davis advantage nurs201 missed questions

"Client states, 'I don't see the point in trying anymore.'"

How should a nurse best document the assessment findings that have caused the nurse to suspect that a client is depressed following a below-the-knee amputation?

Clinical pathway

Nurses on an orthopedic nursing unit use standardized care plans that incorporate nursing, physical therapy, occupational therapy, and case management actions for clients who experience a particular surgery. Which type of care plan do these nurses use?

economic, quality care.

One of the primary advantages of the managed care model is:

a cognitive outcome

The client identifies three strategies for minimizing leakage of an ileostomy bag. This is an example of:

True collaboration

The health care team has convened to discuss the care of an end-of-life client who is not able to achieve an acceptable level of comfort. The physician asks for the nurse's perspective of the situation. Which standard for establishing and sustaining healthy work environments does this action represent?

Start from client's knowledge, teach about diet modifications, and check for learning.

The nurse admitting a client with a new diagnosis of diverticulitis plans to teach the client about managing the disorder after discharge. What nursing intervention most completely meets the client's needs?

Psychomotor

The nurse developed a plan for a client and has been working with the client for several months. The client reports feeling better due to an ability now to participate actively in water aerobics. What type of outcome is this?

Nursing assistant who is a nursing student

The nurse is coordinating care for a client with continuous pulse oximetry who requires pharyngeal suctioning. To which staff member should the nurse avoid delegating the task of suctioning?

identify actual and potential health problems.

The purpose of obtaining a nursing history is to:

Alteration in roles. Economic problems. Alterations in lifestyle. Decrease in social interactions.

What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply.

Gather data from sources

What must the nurse do to identify actual or potential health problems?

The nurse assesses the client's response to pain medication.

Which nursing action reflects evaluation?

DRGs have helped to reduce healthcare costs by decreasing the overall length of a client's hospital stay.

A client asks a nurse about the benefit of using diagnosis-related groups (DRGs) as a reimbursement method. Which is the nurse's best response?

Refer the client to a social worker to determine eligibility for assistance.

A client diagnosed with terminal leukemia is receiving home health care services to assist in the client's care. After assessing the client, the home health care nurse determines that the client is unable to afford needed medical supplies. Which is the best strategy for the nurse to implement to assist the client?

"I just don't have time to take a shower."

A client is caring for the client's mother-in-law, who is an older adult who requires assistance with performing activities of daily living. Which statement by the client would lead the nurse to make a nursing diagnosis of Caregiver Role Strain?

The nurse withholds the medication and notifies the health care practitioner

A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care?

creating an atmosphere for discussion of feelings.

A client shares with the nurse how much the client appreciates understanding the physiology of breastfeeding. The client states, "I felt very comfortable with what you explained to me, and I feel I will be successful at breastfeeding." In affective learning, this represents the nurse:

Discuss possible alternatives to a blood transfusion with the physician.

A client tells the nurse, "My doctor has told me I have to have a blood transfusion, but I am a Jehovah's Witness and I can't take one." What is the nurse's most appropriate intervention?

The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client.

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained?

Readiness for Enhanced Knowledge: Childhood Immunizations

A community group has requested the public health nurse to present a program describing the advised schedule of immunizations for children. To plan for this program, what nursing diagnosis would be most appropriate for the nurse to select?

convert information from one language into another without adding personal comments demonstrate proper respect for all involved will be familiar with medical terminology

A high school senior is considering seeking the necessary training to become certified as an interpreter for the local hospital. Which factor(s) would be important for the student to ensure would be included in the training program? Select all that apply.

"The client and family are in control of the setting, not the nurse."

A home health care nurse is explaining to an emergency room nurse how nursing care in the home setting differs from that in the hospital setting. Which statement by the home health care nurse would be most appropriate?

Risk for Community Contamination related to possible environmental pollution

A new chemical plant is being built in the community. The nurse is concerned about the possibility of environmental pollution adversely affecting the health of the residents. What nursing diagnosis would the nurse use to address this concern?

completely unmet.

