NSG 152 Final Exam

The nurse is working in a poverty-stricken neighborhood and sees several adolescents in the practice. What are the possible consequences for the adolescents living in this area? (Select all that apply) a. To be a victim of violence b. To use tobacco products c. To drink alcohol d. To engage in sexual behavior with multiple partners e. To graduate from high school and college

a, b, c, d

A nurse educator is preparing a lecture for a group of students about the possible client indicators of poor health literacy. Which student statements would indicate that teaching was successful? (Select all that apply) a. "Clients will have difficulty filling out registration forms." b. "They frequently have missed appointments." c. "There is a pattern of lack of follow up with treatment." d. "Clients will complain of not being able to hear." e. "There is a pattern of history of medication errors." f. "Clients will ask many questions about their health situation."

a, b, c, e

Factors influencing health disparities include: (Select all that apply) a. Racial and ethnic groups b. Poverty c. Number of children in the family with both parents working and insured d. Access to healthcare e. Sexual orientation

a, b, d, e

A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners? a. A focus on the immediate application of new material b. A need for support to reduce anxiety about new learning c. Older students may feel inferior in terms of new learning d. All students, regardless of age, learn the same

a. A focus on the immediate application of new material

After many years of advanced practice nursing, a nurse has recently enrolled in a nurse practitioner program. This nurse has been attracted to the program by the potential to provide primary care fro clients after graduation, an opportunity like this is most likely to exist in which of the following settings? a. A rural health center b. A long-term care facility c. A university hospital d. A community hospital

a. A rural health center

Which of the following individuals would the nurse assess as being most at risk for altered family health? a. An unmarried adolescent with a newborn b. A newly married couple who ask about birth control c. A middle-aged man and woman with no children d. An older adult, living in an assisted-living community

a. An unmarried adolescent with a newborn

Which action should the nurse first consider when attempting to become culturally competent? a. Assess own personal cultural beliefs and prejudices b. Listen and understand the client's response c. Avoid labeling any clients d. Treat the client with respect and dignity

a. Assess own personal cultural beliefs and prejudices

When assessing families, the nurse would most likely find which type of boundaries in most functional families? a. Clear b. Diffuse c. Rigid d. Structured

a. Clear

The nursing student is assessing a community in regard to safety and security. Which of the following would be inappropriate for the nursing student to include under this basic need category? a. Parks and swimming pools b. Police and fire departments c. Sanitation facilities d. Housing and zoning codes

a. Parks and swimming pools

The mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes that seeking and utilizing support systems is an example of which human dimension? a. Sociocultural dimension b. Physical dimension c. Environmental dimension d. Intellectual and spiritual dimension

a. Sociocultural dimension

A client is diagnosed with mild dementia while in the hospital. In preparing for discharge, what should the nurse discuss with the family? a. The possible need for home care b. Legal responsibility for the future c. The need for transfer to a long-term facility

a. The possible need for home care

A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medication. What is the goal of this education? a. To help the client develop self-care abilities b. To ensure the client will return for follow-up care c. To facilitate complete recovery from the disease d. To implement ordered teaching and counseling

a. To help the client develop self-care abilities

At which point during hospital-based care does planning for discharge begin? a. Upon admission to the hospital b. After the client is settled in a room c. Immediately before discharge d. After leaving the hospital

a. Upon admission to the hospital

The nurse has just taken report on a newly admitted client who is a 15 year old girl who is a recent immigrant. When planning interventions for this client, the nurse knows the interventions must be which of the following? (Select all that apply) a. Appropriate to the nurse's preferences b. Appropriate to the client's age c. Ethical d. Appropriate to the client's culture e. Applicable to others with the same diagnosis

b, c, d

According to 2014 US Census, groups making the lowest income creating homeless situation for themselves include: (Select all that apply) a. Hawaiians b. African Americans c. Native Americans d. Alaskan Natives e. White, non-Hispanics

b, c, e

Which scenario exemplifies the Casual Uncertainty Model? (Select all that apply) a. Describes feelings of safety and protection b. Describe alterations in the function and structure of the military family c. Describes feelings of empowerment d. Describe feelings of confusion

b, d

When caring for a client, the nurse gives day-to-day examples to explain certain points of the health education. The nurse also notes the client's concentration level and educates when the client is active. Which category does the client fall into? a. Motivation b. Attention and concentration c. Learning readiness d. Learning needs

b. Attention and concentration

What is the major effect of a health crisis on family structure? a. Adaptation to stress b. Change in roles of family members c. Respect for family values d. Loss of individual identities

