EAQ study
which statement about the care the interdisciplinary team provides to a client with hemiplegia is correct?
the speech therapist is responsible for improving the client's oral communication
what would a nurse need to 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.
which factor is most important to consider when evaluating the appropriateness of a family member's initial response to grief?
cultural background
which source of funding would support a city health department that provides home health services under the governance of local unit of government? sata
grants, county revenues, fees from limited sources
which food would the nurse expect to be restricted by the dietician for a client on a low-sodium diet? sata
ham, cheese, hot dogs, dried fruit, lunch meats
which action would a nurse take to prevent cross-contamination?
hand hygiene
which location would the nurse explain the weight must be placed when providing crutch-walking instructions to a client with a left-leg cast?
hands
which statement is true regarding the focus charting format of documentation?
it uses a modified list of nursing dx
which type of home health agency uses fees from all sources?
hospital
which is the facility-level organizational model for disaster management?
hospital incident command system (HICS)
the nurse finds that a client has an increased temperature. which other sign would the nurse expect to see on further assessment?
increased respiratory rate
which type of health care organizations is appropriate for a client who is unable to meet to a psychological disability?
long-term care facility
which power does the nurse posses that has a great skill in teaching clients different self-care activities and is sought out by colleagues to teach their clients?
information
which intervention is used to measure axillary temperature?
inserting a probe into the center of the axilla
which nonverbal method of communication might offend a mexican american client?
maintaining direct eye contact with the client
which system financially support a 40 yo, low-income client with a cardiovascular disease, hypertension, and cerebrovascular accident when the primary health care provider suggest long-term?
medicaid
which system would pay for a hip replacement for a low-income client after a hip fracture?
medicaid
which service is covered by the hospice medicare benefit? sata
medication, equipment, palliative care related to the terminal illness
a client with dementia adheres to a biomedical health belief system. which treatment will the client prefer? sata
medicine, minor surgery
the nurse is caring for a client who underwent surgery for a pituitary tumor. which task can be delegated to unlicensed assistive personnel?
monitoring vital signs
which health care organization is concerned with the type of facility who has terminal pancreatic cancer and is not expected to live much longer might seek?
national hospice and palliative care organization
which findings describe the dx of brain dead?
no cortical functioning with some reflex breathing
the public health nurse is leading a workshop for families on personal disaster preparedness in the community. which information would be included for the families? sata
nonperishable food, cell phone and charger, flashlight with batteries
which health care professionals can be delegators?
nurses
which model of nursing care would include working 'within the walls' as well as 'beyond the walls' of the hospital?
nursing case-management model
which home care service provided to older adults may charge an extra fee? sata
nutritional programs, transportation
which factor would a nurse suggest can be improved to decrease the susceptibility of infection in an older client?
nutritional status
which risk factor would the nurse include when screening a preoperative client? sata
obesity, diabetes, smoking, peripheral vascular disease, advanced age with inactivity
while communicating with the primary hcp via phone, the nurse wants to repeat the prescription to ensure better understanding. which method of communication of sbarr would the nurse choose?
read-back
which health care facility provides care to a client who is unable to perform activities of daily living (ADLs) when the caregiver in unavailable?
respite care facility
which right of delegation involves a description of limits and expectations?
right direction
which statement is true about -do-not-resuscitate (DNR) orders?
the physician consults with the client before writing DNR orders.
a client with a stage 4 pressure ulcers to receive 0.22g of zinc sulfate by mouth. each tablet contains 110mg. how many tablets should the nurse administer?
2
how many milliliters per hour would the nurse set the volume control device to deliver an intravenous infusion of 800 mL per 24 hours?
33 mL
at which client age is an electrocardiogram performed preoperatively?
40 years
which age would a nurse suggest a client begin glaucoma screening examinations?
40 years
which organization developed a document that provides clarity regarding the needs and rights of a client who has been admitted to a long-term care facility?
American hospital association
which religious group may refuse an autopsy?
Christian Science
while caring for a client with schizophrenia, a nurse understands that psychotherapy is against the client's religious beliefs. to which religious community does the client likely belong?
Christian Science
what describes the I in the SOAPIER charting acronym?
a specific care or action plan
which process signifies that a nursing education program has met a higher set of standards?
accreditation
a client of which culture is most likely to interpret eye contact as hostility or aggressiveness?
appalachian
which part of the nursing process is documented in discharge and transfer forms?
assessment
which element of decision making does a nurse exhibit when developing and implementing a discharge plan?
autonomy
before cleaning and dressing a surgical wound, the nurse introduces herself to the client and explains the procedure. which critical thinking attitude is the nurse applying?
confidence
while assessing an immobilized client, the nurse notes that the client has shortened mover a joint, preventing full extension. which condition does this describe?
contracture
which term would the nurse use for soft, crackling, bubbling breath sounds more obvious on inspiration?
crackles
which consideration would the nurse take into account when adjusting the intravenous drip rate using gravity?
drops per milliliter delivered by the infusion set
which advice would a physical therapist give to a nurse caring for a client who is immobile?
each movement is to be performed a minimum of three times
which statement describes the secondary level of prevention?
focused on individuals who are in the early stage of their illnesses
the client refuses to receive the recommended treatment after a minor car accident because he believes medical treatment is against his god's wishes. which type of health belief system, is this client adhering to?
folk
which action by the nurse ensures safety during rectal temperature measurement?
holding into the thermometer throughout the procedure
which organizational care suggested by the primary health care provider is most appropriate for a client who has a terminal breast cancer and a life expectancy of 6 months
hospice
the registered nurse is planning to provide feedback to the licensed practical nurse. which questions asked by the rn helps to assess the lpn's work? sata
how did the client respond? what changes were observed in the client?
which term would the nurse use to describe an impromptu meeting that is held when the need arises?
huddle
which response given by the unlicensed nursing personnel (UNP) indicates effective understanding of the tasks that may have been allocated by the nurse? sata
i must assist the client with oral care i must give a sponge bath to the client every morning i must monitor the blood pressure of the client at regular intervals.
which statement reflect ethnocentrism?
i sincerely believe that the beliefs and practices of the culture i was born into are the best
which statement about palliative care needs correction?
is aimed at improving comfort and prolonging life at all costs
which is an example of a nurse-initiated intervention?
keeping edematous lower extremities elevated on pillows
which statement is true regarding medicaid?
medicaid provides services to clients of all age groups
which type of abuse involves a caregiver failing to give medication's on time to an older adult?
neglect
which type of treatment would the direct care nurse assist in to provide tertiary care?
rehabilitation
which statement explains the goal of a rehabilitation organization?
restoring the client's level of functioning
what is the role of a chaplain on a rehabilitation team?
spiritual consultant
which strategy may provide the least accurate reading while measuring the tympanic temperature in client?
the client has been outdoors for more than 10 minutes
which principle would legally apply when a nurse discovers burns due to the incorrect setting of a heating pad?
the nurse could be held liable for the injury that occurred.
a client with terminal cancer is to receive 4 mg of hydromorphone intravenously every 4 hours as need for severe breakthrough pain. it is supplied at 10mg/ml. when the client complains of severe pain, how much solution of hydromorphone would the nurse administer?
0.4
which rate is the minimum urinary output in a postoperative client and would cause the nurse to contact the surgeron?
0.5 mL per kg hour
which intervention is appropriate for the client brought to the hospital with heat exhaustion? sata
0.9% normal saline iv placing a moist sheet over the client initial fluid bolus to correct hypotension placing in a cold area and removing constrictive clothing
which temperature is required during sterilization using a steam sterilizer?
250 F (121C)
which is the briefer adaptation of the charting format foe the POMR?
SOAPE
which client's home health services will medicare reimburse?
a weak client who needs assistance with bathing
which biological agent be used in bioterrorism> sata
anthrax, botulism, smallpox
which therapy is considered palliative care in the end stage of human immunodeficiency virus (HIV) disease? sata
antibiotic therapy, blood transfusion, intravenous therapy
which foot condition is common among older adults? sata
arthritis, metatarsalgia, hammer toes, ingrown nails, fungal infections, corns and calluses
which act put in place by the untied states congress imposed new limits on home health care payments?
balanced budget act (bba)
which tort in nursing practice involves intentional touching without the client's consent?
battery
which is an example of tertiary care?
caring for a postoperative client who is suffering from respiratory distress in the intensive care unit
which is the role of unlicensed assistive personnel in iv therapy for a client?
collecting the data to be used in the assessment of the iv site
which term describes the injury of a client with a closed soft tissue injury?
contusion
which action would the nurse focus on to present a powerful image when interviewing for a management position? sata
conveying positive body language appearing well groomed and well-dressed showing confidence in work abilities
which statement accurately describes human core values?
core values are clarified by one's actions.
which role is a nurse playing when helping a client to clarify health problems and choose the appropriate courses of action?
counselor
which recommendation would a nurse give to parents when asked about making the household safer for their children? sata
cover electrical outlets secure stairways with a safety barrier keep children away from hot surfaces do not drink hot liquids while holding an infant avoid using tablecloths that hang over the table within an infant's reach
which action would the nurse perform to prevent pulmonary contamination when caring for victims of a dirty bomb? sata
cover victims' noses and mouth
which action would the nurse take initially when obtaining consent for surgery?
determining whether the client's knowledge level is sufficient to give consent
which is the definition of health disparities?
difference in the incidence, prevalence, mortality rate, and burden of disease that exist among specific populations
which nursing behavior is an intentional tort?
divulging private information about a client's health status to the media
which surgery would the nurse anticipate the surgeon would have written 'no coughing' in the postoperative instructions?
eye surgery
which surgery contraindicates the controlled coughing technique? SATA
eye, neck, head, brain, spinal
which intervention would the nurse implement when assessing an older adult client who has a hearing impairment?
face the client when speaking
which skill would be essential for an effective nurse manager to develop and improve collaboration with others? sata
flexibility, ability to listen to others, ability to share information and ideas
which organization provides health care to members for a fixed prepaid rate?
health maintenance organizations
which member of a primary hospice team is responsible for rendering personal care and assisting with the bathing of clients?
hospice aid
which response would the nurse use when a client expresses concern about the surgical consent the client signed?
inform the health care provider of the client's concern
which system is involved in the synthesis of chemicals?
integumentary
which statement about family violence indicates a need for further teaching? sata
it occurs only in certain social classes. social isolation decreases the risk
palliative care offers which benefit to the client? sata
it promotes informed decision making it enhances symptoms relief it provides the client more opportunity to work in issues of life closure.
which statement describes the reason for using surgical asepsis during a dressing change?
keeps the area of microorganisms
which type of leadership does the leader who avoids responsibility and asks the staff to self-schedule client care assignments exhibit?
laissez-faire
which statement by the nurse indicates the need for further teaching?
logrolling requires one nurse to move the body and one to move the feet in incoordination
a 65 yo client i depressed and has dementia, and the family can no longer care for the client. which health care facility would be most beneficial for the client?
long-term care facility
which classification describes an infection that a surgical client developed in a wound during hospitalization?
nosocomial
which system would provide a safe environment for the client with type 2 diabetes and hypothyroidism in a long-term facility?
occupational safety and health administration
which type of home health agency is supported by fees from limited sources?
official
which dx would the nurse receives immediate care?
open fractures
which client assessment finding would the nurse document as subjective data?
pain rating of 5
a client who was injured in a traffic accident is admitted to the emergency department. the primary hcp dx a knee fracture and preforms surgery. which system would pay the health agency based on the client's dx?
prospective payment system (pps)
how is public health nursing different from community health nursing?
public health nursing focuses on the population
which theory provides a basis to identify and test nursing care behaviors to determine whether caring improves client health outcomes
swanson's theory of caring
which expected outcome is desirable for a care plan for a client with the risk for infection?
the client will be free of signs and symptoms of infection by discharge
which nursing action would the nurse take first when discovering a newly admitted client has a stage 1 pressure ulcer?
turn and reposition the client every 2 hours
a client gets up a 0500 each sunday and bows 3 times before a picture of the reverend sun myung moon and mrs moon. the client vows to help the reverend to accomplish his mission on earth. to which religion does the client belong?
unification church
while collecting a client's urine sample, which condition would the nurse suspect if the sample has a strong odor of ammonia?
urinary tract infection
which action would break the chain of infection by directly affecting the mode of transfer?
vector control
the nurse hangs 100 mL bag of dextrose in water (D5W) with 20 meq of potassium chloride to be administered at 80 ml per hour. the hcp then prescribes a stat infusion of iv antibiotic of 100ml to be administered piggyback over 1 hour. how much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion for the secondary infusion of the antibiotic?
