nursing issues focus HESI
A client has the habit of staying up and watching movies till 4 a.m. on weekends. The nurse educates the client about the risks of not following a proper sleep routine. The client responds by saying, "I understand your point, but I haven't had any major problems yet." Which stage of health behavior change does the nurse recognize? Multiple choice question Action Preparation Contemplation Precontemplation
A client who accepts the information provided by the nurse but still shows some ambivalence is probably in the contemplation stage of behavior change. A client in the action stage of behavior change may have implemented changes but is likely to find that old habits get in the way of new actions. In the preparation stage, the client understands that the benefits of the change outweigh its disadvantages and therefore seeks assistance to plan the changes. In the precontemplation stage, the client does not intend to enact a change in health behavior in the next 6 months and may reject the nurse's instructions or even become defensive.
When might a nurse be charged with client abandonment? Multiple choice question If a nurse refuses to accept an assignment If a nurse walks out when staffing is inadequate If a client suffers an injury due to the nurse's inattention If a nurse makes a written protest to the nursing administrators
If a nurse walks out when staffing is inadequate The nurse should never walk out when staffing is inadequate because this action may result in client abandonment. If a nurse refuses to accept an assignment, then he or she is considered insubordinate. If a client suffers an injury due to inattention and the nurse had already brought this to the attention of the nursing supervisor, then the caregiver was attempting to act reasonably. If a nurse has to accept unreasonable assignments, he or she needs to make written protests to nursing administrators.
The nurse is getting ready to perform an initial assessment interview of a Chinese older adult who does not speak English. The patient has a tibial fracture and is hard of hearing. Which should be available before starting the interview in order to minimize communication problems that may lead to health disparity? Multiple choice question Wheelchair and hearing aid Hearing aid and interpreter Interpreter and sphygmomanometer Wheelchair and sphygmomanometer
In order to minimize communication problems leading to health disparities between the patient and the nurse, a hearing aid and an interpreter should be available. A patient with a broken leg will have limited mobility and may need a wheelchair, but this has no role in eliminating communication barriers. A sphygmomanometer is required to measure blood pressure, but it will not improve communication.
A nurse caring for a client from another country asks about the client's healthcare traditions. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with? Multiple choice question Safety Informatics Patient-centered care Teamwork and collaboration
Patient-centered care A nurse who provides compassionate and coordinated care to clients based on their preferences, values, and needs is providing patient-centered care. Asking about the healthcare traditions followed in the client's country is an example of patient-centered care. Safety involves minimizing the risk of harm to clients and primary healthcare providers. Informatics involves using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. Teamwork and collaboration involves nursing and interprofessional teams working together effectively to achieve quality client care.
What points should a nurse keep in mind when caring for a client who belongs to a different culture? Multiple selection question The nurse should be aware of his or her own cultural values and behavior patterns. The nurse should focus on understanding the client's traditions, values, and beliefs. The nurse should understand that unique cultural perceptions exist regarding health practices. The nurse should know that every client strictly adheres to his or her cultural beliefs and traditions. The nurse should know that a client's cultural background does not influence the nurse-client relationship.
The nurse should be aware of his or her own cultural values and behavior patterns. The nurse should focus on understanding the client's traditions, values, and beliefs. The nurse should understand that unique cultural perceptions exist regarding health practices.
A nursing student is listing the different levels of the health care services pyramid. Under which type of health care services should the nursing student include subacute care? Multiple choice question Tertiary care Continuing care Restorative care Secondary acute care
The nursing student should include subacute care under tertiary care. Subacute care is not a part of continuing care, restorative care, or secondary acute care health care services.
A nurse is caring for a client who has been admitted to a healthcare facility for the treatment of sinus disorders. The nurse discovers that the client is a cocaine addict. What task followed by the nurse is the best way to deal with the situation? Multiple choice question Teach the client about safe medication storage and the danger of polypharmacy. Educate the client about his or her correct body mechanics and promote stress management. Assess the client's drug intake and ensure that the individual does not leave the healthcare facility. Assist with adequate personal hygiene, nutrition, and hydration and provide emotional support to the family.
When dealing with a client with substance abuse issues, the nurse should assess the client's drug intake in terms of the amount, frequency, and type of use to obtain useful information. Clients with substance abuse problems tend to avoid healthcare facilities for fear of judgmental attitudes and worries over being arrested by the police. In this case, the nurse should ensure that the client does not prematurely leave the facility. When dealing with a client with medication use and abuse issues, the nurse should provide proper education about safe medication storage and the danger of polypharmacy. When dealing with a client with arthritis, the nurse should educate the client about correct body mechanics and should also promote stress management. When dealing with clients in a confused state, the nurse should assist him or her with adequate personal hygiene, nutrition, and hydration and provide emotional support to the family.