b. Change in roles of family members

Which of the following statements accurately describes a characteristic of a community? a. Communities do not exist in rural areas b. Communities are formed by the characteristics of people and other factors c. Communities are not limited by geographic boundaries d. Communities have little or no effect of the health of residents

b. Communities are formed by the characteristics of people and other factors

Which of the following would be most appropriate for a nurse to do when attempting to view a whole family as a unit to obtain a view of the family composition? a. Compile a list of family members b. Construct a family genogram c. Determine the internal power structure

b. Construct a family genogram

A client who has difficulty sleeping expresses to the nurse that watching television may help a client relax and get sleep. The nurse disregards the client's concern and suggests drinking warm milk before going to bed. Which cultural characteristic is the nurse demonstrating? a. Stereotype b. Ethnocentrism c. Racism d. Relativity

b. Ethnocentrism

A nurse is caring for a client raised in a patriarchal society. Which person would the nurse expect to be making the decisions about treatment? a. Client b. Father c. Mother d. Grandparent

b. Father

Which of the following phrases best describes hospitals today? a. Focus on chronic illnesses b. Focus on acute care needs c. Primary care centers d. Voluntary agencies

b. Focus on acute care needs

Which of the following is an essential component of the definition of learning? a. Increases self-esteem b. Decreases stress c. Can be measured d. Cannot be measured

c. Can be measured

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating? a. Affective b. Cognitive c. Psychomotor d. Emotional

c. Cognitive

Nursing care is provided in an increasingly diverse variety of settings. Despite the variety in settings, some characteristics of professional nursing practice are required in any and every setting. These characteristics include: a. Advanced education b. Certification in a chosen specialty c. Cultural competence d. Independent practice

c. Cultural competence

A nurse is reading a journal article comparing community-based nursing with nursing in the acute care setting. Which factor would the nurse most likely find as being associated with community-based nursing? a. Increased time availability for education b. Improved access to resources c. Decision making in isolation d. Greater environmental structure

c. Decision making in isolation

A mother of a toddler wants to learn how to do CPR. Which education strategy would be most effective in helping her learn? a. Lecture b. Discussion c. Demonstration d. Discovery

c. Demonstration

Which phrase best describes continuity of care? a. Focusing on acute care in the hospital b. Serving the needs of children c. Facilitating transition between settings d. Providing single-episode care services

c. Facilitating transition between settings

When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized? a. Have the clients read material after client education b. Be sure that clients are formally engaged c. Include educational strategies that encourage clients to be active participants d. Administer tests to evaluate learning

c. Include educational strategies that encourage to be active participants

The nurse is helping a client choose her menu options for the following day. The nurse reads out the option of ham with scalloped potatoes and the client states that her religion does not allow this. Which of the following is most likely the client's religion? a. Roman Catholicism b. Buddhism c. Islam d. Mormonism

c. Islam

The nurse is assessing a family's function. Which family behavior would the nurse identify as most reflective of a positive family expressive function? a. Expressing a narrow range of emotions b. Masking verbal messages c. Listening attentively to one another d. Using punishment to control behavior

c. Listening attentively to one another

Assessment of a family reveals that the adult members have impulsive actions, react without analyzing a situation, and cannot maintain close relationships. The nurse would interpret this as indicating which of the following? a. High differentiation b. Moderate differentiation c. Low differentiation d. Lack of differentiation

c. Low differentiation

Which client characteristic is important to assess when using the health belief model as the framework for education? a. Developmental level b. Source of information c. Motivation to learn d. Family support

c. Motivation to learn

A nurse is assigned to care for an Asian American client. The nurse plans the care recognizing that which statement best explains an Asian Americans view of illness? a. Illness is caused by supernatural forces b. Illness is punishment for sins c. Illness may be caused by God's will or evil influences d. Illness is due to an imbalance between yin and yang

d. Illness is due to an imbalance between yin and yang

An older adult woman has total care of her husband, who suffers from debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to help the couple? a. Primary care b. Respite care c. Bereavement care d. Palliative care

d. Palliative care

What action by a nurse will help a client meet self-esteem needs? a. Verbally negate the client's negative self-perceptions b. Provide compliments about any action performed by the client c. Independently establish goals to establish goals to achieve without input from the client d. Respect the client's values and belief systems

d. Respect the client's values and belief systems

An woman of 80 years of age states,"I have successfully raised my family and had a good life." This statement illustrates meeting which basic human need? a. Safety and security b. Love and belonging c. Self-esteem d. Self-actualization

