leave the healthcare facility.

A nurse is caring for a client with pain after surgery. The nurse takes the blood pressure and pulse rate of the client and asks the client to rate the level of pain on the pain scale. The nurse then notifies the primary healthcare provider. Which standard of practice does the nurse perform?

Assessment

A nurse is caring for a client with pain after surgery. The nurse takes the blood pressure and pulse rate of the client and asks the client to rate the level of pain on the pain scale. Which standard of practice does the nurse perform?

Assessment

A nurse working in an emergency department is concerned about a recent increase in malpractice claims against nurses. What is the best way for the nurse to prevent being named in a lawsuit?

Attend professional development programs.

A nursing student is recalling the definitions of acts that are classified as torts in nursing practice. Which tort involves intentional touching without the client's consent?

Battery

A parent objects to the child's getting vaccinated because she believes that vaccinations can cause autism. However, a nurse gives the child the vaccination injection against the wishes of the mother. What legal charge may be brought against the nurse?

Battery

A nurse withholds a prescribed opioid medication from a client with intractable pain because the nurse fears the client will become addicted. In this situation the nurse is adhering to which ethical principle?

Beneficence

A nurse is preparing a lecture for a group of nursing students related to ethics and legal principles. Which statement would be appropriate to include?

Beneficence emphasizes the importance of preventing harm and ensuring the client's well-being.

A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not discuss any client's illness with you. Are you concerned about it?" This response is based on the nurse's knowledge that to discuss a client's condition with someone not directly involved with that client is an example of what?

Breach of confidentiality

A registered nurse is explaining the importance of capitation to a nursing student. What information should the nurse provide? Capitation is used to review the quality, quantity, and cost of hospital care. Capitation influences the way healthcare providers deliver care in all types of settings. Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. Capitation identifies and eliminates the overuse of diagnostic and treatment services ordered by primary healthcare providers for Medicare. Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.

Capitation influences the way healthcare providers deliver care in all types of settings. Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.

A nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing?

Caregiver

A nurse is discussing various scenarios involving healthcare settings and services with other team members. Which scenario mentioned by the nurse is an example of continuing care?

Caring for a client with Parkinson's disease who requires day care service

A nurse is discussing various scenarios involving healthcare settings and services with other team members. Which scenario mentioned by the nurse is an example of continuing care? Caring for a client with Parkinson's disease who requires day care service Explaining to the family member the risks and benefits of screening for cancer Teaching a couple about the proper use of contraceptives and promotion of sexual health Teaching a teenager about the importance of eating nutritious foods to prevent health issues

Caring for a client with Parkinson's disease who requires day care service

A nursing student is giving examples of healthcare settings and services. Which scenario is a perfect example of tertiary care?

Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress

The nursing manager reviews patient case studies to create a report that identifies medical errors that occurred in the hospital during the previous two years. Which case study would the nursing manager identify as a sentinel event?

Case study 4

A client who is to have brain surgery has a signed advance directive in the medical record. In what situation should this document be used?

Client cannot consent to his or her own surgery

A nurse caring for a client with dementia notes that the primary healthcare provider has prescribed an experimental course of treatment. What important factor should the nurse keep in mind regarding the procurement of informed consent?

Clients with mental illness have the right to refuse treatment.

What purpose does a community health center serve in preventive and primary care services? Community health centers are outpatient clinics that provide primary care to a specific population. Community health centers aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care. Community health centers emphasize program management, interdisciplinary collaboration, and community health principles. Community health centers include a complete program designed for health promotion and accident or illness prevention in the workplace.

Community health centers are outpatient clinics that provide primary care to a specific population.

Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems?

Counselor

While assessing a neonate's temperature, the nurse observes a drop in the body temperature. What is the most appropriate reason for this temperature drop? A. Increased basal metabolic rate B. Decreased involuntary shivering C. Increased voluntary movements D. Decreased nonshivering thermogenesis

A nursing student lists the preventive and primary care services available in schools, primary healthcare provider's offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive?

Disease management

Which nursing behavior is an intentional tort?

Divulging private information about a client's health status to the media

A client says "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario Spiritual factors Emotional factors Developmental stage factors Intellectual background factor

Emotional factors

What important step should the nurse take to evaluate lifestyle change in the client?

Encourage the client to maintain an exercise and eating calendar to track adherence and provide positive reinforcement.

What role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria?

Epidemiologist

What role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria? Educator Collaborator Epidemiologist Client advocate

Epidemiologist

A nurse checks the patency of the IV catheter before each use as well as the client's tolerance to intermittent intravenous therapy. Which American Nurses Association (ANA) standard of nursing practice has been described in the given scenario?

Evaluation

When being interviewed for a position as a registered professional nurse, the applicant is asked to identify an example of an intentional tort. What is the appropriate response?

False imprisonment

Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?

Familial and cultural influences are deciding factors in eating habits.

Which statement captures the essence of feminist ethics accurately?

Feminist ethicists propose that the natural human urge to be influenced by relationships is a positive value.

Which statement captures the essence of feminist ethics accurately? Feminist ethicists propose that the value of something is determined by its usefulness. Feminist ethicists propose that the greatest good for the greatest number of people is the right action. Feminist ethicists propose that an action is right or wrong based on its "right-making characteristics." Feminist ethicists propose that the natural human urge to be influenced by relationships is a positive value.

Feminist ethicists propose that the natural human urge to be influenced by relationships is a positive value.

Which ethical principle is violated when the nurse forgets to give a painkiller to a patient as promised? Justice Fidelity Veracity Nonmaleficence

Fidelity

A client is admitted into the mental health unit involuntarily. What course of action should the nurse take in order to prevent legal complications?

File with the court within 96 hours of the client's initial detention

A patient with rheumatoid arthritis of the knee has undergone knee replacement surgery. What actions by the nurse and other members of the health care team help to provide efficient patient care? Provide financial assistance to the patient. Follow interventions to reduce hospital stay. Encourage the patient to use herbal therapy. Provide cost-effective treatment to the patient. Help the patient in making health care decisions.

Follow interventions to reduce hospital stay. Provide cost-effective treatment to the patient.

A nurse manager in charge of a unit overhears two nurses in a hall filled with visitors discussing a client on the unit who has AIDS. What should be the nurse manager's initial action?

Have a conference with the nurses and talk about the need for confidentiality.

A client is being considered for bariatric surgery. Which client health problem does the nurse identify as consistent with morbid obesity?

Hypoventilation syndrome

When might a nurse be charged with client abandonment?

If a nurse walks out when staffing is inadequate

A client who is in the advanced stages of illness asks the nurse to contact pastoral services for support. According to the Macmillan model, what is the best nursing intervention in this situation?

Immediately involve pastoral services while caring for the client

A client is admitted with a diagnosis of premature labor. The nurse discovers that the client has been using heroin throughout her pregnancy. What is the most appropriate action for the nurse to take?

Inform the client's primary healthcare provider.

While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take Initiate an agency incident report. Report the fall to the state (provincial) health department. Write a brief description of the incident to be kept by the nurse manager. Determine that no documentation is needed because the visitor is not a client in the hospital.

Initiate an agency incident report.

According to the Institute of Medicine (IOM) competencies for the 21st century, what task should the nurse perform when working in interdisciplinary teams?

Integrate care to ensure that care is continuous and reliable.

An octogenarian client tells the nurse, "Please do not give me dietary instructions post-surgery. I've had several surgeries in my lifetime and I know what to eat." Which variable influences the client's health beliefs and practices?

Intellectual background

what skill in critical thinking requires to be orderly in data collection?

Interpretation

A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I cannot discuss any client's illness with you." What legal issue supports the nurse's response?

Invasion of privacy

The family of a client infected with human immunodeficiency virus (HIV) wants to see the results of the client's blood tests, unaware that the client is infected. A nurse obliges the family's request without waiting for the client's consent. What legal charge may be brought against the nurse?

Invasion of privacy

A client dies during surgery, and the family members ask that the hospital not conduct autopsy examinations. Which religion might the nurse expect this family to practice? Islam Hinduism Buddhism Christianity

Islam

What does the nurse understand the term in-service education to mean?

It helps achieve an organization's required competencies.

A nurse is explaining the Mental Health Parity Act of 1996 to a client's family member. Which explanation provided by the nurse is accurate?

It prevents health plans from placing less generous lifetime or annual limits on mental health coverage.

Which action by a home care nurse would be considered an act of euthanasia?

Knowing that a dying client is overmedicating and not acting on this information.

A client is placed on a stretcher and restrained with straps while being transported to the x-ray department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the client shows the strap to the nurse manager, stating, "See, the strap is worn just at the spot where it snapped." What is the nurse's accountability regarding this incident?

Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client

In today's healthcare delivery system, a nurse as a teacher is confronted with multiple stressors. What is the major stressor that detracts from the effectiveness of the teaching effort?

Limited time to engage in teaching

A registered nurse is teaching an economically challenged client about different healthcare plans. Which healthcare plan is the most expensive?

Long-term care insurance (LTC)

An octogenarian client asks the nurse about the United States' government-funded national health insurance program. About which healthcare plan should the nurse inform the client?

Medicare

An ostomy specialist nurse is required to 'float' to the obstetric department. The nurse realizes that he or she lacks the required level of expertise to care for the clients in the unit. What course of action should the nurse take to deal with the situation?

Notify the nursing supervisor.

What necessary information should the nurse remember regarding assisted suicide, according to American Nurses Association (ANA) (2008)?

Nurses' participation in assisted suicide may violate the code of ethics.

A nurse working in a Catholic hospital discourages patients from using contraceptives per hospital policy. Which category of ethics is the nurse following? Societal ethics Research ethics Professional ethics Organizational ethics

Organizational ethics

A nurse caring for a client from another country asks about the client's healthcare traditions. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with?

Patient-centered care

What group of people benefit from medicare?

People who are 65 years and older

The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition?

Performing strenuous activity in high humidity

An emancipated minor admitted to the healthcare setting states "I have not had proper meals since last week." Which needs should the nurse address using Maslow's hierarchy of needs?

Physiological

A client tells the nurse, "I need help planning an exercise regimen to help manage my weight." Which stage of health behavior change does this reflect?

Preparation

What is the role of a nurse administrator in a healthcare setting?

Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development

A community nurse takes the initiative to vaccinate people against diseases. What kind of health care service is this?

Preventive care

A nurse advises a client to refrain from adding salt to food as a way to help ease high blood pressure. What kind of health care service is this?

Primary care

A nursing student is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the nursing student include family planning?

Primary care

A nursing student is recalling information about the primary level of prevention. Which statement accurately describes primary prevention?

Primary prevention is applied to clients who are physically and emotionally healthy.

A client does not consent to disclose his or her medical records and information regarding his or her health status. However, a nursing student unintentionally makes the information public. According to the Health Insurance Portability and Accountability Act, which section has been violated?

Privacy

What are the best ways for a nurse to be protected legally? Ensure that a therapeutic relationship with all clients has been established. Provide care within the parameters of the state or provinces standards for nursing practice. Carry at least $100,000 worth of liability insurance. Document consistently and objectively. Clearly document a client's nonadherence to the medical regimen.

Provide care within the parameters of the state or provinces standards for nursing practice. Document consistently and objectively. Clearly document a client's nonadherence to the medical regimen.

A nursing student is listing the instructions that clients require before leaving a healthcare facility. Which instruction listed by the nursing student indicates a need for more education?

Provide instructions about all the legislation and guidelines that protect the interests of a client.

A nurse uses flow charts to determine the usefulness of bed-monitoring devices for checking on dementia clients. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with?

Quality improvement

A nurse is caring for a client who has lost both feet in an accident. What course of action should the nurse take to adhere to the Quality and Safety Education for Nurses (QSEN) competency called evidence-based practice?

Refer to medical textbooks to understand the psychological effects of loss of limbs.

A client admitted to the hospital is diagnosed with leukemia. The client's family members inform the nurse that no blood should be transfused to the client under any circumstances because it is against their belief system. The client however, requests the nurse to carry out all necessary procedures without informing family members. What should the nurse do to comply with the principle of confidentiality according to the American Nurses Association (ANA) code of ethics?

