Med Surg Test 1 Homework Questions

A nurse is providing education about advance directives to a client who has end-stage liver failure. Which of the following statements by the client reflects an understanding of advance directives?

I can make my health care wishes known through advanced directives.

A nurse is providing care to a client who has a terminal illness. The client informs the nurse that they will not be accepting any prolonged treatment for their terminal illness due to their cultural beliefs. Which of the following statements by the nurse is appropriate?

I would like to understand more about your cultural practices. Will you tell me more?

A nurse is using Healthy People 2030 as a guideline for planning a community activity to promote client health and wellbeing. Which of the following statements should the nurse include as the main goal of the Healthy People 2030 project?

Identify and implement plans to improve health

Nurse is discussing the importance of a healthy work environment with a newly graduated nurse. Which of the following statements by the experienced nurse should help the new nurse learn how to maintain a healthy work environment?

"Report any workplace injuries to the manager."

A nurse is providing care for a beginning a pharmaceutical regimen as part of their postoperative treatment. Which of the following statements given by the nurse would support co-creation of care?

"Tell me how you hope the medication will help you complete your recovery."

nurse is caring for a client in an acute care setting who states, "The nurses here have been awful to me." Which of the following statements by the nurse demonstrates professional communication with the client?

"Tell me what happened to make you feel that way."

A nurse is providing education to a community group about social determinants of health. The nurse should teach the group that social determinants of health account for approximately what percentage of health outcomes?

30%

Which of the following should the nurse include in an educational session about wellness, as the key aspect of achieving wellness?

Active Pursuit of wellness

An urgent care facility has experienced a decline in client outcomes over the past 6 months. The staff has identified that the roles and responsibilities of team members are not always apparent, which can prevent the coordination of client care. Which of the following would help the medical facility address this issue?

Adopting a process improvement method

A nurse treating an older adult client who has diabetes mellitus notices that the client walks with a limp, which has not been noted on their medical record. Which of the following actions should the nurse take to help the client?

Alert the other members of the interdisciplinary team (IDT)

A nurse is caring for a group of four clients. Which of the following clients would the nurse conclude is most at risk for developing Alzheimer's disease?

An 87-year old male

A nurse is using a new wound-closure technique that is supposed to increase the rate of healing and decrease scarring. The nurse documents the appearance of the client's wound at set intervals and compares the notes to documentation of a past client with a similar wound that was treated using an established technique. Which of the following steps of evidence-based practice is the nurse performing when they compare the techniques?

Assessing the results

A nurse at a community hospital is providing education for a client as part of the approach to care. At which of the following points of care should the nurse begin educating the client about their health issues and treatment?

At admission

Nurse leader is discussing possible continuing education opportunities with other staff members. Which of the following actions should the nurse leader recommend to maintain clinical competence?

Attending a professional conference

The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month. Which of the following actions should the nursing staff take to improve client outcomes?

B. Increase delegation between nurses at different levels.

A nurse is providing culturally competent care to a client who is terminally ill. Which of the following should the nurse perform when providing care to clients with diverse backgrounds?

Be nonjudgmental in their healthcare practices

A nurse is assisting with community needs analyses of four counties regarding physical access to quality health care. The nurse should focus on interventions for which of the following groups?

Clients who live 40 miles from the city

A nurse is teaching a client regarding the difference between brain death and clinical death. Which client statement indicates accurate understanding?

Clinical death can be restored by CPR

nurse is teaching a class to new staff members about the importance of a positive work environment. Which of the following could be used as an example of professional comportment?

Collaboration among staff to complete tasks

A nurse is planning care for a client with complex medical needs. Which of the following would be an example of Interprofessional collaboration?

Consulting with a physical therapist about care decisions

A nurse is caring for a client who practices Catholicism. The client has just received word from the physician that their condition is terminal and there is nothing else that can be added to their treatment plan. The client is visibly upset and requesting to speak with a priest and have their last rites administered. Which of the following interventions should the nurse perform?