d. Self-actualization

What is the best example of community-based nursing? a. The nurse is providing an educational program about safe sexual practices and prevention of HIV to the community b. The nurse discusses with a nursing home administrator about a dance program sponsored by a community club for the residents c. The nurse works with a local legislator to obtain funding for an after-school program for middle school children d. The nurse visits a mother and her newborn baby to ensure satisfactory bonding

d. The nurse visits a mother and her newborn baby to ensure satisfactory bonding

The focal point of nursing is the nurse-client interaction. What muse nurses consider about themselves when assessing clients from other cultures? a. Their own health disparities b. Their own health history c. Their own education level d. Their own cultural orientation

d. Their own cultural orientation

The nurse is performing risk assessments on adolescents in the school setting. Which teen should the nurse screen fro hypertension? a. An Asian female b. A white male c. An African American male d. A jewish male

c. An African American male

A nurse has planned a teaching-learning interaction that is aimed at middle school aged students. To foster successful health education, the nurse's planning should prioritize what component? a. Pretesting b. Social and cultural patterns c. Client awareness d. Measurable interventions

b. Social and cultural patterns

A community health nurse is teaching a group of recent graduates about the large variety of factors that influence an individual's health or lack thereof. The nurse is referring to the Healthy People 2020 report from the U.S. Departments of Health and Human Services as a teaching example. Of the following aspects discussed, which would be considered a determinant of health that is outside (or does not belong in) the focus of this report? a. The client has a diverse background by being of Asian an Native American/First Nation descent and practices various alternative therapies to minimize effects of stress b. The client has a family history of cardiovascular disease related to hypercholesterolemia and remains noncompliant with the treatment regime. c. The client has a good career with exceptional preventive health care benefits d. The client lives in an affluent, clean, suburban community with access to many health care facilities

b. The client has a family history of cardiovascular disease related to hypercholesterolemia and remains noncompliant with the treatment regime

The quality improvement team at a large, urban hospital has recognized the need to better integrate the principles of transcultural nursing into client care. When explaining the concept of transcultural nursing to uninitiated nurses, how should the team members describe it? a. Transcultural nursing is the comparative analysis of the health benefits and risks of recognizable ethnic groups b. Transcultural nursing refers to research focused practice that focuses on client-centered, culturally, competent nursing c. Transcultural nursing refers to a systematic and evidence-based effort to improve health outcomes in clients who are immigrants d. Transcultural nursing is a term used to describe interventions that seek to address language barriers in nursing practice

b. Transcultural nursing refers to research focused practice that focus on client-centered, culturally, competent nursing

Chris, a retired veteran, visits the outpatient Veterans Administration Hospital clinic showing a flat attitude and is indifferent during the nurse's interview and assessment. The nurse is astute and understands that: a. Chris works midnight shift and is sleepy b. Veterans are at risk for depression and flat attitude and indifference could mean Chris is depressed c. Chris has a melancholic personality

b. Veterans are at risk for depression and flat attitude and indifference could mean Chris is depressed

When considering health care disparities, what can nurses do to make a positive difference? (Select all that apply) a. The subject is too overwhelming to impact positively b. Nurse needs to identify her/his own biases c. Be an advocate for all patients including vulnerable populations d. Enlist community civic and religious groups to assist in advocacy initiatives

c, d

A client with a recent diagnosis of HIV infection expresses an interest in exploring alternative and complementary therapies. How should the nurse best respond? a. "Complementary therapies generally have not been approved, so clients are usually discouraged from using them." b. "Researchers have not looked at the benefits of alternative therapy for clients with HIV, so we suggest that you stay away from these therapies until there is solid research data available." c. "Many clients with HIV use some type of alternative therapy and, as with most health treatments, there are benefits and risks." d. "You'll need to meet with your doctor to choose between an alternative approach to treatment and a medical approach."

c. "Many clients with HIV use some type of alternative therapy and, as with most health treatments, there are benefits and risks."

A nurse is educating a client about a care plan. Which question would be appropriate to assess whether the client is learning? a. "Did you graduate from high school, and how many years of schooling did you have?" b. "Do you have someone in your family who would understand this information?" c. "Many people have trouble remembering information; is this a problem for you?" d. "Would you prefer that the primary care provider give you more detailed medical information?"

c. "Many people have trouble remembering information; is this a problem for you?"

A nurse is admitting an older woman (Grace Staples) to a long-term care facility. How should the nurse address the woman? a. "We will just call you Grace while you live here. Okay?" b. "I know you have lots of grandchildren, Grandma." c. "What name do you want us to use for you?" d. "I think you will enjoy living here, Sweetie."

c. "What name do you want us to use for you?"

