HESI practice final questions

While caring for a client dealing with pain, the nurse assesses the health status and prioritizes his or her needs. Which phase of the helping relationship is observed?

Orientation phase

A registered nurse is teaching a nursing student about systems theories with a specific reference to Neuman's systems theory. Which statements made by the nursing student post teaching are accurate? 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." An open system interacts with the environment, with an exchange of information between the system and the environment

A nurse is evaluating examples of situations pertaining to the basic needs of human beings according to Maslow's hierarchy of needs. Which situations qualify under the fourth level of needs? Select all that apply.

A client laments that he or she is the ugliest person in the whole world A client tells the nurse that he or she is the only member in the family who does not work. A client feels that he or she has not been able to live up to his or her partner's expectations

Which psychophysiologic factors can influence communication between a nurse and a client? Select all that apply.

Emotional status Growth and development

A registered nurse is teaching a nursing student about Peplau's theory, which focuses on interpersonal relations. Which statements of the nursing student indicate an understanding of the theory? Select all that apply.

This theory creates a maturing force." "This theory involves the nurse acting as a resource and surrogate." "This theory includes three phases that characterize the interpersonal relationship."

A registered nurse is educating a student nurse regarding the role of value clarification in the resolution of ethical dilemmas. What information should the nurse provide?

Value clarification involves tolerating differences of opinions.

A nurse is teaching about near-miss events to a group of nursing students. What is appropriate for the nurse to include in the education? Select all that apply.

hey do not cause actual harm to the client They are caused by a variation in standard care Their cause can be analyzed by failure mode effective analysis.

A registered nurse is educating a nursing student about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Which points mentioned by the nursing student post-teaching are correct? Select all that apply

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure client perceptions of their hospital experience. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is administered to a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys have 27 questions that ask clients to rate their communication with nurses and physicians, discuss other details about treatment, and share their willingness to recommend the hospital.

During the beginning phase of a therapeutic relationship, why is a clear understanding of participants' roles important?

The client needs to know what to expect from the relationship

A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? Select all that apply.

"The nursing manager coordinates the activities of the nursing staff in delivering nursing care." "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

A registered nurse is teaching a nursing student about Nightingale's theory of nursing. Which statements have been correctly stated by the nursing student as a result of the teaching? Select all that apply.

Nightingale's theory states that the focus of nursing is caring through the environment Nightingale's theory is oriented towards providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition. Nightingale's theory focuses on helping the client deal with the symptoms and changes in function related to an illness

he nursing manager reviews client case studies to create a report that identifies medical errors that occurred in the hospital during the previous two years. Which case study would the nursing manager identify as a sentinel event?

Case study 4 Sentinel event is a serious adverse event involving the death of the client due to medical error. Therefore the nurse manager will identify the death of a client due to overdose of digoxin (Cardoxin) as a sentinel event. So, from the chart above it is implied that case study 4 is an example of a sentinel event. A decrease in white blood cells and hair loss are common findings in the client who is receiving chemotherapy. Therefore the nursing manager will not identify case study 1 as a sentinel event. A near miss is an unplanned event that did not result in injury, illness, or damage, but that had the potential to do so. In case study 2, the healthcare providers, before surgery began, realized that the wrong leg had been prepped; the error did not reach the client. Therefore it is an example of a near-miss event. The medication errors that cause moderate harm, but not the death of a client, are classified as an adverse event. In case study 3, the overdose of insulin (Humulin N) resulted in seizures but not the death of the client. Therefore it is an example of an adverse event.

Health promotion efforts for a chronically ill client should include interventions related to primary prevention. What should this include?

Encouraging daily physical exercise

Health promotion efforts within the healthcare system should include efforts related to secondary prevention. Which activities reflect secondary prevention interventions in relation to health promotion? Select all that apply.

Encouraging regular dental checkups Teaching the procedure for breast self-examination

The nurse is assessing a client with impaired hearing. Which action of the nurse is most important for establishing a good communication with the client?

Getting the client's attention before speaking

The nurse is caring for a client who is terminally ill with cancer. The health care team meets and agrees to provide the client with information to help the client make decisions regarding treatment. Which ethical principles are applied in this situation? Select all that apply.

Justice Fidelity Veracity Autonomy

The goal of a particular nursing theory is to use communication to help a client re-establish positive adaptation to environment, and the framework for the nursing practice is based on treating nursing as a dynamic interpersonal process among the nurse, the client, and the healthcare system. Which nursing theory are these points related to?

King's theory

What does a nurse do during the orientation phase of a helping relationship?

The nurse develops a healthy relationship with the client

A nurse is working in a health care organization that has Magnet status. What specific responsibility does the nurse have in this organization?

The nurse must collect data for comparison against a national level.