PNC quizzes

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancers of the vulva, cervix, and vagina in young girls and women?

- HPV vaccine Human papilloma virus (HPV) vaccine is used to help prevent precancerous lesions of the cervix, vulva, and vagina caused by HPV types 16 and 18. Rotavirus vaccine is a monovalent vaccine developed to provide protection against certain rotaviruses, such as G1, G3, G4, and G9. Varicella virus vaccine is a vaccine administered to provide protection against the varicella virus. Meningococcal conjugate vaccine is a tetravalent conjugate vaccine that provides protection against certain serotypes of meningococcus, such as A, C, Y, and W-135.

Which factor supports task delegation to nursing assistive personnel (NAP) according to the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that apply. One, some, or all responses may be correct.

- the task is within the nurses scope of practice - the task may be performed with a predicable outcome - agency policies and protocols are available for the task or activity - the task is performed according to an established sequence of steps - NAP have the appropriate knowledge, skills, and abilities required to complete the task

Which does beneficence in health ethics refer to?

Taking positive actions to help others Beneficence refers to taking positive actions to help others. Fidelity refers to the agreement to keep promises. Accountability refers to the ability to answer for one's actions. Nonmaleficence refers to avoiding harm to an individual.

Which is the goal of Healthy People 2020?

- To eliminate health disparities related to race, ethnicity, and socioeconomic status - The primary goal of Healthy People 2020 is to eliminate health disparities related to race, ethnicity, and socioeconomic status. This helps increase the quality of health care and help people live longer. Nonmaleficence is the ethical concept that emphasizes the importance of preventing harm and ensuring the client's well-being. Beneficence is the ethical concept that encourages the nurse to do good for the client. According to the American Nurses Association (ANA) Code of Ethics for Nurses (2010), if the client is not capable of self-determination, the nurse is ethically obligated to protect the client as an advocate within the professional scope of nursing practice.

Which nursing action during a psychosocial assessment of a transgender client may contribute to health disparities?

- Insisting on using the name listed on the client's driver's license - Insisting on referring to the client in a different way than the client self-identifies erodes client trust and alienates the client, which may make her or him less willing to seek care, contributing to health disparities. The nurse can ask specific questions about gender and sexuality if these are relevant to the client's health and can help determine how these factors may affect care. Evidence of abuse is to be reported to the appropriate authority in accordance with the law. The client should be assured that the assessment responses are confidential and would not be shared with anyone, even family, friends, or significant others, without the client's permission.

Which statement regarding an interpreter is correct?

- Interpreting not only the language but also the culture is important. - The health care facility should be able to provide interpreters to the clients who cannot speak English or do not speak English well enough to meet their communication needs. The interpreter should be able to interpret not only the language but also the culture. Health care facilities should not rely on relatives or friends of the client for interpreting, because they may not be as open as needed during the encounter. Literal translations are not necessary; words in one language can carry many different connotations in another language. The interpreter should be available at all points of contact but not when communication between the client and the health care provider is not occurring.

Which belief of the nurse may have a negative effect on health services for minority clients?

- The mind, body, and spirit are distinct entities. - Eastern tradition considers body-mind-spirit a single entity; if the nurse refuses to accept this and respect that a client of a different culture may believe this, then the quality of care can be affected. Children of multiracial, multicultural, and multiheritage marriages fall into more than one category, so the nurse would focus on culture rather than race. For the Chinese, disease is caused by fluctuations in opposing forces—the yin-yang energies. The nurse would not make assumptions about a client's race based on her or his appearance; the nurse would record the client's race as she or he self-identifies.

Which concept would the nurse consider when caring for school-aged children who are obese?

- There are familial influences on childhood eating habits. - Studies have demonstrated that culture and family eating habits have an effect on a child's eating habits. Inheritance is not known to influence eating habits, although it is believed that other hereditary factors are associated with obesity. Childhood obesity is a known predictor of adult obesity. Children with obese parents are not necessarily destined to become obese themselves.

Which point regarding ethics and values requires further education?

