HESI FUNDAMENTALS ISSUES IN NURSING
Which scenario mentioned by the nurse is an example of continuing care
Caring for a client with Parkinson's disease who requires day care wervice
Which role does the nurse play when helping clients identify and clarify health problems and choose appropriate courses of action to solve those problems?
Counselor
The nurse recognizes that the root cause analysis tool will be useful in which case
Death due to nosocomial infection
Which phrase describes the purpose of a health care proxy or durable power of attorney for health care
Designates a person or persons to make health care decisions on behalf of the client
Which nursing behavior is an intentional tort
Divulging private info about a clients health status to the media
Which example illustrates health promotion activities
Good nutrition regular exercise
Which statement is accurate regarding a high reliability organization
Has a low incidence of adverse events
The nurse concludes that a client with a body temp of 98.6 is experiencing which condition
Normothermia
Which nursing action establishes the nurse as a caregiver for a client in spiritual distress
Provides therapeutic treatment to the client
Which communication technique is a part of therapeutic communication
Providing relevant info to the client
The waiting area of a health care facility displays a pink triangle. Which view does this signify
The health care facility welcomes LGBTQ+ clients
Which scenario is an example of restorative care
Visiting a private residence to perform maggot aided debridement therapy of a clients wound
Which ethical principles govern the nurses behavior when making difficult decisions about a clients care at the point of care
Clinical ethics
Which component is a subset of clinical health care informatics?
Nursing informatics
Which explanation does the nurse use to describe the term "regulatory law" as applied to nursing practice
Reflects the decisions made by admin bodies such as state boards of nursing
Which action is the professional nurses legal responsibility regarding child abuse
Report any suspected abuse to local law enforcement authorities
Which act allows the client to donate organs?
Uniform anatomical gift act
Which nursing action illustrates the QSEN competency called informatics
Use information and tech to communicate, manage knowledge, mitigate error, and support decision-making
Which act protects a person who is HIV positive
Americans with disabilities act
Which action would the nurse take to comply with the ethic of nonmaleficence in the health care setting
Focus on doing no harm
Which objective would the nurse understand about the secondary level of prevention
Focused on individuals who are in the early stage of their illnesssess
Which antipyretic medication may cause Reye syndrome in children
Aspirin
Which member of the inter professional team is appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died
Social worker
Which statement indicates that the nurse is in the advanced beginner stage of Benner
Identifies the basic principles of nursing care through careful observation
Which external barriers can prevent a nursing professional from making morally correct actions?
Inadequate staffing lack of assertiveness poor relationships with colleagues
To meet criteria of ethical practice, which action would the nurse who witnessed the spouse of a client fall take?
Initiate an agency incident report
Which objective describe the purpose of public health laws
Advocating for the rights of people regulating health care and health care financing ensuring professional accountability for the care provided
Why would organizations promote transparency in health care
Allows continuous feedback for improving client outcomes
When would a medical examiner decide whether a postmortem exam needs to be conducted
Death within 24 hours of admission to the hospital
The nurse asks a UAP to provide an ice pack to a client. Which nursing function does this represent.
Delegation
WHICH TYPE OF HEALTH INFO TECH WOULD THE NURSE ACCESS TO OBTAIN HEALTH DATA FOR RESEARCH PURPOSES FOR ALL INDIVIDUALS AT A MULTISPECIALTY HOSPITAL
EHR
Who is the appropriate authority to provide consent for an unemancipated pediatric client about to undergo a medical procedure
Either of the child's parents
Which strategy is an example of a passive health promotion
Fluoridation of municipal drinking water
Which phrase describes the meaning of the term in-service education
Helps the nurse achieve an organizations required competencies
Which statement made by the nurse requires correction when discussing RN licensure in the US with peers
Passing the nclex exam indicates maximal knowledge base for safe nursing practice
Which terminology system would the nurse use to enter nursing diagnoses, interventions, and outcomes in EHR
Perioperative nursing data set
Identify factors associated with an increased incidence of abuse within a family
Pregnancy drug abuse sexual orientation
Which purpose describes the failure mode effective analysis?
Prevent medical errors in the hospital
Which info is accurate regarding exemplary professional practice according to the revised magnet model
Strong professional practice is established and accomplishments of the practice are demonstrated
According to Avedis Donabedian, which finding is the most important validation of quality and effectiveness of health care in a hospital
The client outcomes achieved by the care provided
Which represents a significant shift in US health policy in recent years
There is a focus on better managing clients with multiple chronic conditions
Which point listed by the nursing student is accurate regarding the loss of a clients medication records
There is an assumption that the care provided to the client was negligent
Which legal defense is important for the nurse to develop
Accountability
Which explanation describes a living will
A written document that directs treatment according to the clients wishes, in case of a terminal illness or condition
Which point requires correction regarding the use of restraints
A written order for restraints is not required
Which teaching point is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?