A nurse is describing and demonstrating the technique for emptying a Vietnamese client's surgical drain, knowing that the client will soon be discharged home with the drain in place. As the nurse is explaining, the client laughs at times that appear unrelated to what the nurse is saying or doing. How should the nurse best understand the client's behavior? a. The client's sense of humor is culturally mediated and my be unfamiliar to the nurse b. The client has sufficient knowledge and skill to empty the drain c. The client may be unable to fully comprehend the information the nurse is trying to convey d. Individuals from the client's culture may not normally explain and demonstrate at the same time

c. The client may be unable to fully comprehend the information the nurse is trying to convey

The Joint Commission is one agency that accredits health care institutions. The nurse understands that the Joint Commission has mandated the use of which national safety practice to protect clients admitted to a health care facility? a. Nurses use the Rights checklist prior to administering medications b. Upon admission all clients sign advanced directives c. The use of a wristband for identification of the patient d. The use of standard precautions in the operating room

c. The use of a wristband for identification of the patient

Eric Bing speaks of a simple thing used to identify human papilloma virus (HPV) in Africa in the TedX video "Simple Things Save Lives: A Mother's Legacy." What is that simple thing? a. Peroxide b. Salt c. Vinegar d. Water

c. Vinegar

The nurse has observed that an older client with a diagnosis of end-stage kidney disease seems to prefer to have his eldest son make all of his health care decisions. While the family is visiting, the client explains that this is a cultural practice and very important to him. How should the nurse best respond? a. Privately ask the son to allow the client to make his own health care decisions b. Explain to the client that he is responsible for his own decisions c. Work with the team to negotiate informed consent d. Avoid divulging information to the eldest son

c. Work with the team to negotiate informed consent

Which of the following scenarios would the nurse consider as a patient from a vulnerable population? a. African American college student working part-time, living with parents, and going to college on scholarship b. Young, single unemployed mother of four children living in the basement of a verbally abusive brother c. Employed Hispanic suburban resident living in their own home d. Child who lives with both parents who are employed with health insurance

c. Young, single unemployed mother of four children living in the basement of a verbally-abusive brother

A nurse is planning to assess the instrumental functions of a family. The nurse develops questions to focus on which of the following? a. Intimacy needs b. Communication patterns c. Beliefs about health d. Activities of daily living

d. Activities of daily living

The nurse has been working with a client for several days during the client's recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective? a. "What changes will you make around your house to reduce the chance of future falls?" b. "Do you have any questions about the fall prevention measures that we've talked about?" c. "In light of what we've talked about, why is it important that you remove the throw rugs in your house?" d. "Do you think that the safety measures I taught you are clear and realistic?"

"What changes will you make around your house to reduce the chance of future falls?"

The physician orders fexofenadine 120 mg po in 2 divided dose per day. Available are 60 mg fexofenadine capsule. The nurse should administer how many tablets per dose?

1

The physician prescribes phenytoin 100 mg po each day. On hand are phenytoin capsules labeled 0.1 grams. The nurse should administer how many capsules per dose?

1

The physician prescribes warfarin 7.5 mg po daily. On hand are warfarin tablets labeled 5 mg. The nurse should administer how many tablets daily?

1.5

The physician orders amoxicillin 250mg q8h. On hand are 125 mg chewable amoxicillin tablets. The nurse should administer how many tablet(s) per dose?

2

The physician orders Ampicillin 1 g po. On hand are ampicillin 250 mg capsules. The nurse should administer how many capsule(s)?

4

A community health nurse is focusing current health promotion efforts on diseases that are disproportionately represented among ethnic and racial minorities. Which of the following diseases should the nurse likely address? (Select all that apply) a. HIV b. Cancer c. Heart disease d. COPD e. Alzheimer disease

a, b, c

After several weeks of working with a client who has human immunodeficiency virus (HIV), the nurse has become more aware of the role of health disparities. Which of the following variables are known to underlie health disparities? (Select all that apply) a. Poverty b. Isolated geographic location c. Over-dependence on publicly funded facilities d. Male gender e. Allergy status

a, b, c

Health disparities in the client care population are likely to occur when the healthcare workforce lacks diversity in which areas? (Select all that apply) a. Age b. Gender c. Ethnicity d. Personality type

a, b, c

The public health nurse is preparing a presentation for an adolescent group with the focus being on primary prevention topics. Which topics would the nurse include? (Select all that apply) a. Nutrition guidelines b. Hygiene practices c. Sun protection routine d. Smoking cessation programs e. Sexually transmitted infections

