Foundations exam 1-4 missed by mercedes

bruxism and excessive sweating

a client is admitted for a voluntary breast reduction is deploying many signs and symptoms of stress. which of the following finding would be consistent with the analysis by the nurse?

keeping patients satisfied by providing them regular financial assistance and looking after their medical requirements

Which of the following is a factor upon which the finacial stability of health maintenance organizations is based?

implementation

Which phase of the nursing process of patient teaching ends when the strategies have been completed and when the patient's responses to the actions have been recorded?

bradycardia, nausea

a nurse is assisting an 80 year old patient out of bed for the first time after being on strike bedrest for several days. Which of the following would lead the nurse to suspect that the patient is experiencing orthostatic hypotension?

reposition the patient about once a shift

a nurse is developing a plan of care for an 85 year old women who is bed ridden following a stroke. which of the following would the nurse be least likely to include in the plan of care for the patient to reduct her risk for pressure ulcers?

all weight should be on the hands, keep feed 12 in apart to provide stability and a wide base of support

a nurse is teaching a client with a left fractured tibia how to walk with crutches. which instructions is appropriate?

the clients daughter is present and provides care to client at home

a nurse is teaching an older adult about medication that the client will take at home. the nurse assess which of the following factors as promoting adherences to the medicate regimen?

cystic fibrosis

a patient has an autosomal recessive inherited condition. for what type of disorder does the nurse anticipate the patient will be treated?

client moves the arm and leg on the same side together at the same time

The nurse is observing a client using a cane to ambulate. Which of the following would require the nurse to intervene ?

remonstrate the correct technique, acknowledge positive aspects of the technique

The nurse is teaching a client how to self-administiter insulin. The client inserts the needle in to the abdomen, aspirates, and injects the insulting. What action will the nurse take? select all that apply

history of present illness

What priority factor regarding the patient may help the physician arrive at a diagnosis?

refer him to a support group

you are caring for a 65 year old widower whose wife died 4 months ago. he tells you that he is "not doing well" and that his friends and family seem hesitant to take with him about his wife. what could the nurse do to help the patient?

providing minor first aid, educating teachers about HIV, organizing a visit from the mobile dentist

A newly hired elementary school health nurse is reviewing the job description. Which of the falling activities can the school nurse expect to perform in this new role? select all that apply

"my head feels like it is about to explode"

A nurse is documenting a patient's chief complaint/reason for seeking care in the medical record. Which of the following would be MOST appropriate?

It is best achieved by exhibiting behaviors that promote health

A group of nursing students are participating in a community health clinic. When providing care in the community, what should the sounds tach participants about disease prevention?

client attends social groups at a senior center three times a week

Nurse is reviewing the medical record of client to determine his eligibility for home care services. Which of the falling would alert the nurse to a potential problem in this area?

sickle cell anemia

which of the following is genetic condition caused by a small gene mutation that affects portent struct, producing hemoglobin s?

gender

which of the following is non-modifibaliel risk factor for mental health problems?

keeping patients healthy and out of the hospital through periodic screening, health eduction, and preventive services

Which of the following is fact upon which the finachial stabile of health maintenance organization is based on?

history of present illness

Which of the following items is considered the single most important factor in assisting the heart professional in arriving at a diagnosis or determining the persons needs?

a 62 year old male with chronic kidney injury

Which patient is most in need of health education by the nurse?

inpatient units

Which setting has been the traditional site for the nursing workforce

the client's daughter is present and provides care to the client at home

A nurse is teaching an older adult about a medication that the client will take at home. The nurse assesses which of the folioing factors a promoting adherence to the medication regimen?

case management

A client is admitted to an acute care facility after having a stroke. The client will require a variety of healthcare services throughout the hospital stay as well as coordination of care prior to discharge. What referral would be a priority for overseeing the client's care?

carrier of BRCA1 mutation

A client is at risk for breast cancer. Which of the following would reflect the client's genotype for this disorder?

Secondary prevention

A community health nurse has scheduled a hypertension clinic in a local shopping mall in which shopper have the opportunity to have their blood pressure measured and learn about hypertension. This nursing activity would be an example of which type of prevention activity?

secondary prevention

A community health nurse has scheduled a hypertension clinic in a local shopping mall in which shoppers have the opportunity to have their blood pressure measured and learn about hypertension. This nursing activity would be an example of which type of prevention activity?

right gender, right room

All of the following are examples of the six right of medication administration except? select all that apply

Ratio of body weight and height, oral mucosa, thyroid gland

A very thing women seeks medical care. During assessment of this client, the nurse determines the need for a nutritional assessment. Which of the following components will the nurse include in the assessment? select all that apply

ambulatory care

Before your aunt was admitted to hospice due to her chronic renal failure, she received dialysis four times a week at a dialysis center. Which type of care is provided at a dialysis center?