The American Nurses Association (ANA) code of ethics ensures that the code remains constant. The American Nurses Association (ANA) code of ethics reviews and revises the code regularly to reflect changes in practice. The basic principles of the ANA code (such as responsibility, accountability, advocacy, and confidentiality) remain constant. The nurse's point of view offers a unique voice in the resolution of ethical dilemmas by including knowledge based upon clinical and psychosocial observations. Professional nursing promotes accountability, responsibility, advocacy, and confidentiality. Standards ethics in health care consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.

A client who does not understand English requires an interpreter. Which action by the student nurse may exacerbate health disparities?

The student talks only to the interpreter about the client. - The nurse would follow certain strategies while working with an interpreter for a client who does not understand English. The nurse would talk to the client about the client's condition and care and not to the interpreter. The interpreter may act as a client advocate and represent the client's needs to the nurse. The nurse would use a trained medical interpreter who has a health care background. The nurse would maintain eye contact with the client and obtain feedback to be certain that the client understands.

The registered nurse is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching?

"Delegation is the transfer of accountability while retaining responsibility."

The nurse leader states, "The people in rural America dress and act differently from those in urban centers." Which concept describes this statement?

- Acculturation Cultural marginality is defined as situations and feelings of passive betweenness when people exist between two different cultures. Acculturation refers to adapting to a particular culture. It is a process by which a person becomes a competent participant in the dominant culture. Ethnocentrism refers to the belief that one's own ways are the best, most superior, or preferred ways to act, believe, or behave. Cultural imposition is defined as the tendency of individuals or groups to impose their values, beliefs, and practices on another culture for varied reasons.

Which action of a nursing student regarding The Joint Commission recommendations for creating a safe and welcoming environment for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients needs revision?

- Arranging exclusive waiting rooms for LGBTQ clients and their families - As per the recommendation of The Joint Commission, the nursing student should make all waiting rooms inclusive of LGBTQ clients and families, not special separate ones. This can be done by posting Safe Zone, rainbow, or pink triangle signs. As a best practice for client safety and quality care, the nursing student should post the client's bill of rights and nondiscrimination policies in a visible place. The nursing student should have adequate information on special health care concerns for LGBTQ clients and provide the same whenever required. The nursing student should never make assumptions about a client's sexual orientation and gender identity.

When a client is a member of a different ethnic community, which action would the nurse take?

- Offer a therapeutic regimen compatible with the lifestyle of the family. - The client cannot be expected to accept or even respond to a plan that is incompatible with the family's lifestyle. The family should not have to adjust to the nurse's biases; the nurse must self-identify biases and ensure that they do not interfere with nursing care. There is no evidence that misconceptions will occur. All individuals want good nursing care, but the perception and ideas of what constitutes good care may be different.

Which question using the five rights of delegation would the nurse consider before delegating a task to nursing assistive personnel (NAP)? Select all that apply. One, some, or all responses may be correct.

- is the environment conductive to completing the task safely

Which statement(s) are true regarding delegation? Select all that apply. One, some, or all responses may be correct.

- open lines of communication must ocur between delegator adn delegatee - delegation occurs only when at least two people are involved in a mutual work situation - delegation involves sharing activities w other health team members who have the authority to accomplish the work

What does appropriate delegation do for a health care organization? Select all that apply. One, some, or all responses may be correct.

- reduce stress - improves tx options

Which purposes support the process of delegation? Select all that apply. One, some, or all responses may be correct.

- to achieve nursing goals - to improve client outcomes

Which describes the purpose of the Nurse Practice Acts?

Describe and define the legal boundaries of nursing practice within each state The Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. They help distinguish between nursing and medical practice and establish education and licensure requirements for nurses. Standards of care reflect the knowledge and skills possessed by nurses who are active practitioners in their profession. Standards of care are legal requirements that define the minimum acceptable nursing care. The Health Insurance Portability and Accountability Act (HIPAA) protects individuals from losing their health insurance when changing jobs by providing portability.

Which nursing process involves delegation and verbal discussion with the health care team?

Implementation

The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma?

Obtain information from the child, the parents, health care workers, and other sources. After determining that an ethical dilemma exists in a situation, the nurse would focus on gathering information from multiple sources. The perspectives obtained from the child, the parents, health care workers, and other sources are helpful because it is essential to incorporate as much knowledge as possible. Evaluating the outcome of the plan of action over time is the last step of resolving an ethical dilemma. After gathering all relevant information regarding the issue and clarifying values, it is essential to verbalize the problem. A group agrees on a simple problem statement to hold a discussion on an issue. After gathering relevant information regarding the ethical dilemma, the nurse would examine his or her own values critically to formulate an opinion regarding the matter.

