ch 9, 10, 19, 24, 32, prep u

The nurse completed the minimum data set for a newly admitted client to a skilled nursing facility. Which action by the nurse is most appropriate? Assess the triggers from the data. Document the findings on an occurrence report. Provide a comprehensive written report to the client ombudsperson. Repeat the minimum data set in 2 weeks.

Assess the triggers from the data. 473

A nurse manager best demonstrates effective leadership characteristic by which action? Being very structured and rigid with the unit flow Knowing all information about the unit processes Indicating an interest in becoming a role model Sharing a vision for the unit and enlisting support

Sharing a vision for the unit and enlisting support 215

A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? Laissez-faire leadership Autocratic leadership Transactional leadership Democratic leadership

autocratic

A nurse is using the SBAR technique for hand-off communication when transferring a client. Which scenarios are examples of using of this process? Select all that apply. S: The nurse discusses the client's symptoms with the new nurse in charge. R: The nurse explains the rules of the new facility to the client. A: The nurse presents an assessment of the client to the new nurse. S: The nurse handling the transfer describes the client situation to the new nurse. R: The nurse gives recommendations for future care to the new nurse in charge. B: The nurse gives the background of the client by explaining the client history.

S: The nurse handling the transfer describes the client situation to the new nurse. B: The nurse gives the background of the client by explaining the client history. A: The nurse presents an assessment of the client to the new nurse. R: The nurse gives recommendations for future care to the new nurse in charge. 447

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. The nurse writes one or two broad objectives rather than several specific objectives. The nurse plans learner objectives with another nurse before obtaining input from the client and family. The nurse writes general statements for learner objectives that could be accomplished in any amount of time.

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? Staff nurses are developing innovative solutions to problems. Most client outcomes have improved but are not at target range. There is a decreased rate of retention among the nursing staff. Nursing administration is in control of all decision-making.

staff nurses are developing innovative solutions to problems. 220

The nurse is caring for a client with a sacral wound. Upon assessment, the wound is noted to be intact, reddened, and nonblanchable. What is the best way to document the nurse's assessment finding? As a stage I pressure injury As a stage II pressure injury As a stage III pressure injury As a stage IV pressure injury

stage 1

After talking with a group of staff nurses on the medical-surgical unit, the nurse manager identifies a need for change. When developing a plan for change, which question would the nurse manager need to ask first? Are there individuals within the group who might resist the change? Is the group ready for making the change? How quickly can the change be made? Is the behavior something that can be changed?

Is the behavior something that can be changed? pg 223

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? Provide teaching that works for the broadest base of clients. Determine client learning needs based on age and ability to hear effectively. Ask the client, "Do you learn best by observing, valuing, or doing?" Observe the client's behaviors.

Ask the client, "Do you learn best by observing, valuing, or doing?"

hich is not considered a skin appendage? Hair Connective tissue Sebaceous gland Eccrine sweat glands

Connective tissue

A postoperative client is being transferred from the bed to a gurney and states, "I feel like something has just given away." What should the nurse assess in the client? Infection of the wound Herniation of the wound Dehiscence of the wound Evisceration of the viscera

Dehiscence of the wound 1053

The nurse manager is concerned about staff being upset about the frequency of taking clients' vital signs and holds a meeting. The staff are allowed to make suggestions to amend the new policy and vote on which policy will be implemented. The nurse manager then makes the decision to implement the policy that is best. What types of leadership style(s) are being used by the nurse manager? Select all that apply Quantum Transformational Directive Transactional Participative

Directive Participative

Which attributes should be characteristic of a nurse mentor? Select all that apply. Is resourceful Deconstructs health care networks Is driven by financial reward Demonstrates leadership abilities Is supportive Embraces disruptive conflict Is an experienced, licensed professional

Is supportive Is resourceful Demonstrates leadership abilities Is an experienced, licensed professional

The nurse is documenting a progress note that relates to a client's health problem. What form of documentation is the nurse writing? PIE note flow sheet narrative note SOAP note

SOAP note 471

Which of the following are considered the building blocks of the immune system? Red blood cells Macrocytes Macrophages T lymphocytes

T lymphocytes

The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse demonstrates various positions in which to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. Which statement in this scenario illustrates Lewin's stage of refreezing? The nurse demonstrates various positions in which to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. The nurse recognizes that a new mother is having difficulty breastfeeding.

The new mother attempts to breastfeed the baby again using the new techniques and is successful.