Refrain from repeating the client's instructions to the family members

A nursing student is listing the guidelines to be followed to make the referral process successful. Which step listed by the nursing student needs correction Making the referral as soon as possible Including the referral discipline in the client's treatment plan Involving the client and family members in the referral process Refraining from giving the referral care provider information about the client in advance

Refraining from giving the referral care provider information about the client in advance

A nursing student is listing the guidelines to be followed to make the referral process successful. Which step listed by the nursing student needs correction?

Refraining from giving the referral care provider information about the client in advance

What does a nurse understand by the term regulatory law as applied to nursing practice?

Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing.

The nurse recalls that which disease in patients includes the short period of evident decline disease trajectory? Heart failure Renal cancer Disabling stroke Alzheimer disease

Renal cancer

What is the professional nurse's legal responsibility regarding child abuse?

Report any suspected abuse to local law enforcement authorities

What is the professional nurse's legal responsibility regarding child abuse Honor the request of the parents not to report the suspected abuse. Report any suspected abuse to local law enforcement authorities. Return the child to the legal parent even if he or she is suspected of abuse. Provide the parents with a copy of the child's medical record.

Report any suspected abuse to local law enforcement authorities.

Which nursing action is legally required?

Reporting incidents of suspected child abuse to the appropriate authorities

Which nursing action is legally required? Providing health teaching regarding family planning Offering first aid at the scene of an automobile collision Reporting incidents of suspected child abuse to the appropriate authorities Administering resuscitative measures to an unconscious child pulled from a swimming pool

Reporting incidents of suspected child abuse to the appropriate authorities

A student nurse is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the student nurse include sports medicine? Primary care Tertiary care Preventive care Restorative care

Restorative care

a nurse understands that the primary purpose for a client to undergo reconstructive surgery is to do what?

Restore function and/or appearance

Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? Restraints can be used when less restrictive interventions are not successful. Restraints can be used when all other alternatives have been tried and exhausted. Restraints can be used only to ensure the physical safety of the resident or other residents. Restraints can be used anytime without a written order from the healthcare provider.

Restraints can be used anytime without a written order from the healthcare provider.

What does a nurse understand about the secondary level of prevention?

Secondary prevention is focused on individuals who are in the early stage of their illnesses.

A foreign language-speaking client needs to undergo chemotherapy; a signed consent form is required. What should the nurse do to explain the terms of the consent to the client?

Seek the help of an official interpreter.

What are the signs and symptoms observed in the human body with a decrease in body temperature? Shivering Profuse sweating Flushed appearance Dilation of blood vessels Contraction of blood vessels

Shivering Contraction of blood vessels

Slander Malpractice Invasion of privacy

The nurse should understand the effects of internal and external variables to plan and deliver individualized care. Which variable is an example of an external variable? Spiritual factors Developmental issues Socioeconomic factors Perception of functioning

Socioeconomic factors

Spiritual factors

An elderly client states, "Disease occurs when supernatural elements enter the body." Which variable influences the client's health beliefs in this scenario?

Spiritual factors

The nursing supervisor assigns a nurse to care for five clients in the intensive care unit (ICU). The nurse notes that all the clients in the ICU are at a risk of developing serious complications at any time. What course of action should the nurse take to handle the situation?

Submit a written protest to the nursing administrator

A client with cancer is undergoing treatment in a hospital. The nurse finds the orders from the primary healthcare provider inappropriate. Clarification from the healthcare provider does not resolve the nurse's doubts. Who should the nurse contact and inform next? Risk manager Nursing student Supervising nurse Nurse administrator

Supervising nurse

A nursing student is listing the different levels of the health care services pyramid. Under which type of health care services should the nursing student include subacute care?

Tertiary care

A nurse signs as a witness to informed consent provided by the client. What does the signature of the nurse imply? That the client's signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent That the client cannot refuse treatment after its initiation That the client has received a proper explanation of procedures from the nurse

That the client's signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent

Which act protects a person who is HIV positive?

The Americans with Disabilities Act (ADA)

Which act protects a person who is HIV positive? The National Organ Transplant Act The Americans with Disabilities Act (ADA) The Patient Self-Determination Act (PSDA) The Health Insurance Portability and Accountability Act of 1996 (HIPAA)

The Americans with Disabilities Act (ADA)

What should a nurse understand regarding the Uniform Anatomical Gift Act?

The Uniform Anatomical Gift Act gives individuals who have reached 18 years of age the right to make an organ donation.

A nurse and a nutritionist are discussing the needs of a client who practices the Russian Orthodox faith. What should the nurse and the nutritionist consider when planning meals for this client? The client avoids pork and shellfish. The client avoids blood-containing food. The client follows a strict vegetarian diet. The client does not eat meat on Wednesdays and Fridays.

The client does not eat meat on Wednesdays and Fridays.

A nursing student is recalling the order of priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed. Which person receives the highest priority for giving consent?

The client in writing before death

The client's previous habits may prevent taking action related to new behaviors.

Which feature is characteristic of a risk nursing diagnosis?

The diagnosis does not have related factors

The waiting area of a health care facility displays a pink triangle. What does this signify? The waiting area is for females. The waiting area is for pediatric patients. The health care facility welcomes transwomen. The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients.

The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients.

In what instances can a minor give consent for himself or herself for medical treatment? The minor can give consent for his or her siblings. The minor can give consent for any venereal disease. The minor can give consent if he or she is lawfully married. The minor can give consent for a drug or substance abuse. The minor can give consent for an abortion.

The minor can give consent for any venereal disease. The minor can give consent if he or she is lawfully married. The minor can give consent for a drug or substance abuse.

The nurse is developing a nursing diagnosis for a client after surgery. The nurse documents the "related to" factor as first time surgery. Which assessment activity enabled the nurse to derive this conclusion?

The nurse asks the client to explain the surgery

While performing the discharge assessment of a patient who has undergone abdominal surgery, the nurse finds that the patient exhibits good health and is able to perform activities without assistance. Which nursing action during the discharge indicates failure to promote appropriate continuity of care? The nurse asks the patient to get a chest X-ray in one week. The nurse asks the patient to schedule a follow-up visit once in two weeks. The nurse asks the patient to perform breathing exercises on a regular basis. The nurse asks the patient to follow the dietary recommendations made by the dietitian.

The nurse asks the patient to get a chest X-ray in one week.

What legal complications might a nurse face for using a restraint without a legal warrant on a client?

The nurse may be charged with false imprisonment.

In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have?

The nurse may be charged with libel.

The nurse follows the American Nurses Association (ANA) standards of nursing practice when caring for a client. Which scenario qualifies for the implementation level of care?

The nurse provides a back massage to a client who complains of restlessness due to back pain.

The nurse is providing care in a multi-specialty hospital. Which nursing action is indicative of a failure to provide equitable care to patients? The nurse treats all males and female patients alike. The nurse maintains direct eye contact while talking to patients. The nurse provides preferential treatment to patients from low economic status. The nurse asks a female nurse to attend to the patient according to the patient's wishes.

The nurse provides preferential treatment to patients from low economic status.

What should a nurse do in order to comply with the ethic of nonmaleficence in the healthcare setting?

The nurse should focus on doing no harm.

An elderly adult suffered an injury after falling down in the washroom. The primary healthcare provider performed a surgical procedure on the client and orders a blood transfusion. A family member of the client mentions that blood transfusions are not permitted in their community. What should the nurse do in order to handle the situation?

The nurse should inform the primary healthcare provider and not give blood to the client.

Which action of the nurse would be inappropriate in the context of critical thinking skills for making clinical decisions in nursing practice?

The nurse should rely on his or her knowledge and experience when planning and implementing a client care plan.

What would be the consequences if a health care organization follows the guidelines of transparency and allows the free flow of information? The potential for errors would be increased. The number of malpractice suits would not be affected. The patients would be able to make informed decisions. The number of patients visiting the hospital would increase.

The patients would be able to make informed decisions.

What is the role of cognitive science in health informatics? To use computer application for creating, describing, and transforming health information To understand how culture and social changes in an organization affect information technology To provide a structure for analysis of complex human performance in technology-based settings To use statistics and mathematical applications for storing and retrieving health care information

To provide a structure for analysis of complex human performance in technology-based settings

according to Quality and safety education (QSEN), What is patient centered care?

Understanding that the client is the source of control when providing care

The nurse is entering a client's data in the electronic health record. What action should the nurse take to minimize ambiguity and confusion? Use consistent, codified terminology. Record the data in the client's presence. Enter the data in the client's native language. Upload scanned copies of the client's records.

Use consistent, codified terminology.

When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities Hispanic older adults face? Value differences Language barrier Lack of health care facility Inadequate health insurance Poor diet and nutrition

Value differences Language barrier Lack of health care facility Inadequate health insurance

What services do nurse-managed clinics provide in preventive and primary care services? Crisis intervention Wellness counseling Health risk appraisal Employment readiness Communicable disease control

Wellness counseling Health risk appraisal Employment readiness

What does the resources aspect of the American Nurses Association (ANA) standards of professional performance describe?

When a nurse uses appropriate nursing services that are safe, effective, and financially responsible

When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan?

accidents, including their prevention

A nurse applies a cold pack to treat an acute musculoskeletal injury. Cold therapy decreases pain by doing what?

causing local vasoconstriction, preventing edema, and muscle spasms

which interview technique is the nurse using when asking a client to score the pain on a scale from 0 - 10?

closed-ended questioning

A nurse revises the care plan when the client's responses indicate that goals have not been met. What phase of the nursing process is being applied?

evaluation

A nursing student notes that a nurse is required to integrate best current research with clinical expertise and client preferences and values in order to provide quality healthcare. Which Quality and Safety Education for Nurses (QSEN) competency does this comply with?

evidence based practice

Which critical thinking skill refers to the use of knowledge and experience to choose effective client care strategies?

explanation

A client with CHF is recieving intravenous digoxin (Cardoxin) therapy. The RN ids that which items on the client's care plan are appropriate for a LPN to perform? select all that apply help the client ambulate when required monitor the client's vitals every 30 min. administer adequate oral fluids to the client prepare the nursing diagnosis after assessing the client. administer the digoxin (Cardoxin) if the client has chest pain

help the client ambulate when required monitor the client's vitals every 30 min. administer adequate oral fluids to the client

Which step in the nursing process would involve promoting a safe environment for the client?

implementation

During follow-up visits, the client's child reports to the nurse, "I tell my parent every day about what may happen if meds aren't taken as prescribed. Despite that, my parent does not take the med regularly and is depressed. " What can be inferred about the client's motivational level?

not motivated

Which member of the interprofessional team in palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the client?

nurse

What are the characteristics of an adverse hospital event? It may also result in death at times. It may cause minimal harm to the patient. It is caused by human or hospital system error. It is caused by severe variation in the standard of care. Its cause can be analyzed using the root cause analysis tool.

t may cause minimal harm to the patient. It is caused by human or hospital system error.

A client has C-diff. The nurse is providing discharge instructions related to decreasing the risk of transmission to family members. What would be appropriate to include in the client's teaching?

wash hands with soap and water

A nurse who promotes freedom of choice for clients in decision-making best supports which principle?

Autonomy

A nurse who promotes freedom of choice for clients in decision-making best supports which principle? Justice Autonomy Beneficence Paternalism

Autonomy

Which nursing behavior is an intentional tort? Miscounting gauze pads during a client's surgery Causing a burn when applying a wet dressing to a client's extremity Divulging private information about a client's health status to the media Failing to monitor a client's blood pressure before administering an antihypertensive

Divulging private information about a client's health status to the media

Why should organizations promote transparency in health care? Transparency helps in creating effective insurance policies. Transparency helps determine whether drugs are being diverted. Transparency facilitates recruitment of competent team members. Transparency allows continuous feedback for improving patient outcomes.