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. Which action would the nurse manager take to address this problem?

Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work. - A workshop provides an opportunity to discuss cultural diversity; this should include identification of one's own feelings. Also, it provides an opportunity for participants to ask questions. Although articles provide information, they do not promote a discussion about the topic. Relocation is not feasible or desirable; clients from other cultures are found in all settings. Rotating the nurses' assignments probably will increase tension on the unit.

In providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow?

Provide care that fits the clients' cultural beliefs. - When providing care to clients from different cultural backgrounds, nurses would be careful to provide care that fits the client's cultural beliefs. It helps provide effective nursing care to the satisfaction of the client. Advising clients against their cultural practices may offend them and should be avoided. Organization policies should be made flexible to incorporate cultural aspects of care. Ignoring the cultural aspect of client care may result in ineffective nursing care.

A client says, "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario?

Spiritual factors Religious practices are one way in which people exercise spirituality. In the given scenario, the client asks the nurse to refrain from cutting the religious thread. This is an example of a spiritual factor. Emotional factors involve the client's degree of stress, depression, or fear. The nurse considers the client's developmental stage when using the client's health beliefs and practices as a basis for planning care. Intellectual background factors are a person's beliefs about health that are shaped by their knowledge, lack of knowledge, or incorrect information about body functions and illnesses.

Which information is accurate regarding the role of value clarification in the resolution of ethical dilemmas?

Tolerating differences of opinion The process of value clarification involves tolerating differences of opinion with others. This often helps in the resolution of ethical dilemmas. Value formation involves reinforcing or challenging family values when influenced by external forces. The nurse needs to understand that many individuals have such strong values that they consider them to be facts. The nurse would be able to distinguish between values and facts. Value clarification is possible if the nurse is able to understand that facts are different from values. This enables one to develop tolerance toward others' opinions.

The delegator explains the procedure of the task to the delegatee and asks the delegatee to provide feedback after the task has been completed. Which delegation "right" is the delegator referring to in this situation?

the right supervision

The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?

Advocacy The nurse has a professional duty to advocate for a client by promoting what is best for the client. This is accomplished by ensuring that the client's needs are met and by protecting the client's rights. Caring is a behavioral characteristic of the nurse. Veracity relates to the habitual observance of truth, fact, and accuracy. Confidentiality is an ethical principle and legal right that the nurse will hold secret all information relating to the client unless the client gives consent to permit disclosure.

I can delegate the administration of medication to UAP. true or false?

False

Which explanation regarding the term "just culture" is accurate?

Promoting open discussion whenever error occurs without fear of recrimination The term just culture refers to the promotion of open discussion whenever errors occur without fear of recrimination. Fidelity refers to the agreement to keep promises. Beneficence refers to taking positive actions to help others. Accountability refers to the ability to answer for one's actions.

Which component of delegation is considered a "two-way process"?

Responsibility

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

Right communication

Which questions related to decision-making for delegation are appropriate according to the delegation right of "right circumstance"? Select all that apply. One, some, or all responses may be correct.

- are the equiptment and recourses avilible to complete the task - does the delegatee have appropriate supervision to complete the task

While caring for a client with asthma, the delegator assigns the client to a registered nurse (RN) and to a licensed practical nurse (LPN). Which component of delegation is transferable to the RN? Select all that apply. One, some, or all responses may be correct.

- authority - responsibility - accountability

Which would the nurse do to comply with the ethic of nonmaleficence in the health care setting?

Focus on doing no harm. To comply with the ethic of nonmaleficence, the nurse would focus on doing no harm. The health care ethic fidelity requires the nurse to keep promises made to the client by following through on the plan of care. To comply with the ethic of autonomy, the nurse would include the client in the decision-making process when developing a care plan. To comply with the health care ethic of beneficence, the nurse is required to keep the best interests of the client in mind when providing care.

A health care team is caring for a population according to the functional model of nursing. Which health care team member is most appropriate for the delegation of hygiene care?