1800

Investigation of lifestyle should also include questions about complementary and alternative therapies. How many types of complementary and alternative therapies are estimated?

documentation

The entire planning phase of the teaching-learning process concludes with which of the following?

the hospital provides a copy of the medical record to the patient, the patient question a correction to the medical record, the nurse informs the patient that the therapist w9ll have access to his EMR, the nurse allows the patient to view his or her medical record at the bedside

The health insurance portability and accountability act HIPPA, passed in 1996 established national standard to protect individuals medical records another personal health information:; it applies to health plans, health care clearinghouses, and health care providers who conduct certian health care transactions electronically. Which of the following actions demonstrate an understand of HIPAA select all that apply

level of patient self care, educational needs of the patient, current health status of the patients, mental status of the patient

The home care nurse is in the process of deciding the need for future home visits. which of the following factors does the home hack nurse need to consider? select all that apply

1 hour

The initial sight of skin pressure is erythema, which normally resolves in less that?

patient avoids placing her body weight on the healing site

You are the nurse caring for a female client who developed a pressure ulcer as a result of decreased mobility. The nurse on the shift before you has provided patient teaching about pressure ulcers and haling promotion. You assess that the patient understood the teaching by observing what?

"this history helps us determine what your needs may be for nursing care"

You are the nurse performing a health assessment of an adult male patient. The man states, "The doctor has already asked me all these questions. why are you asking them all over again?" What is your best response?

evaluate the patients positioning, plan nursing interventions

You are the rehabilitation nurse caring for a 25 year old patient who suffered extensive injuries in a motorcycle accident. During each patient contact, what actions should you perform?

admittance to a rehabilitation unit

a client is paraplegic, lives alone, and just had a total should arthroplasty. in planning for dish care, the nurse arranges for?

moving the waker, stepping with the affected leg, then stepping with the unaffected leg

a client with a waker is being discharged from the orthopedic unity to home. the nurse must teach the client how to use a waker properly. which explanation demonstrates safe walker use?

safe work conditions

a goal of OSHA is?

the nurse a guest in the home needs the client's permission to visit, the nurse has minimal control over the heal practices of the client visited, infection control is more important the home than in the acute care facility

a nurse is working in acute care facility is preparing to start a new job as a home care nurse. which of the following would be most important of the nurse to keep in mind when transitioning to the is new role? select all that apply

a state of complete physical,mental and social well being and not merely the absence of disease and infirmity

which of the following statements reflects the world health organizations definition of health?

developmental disability

down syndrome is a ?

documentation

the entire planning phase of the teaching learning process concludes with which of the following?

hyperemia

the nurse assesses initial skin redness in a patient who is at risk for skin breakdown. who should the nurse document the finding?

encourage the patient to wait 30 minutes after drinking a measured amount of fluid before attempting to void, give up to 3,000 ml of fluid daily, teach bladder massage to increase intra abdominal pressure

the nurse is initiation a bladder truing schedule for a patient. what interventions can be provided for optimal success? select all that applies

health promotion

the nurse is providing an program at the local YMCA about stress-reduction techniques combined with a 1 mile walk around the indoor track once a week. What does this type of program address for the community?

resistive

the nurse is working with the physical therapist to create a multidisciplinary plan of care for patient in rehabilitation unity. the therapist suggest that the patients would benefit from the use of light weight shoulder exercises. the nurse incorporates this into the plan of care following types of exercise?

exploring ones' own cultural beliefs

what is the first step in becoming culturally competent?

acculturation

what is the process by which members of a cultural group adapt to or learn how to take on behaviors of another group?

the nurse

when a nurse delegates a take to another person , who s ultimately responsible for the action and its outcome?

body image

which is the last area to be addressed when assessing the patient profile?

all of the response are correct

which of the following behaviors differs based on a persons cultural background?

30 minutes

The initial sign of skin pressure is erythema, which normally resolves in less than?

"the nurse helped me make a list of my needs and goals for recovery and shared them with he home care team"

A nurse is evaluating a patient's discharge collaboration between the referring agency and the home care agency. What response by the patient would indicate and understanding of the discharge planning process?

age 33 at expected delivery

A nurse is reviewing the medical record of a patient who has just learned that she is pregnant. Which of the following would the nurse identify as being least likely to indicate a need for a genetic evaluation referral?

immobility, anemia, increased moisture

A nursing instructor is preparing a class on pressure ulcers. Which of the following would the instructor most likely include as a possible risk factor? select all that apply

ratio of body weight and height, oral mucosa, thyroid gland

A very thin woman seeks medical care. During assessment of the client, the nurse determines the need for nutritional assessment. Which of the folioing components will the nurse include in the assessment? select all that apply

cost of health care services, quality delivery of services, appropriate standards of care