A client who was injured when stepping on a rusted nail visits the health care facility. What is the most important assessment information the nurse needs to obtain? If there is contamination of dirt and debris The event leading up to the trauma Staging the wound for assessment The status of the client's tetanus immunization

The status of the client's tetanus immunization

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? Autocratic Laissez-faire Quantum Democratic

democratic

The nurse is helping a confused client with a large leg wound order dinner. Which food item is most appropriate for the nurse to select to promote wound healing? Pasta salad Fish Banana Green beans

fish

A client develops a fever. When assessing the client, the nurse determines that the client is in the crisis phase based on assessment of: decreased sweating. increased shivering. flushed skin. gooseflesh.

flushed skin

Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? Past experience Poor judgment Social pressure Normal rebellion

social presure

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept? Assimilation and application of psychomotor concepts is essential. The client and the nurse are equal participants. The nurse must be able to handle criticism during the process. The nurse is the expert in the teaching-learning environment.

the client and the nurse are equal participants.

A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? Democratic Autocratic Laissez-faire Transformational

Democratic pg 218

A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls? Involve family members in the client's care. Allow the client to use the bathroom independently. Keep the client sedated with tranquilizers. Maintain a high bed position so the client will not attempt to get out unassisted.

Involve family members in the client's care.

A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies? New systems are introduced to increase communication between nurses and the members of other health disciplines. Systems are reviewed with the goal of achieving the best client outcomes at the lowest cost. Hiring practices are reviewed to maximize the proportion of nurses who possess baccalaureate or graduate degrees. New partnerships are established between the hospital and local schools of nursing.

New systems are introduced to increase communication between nurses and the members of other health disciplines.

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way? Talk with animation and vocal inflection to stimulate the client aurally. Provide less health teaching because of the language barrier. Request family members to serve as translators. Elongate the teaching session to be sure the client understands.

Talk with animation and vocal inflection to stimulate the client aurally.

After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: ask the staff members for other solutions. plan to monitor the supply cabinets. assess whether the desired results have occurred. make an appointment with the chief nursing officer.

assess whether the desired results have occurred.

A client is meeting with the nurse to discuss options for smoking cessation. Which statement by the nurse is most appropriate for this client? "What do you see as your biggest hurdle to stopping?" "Most clients are successful when they use over-the-counter nicotine patches or gum." "Some people find that reducing cigarette consumption slowly over time is an effective option." "There are many options available. Which options have you previously tried?"

"What do you see as your biggest hurdle to stopping?"

Which nurse leader most clearly exemplifies transformational leadership? A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting A leader who prioritizes the delegation of leadership to the individual members of the group A leader who prioritizes the fact that every member of the team is considered valuable and equal

A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions 220

The client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? Select all that apply. Fill in information when the client has difficulty answering questions. Call the client by the client's preferred name. Approach the client from the front of the client. Correct the client when the client communicates erroneous information. Use simple words and short sentences when talking with the client.

Approach the client from the front of the client. Call the client by the client's preferred name. Use simple words and short sentences when talking with the client.

The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? Higher nurse retention Better patient outcomes Longer patient stays Improved job satisfaction scores

Better patient outcomes

Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is most accurately described as what? Client protection Problem solving Conflict resolution Delegation

Conflict resolution

The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership? Autocratic Laissez-faire Democratic Transactional

Democratic

A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client? Fungi Rickettsiae Protozoans Helminths

Fungi 597

When educating families on fire safety in the home, which information is important for the nurse to emphasize? Have a meeting place outside the home in case of fire. Account for all members and then exit together. Use extension cords to prevent shock. Keep a fire extinguisher in a closet.

Have a meeting place outside the home in case of fire

The nurse completed education with a client. Which documentation entry represents the most complete teaching plan? Start warfarin therapy initiated as prescribed; instructed to return to clinic for testing in 2 weeks. Discussed "Therapeutic Lifestyle Changes," printed materials reviewed, follow-up scheduled. Printed and verbal information provided on gluten-free diet. Questions answered. Verbalizes understanding. Follow-up scheduled. Written and oral instructions given. Return demonstration performed accurately.

Printed and verbal information provided on gluten-free diet. Questions answered. Verbalizes understanding. Follow-up scheduled. pg 199-200

To eliminate needlesticks as potential hazards to nurses, the nurse should: place the uncapped needle on a tray and carry it to the medicine room for disposal. immediately deposit uncapped needles into a puncture-proof plastic container. stick the uncapped needle into a Styrofoam block and deposit it in a plastic container. slide the needle into the cap and deposit it in a puncture-proof plastic container.

immediately deposit uncapped needles into a puncture-proof plastic container. 605

The nurse is caring for a pediatric client who became very ill after being in a day care where a number of other children are sick with the same condition. How will the nurse document this condition? Select all that apply. contagious disease noncommunicable disease health care-associated infection (HAI) communicable disease infectious disease

infectious disease communicable disease contagious disease 595

An older adult client from a long-term care facility is being admitted to the hospital with an infected wound on the left foot. What action should the nurse perform upon admission related to the client's residential occupancy? Insert an indwelling urinary catheter. Perform a nasal swab to identify colonization with methicillin-resistant Staphylococcus aureus (MRSA). Ask the client if any other clients in the facility have infected wounds. Give the client a complete bath to make sure the pathogens from the wound are decreased.

perform a nasal swab to identify colonization with methicillin-resistant Staphylococcus aureus (MRSA).