Unlicensed nursing personnel (UNP)

Which component of delegation applies to all the members on the health care team?

authority

Which component of delegation is the ability to perform duties in a specific role?

authority

An elderly client states, "Disease occurs when supernatural elements enter the body." Which variable influences the client's health beliefs in this scenario?

Spiritual factors A client's spirituality, beliefs, and response to an illness influence how the nurse will provide support. The elderly client's statement indicates that spiritual factors are at play. The given scenario is not an example of the influence of emotional factors, intellectual background, or perceptions of functioning.

Which information would the nurse provide a nursing student regarding the utilitarian system of ethics? Select all that apply. One, some, or all responses may be correct.

- "The value of something is decided by its usefulness." - "The main emphasis is on the outcome or consequence of the action." - "The greatest good for the greatest number of people determines the right action." According to utilitarianism, the value of something is decided by its usefulness. This system is also called consequentialism because the primary emphasis is on the outcome or consequence of the action. According to utilitarianism, the right action is based on the greatest good for the greatest number of people. Deontology examines a situation for the presence of essential right or wrong. According to deontology, actions can be decided as right or wrong based on their "right-making characteristics."

Which delegation right is being used when the nurse is considering whether the right equipment and resources are available to complete a task?

circumstance

When caring for a transgender client, which would the nurse use to decide how to address the client?

- Client's preference - The nurse would ask the client during assessment how the client prefers to be addressed. This prevents any discomfort or embarrassment. The nurse would not make assumptions based on the client's appearance, which can be misleading. The nurse would also not address the client according to her or his identity documents, because they may contain the client's natal information, which might not be how the client self-identifies.

For families raised in a culture of poverty, which behavior is most likely?

- Powerlessness relative to changing their situation - Powerlessness is a characteristic feeling among people in the culture of poverty, which tends to erode their hope for change. People in poverty usually require immediate gratification because there is no faith in the future. Pessimism, not optimism, about changing a lifestyle is more common in these families. There is insufficient evidence to indicate that poverty equates with inadequate parenting.

The NM BON created and is responsible for updating the NM NPA. true or false?

False

The NM BON is a government entity that functions under the DOH. true or false?

false

The registered nurse (RN) delegates a task to the unlicensed assistive personnel (UAP). After the UAP starts the task, the RN asks for feedback related to the task. Which right of delegation is the RN following?

supervision

Which statement made by the student nurse needs correction regarding the primary characteristics establishing nursing as a profession?

"Nurses are simply required to perform specific tasks." Nurses are not merely required to perform specific tasks for which they have been trained. Nursing is a profession and nurses would provide quality client-centered care in a safe, conscientious, and knowledgeable manner. The profession as a whole is required to have a code of ethics for practice. Nursing, as a profession, has a theoretical body of knowledge that helps in developing defined skills, abilities, and norms. As the members of a profession, nurses are required to have autonomy in decision-making and practice.

Which is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?

Act in ways to prevent harm to clients. Nonmaleficence means to act in ways that prevent client harm or even the risk of harm. Telling the truth to clients about their health refers to veracity. Helping clients make informed choices promotes autonomy. Justice involves treating all clients equitably and fairly.

During the process of delegation, the delegator's behavior is noted to be observing and monitoring. What would be the relationship between the delegator and delegatee in this situation?

established

The registered nurse is evaluating the statements made by a student nurse after teaching about the delegation communication template. Which statement made by the student nurse indicates a need for correction?

the delegation communication template would include only the work that is to be delegated

Which action in the delegation process represents accountability?

monitoring the client care given and determining outcomes

A young woman tells the nurse, "My partner prevents me from taking my medications." Which should the nurse do to deal with the situation?

Conduct an interview with the client alone, when the partner is not around. The statement provided by the young woman indicates that the individual may be a victim of abuse, so the nurse would interview the client alone when the client has privacy and the individual suspected of being the abuser is not present. Discussing the problems with the primary health care provider might cause fear of retribution in the abused client. When dealing with people with mental illness, the nurse would collaborate with multiple community resources to obtain adequate health care. When dealing with vulnerable populations, the nurse would evaluate their cultural beliefs, values, and practices to determine their specific needs.

Which definition of delegation given by the nurse is correct?