Nursing Outcomes Classification Nursing Interventions Classification

What activities would the nurse participate in while providing a primary level of preventive care? Select all that apply.

- Providing education about adequate housing and recreation - Providing education about attention to personality development - Providing instructions about good standard of nutrition adjusted to developmental phases of life

Arrange the actions in the order a nurse should take to resolve an ethical dilemma

1. Collect relevant case-related information 2. Clarify values 3. Verbalize the problem 4. Determine possible courses of action 5. Negotiate a plan 6. Evaluate the plan over time

In what order should a nurse follow steps of risk management to identify potential hazards and to eliminate them before harm occurs?

1. Identifying possible risks 2. Analyzing the possible risks 3. Acting to reduce the risks 4. Evaluating the steps taken

A client presents to the emergency department with weakness and dizziness. The blood pressure is 90/60 mm Hg, pulse is 92 and weak, and body weight reflects a 3-pound (1.4 kilogram) loss in two days. The weather has been hot. Which condition should the nurse conclude is the priority for this client? A. Deficient fluid volume B. Impaired skin integrity C. Inadequate nutritional intake D. Decreased participation in activities

Breach of confidentiality

What important points should the nurse keep in mind when witnessing consent forms? Confirm that the client's signature is authentic. Ensure that the client has given the consent voluntarily. Refrain from asking the student nurse to witness consent forms. Instruct the family member to assist if the client denies understanding of the procedure. Check if the client's caregiver has understood the procedures written in the consent form.

Confirm that the client's signature is authentic. Ensure that the client has given the consent voluntarily. Refrain from asking the student nurse to witness consent forms.

While obtaining the vital signs of a patient, the nurse finds that the body temperature of a client is 98.6F. The nurse concludes that the client is experiencing what? A. Hypothermia B. Hyperpyrexia C. Hyperthermia D. Normothermia

A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an alcohol recovery program." How should the nurse respond?

Do not allow the sponsor to review the record

A registered nurse is teaching a nursing student about the nurse's professional roles and responsibilities. When does the nurse play the role of an educator?

"A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

A nursing student is listing the primary characteristics that establish nursing as a profession. Which statement made by the student needs correction?

"Nurses are simply required to perform specific tasks."

A registered nurse is teaching a nursing student about the nurse's professional roles and responsibilities. When does the nurse play the role of an educator? "A client requests the nurse to pray with him or her for quick recovery and the nurse complies with the request." "A client is unable to sleep due to back pain. The nurse provides a back massage, which helps the client to fall asleep." "A client with dementia refuses to take baths and loudly protests. The nurse consoles the client and provides the bath later." "A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

"A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

A registered nurse is educating a client about the three levels of prevention through different scenarios. Which scenario mentioned by the nurse is an example of secondary prevention? "A nurse educates a young couple regarding sex and sexually transmitted infections." "A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a client." "A nurse arranges for a client's rehabilitation to help in gaining maximum limb function after amputation." "A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."

"A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."

A registered nurse is educating a nursing student about assault. What information should the registered nurse provide?

"Assault refers to any action that places a client in apprehension of harmful contact without consent."

A nurse is hired to work in a healthcare facility that has a completely computer-based client information system. The nurse in charge knows that the newly hired nurse is knowledgeable about this system when the nurse says what?

"Client information is immediately available when this system is used."

A registered nurse is explaining Benner's five levels of proficiency that a nurse needs to go through to acquire and develop generalist or specialized nursing skills. Which statement should the registered nurse include in the teaching plan regarding the proficient stage? "He or she should be in the same clinical position for 2 to 3 years." "He or she should have had some level of experience with the situation." "He or she should be able to zero in on the problem and focus on managing care." "He or she should have more than 2 to 3 years of experience in the same clinical position."

"He or she should have more than 2 to 3 years of experience in the same clinical position."

A registered nurse is teaching a nursing student about Healthcare Effectiveness Data and Information Set (HEDIS). Which point mentioned by the student post-teaching needs correction? "Healthcare Effectiveness Data and Information Set (HEDIS) is relied upon by health plans throughout the United States as a quality measure." "Healthcare Effectiveness Data and Information Set (HEDIS) is the database of choice for the Centers for Medicare and Medicaid Services (CMS)." "Healthcare Effectiveness Data and Information Set (HEDIS) conducts surveys via a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago." "Healthcare Effectiveness Data and Information Set (HEDIS) was created by the National Committee for Quality Assurance (NCQA) to collect data to measure the quality of care and services provided by different health plans."

"Healthcare Effectiveness Data and Information Set (HEDIS) conducts surveys via a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago."

A nurse is caring for an older adult with dementia who has been admitted in the special ward for further treatment. Which situation should the nurse address to meet the safety and security needs of the client according to Maslow's hierarchy of needs?

"I do not want to talk to any stranger as I fear that they might take away my things."

A nurse provides instructions to a group of adolescents about ways to prevent obesity. Which statements made by an adolescent indicates a need for further learning? Select all that apply.

"I should consume a high-fat diet." "I should take highly refined starch food." "I should watch television for four hours only."

A nursing student is listing the steps to be followed when communicating with older adults with hearing problems. Which step listed by the nursing student indicates a need for additional training?

"Speak clearly by exaggerating his or her lip movements."

A registered nurse is teaching a nursing student about the components of the magnet model. What information should the registered nurse provide about exemplary professional practice according to the revised magnet model?

"Strong professional practice is established, and accomplishments of the practice are demonstrated."

A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate? "The United Network for Organ Sharing (UNOS) has a contract with the federal government." "The United Network for Organ Sharing (UNOS) protects the donor's estate from liability for injury or damage." "The United Network for Organ Sharing (UNOS) gives priority to international clients who need organs on an urgent basis." "The United Network for Organ Sharing (UNOS) provides civil and criminal immunity to the hospital and the primary healthcare provider."

"The United Network for Organ Sharing (UNOS) has a contract with the federal government."

A nurse is following the guidelines for high-quality documentation and reporting. Which guideline followed by the nurse while documenting factual records indicates a need for additional training? "The client seems restless." "The client states, 'I am worried.'" "The client's pulse rate is 90 beats/min." "The client has a body temperature of 39° C (102.2° F)."

"The client seems restless."

A registered nurse is educating a student nurse regarding the role of value clarification in the resolution of ethical dilemmas. What information should the nurse provide? "Value clarification involves tolerating differences of opinions." "Value clarification involves reinforcing or challenging family values." "Value clarification involves accepting strong values by individuals as facts." "Value clarification involves relating values to facts when dealing with ethical issues."

"Value clarification involves tolerating differences of opinions."

A nurse is educating the caregivers of an elderly adult with advanced Parkinson's disease about continuing care. What information should the nurse provide? Select all that apply.

- "Adult day care centers are ideal for clients whose caregivers have to be away from home during the day." - "Hospice care is a continuing care system that allows clients to live at home with comfort, independence, and dignity." - "Nursing centers provide 24-hour custodial care in order to help residents achieve and maintain their highest level of functioning."

What does "access to care" include according to the Picker Institute's eight dimensions of patient-centered care? Select all that apply.

- "Clients want to be able to see a specialist when a referral is made." - "Clients want to schedule appointments at convenient times without trouble." - "Clients need to be able to find conveyance when traveling to different healthcare settings."

A nurse is educating a client about the Uniform Determination of Death Act. What information should the nurse provide? Select all that apply.

- "Nurses have a specific legal obligation to treat a deceased person's remains with dignity." - "Different definitions regarding death are in place to facilitate recovery of organs for transplantation." - "The cardiopulmonary standard of determining death sets an irreversible cessation of circulatory and respiratory functions as the criterion."

A student nurse is listing the benefits of the Patient Self-Determination Act (PSDA) (1991). Which statements of the student nurse indicate effective learning? Select all that apply.

- "The PSDA regulations allow the client to refuse treatment and formulate advance directives." - "The PSDA regulations require healthcare institutions to provide written information to clients concerning their rights under state law to make decisions."

What are the advantages of The Health Insurance Portability and Accountability Act of 1996 (HIPAA)? Select all that apply.

- The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides rights to clients and protects employees. - The Health Insurance Portability and Accountability Act of 1996 (HIPAA) protects an individual from losing health insurance when changing jobs. - The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides the basis for privacy and confidentiality concerns in the healthcare setting.

- The defendant obtains all of the plaintiff's medical records in the discovery phase - The jury uses certain standards of care to determine whether the nurse acted properly. - The plaintiff outlines what the defendant did wrong and how it resulted in injury in the pleadings phase.

A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? Select all that apply.

-"A nurse's documentation is the evidence of care that a client receives." -"The nurse should note down assessments and significant changes in the client's health." -"Nurses should always document the primary healthcare providers' responses whenever they are contacted."

A registered nurse is explaining the importance of the American Nurses Association (ANA) in nursing practice. Which points mentioned by the registered nurse are accurate? Select all that apply.

-"ANA is a part of the International Council of Nurses." -"ANA promotes the professional development and general and economic welfare of nurses." -"ANA is active in political, professional, and financial issues affecting health care and the nursing profession."

A nursing student is listing the characteristics of various health models that are used in the healthcare setting. Which characteristics of the holistic health model are accurately described? Select all that apply.

-"According to this model, clients are involved in their own healing process." -"According to this model, the natural healing abilities of the body are used." -"According to this model, therapy is used alone or in conjunction with conventional medicine."

A nurse educates a client about the role played by an individual in taking responsibility for health and wellness and its impact. What instructions should the nurse give? Select all that apply.

-"An individual should know that lifestyle choices affect his or her quality of life and well-being." -"An individual should take responsibility of health and wellness by making proper lifestyle choices." -"An individual should realize that illness prevention has a positive economic impact on his or her life."

A nurse is educating a client regarding a do-not-resuscitate (DNR) order. What information should the nurse provide? Select all that apply.

-"Do-not-resuscitate orders should be reviewed routinely by the primary healthcare provider." -"Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it." -"Primary healthcare providers should check for a DNR order before deciding to perform cardiopulmonary resuscitation."

A registered nurse is educating a nursing student about risk management methods to ensure that appropriate nursing care is provided to a client by identifying and eliminating potential hazards. What information should the registered nurse provide? Select all that apply.

-"Ensure that the three principles of The Joint Commission's Universal Protocol are adhered to before starting a surgery on a client." -"Refrain from depending on the use of electronic monitoring devices completely because they are not always reliable." -"File an occurrence report in case of an error in technique when administering medication intravenously (IV)."

A nurse is teaching a client about false imprisonment. What information should the nurse provide? Select all that apply.

-"False imprisonment is an example of an intentional tort." -"False imprisonment involves restraining a person unjustly without any legal warrant." -"A falsely imprisoned client should be aware of his or her confinement."

A registered nurse is teaching the appropriate manner of acting in a professional environment to a student nurse. Which statements mentioned by the student nurse post-training are accurate? Select all that apply.

-"I should provide care that is consistent with my level of expertise." -"I should remember and follow the policies and procedures of the institution." -"I should use restraints on a client only after obtaining a written order from a primary healthcare provider."

A nurse notes that a client is in the habit of skipping breakfast and lunch and educates the client on the harmful effects of not getting enough nutrition. Which responses are signs that the client has reached the action stage of health behavior change? Select all that apply.

-"I still tend to skip breakfast when I'm in a hurry to get to work." -"I follow a proper eating schedule, but sometimes it gets in the way of my work."

A nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions should the nurse expect if the client is in the action stage? Select all that apply.

-"I try to take a shower every day, but I skip it sometimes because of my tight work schedule." -"I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings." -"I want to take a bath regularly, but I don't have time because I need to look after my kids and my parents."

A nursing student is listing points to remember about wellness promotion in older adults. Which points mentioned by the nursing student need correction? Select all that apply.

-"It is essential to focus on curing diseases or other illnesses completely in older adults to promote wellness." -"It is essential to assess the level of fear of falling and provide support accordingly when caring for older adults." -"It is necessary to consider the older adult's social environment and ensure that he or she lives in social isolation to prevent stress."