1 hour
a client with gastroesophageal reflux is to receive metoclopramide 15 mg orally before meals. the concentrated solution contains 10 mg/ml. how much solution would the nurse administer?
1.5
ceftriaxone 2.5g ivpb is prescribed for a client with a severe infection. the pharmacy sends a vial labelled 5g per 10ml. what volume of ceftriaxone would the nurse add to the ovpb solution?
5
which statement indicates the need for further discussion in regard to health maintenance organizations?
HMOs provide an unlimited network of health care providers, hospitals, and other health care providers
which statement about preferred provider organizations (PPOs) is correct?
PPOs offer a discount on fees in return for a larger pool of potential clients.
who governs a proprietary home health agency?
a board appointed by the owner
which statement by the nurse indicates that teaching about effective communication was understood?
a check-back includes the sender verifying that the message was received correctly.
which appearance would a nurse expect to find when a client has a stage 3 pressure ulcer?
a deep crater with exposed fat
which definition best describes a vesicle as commonly seen on clients with poison ivy?
a lesion filled with serious fluid
how does the amount of hemoglobin in the blood affect oxygenation?
a low hemoglobin level causes reduced oxygen-carrying capacity
which of the four clients would qualify for home health services under medicaid?
a low-income client in the last stage of cancer
which point about nursing theories is accurate?
a nursing theory helps identify the focus, means, and goals of practice. theories give perspective to assess the situation of a client and to organize data and methods for analyzing and interpreting information. application of nursing theory in practice depends on the knowledge of nursing and other theoretical models, how they relate to one another, and their use in designing nursing interventions.
the registered nurse delegates a task to licensed practical nurse/ if the lpn fails to perform the task within acceptable standards, which would happen? sata
a potential for nursing malpractice emerges the institution remains legally responsible for the situation the accountability for care remains with the rn
how does the world health organization (WHO) define health?
a state of complete, physicals, mental, and social well-being
which sign indicates elevated body temperature? sata
anorexia, glassy eyes, elevated respiratory rate
which documentation supports the finding of a pulse deficit?
apical pulse 86 and radial pulse 78, indicating pulse deficit of 8
which task would the nurse delegate to the unlicensed assistive personnel (UAP) for a client being prepared for exploratory laparotomy?
apply a condom catheter
when suctioning a client with a tracheostomy, which safety ,ensure would the nurse take into consideration?
apply suction only as the catheter is being withdrawn
which is the best communication technique for the nurse to use when beginning to teach the client about a restricted diet?
ask what the client knows about the diet that was prescribed.
which strategy would be applied by the registered nurse to open lines of communication with a recently hired lpn?
asking
which is the priority nursing action to provide culturally sensitive care to a client from another culture who is involved in a motor vehicle crash?
asking the client and family whether there is any special care related to their culture
which temperature measurement site is considered the least accurate?
axillary
a client had a surgery on the shoulder, and the nurse is to obtain a brachial pulse. which area in the illustration is best to palpate to obtain the brachial pulse rate?
b
hat does the b stand for in sbar?
background
a nurse administers an intramuscular analgesic against the will of a terminally ill client. which crime would the nurse be charged with in this situation?
battery
which ethical principle do nurses follow when they protect life and promote the well-being of all clients?
beneficence
which type of counseling would the nurse recommend as most appropriate immediately after a client's spouse's death?
bereavement
how soon would the nurse expect sensitivity results to be available for a client who is bacteremic?
between 48 and 72 hours
which object may be used by the attendant helping to position a client returning from a surgery? sata
boots, pillows, sandbags, hand rolls, trochanter rolls
which term would a nurse use to describe the explanation of who is in charge, the lines of communication, and the responsibilities and expected behaviors given by a team leader?
brief
which client statement indicates understanding of back safety instructions?
carrying objects close to my body will prevent back injuries
which personal protective equipment is most essential when changing the bed linens of a client with a wound draining seropurulent secretions?
clean gloves
which one of the four clients is the most appropriate candidate to admitted to a long-term care facility?
client 2
which method best evaluates the effectiveness of communication with a client?
client feedback
the nurse receives a report on newly admitted client who is positive for clostridium difficile. which category of isolation would the nurse implement for this client?
contact
which communication technique would the nurse utilize when discussing health care decisions with a Spanish-speaking client when the nurse does not speak the same language?
contact an interpreter provided by the facility.
while assessing the body temperature of a client, the nurse finds the client has a subnormal temperature. which intervention is beneficial for the client?
covering the client with blankets
which intervention would the nurse explain would be of benefit to a client with arthritis?
craft activities planned by the activity director
which factor would the nurse take into consideration after finding a client crying who was told he or she had a month to live?
crying releases tension and frees psychic energy for coping
which step of the licensed practical nurse (LPN) nursing process is the nurse using when conducting a client's preoperative nursing interview?
data collection
which process involves transferring responsibility to multiple hcp, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care?
delegation
a nurse overhears an unlicensed assistive personnel (UAP) talking with a client about the client's marital and family problems. which statement would the nurse identify as the uap providing the client with false reassurance?
everything will be fine; just wait and see.
which function is related to skeletal muscle? sata
eye movements, movement of bones
which statement is true regarding factors that affect body temperature?
females generally have greater variations in body temperature
which intervention is appropriate for measuring a tympanic temperature in a 3 yo client with an electronic thermometer? sata
fitting an ear probe snugly into canal pointing the digital readout toward the nurse sliding a disposable plastic speculum cover over the otoscope-like tip
which type of documentation uses a modified list of nursing dx as an index for nursing documentation instead of a problems list?
focus charting format
which statement describes case management?
focuses on improving care coordination and reducing service fragmentation for individuals and families
which physical finding is most likely associated with child sexual abuse?
foreign bodies in the urethra
which palliative surgical procedure involves insertion of a catheter into the stomach that is sutured to the abdominal wall?
gastrostomy
which indicator developed by the world health organization (WHO) provides an overall outlook on the health of the global population and can be used t/o support prioritization of health issues
global burden of disease
which statement regarding health disparities is true?
health disparities encompass differences in incidence, prevalence, mortality rate, and burden of diseases
which statement correctly defines palliative care, according to the world health organization (WHO)?
helping clients and families deal with possibly fatal illnesses and quality-of-life issues.
which belief system sees restoring balance in physical, social, and metaphysical worlds as the goal of treatment?
holistic
a pharmacy technician arrives on the nursing unit to deliver opioids, and following hospital protocol, asks the nurse to receive the medications. the nurse is assisting a confused and unsteady client back to the client's room. which response from the nurse would be appropriate?
i cant receive them right now. please wait a few minutes or come back.
the rn is explaining basic rules for documentation to a lpn. which statement made by the lpn indicates understanding? sata
i will document th edetails when observed i will record in the chart using black ink pen
which statement by the novice nurse about the rights of delegation indicates a need for further teaching?
i will instruct the delegatee to monitor and evaluate the client appropriately
the managerial team decides to promote a nurse to a managerial position after the nurse performs exceedingly well on a project. which action by the nurse would justify the decision of the panel? sata
inspiring new ideas establishing short-term goals demonstrating positive feelings maximizing results from existing resources
which health care organization has recently focused on promoting the need for changes in the nursing work force?
institute of medicine
which statement defines a one-on-one communication between a nurse and another person?
interpersonal communication
which conflict does a young adult face according to erikson's theory of psychosocial development?
intimacy vs isolation
which health insurance program is a state-operated provider for medical assistance to people with low incomes?
medicaid
which organization acts as the guiding force in the development of practical nurse education?
national association for practical nurse education
members of which group may visit shamans for treatment?
native american
which type of room would the nurse assign a client admitted with pulmonary tuberculosis?
negative airflow room
a home health nurse caring for a client is informed by the client's husbands that he cannot help with his wife's care until she 'bathes herself in a mikvah after her period. which religion is being represents in this situation?
orthodox judaism
which term would a nurse use to report a client experiencing a rapid drop in blood pressure when moving from a lying to a standing position?
orthostatic hypotension
which process is an example of passive transport? sata
osmosis, diffusion, filtration
which concern explains why generalized phrases should be avoided in documentation?
overlooking the actual content of the report
which drug is available in an injectable form?
oxytocin
which purpose will percussion have fir a client with respiratory difficulties?
percussion loosens pulmonary secretions
which rehabilitation team member designs a client's exercise program?
physical therapist
which phase of disaster management includes the development of emergency response plans?
preparedness
in rehabilitation care center, a team member assists the coordinator in the development and implementation of a care plan. which team member is involved in this situation?
rehabilitation licensed practical nurse
which information is verified by the surgical team during a time-out?
site, client, body part
which stage of anesthesia would the nurse anticipate the surgeon to begin surgery?
stage 3
a nurse supervisor sense an unlicensed health care worker to help relieve the burden of care on a short-staffed medical-surgical unit. which task can be delegated to the health care worker? sata
taking routine vital signs answering client's call lights changing linens on an occupied bed
which of these is the source of support for visiting nurse associations that provide community health services?
tax-deductible contributions
which task is classified as low priority when planning client care for the day?
teaching self-administration of insulin injections before discharge
which statement is true regarding hospice area? sata
team members can include clergy and other spiritual leaders. team members provide comfort measures, medicines, and therapies to the client. it can be regulated by home health agencies and community-based organizations.
under which circumstance would the nurse expect the z-track technique to be necessary?