A new mother is having difficulty breastfeeding a newborn. A goal was established stating that the infant would be nursing every 2 to 3 hours by age 1 week. The mother presents to the follow-up center at 1 week and reports having discontinued breastfeeding 4 days ago. The nurse evaluates the original goal as:

Prioritize the nursing diagnoses.

A nurse has developed a plan of care for an adult client. What nursing function is important when using nursing diagnoses to guide the care of this client?

Primary care center

A nurse has very strong client education skills. In which health care setting would the nurse make best use of these skills?

outcome.

A nurse identifies the following: "The client will report a pain rating of 4 or less within 30 to 45 minutes of receiving prescribed analgesic." The nurse has identified:

Serving as a liaison between the family and the committee members Presenting explanations about technical terminology Advocating for the client's wishes

A nurse is asked to serve on an ethics committee. Which roles would the nurse be required to fill on the committee? Select all that apply.

Using reassuring body language and making eye contact to assess needs

A nurse is assigned to care for a client who does not speak the dominant language. An interpreter has been contacted and will be at the bedside shortly. Which action by the nurse would be most effective in reassuring the client until the interpreter arrives?

Duty Breach of Duty Causation

A nurse is being sued for malpractice in a court of law. What elements must be established to prove that malpractice or negligence has occurred? Select all that apply.

Educational

A nurse is demonstrating Foley catheter care to a client. Which type of nursing intervention does this best represent?

Control or manipulation is rarely used. Reality is not viewed as a fixed entity. Intuition is used for analysis.

A nurse is reviewing a qualitative research study. Which aspects of this type of study would the nurse need to keep in mind? Select all that apply.

Seek research about the disorder.

A nurse is writing an initial plan of care for a client with a rare condition. The nurse has little experience with the condition. What action by the nurse will result in the best plan of care?

Critical reflectivity

A nurse providing care to a client questions judgments and considers other ways of thinking about the client's situation. Which behavior is the nurse demonstrating in the care of the client?

"I am very stressed now because I do not understand how things work on this unit."

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock?

"I would like to engage our dyadic nuclear families in activities to strengthen their parent-child bonds."

A school nurse is providing orientation to a nurse hired to provide care at a new elementary school opening in the district. The orienting nurse would ask for additional clarification about which statement made by the newly hired nurse?

My wife's been gone for about 7 months now."

An 87-year-old client has been admitted to the hospital several times in the past few months for exacerbations of chronic obstructive pulmonary disease and elevated blood glucose levels. Which statement by the client could help identify the most likely reason for the changes in the client's health status?

Airlifting the client to a local trauma center for emergency surgery

An illegal immigrant with no health insurance sustained life-threatening injuries in an automobile accident. Which action in this case demonstrates the ethical principle of justice?

Time-lapsed assessment

An older adult client who has been living in an assisted living facility for several months informs a visiting family member that a nurse is coming to do some kind of checkup. Which type of check would be most appropriate for the nurse to perform on this client?

Ineffective Coping; verbalizes support systems.

An older adult client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. The client is tearful and reports feeling lonely and abandoned in the hospital unit. The family visits daily, and flowers and cards are in the room. Documentation in the chart indicates that the client's pastor has been by twice in the past week to visit. Which nursing diagnosis and outcome criteria need to be addressed immediately for this client?

A nurse is caring for a client who will be discharged home but will have a complex medication regimen and follow-up with several providers. Which strategies will the nurse employ to provide discharge teaching? Select all that apply.

Divide the content into several short sessions. Be prepared to review and repeat information. After teaching have the client repeat back the key points. Use visual aids to help explain teaching.

"You will only stay until you are well enough to go home.

It is recommended that a client go to a convalescent center upon discharge following a minor stroke. The client says, "I don't want to go anywhere, I want to go home." Which information should the nurse offer?

Authoritative knowledge

Knowledge gained from someone with a great deal of perceived experience is which type of knowledge?