Contact the Chaplain

A nurse is assisting a community group to establish a disease prevention policy. Which of the following should the nurse recognize is an example of effective public health policy?

Establishing smoke-free restaurants

A nurse is teaching a group of older adult clients at the senior center about chronic illnesses. Which of the following acronyms should the nurse teach to the clients to help them remember common manifestations of a stroke?

FAST (Face, arms, speech, time to call)

A nurse is collecting information from a client at a local clinic. The nurse should recognize that which of the following social determinants of health may affect this client's outcomes?

If the client is exposed to toxins or violence in their environment, their health may be altered.

he nurse is teaching a client about the stages of dying. Which statement by the client indicates that learning has occurred?

It could take 1-14 days to go through the stages of death

A nurse is discussing the nursing shortage with another staff member. Which of the following should the nurse identify as a cause of the current nursing shortage?

Nurses are retiring faster than new nurses are being hired

A nurse is discussing the impact of social determinants of health and their impact on the spread of communicable diseases and infections. Which of the following factors should the nurse identify as a social determinant that increases the risk of infection among individuals who are living at a lower income level?

Occupation and work conditions

A nurse wants to use evidence-based practice to provide safe and effective wound care for a client with a rare clotting disorder. Which of the following is the first step the nurse should take?

Posing a question

A nurse is discussing burnout with their nursing team. Which of the following should be included as an effective strategy to prevent nurse burnout?

Practicing self-care

A nurse works at a medical facility that serves an immigrant community in a low-income area. The clients have disproportionately high rates of obesity and heart disease. The area also has limited access to fresh produce in most neighborhood supermarkets. According to the World Health Organization, which of the following steps should the nurse take in addressing the social determinants of health for the clients?

Provide a list of local farmers' markets to clients

.A nurse overhears another nurse being harassed by a staff member. Which of the following actions by the nurse is an appropriate way to handle this situation?

Report the incident to a manager

A nurse is caring for a client who is receiving home hospice care. The family states, "We are exhausted. We do not want to admit our parent to a long-term care unit, but what alternatives do we have?" Which of the following statements should the nurse include when speaking to the family?

Respite care is available for caregiver of terminally ill clients

A nurse is taking a class on leadership in the nursing profession. Which of the following should the nurse identify as a quality of an effective nurse leader?

The ability to empathize

A nurse is caring for a client who has a full code status. The client has experienced cardiac arrest and has activity on the electroencephalogram. Which of the following nursing interventions should the nurse perform?

The nurse should begin full Cardiopulmonary resuscitation CPR immediately

Which of the following actions by a nurse facilitates a care partner's active role as a member of the collaboration team for a client receiving palliative care as part of the chemotherapy process?

The nurse should educate the care partner on the protocols for administering the client's pain medication.

Following surgery to repair a tear in a client's shoulder, the client is prescribed physical therapy. During physical therapy the client has an exacerbation of their chronic back pain which is treated by another provider. Which of the following interventions would be priority to ensure the client receives holistic care?

The nurse should facilitate contact between the client's surgical team, physical therapist, and primary care physician.

The nurse is educating the client's family about the changes occurring during the early stage of the dying process. The family member tells the nurse, "My parent is really confused at times." Which of the following is the nurse's best response?

This is a normal cognitive change that is occurring

A nurse is managing a community vaccine clinic, and a client asks why so many vaccines are currently recommended by the Centers for Disease Control and Prevention. Which of the following is the best response for the nurse to use?

Vaccines are recommended because they can prevent people from getting many serious diseases.

A nurse is caring for a client who has end-stage lung cancer. The client has a decreased level of consciousness, extreme shortness of breath, and a respiratory rate of 40/min. The client's family member states to the nurse, "My sibling doesn't have any advance directives. Can they still receive palliative sedation?" Which of the following statements should the nurse include when speaking with the client's family?

Yes, Consent will be obtained via legal proxy

A client is seeking treatment for a respiratory infection at a local clinic. During the visit, the client verbalizes concern about the cost of medication and the inability to pay for it. Which of the following responses should the nurse use?

Your health provider may be able to give you free samples