the medication is irritating to subcutaneous tissue and skin.
which group is primarily protected under the regulations of the practice of nursing?
the public
a client with a severe head injury was admitted to the emergency department. the trauma team leader notifies the family that the client is not expected to survive and asks the family about organ donation. to which religious group does the family belong?
unitarian universalist association
which religion involves three modes of baptism?
united church of Christ
which religious group practices infant baptism?
united church of Christ
which system regulates acid-base balance? sata
urinary system, respiratory system
which measure would the nurse include when teaching about the hospital national patient safety goals? sata
use at least 2 ways to identify a client. ensure alarms are heard and responded to on time. make sure that the correct surgery is done on the correct client. use proven guidelines to prevent infections of the urinary tract caused by catheters use proven guidelines to prevent infections that are difficult to treat.
which scenario is an example of restorative care?
visiting a private residence to perform maggot-aided debridement therapy of a client's wound
who governs an official home health agency?
volunteer board representatives from the area
which instruction is most important for the nurse to include when providing discharge instructions to a client related to urinary self-catheterization?
wash your hands before performing the procedure
which activity is performed by the nurse manager? sata
weighing the expenses of a registered nurse vs an lpn deciding the type of care by nursing assistive personnel
which describes objective information in subjective, objective, assessment, planning, intervention, evaluation, revision (SOAPIER) documentation?
what the nurse can factually describe
during which time period would a nurse advise a client with a long leg cast for a fractured done to take the as-need oxycodone?
when the discomfort begins
which statement regarding delegation is true?
a lvn is responsible for determining the degree of assistance that a client needs.
which nursing duty is met by a nurse speaking in support of vulnerable client's best interest?
advocacy
a client voluntarily admitted to the psychiatric unit is dx with acute appendicitis. which action would the nurse take to prepare the client for an appendectomy?
ask the client to sign the operative consent form after the client has been informed of the procedure and required care.
which nursing action is most important when using elbow restraints on a confused client to prevent the client from pulling out a nasogastric tube?
assess the client's condition every hour
which characteristic would a holistic health belief system exhibit? sata
circumcision is considered a religious practice animate or inanimate objects may have healing powers
before assigning a task, the nurse makes sure that the delegation process is appropriate to the situation. which delegation right does this situation refer to ?
circumstance
which member of the health care team is under dependent status when a task is delegated by the registered nurse (RN)? sata
client attendant, licensed vocational nurse (LVN)
which factor would be considered when delegating a task to the licensed practical nurse? sata
client's condition complexity of the task predictability of outcomes
which action of the nurse indicates effective implementation of the rules of leaders in the profession? sata
communicating in a simple language with followers giving a chance to the followers to express their views ensuring proper eye contact while communicating with followers
the nurse is caring for a client who sustained a gunshot wound in a drive-by shooting. the client is fearful of further harm from unwanted visitors. which safety intervention would the nurse implement to prevent client and staff injury? sata
contact hospital security activate security cameras lock doors into the facility
during which phase of a mass casualty event would the nurse manager bring in a team of specially trained individuals to help nursing staff process through their emotions?
debriefing the situation
which is a risk factor for other-directed violence?
difficulty managing anger
which document allows clients to give the authority to make medical decisions for them if they are unable to make the decisions themselves?
durable power of attorney
which example of an intentional tort would a licensed practical nurse provide when asked during an interview?
false imprisonment
which method of barrier precaution would the nurse use when caring for a client with a communicable disease? sata
gloves, masks
which physical finding is most likely to be observed in an abused older adult?
hematomas
which client problem is collaborative?
hypertension
which program provides a large source of revenue for long-term care facility?
medicaid
individuals belonging to which religion do not drink caffeinated beverages such as cola, coffee, and tea?
mormons
which part of soapier format does the laboratory indicate?
objective
according to the nursing process, which order of steps would the nurse take in caring for a client who reports chest pain?
perform a focused assessment of the client determine the most appropriate dx for the client create a care plan to minimize the client's symptoms administer 2L of oxygen via nasal cannula
what is the dominant value in american society on which regulatory mandates to benefit the public are based?
self-determination
which role describes the american red cross in emergency nursing after a community disaster?
setting up shelters for clients who have lost their homes
which member of the hospice interdisciplinary team helps client and their families handle grief issues?
social worker
which definition would the nurse give when teaching a lesson on primary prevention?
taking action that prevents disease
which client is the nurse working in the memory care unit most concerned about?
the client who sustained a fall while going to the restroom
which statement is true regarding home health care organizations? sata
the visiting nurse association is an example of a home health agency. individual payments may help fund home health services.
the nurse is counseling a client with diabetes. which statement made by the nurse is based on the second level of health promotion by the U.S. department of public health? sata
you should follow your diet as prescribed by the dietician. you should perform regular exercise to maintain a normal health status.
the health care provider has prescribed enoxaparin 1 mg/ml for a client who had a total knee replacement. the client weighs 187 lbs. this medication is available in a concentration of 30 mg per 0.3 mL. which dose would the nurse administer in milliliters?
0.85 ml
a client is to receive 0.25mg of digoxin intramuscularly. the ampule is labeled 0.5mg per 2mL. how many mL would the nurse administer?
1
filgrastim 5 mcg/kg per day injection is prescribed for a client who weigh 132 lb (60 kg). the vial label reads filgrastim 300 mcg/ml. how many milliliters would the nurse administer? sata
1
the health care provider has prescribed meperidine 50 mg intramuscularly to the client. the medication is available in 100 mg/mL vials. to which mark on the syringe would the nurse draw up the medication?
1/2 mark
at which rate would the nurse set the iv infusion pump for a prescription of lidocaine HCL 1.5mg per minute if the medication is provided in a 100 mL container containing 500mg of medication?
18
a woman in premature labor is prescribed betamethasone 12 mg intramuscularly daily for 3 days to enhance fetal lung maturity. the betamethasone comes in a vial labeled 6 mg/ml. how many ml would the nurse administer each day>
2
a nurse has moved and taken a job in a community with a large population of individuals belonging to a specific faith. the nurse has noticed these clients do not normally seek medical care but instead follow a spiritual framework. to which religion might these clients belong?
Christian Science
which religious community seeks exemption from vaccinations?
Christian Science
which statement by a nursing student demonstrates the difference between a nursing dx and a medical dx? sata
a medical dx relates to a health problem that can be treated with health care provider-prescribed therapies the nursing dx identifies the client's response to illness the nurse often uses clues in the medical dx to develop the nursing dx.
the nurse is about to meet the family of a client in hospice care who is near death. the nurse is aware that the client's family belongs to the jewish faith. which religious belief may the client's family hold?
a witness must be present if the client chooses to pray from health
which advice would a nurse give to another nurse concerning correct standing body alignment to prevent injury?
abdominal muscles tucked in
which belief is true regarding birth control and abortion for jewish clients?
abortion is allowed when the mother's life is in danger
which behavior by a nursing assistant reflects a boundary violation?
accepting a gift from the client
which condition is the most frequent cause of death in adolescents?
accidents
which potential health problems are common in the young adult age group?
accidents, including their prevention
which term describes a nurse's professional obligation to assume responsibility for actions?
accountability
which information would be important for the nurse to provide to the anesthetist for an older client undergoing major surgery?
accurate measurement of height and weight
which is the definition of health equity?
achieved when every person can attain health potential and no one is disadvantaged
which behavior would the nurse share is expected of members when discussing alcoholics anonymous (AA)?
acknowledging an inability to control the problem
which complication would the nurse understand the surgeon is trying to minimize when incentive spirometry has been prescribed for a client after surgery?
actelectasis
in the DARE charting format, which words represents the combination of planning and implementation?
action
which statement about active transport is true? sata
active transport requires energy expenditure. active transport involves the trapping of bacterial cells through phagocytosis.
which factor would a nurse recall as a determinant of virulence? sata
adherence to surfaces penetration of mucous membranes ability to multiply in the body secretion of enzymes and toxins resistance to phagocytosis
which action would the nurse include in the plan of care for victims of a boat accident who sustained submersion injuries? sata
administer oxygen obtain a 12 lead electrocardiogram assess for gag reflex
which preprocedural intervention would a nurse anticipate for a client scheduled to have a sigmoidoscopy?
administering a saline enema 1 hour before the procedure
which care plan task for a client with severe diarrhea can be safely delegated to the unlicensed assistive personnel by the nurse?
administration of oral replacement fluids
which member of an interdisciplinary team in a long-term facility is involved in management of the facility. sata
administrator, director of nursing
which statement about lutheranism religious beliefs and health care practices is true? sata
adults may be baptized via the sprinkling, -pouring, or immersion method. a client with a poor prognosis may request an anointing and a blessing from the minister.
which legally enforceable document contains the instructions of a client regarding refusal to receive cardiopulmonary resuscitation?
advance directive
before deciding to undergo elective shoulder surgery, a 30 yo male client waits to get the opinion of his grandmother, the head of his childhood household. to which cultural or religious community might the client belong?
african american
which client is more likely to die of heart disease?
african american client
which factor would the lpn consider when assisting the rn is assessing health disparities within the community? sata
age, gender, ethnicity, disability, education
which substance is most abused by young adults?
alcohol
which statement about family violence is true?
alcohol and substance abuse can lead to family violence
what does this ethical principle of justice mean in the context of nursing?
all clients have the same right to nursing interventions.
which statement regarding discharge planning is true?
all members of the health care tea, participate in discharge planning.
which feature belongs to a transdisciplinary rehabilitation team? sata
allows for the blurring of boundaries between different disciplines uses cross training and flexibility to minimize the duplication of effort toward individual goa; attainment
which health belief system addresses the whole client by viewing symptoms as the tip of the iceberg and as the body's means of communicating to the mind?
alternative or complementary belief system
which health belief system is being applied when the family member of a client with depression believes the client would benefit from aromatic therapy, more so than from medications?
alternative or complementary health
a client is discharged home the same day as a hernia repair. which location was the client most likely discharged from?
ambulatory surgery center
which statement accurately describes primary prevention?
applying care to clients who are physically and emotionally healthy
which competency does the nurse display when gathering data about the success of side rails in fall reduction according to the institute of medicine (IOM) competencies of the 21st century?
applying quality improvement
which action would the nurse perform first when a home hospice client reports unrelenting pain 1 hour after administration of the maximum does of a narcotic analgesic?
ask the client to rate the pain according to a pain scale
which information would the nurse provide when educating a client about assault?
assault refers to any action that places a client in apprehension of harmful contact without consent
which action would the nurse take first when planning to provide a back massage to a client?
assess the client's preference for touch and massage.
which action would the nurse perform when completing a medical hx on a client who is not fluent in english?
assess the client's verbal and nonverbal communication
in the soapier charting format, which format, which word represents the potential dx of the cause of the client's problem?
assessment
the nurse is reviewing the client's laboratory and radiologic results, which are documented on client flow sheets. which component of the nursing process being used?
assessment
which phase of the nursing process includes the nurse assessing blood pressure, heart rate, and pain level in a postoperative client?
