Issues in Nursing

According to the most recent Diagnostic and Statistical Manual of Mental Disorders, which statement is correct? 1. Prevalence of gender dysphoria ranges from five to 14 in 1,000 natal males 2. Prevalence of gender dysphoria ranges from three to five in 1,000 natal females 3. Prevalence of transgender people is between one in 11,900 and one in 200,000 people 4. Prevalence of invasive cancer of the cervix is the third most common cancer of the female genital system found in transwomen

1

What are the instances when an adult can give consent for medical treatment? Select all that apply. 1. Any guardian for the adult's ward 2. Any parent for the adult's emancipated minor 3. Any parent for the adult's unemancipted minor 4. Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not present) 5. As a grandparent for a minor grandchild under normal circumstances

1, 3, 4

What are the signs and symptoms observed in the human body with a decrease in body temperature? Select all that apply. 1. Shivering 2. Profuse Sweating 3. Flushed appearance 4. Dilation of blood vessels 5. Contraction of blood vessels

1, 5

Identify factors associated with an increased incidence of abuse within a family. Select all that apply. 1. Acute illness 2. Pregnancy 3. Drug abuse 4. Chronic illness 5. Sexual orientation

2, 3, 5

A student nurse is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the student nurse include sports medicine? 1. Primary care 2. Tertiary care 3. Preventative care 4. Restorative care

4

"Just culture"

Refers to the promotion of open discussion without fear of recrimination whenever mistakes, especially those involving adverse events, occur or nearly occur

Quasi-intentional torts

acts in which intent is lacking but volitional action and direct causation occur such as in invasion of privacy and defamation of character

How often should an IV line be changed?

every 72 to 96 hours to prevent risk of infection

fidelity

faithfulness; loyalty by keeping promises and doing what is expected

Normothermia

normal body temperature 36.5 to 37.2 C

block and parish nursing

provides services to older clients or those who are unable to leave their homes

What legal complications might a nurse face for using a restraint without a legal warrant on a client? 1. The nurse may be charged with libel 2. The nurse may be charged with negligence 3. The nurse may be charged with malpractice 4. The nurse may be charged with false imprisonment

4

What services do community health centers provide in preventive and primary care services? Select all that apply. 1. Day care 2. Health screenings 3. Physical assessments 4. Disease management 5. Acute and chronic care management

2, 3, 4

The nursing student has enrolled in a Public Health Informatics (PHI) fellowship program. What does the student expect to learn in this program? Select all that apply. 1. developing insurance policies 2. providing culturally competent care 3. designing new tools for biosurveillance 4. developing online analytic processing tools 5. methodologies for determining outbreak response

3, 4, 5, PHI is the systematic application of information and computer science and technology to public health practice

Regulatory Law

reflects decisions made by administrative bodies such as the State boards of Nursing

community health centers

-Outpatient clinics that provide primary care to a specific patient population (ex. well-baby, mental health, diabetes) that lives in a specific community -Often associated with a hospital, medical school, church, or some other community organization

A nurse is obtaining consent from an unemancipated minor to perform an abortion. When would the nurse consider the consent-giving process to be appropriately completed? Select all that apply. 1. When consent has been obtained from the spouse 2. When consent has been given specifically by a court 3. When self-consent has been granted by a court order 4. When consent has been given by a grandparent 5. When consent has been obtained from at least one parent of the minor

2, 3, 5

Which is an appropriate action for the registered nurse regarding assisted suicide? 1. Nurses may have an open attitude toward the client's end of life 2. Nurses' participation in assisted suicide violates the code of ethics 3. Nurses may listen to the client's expressions of fear and to attempt to control the client's pain 4. Nurses can participate in assisted suicide only if the individual could make an oral and written request

2, According to the ANA, a nurse's participation in assisted suicide will violate their code of ethics

The quality analysis team has implemented the root cause analysis (RCA) tool in the hospital. The nurse recognizes that the tool will be useful in which case? 1. a patient died after end-stage lung cancer 2. a patient died due to nosocomial infection 3. a patient was rescued while falling from the bed 4. a patient developed skin rashes after receiving medication

2, The root cause analysis tool is used when a medical error resulted in death or serious harm to the patient. Nosocomial or hospital-acquired infections usually occur due to the failure to maintain asepsis while providing care to the patient. Therefore the RCA tool would be used to analyze the cause in this case

A nursing student is listing the points that need to be remembered about the loss of a client's medical records. Which point listed by the nursing student is accurate? 1. Loss of medical records may lead to libel charges 2. The registered nurse should maintain accurate nursing records 3. There is an assumption that the care provided to the client was negligent 4. The healthcare facility needs to demonstrate why the medical records were lost

3, Loss of medical records may lead to a malpractice claim. The entire institution is responsible for maintaining medical records. Primary healthcare providers need to demonstrate why the medical records were lost

Which organization has a publication that includes the objective, "Aiming to develop a system to identify patients who are lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)?" 1. U.S. Department of Health and Human Services (USDHHS) 2. The Centers for Disease Control and Prevention (CDC) 3. The Joint Commission (TJC) 4. The World Professional Association for Transgender Health (WPATH)

1, Developing a system to identify clients who are LGBTQ is a goal stated in the USDHHS's Healthy People 2020

A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." What stage of health behavior change has the client reached? 1. Action stage 2. Preparation stage 3. Maintenance stage 4. Contemplation stage

1, In this stage, old habits may get in the way of new behaviors