a, b, c

After discussing discharge with patient hospitalized with heel wound, the nurse informs the patient that they are able to receive home health care. As the nurse, explain the services that home health care may provide to the patient. (Select all that apply) a. Assess home for safety to promote home safety b. Teach patient and caregiver(s) about medication regime and medication adverse effects c. Make their meals for them d. Direct care to the wound care initially with the goal of caregiver(s) learning wound care technique e. Shop for their groceries

a, b, d

The nurse has obtained the services of an interpreter to assist with communicating with a child and parents who have a limited understanding of English. Which behaviors may impede (or serve as a barrier to) the communication? (Select all that apply) a. The nurse speaks to the interpreter, who then translates the information to the parents and child b. The nurse speaks with the parents and child, and then the interpreter translates the information to the parents and child c. The nurse limits the sessions with the interpreter to 1 hour d. The nurse stops talking every 45-60 seconds to allow the interpreter to catch up with the information provided e. The nurse avoids the use of slang in the exchange of information

a, c, d

What are social determinants of health categories? (Select all that apply) a. Education b. Food c. Health Care System and Access d. Economic stability e. Air pollution

a, c, d, e

A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which statement by the client suggests that nurses' education has resulted in affective learning? a. "I'm starting to see how my lifestyle has caused me to end up here." b. "I understand why they're not letting me eat anything for the time being." c. "My intravenous drip will keep me from getting dehydrated right now." d. "I can see how things could have been much worse if I hadn't gotten to the hospital when I did."

a. "I'm starting to see how my lifestyle has caused me to end up here."

Which of the following clients is the most appropriate candidate for receiving outpatient care? a. A client whose complaints of irregular bowel movements have necessitated a colonoscopy b. A woman who has previously given birth to two children and is entering the second stage of labor c. A man who is receiving treatment for sepsis after his blood cultures came back positive d. A client with a history of depression who is currently expressing suicidal ideation

a. A client whose complaints of irregular bowel movements have necessitated a colonoscopy

What is a goal or objective of Healthy People 2020? a. Attaining lives free of preventable disease and premature death b. Focus on good health for the middle class c. Achieve 100% medication compliance d. Use Institute of Medicine guidelines

a. Attaining lives free of preventable disease and premature death

The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. How can this goal be accomplished? a. By offering multicultural health studies in nursing curricula b. By enhancing the content of community nursing classes c. By requiring students to care primarily for clients from other ethnic groups d. By screening applicants according to their cultural competence

a. By offering multicultural health studies in nursing curricula

A nurse walks by a client and observes a shaman performing a healing ritual. The nurse remarks to a coworker that the ritual is a waste of time and disruptive the other clients on the floor. The nurse is displaying: a. Cultural conflict b. Cultural blindness c. Stereotyping d. Culture shock

a. Cultural conflict

The video,"It Matters More to Health Than Ever Before," speaks of one thing that matters more. What is it? a. Education b. Housing c. Clean water d. Clean air

a. Education

An infant who is on a ventilator is being cared for at home by her parents. What must the nurse know about the parents and care of the infant? a. Family members may be taught any skills that they are able and willing to perform b. Only trained professionals can perform skills such as ventilator care c. The nurse will need to make a referral to secure more advanced skills d. The infant should sent back to the acute care setting for care

a. Family members may be taught any skills that they are able and willing to perform

Affordable Care Act (ACA), otherwise known as Obama Care, had successes and failures. Select one success: a. Health Insurance Market Place provided a variety of plans for individuals and small business b. Plans were lower cost but higher deductibles c. Bipartisan support with good communication with roll out of ACA d. Website for enrollment was easy to navigate

a. Health Insurance Market Place provided a variety of plans for individuals and small business

What is the goal of nurses who provide home health care? a. Helping clients achieve maximum independence and health b. Collaborating with other health care providers and services c. Minimizing the manifestations of disease processes d. Encouraging clients' dependence on family members

a. Helping clients achieve maximum independence and health

Which strategy might a nurse use to increase compliance with education? a. Include the client and family as partners b. Use short, simple sentences for all ages c. Provide verbal instruction at all times d. Maintain a clear role as the authority

a. Include the client and family as partners

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance? a. Know the client's cultural personal space preference b. Realize that sitting close to the client is an indication of warmth and caring c. Sit 3 to 6 ft away from the client in an attempt to not offend d. Remember not to intrude into the personal space of the older adult