assessment
which step in the nursing process is the nurse using when collecting the medical hx of a client?
assessment
what is the role of a physical therapist on an interdisciplinary team for collaborative care?
assisting in the client's rehabilitation
which health care organization was renamed the national association for practical nurse education and service (NAPNES) in 1942?
association of practical nurse schools
which condition is associated with unevenly curves surfaces of the client's cornea?
astigmatism
in which time period would the nurse begin preparing for the discharge of a client from the hospital to a nursing home?
at the time of admission
which component of delegation is defined as the ability to perform duties in a specific role?
authority
which component provides the ability to perform duties while in a specific role?
authority
which statement describes a nurse asking the staff about a change in a client's plan of care?
authority
while working with an lpn, which responsibility of care coordination belongs only to the rn? sata
authority, supervision
a staff member tells the manager, 'the newly appointed nurse leader does not ask for input from the staff while making decisions.' which type of style does the manager think the newly appointed nurse leader is exhibiting?
autocratic
after a train accident, severely injured clients are sent in large masses to the emergency department. a nurse leader prepares the staff for care of the trauma victims. which type of leadership would be most beneficial in this situation?
autocratic
which type of leadership is reflected when a nurse delegates tasks to a rescue team care for a group of clients who survived an earthquake?
autocratic
while providing feedback to staff, the nurse leader warns an employ that he or she needs to improve performance. which leadership style is the nurse leader using?
autocratic
which leadership approach is most beneficial while managing a cardiac arrest situation?
autocratic leadership
which statement regarding leadership is true?
autocratic leadership stresses prompt and orderly performance
which ethical principle does the client's behavior illustrate when deciding to have hospice care rather than an extensive surgical procedure?
autonomy
which principle is supported by a nurse who promotes freedom of choice in decision making for clients?
autonomy
which action would the nurse take when caring for a client who identifies as a member of the eastern orthodox church?
avoiding providing meals that include meat and dairy products on wednesdays and fridays during lent and other holy days
which behavior expressed by the nurse leader would give a staff member the perception of the nurse leader having a laissez-faire style approach?
avoids responsibility and delegates all decision-making to the group
which strategy is first for burnout prevention?
awareness
which response would the nurse manager give when asked to explain assertive communication? sata
being confident in communicating one's needs congruent verbal and nonverbal communication respecting the ideas and feelings of others the ability to control feelings of anxiety
which communication method would the nurse use to talk to a group of clients about personal hygiene? sata
being sensitive to nonverbal communication providing the opportunity for dialogue and feedback presenting information that addresses the listener's self-interest
which physical finding may be seen in a client who is the victim of intimate partner violence? sata
burns, abrasions, human bites
which statement describes how nurses provide effective nursing care to clients from different cultural backgrounds?
by providing care that fits clients' cultural beliefs
which cell organelle help in spindle formation during mitosis?
centrioles
which measure can the nurse take to prevent skin breakdown in a client who is extremely confused and experiencing bowel incontinence?
check the client's buttocks at least every 2 hours; clean the client immediately after discovering incontinence
which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation?
chief nursing officers
the spread of which organism that causes blindness can be prevented by good hygiene?
chlamydia trachomatis
what does 'information salience,' a characteristic of communication, refer to according to anthony and vidal?
clarity of information
which statement by a newly hired nurse indicates that this nurse is knowledgeable about a computer-based client information system?
client information is immediately available when this system is used.
which statement is true regarding the model analysis type of care? sata
client satisfaction improves in model analysis care. model analysis is a cost-effective idea for client care. organizational decision making is promoted at lower levels in model analysis care.
which client would be suitable for a nurse caring for clients after a large-scale disaster to triage with a green tag?
client who is injured but is able to ambulate
which strategy reflects the interdisciplinary rehabilitation team approach?
collaborating with other team members to identify a common goal
which procedure is an example of palliative surgery? sata
colostomy, debridement of necrotic tissue
which type of health agency that provides pneumonia vaccination to a community is county based and receives funds from charitable contributions?
combination
which is the most important purpose of team member communication about client concerns before the beginning of the shift?
communicate client needs
which health belief system most views the mind and body as a unit?
complementary health
a client presents with hearing loss in the right ear. when the nurse preforms a weber test with a tuning fork, the client hears the sound better with the right ear. which condition would the nurse suspect from these results?
conduction hearing loss
which action would the nurse take for a home care client who lives alone and reports that they 'struggle to keep straight' which medications they take and when ?
contact the provider and recommended a possible addition of a medication aid for the client
while trying to define a problem, the nurse leader determines the external and internal constraints for implementing a solution. which problem-defining process is the leader nurse performing?
contextualizing the problem
which statement would be an appropriate response by the nurse when coworkers inquire about test results of a friend being cared for by the nurse?
decline to discuss the friend's medical condition
the emergency department is preparing for an influx of victims who may have been exposed to ionizing radiation after a disaster at a nuclear power plant. which action is the priority for the nurse to perform as victims begin to arrive?
decontaminate all clients
the nurse asks the unlicensed assistive personnel to provide an ice pack to a client. which nursing function does this represent?
delegation
which concept is best demonstrated when the nurse assigns the unlicensed assistive personnel to check on a client with severe diarrhea hourly and perform hygiene care as needed?
delegation
which professional leadership and management strategy is the most effective to implement to improve the safety and quality of patient-centered care?
delegation
which term describes the action of the licensed nurse who give the authority to perform a task in a specific client situation?
delegation
which leadership style is reflected when the nurse leader asks the team, "what do you think should be done in this situation'/
democratic
which term describes a leadership style displayed by the nurse who frequently looks for input from staff members and encourages staff participation in decision making?
democratic
according to kubler-ross, in which stage of grieving are individuals with serious health problems most likely to seek other medical opinions?
denial
which behavioral finding might lead the nurse to the suspicion that a woman is experiencing intimate partner violence ? sata
depression, suicide
during a disaster response, which task is the responsibility of the medical command physician? sata
determine resource needs of patients.
which population is eligible for the medicare insurance program? sata
disabled individuals, clients receiving dialysis, people older than 65 years
the client is about to leave the hospital with an order for home health nursing. where should the nurse document the physiologic status of the client?
discharge form
while working with a local migrant population, the nurse notes that the group has many folk beliefs. which view of disease or illness does this approach reflect?
disease is viewed as a natural or unnatural
which factor contributes to the risk for client violence toward nurses in an inpatient setting? sata
disturbed personal space caused by a lack of privacy improper management of care caused by insufficient staffing close physical contact with the nurse caused by the required care
a nurse who witnesses a visitor collapse on the floor provides initial care to the client and reports the incident to the emergency department nurse. which action would the witnessing nurse take next?
document the incident
which action would the nurse take when observing that a postsurgical client has a urine output of 800mL total in the first 24 hours after surgery?
document the normal finding
which nursing action is most appropriate when documenting the details of a client's care in a chart? sata
documenting in the chart after providing care signing each block of client's charting
to which religious group would the parents of a newborn belong if the nurse observes an ordained priest moving the infant in the air in the sign of the cross?
eastern orthodox
which food recommendation would the nurse expect to be made to a client with an ileostomy during a discussion with a dietician? sata
eat a high-protein diet avoid caffeinated beverages avoid extremely hot or cold foods and fluids limit intake of milk and raw vegetables and fruits
the nurse is explaining to a client about self-administration of insulin. which format of dare applies to this information?
education
in which role is the nurse acting when verbalizing to a client the ways to relieve injection-associated discomfort?
educator
which role is the nurse performing when explaining the rationale for an intravenous infusion to a client?
educator
which factor would determine the need for revision when reviewing a client's plan of care?
effectiveness of the interventions
which measure would the nurse take to prevent aspiration when caring for a client receiving enteral feedings?
elevate the head of the bed 30-45 degrees
what effect of povidone-iodine does a nurse consider when using it on the client's skin before obtaining a specimen for a blood culture?
eliminates surface bacteria that may contaminate the culture
which statement is true regarding democratic leadership?
emphasizes team building through joint efforts of all team members
which nursing intervention is the priority when caring for a client with pneumonia?
employing breathing exercises and controlled coughing
which strategy would the nurse with a group of older adults at a local senior to support their successful attainment of erikson's stage of ego integrity?
encourage clients reminisce and share the good things that they have done in life
which nursing intervention is an example of the nurse as a caregiver? sata
encouraging the client to exercise daily setting goals for the client to reduce weight arranging for the client's to meet a spiritual advisor
which normal flora of the gastrointestinal tract will a nurse attempt to limit by cleaning an incontinent client as soon after a bowel movement as possible?
enterobacter species
which of gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being?
envisioning goals
which statement made by a client is accurate regarding the ehr?
errors caused by handwriting are prevented
what is the time period required to recertify a home a care treatment plan in order for the client to continue to receive services?
every 60 seconds
which quality and safety education for nurses (QSEN) competency complies with the requirement of integrating the best current research with clinical expertise and client preferences and values to provide quality health care?
evidence-based practice
the licensed practical nurse is assigned to delegate client ambulation to unlicensed assistive personnel. which action of the lpn indicates a need for further teaching?
expecting uap to redelegate ambulation for the client
which action by the nurse providing palliative care to a client with malignant melanoma would be intended to ease the client's anxiety?
explaining the procedures and diagnostic tests in terms that the client can understand
which interviewing technique is the nurse using when responding with 'tell me more about this' after a client shares concern about going home?
exploring
which legal term best describes a hospital refusing to allow the discharge of a newborn until the parents pay part of the hospital bill?
false imprisonment
which statement is accurate about Medicaid?
federal and state governments are the administrators.
who would the nurse contact to receive training as a community emergency response team (CERT) member?
federal emergency management agency (FEMA)
on the second day of hospitalization a client is discussing with the nurse concerns about unhealthy family relationships. during the nurse-client interaction the client begins to talk about a job problem. the nurse's response is, 'lets go back to what we were just talking about.' which therapeutic communication technique did the nurse use?
focusing
a client is suffering form depression. the client's family member says treatment is better left to the 'supernatural force's wishes'. to which type of belief system does the client's family member likely belong?
folk health
which response by the nurse is appropriate when asked by the client what active participation in health care means? sata
follow the treatment plan act responsibility according to the health care condition contribute to the planning process
which statement describes the role of the case manager in a health care organization?
following up with the client after discharge
which component of handwashing is most important for removing microorgansims?
friction
which is the health care service organization that mary breckenridge established to deliver obstetric care to women?
frontier nursing services
during a home visit, the nurse notes that a client has recently developed difficulty bathing and dressing. which term would the nurse use to document these changes?
functional limitation
which training would help nurses identify signs of biological terrorism?
hazardous materials (HAZMAT)
which statement describes the role of a vocational rehabilitation counselor who is caring for a client in a rehabilitation center? sata
helps the client obtain training for new employment.
which statement is true about compartmentalizing?
helps the nurse complete the job at hand as soon as possible
the nurse would teach a community group that which risk factor for coronary artery disease cannot be modified?