A nursing student is listing points that make nursing a profession and not just a job. Which points have been correctly stated? Select all that apply.

-"Nursing provides a specific service." -"Nursing requires a basic liberal foundation and an advanced education." -"Nursing has a theoretical body of knowledge leading to defined skills, abilities, and norms."

A registered nurse is informing a nursing student that nurses play an important role in helping hospitals to meet requirements for quality, efficiency, and client satisfaction. Which points mentioned by the registered nurse are accurate? Select all that apply.

-"Pay for performance programs promote quality, effectiveness, and safe client care." -"Six Sigma is used to analyze the collected data and to identify unnecessary steps in the processes." -"Balanced scorecards are used to report data on the key performance indicators and are published publicly."

-"The client receives a brief, complete explanation of the procedure or treatment." -"The client receives an explanation of alternative therapies and the risks of doing nothing." -"The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort."

A registered nurse is teaching a student nurse about the characteristics of various healthcare plans. Which statements provided by the student nurse post-teaching regarding the characteristics of managed care organizations (MCOs) are appropriate? Select all that apply.

-"They focus on health maintenance and primary care."' -"They require referrals for access to specialists and hospitalization." -"They may use capitated payments for the healthcare service providers."

A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? Select all that apply.

-"Values vary among clients and develop and change over time." -"The values that an individual holds reflect cultural and social influences." -"To discuss differences in opinions and values, the nurse should be clear about his or her own values."

The advanced practice registered nurse is the most independently functioning nurse. What are the specific functions of the nurse practitioner as an advanced practice registered nurse in a healthcare setting? Select all that apply.

-A nurse practitioner has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. -A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. -A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs.

A registered nurse is explaining the importance of capitation to a nursing student. What information should the nurse provide? Select all that apply.

-Capitation influences the way healthcare providers deliver care in all types of settings -Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. -Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.

What important points should the nurse keep in mind when witnessing consent forms? Select all that apply.

-Confirm that the client's signature is authentic. -Ensure that the client has given the consent voluntarily. -Refrain from asking the student nurse to witness consent forms.

What are 2 examples of quasi-intentional torts?

-Defamation of character -Invasion of privacy

What are common negligent acts of nurses found in the hospital setting? Select all that apply.

-Failure to notify the healthcare provider of problems -Failure to follow the six rights of medication administration -Failure to ensure the safety of a client with disequilibrium problems

According to the Institute of Medicine (IOM) competencies for the 21st century, what tasks should the nurse perform when applying quality improvement? Select all that apply.

-Identify errors and hazards in care. -Design and test interventions to change processes. -Measure quality in relation to structure, process, and outcomes.

What are the important points to be considered when imparting practical knowledge to nursing students about preventing complications in the hospital? Select all that apply.

-Nursing students should never be assigned any tasks they are unprepared for. -Nursing students can work as nursing assistants or nurse's aides when not attending classes. -Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for.

What important points should the nurse keep in mind regarding orders from a primary healthcare provider to prevent any legal complications? Select all that apply.

-Registered nurses should follow the primary healthcare provider's order unless the order seems to be harmful or is incorrect. -Registered nurses should inform the nursing supervisor if the order looks inappropriate but the primary healthcare provider is required to confirm the order. -Registered nurses should document that the primary healthcare provider was notified about an incorrect order, along with his or her response, follow-up, and the client's response.

A client with end-stage renal disease needs a kidney transplant. Which statements regarding the National Organ Transplant Act are true? Select all that apply.

-The National Organ Transplant Act of 1984 prohibits the purchase or sale of organs. -The act provides civil and criminal immunity to the hospital and the healthcare provider. -The act protects the donor's estate from liability for injuries or damage that results from the use of the gift.

A nurse notes that a client is in the precontemplation stage of wellness behavior change. What are the characteristics of this stage? Select all that apply.

-The client has no intention of making any changes in the next 6 months. -The client does not show interest in information related to health behavior changes. -The client becomes defensive when confronted with information regarding his or her current health behavior.

A nursing student is recalling the various stages of health behavior change. What are the characteristics of the preparation stage? Select all that apply.

-The client requires assistance to plan changes in health behavior. -The client understands that the advantages of health behavior change exceed the disadvantages. -The client makes small changes in health behavior in preparation for major changes in the next month.

What points should a nurse keep in mind when caring for a client who belongs to a different culture? Select all that apply.

-The nurse should be aware of his or her own cultural values and behavior patterns. -The nurse should focus on understanding the client's traditions, values, and beliefs. -The nurse should understand that unique cultural perceptions exist regarding health practices.

What points should the nurse remember when caring for a client who has a history of suicide attempts? Select all that apply.

-The nurse should document the measures taken to prevent suicides. -If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. -The primary health care facility will be responsible for failing to provide adequate supervision.

What points regarding the Good Samaritan Act of 1997 should the nurse remember? Select all that apply.

-The nurse should provide care that is consistent with his or her level of expertise. -Good Samaritan laws limit liability and offer legal immunity if a nurse helps at an accident scene. -Good Samaritan laws were enacted to encourage healthcare workers to provide assistance during emergencies.

What important teaching strategies should the nurse take into consideration to bring a change in the client's lifestyle? Select all that apply.

-Use written resources at an appropriate reading level. -Practice active listening, and ask the client how he or she prefers to learn. -Start with identifying what information the client knows regarding health risks related to poor lifestyle choices

What activities should the nurse consider to be a part of the tertiary level of preventive care? Select all that apply.

-Using a sheltered colony -Providing selective placement -Providing work therapy in hospitals

A nurse caring for a client who presents with herpes zoster conducts extensive research on the disease to formulate the care plan. In addition, the nurse adds photos of the client's infected area to the electronic health record (EHR) to evaluate progress toward recovery. The nurse also educates the client on maintaining proper hygiene to prevent the spread of the infection. Which competencies does the nurse display according to the Institute of Medicine (IOM) competencies of the 21st century? Select all that apply.

-Using informatics -Using evidence-based practice -Providing patient-centered care

A nurse is assessing a client by using Maslow's hierarchy of needs. In which order should the nurse prioritize care?

1. Physiological 2. Safety & Security 3. Love and belonging 4. Self-esteem 5. Self-actualization

A nursing student is examining the health services pyramid. Keeping in mind that care services begin at the bottom of this pyramid, in which order should care services be arranged?

1. Population-based health care services 2. Clinical preventive services 3. Primary health care 4. Secondary health care 5. Tertiary health care

What are the four core roles for the advanced practice registered nurse (RN)? Select all that apply.

1. Clinical nurse specialist 2. Certified nurse midwife 3. Certified RN anesthetist 4. Certified nurse practitioner

List 2 unintentional torts:

1. Malpractice 2. Negligence

A nurse is evaluating different situations related to addressing different levels of client needs. According to Maslow's hierarchy of needs, in which order should the nurse prioritize his or her actions?

1. Providing a warm bath to the client to promote a good night's sleep 2. Encouraging the client to talk about his or her fears and feelings 3. Assisting the client in getting out of bed to join family members for meals 4. Praising the client for administering insulin accurately

A client tells the nurse, "I need help planning an exercise regimen to help manage my weight." Which stage of health behavior change does this reflect? Action Preparation Contemplation Precontemplation

Preparation

A nursing student is recalling the hierarchy of evidence available for conducting research. In which order should the nurse give priority to the findings of a study

According to the hierarchy of evidence, when gathering evidence to make an appropriate client care decision, the nurse should give highest priority to the findings of systematic reviews and meta-analysis of randomized controlled trials (RCTs). Meta-analyses and systemic reviews summarize current evidence thoroughly. Next in the list of priority are the findings of one well-designed RCT. Below that are well-designed controlled trials without randomization. The nurse may then turn to well-designed case control studies to look for evidence. If RCTs are not available, the nurse may systematically review qualitative studies. Barring that, the nurse may then turn to single descriptive or qualitative studies. The opinions of authorities or expert committees forms the base of the hierarchy pyramid.

A patient with a history of hypothyroidism reports giddiness, excessive thirst, and nausea. Which parameter assessed by the nurse confirms the diagnosis as heat stroke? A. Increased heart rate B. Increased blood pressure C. Decreased respiratory rate D. Increased circulatory damage

he nurse is collecting case reports that can be analyzed using the failure mode effective analysis (FMEA) tool. Which case files should the nurse collect? A patient is in a coma due to severe hemolytic transfusion reaction. A patient with depression committed suicide by falling off the terrace of the hospital. A patient had a retained foreign body left during surgery which was removed immediately. A patient who was in wheelchair was rescued from falling in the corridor of the hospital. A patient developed a urinary tract infection after 4 days of continuous catheterization.

A patient had a retained foreign body left during surgery which was removed immediately. A patient who was in wheelchair was rescued from falling in the corridor of the hospital. A patient developed a urinary tract infection after 4 days of continuous catheterization.

Which sites would be safe and inexpensive for temperature measurement? Select all that apply. A. Skin B. Oral C. Axilla D. Rectal E. Tympanic membrane

A, C

Which symptoms are common during the fulminate stage of inhalation of anthrax? Select all that apply. A. Dyspnea B. Dry cough C. Diaphoresis D. Mild chest pain E. High temperature

A, C, E

What are the signs and symptoms observed in the human body with a decrease in body temperature? A. Shivering B. Profuse sweating C. Flushed appearance D. Dilation of blood vessels E. Contraction of blood vessels

A, E

A client at the fertility clinic is being treated for hypertension and obesity with a regimen of diet and exercise. During the past month, she has lost 8 lb (3.6 kg) and her blood pressure has decreased to 154/98 mm Hg. The client states that she is using self-control strategies to reduce her blood pressure and weight. What is the nurse's most therapeutic response?

Acknowledging the client's achievement while encouraging continuation of her current program

A client experiencing chills and fever is admitted to the hospital. After assessing the client's vitals and medical history, the nurse concluded that the client's fever pattern is remittent. Which assessment finding led to this conclusion? A. The client's temperature returns to an acceptable value at least once in the past 24 hours. B. The client's fever spikes and falls without a return to normal temperature levels. C. Periods of febrile episodes and periods with acceptable temperature values occur. D. The client has a constant body temperature continuously above 38.0C with minimal function.

A client's temperature is 100.4F (38C) 12 hours after a spontaneous vaginal birth. What does the nurse suspect is the cause of the increased temperature? A. Mastisis B. Dehydration C. Puerperal infection D. Urinary tract infection

Which parts of the body assessed by the nurse would confirm a diagnosis of frostbite? A. Axilla B. Fingers C. Ear lobes D. Forehead E. Upper thorax

B, C

On the day after surgery for insertion of ventriculoperitoneal shunt to treat hydrocephalus, an infant's temperature increases to 103.0F (39.4C). The nurse immediately notifies the practitioner. What is the next nursing action? A. Covering the infant with a bath blanket. B. Sponging the infant with tepid alcohol. C. Removing excess clothing from the infant. D. Reassessing the infant's temperature in several hours.

The nurse is caring for a client with breast cancer who is receiving chemotherapy. Which action performed by the nurse is in accordance with the rules of the Centers for Medicare & Medicaid Services (CMS)? Checks the prescription before administering medications to the client Refers the client to support systems and provides financial assistance Teaches safety measures to the client in order to prevent the risk of infection Enters symptoms and treatment provided to the client in the electronic health record (EHR)

Enters symptoms and treatment provided to the client in the electronic health record (EHR)

A nursing student is recalling information about hospice care. What is hospice care?

Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.

A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation?

Malpractice

A nurse administers medication via the central venous access device (CVAD) and forgets to monitor the client at the required intervals. The client then develops phlebitis. What charges may the nurse face for this action?

Malpractice

nurse fails to act in a reasonable, prudent manner. Which legal principle is most likely to be applied?

Malpractice

A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation? Assault Battery Malpractice False imprisonment

Malpractice If a nurse administers IV therapy to a wrong client, the nurse may face the charge of malpractice. Assault is any action that places the client or the nurse in fear of a harmful or offensive contact without consent. Battery is any intentional touching without consent. False imprisonment occurs with unjustified restraint of a person without legal warrant.