Delegation refers to process for the nurse to direct another person to perform nursing tasks and activities.

Besides nursing, what does the NM BON have the statutory authority to regulate? A. Hemodialysis techs B. Respiratory care techs C. Radiology techs D. Dental Hygiene Techs

A. Hemodialysis techs

Which statement made by the client would the nurse consider as an influence of the client's intellectual background on his or her health beliefs?

"Don't include eggs in my diet because eggs contribute to excess body heat." If the client states that eggs would not be included in his or her diet because they cause excess body heat, this statement is an example of the influence of the client's intellectual background on his or her health beliefs. If the client states that seafood or ham would not be included in his or her diet because it is against his or her beliefs, this statement is an example of the influence of the client's cultural background on his or her health beliefs. If the client says that he or she does not smoke or drink because these drugs are a major sin, this statement is an example of spiritual factors influencing his or her health beliefs and practices. If the client says that he or she has stopped taking prescribed medications because he or she has recently lost a job, this statement is an example of the client's socioeconomic influence on his or her health beliefs and practices.

Which statement made by the client is a socioeconomic influence on the client's health beliefs?

"I cannot afford expensive medications because I have to take care of my family." - When a client states that he or she cannot afford expensive medications because he or she has to take care of a big family, this statement is an example of a socioeconomic influence on health beliefs. When a client says that he or she is a vegetarian and cannot eat meat because of this tradition, this statement is an example of the influence of cultural background on health beliefs. When a client says that his or her family members always pray before a meal, this statement is an example of the influence of family practices. When a client says that he or she believes that infant vaccinations are sinful, this statement is an example of spiritual factors influencing health beliefs and practices.

The nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage these people from bringing all that alternative medicine stuff to their family members. Which response by the nurse is correct?

"Nontraditional approaches to health care can be beneficial." - Studies demonstrate that some nontraditional therapies are effective. Culturally competent professionals should be knowledgeable about other cultures and beliefs. Many health care facilities are incorporating both Western and nontraditional therapies. The statement "Everyone should conform to the prevailing culture" does not value diversity. The statement "You are right because they may have a negative effect on people's health" is judgmental and prejudicial. Some cultural practices may bring comfort to the client and may be beneficial, and they may not interfere with traditional therapy.

Which statement made by the client would the nurse consider to be an external variable influencing the client's beliefs?

"Please do not include chicken in my diet plan because my religion forbids me to consume meat." When a client conveys to the nurse that his or her religion forbids the consumption of meat, the nurse understands that the client's cultural background is influencing his or her health beliefs and practices. To individualize care, the nurse would take this external variable into consideration. A client who gets depressed as a result of illness is emotionally ill-equipped to deal with such conditions. The nurse considers this an internal variable to individualize care. When caring for a client, the nurse would take the client's developmental stage into consideration. The age of the client also influences the way in which the client perceives health beliefs and practices. Another internal variable to be considered by the nurse is the client's intellectual background. The client's correct or incorrect knowledge regarding the human body systems also influences health beliefs and practices.

The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction?

"The delegator would recheck and redo the work of the delegatee."

Which statements by the student nurse indicate effective learning regarding consensus building in the resolution of bioethical dilemmas? Select all that apply. One, some, or all responses may be correct.

- "It is an act of discovery." - "It promotes respect and agreement." - "It inspires respect for unusual points of view." Consensus building is considered to be an act of discovery, as the best possible decision is reached on the basis of collective wisdom, which refers to harmonizing different points of view. When solving ethical dilemmas, consensus building focuses on promoting respect and agreement toward multiple philosophies instead of fixating on a particular moral system. Consensus building aims at bringing about an agreement among all participants in the decision-making process by encouraging respect for unusual points of view. Consensus building does not focus on a particular philosophy or moral system. Utilitarianism is based on the greatest good for the greatest number of people.

Which statements by the student nurse indicate an understanding of caring for clients of various cultures? Select all that apply. One, some, or all responses may be correct.