a. Know the client's cultural personal space preference

According to Maslow's basic human needs hierarchy, which needs are the most basic? (Select all that apply) a. Physiologic b. Oxygen c. Love and belonging d. Sexuality e. Rest

a. Physiologic b. Oxygen d. Sexuality e. Rest

The nurse in a clinic located in a high-rise building on a university campus has noted that many of the homeless clients who are supposed to receive care for HIV/AIDS have missed their appointments. When questioned, several of the clients stated to the nurse that the clinic is difficult to find and in an intimidating environment. Which variable does the nurse identify as being inadequately addressed for these clients? a. Psychosocial background and culture b. Developmental stage of the clients c. Ethical and legal guides to practice d. Resources

a. Psychosocial background and culture

A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What characteristic should the nurse cite as necessary to possess to be an effective nurse? a. Sensitivity to cultural differences b. Ability to problem-solve independently c. Strict adherence to routine d. Ability to face criticism without being affected by it

a. Sensitivity to cultural differences

When doing a family assessment, what components are essential for the nurse to include? a. Structure, Development, and Function b. Development, Boundaries, and Culture c. Communication, Expectations, and Strengths d. Socialization, Development, and Problems

a. Structure, Development, and Function

At completion of a teaching session with a client, the nurse documents the detail this education encounter in the client's health record. What should another nurse be able to determine from reading this documentation? a. The client's highest level of formal education achieved b. The client's response to the health education that was provided c. The client's long term application of the health education d. The client's prognosis for recovery

a. The client's response to the health education that was provided

A client has a private insurance policy that pays for most health care costs and services. Why is this pan called a third-party payer? a. The insurance company pays all or most of the costs. b. The family of the client is required to pay cost c. The client gets the bill and pays out-of-pocket costs d. Medicare and Medicaid will pay most of the costs

a. The insurance company pays all or most of the costs

Nursing continues to recognize and participate in providing appropriate, uninterrupted care and facilitate clients' transitions between different settings and levels of care. What would be an example of this continuity of care? a. The nurse collaborating with other members of the medical team b. The nurse accompanying the physician on rounds c. The nurse taking detailed notes on how each client wants to continue care d. The nurse attending an appointment with the client in some place other than where the nurse works

a. The nurse collaborating with other members of the health care team

What was the main purpose of Porter-O'Grady's article? a. To share the impact of an advocacy and service program for Atlanta's homeless and marginalized population b. To share strategic interventions and protection related to Chicago's transgender population c. To exemplify San Fransisco's efforts in protecting vulnerable populations d. To provide systematic, provisional intervention map for Tampa's homeless

a. To share the impact of an advocacy and service program for Atlanta's homeless and marginalized population

The nurse is caring for a post surgical client who speaks very little English. How should the nurse most accurately assess this client's pain? a. Use a chart with English on one side of the page and the client's native language on the other so he can rate his pain b. Ask the client to write down a number according to the 0 to 10 point pain scale c. Use the Visual Analog Scale (VAS) d. Use the services of a translator each time you assess the client so you can document the client's pain rating

a. Use the chart with English on one side of the page and the client's native language on the other so he can rate his pain

When considering specific and individualized interventions for a patient within the vulnerable population, who can assist nurses? a. World Health Organization b. National Institute of Health c. Institute of Medicine d. Interprofessional team

a. World Health Organization

While talking with an older adult client, the client states,"My son takes care of all my money. He controls the purse-strings in the house. I have little to say in how my money is spent." Further assessment reveals that the client hasn't had his prescription medications renewed for the past two months. The nurse suspects which type of abuse? a. Physical b. Economic/Financial c. Psychological

b. Economic/Financial

Regardless of the type of ambulatory care facility, what need is common to all clients who are given care? a. Referrals b. Education c. Stress reduction d. Surgery

b. Education

A nurse has been hired to work as an occupational health nurse. In this position as a registered nurse, what will this nurse provide? a. Occupational therapy to school children b. Education and safety programs in industrial settings c. Assessment and motivation services to the unemployed d. Activities to assist clients with ADLs in homeless shelters

b. Education and safety programs in industrial settings

When discussing boundaries with a family, the nurse determines that the family has permeable boundaries. The nurse interprets this as serving which purpose? a. Restrict self-differentiation b. Encourage emotional development c. Dissuade family cohesiveness d. Inhibit emotional communication

b. Encourage emotional development

A society that highly values social equity and equality is likely to support a healthcare system which: a. Prioritizes the role of the free market in providing healthcare services b. Entitles all citizens to similar levels of healthcare services c. Relies on the private sector to organize and provide healthcare d. Is cost-effective and efficient