heredity
which statement is true about the nursing model 'team nursing'?
hierarchical communication exists from charger nurse to charge nurse, charge nurse to team leader, and team leader to team members.
which action is the most effective means to destroy viruses?
high temperatures
which law did the nurse violate when allowing a client to view another client's medical record?
hipaa
which person can be a witness for a client who is planning to appoint a durable power of attorney to make decisions in the even of his legal incompetence?
his close friend from work
which group of american women has the highest breast and cervical cancer mortality rates? sata
hispanic, african american
which statement about health maintenance organizations indicates a need for further teaching?
hmo clients can be admitted to any hospital
a client who is a member of hmo, visits a hospital for an emergency visit. which of the client's statements indicates a need for further understanding of the hmo?
hmos will exclude the cost of the needed diagnostic tests
the nurse visits a client's home twice a day to change the dressing on the client's diabetic foot. with which health care organization is the nurse most likely affiliated?
home care
which type of continuing a care would a client expect when discharged home with medication infusion device for a leg wound?
home care
which specialized health care professional would provide follow-up visits to a client who sustained a leg fracture after discharge?
home health care care nurse
the nurse visits a client with a diabetic nerve damage to the feet twice a day to monitor medication and footcare. which type of health care organization typically employs such a nurse?
home health care facility
which description explains the purpose of the emergency medical treatment and active labor act (EMTALA) of 1986
hospitals should not discharge or transfer a client if an emergency condition exists.
which condition in the client may produce subnormal temperature?
hyperthyroidism
which response would the nurse provide when a family member of a client who is recovering from n opioid overdose questions the reason for the hospitalization? sata
i cannot discuss my client's information without the client's written consent. i advise you to speak with your family member.
the registered nurse is discussing with a licensed practical nurse how to communicate with a client with hearing loss. which statement made by the lpn indicates a need for further discussion?
i will provide a sign language interpreter to communicate.
a term of hcp cares for a client with a spinal cord injury. which statement would be made by a social worker on the team?
i'll assist you in finding financial resources.
the registered nurse is teaching the licensed practical nurse about protective client confidentiality. which statement by the lpn indicates effective learning?
i'll shred shift notes at the end of my shift
which standard if the nursing practice as defined by the american nurses association does the nurse follow when administering a tetanus toxoid injection to a client with an open wound?
implementation
which situation provides the highest risk for the development of a deep vein thrombosis?
inactivity
which document would be filed in response to finding an incorrect dose of a drug was administered to a client?
incident report
which physical findings, common in older adults, would the nurse include in the teaching for senior citizens at a community health program?
increased blood pressure and decreased hormone production
which system was implemented by the health care financing administration (hcfa) in october 2000?
increased payment to clients by implementing a new payment system for home health agencies.
which effect of anxiety makes it important for the nurse to reduce the anxiety of a client experiencing heart failure?
increases the cardiac workload
which action would the nurse take when a client who is on pca continues to report severe pain 36 hours after surgery?
inform the surgeon
to which quality and safety for nurses (QSEN) competency does cardiac telemetry adhere?
informatics
which strategy helps combat burnout, feelings of despair, and conforming to the expectations of other people?
integrity
which realm of family life processes is the nurse trying to assess when the nurse asks what the family does for relaxation?
interactive
a client who has undergone a craniotomy is moved from the postoperative unit to the neurology unit. which form should be filled out by the nurse?
interagency transfer form
which system was implemented through a congressional act that imposed new limits on home health payments?
interim payment system (IPS)
which addition is recommended by the american association of colleges of nursing (AACN) to improve the sbar and recommendation form of communication? sata
introduction, read-back
which statement is true regarding laissez-faire leadership?
involves completely relinquishing control
which statement is most appropriate regarding situational leadership?
is based on the flexibility of the manager in adapting to the needs of the individual
which question does the nurse recognize as related to the right circumstance when delegating?
is the delegation appropriate to the situation?
which question does the nurse ask to determine the coping process of a family who has been affected by interpersonal violence?
is there a single problem solver, or does your family resolve issues together ?
a female client in the emergency department states; 'because of my religious beliefs i need to be seen by a female hcp.' to which religion does this woman likely belong?
islam
when discussing family planning, a client tells the nurse: though our law permits contraception, we are not encouraged to use contraceptives as it interfere with allah's will. i am also not allowed to have an abortion. to which religious group does the client belong?
islam
which religion recommends circumcision before puberty?
islam
which purpose best describes keeping the family informed about what is happening to the client?
it better equips families to undertake necessary family role changes.
which statement is true regarding a folk health belief system?
it classifies illnesses or diseases as either natural or unnatural.
which statement is true regarding narrative charting? sata
it includes data about client care or problem it is used for computerized and noncomputerized nurse's notes
which statement is true about home health care service?
it includes shoppers, respite care workers, and nursing care staff.
which statement is true regarding autocratic style leadership?
it involves establishing one-way communication with the group.
which definition would the nurse use to describe assault while teaching parents about child abuse?
it is a threat to do bodily harm to another person
which statement is true regarding the right supervision aspect of delegation? sata
it is essential to maintain accountability it is essential to complete the task in time it involves providing assistance and feedback
which term does the documentation of a pulse with a strength of 3+ describe?
it is full
which statement describes why living with the family is important for a child's emotional development?
it is primarily where the child's identity and roles are learned.
which statement regarding the health insurance portability act is true?
it protects the confidentiality of all health information
which statement by the new nurse indicates understanding about the use of computerized provider order entry (CPOE)? sata
it provides clinical warnings it increases variations in practice it provides legible medication orders it gives automatic order notifications
which statement describes the goal of the palliative approach?
it relieves the client's discomfort.
which statement about the modified patient-focused care model indicate more teaching is further needed?
it requires a technician to provide client care.
which statement is true regarding a biomedical health belief system?
it states that life processes can be manipulated by humans with mechanical interventions.
which technique would the nurse implement when moving a dependent client to a 30 degree lateral (side lying position)? sata
keep the HOB below 30-degree angle. assist the client to raise the arm nearest the nurse above the head. place the pillow behind and under the client's back. ease the lower shoulder forward, and bring the upper shoulder back slightly. grasp the client's shoulder and hip to assist him or her to roll onto the side. flex both of the client's knees after the turn, and support the upper leg with a pillow.
which is a priority nursing intervention for a client with liver carcinoma?
keeping the client as comfortable as possible
which type of learning style is being used by the nurse who asks another staff member for help in demonstrating to a family member how to assist a client who is scheduled for discharge?
kinesthetic
which element is essential to the nurse when delegating a task to another staff member? sata
knowledge of the capabilities and competencies of the person the task is being delegated to ensuring the task falls within the domain of tasks that can legally be delegated effective communication with the person being delegated to understanding the client's needs
a hospital wants to implement the primary nursing model on the premises. which challenge is likely to be faced by the management? sata
lack of nurse availability lack of experienced nurses
while communicating with a nursing peer, the nurse leader reports 'i allow my team to work freely and accomplish their own tasks without oversight.' which style of leadership is the nurse following?
laissez-faire style
which amount of time would a nurse spend triaging a client during a mass casualty incident (MCI)?
less than 15 seconds
what is the nurse's accountability when a worn stretcher strap breaks and the client is injured?
liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client.
which health care team member would the nurse expect can be delegated with the task of administering oral medication to a client per the functional model?
licensed practical nurse
which indicator would the public-health nurse use to gauge the overall health of the population? sata
life expectancy, infant mortality rate
what is the legal document that delineates a client's wishes not to be given intravenous nutrition and hydration if permanent unconsciousness occurs?
living will
which instruction would the nurse give to a coworker to perform before assisting in logrolling?
lock bed
the nurse is teaching breathing exercises to a client who underwent surgery. which health care team member is most suitable to reinforce the teaching of breathing exercises to a client who underwent surgery?
lpn
which hcp can become a member of the national federation of licensed practical nurses (NFLPN)? sata
lpn, lvn
which individual be appropriate for the task of administering medication to a client with a urinary tract infection ? sata
lpn, lvn
a nurse takes the rectal temperature of a client using an electronic thermometer. which action would the nurse take to ease the insertion?
lubricate 1 inch of the thermometer tip.
which assessment would the nurse perform to determine complications in clients exposed to phosgene?
lung sounds
which cell organelle is responsible for the digestion of microbes that have invaded the cell?
lysosomes
which legal principle is most likely applied when a nurse fails o act in a reasonable, prudent manner?
malpractice
which service would a local medical assistance team (DMAT) provide during a natural disaster? sata
manage logistics maintain security coordinate communication
while auditing unit documents, a nurse find some omissions. which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired.
management
which task can be safely delegated by the nurse to unlicensed nursing personnel for a client with postural hypotension? sata
managing foot care of the client maintaining oral hygiene of the client
a health care facility expects their nurse leader to understand and choose the appropriate leadership style that fits situations they will encounter with their staff. which situation most needs an autocratic leader?
managing staff during an emergency procedure?
which impact does an external locus of control, often developed by members of vulnerable population groups, have on access to care?
may minimize the value of health promotion or illness prevention
which action is appropriate while assessing the body temperature in a client who is suspected of having hypothermia?
measuring rectal temperature with an electronic thermometer
which insurance program pays for home care services provided to poor and low-income people?
medicaid
which source help a low-income client with type 2 diabetes mellitus and hypertension receive long-term care services?
medicaid
a 65 yo client who is dx with a disability is receiving home health are. the health agency receives the fee from the reimbursement source. which system would pay the health agency?
medicare
which insurance plan became effective in 1966 by an act of legislation that revolutionized home care?
medicare
which insurance program would cover the hospital payments of a 70 yo client admitted to the hospital?
medicare
which system has guidelines that include provision of physical assistance only 2 hours per day?
medicare
which explanation would the nurse provide about medicare coverage to the family members who indicate that they cannot be with the client should have 24-hour nursing care upon discharge?
medicare will only cover services on an intermittent basis.
which treatment is associated with an alternative or complementary belief system? sata
medication, acupuncture, aromatic therapy
which action of the nurse exhibits transactional leadership? sata
meeting the targets within the deadline working according to organizational rules correcting the errors ina reactive manner
which religious group is associated with women sometimes wearing head coverings during hospitalization?
mennonite
which phase of mitosis involves the disappearance of the nuclear membrane and nucleolus?
metaphase
which culture does an older-adult most likely belong to when the culture prohibits touch between unmarried individuals?
middle eastern
which statement regarding death rites in observant judaism is true?
mirrors in the mourner's house are covered
which phase in disaster management does the nurse understand as the attempt to limit a disaster's impact on human health and community function?
mitigation
which phase of disaster management would the nurse be executing when teaching hygiene practice and symptoms of infections to victims of a hurricane?
mitigation
the nurse asked the uap to ambulate a client who has a ng tube to low intermittent suction by disconnecting the tube from suction and keeping the tube clamped and above the stomach. the nurse returns to the room after the ambulation to verify tube placement. which finding indicates a need to discuss the care with the uap?
