Evolve Scenerio Questions
Which statement describes Leininger's theory? -"incorporate the client's cultural tradition, values, and beliefs into the plan of care" -"determine why a client is unable to meet biological, psychological, development or social needs." -"determine which demands are causing problems for a client and asses how well he or she is adapting to them." - "Establish effective nurse-client communication when obtaining nursing history, providing education, or conducting clients and their families."
"incorporate the client's cultural tradition, values, and beliefs into the plan of care"
what is sentinel events
causes severe, undesirable, and avoidable harm or even death to the clinet
Which purpose would the nurse ascribe to evolution research? 1. test how well a program, practice, or policy is working 2. establish facts and relationships concerning past events 3. develop or refine a hypothesis about the relationships among phenomena 4.explore the interrelationships among variables of interest without any active intervention
test how well a program, practice, or policy is working
After a nurse explains a procedure to the client, which quality does a nurse exhibit in encouraging the shy client to ask questions? -Fairness -Discipline -Confidence -Perseverance
Confidence; because they are encouraging the client to ask questions. This allows the nurse to communicate freely with the client and to preform procedures that may be complex.
Erikson Theory
Erikson's "Eight Stages of Man" describes a series of crises individuals pass through at different ages. The stages begin with "trust versus mistrust" in infancy and continue through a series of paired outcomes for each age through older adulthood.
For a client being discharged from an acute health care facility, to which health care setting would the client be referred when requiring long-term ventilator management? 1. Home Care 2. Rehabilitation 3. Assisted Living 4. Intermediate Care
Intermediate Care
A client tells the nurse, "I need help planning an exercise regimen to help manage my weight." Which stage of health behavior change does this reflect? 1. Actions 2. Prepartion 3. Contemplation 4. Precontemplation
Prepartion
which example describes intentional tort? -negligence -malpractice -breach of duty -false imprisonment
-false imprisonment; is a wrong committed by one person against another in a willful, intentional way without just cause or excuse and is an example of tort
Which objectives describe the purpose of public health laws? Select all that apply -advocating for the rights of people -prohibiting the purchase or sale of organs -regulating health care and health care financing -ensuring professional accountability for the care provided -encouraging health care professionals to assist in emergencies
-advocating for the rights of people -regulating health care and health care financing -ensuring professional accountability for the care provided
Which steps would the nurse take when caring for a client to prevent nursing malpractice? Select all that apply -Be alert about common sources of client injuries -Gain knowledge regarding current nursing practice -Refrain from speaking falsely about client's medical condition -Communicate with the client regarding tests and treatment plans - Refrain from divulging medical information to unauthorized persons.
-Be alert about common sources of client injuries -Gain knowledge regarding current nursing practice -Communicate with the client regarding tests and treatment plans
care services arranged primary health care tertiary health care population-based health care services secondary health care clinical preventive services
population-based health care services clinical preventive services primary health care secondary health care tertiary health care
Neuman's system modal
provides comprehensive foundation for scientific nursing practice, research, and education -grand theory
The nurse would expect a client in precontemplation stage of wellness behavior change to exhibit which characteristics? select all that apply. -No intention of making any changed in the next 6 months -Considers a change in health behavior in the next 6 months -Does not show interest in information related to health behavior changes -Understand that the advantages of health behavior change outweigh the disadvantages - Becomes defensive when confronted with information regarding current health behaviors
-No intention of making any changed in the next 6 months -Does not show interest in information related to health behavior changes - Becomes defensive when confronted with information regarding current health behaviors
which categories are the four core roles for the advances registered nurse (RN)? select all that apply -ostomy care nurse -clinical nurse specialist -certified nurse-midwife -certified RN anesthetist -certified diabetes educator -certified nurse practitioner
-clinical nurse specialist -certified nurse-midwife -certified RN anesthetist -certified nurse practitioner
Which statement reflects a proper understanding of Neuman's system theory? select all that apply -"factors that change the environment also affect an open system." -"the components are interrelated and share a common purpose to form a whole." -"a system is composed of separate components and the components can be open or closed." -"Neumans system theory defines a total-person model of holism and closed-system approach." -"an open-system interacts with the environment, with an exchange of information between the system and the enviroment
-"factors that change the environment also affect an open system." -"the components are interrelated and share a common purpose to form a whole." -"an open-system interacts with the environment, with an exchange of information between the system and the enviroment
according to Erikson theory, at which age would a child develp self-control ad independence
18 months to 3 years old
order in which nurse implement nursing process -diagnosis -assessment -planning -evolution -implementation
assessment diagnosis planning implementation evolution
which way can the nurse prevent being named in a lawsuit? -carry malpractice insurance -write vague incident reports -transfer to another department -attend professional development programs
attend professional development programs
which number of steps occur in evidence-based practice
6
Which information does not apply to preconventional reasoning? 1. "Thinking is based mostly on the likes and pleasures of the client." 2. "The client see moral reasoning based on his or hers personal internalization of societal and others expectations." 3."There is limited cognitive thinking, and the individual thinking is primarily egocentric 4."The person's moral reason for acting eventually related to he consequences that the person believes will occur."