- "The focus is on understanding the traditions, beliefs, and values of the client's culture." - "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures." To provide individualized care to the client, the nurse would focus on the client's traditions, beliefs, and values. The nurse would be aware of his or her own cultural background and beliefs to ensure that stereotypes and prejudices do not get in the way of client care. The nurse would refrain from assuming that every client follows the cultural practices and traditions of his or her community stringently. When educating a client about any illness or procedure, the nurse would understand that the client may have unique cultural perceptions regarding the cause of the illness and treatment and may need specific education and information. The nurse would understand that cultural background has an effect on a client's health care beliefs and that it affects his or her health, wellness, and illness.

Which nurse statement reflects positive cultural sensitivity to help reduce potential health disparities?

- "Which type of food do you usually eat at home?" - When the nurse asks about the type of food the client eats at home, it shows cultural sensitivity. It shows that the nurse respects the client's culture. Food prepared by family is allowed only if it does not negatively affect the treatment. The nurse would work with the client to help the client get hospital meals that adhere to the client's cultural dietary restrictions. Telling the client to eat all the food the hospital provides may not take the client's cultural dietary restrictions into consideration.

Which clients are ideal candidates for interpreter service to prevent contributing health disparities? Select all that apply. One, some, or all responses may be correct.

- A non-English-speaking client in the emergency department - A Spanish-speaking client ready to be discharged from the facility - An Indian American who does not speak the language used at the facility - The health care facility should provide an interpreter to limit communication barriers that contribute to health disparities. A non-English-speaking client in the emergency department should have an interpreter to ensure all aspects of care. While providing discharge instructions to a client who speaks Spanish, the nurse would have the help of a language interpreter. The nurse would use an interpreter for an Indian American client who does not speak the language used at the facility. When caring for an English-speaking client who has a speech disorder, an interpreter is not required. Instead, the nurse can communicate using other adaptations appropriate for the disorder. When caring for an African American client who has a hearing impairment, sign language or a hearing aid may be required.

Which problems would the nurse plan to address when dealing with ethical issues related to end-of-life care? Select all that apply. One, some, or all responses may be correct.

- Clients may be unable to communicate effectively. - All interventions for helping the clients seem futile. - Predictions regarding health outcomes are not always accurate. Older adults who need end-of-life care may be unable to communicate effectively. The nurse would evaluate the ability of the client to make important decisions about his or her care. During end-of-life care, all interventions for helping the clients may seem to be futile. As such, the caregivers, the client, and the health care workers would focus on providing palliative care. Predictions regarding health outcomes may not always be accurate. There may also be differences of opinion regarding the worth of an outcome. Older adults are often unfamiliar with the concept of autonomy. As such, they may find it difficult to contradict primary health care providers and nurses. This problem is not restricted to end-of-life care situations. Older adults may also face problems such as diminished cognitive ability due to the intake of multiple medications. This problem is also not limited to end-of-life care.

Which are common negligent acts of nurses found in the hospital setting? Select all that apply. One, some, or all responses may be correct.

- Failure to notify the health care provider of problems - Failure to follow the six rights of medication administration - Failure to ensure the safety of a client with disequilibrium problems Common negligent acts of nurses include failure to notify the health care provider of problems, failure to follow the six rights of medication administration, and failure to ensure the safety of a client with disequilibrium problems. Failure to notify the family member about the client's current status is not a common negligent act. The nurse does not have the authority to administer medications without a primary health care provider's order. This action is also not a common negligent act.

Which would the nurse consider before confronting the problem of obesity with individual children?

- Familial and cultural influences are deciding factors in eating habits. - Studies have shown that culture and family eating habits have an effect on a child's eating habits. Inheritance is not known to influence eating habits, although it is believed that hereditary factors may be associated with obesity. Childhood obesity is a known predictor of adult obesity. Although there is a trend toward asserting that children with obese parents and siblings are destined for obesity, with intervention this can be prevented.

Which statements accurately explain the deontology system of ethics? Select all that apply. One, some, or all responses may be correct.

- It examines a situation for the presence of essential right or wrong. - It emphasizes the commitment to respect the "rightness" of autonomy. - It determines that actions are right or wrong based on their "right-making characteristics." The system of deontology examines a situation for the presence of an essential right or wrong. The principle that guides the system of deontology is the commitment to respect the "rightness" of autonomy. According to deontology, an action is considered to be right or wrong based on its "right-making characteristics." Utilitarianism deals specifically with the consequences of an action to determine right and wrong. According to this system, the right action is based on whatever creates the greatest good for the greatest number of people.

