RNSG 1413 - Exam 1 Sherpath Adaptive Quizzes
Which statement by a student demonstrates accurate understanding of a "competent" nurse, according to Benner's Novice to Expert Model?
"A nurse who uses more analytical thinking"
A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that the patient is experiencing a problem with body image?
'I don't go out very much because everyone stares at me.'
Based on the transtheoretical model of change, which is the most appropriate response to a patient who states, 'Me, exercise? I haven't done that since junior high gym class, and I hated it then!'
'I understand. Can you think of one reason why being more active would be helpful for you?'
Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviating the patient's fear and anxiety?
'Let's talk about the concerns that you have about going home.'
A patient is fearful of upcoming surgery and a possible cancer diagnosis. The patient discusses love for the Bible with the nurse, who recommends a favorite Bible verse. Another nurse disagrees with this recommendation. Which would be an appropriate response to the nurse who states that there is no place in nursing for spiritual caring?
'Spiritual, mind, and body connections can affect health.'
The nurse is planning discharge instructions for a patient diagnosed with human immunodeficiency virus (HIV). Which statement made by the patient would indicate effective teaching?
'The virus can be spread to another person by contact with body fluids.'
A patient comes to the local health clinic and states, 'I've noticed how many people are out walking in my neighborhood. Is walking good for you?' Which is the best response to help the patient through the stages of change for exercise?
'Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?'
A family includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. Of what type of family is this an example?
A blended family
The nurse is caring for a 70-year-old patient who lives with her children and grandchildren in an extended family. The patient is suffering from chronic bronchitis and does not want to be admitted to the hospital. The family has decided to take care of the patient at home. The patient's 35-year-old daughter takes care of the patient. Which symptoms in the caregiver indicate the caregiver's strain? Select all that apply.
A change in appetite Irritability Anger
What is an infective disease that can be transmitted directly from one person to another considered?
A communicable disease
Which patient may require a pulsatile high-pressure lavage for wound irrigation?
A patient who has a necrotic wound
While planning morning care, the nurse would give highest priority to which patient to receive a bath first?
A patient who is experiencing frequent incontinent diarrheal stools
Which patient is considered least in need of perineal care?
A patient who underwent penile circumcision two years prior
A family consists of a mother and her 3-year-old daughter. This is an example of which kind of family?
A single-parent family
Which intervention comes under active strategies of health promotion?
A weight reduction program for obese people
A nursing student is learning about the different types of families. What could be an example of a blended family?
A woman bringing her adopted son into a new family when she remarries
Which is the best document for the nurse to consult to ensure delivery of quality patient care?
ANA Standards of Nursing Practice
A woman who is a Jehovah's Witness has severe life-threatening injuries and is hemorrhaging following a car accident. The healthcare provider ordered two units of packed red blood cells to treat the woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood. What is the nurse's responsibility?
Abide by the husband's wishes and inform the healthcare provider.
The nurse has to read many articles while doing research. Studying the full text of a research article to determine whether the article is relevant to the nurse's own research can be tedious. Which section of a reference article would aid the nurse in learning about the study in brief?
Abstract
Which nursing action describes the nurse's role of advocate?
Accepting a patient's advanced directive for limited life-sustaining treatment
What is a benefit for new nurses who join professional organizations as part of the socialization process?
Access to current resources
Which options are possible outcomes with clear family communication? Select all that apply.
Achievement of family goals Improved decision-making Consistent methods of discipline
The nurse is teaching a group of teenagers about adolescent pregnancy. Which information should the nurse include? Select all that apply.
Adolescent mothers may lack support. Adolescent mothers may be unable to complete their education. Adolescent mothers may find motherhood stressful.
A patient with prostate cancer is in the terminal stage of the disease and wishes to have home care. How can the nurse help the family achieve optimal end-of-life care? Select all that apply.
Advise the family members to apply for hospice care. Provide grief support measures. Educate the family about the dying process.
A mother is concerned she won't be able to ask questions of her child's health care provider before she leaves for work. The nurse assures the mother the questions will be asked and recorded in writing at the child's bedside. Which role is the nurse demonstrating?