Act in ways to prevent harm to clients
Which is the most independently functioning nurse
Advanced practice registered nurse
Which tort involves intentional touching without the clients consent?
Battery
Which example represents a type of private indemnity health insurance
Blue cross blue shield association
Which principal describes the rationale for not discussing a clients condition with another individual not directly involved in clients care
Breach of confidentiality
Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of electronic health records?
Center for Medicare and Medicaid services
Which statement demonstrates understanding of a computer based client information system
Client info is immediately available when this system is used
The nurse is caring for a child whose parents refuse a life saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma
Obtain info from the child the parents health care workers and other sources
A client decides to have hospice care rather than an extensive surgical procedure. Which ethical principle does the clients behavior illustrate
Autonomy
Which basic health care ethic does the nurse follow when signing the clients consent form as a witness
Autonomy
Which statement best describes the mission of a community hospital?
To provide general medical and surgical services
Which acts are classified as intentional torts in nursing practice
Battery assault false imprisonment
How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing
An act that lacks intent but involves volitional action
Which scenario is a perfect example of primary prevention
An infant receives the rotavirus vaccine in the hospital setting
Which statement accurately describes primary prevention
Applied to clients who are physically and emotionally healthy
In which instances can an adult give consent for a minors medical treatment?
As the guardian for a ward as the parent of an unemancipated minor as an adult for the treatment of their minor brother or sister
The nurse needs to obtain consent for the. Medical treatment of a child whose parent is a mini or. Which appropriate step would the nurse take to obtain consent
As the minor to give consent
Which examples mentioned by the nursing student regarding quai-intentional torts need correction
Assault battery malpractice
Which way can the nurse prevent being named in a lawsuit
Attend professional development programs
Which action is appropriate for the registered nurse regarding assisted suicide?
Nurses participation in assisted suicide violates the code of ethics
According to quality and safety education for nurses, which phrase defines patient-centered care?
Understanding that the client is the source of control when providing care
Which information is appropriate to include in education about sentinel events
Undesirable and largely avoidable
Which QSEN competency does integrating correct research with clinical experience and client preference comply with
Evidence based practice
Which components are elects of discovery in a lawsuit
Experts medical records deposition of witnesses
Which example describes an intentional tort
False imprisonment
Which initial action would be the nurse manager take upon hearing two nurses discussing a client who has AIDS in a hall filled with visitors
Have a conference with the nurses and talk about the need for confidentiality
Which statement accurately describes a health care policy as it relates to health care economics
It provides overarching goals and helps in setting priorities and values for the distribution of health resources
Which legal principle is applied when the nurse fails to act in a reasonable prudent manner
Malpractice
Which possible legal complication might the nurse face in a situation in which IV therapy was admired to the wrong client
Malpractice
Who has the authority to decide if a postmortem will be conducted if a client dies 2 hours after being admitted to the hospital
Medical examiner
Which dietary need would the nurse and the nutritionist consider when planning meals for a client who practices the Russian orthodox faith
No meat on Wednesday and fridays
Which nurse participates in the development of nursing policies and procedures
Nurse educator
Who would the nurse use as an interpreter to explain a consent form for a foreign-language speaking client who needs to undergo chemotherapy
Official interpreter
Which scenario mentioned by the registered nurse is considered secondary acute care
Prepares a client who has suffered from repeated cerebral attacks for a CT scan
Under which health care services pyramid level would the nursing student include family planning
Primary care
How are profits used in a for profit health care organization
Profits are paid out to shareholders
Which explanation regarding the term "just culture" is accurate?
Promoting open discussion whenever error occurs without fear of recrimination
Which nursing action is legally required
Reporting incidents of suspected child abuse to the appropriate authorities
Under which type of health care services would the student nurse include sports medicine?
Restorative
Which purpose does block and parish nursing serve in preventative and primary care services
Services are provided to older clients or those who are unable to leave their homes
Which action by the student nurse may inhibit clients from disclosing personal information?
Sharing clients data with family members
Which signs and symptoms are observed in the human body with a decrease in body temperature?
Shivering and Contraction of Blood Vessels
Which situation accurately describes hospice care?
System of family centered care that allows clients to remain at home in comfort while easing the pains of terminal illness
Which description does beneficence in health ethics refer to?
Taking positive actions to help others
Which person receives the highest priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed
The client in writing before death
Which action would the nurse take to minimize ambiguity and confusion when entering a clients data in the Electronic health record?
Use consistent, codified terminology
Which explanation is the rationale for performing sponge, needle, and instrument counts in the operating room
The nurse is responsible for performing sponge and instrument counts as a part of routine surgical standards
The registered nurse is educating nursing student about the process of resolving an ethical dilemma. Which info would the nurse provide regarding negotiation of outcomes
The nurse would provide a personal point of view
Which point listed about the UNOS program is accurate
The org has a contract with the federal government
Which definition of assault would the nurse include in teaching a group of parents about child abuse
Threat to do bodily harm to another person