NUR312- Exam 1

Choose from the following sources the most trustworthy for international COVID information

World Health Organization

The nurse is caring for a client who was diagnosed with hypertension six months ago with little improvement in symptoms. The client does not speak English and does not appear to understand any teaching that has been given. The nurse is using reasoning to attempt to determine what is preventing this client from understanding and complying with the teaching. Which statement by the nurse would be most helpful in determining the answer to this issue?

I wonder if there are other issues that are affecting this client's compliance, such as his ability to hear?

Conver 210 mg to grams

0.21 g

Convert 10kg to grams

10,000 grams

Convert 45 kg to pounds

100 pounds

Convert 2.5 liters to milliliters

2,500 ml

Convert 10 pounds to kilogram

4.54kg

An elderly client with terminal cancer does not want to resuscitated and notifies physician of that choice. The client has a cardiac arrest and the physician orders the client to be intubated and started on medanical ventilation. What ethical PRINCIPLE would be violated

Non Maleficence

The central figure in health care service is the

Patient

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching?

Patient with chronic illness, because life long interventions and adjustments can improve the quality of life

With the changing population of health care consumers, it has become necessary for nurses to work more closely with other nurses, as when acute care nurses collaborate with public health and home health nurses. What nursing function has increased in importance because of this phenomenon?

Performing discharge planning

What two COVID vaccines have been approved by the FDA

Pfizer and Moderna

A Jewish patient who adheres to the dietary laws of his faith is in traction and confined to bed. He needs assistance with his evening meal of chicken, rice, beans, a roll, and a carton of milk. Choose the nursing approach that is most representative of promoting wellness. The Nurse:

Prepares the environment and the overbed table and inspects the contents of the dinner tray. The nurse asks the patient whether he would like to make any substitues in the foods and fluids he has received.

Which of the following outcomes best reflects a clients adherence to a recommended health care regimen?

Prescription refills history

The client states he has never been vaccinated against Hepatitis B, which of the following time frames is suggested for him to receive this immunization?

Series of 3 doses (now,1 month then 5 months after second dose)

Which of the following term is used to describe when the host has a decline in wellness due to the infection

Infectious Diseas

The nurse is caring for a client whose family members are in a bitter conflict about the best course of treatment for the client. How should the nurse best address this challenging situation?

Involve the institution's ethics committee

Of the following concerns related to vaccination for COVID which is not prevalent?

Is there any other route of administration than an injection?

Which of the following factos related to COVID 19 has had the greatest impact on mental health

Isolation

What is the primary task of nursing research?

Contributing to the scientific base of nursing practice

What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?

To decrease risk of transmission to vulnerable clients

Of the following populations which is at greatest risk for developing severe COVID 19 disease

Women with diabetes

A nurse has heard that there have been three cases of pertussis in the community and wants to make sure his or her inoculations are up to date. What actions should the nurse take?

Have a single dose Tdap adminstered

Which is an example of direct measurement technique used to evaluated the teaching learning process?

Behavioral Observation

When providing care to clients, which of the following would be most important for the nurse to keep in mind?

Clients must be viewed as individual persons, members of family, and part of a community

Which management function involves a team effort to achieve patient care outcomes?

Collaboration

Which term is used to describe microorganisms present in a host without host interference or interaction?

Colonization

The nurse is monitoring a client's status following an angioplasty procedure. Which step of the nursing process this nurse engaged in?

Implementation

The decision making part of the problem solving activities of nurses has become increasingly multifaceted and requires critical thinking. There are many reasons why this is so in today's health care arena. Choose all that apply

Increasingly complex issues faced by nurses Advanced technology Greater acuity of clients Complex disease processes

Flu and cold season offers excellent examples of physiologic reflexes to ward off illness. One problem is that an effective mechanical defense for one person can complete a link in the chain of infection for someone else. To which link is the above referring?

Means of transmission

The home health nurse is planning teaching for a client with COPD and a history of noncompliance to the medication regimen. Which factor does the nurse recognize having the most influence on the enabling complete adherence to a health regimen?

Motivation

Which of the following are effective teaching strategies for elderly persons? Select all that apply

Slow paced presentation Frequent repetition Use of reinforcement techniques Use of written material

A nurse has integrated the principle of evidence based practice into care. EBP has the potential to help the nurse achieve what goal?

Ensuring high quality client care

When utilizing the nursing process for educating hospitalized clients this phase often extends post discharge and needs to be communicated with community/home care nurses

Evaluation

According to the CDC what are the 3 best ways to prevent the spread of COVID 19

Social Distancing , avoid crowds and masking

When a nurse delegates a task to another person, who is ultimately responsible for the action and its outcome?

The Nurse

The nurse is evaluating a client's motivation to make decisions that promote healthy behavior change, use the transtheoretical model of change. Which description best describes the decision making stage of this model?

The client constructs a plan to change behavior

The nurse is utilizing the nursing process when educating the client on use of glucometer. At what point would she address barriers to the client's learning?

Assessment

A nurse is preparing to administer a client's scheduled dose of subcutaneous heparin. To reduce the risk of needlestick injury the nurse should perform what action?

Avoid recapping the needling before disposing of it

The nurse is providing care for a patient in the hospital scheduled for discharge in the morning. The patient will require further services after discharge since recovery is not complete. What can the nurse do to ensure quality care delivery for this patient?

Contact the case manager for coordination of care prior to discharge of the patient

Ethical theories provide a means to determine if a particular action is good or bad. Which theory of ethics holds that a person's duties are as important as the outcomes or consequences of one's actions?

Deontology

Which of the following is not a characteristic of a critical thinker?

Directs others away from new and innovative approaches

Which of the following is involved in the implementation step of the nursing process?

Documenting nursing care and client responses

A client with influenza is admitted to the hospital. Which transmission based precautions should the nurse initiate?

Droplet

What is the first step in becoming culturally competent?

Exploring one's own cultural beliefs

A client involved in a motor vehicle collision has awakened from a coma and asks for his wife, who has killed in the same accident. The family does not want the client to know at this time that his wife was killed. The family wants all nursing staff to tell the client that the wide was air lifted to another hospital, has a severe head injury and is in the ICU. Because the American Nurses Association Code of Ethics require the nurse to preserve integrity, but the nurse wants to follow the family's instructions , the nurse faces an ethical dilemma. The steps of ethical analysis can assist the nurse with decision making. Select from the list below

Recognize the ethical, legal and professional dimensions involved Collect information List the alternatives Decide and Evaluate the decision

When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen?

The client with pneumonia who requires 1 week of oral antibiotics

You work on a long term care unit in the last two weeks more than half the clients on your unit have been diagnosed with gastroenteritis. What is most likely the reason?

The infection is being transmitted by healthcare providers

Which component of the nursing process deals with the identification of client problems?

Diagnosis