ng tube hooked to 150 mm hg suction
which action would the nurse take first when receiving abnormal diagnostic testing results?
notify the client's health care provider of the results
which action is the most appropriate for the team leader to approach an ethical situation of a nurse arriving at work after drinking alcohol?
notify the nurse manager about the problem.
which action would be taken by the nurse when a client who is hard of hearing is scheduled for surgery?
notify the operating room that the client is hard of hearing
a registered nurse (RN) is sent to a rehabilitation facility because of chemical impairment issues. which member of the health care team will be asked to provide feedback about the RN's progress?
nurse manager
a client who was using a walking frame (walker) is instructed to use a tripod walking stick. which member of the rehabilitation team would recommend this modification?
occupational therapist
the nurse is caring for an older client who lives alone. the client has gained 20 lb over the past 6 months. the client reports snacking and eating junk food as a result of not being able to prepare healthy meals. which person would be beneficial to include to improve the client's nutritional status?
occupational therapist
which response is most appropriate for the home health care nurse when asked to straighten the blankets on the bed after completing follow-up visit?
of course. i want to do whatever i can for you.
which perspective defines home health care as a component of comprehensive health care families receive services in their places of residence?
official
which age group is the occurrence of chronic illness the greatest?
older adults
which act instituted significant medicare and medicaid requirements for documentation?
omnibus budget reconciliation act
which person would the nurse suggest be included in the discussion regarding a treatment plan for a client newly dx with breast cancer? sata
oncologist, pathologist, case manager, plastic surgeon, radiation oncologist
which action by the nurse during a fire drill indicates the need for further education on a client safety during a fire?
opens doors for ventilation
how would the nurse advocate as a community health leader in helping a city commission decide on whether to convert a community park to a museum site?
oppose building the museum
which type of temperature measurement is contraindicated in clients with shaking chills?
oral
which result is within normal range a 50 yo female client? sata
oral temperature apical pulse 88 bmp and regular blood pressure 116/78 mm hg while in a sitting position
which nursing theorist addresses an intervention including teaching a client with diabetes to inspect the feet daily and wear well-fitting shoes to prevent foot ulcers?
orem
which term describes surgery that is performed for relief or reduction of intensity of disease symptoms ?
palliative
which term would the nurse use after being informed on rounds by the surgical team that a client is to undergo surgery to relieve pain associated with a malignant tumor?
palliative
which statement by the nurse indicates understanding of the difference between palliative care and curative care?
palliative care emphasizes the control of pain relief of symptoms, whereas curative care is intended to cure disease and prolong life.
which type of health care facility would provide the most appropriate care to a client in the terminal stage of chronic lung disease?
palliative care facility
which term most accurately describes the several palpable elevated masses on a client's arm?
papules
which condition woulda nurse expect to benefit from passive range-of motion exercises performed by a physical therapist?
paralysis
which emergency medical system (EMS) first responder can perform triage during mass casualty incidents? sata
paramedic, nurse appointed to a field team
a victim of a mass casualty event who is alert and responsive arrives at the facility. which information would the licensed practical nurse help collect from the victim as directly by the registered nurse? sata
past health hx, nature of the problem, signs and symptoms, circumstances under which the injury occured, medical treatment provided prior to arrival (including its effects)
which legislation protects the right of the client to refuse chemotherapy treatment after a mastectomy for breast cancer?
patient self-determination act
which task would be delegated to the unlicensed assistive personnel (UAP) when caring for a hospitalized client with a high fever? sata
performing all hygiene tasks helping the client in changing clothes
which factor has the greatest influence on diastolic pressure?
peripheral vascular resistance
a client with which dx is the most likely recipient of medicare?
permanent kidney failure
which right of delegation is followed when the nurse considers the qualification of the unlicensed nursing personnel before delegating a task?
person
which statement indicates the most accurate information about professional liability insurance?
personal liability insurance offers representation if the state board of nursing files charges against you.
when assessing a child, the nurse notes the child is malnourished and is often hospitalized with injuries and infections. which reason could be given for the child's condition?
physical neglect
a client who sustained a minor hand fracture 2 months ago arrives at the hcp's office for a follow-up visit and is provided with a brace. which hcp would help restore the client's musculoskeletal function?
physical therapist
which member of the rehabilitation team would work with the rehabilitation nurse to help the client perform the action depicted in the image?
physical therapist
which information would a nurse give to a client who has been referred to a physical therapist? sata
physical therapy may help regain function the goal of physical therapy is to maintain function an evaluation by the physical therapist must be done physical therapy is prescribed after periods of immobilization
which age-related factor would the nurse consider when caring for a 90 yo client with a femur fracture caused by a fall?
physiologic coping defenses are reduced with aging.
which responsibility of the nurse manager differs from the responsibilities of a nurse leader?
planning the budget
which protozoa would the nurse suspect as the cause of malaria in a client who has recently returned from an endemic are and is being isolated?
plasmodium species
a client who just completed ambulating in the hallway reports shortness of breath at the same time that the meal tray has been delivered and the laboratory technician has arrived to preform routine blood testing. which intervention would the nurse recognize as a priority?
position the client for comfort with the head of bed elevated
which action would the nurse take to ensure proper body mechanics when working with another nurse to move a client with one-sided weakness up in bed?
positioning the nurses on either of the bed with their feet apart, gathering the pull sheet close to the client, turning toward the head of the bed, and then moving the client
which behavior from the nurse leader exhibits charismatic leadership qualities?
possesses an inspirational quality that makes team members attracted to him or her
which method qualifies as an alternative therapy for pain?
prayer, hypnosis, aromatherapy, guided imagery.
which dietary rule would the nurse expect a client who practices orthodox judiasm to follow? sata
prayers are said over bread and wine before meals dairy foods are always served before meat at a meal separate cooking utensils are used for meat and milk products
which source provides prepaid health plans? sata
preferred provider organizations (ppos) health maintenance organizations (hmos)
which factor is associated with an increased incidence of abuse within a family? sata
pregnancy, drug abuse, sexual orientation
which ocular problem is common at the developmental level of an 82 yo client?
presbyopia
which complication may be reduced when a nurse's suggestion of a urology consult is implemented for a client who is incontinent?
pressure ulcer
which use if a restraint is inappropriate?
prevent an older adult client form getting up at night when there is insufficient staffing on the unit.
a client with a terminal disease is admitted for hospice care. the nurse coordinator assigns a primary team. which member of the hospice team evaluates the client's response to treatment and provides emotional support to the client and his caregiver?
primary nurse
which member of a hospice care organization is responsible for assessing symptom management of the cancer and recording the response to treatment?
primary nurse
according to hipaa, which section has been violated when a client does not consent to disclosing information regarding health status, but the information is unintentionally made public?
privacy
which payment mode is utilized when the nurse providing home health care to client with dementia asks the client's caregiver to pay the full charge according to the agency's policy?
private pay
which statement is true regarding private pay?
private pay involves payment directly from individuals
which action could be performed by a rehabilitation registered nurse?
promotes independence
arrange the phases of mitosis in chronological order.
prophase, metaphase, anaphase, telophase
which kind of home health agency is governed by a paid board of directors appointed by the owner.
proprietary
which type of freestanding home health agency receives support from some sources that participate in medicare-medicaid and some that do not?
proprietary
which type of home health care agency is most likely to be owned by corporate chains and be profit oriented?
proprietary
which system has substantially influenced home health care costs?
prospective payment system
which would the nurse do when the unlicensed nursing personnel (UNP) performs a delegated task improperly?
provide constructive feedback
how would a home health agency governed by volunteer board representatives be classified?
public nonprofit freestanding
which nursing intervention takes priority when a client with copd becomes short of breath during morning hygiene?
put the client in the high fowler position
which criterion would a 75 yo client need to meet to qualify for medicare services?
qualification for social security benefits
which term is used to describe a group of people who share biologic physical characteristics?
race
which palliative measure is most likely to be used to decrease tumor mass and temporarily relieve obstruction in clients with stomach cancer?
radiation therapy
which therapy may be used as a primary or palliative treatment in advanced stages of prostate cancer?
radiation therapy
which therapy may ease the pain caused by local recurrence and metastasis associated with breast cancer?
radiation therapy
which position would the nurse place the client in to obtain an accurate reading of jugular vein distention?
raised to 45 degrees
which is an independent nursing intervention for a hospitalized client?
raising the head of the bed to facilitate lung expansion
which term describes the verification of a telephone prescription by a nurse by repeating the exact prescription to the prescriber?
read-back
which element of communication addressed by sbarr is the nurse implementing when asking the primary hcp about adding medication and modifying the client's discharge summary?
recommendation
which nursing intervention is appropriate when preparing to transfer a client to another health care facility?
recording the client's condition and means of transport
after measuring the body temperature, the nurse documents a core temperature reading of 100F, but the actual oral route reading is 99F. which route was used by the nurse for temperature measurement?
rectal
which measurement site has a normal body temperature of 99.5F?
rectal
which route for measuring is facilitated when the client is in the sims position?
rectal
which temperature measurement uses a probe with a red tip?
rectal
which statement is true regarding the selection of sites for temperature measurement?
rectal temperature measurement is contraindicated in clients with traction
which color tag would be placed on a client who needs to be treated first, according to the disaster triage tag system?
red
which health care team member would be delegated to assess the client with chronic asthma on a regular basis?
registered nurse
which member of the health care team is accountable for initial assessment and ongoing evaluation of client care?
registered nurse
which member of the health care team is held responsible for documenting the client's initial admission nursing hx?
registered nurse
which would act as the team leader in a rehabilitation program?
registered nurse
who supervises unlicensed nursing personnel in providing care to the client?
registered nurse
which diet prescribed for the morning of an elective major surgery would a nurse be concerned about and contact the surgeon? sata
regular diet, full liquid diet
which service is required after a physical or mental illness, injury, or chemical addiction?
rehabilitation
the rehabilitation team is caring for an older adult client, who is completely immobile, with a history of knee replacement, which member of the team reinforces education about the processes of rehabilitation provided to the client and family members?
rehabilitation licensed practical nurse/registered nurse
which nursing action is most important when providing health education and promotion of self-care to the older adult client?
reinforcing the client's strengths and promoting reminiscing
which indication best demonstrates that the nurse-client interaction has been therapeutic after a client becomes hostile from learning that an amputation of a gangrenous toe is being considered?
relaxation of tensed muscles
which task performed by the nurse would satisfy the institute of medicine's (IOM) patient-centered care competency? sata
relieving pain and suffering communicating with and educating clients effectively recognizing and respecting difference in clients' values, preferences, and needs
when discussing the delegation of client tasks such as assistance with daily living activities, which statement about accountability would the nurse leader include?
remaining answerable for one's choice to oneself and others characterizes accountability.
which nursing intervention would benefit a client with hyperthermia?
removal of any external clothing
a client using fentanyl transdermal patches for pain management in late-stage cancer dies. which action regarding the patches would be appropriate for the hospice nurse caring for this client?