A nurse is explaining about healthcare plans to a patient. Which healthcare plan finances a large portion of care for low-income children, their parents, pregnant women, and disabled very poor adults?

Medicaid

A client with a mental illness in the emergency unit needs to undergo an emergency surgery. What would be the nurse's first course of action to prevent any legal complications? Wait for a court order to intervene on the client's behalf. Obtain consent from a person legally authorized to give it on the client's behalf, if available. Obtain a court order to state that the client is incompetent to decide for himself or herself. Request that the primary healthcare provider start the procedure without the client's consent.

Obtain consent from a person legally authorized to give it on the client's behalf, if available The nurse should ideally try to obtain consent from a person legally authorized to give it on the client's behalf in case of an emergency situation. Clients with mental illnesses have the right to refuse treatment until a court has legally determined that they are incompetent to decide for themselves. However, in case of emergency situations, healthcare providers should not wait for a court order. In case healthcare providers are unable to obtain consent, the primary healthcare provider can start with the procedure to save the client's life. In such circumstances the law accepts that the client would wish to be treated.

A nurse uses therapeutic communication techniques in order to achieve desired client outcomes. Which communication technique is a part of therapeutic communication?

Providing relevant information to the client

Quality improvement

A pregnant woman is admitted with a tentative diagnosis of placenta previa. The nurse implements prescriptions to start an intravenous (IV) infusion, administer oxygen, and draw blood for laboratory tests. The client's apprehension is increasing, and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be alright, and that everything is under control. What is the best interpretation of the nurse's statement?

Questionable, because the client has the right to know what treatment is being given and why

A patient with a right-sided brain tumor had a surgery performed on the left side of the brain. The patient is presently in a coma. Which actions should the hospital take according to the Leapfrog Group's policy? Refer the patient to another hospital. Report the event to The Joint Commission. Perform a failure mode effective analysis (FMEA). Apologize to the family and caregivers of the patient. Agree to pay all costs related to the condition of the patient.

Report the event to The Joint Commission. Apologize to the family and caregivers of the patient. Agree to pay all costs related to the condition of the patient.

A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner. Which statement indicates that a nurse is in the advanced beginner stage?

The nurse is able to identify the basic principles of nursing care through careful observation.

A nurse is reviewing the key responsibilities of a primary healthcare provider for obtaining consent from a client before performing a medical procedure. Which key responsibilities have been accurately stated? "The client receives a complete explanation of the procedure or treatment." "The client knows that he or she cannot refuse the treatment after the procedure has begun." "The client receives an explanation of alternative therapies and the risks of doing nothing." "The client knows that he or she has the right to refuse treatment which may lead to a discontinuation of other supportive care." "The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort." Confident

The client receives a complete explanation of the procedure or treatment." "The client receives an explanation of alternative therapies and the risks of doing nothing." "The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort."

When assessing a client, the nurse notices that he or she has reached the action stage of health behavior change. What should the nurse expect to be the client's reaction after providing suggestions for change? The client's previous habits may prevent taking action related to new behaviors. The client believes that the advantages outweigh the disadvantages of behavior change. The client accepts information as he or she is developing stronger beliefs in the value of change. The client is not interested in information about the behavior and may be defensive when confronted with it.

The client's previous habits may prevent taking action related to new behaviors.

A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner. Which statement indicates that a nurse is in the advanced beginner stage? The nurse is learning about the profession through a specific set of rules and procedures. The nurse is able to identify the basic principles of nursing care through careful observation. The nurse is able to understand the organization and specific care required by certain clients. The nurse is able to assess the entire situation and transfer knowledge gained from multiple previous experiences.

The nurse is able to identify the basic principles of nursing care through careful observation.

What professional responsibility does the nurse display as a client's advocate?

The nurse protects the client's human and legal rights and provides assistance in asserting said rights.

A client in need of a lung transplant tells the nurse, "I will not take the organ of any person belonging to a different religion." The nurse initiates the process for resolving the ethical dilemma by collaborating with other healthcare team members. What should the team do after agreeing to a statement of the problem?

The team should determine all the possible courses of action based on available information.

A nurse gathers data about the success of keeping the side rails of clients' beds up at nighttime to reduce the risk of falls. Which competency does the nurse display according to the Institute of Medicine (IOM) competencies of the 21st century?

Applying quality improvement

A student nurse is listing different scenarios that comply with basic healthcare ethics. Which scenarios mentioned by the student nurse relate to the healthcare ethic of fidelity? "A nurse monitors a client after providing nonpharmacological measures to relieve anxiety due to hospitalization." "A nurse notes that the pain relief measures provided to that client have been ineffective. The nurse formulates a different plan of care." "A nurse ensures that the client understands the risks and benefits of an experimental treatment before signing the appropriate consent form." "A nurse carefully evaluates the advantages and disadvantages of the client's plan of care to ensure that the risks do not outweigh the benefits." "A nurse is caring for a client who refuses to be touched by people of certain skin color. The nurse continues providing care since other colleagues refuse to attend to the client."

"A nurse monitors a client after providing nonpharmacological measures to relieve anxiety due to hospitalization." "A nurse notes that the pain relief measures provided to that client have been ineffective. The nurse formulates a different plan of care." "A nurse is caring for a client who refuses to be touched by people of certain skin color. The nurse continues providing care since other colleagues refuse to attend to the client."

How can nurses exhibit the concept of open-mindedness as a part of critical thinking behavior in their teams? Select all that apply.

By respecting the right of others to have different opinions By becoming sensitive to the possibility of their own prejudices

The nurse finds that the client's fever spikes and falls without a return to a normal level. Which pattern of fever is this a characteristic of? A. Relapsing B. Sustained C. Remittent D. Intermittent

A nurse is panning care for a toddler who has ingested aspirin. What assessment warrants close monitoring because an increase can result in further complications? A. Blood pressure B. Abdominal girth C. Body temperature D. Serum glucose level

C-- Hyperpyrexia is a manifestation of acute aspirin poisoning.

A nurse caring for a client prioritizes nursing actions based on Maslow's hierarchy of needs. Which statement made by the client meets the love and belonging need? "I do not like the way I look, speak, or act." "I dream of becoming the richest person in the world." "I hardly speak to my children because they live in different countries." "I want to go back home because I am afraid of the tests you are performing."

"I hardly speak to my children because they live in different countries."

A nurse caring for a client prioritizes nursing actions on the basis of Maslow's hierarchy of needs. Which statement of the client would meet the self-esteem need?

"I tend to get worried about every little thing because I cannot do anything successfully."

A nurse instructs a client who eats a lot of candy to stop eating sweets in order to avoid high blood sugar levels. What reaction might the nurse expect if the client is in the contemplation stage "That will never happen. I've been eating candy for a long time." "I've been avoiding candy but can't help myself when I see it at the store." "I've been able to cut down on how much candy I eat for the last 8 months." "I understand that candy isn't good for my health, but I can't stay away from it."

"I understand that candy isn't good for my health, but I can't stay away from it."

A nurse caring for a client prioritizes nursing actions on the basis of Maslow's hierarchy of needs. Which statement made by the client meets the self-actualization need?

"I want to live because I want to be a good parent to my kids."

A nurse is caring for a client who has recently been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues. What reaction might the nurse expect if the client is in the maintenance stage?

"I've been following a proper sleep pattern for more than a year."

A nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. What is the best response by the nurse? "That client is not on our unit. Thank you for calling." "The new privacy laws prevent me from providing any client information over the phone." "The client has requested that no information be given out. You'll need to call the client directly." "It is against the hospital's policy to provide you with any information."

"It is against the hospital's policy to provide you with any information.

A student nurse is listing the limitations of the total client care nursing model. Which limitation listed by the student nurse is accurately stated?

"It is not cost effective because of the high number of registered nurses required to provide care."

A nursing student is listing key points about ethics and values. Which point listed by the nurse indicates a need for more education? "A nurse's point of view offers a unique voice in the resolution of ethical dilemmas." "Professional nursing promotes accountability, responsibility, advocacy, and confidentiality." "The American Nurses Association (ANA) code of ethics ensures that the code remains constant." "Standards ethics in healthcare consist of autonomy, beneficence, nonmaleficence, justice, and fidelity."

"The American Nurses Association (ANA) code of ethics ensures that the code remains constant." The American Nurses Association (ANA) code of ethics reviews and revises the code regularly to reflect changes in practice. The basic principles of the ANA code (such as responsibility, accountability, advocacy, and confidentiality) remain constant. A nurse's point of view offers a unique voice in the resolution of ethical dilemmas by including knowledge based upon clinical and psychosocial observations. Professional nursing promotes accountability, responsibility, advocacy, and confidentiality. Standards ethics in healthcare consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.

A nursing student is listing the five stages of proficiency that a nurse needs to pass through according to Benner et al (2010). Which statements indicate that a nurse is in the expert stage? "The nurse can focus on managing care rather than paying attention to managing and performing skills." "The nurse can assess an entire situation and can gladly transfer knowledge gained from previous experiences to a situation." "The nurse can be a talented practitioner who has the capability of anticipating nursing care and establishing long-term goals." "The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."

"The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."

A registered nurse is instructing a trainee nurse on the various advantages of the team nursing care delivery model. Which statement provided by the trainee nurse post-training indicates a need for effective learning?

"This model is inflexible but uses a variety of staffing levels and mixes."

A registered nurse is educating a student nurse regarding the role of value clarification in the resolution of ethical dilemmas. What information should the nurse provide?

"Value clarification involves tolerating differences of opinions."

What are the elements of discovery of a lawsuit? Select all that apply.

- Experts - Medical records - The depositions of witnesses

A registered nurse is educating a student nurse on the eight dimensions of patient-centered care provided by the Picker Institute. What information should the nurse provide regarding the dimension of "transition and continuity"? Select all that apply.

-"Clients and caregivers expect access to necessary healthcare resources on a continuing basis." -"Clients expect to have their continuing healthcare needs met after discharge with well-coordinated services." -"Clients require information about medications, physical limitations, follow-up plans regarding diet and treatment, and danger signals to look for after treatment."

A registered nurse is educating a nursing student about licensure. What information should the nurse provide? Select all that apply.

-"The hearing for suspension or revocation of a license is conducted by a panel of professionals." -"The nurse must be notified of any charges against him or her and given an opportunity to defend him or herself." -"The state board of nursing may revoke or suspend a license if a nurse's conduct violates provisions in the licensing statutes."

A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? Select all that apply.

-"The nursing manager coordinates the activities of the nursing staff in delivering nursing care." -"The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." -"The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

Which statements accurately explain the deontology system of ethics? Select all that apply.

-Deontology examines a situation for the presence of essential right or wrong. -Deontology emphasizes the commitment to respect the "rightness" of autonomy. -Deontology determines that actions are right or wrong based on their "right-making characteristics."

What important points should the nurse keep in mind when caring for an older adult to promote health? Select all that apply.

-Encourage regular physical activity and the use of stress-management strategies -Consider the client's social environment and strengthen social support to promote health -Assess the client for fear of falling and provide support by making environmental changes

The Institute of Medicine (IOM) has identified five interrelated competencies that are essential for healthcare professionals in the 21st century. Which tasks performed by the nurse would satisfy the patient-centered care competency? Select all that apply.

-Relieving pain and suffering -Communicating with and educating clients effectively -Recognizing and respecting differences in clients' values, preferences, and needs

Which tasks should a nurse perform in order to comply with public health laws? Select all that apply.

-Report cases of communicable diseases -Report incidences of domestic violence -Ensure that clients in a community have received necessary immunizations

What services does block and parish nursing provide for preventive and primary care services? Select all that apply.

-Respite care -Running errands -Homemaker aides

A nursing student notes information regarding restorative care. Which points noted by the nursing student are accurate? Select all that apply.

-Success depends on effective and early collaboration with clients and their families. -Clients and families follow treatment plans better when they are involved in restorative care. -Restorative care is provided through home healthcare, rehabilitation, or extended care facilities.