The nurse is conducting an in-serve on change theories. Which example should the nurse include in the presentation illustrating Lewin's three stages of change? Nurses work in groups to care for clients. Physicians collaborate with nurses. Quality client care is provided. Staff voice concerns among themselves about the requirement of mandatory overtime. A unit meeting is called to discuss the issues with management. The mandatory overtime requirement is reinforced by management. Multifunctional machines monitor clients' vital signs. Data from the machines is used to create trends in clients' health. The trends are compared to national norms and used to determine if measures can be taken to improve client care. A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.

A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care. 223

Which actions should the nurse perform to limit casual access to the identity of clients? Select all that apply. Posting information linking a client with diagnosis, treatment, and procedure on whiteboards Obscuring identifiable names of clients and private information about clients on clipboards Placing fax machines, filing cabinets, and medical records in areas that are off-limits to the public Keeping record of people who have access to clients' records Making the names of clients on charts visible to the public

Obscuring identifiable names of clients and private information about clients on clipboards Placing fax machines, filing cabinets, and medical records in areas that are off-limits to the public Keeping record of people who have access to clients' records

Collection of a wound culture has been ordered for a client whose traumatic hand wound is showing signs of infection. When collecting this laboratory specimen, which action should the nurse take? Remove the swab from the client's room immediately after collection and insert it in the culture tube at the nurse's station. Apply a topical anesthetic to the wound bed 30 minutes before collecting the specimen to prevent pain. Rotate the swab several times over the wound surface to obtain an adequate specimen. Apply a small amount of normal saline to the swab after collection to prevent drying and contamination of the specimen.

Rotate the swab several times over the wound surface to obtain an adequate specimen.

he nurse is caring for a client that is suspected of having a latex allergy. What item of personal protective equipment should the nurse use with caution? Surgical masks Goggles Pillows Gowns

Surgical masks Explanation: Surgical masks may contain latex. Pillows, goggles, and gowns likely do not contain latex. The nurse can order latex-free medical supplies, although most items in the acute care setting are latex-free including googles, pillows, and gowns.

A client has been diagnosed with a glioblastoma and the care team has determined that this brain tumor is inoperable. Which aspects of the client's subsequent care demonstrate adherence to the Quality and Safety Education for Nurses (QSEN) competencies? Select all that apply. The care team meets with the client and family promptly to identify their preferences for treatment. The care team balances the best available evidence about glioblastoma treatment with the client's preferences. Nurses proactively identify threats to the client's safety that may occur as treatment is provided. Each member of the care team uses the best available technology to organize and provide care. Treatments are chosen with the goal of minimizing the financial burden on the health care institution.

The care team meets with the client and family promptly to identify their preferences for treatment. The care team balances the best available evidence about glioblastoma treatment with the client's preferences. Nurses proactively identify threats to the client's safety that may occur as treatment is provided. Each member of the care team uses the best available technology to organize and provide care.

A nurse is teaching parents about Internet safety for children. Which action(s) is a recommended guideline for Internet use? Select all that apply. Keep identifying information posted on the web sites. Use filtering software to block objectionable information. Investigate any public chat rooms used by the children. Emphasize that everything read online is usually true. Be alert for downloaded files with suffixes that indicate images or pictures.

Use filtering software to block objectionable information. Investigate any public chat rooms used by the children. Be alert for downloaded files with suffixes that indicate images or pictures.

The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client? an 84-year-old male with four recent driving violations a 12-year-old male who sprained his wrist skateboarding a 42-year-old female who is a single mom with a sick child home from school a 16-year-old pregnant female who has morning sickness

an 84-year-old male with four recent driving violations Explanation: Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 27: Safety, Security, and Emergency Preparedness, pp. 755-756. Chapter 27: Safety, Security, and Emergency Preparedness - Page 755-756

A 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to: falls from beds. automobile accidents. play-related injuries. falls from staircases.

automobile accidents. Explanation: Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 27: Safety, Security, and Emergency Preparedness, pp. 768-769. Chapter 27: Safety, Security, and Emergency Preparedness - Page 768-769

A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? contagious disease infectious disease communicable disease noncommunicable disease

noncommunicable disease 595

A nurse manager reviews an employee's contribution to the nursing division annually. This process is: interpreting quality indicators. performance appraisal. employee's job satisfaction survey. reward and development survey.

performance appraisal. 220

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way? uses medical terminology to help the client feel smarter gives instructions in multiple ways so the client will understand provides general teaching instead of specificity regarding diagnosis uses videos, diagrams, and pictures rather than focusing on verbal teaching

uses videos, diagrams, and pictures rather than focusing on verbal teaching pg 190