Finances of the client

Priority setting is based on the information obtained during reassessment and is used to rank nursing diagnoses. Each factor contributes to priority setting except which?

Occupational therapist

The client is being discharged to the home setting following a stroke. The client requires assistance in relearning how to cook safely. To which home health care team member should the nurse refer the client?

Monitor for resolution of the problem.

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next?

What people believe to be true about their health

The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?

Communication

The nurse is collecting data from a client during a complete assessment. Which skill is the nurse demonstrating when documenting the assessment data?

Activity and rest

The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems?

Assess the client's back visually.

The nurse is performing an assessment on a client who reports having a rash on the back that is red and raised. What would be the most appropriate nursing action?

Assess the client's blood pressure to determine if the medication is indicated.

The nurse is preparing to administer a blood pressure medication to a client. To ensure the client's safety, what is the priority action for the nurse to take?

Ask the client what the client feels is the greatest learning need to manage diabetes care. Determine whether the client has a support system in place to assist if necessary. Determine whether the client is ready to learn about the care of diabetes.

The nurse is preparing to educate a client newly diagnosed with diabetes about various aspects of home management techniques to maintain control of blood glucose levels. When performing education, what action(s) should the nurse take when assessing the learning needs of the client? Select all that apply.

"You have made an amazing recovery."

The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left the client immobile. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the best response by the nurse?

Family counseling

The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion?

Certified nursing assistants, orderlies, attendants, and technicians

Unlicensed assistive personnel (UAP) include which workers?

Providing direct client care

What nursing function would be most commonly found in an ambulatory care facility?

the interventions planned must be within the nurse's scope of practice.

When developing an appropriate nursing diagnosis, the nurse needs to keep in mind that:

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

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style?

Do smokers and the obese who do not make necessary lifestyle changes deserve the same health care as people who lead healthier lives? Is someone who can afford to advertise for an organ donation more deserving than someone who has been waiting months for a transplant? Should citizens pay higher insurance premiums and/or taxes so that someone who overdoses on heroin can have intensive care? Should undocumented peoples in the U.S. have the same access to health care as its citizens?

Which are ethical issues that need to be considered as health care reform continues? Select all that apply.

The nurse considers the individual needs of clients.

Which characteristic is the most important indicator of high-quality nursing practice?

Health is a state of complete well-being.

Which definition of health is the best?

Affordable Care Act

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge?

By 18AUG2015, the client will demonstrate improved motion in the left arm.

Which is a psychomotor client goal?

A client report of shooting pain up the left leg

Which is an example of a subjective finding that the nurse would likely obtain when performing a review of systems (ROS)?

Helping to allay a client's fears about surgery

Which is an independent (nurse-initiated) action?

Client

Which is the best source of information for the nurse when collecting data for an assessment?

Palpating a mass in the right lower quadrant of the abdomen

Which is the most appropriate example of the assessment phase of the nursing process?

Ensuring a smooth and safe transition between different health care settings

Which is the primary goal of continuity of care?

the physician

Which member of the health care team is most often responsible for providing the order that will begin a client's course of home health care?

Sociocultural needs.

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

A nurse assesses a client with mobility issues to see how the client is doing with fall prevention strategies they practiced before.

Which scenario is an example of a time-lapse reassessment?

A nurse who demonstrates advanced expertise in a content area of nursing through special testing

Which scenario is an example of certification?

The client's right leg is cold to the touch, from the knee to the foot."

Which statement made by the nurse indicates data that would be documented as part of an objective assessment?

It is a systematic way of thinking.

Which statement regarding critical thinking in nursing is true?

Systems are in place to pay for performance and penalize hospitals for excessive readmissions."

Which statement regarding health care reform trends is most accurate?

It is important to be on time for your health care appointment.

Which teaching statement best exemplifies cultural competence in relation to time for the American culture?

Learn from the mistake and do not repeat it.

While caring for a client from a culture different from the nurse's, the nurse inadvertently offends the client. What is the best action by the nurse?