A nurse is educating a client about the tertiary level of prevention. What information should the nurse provide? Select all that apply.

-Tertiary prevention focuses on preventing complications of illness. -Tertiary prevention helps clients achieve as high a level of functioning as possible. -Tertiary prevention aims at minimizing the effects of long-term disease or disability.

A nurse signs as a witness to informed consent provided by the client. What does the signature of the nurse imply? Select all that apply.

-That the client's signature is authentic -That the client has given consent voluntarily -That the client appears to be competent to give consent

A patient presents to the emergency department with weakness and dizziness. The blood pressure is 90/60 mm Hg, pulse is 92 and weak, and body weight reflects a 3- pound (1.4kg) loss in two days. The weather has been hot. Which condition should the nurse conclude is the priority for this patient? A. Deficient fluid volume B. Impaired skin integrity C. Inadequate nutrition intake D. Decreased participation in activities

An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea. During an assessment, the nurse notices the patient's body temperature as 105F. Which condition does the nurse suspect in the client? A. Heat stroke B. Heat exhaustion C. Accidental hypothermia D. Malignant hyperthermia

During the assessment of a preterm neonate the nurse determines that the infant is experiencing hypothermia. Which action should the nurse take? A. Rewarm gradually B. Notify the practitioner C. Assess for hyperglycemia D. Record skin temperature hourly

A nursing student is listing the professional responsibilities and roles of the nurse. Who is the most independently functioning nurse?

Advanced practice registered nurse

Through which organization can a registered nurse apply for certification as an informatics nurse? National Institutes of Health American Medical Informatics American Nurses Credentialing Center Office of the National Coordinator for Health IT

American Nurses Credentialing Center

A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction?

An ethical issue occurs if the problem aims at the greatest good for the greatest number of people

A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction? A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction? An ethical issue occurs if it is perplexing and if it is not easy to think logically or make a decision. An ethical issue occurs if it is not possible to resolve solely through a review of scientific data. An ethical issue occurs if the problem aims at the greatest good for the greatest number of people. An ethical issue occurs if the answer to the problem has a profound relevance for areas of human concern.

An ethical issue occurs if the problem aims at the greatest good for the greatest number of people.

A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention?

An infant receives rotavirus vaccination in the hospital setting.

A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention? An infant receives rotavirus vaccination in the hospital setting. An adult in the early stages of Parkinson's disease is advised to perform adequate exercise. An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease.

An infant receives rotavirus vaccination in the hospital setting.

A registered nurse is teaching a nursing student about the standards of nursing practice. How would the nursing student define assessment?

Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation.

A registered nurse is teaching a nursing student about the standards of nursing practice. How would the nursing student define assessment? Assessment is the process of coordinating care delivery. Assessment is the process of analyzing assessment data to determine diagnoses or issues. Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation. Assessment is the process where a registered nurse provides consultation to influence an identified plan, enhances the abilities of other caregivers, and effects change.

Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation.

Battery

A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Battery Assault Negligence Malpractice False Imprisonment

Battery Assault False Imprisonment Intentional torts include battery, assault, and false imprisonment. Unintentional torts include negligence and malpractice.

What purpose does a community health center serve in preventive and primary care services?

Community health centers are outpatient clinics that provide primary care to a specific population.

A registered nurse is educating a nursing student about community health nursing. Which point made by the student nurse needs correction?

Community health nursing does not provide direct or indirect care services to subpopulations in a community.

A pregnant client states, "Abortion is banned in our community because it interferes with God's creative work." According to the nurse, which variable influences the client's health belief?

Cultural background

An older adult with chills arrived to the hospital. The nurse assesses the patient's vital signs and determined the patient has a fever. What would be the patient's rectal temperature? A. 36.0C B. 36.8C C. 37.2C D. 38.5C

What should the nurse do initially when obtaining consent for surgery?

Determine whether the client's knowledge level is sufficient to give consent.

While entering data for a client in the electronic health record (EHR), the nurse uses North American Nursing Diagnosis Association (NANDA) International terminology to document which part of the nursing process? Planning Diagnosis Outcomes Interventions

Diagnosis

A client is admitted into the mental health unit involuntarily. What course of action should the nurse take in order to prevent legal complications? Document that the client is a danger to himself or herself and others Keep the client under supervision to prevent suicide attempts File with the court within 96 hours of the client's initial detention Detain the client for psychiatric treatment for no longer than 21 days

File with the court within 96 hours of the client's initial detention

Place each step of the nursing process in the order that it should be used.

First the nurse should gather data. Based on the data, the client's needs are assessed. After the needs have been determined, the goals for care are established. The next step is planning care based on the knowledge gained from the previous steps. Implementation follows the development of the plan of care.

What skills are essential for an effective nurse leader to develop collaboration with others? Select all that apply.

Flexibility ability to share ideas Ability to listen to others Possession of a strong self-concept

A nursing student is listing examples of active and passive health promotion strategies. Which strategy is an example of a passive health promotion strategy?

Fluoridation of municipal drinking water

When might a nurse be charged with client abandonment? If a nurse refuses to accept an assignment If a nurse walks out when staffing is inadequate If a client suffers an injury due to the nurse's inattention If a nurse makes a written protest to the nursing administrators

If a nurse walks out when staffing is inadequate

A registered nurse notices that the insertion site of a client receiving intravenous medication is swollen. The nurse takes appropriate measures to treat the area and takes a photo of the insertion site and saves it in the client's electronic health record. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse following?

Informatics

What client factor does the nurse consider to have the greatest impact on the effectiveness of bariatric surgery?

Motivation to cooperate with required lifestyle changes

The nurse is aware that the nursing diagnosis should follow the North American Nursing Diagnosis Association International (NANDA-I) label. How should the nurse document the nursing diagnosis in a three-part format?

NANDA-I label, related factor, and defining characteristics

while obtaining the vital signs of a client, the nurse finds that the body temperature of the client is 98.6 F. The nurse concludes that the client is experiencing what?

Normothermia

A nursing team leader identifies that a nurse is coming to work after drinking alcohol. What is the most appropriate way for the team leader to approach this ethical situation?

Notify the nurse manager about the problem

A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do?

Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state.

A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do? Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their profession. Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing care. Nurse Practice Acts protect individuals from losing their health insurance when changing jobs by providing portability.

Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state.

Which terminology system should the nurse use to enter nursing diagnoses, interventions, and outcomes in electronic health records? Omaha system Perioperative Nursing Data Set (PNDS) Nursing Interventions Classification (NIC) North American Nursing Diagnosis Association (NANDA) International

Perioperative Nursing Data Set (PNDS) The nurse should use clear a coding scheme while recording data in electronic health records because it helps to prevent confusion and ambiguity. The PNDS provides codes for nursing diagnoses, interventions, and outcomes of treatment. The Omaha system provides codes for problem classification, intervention, and a problem rating scale for outcomes. NIC provides codes only for interventions. NANDA International provides codes only for nursing diagnoses.

A nurse caring for a client prioritizes nursing actions on the basis of Maslow's hierarchy of needs. Which activities should the nurse perform to meet the client's safety and security needs? Providing a cold bath to reduce the client's body temperature Positioning the bed in a low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease the risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents Collaborating with family members to provide emotional support for the client post-surgery

Positioning the bed in a low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease the risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents

A community nurse takes the initiative to vaccinate people against diseases. What kind of health care service is this? Continuing care Preventive care Restorative care Secondary acute care

Preventive care

An elderly adult with Parkinson's disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system?

The nurse should document the incident in the occurrence report tool.

Which tasks should a nurse perform in order to comply with public health laws? Report cases of communicable diseases Report incidences of domestic violence Provide emergency assistance at an accident scene Notify the primary healthcare provider of any client-related problems Ensure that clients in a community have received necessary immunizations

Report cases of communicable diseases Report incidences of domestic violence Ensure that clients in a community have received necessary immunizations

A student nurse is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the student nurse include sports medicine?

Restorative care

What points should the nurse remember when caring for a client who has a history of suicide attempts? The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The client may be detained for 21 days if a judge grants an involuntary detention. The primary health care facility will be responsible for failing to provide adequate supervision. The nurse should file paperwork with the court within 96 hours of the client's admission to the facility.

The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The primary health care facility will be responsible for failing to provide adequate supervision.

Question 49 A nursing student is noting the characteristics of the secondary level of prevention. What points should the nursing student note? Secondary prevention activities are aimed at health promotion. Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention helps in minimizing the effects of long-term disease and disability. Secondary prevention includes screening techniques and treating diseases at early stages.

Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention includes screening techniques and treating diseases at early stages.

A nurse is working in a hospital that receives most of its payment from Medicare and Medicaid services. In the annual assessment of The Joint Commission, the hospital had not met all the standards set forth in the Centers of Medicare and Medicaid Services. Which action does the nurse expect to be taken? The Centers of Medicare and Medicaid Services will stop paying the hospital. The hospital will lose its accreditation given by The Joint Commission. The Joint Commission would conduct an unannounced follow-up survey in the hospital. The Centers of Medicare and Medicaid Services will conduct a follow-up survey in the hospital.

The Joint Commission would conduct an unannounced follow-up survey in the hospital.

During an initial survey in a health care facility, members of The Joint Commission (TJC) find that the facility does not follow regulations for seclusion set by TJC. What will be the possible consequence of this negligence by the health care facility? The organization has to pay a large-dollar-amount to TJC. The organization cannot provide treatment to psychiatric patients. The organization will receive a condition-level deficiency certificate. The organization will not receive funding from Medicaid and Medicare.

The organization will receive a condition-level deficiency certificate.

According to Avedis Donabedian, which is the most important validator of quality and effectiveness of health care in a hospital? The number of patients admitted in a hospital The values and goals presented by the hospital The number of health care workers in the hospital The patient outcomes achieved by the care provided

The patient outcomes achieved by the care provided

The nurse is interacting with a postpartum patient who has undergone vaginal delivery. The nurse finds that the patient believes that she has received high-quality care in the health care facility according to Meade. Which patient response supports the nurse's conclusion? The patient is happy that she had no postpartum complications. The patient thanks the nurse for providing extraordinary service. The patient thanks the nurse for discharging her within 72 hours after delivery. The patient promises to follow all the suggestions given by the primary healthcare provider.

The patient thanks the nurse for providing extraordinary service.

A graduate nurse is preparing to apply to the State Board of Nursing for licensure to practice as a registered professional nurse. What group primarily is protected under the regulations of the practice of nursing?

The public

A nurse notes that the primary healthcare provider has scheduled a surgery for an unconscious client. An informed consent has not yet been obtained. What course of action does the nurse expect to be taken to deal with the situation?

The surrogate decision maker designated by the client will give consent.

What represents a significant shift in U.S. health policy in recent years? Palliative care is now being offered to children and adults. End-of-life care is no longer covered by insurance companies. Terminal patients now have standardized support for ending their lives. There is a focus on better managing patients with multiple chronic conditions.

There is a focus on better managing patients with multiple chronic conditions.

These actions can be construed as assault and battery.

A 3-year-old child with eczema of the face and arms has disregarded the nurse's warnings to "stop scratching, or else!" The nurse finds the toddler scratching so intensely that the arms are bleeding. The nurse then ties the toddler's arms to the crib sides, saying, "I'm going to teach you one way or another." How should the nurse's behavior be interpreted? These actions can be construed as assault and battery. The problem was resolved with forethought and accountability. Skin must be protected, and the actions taken were by a reasonably prudent nurse. The nurse had tried to reason with the toddler and expected understanding and cooperation.

These actions can be construed as assault and battery.

The Surgeon General used the data from the 2000 census classification system to identify disparities in mental health care along racial-ethnic lines. What is the secondary use of this data? To provide culturally relevant care to the required ethnic group To identify all racial and ethnic groups in the United States To determine why there are disparities in the United States To determine when and how the health care needs of the ethnic populations are being met

To determine when and how the health care needs of the ethnic populations are being met

An adult client with mobility problems wishes to become an organ donor. Which act allows the client to donate his or her organs?