b. Entitles all citizens to similar levels of healthcare services

Developing an education plan is comparable to what other nursing activity? a. Documenting b. Formulating a nursing care plan c. Performing a complex technical skill d. Using a standardized form or format

b. Formulating a nursing care plan

The nurse us educating a group of clients in the community about safe sex practices. When is the best time to evaluate teaching effectiveness? a. During the education session b. Immediately after the education session c. 1 week after the education session d. 1 month after the education session

b. Immediately after the education session

In which way can nurses develop cultural self-awareness? a. Ask peers and colleagues about practicing cultural competence b. Objectively examine one's own beliefs, values, and practices c. Realize nothing can be done to change one's values and beliefs d. Assert to others that personal biases cannot be changed

b. Objectively examine one's own beliefs, values, and practices

What technique should the nurse use to implement infection control in the home? a. Avoid touching any object in the home, including door knobs b. Practice hand hygiene when beginning and ending the home visit c. Wear gloves at all times when in the home or traveling in the care d. Take prescribed antibiotics on a regular basis on working days

b. Practice hand hygiene when beginning and ending the home visit

An instructor is teaching a group of students about culture. Which of the following would the instructor use to best define the term "culture"? a. Transmission to another generation through genetics b. Shard norms for behaviors, values, and beliefs c. Adapted to a specific environment d. Experienced by all people even without human contact

b. Shared norms for behaviors, values, and beliefs

After teaching a group of nursing students about family-centered care, which statement made by the students would best indicate that the teaching was successful? a. Family-centered care recognizes the health of the client b. Family-centered care is a component of health care c. Family-centered care recognizes the concept of family as the constant d. Family-centered care is on part of a system

c. Family-centered care recognizes the concept of family as the constant

A nurse, preparing for a client's discharge after surgery, is teaching the client's wife to change the dressing. How can the nurse be certain the wife knows the procedure? a. Tell the wife exactly how to do it b. Give the wife information about supplies c. Have the wife demonstrate the procedure d. Ask another nurse to reinforce the education

c. Have the wife demonstrate the procedure

A 52 year old married man with two adolescent children is beginning rehabilitation following a motor vehicle accident. The nurse is planning the client's care. Who will the client's condition affect? a. Himself b. His wife and any children that still live at home c. Him and his entire family d. No one provided he has a complete recovery

c. Him and his entire family

The intra-operative nurse knows that the client's emotional state can influence the outcome of the surgical procedure. How should the nurse best address this? a. Teach the client strategies for distraction b. Pair the client with another client who has better coping strategies c. Incorporate cultural and religious considerations, as appropriate d. Give the client anxiety medication

c. Incorporate cultural and religious considerations, as appropriate

In a small, rural hospital the nurse is caring for a client who speaks a language other than English. The nurse needs to use an interpreter to communicate but the hospital does not have access to an interpreter who speaks the client's language. When choosing another individual to interpret for this client, what characteristic should the nurse prioritize? a. Interpreter should recognize the need to speak in a loud voice b. Interpreter should be able to conduct the conversation quickly to avoid misinterpretation c. Interpreter should ideally be fluent in several dialects of the client's language d. Interpreter should know the repetition must be avoided while interpreting

c. Interpreter should ideally be fluent in several dialects of the client's language

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family? a. Research the culture and base care on finding b. Ask other Asians to explain the culture c. Just ask the family about their culture and listen d. Hire an interpreter to explain the family culture

c. Just ask the family about their culture and listen

Implicit Testing website by Harvard is used for understanding: a. Zoning rules b. Research related to disease and disparities c. Personal biases d. Protocol for school admission

c. Personal biases

Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs? a. Locally supported health care financing, usually by donations b. A public assistance program for low-income individuals c. Predetermined payment for services based on medical diagnoses d. A private insurance plan for subscribers who pay a copayment

c. Predetermined payment for services based on medical diagnoses

A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style? a. Cognitive domain b. Affective domain c. Psychomotor domain d. Interpersonal domain

c. Psychomotor domain

The rehabilitation team has reaffirmed the need to maximize the independence of a client in rehabilitation. When working toward this goal, what action should the nurse prioritize? a. Encourage families to become paraprofessionals in rehabilitation b. Delegate care planning to the client and family c. Recognize the importance of informal caregivers d. Make clients and families work together

c. Recognize the importance of informal caregivers

A client is having problems with insurance reimbursement. The home health care nurse discusses the client's need for home health services with the insurance company. What role is the nurse demonstrating? a. Direct care provider b. Coordinator of services c. Educator d. Advocate