Which guideline is useful for reducing disparity when caring for transgender clients?

- Learning about the treatment options for transgender clients and requirements of follow-up care - To reduce disparities in the health care delivery to transgender clients, it is appropriate for the nurse to develop individual treatment plans rather than assuming all transgender clients are the same. Learning about treatment options and requirements for follow-up care for transgender clients also helps the nurse provide the best care possible. It is appropriate for the nurse to learn about the health care needs of homosexual clients when caring for this population, but transgender clients are not necessarily homosexual, so this may not apply. The nurse would not automatically assume the client wants to be referred to using pronouns of the gender with which she or he is living or of the sex with which she or he was born. Gender and sex exist on a spectrum, and the nurse would instead ask the client how she or he self-identifies.

Which scenarios mentioned by the student nurse relate to the health care ethic of fidelity? Select all that apply. One, some, or all responses may be correct.

- Monitoring a client after providing nonpharmacological measures to relieve anxiety due to hospitalization - Noting that the pain relief measures provided to that client have been ineffective, the nurse formulates a different plan of care - Caring for a client who refuses to be touched by people of certain skin color, the nurse continues to provide care because other colleagues refuse to attend to the client. According to the health care ethic of fidelity, the nurse is required to keep all health care promises made to the client. If the nurse assesses the client to relieve anxiety regarding hospitalization, it is essential to monitor for effectiveness of the treatment plan after initiating interventions. If the nurse assesses the client for pain and notes that relief measures have been ineffective, the nurse would formulate alternate treatment plans. Fidelity also involves an unwillingness to abandon clients when care becomes controversial or complex. In the given situation, the client has a controversial belief system about skin color. However, the nurse continues to provide care even when other colleagues refuse to do so. The health care ethic of autonomy deals with the inclusion of clients in important decisions regarding care plans. The client is required to understand the risks and benefits of experimental procedures before signing the consent form. This ensures the client's independence. The health care ethic of nonmaleficence focuses on doing no harm. In the given situation, the nurse ensures that the risks of the treatment plan do not outweigh the benefits, to minimize harm to the client.

Which factor can interfere with the nurse's ability to actively listen to a 15-year-old client who has a history of drug abuse, stealing, truancy, and a general disregard for others?

- Nurse's personal cultural beliefs - Without an awareness of personal beliefs, the nurse may unconsciously stop listening if the client's actions and beliefs contradict the nurse's. The nurse can use knowledge of growth and development and disease process, and time management skills to consciously exert more control over the other factors.

Which features distinguish nursing diagnoses from medical diagnoses? Select all that apply. One, some, or all responses may be correct.

- Nursing diagnoses involve the client when possible. - Nursing diagnoses involve the sorting of health problems within the nursing domain. - Nursing diagnoses involve clinical judgment about the client's response to health problems. Establishing a nursing diagnosis is the second step in the nursing process. It is unique and involves the client's participation in the process. Nursing diagnoses classify health problems to be treated primarily by nurses. The nurse reviews the client assessment, sees cues and patterns in the data, and identifies the client's specific health care problems. The nursing diagnosis is a clinical judgment about the client's actual or potential health problems that the nurse is licensed to treat. A medical diagnosis is based on results of diagnostic tests and procedures, whereas a nursing diagnosis is based on the results of the nursing assessment. A medical diagnosis identifies a disease condition in the client.

Which interventions promote adherence to medication therapy in pediatric clients? Select all that apply. One, some, or all responses may be correct.

- Suggesting that the parent mix oral drugs with juice - Taking extra time with parents to ensure skilled participation - Providing the parents with a calibrated spoon to measure liquid formulations - Selecting the most convenient dosage form and dosing schedule Mixing oral drugs with juice improves palatability and may promote medication adherence. Demonstrating the administration techniques to parents helps ensure conscientious and skilled participation. The use of a calibrated spoon helps with accurate dosing and estimating. Dosage forms should be convenient for easy and careful administration. Multiple dosing is not recommended because pediatric clients may not take the single dose; using multiple times to try to administer the same single dose is not recommended and usually will not work.

Which client would have a health promotion nursing diagnosis?