The client see moral reasoning based on his or hers personal internalization of societal and others expectations."
Which information would the nurse consider while completing the Resident Assessment instruments (RAI) for a resident at a nursing center? Select all that apply -Resident's rights -Minium Data Set (MDS) -Resident Assessment Protocols -Utilization guidelines of the state -Inclusion of family members as partners
-Minium Data Set (MDS) -Resident Assessment Protocols -Utilization guidelines of the state
after selecting subjects for a research study, the nurse research provides adequate information about the planned research and then inquires about the subject's preference to associate with the research. Which requirements would this process meet? -anonymity -informed consent -inductive reasoning -performance improvement
-informed consent
The nurse caring a child whose parent refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which steps would the nurse take first to resolve this ethical dilemma? -evaluate the outcome of the plan of action over time -verbalize the problem and agree to a statement as a group -examine the nurse's own values critically to form an opinion about the issue. -obtain information from the child, the parents, health care workers, or other sources.
-obtain information from the child, the parents, health care workers, or other sources.
Steps of Evidence Based Practice
0. Cultivate a spirit of inquiry. 1. Ask a clinical question in PICOT format. 2. Search for the most relevant evidence. 3. Critically appraise the evidence you gather. 4. Integrate all evidence with your clinical expertise and patient preferences and values. 5. Evaluate the outcomes of practice decisions or changes using evidence. 6. Share the outcomes with others.
According to Watson's theory, in which practice is the nurse least likely to engage? 1. Caring for the client in an almost spiritual way 2. Focusing on the people who are supporting the client 3. Curing the disease before engaging in care of the client 4. Promoting transpersonal teaching and learning with the client
Curing the disease before engaging in care of the client
which information would the registered nurse provide when educating a nurse student about living wills? select all that apply -health care workers would always follow the directions of a clients living will -clinically specific instructions are provided that help in dealing with unforeseen circumstances -clients use living wills to declare any medical procedures they want or don't want when terminally ill. -living wills are written documents that direct client's treatments in the event of a terminal illness or condition -authorized individuals are given authority to make medical decisions on behalf of the client if they are unable to do so
-health care workers would always follow the directions of a clients living will -clients use living wills to declare any medical procedures they want or don't want when terminally ill. -living wills are written documents that direct client's treatments in the event of a terminal illness or condition
which tasks should the nurse preform to comply with public health laws? select all that apply -report cases of communicable disease -report incidents of domestic violence -provide emergency assistance as an accident scene -notify the primary health care provider of and client-related problems -ensure that clients in a community have received necessary immunizations
-report cases of communicable disease -report incidents of domestic violence -ensure that clients in a community have received necessary immunizations
Which condition or disease is the current leading cause of death in the U.S. Select all the apply -stroke -cancer -dementia -accidents -Parkinson's disease
-stroke -cancer -accidents
Which statement correctly describes the domain of nursing? Select all that apply -the domain is the perspective of nursing only and not all professions -the domain of nursing provides both a practical and theoretical aspects of the discipline -the domain provides the subject, central concepts, values, and beliefs, phenomena of interest, and central problems of a paradigm -the domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research -the domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a clients health care needs at all level and in all health care settings.
-the domain of nursing provides both a practical and theoretical aspects of the discipline -the domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research -the domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a clients health care needs at all level and in all health care settings.
which information is appropriate to include in education about sentinel events? -cause moderate harm to the client -undesirable and largely avoidable -effect is mitigated by interventions -very common in hospital setting
-undesirable and largely avoidable
Which statement accurately describes primary prevention? 1.Directed at rehabilitation rather than transport 2.Applied to clients who are physically and emotionally healthy 3.Includes screening techniques and the treatment of the early stages if a disease 4. Focuses on individuals who are ill and have a possibility for developing complications
Applied to clients who are physically and emotionally healthy