remove and dispose of the patch in an appropriate receptacle
which action would the hospice nurse take when a client using fentanyl transdermal patches passes away?
remove and dispose of the patch in an appropriate receptacle.
in the united states, which statement describes the nurse's legal responsibility regarding child abuse?
report any suspected abuse to local law enforcement authorities
which action would the nurse complete if a client's paper medication administration record (MAR) shows the previous nurse did not give a prescribed stat medication?
report the omission to the charge nurse
which component of the chain of infection would a nurse discuss when teaching about the spread of infection? sata
reservoir, portal of entry, causative agent, mode of transfer, susceptible host
the nurse is evaluating a client's care plan. which format of DARE would the nurse use to document this information?
response
which goal of physical therapy services would be reimbursed by medicare?
restorative
which statement regarding the use of client restraints needs correction?
restraints can be used anytime without a written prescription from the health care provider
which step would the nurse take first to enhance communication with culturally diverse clients at a local community clinic?
review own personal beliefs and past experiences
which is known as the chemical messenger in the protein synthesis process?
ribonucleic acid (RNA)
which right of delegation is the registered nurse utilizing by ensuring that needed equipment and resources are available when delegating a task to a licensed practical nurse?
right circumstance
which right is applicable when the delegator and delegatee understand a common work-related language?
right communication
which right of delegation is implemented when the nurse instructs the unlicensed nursing personnel to help a high-fall-risk client with toileting every 2 hours?
right direction
which right of delegation is reflected when the nurse provides a work group with a clear, concise description of a task?
right direction
by which delegation right is it essential for the assistive personnel to be comfortable asking questions and seeking assistance?
right supervision
which level of maslow's hierarchy of needs is the nurse addressing when teaching a client how to use the call bell/call light system?
safety
a hospitalized client feels drowsy and dizzy after receiving multiple doses of antihistamine over a 24-hour period. which client need would the nurse leader address according to maslows hierarchy of needs?
safety and security need
according to maslows hierarchy, which category of human needs would be prioritized while caring for the client experiencing depression caused by professional problems?
self-actualization
a client reports to the nurse 'i am unable to face my family and friends because of the guilt and embarrassment.' according to maslows heirarchy, which need does this nurse suspect the client has?
self-esteem
which basic human need is included in the fourth level of maslow's hierarchy of needs? sata
self-worth, achievement
which definition of the nursing process would be included in a nursing class presentation?
sequence of steps used to meet the client's needs
which is a key feature of assisted living in a residential care setting? sata
services available 24 hours per day services provided to promote independence emphasizes privacy and a homelike environment.
arrange the principles of time management in order.
setting goals, analyzing time, set priorities, interruption control, evaluation
which manifestation would the nurse explains needs to be reported to the surgeon when providing education at the time of discharge? sata
severe pain severe swelling temp above 100F bleeding through the bandage decreased sensation below the surgical site
which type of abuse describes what a nurse would suspect when a mother reports that her 5 year old has genital discharge and recurrent utis?
sexual abuse
which statement regarding abuse is true?
sexual abuse is nonconsensual sexual contact with another individual.
which quality is characteristic of an effective team? sata
shared vision and goals ability to handle conflicts by having open discussions
which intervention would the nurse manager and the critical incident stress management team encourage when debriefing nurses after a mass casualty incident (MCI)?
sharing feelings
which action would the nurse advise an older client to take who reports feeling light-headed when getting out of the bed?
sit on the edge of the bed while holding the client upright.
which sign during an assessment of a 3 year old child would cause the emergency department nurse to consult another team member? sata
skin burns with well-defined shapes bruises in different stages of healing healing lacerations in the presence of new ones scars that cannot be explained hx is multiple limb fractures
which finding is determined when the nurse pulls up on the client's skin, release the skin, and watches to see if it returns to its original position?
skin turgor
which statement about sleep is correct? sata
sleep is associated with healing it is a state of rest that occurs for a sustained period. sleep restores a person's energy and feeling of well-being.
which communication link would the nurse identify as the most important to connect people with their surroundings?
social
a client in the terminal stage of cancer is being admitted to the hospice care unit. one member of the interdisciplinary team assists the client and family in filling out insurance papers. which teak member would be assisting?
social worker
which hospice team member is most appropriate to deal with solving conflicts between a caregiver and client?
social worker
which specialized health care professional is involved in providing counseling to a client with terminal cancer?
social worker
which team member in the hospice team helps a client complete insurance papers?
social worker
a care team meeting is being called to discuss the hospitalization of a client who cannot afford to pay for services. which team member would be tasked with finding financial resources for the client? sata
social worker, case manager
which staff member is part of a core interdisciplinary hospice team? sata
social worker, medical director, nursing coordinator
a nurse needs to record a client's data from admission until discharge. which record will the nurse use?
source record
which rehabilitation team member plays a role in designing a rehabilitation communication program?
speech-language pathologist
a nurse cares for a client with terminal pancreatic cancer. the client tells the nurse 'i am afraid of what will happen to me after i die, and i would like to talk with someone.' which member of the core interdisciplinary hospice team should be contacted?
spiritual coordinator
which hospice team member coordinates the task of planning for the client's funeral and performs funeral services along with the family members of the deceased client?
spiritual coordinator
which action would the nurse take to widen the client's base of support during a transfer from the bed to a chair?
spread the client's feet away from each other
which is an element that fosters effective delegation decisions by a newly hired burse to an unlicensed assistive personnel?
stability
which factor is most important for the nurse to consider when delegating responsibilities?
staff members' level of education and expertise
at which stage of anesthesia would the nurse expect the anesthetist to require the operating room to be quiet?
stage 2
which normal flora of the skin would a nurse suspect as a cause of an infected sacral decubitus ulcer when caring for a paraplegic client?
staphylococcus aureus
which normal flora of the vagina and skill a nurse explain is not a concern to an alarmed female client who is worried
staphylococcus epidermidis
which term is used to describe an individual's generalized expectation about the behavior of individuals of an ethnic group?
stereotype
which process would the nurse implement to achieve removal of all organisms?
sterilization
which facility is most appropriate for a client who needs to receive follow-up intensive dietary and rehabilitative care after a car accident?
subacute care
which health care facility provides intermediate levels of care for a client who is discharged from a hospital? sata
subacute, transitional, intermediate care nursing
while the nurse is caring for the foot of a client with diabetes, the client says he or she has been in severe pain sinc estepping on something sharp a few days ago and tht a thick yellow discharge has been seeping out from the wound. which format of soapier includes this description?
subjective information
which statement describes the characteristics of the abstract section of an article? sata
summarizes the purpose of the article mentions the major themes and implications for nursing practice includes a brief summary that informs the reader whether the article is research-based or clinically based
which client condition may be managed with pulmonary artery banding as a palliative treatment measure?
symptomatic ventricular septal defect (VSD)
during an orientation for new nurses, the nurse leader discusses client confidentiality and privacy when using the facility's electronic health record system. which safeguard would the nurse leader include as the best way to protect client privacy?
system end users
while the nurse prepares to give the client hydroxyzine, the client begins to vomit. the nurse has not opened the medication package. which action would the nurse take to safely and properly dispose of the medication?
take the capsule to the pharmacy for disposal
after completing a delegated task, which action by the unp demonstrates individual accountability? sata
taking full responsibility for the action performed ensuring that the task has achieved the desired outcome
which statement is reflective of an alternative or complementary health belief system?
the body and mind are seen as a whole unit
which finding helps the nurse distinguish absolute homelessness from relative homelessness while conducting a survey about homeless children in the community?
the children do not have a physical shelter and may sleep outdoors or in vehicles.
which person receives the highest priority for giving consent to performs an autopsy in cases where a medical examiner review is not needed?
the client in writing before death
which characteristic would prompt the nurse to classify a wound as a stage 4 instead of stage 3? sata
the client is at risk for osteomyelitis. bone, tendon, and muscle are exposed. the injury involved full-thickness tissue loss. the wound often includes undermining or tunneling.
which consideration would be used to determine the source of blame for a pressure ulcer that has developed on an emaciated older adult with dementia who refused to change positions for extended periods?
the client should have been turned regularly.
a licensed practical nurse cares for a client of italian descent after the client has given birth. what does the nurse anticipate being true of the client's preferences regarding touch?
the client would be comforted if the nurse pats her shoulder during their conversation.
the nurse is caring for older adult client who is being transferred back to their long-term care facility. the nurse is reporting off to the receiving nurse. which statement made by the nurse SBARR indicates 'background'?
the client's lab reports are within normal limits
which explanation is correct regarding the domain of nursing? sata
the domain of nursing provides both a practical and theoretical aspect of the discipline. the domain provides the subject, central concepts, values and beliefs, phenomena of interest, and central problems of a paradigm. the domain of nursing gives a comprehensive perspective that allows them to identify and treat a client's health care needs at all level and in all health care settings. the domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research.
which topic would the nurse need to teach the client about after hearing the client state, ' i only eat meat once a week because old people don't need protein every day'?
the foods that meet basic nutritional needs
which statement is true regarding the problem, intervention, and evaluation (PIE) format of documentation?
the format can be written in several ways.
which statement helps a nurse identify an illness as chronic? sata
the illness persists for longer than 6 months. the client may develop a life-threatening relapse. the illness affects the function of one or more systems
which principle would the nurse use in promoting health of the older adult?
the is a strong correlation between successful retirement and maintaining health.
which characteristic describes the holistic health belief system?
the mind and body are seen as a single unit. the system teaches clients to take responsibility for their own health. aspects of health include physical, emotional, and spiritual.
the nurse cares for a client with attention deficit hyperactivity disorder. the client's mother informs the nurse 'i've been encouraging her to try meditation to improve her focus.' which statement about the health belief of the client's mother is true?
the mind and body constitute a single unit.
which consideration would assist the nurse in prioritizing client assessments? sata
the most recent assessment of the client the information from the change of shift report the pertinent information from the medical record
which statement by the nurse indicates the need for further teaching the transfer of a client to another hospital unit?
the nurse receiving the client is responsible for recording in the nursing notes.
which fact would the nurse consider when monitoring an older adult's vital signs? sata
the older adult with an infection is often afebrile the older adult has a decreased heart rate at rest. after 75 years of age, core temperature averages 97.2F pulses can be occluded easily in older adults; gentle pressure would be used. the respiratory rate often increases to compensate for decreased depth of respiration. older adults have increases in systolic blood pressure, while diastolic blood pressure is unchanged.
which item would the nurse refer to in order to understand the new standards for education and competency evaluation under the new medicare rules?
the omnibus budget reconciliation act
which act creates incentives for medicare and medicaid providers to improve staffing in long-terms facilities?
the patient protection and affordable care act (PPACA)
which interpretation describes the behavior of a nurse who ties the arms of a toddler with intensely itching arms with eczema to the crib sides and exclaims 'im going to teach you one way or another?'
these actions can be construed as assault and battery.