Quality assurance QA programs were put into place in the 1980's by the joint commission to establish and maintain accountability to the public. These programs are responsible to the public for maintaining certain standards. Choose all of the actives that apply to the QA program

patient

The central figure in health care services is the:

The nurse allows the patient to view his or her electronic medial record (EMR) at the bedside, the hospital provides a copy of the medical record to the patient, the patient request a correction to the medical record on file, the nurse informs the patient that the therapist will have access to his EMR

The health insurance portability and accountability act HIPPA, passed in 1996, established nation standards to protect individuals' medical records and other personal health information; it applies to health plans, health care clearinghouses, and health care providers who conduct certain health care transactions electronically. Which of the following actions demonstrates understand of HIPPA? select all that apply

Universal precautions

The home care patient observes the visiting nurse place her bag on a paper barrier at the beginning of the visit. To avoid misunderstanding, the nurse explains to the client that placing her suppose on the barrier is an example of which of he following precautions?

interdisciplinary teamwork

The nurse educator is planning a teaching session for nursing students related to treatment and management of gestational diabetes. the nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

set a daily defection time that is within 15 minutes of of the same time every day, have an adequate intake of finger contains foods, have a fluid intake between 2 and 4 L/day

The nurse id developing a bowl training program for a patient. what education can the nurse provide for the patient that will increase the chance of success of the bowel program? select all that apply

primary prevention

The nurse is assisting with the development of program to administer flue shots to a group os senior citizens. What type of perception does this program represent?

"Tell me about your cultural preferences"

The nurse is caring for hispanic lien is performing a cultural assessment. Which of the following statements or question avoids stereotyping?

functional incontinience

The nurse is completing an initial assessment on a n elderly patient. when asked about her unitary patters, the patient states that she can "never get to the bathroom in time". the nurse document this as which of the following?

functional incontinence

The nurse is completing an initial assessment on an elderly patient. When asked about her urinary patterns, the patient states that she can "never et to the bathroom in time." The nurse document this as which of the following?

client moves the arm and leg on the same side together at the same

The nurse is observing a client using a cane to ambulate. Which of the falling would require the nurse to intervene?

re-demonstrate the correct technique, acknowledge positive aspects of the technique

The nurse is teaching a client how to self-administer insulin. The client inserts the needle into the abdomen, pirates, and injects the insulin. What action will the nurse take? select all that apply

coping strategies

While collecting the client profile information, the client admits to crying everyday after working 8 hours in a factory. This finding reflects what par of the profile?

maintaining eye contact at all times

What is the first step in becoming culturally competent?

1a, 2b, 3c, 4d

When preparing to perform a physical assessment of patient the nurse performs the steps below. Place the steps in order in which they most typically are completed. A. inspection, b. palpation, c. percussion, d. auscultation

body image

Which is the last area to be addressed when assessing the patient profile?

collaboration

Which management function involves a team effort to achieve patient care outcomes?

Scope of practice

Which of folioing delineates actions that are legally permitted for a particular profession based on specific education qualifications?

slow-paced presentation, frequent repetition, use of reinforcement techniques, use of written materials

Which of the falling are effective teaching strategies for elderly persons? select all that apply

the learned patterns of behavior, beliefs, and values, that can be attributed to particular group of people

Which of the folioing statements best defines the term culture?

encourage active participation, use nonverbal cues as needed, use simple explanations, demonstrate information followed by return demonstration

Which of the folioing teaching strategies may be used with a patient diagnosed with a developmental disability? select all that apply

slow paced presentation, frequent repetition, use of reinforcement techniques, use of written materials

Which of the following are effective teaching strategies for elderly persons? select all that apply

document the condition of the clients skin

While reposition an immobile client, a nurse notes that the client's sacral regions warm and red. Further assessment confirms that the skin is intact. Bases on these finding, it's most appropriate for the nurse to:

language barrier, cognitive deficits, opioid analgesics use, hearing deficits

a nurse is assessing a paritens ability to give informed voluntary consent for genetic testing. which of the following would the nurse identify as interfering with this ability? select all that apply

implementation

which phase of the nursing process of patient teaching ads when the strategies have been completed and when the patient's responses to the actions have been recorded ?

phenotype

while assessing a client, the nurse notes that the client has numerous freckles on his skin. the nurse interprets this finding as which of the following?

coping strategies

while collecting the clients profile information, the client admits to crying every day after working 8 hours in a factory. this finding reflects what part of the profile?

constipation

you are assessing gan 80 year old patient who has presented because of an unintended weight loss of 10 pounds over the past 8 weeks. during the assessment, you learn that ht patient has ill-fitting dentures and a limited intake of high fiber foods. you would be aware that the patient its at risk for what problem?