- The client who is willing to take a 30-minute walk daily A health promotion nursing diagnosis is a clinical judgment of an individual's desire to increase well-being. A client who is willing to take a 30-minute walk daily is expressing a desire to improve health behavior. The nurse identifies a health promotion nursing diagnosis for this client. Acute pain due to appendicitis is an actual nursing diagnosis. The nurse selects an actual nursing diagnosis when there is sufficient assessment data to establish the nursing diagnosis. It describes the client's response to a particular health condition. A risk nursing diagnosis describes an individual's response to health conditions that may develop in a vulnerable individual. The older adult client with dementia may have a risk nursing diagnosis for confusion. The client recovering from surgery has reduced cognitive ability and may have a risk nursing diagnosis for confusion or falls.

Which statements made by the client would the nurse consider as an influence of spirituality on health beliefs? Select all that apply. One, some, or all responses may be correct.

-"My faith prohibits the use of a donor's sperm." - "Don't administer nasal drops now because it will break my fast." - "I do not believe in surrogacy because this is not permitted in our community." When a client says that his or her faith prohibits the use of donor's sperm, this statement is an example of spiritual factors influencing health beliefs and practices. When a client says that administering nasal drops will break his or her fast, this statement is also an example of spiritual factors influencing health beliefs and practices. The client's ideas about surrogacy being conditioned by the beliefs of his or her community is another example of the influence of spiritual factors. When a client says that he or she is not worried about surgery because he or she has undergone several surgeries in the past, this statement is an example of emotional factors influencing health beliefs and practices. When a client says that he or she is not able to meet his or her basic needs and thus cannot afford costly medications, this statement is an example of socioeconomic influences on health beliefs and practices.

Arrange the actions in the order the nurse should take to resolve an ethical dilemma.

1) collect relevent case related info 2) clarify values 3) verbalize problem 4) determine possible causes of action 5) negotiate plan 6) evaluate the plan over time The nurse would begin by asking whether the problem at hand is an ethical dilemma. If one exists, the nurse would collect all relevant case-related information from multiple sources to obtain multiple points of view. The nurse would then clarify the values, making a clear distinction between facts, opinions, and values. Next, the nurse would verbalize the problem to facilitate discussion and help make the final plan effective. After this step, the nurse would determine all the possible courses of action to resolve the dilemma. The nurse would then negotiate a plan. This plan of action would be evaluated over time.

What are the 4 key questions to consider when determining if a task or procedure is within your scope of practice? A.Is it standard of care? B.Will it lead to a positive outcome for the patient? C. Does it violate an organizational policy? D. Was I trained to do it? E. Do I have support if something goes wrong?

A. Is it a standard of care? C. does it violate an organizational policy D. Was I trained to do it? E. Do I have support if something goes wrong?

What are the three steps to apply for initial RN licensing? A. Show proof of employment as a graduate nurse. B. Complete initial licenses application in state of choice. C. Pass NCLEX D. Complete criminal background check

B. Complete initial licenses application in state of choice. C. Pass NCLEX D. Complete criminal background check

What criteria do you need to meet in order to be issued a graduate nurse permit to practice? A. successful completion of nursing program, NCLEX passed. B. successful completion of nursing program, employment as a graduate nurse within NM, current registration to take NCLEX C. employment as a graduate nurse within NM, passed the NCLEX D. successful completion of nursing program, employment as a graduate nurse within NM, passes the NCLEX

B. successful completion of nursing program, employment as a graduate nurse within NM, current registration to take NCLEX

A new RN is delegating tasks to a LPN. Which if the following tasks are not appropriate to delegate to the LPN according to the NM NPA's LPN scope of practice? A. Obtain the patient's orthostatic blood pressures B. Administer prescribed oral BP medications C. Develop a plan of care for the patient based on the results if the orthostatic BP findings. D. Collaborate with the physical therapist to find a low-cost wheelchair for the patient to use when they go home.

C. Develop a plan of care for the patient based on the results if the orthostatic BP findings.

Which of the following is a program designed to support nurses as they recover from substance abuse issues while allowing the to keep their nursing license? A. Uniform Licensing Act B. Nurse Practice Act C. NM BON Diversion Program D. Nursing Licensing Compact

C. NM BON Diversion Program