Uniform Anatomical Gift Act

what are the s/s observed in the human body with a decrease in body temperature? select all that apply shivering profuse sweating flushed appearance dilation of blood vessels contraction of blood vessels

shivering contraction of blood vessels

A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? "A nurse's documentation is the evidence of care that a client receives." "Nurses' notes should not be given to attorneys in the event of a lawsuit." "The nurse should note down assessments and significant changes in the client's health." "In case an occurrence report is filed, nurses should enter the information the client's charts." "Nurses should always document the primary healthcare providers' responses whenever they are contacted."

"A nurse's documentation is the evidence of care that a client receives." "The nurse should note down assessments and significant changes in the client's health." "Nurses should always document the primary healthcare providers' responses whenever they are contacted."

A client in a health care facility in the state of Oregon requests that the nurse explain about primary health care provider-assisted suicide. What information should the nurse provide?

"A terminally ill client may make an oral or written request for primary health care provider-assisted suicide."

A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate? A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate? "It refers to the agreement to keep promises." "It refers to taking positive actions to help others." "It refers to the ability to answer for one's actions." "It refers to promoting open discussion whenever error occurs without fear of recrimination."

"It refers to promoting open discussion whenever error occurs without fear of recrimination.

A nursing student is listing the primary characteristics that establish nursing as a profession. Which statement made by the student needs correction? "Nursing has a code of ethics for practice." "Nursing has a theoretical body of knowledge." "Nurses are simply required to perform specific tasks." "Nurses have autonomy in decision-making and practice."

"Nurses are simply required to perform specific tasks."

What purpose does block and parish nursing serve in preventive and primary care services?

Block and parish nursing provides services to older clients or those who are unable to leave their homes.

While assessing a client with chills and fever, the nurse observes that the febrile episodes are followed by normal temperatures and that the episodes are longer than 24 hours. Which fever pattern does the nurse anticipate? A. Relapsing B. Sustained C. Remittent D. Intermittent

A nurse prioritizes client care using Maslow's hierarchy of needs. Which situation should the nurse address first according to Maslow's hierarchy? A client has a history of getting injured due to sudden falls. A client complains of sleeplessness due to pain post-surgery. A client complains that he/she feels lonely and socially isolated from others. A client conveys to the nurse that he/she wants to become the manager of the company.

A client complains of sleeplessness due to pain post-surgery.

Which patients are ideal candidates for interpreter service in order to prevent contributing health disparities? Which patients are ideal candidates for interpreter service in order to prevent contributing health disparities? An English-speaking patient with a speech disorder An African American patient with a hearing impairment A non-English-speaking patient in the emergency department A Spanish-speaking patient ready to be discharged from the facility An Indian American who does not speak the language used at the facility

A non-English-speaking patient in the emergency department A Spanish-speaking patient ready to be discharged from the facility An Indian American who does not speak the language used at the facility

The Quality and Safety Education for Nurses (QSEN) initiative addresses the challenge to prepare nurses with the competencies that are required to improve the quality of client care. Which scenario is representative of the teamwork and collaboration competency?

A nurse discusses the development of a special diet chart with a dietician for a diabetic client

A nurse is evaluating various scenarios related to the basic codes of ethics set forth by the American Nurses Association. Which situation is an example of following the principle of accountability?

A nurse ensures that all nursing actions performed during care can be explained to the client and the hospital.

A nursing student is evaluating different scenarios that are examples of following the basic health care principles. Which scenario is an example of following the principle of justice?

A nurse manager encourages the nurses to discuss their mistakes in order to improve the quality of care.

What key points should the nurse keep in mind about the legal implications of nursing practice? Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. Ensure that all incident and occurrence reports are filed only for errors that have caused injury to the client. Ensure that the client has given consent to any surgery or therapy voluntarily or involuntarily. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

The nurse provides back massage therapy to a client complaining of back pain. The nurse then monitors the client on an hourly basis to check if the client is feeling comfortable. Which standard of practice does the nurse perform?

Evaluation

Evidence-based practice

Who are the members of the panel that identifies new National Patient Safety Goals? Nurses Lawyers Pharmacists Risk managers Computer science specialists

Nurses Pharmacists Risk managers

How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients? How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients? It gives information about medications and their side effects. It provides information about various cultural practices and beliefs. It provides vocabulary to include nursing data in computerized information systems. It helps the nurse to conduct biosurveillance and gives information on various diseases.

It provides vocabulary to include nursing data in computerized information systems.

A child admitted to the hospital is in need of a life-saving heart transplant surgery. However, the parents refuse to allow the surgery stating that such surgeries are against their belief system. The nurse in charge of the client recognizes the situation as an ethical dilemma. What first step should the nurse take in order to resolve the dilemma?

Obtain information from the child, the parents, health care workers, and other sources.

According to the Institute of Medicine (IOM) competencies for the 21st century, what task should the nurse perform when using evidence-based practice?

Participate in research activities when possible.

Which antipyretic medication may cause Eye syndrome in children? A. Aspirin (Anacin) B. Naproxen (Aleve) C. Ibuprofen (Advil) D. Dantrolene (Dantrium)

A registered nurse is educating a nursing student about issues related to short staffing. What information should the nurse provide? "Nurses should refrain from walking out when faced with a short staffing problem." "Written protests relieve the nurses of responsibility if a client is injured due to inattention." "There is no likelihood of legal problems if enough nurses are not available to provide competent care." "Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable." "Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses."

"Nurses should refrain from walking out when faced with a short staffing problem." "Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable." "Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses."

A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate?

"The United Network for Organ Sharing (UNOS) has a contract with the federal government."

A nursing student is listing the points that need to be remembered about the loss of a client's medical records. Which point listed by the nursing student is accurate?

"There is an assumption that the care provided to the client was negligent."

A student nurse requests the registered nurse explain the characteristics of the primary nursing care delivery model. What explanation should the registered nurse provide? "There is lateral communication from nurse to nurse and caregiver to caregiver." "Team members provide direct client care under the supervision of the registered nurse (RN). "The team leader develops client care plans, coordinates care among team members, and provides care requiring complex nursing skills." "There is hierarchical communication from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members."

"There is lateral communication from nurse to nurse and caregiver to caregiver."

A cognitively impaired client's family member requests that the nurse list the benefits of using a respite care service. What information should the nurse provide about respite care services? "They are offered at home, in a day care setting, or in a health care institution that provides overnight care." "They include services like laundry, assistance with meals and personal care, 24-hour oversight, and housekeeping." "A group of residents live together, but each resident has his or her own room and shares dining and social activity areas." "Medicare health care plans do not cover this service, and Medicaid has strict requirements for services and eligibility." "It is a service that provides short-term relief or "time off" for people providing home care to an ill, disabled, or frail older adult."

"They are offered at home, in a day care setting, or in a health care institution that provides overnight care." "Medicare health care plans do not cover this service, and Medicaid has strict requirements for services and eligibility." "It is a service that provides short-term relief or "time off" for people providing home care to an ill, disabled, or frail older adult."

What information should the registered nurse provide when educating a nursing student about living wills? Select all that apply.

- Health care workers should always follow the directions of a client's living will. - Clients use living wills to declare any medical procedures they want or do not want when terminally ill - Living wills are written documents that direct the client's treatments in the event of a terminal illness or condition.

What services do community health centers provide in preventive and primary care services? Select all that apply.

- Health screenings - Physical assessments - Disease management

A registered nurse is teaching a nursing student about the characteristics of various healthcare plans. Which statements about preferred provider organizations (PPOs) by the nursing student need correction? Select all that apply.

- Preferred provider organizations reimburse nursing home payments. - Preferred provider organizations cover children who are not poor enough for Medicaid - Preferred provider organizations have deductibles that clients must meet before the insurance pays

A registered nurse is educating a nursing student about nursing malpractice. What information should the nurse provide? Select all that apply.

-"Nursing malpractice takes place when nursing care falls below the standards of care." -"Nursing malpractice may be prevented by developing a caring rapport with the client." -"Nursing malpractice may occur even when the nurses do not intend to harm the clients."

What key points should the nurse keep in mind about the legal implications of nursing practice? Select all that apply.

-Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. -Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. -Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

A nursing student is examining different scenarios to understand Quality and Safety Education for Nurses (QSEN) competencies. Which scenarios are examples of the QSEN competency called quality improvement? A nurse studies old medical cases about clients with Alzheimer's disease before formulating the care plan for a client. A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse demonstrates the method of using electronic health records to assure a client about confidentiality of the records. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.

A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.

The unlicensed healthcare worker assigned to the 7:00 am shift has not been coming to work until 8:00 am. Nursing care is delayed, and assignments are started late. What is the most appropriate action by the charge nurse/team leader?

Document the information before discussing it with the unlicensed healthcare worker.

A nurse manager in charge of a unit overhears two nurses in a hall filled with visitors discussing a client on the unit who has AIDS. What should be the nurse manager's initial action? Place an incident report in each nurse's personnel record. Note the situation and intervene if it happens again. Inform the nurse who is in the role of supervisor for the shift. Have a conference with the nurses and talk about the need for confidentiality.

Have a conference with the nurses and talk about the need for confidentiality.

Which statements are appropriate for a nursing instructor to include when teaching a group of students about high-quality health care? High-quality health care is expensive. High-quality health care is competent. High-quality health care meets the patient's needs. High-quality health care meets an established care standard. High-quality health care involves the minimal use of hospital resources.

High-quality health care is competent. High-quality health care meets the patient's needs. High-quality health care meets an established care standard.

The nurse is measuring the body temperature of four clients in a clinical setting. Which client is in need of rewarming through cardiopulmonary bypass? A. 94.2F B. 85.3F C. 89.4F D. 91.5F

The nurse tells a patient undergoing diuretic therapy to avoid working in the garden on hot summer days. What condition is the nurse trying to prevent in this client? A. Frostbite B. Heatstroke C. Hypothermia D. Hyperthermia

The parent to a preterm infant asks the nurse in the neonatal intensive care unit why the baby is in a bed with a radiant warmer. How does the nurse explain the increased risk for hypothermia in preterm infants? A. have a smaller body surface area than full- term newborns. B. Lack the subcutaneous fat that usually provides insulation. C. Perspire excessively, causing a constant loss of body heat. D. Have a limited ability to produce antibodies against infections.

Which is a characteristic of the glands that secrete a thick substance in response to emotional stimulation and become odoriferous because of bacterial action? A. Highly active in childhood B. Absent around the umbilicus C. Widely distributed throughout the body D. Grow in conjunction with axillary hair follicles.

Which action of a nursing student regarding The Joint Commission recommendations for creating a safe, welcoming environment for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients needs revision? Posting a patient's bill of rights and nondiscrimination policies visibly Arranging exclusive waiting rooms for LGBTQ patients and their families Providing information on special health care concerns for LGBTQ patients Avoiding assumptions about any patient's sexual orientation and gender identity

Arranging exclusive waiting rooms for LGBTQ patients and their families As per the recommendation of The Joint Commission, the nursing student should make all waiting rooms inclusive of LGBTQ patients and families, not special separate ones. This can be done by posting Safe Zone, rainbow, or pink triangle signs. As a best practice for patient safety and quality care, the nursing student should post the patient's bill of rights and nondiscrimination policies in a visible place. The nursing student should have adequate information on special health care concerns for LGBTQ patients and provide the same whenever required. The nursing student should never make assumptions about a patient's sexual orientation and gender identity.

A nurse working in an emergency department is concerned about a recent increase in malpractice claims against nurses. What is the best way for the nurse to prevent being named in a lawsuit? Write vague incident reports. Transfer to another department. Attend professional development programs Carry malpractice insurance.

Attend professional development program

The nurse is having difficulty understanding a client's decision to have hospice care rather than an extensive surgical procedure. Which ethical principle does the client's behavior illustrate?

