N204 Practice Quizes

A nurse takes into consideration that the key factor in accurately assessing how a client will cope with body image changes is what?

Perception of the change

Which therapeutic communication technique is useful when the nurse and a client have a conversation and the client begins to repeat the conversation to himself or herself? 1 Focusing 2 Clarifying 3 Paraphrasing 4 Summarizing

1 focusing

What should the nurse do when the defining characteristics of assessment data for a client can apply to more than one diagnosis? Select all that apply. 1 Reassess the client. 2 Reject all diagnoses. 3 Gather more information. 4 Identify related factors. 5Review all defining characteristics.

3 Gather more information. 4 Identify related factors. 5Review all defining characteristics

A registered nurse is explaining the importance of capitation to a nursing student. What information should the nurse provide? Select all that apply. 1 Capitation is used to review the quality, quantity, and cost of hospital care. 2 Capitation influences the way healthcare providers deliver care in all types of settings. 3 Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. 4 Capitation identifies and eliminates the overuse of diagnostic and treatment services ordered by primary healthcare providers for Medicare. 5 Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.

2,3,5

A healthcare team is caring for a client who is hospitalized with severe diarrhea. According to the principle of right of supervision of delegation, what does the RN do in this situation? 1. Feed the client every 2 hours. 2. Monitor the hemodynamic status. 3. Assess the resources required in the client's care. 4. Follow the institutional procedures for administering fluids.

2. Monitor the hemodynamic status.

Which nursing action is a part of the evaluation phase of the critical thinking process? 1Collecting all the data in order 2Looking at all the situations objectively 3Support the findings and drawing conclusions 4Be open-minded to information about a client 5Using several criteria to determine the effectiveness of a nursing intervention

2Looking at all the situations objectively 5Using several criteria to determine the effectiveness of a nursing intervention

A client is placed on a stretcher and restrained with straps while being transported to the x-ray department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the client shows the strap to the nurse manager, stating, "See, the strap is worn just at the spot where it snapped." What is the nurse's accountability regarding this incident? 1 Exempt from any lawsuit because of the doctrine of respondeat superior 2 Totally responsible for the obvious negligence because of failure to report defective equipment 3 Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client 4 Exonerated, because only the hospital, as principal employer, is responsible for the quality and maintenance of equipment

3 liable

A nurse assisting in a research study calculates the risk-benefit ratio and concludes that there were no harmful effects associated with a survey of diabetic clients. This researcher was applying which principle?

Beneficence

Which theorist suggested that the goal of nursing is to use communication to help clients reestablish a positive adaptations to their environments?

King

Which should the nurse include information for at each health maintenance visit for the parents of a toddler-age client?

Plants are the number one cause of accidental poisonings for the toddler-age client; therefore, the nurse should provide education related to this type of accidental poisoning at each health maintenance visit. Iron, aspirin, and corrosives also lead to accidental poisoning; however, these are not as common as plant poisoning.

preferred provider organizations (PPOs)

Preferred provider organizations reimburse nursing home payments. Preferred provider organizations cover children who are not poor enough for Medicaid. Preferred provider organizations have deductibles that clients must meet before the insurance pays.

Arrange the events of communication throughout the nursing process in chronological order. 1. Assessing the medical records and diagnostic tests 2.Documenting expected outcomes Incorrect 3.Performing verbal, visual, auditory, and tactile health teaching activities 4.Intrapersonal analysis of the assessment findings 5.Identifying the factors affecting the outcomes

The first step of communication throughout the nursing process is assessment, which involves assessing medical records and diagnostic tests. The second step is nursing diagnosis, which involves the intrapersonal analysis of assessment findings. The third step is planning, which involves the documentation of expected outcomes. The fourth step is implementation, which involves performing verbal, visual, auditory, and tactile health teaching activities. The final step is evaluation, which involves identifying the factors affecting the outcomes.

5 rights of delegation

right task, right circumstances, right person, right direction/communication, and right supervision/evaluation.

The community nurse is assessing an elderly client who lives alone at home. The nurse finds that the client refrains from physical activity for fear of falling when walking. Which interventions by the nurse are most beneficial to promote a healthy lifestyle? Select all that apply. 1 Instruct the client to apply bed side rails. 2 Encourage the client to wear nonskid shoes. 3 Suggest that the client use an assistive device. 4 Ask the client to install hand rails in the bathroom. 5 Help the client rearrange furniture in the house.

2 Encourage the client to wear nonskid shoes. 3 Suggest that the client use an assistive device. 5 Help the client rearrange furniture in the house.

The registered nurse is teaching a nursing student about caring for a client who has difficulty speaking English. Which statement made by the nursing student would cause communication problems with the client? 1 "I will give the client a call bell." 2 "I will involve the client's family members as interpreters." 3 "I will provide a dictionary to the client if the client can read." 4 "I will use boards and pictures to communication with the client."

2 "I will involve the client's family members as interpreters."

Which question should the nurse include in the assessment process for the parent of a toddler-age client who is diagnosed with lead toxicity that is not related to a household item? 1 "Do you teach for a living?" 2 "Do you refinish furniture?" 3 "Do you work in a hospital?" 4 "Do you work with children?"

2. "Do you refinish furniture?" Occupational exposure to lead can occur when a parent works with refinishing furniture; therefore, this is a question the nurse should include in the assessment process. Teaching, working in a hospital, and working with children are not occupational exposure risks for lead.

Which of these measures does a nurse take during the working phase of a helping relationship? 1 Evaluating goal achievements with the client 2 Anticipating health concerns or issues that may arise 3 Using appropriate self-disclosure and confrontation 4 Prioritizing the client's problems and identifying his or her goals

3 Using appropriate self-disclosure and confrontation