d. Advocate

How may a nurse demonstrate cultural competence when responding to clients in pain? a. Treat every client exactly the same, regardless of culture b. Be knowledgeable and skilled in medication administration c. Know the action and side effects of all pain medications d. Avoid stereotypical responses to pain in clients

d. Avoid stereotypical responses to pain in clients

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents? a. Educational levels b. Home environment c. Infant bonding d. Baseline knowledge of these concepts

d. Baseline knowledge of these concepts

An adult client will be receiving outpatient intravenous antibiotic therapy for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the client's adherence to the course of treatment. What assessment should be the nurses's immediate priority? a. Client's understanding of the teaching plan b. Quality of the client's relationship c. Client's previous medical history d. Characteristics of the client's culture

d. Characteristics of the client's culture

A father, mother, grandmother, and three school-age children have immigrated to a new country. Which member(s) of the family are likely to learn to speak the dominant language more rapidly? a. Unemployed father b. Stay-at-home mother c. Grandmother d. Children

d. Children

The nurse is caring for a client who is a recent immigrant. Which of the following variables should the nurse prioritize when performing an assessment of the client's cultural beliefs? a. Client's previous medical history b. Client's marital status c. Client's age d. Client's communication style

d. Client's communication style

A 20 year old man newly diagnosed with type 1 diabetes needs to learn to self administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize what factor? a. Client's expected lifespan b. Client's gender c. Client's occupation d. Client's culture

d. Client's culture

Nurses who are employed in home care have a variety of responsibilities. Which of the following is one of those responsibilities? a. Provide all care and services b. Maintain a clean home environment c. Advise clients on financial matters d. Collaborate with other care providers

d. Collaborate with other care providers

In providing care, it is mist important to perform which action? a. Administration of prescribed medications b. Implementation of physician's orders c. Evaluation of client's responses d. Coordination of care with the health care team

d. Coordination of care with the health care team

A client tells the nurse that a neighbor, who is a young housekeeper from another country, wear the traditional clothing and head covering of the neighbor's native country. The client says of people like the neighbor,"They are in our community and should dress like we do." What is this statement an example of? a. Cultural assimilation b. Cultural blindness c. Cultural conflict d. Cultural imposition

d. Cultural imposition

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education? a. Use materials developed previously for citizens b. Use all visual materials when teaching content c. Use a lecture format to teach content with few questions d. Develop written materials in the client's native language

d. Develop written materials in the client's native language

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education? a. Use materials developed previously for citizens b. Use all visual materials when teaching content c. Use a lecture format to teach content with few questions d. Develop written materials in the client's native language

d. Develop written materials in the client's native language

A nurse notices that a toddler is constantly snatching toys from the hands of other preschool children at the health care facility, placing the toddler and other children at risk for injury. What would be a most effective method for teaching the toddler not to snatch toys? a. Ask the children to play another game b. Tell the toddler that God punishes children who snatch c. Give the toddler another toy with which to play d. Enlist the aid of the toddler's parents in education

d. Enlist the aid of the toddler's parents in education

A nurse is caring for an elderly woman who predominantly identifies with an East Asian culture. How can the nurse best demonstrate an awareness of culturally congruent care? a. Maintain eye contact at all times b. Try to speak the client's native language c. Use touch when communicating d. Establish effective communication

d. Establish effective communication

A nurse is caring for an older adult. How does the nurse demonstrate awareness of culturally competent care? a. Maintaining eye contact at all times b. Trying to speak louder than usual c. Using touch when communicating d. Establishing effective communication

d. Establishing effective communication

What is the most critical element of documentation of education? a. A summary of the education plan b. The implementation of the education plan c. The client's need for learning d. Evidence that learning has occurred

d. Evidence that learning has occurred

A male client are 42 years recovering from an MI is having difficulty following the care plan to stop smoking and exercise. What is the nurse's best response to this client? a. Tell him that he is not trying hard enough b. Tell him that he will have another MI and it will be his own fault c. Tell him that the cigarettes will be taken away if he smokes again d. Ignore the behavior and recommend a behavior modification program

d. Ignore the behavior and recommend a behavior modification program

When providing nursing care to a client, the nurse provides family-centered nursing care. What is one rationale for this nursing action? a. The nurse does not want the client to feel lonely b. The client will be more compliant with medical instructions c. The family will be more willing to listen to instructions d. Illness in one family member affects all family members

d. Illness in one family member affects all family members