Autonomy

A patient with multiple myeloma who is receiving chemotherapy has a temperature of 102.2F (39C). the temperature was 99.2F (37.3C) when it was taken 6 hours ago. What is a priority nursing intervention in this case? A. Assess the amount and color of urine; obtain a specimen for a urinalysis. B. Administer the prescribed antipyretic and notify the primary health care provider. C. Note the the consistency of respirations and obtain a specimen for culture. D. Obtain the respirations, pulse, and blood pressure; recheck the temperature in 1 hour.

After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102F (38.9C). Which priority concern related to elevated temperatures does a nurse consider when notifying the healthcare provider about the patient's temperature? A. A fever may lead to diaphoresis. B. A fever increases the cardiac output. C. An increased temperature indicated cerebral edema. D. An increased temperature may be a sign of hemorrhage.

A nurse is recalling common terms that are used in health ethics. What does beneficence in health ethics refer to?

Beneficence refers to taking positive actions to help others.

A client with terminal pancreatic cancer says, "I am suffering so much because there are evil spirits in my body." Which religion might the nurse expect the client to practice? Islam Judaism Buddhism Christianity

Buddhism

The nurse is measuring the body temperature of four neonates born at term in a pediatric health setting. Which neonate has normal body temperature? A. 35.5C B. 36.0C C. 37.1C D. 38.5C

A client with a head injury underwent a physical examination. The nurse observes that the client's temperature assessments do not correspond with the client's condition. An injury to which part of the brain may be the reason for this condition? A. Pons B. Medulla C. Thalamus D. Hypothalamus

A nurse is caring for a mother and neonate. What is the priority nursing action to prevent heat loss in the neonate immediately after birth? A. Bottle feeding immediately after birth B. Dressing the newborn in a shirt and gown immediately C. Bathing the newborn in warm water as soon as possible D. Putting the naked newborn on the mother's skin and covering the infant with a blanket.

The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition? A. Snowmobiling B. Skiing in the winter C. Hiking Alasking mountains D. Performing strenuous activity in high humidity

Disease management

The nurse needs to collect health care data for all employees at a multi-specialty hospital for research purposes. Which type of health information technology would the nurse access to obtain the needed information? Electronic health record (EHR) Electronic medical record (EMR) Clinical information systems (CIS) Regional Health Information Organization health record (RHIO)

Electronic health records are the official health records of an individual, which can be exchanged between facilities and health care agencies. Electronic medical records are primarily prepared and maintained within a healthcare provider's facility; they are not shared between facilities. Clinical information systems consist of the information technology that provides the best tools for achieving quality outcomes for clients. The RHIO health record is an individual health record which can be exchanged among providers across geographic areas

Twenty-four hours after a cesarean birth, a client elects to sign herself and her baby out of the hospital. Staff members are unable to contact her primary healthcare provider. The client arrives at the nursery and asks that her infant be given to her to take home. What is the most appropriate nursing action? Give the infant to the client and instruct her regarding the infant's care. Explain to the client that she can leave, but her infant must remain in the hospital. Emphasize to the client that the infant is a minor and legally must remain until prescriptions are received. Tell the client that hospital policy prevents the staff from releasing the infant until ready for discharge.

Give the infant to the client and instruct her regarding the infant's care.

Initiate an agency incident report.

A nursing student is listing the key points that need to be remembered to maintain health and wellness of the client. Which key points listed by the nursing student are accurately stated? "Internal and external variables are considered when planning care for the client." "The health belief model considers the relationship between a person's health beliefs and health behaviors." "The health promotion model highlights factors that increase individual well-being and self-actualization." "Holistic therapies are used by nurses only for pregnancy and pregnancy-related issues to help clients deal with the pain." "The American Nurses Association (ANA) emphasizes identifying a client's individual needs, prioritizing the needs, and encouraging the client's self-actualization."

Internal and external variables are considered when planning care for the client." "The health belief model considers the relationship between a person's health beliefs and health behaviors." "The health promotion model highlights factors that increase individual well-being and self-actualization."

Which action by a home care nurse would be considered an act of euthanasia? Implementing a "do not resuscitate" order in the home health setting. Abiding by the decision of a living will signed by the client's family. Encouraging a client to consult an attorney to document and assign a power of attorney. Knowing that a dying client is overmedicating and not acting on this information.

Knowing that a dying client is overmedicating and not acting on this information.

A client dies in the hospital 2 hours after being admitted. Who has the authority to decide if a post-mortem should be conducted?

Medical examiner

Which nurse participates in the development of nursing policies and procedures?

Nurse educator

A client with a mental illness in the emergency unit needs to undergo an emergency surgery. What would be the nurse's first course of action to prevent any legal complications?

Obtain consent from a person legally authorized to give it on the client's behalf, if available.

In order to provide ideal therapeutic communication to patients, a health care facility provides interpreter services. Which statement regarding an interpreter is correct? Interpreters can be relatives or friends of the patient as well. The interpreter should be able to make literal, word-for-word translations. The interpreter should be able to interpret not only the language but also the culture. The interpreter should be available as long as the health care provider is caring for the patient.

The interpreter should be able to interpret not only the language but also the culture.

A nurse complies to the American Nurses Association (ANA) standards of nursing practice. Which scenario is an example of assessment according to the ANA standards?

The nurse checks the client's ability to swallow before administering oral medication.

What does a nurse understand by the quality improvement competency, according to Quality and Safety Education (QSEN)? Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality healthcare Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision making to achieve quality client care Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? "People may consider strong values as opinions." "Evaluate a client's values and beliefs in terms of your own values." "Values vary among clients and develop and change over time." "The values that an individual holds reflect cultural and social influences." "To discuss differences in opinions and values, the nurse should be clear about his or her own values."

Values vary among clients and develop and change over time." "The values that an individual holds reflect cultural and social influences." "To discuss differences in opinions and values, the nurse should be clear about his or her own values."

A nursing student is listing examples of healthcare services. Which scenario is an example of restorative care?

Visiting a private residence to perform maggot-aided debridement therapy of a client's wound

When should a medical examiner decide whether a postmortem examination should be conducted?

When a client dies within 24 hours of admission to the hospital

a nurse assesses drainage on a surgical dressing and documents the findings. Which documentation is most informative? moderate amount of drainage no change in drainage since yesturday a 10 mm diameter area of drainage at 1900 hours drainage is doubled in size since last dressing change

a 10 mm diameter area of drainage at 1900 hours

A client has been diagnosed with type 1 diabetes. When providing instructions on sharps disposal, the nurse should instruct the client to place the syringes in what?

a plastic liquid detergent bottle with a screw-top lid

The nurse interviews a client about a current health problem. The nurse then obtains and documents the client's temperature, blood pressure, and heart rate. Which step of the nursing process is involved in this situation?

assessment

THe nurse manager working at a rehabilitation center for older adults notices an increase in the incidence of client falls. The nurse manager reprimands the nurses and staff responsible for the falls and places them on probation. Which statement best describes the nurse managers leadership style? autocratic leadership shared leadership good clinical leadership skills effective interprofessional leadership

autocratic leadership

A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? "The nursing manager coordinates the activities of the nursing staff in delivering nursing care." "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager investigates ways to improve nursing care and further define and expand the scope of the nursing practice." "The nursing manager provides independent care to women during a normal pregnancy, labor, and delivery, and also provides care for the newborn." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

"The nursing manager coordinates the activities of the nursing staff in delivering nursing care." "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

The nurse is preparing to insert an intravenous catheter in a thin, emaciated patient who is scheduled to begin intravenous fluid therapy. Which interventions should the nurse follow to provide high-quality care? Insert an 18 gauge IV catheter Change the intravenous line every 7 days Flush the intravenous line with normal saline Insert the intravenous catheter in the patient's femur Stop the insertion procedure when there is a break in technique

Flush the intravenous line with normal saline Stop the insertion procedure when there is a break in technique

The nurse is advised to join a community health center that mainly caters to Latino patients. Which skills should the nurse develop to help reduce health disparities? Learning to speak basic medical Spanish Updating clinical supplies at the health care facility Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values prevalent among the group

Learning to speak basic medical Spanish Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values prevalent among the group

The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition? Snowmobiling Skiing in the winter Hiking Alaskan mountains Performing strenuous activity in high humidity

Performing strenuous activity in high humidity

A nurse notices that a diabetic client is consuming chocolate brought by a family member. Which nursing action should a nurse perform to adhere to the principle of autonomy?

The nurse collaborates with a dietician to obtain a special diet chart for the client

After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102° F (38.9° C). Which priority concern related to elevated temperatures does a nurse consider when notifying the healthcare provider about the client's temperature? A. A fever may lead to diaphoresis. B. A fever increases the cardiac output. C. An increased temperature indicates cerebral edema. D. An increased temperature may be a sign of hemorrhage.

A registered nurse is educating a nursing student about the similarities and differences between the deontological and utilitarianism systems of ethics. What information should the nurse provide? The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome. Utilitarianism and deontology are closely related to the ethics of care because both ideologies promote a philosophy that focuses on understanding relationships. Both utilitarianism and deontology look into the nature of relationships and propose that the natural urge to be influenced by relationships is a positive value.

The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome.

Which belief of a nurse may have a negative effect on health services for minority patients? The mind, body, and spirit are distinct entities. The focus of an assessment should be on culture rather than race for children of multiracial, multicultural, and multiheritage marriages. Chinese patients may believe that disease is caused by fluctuations in opposing forces, the yin-yang energies. When taking a patient history, the nurse should record the patient's race according to how he or she self-identifies.

The mind, body, and spirit are distinct entities

The registered nurse observes a new graduate nurse caring for patients on a geriatric unit and concludes that the new graduate is providing patient-centered care. Which action by the new graduate led to the registered nurse's conclusion? The new graduate maintains eye contact with the patients. The new graduate spends more time with patients who have few visitors. The new graduate provides food according to the patients' preferences. The new graduate avoids holding the patients' hands while interacting with them.

The new graduate provides food according to the patients' preferences.

A nursing student is listing examples of nursing activities that conform to the American Nurses Association (ANA) standards of nursing practice. Which example listed by the nursing student is an example of diagnosis?

The nurse documents that the client is on the verge of losing mental stability due to low self-esteem and loneliness.

What professional responsibility does the nurse display as a client's advocate? The nurse protects the client's human and legal rights and provides assistance in asserting said rights. The nurse actively collaborates with other healthcare professionals to follow the best treatment plan for a client. The nurse explains concepts and facts about health, describes the reason for routine care activities, and demonstrates procedures. The nurse establishes an environment for collaborative client-centered care to provide safe, quality care with positive client outcomes.

The nurse protects the client's human and legal rights and provides assistance in asserting said rights.

A nurse notices that a client is in spiritual distress. Which nursing action establishes the nurse as a caregiver?

The nurse provides therapeutic treatment to the client.

A nurse needs to obtain consent for the medical treatment of a child whose parent is a minor. What appropriate step should the nurse take to obtain consent?

The nurse should ask the minor to give consent.

Which terms might the nurse use to describe a patient who was born a man but lives as a woman? Transvestite He-she Transgender Transwoman Transgendered Transman

Transgender Transwoman A patient who was born as a man but lives as a woman can be referred to as transgender or a transwoman. The nurse should also respect and use any other terminology the patient prefers. The terms "transvestite" and "he-she" are insensitive and offensive. The term "transgendered" is outdated; using the suffix "-ed" is inappropriate. A patient who was born as a woman but lives as a man can be referred to as a transman.

According to Quality and Safety Education (QSEN), what is patient-centered care? Understanding that the client is the source of control when providing care Functioning effectively within nursing and interprofessional teams to deliver quality care Using data to evaluate outcomes of care processes and designing methods to improve health care Minimizing the risk of harm to clients and health care workers through improved professional performance

Understanding that the client is the source of control when providing care

What activities should the nurse consider to be a part of the tertiary level of preventive care? Using a sheltered colony Providing selective placement Using environmental sanitation Providing work therapy in hospitals Preventing complications and sequelae

Using a sheltered colony Providing selective placement Providing work therapy in hospitals

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