which reason explains why quality improvement (QI) processes are important to the nurse leader when executing QI processes in a team?
they review the nursing activities
which reimbursement source would help a mother to pay the cost of home care services when discharged 24 hours after delivery?
third party
which statement describes what the nurse would expect when a client's blood pressure reading in the right arm is 10 mm hg higher than in the left arm?
this is a normal occurrence
the registered nurse instructs the licensed practical nurse to begin each entry of a client's case sheet with a time of entry and end with a signature. what is the rationale behind this instruction?
to ensure the correct sequence of events is recorded
which is the purpose of critical incident stress debriefing (CISD) after a disaster?
to prevent posttraumatic stress disorder (PTSD)
what is the goals of the american hospital association (aha) with respect to client's rights?
to promote clients' knowledge regarding their rights as consumers of health care
why does a proprietary home health agency apply for a certificate of need to go into business?
to state considerations of the costs of starting and running the agency
which rationale would the nurse describe for automated tracking systems with infrared and radiofrequency technology (RFT) in emergency departments? sata
to track clients' triage priority upon arrival to tack interactions of clients with caregivers to portray the overall census and acuity of clients
which item would the nurse instruct community members to include in a personal preparedness bag? sata
toiletries, cell phone and charger, 3 day supply of clothing, 3 day supply of nonperishable food items
which action would the triage officer do first when five shooting victims identified as needing urgent care arrive in the emergency department (ED)?
triage the victims.
which finding might have led a nurse to suspect sexual abuse when examining a child?
trouble sitting or walking
which explanation is the key idea of role theory in nurse leadership ?
understanding behavior in certain circumstances collecting concepts that predict the actor's performance in a given role
which behavior exhibited by the nurse demonstrates cultural sensitivity in communication? sata
understanding tha t a russian client may use silence to indicate consensus between parties letting a client of chinese descent be silent for a while before replying to a question the nurse has posed
a nurse working in a rural setting has to handle the task of managing for clients in that area. which crucial step would the nurse take to develop a productive strategy in delegating tasks to a team member?
understanding the capabilities of the team member
according to quality and safety education for nurses (QSEN), what is patient-centered care?
understanding the the client is the source of control when providing care.
which information would the nurse provide the unlicensed assistive personnel to ensure safety after initiating a continuous bladder infusion (BI) with chemotherapy for a client with bladder cancer?
use double gloves when handling wastes.
which example would a nurse give when discussing primary prevention during a seminar at a high school?
use of seatbelts
which action by a coworker as he or she is lifting a client would the nurse correct?
using a narrow base of support
which behavioral findings might lead the nurse to suspect that an older-adult client is experiencing abuse?
verbal aggression
when leaving for a lunch break, the primary nurse shares that the client is prescribed morphine for pain as needed. which action would the covering nurse take first when the client complains of a pain level of 8 on a pain scale of 1-10?
verify the pain medication prescription in the clinical record.
which action would the nurse take before administering preoperative medication to a client?
verifying the consent
which equipment would a nurse request from an unlicensed health care worker when preparing to transport a client who cannot tolerate the fatigue associated with transport?
wheelchair
what does the "resources' aspect of the american nurses association standards of professional performance describe?
when a nurse uses appropriate nursing services that are safe, effective, and financially responsible
which of these ethnic groups has the highest incidence of macular degeneration?
whites
which action would the nurse take next after injecting an intradermal skin test medication?
withdraw the needle and place a piece of gauze over the injection
which communication method would be appropriate for the home health care provider to prescribe wound care?
within the client's ehr
which method would the nurse use to communicate with a client who has a newly inserted tracheostomy and is unable to speak? sata
word and picture cards, hand signals, picture board, pictures around a clock face, paper pen and pencil
which factor puts the nurse at highest risk of developing acute stress disorder after working during a mass casualty event?
worked for 24 hours
which food would the nurse suggest that is rich in calcium and digested easily by clients with osteoporosis who do not tolerate milk?
yogurt
the client states,' i am worried about how i am going to pay the bills for my family while i am hospitalized.' which statement by the nurse would best elicit further information from the client?
you are worried about paying your bills?
the nurse delegated a task to a unlicensed assistive personnel (UAP) and the uap completed the task effectively. which statement made by the nurse is appropriate feedback?
you performed that procedure safely and professionally.
which statement by the nurse would yield a positive outcome from the unlicensed nursing personnel? sata
you performed that task safely and professionally. the task was well done, but there is room for improvement
which instruction would be appropriate for the nurse to include when teaching a client about thigh-high anti-embolism elastic stockings?
you will need to apply them in the morning before you lower legs from the bed to the floor.
which organization established the first school for nursing education
young women's Christian association
which serious complication would the nurse attempt to prevent in a client with a nasogastric tube?
aspiration pneumonia
which treatment measure may be used as a palliative therapy for a client with metastatic prostate cancer?
orchiectomy
which service would the nurse focus on to decrease health disparities among hispanic clients?
translation services
which statement by a nurse for a client with a colostomy indicates the need for further teaching?
a red stoma needs to be reported to the health care provider
which nursing action is in accordance with hipaa?
a nurse avoids discussing a client's reports anywhere outside the health care facility
which sign would alert the nurse to apply a black band to a victim of a bomb blast?
a severe head injury and a need for artificial ventilation
which nursing action is inappropriate while caring for different clients after a disaster?
evacuating injured and uninjured people from a danger area
which format of SOAPIER describes the client's response to the prescribed plan?
evaluation
which statement is true regarding home care services?
home care services are cost effective.
which statement describe the role of a hospice volunteer on a primary hospice team?
providing companionship to clients and caregivers
which statement describes the responsibility of a hospice volunteer on the hospice team?
providing companionship to the client and caregiver
which function describes a bereavement support group?
providing families who have lost loved ones a chance to communicate and share their feelings
which term describes the link between the harm suffered by a client and the nurse negligence?
proximate cause
which type pf abuse verbally inflicts anguish, emotional pain, and distress on an adult?
psychologic
which would the nurse document for a client with drooping of the eyelid over the pupil?
ptosis
which nursing action is confidential and protected from legal action?
reporting incidents of suspected child abuse to the appropriate authorities
which nonpharmacologic nursing intervention is effective in helping relieve postoperative pain?
repositioning
what is the most fundamental ethical principle in the health care setting?
respect for the people
which portal of exit would the nurse discuss when teaching about influenza?
respiratory tract
which statement regarding orthodox judaism religion is true?
shaving with a razor is prohibited.
which mental process is most sensitive to deterioration with aging?
short-term memory
in which position would the nurse place a client who is recovering form general anesthesia?
side-lying
which epithelial tissue is only involved in absorption by osmosis?
simple squamous
which client position is appropriate for measuring rectal temperature?
sims
which position would the nurse place a client in after the health care provider states that a rectal examination is to be performed?
sims
in which phase of mitosis do the two nuclei appear?
telophase
which site of temperature measurement is least preferred if the client has diaphoresis?
temporal
determination to accomplish a goal is included in which team characteristic?
tenacity
which type of prevention would the nurse provide for a client receiving cardiac rehabilitation after a coronary artery bypass graft?
tertiary
which level of care is the nurse providing when preparing to discharge a client to a rehabilitation center who is learning to walk again after a stroke?
tertiary care
which definition of battery would the nurse include when teaching about child abuse?
the application of force to another person without lawful justification
which statement about the situational leadership role is correct?
the basis of this leadership style is the manager's flexibility in adopting to the needs of the group or individual.
which statement by new parents indicates further teaching is required?
the infant can be placed on their front or side while sleeping
which teaching would the nurse include for a client who acquired clostridium difficile?
the infection causes diarrhea accompanied by flatus and abdominal discomfort
which muscles would a nurse explain to a client would be targeted by a therapist trying to strengthen the core?
transversus abdominis
how many total ml of fluid will be infused between the hours of 8 am and 8 pm if a client is receiving 22 ml per hour of iv fluid?
264
which healthcare organization was renamed the national league for nursing education?
American society of superintendents of training
which organization's goals were to set educational standards for nurses?
American society of superintendents of training
which infectious agent can only replicate inside of a host cell and is less of a concern with fomite transmission?
virus
which is an example of a voluntary home health agency?
visiting nurse association
which type of home health agency has a community-based board of directors?
voluntary
which member of the hospice care team is responsible for providing respite care to the client's caregiver?
volunteer coordinator
which action would the nurse take when finding out the client consumed coffee immediately before an oral temperature was taken?
waiting 30 minutes
in a facility's emergency preparedness plan, which drill would be conducted yearly to meet the joint commission standards? sata
2 disaster drills one community based drill
after which age can an infant's car seat be forward facing?
2 years
a nurse is teaching a nursing student about erikson's theory of psychosocial development. to which age group does industry versus inferiority of erikson's theory apply?
6-11 years
the health care provider prescribes 1000ml of total parenteral nutrition to be nutrition to be administered in 12 hours. based on this prescription, which dosage of solution would be administered per hour?
83 ml per hour
which times would the nurse collect a sputum sample that has been prescribed by the health care provider?
8:00am
which arterial oxygen saturation (SaO2) reading would indicate hypoxia and be reported by the nurse to the surgeon postoperatively?
90%
which task can be delegated to the licensed vocational nurse? SATA
administering oral hypoglycemic agents administering intramuscular medications
which community's religious belief is being respected and upheld when a transfusion is not given in a case of severe blood loss?
Jehovah's Witness
which organization issued the patient's bill of rights?
american hospital association
to which religious group does a client who does not eat pork, cornbread, or collard greens most likely.
american muslim mission
which characteristic is found in an autocratic leader?
assigns clear and defined tasks to the group
which substance listed as a cause of an adverse reaction by a client booked for surgery indicates a possible latex allergy
avocados
which team member provides a spiritual guidance to a hospice client?
chaplain
which member of the nursing care team will prioritize care on a medical-surgical unit expecting a large volume of client admissions?
charge nurse
which health care organization proposed in 1965 that nursing education should take place in institutions of learning within the general education system?
american nurses association
which statement describes a tort?
an illegality committed by one person against the property or person of another
in which phase does cell division begin?
anaphase
which sign or symptoms is likely to be found in an adult experiencing sexual abuse? sata
anorexia flat affect panic attacks
which role can assume responsibility for the nurse when the nurse takes a break?
charge nurse
with which health care team would it be appropriate for the nurse to share a client's medical diagnoses?
charge nurse
which quality of a leader indicates a transformational approach to leadership? sata
charismatic, intellectually stimulating, inspirational and motivational
which is a requirement for admission to a hospice care facility?
client's informed consent
which skill of a nurse leader is most important?
clinical care coordination
which of these positions is most likely to be filled by a nurse for intensive care of cancer clinets?
clinical nurse specialist
which element would be considered when selecting the suitable unlicensed nursing personnel for delegation of a task?
critical thinking
during the activation of an emergency preparedness plan, which individual would communicate with the media?
director of human resources
which is a component of the primary survey?
disability
which type of insurance provider pays for limited home care services?
third-party insurers