Advocate
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. Which role is the nurse playing for the patient?
Advocate
When the nurse recognizes a problem and collects data to sufficiently support the need for policy updates, what role is the nurse demonstrating?
Advocate Researcher Change agent
Which term describes nurses who engage in selfless acts?
Altruistic
Which entity publishes and updates the Standards of Nursing Practice?
American Nurses Association
A community health nurse is assessing the population of a specific community. She wants to identify people who are at risk of health problems. Which individual is a member of a vulnerable group?
An elderly, homeless immigrant
The nurse is caring for a 5-year-old girl who is living with her family. The family includes her mother and a grandmother who is 65 years old. Which category does this family belong to?
An extended family
The nurse is caring for a patient who has a respiratory infection. The nurse understands that an infection occurs in a cycle and involves several elements. What are the elements in the chain of infection? Select all that apply.
An infectious agent The source of pathogen growth A susceptible host
The nurse is assisting an elderly patient with a bath. Which action by the nurse is appropriate?
Apply lotion to chapped skin
Nurses become involved in evidence-based practice (EBP) when they do what?
Apply research findings to their practice
The nurse is making an occupied bed for a patient. The soiled bedspread and blanket are removed and discarded in a linen bag. Then the patient is positioned on the far side of the bed with the patient facing away from the nurse. The nurse finds that the mattress is wet and covers it with linen. Which step followed by the nurse may lead to the spread of infection?
Applying the linen over the wet mattress
A community-based nurse encounters a college student addicted to cocaine. What are the various assessments that the nurse must perform to assist this student? Select all that apply.
Assess the frequency of abuse. Assess the nature of use. Assess the amount of consumption.
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing. She wants to enroll in a program that is of short duration and makes her eligible to take the nursing licensure exam. Which educational program should the nurse recommend to this student?
Associate degree program in nursing
A couple is with their adolescent daughter for a school physical and state that they are worried about all the safety risks affecting this age. What are the greatest risks for injury for an adolescent?
Automobile accidents, suicide, and substance abuse
Which characteristic exemplifies nursing as a profession?
Autonomy in decision-making
Which instruction should the registered nurse give to the nursing assistant who is providing a complete bed bath to a patient?
Avoid massaging the reddened area under the skin folds
The nurse is caring for a 16-year-old patient with acne. Which instructions should be included when teaching skin care to the patient? Select all that apply.
Avoid squeezing the acne. Use prescribed topical applications. Eliminate foods that aggravate the condition from diet.
A nurse bathes an older adult patient using a pack of cotton cloths that are premoistened with a surfactant cleaner and an emollient. Which bath is being given to the patient?
Bag bath
Which option is available to nurses who want to expand their practice, but do not desire to return to formal education?
Become certified in current practice area.
When repositioning an immobile patient, the nurse notices redness over a bony prominence. What is indicated when a reddened area blanches on fingertip touch?
Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode
Health care reform is in a state of flux. Which examples support the quadruple aim of quality, safety, cost, and burden?
CMS state waivers Medicaid expansion The Affordable Care Act (ACA)
The nurse is floated to work on a nursing unit where the assignment is beyond the nurse's capability. Which is the best nursing action to take first?
Call the nursing supervisor to discuss the situation.
What risks are reduced by taking annual Papanicolaou (Pap) tests and mammograms?
Cancer
A patient is admitted to the hospital for the treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. The nurse warmly greets the patient and lightly touches the patient's shoulder. Which type of touch is this?
Caring
The nurse gently touches the shoulder of a patient lying with eyes closed. When the patient opens his eyes, the nurse smiles and asks how he is feeling. Which kind of touch is this?
Caring
Which action would best help prevent skin breakdown in a patient who is very weak and drowsy and also incontinent of stools?
Checking frequently for soiling
Which task related to use of patient restraints can be delegated to nursing assistive personnel (NAP)?
Checking on a restraint
Which nursing intervention is represented in the figure?
Cleaning under the fingernails
A child in the hospital starts to have a grand mal seizure while playing in the playroom. Which is the most important nursing intervention during this situation?
Clear the area around the child to protect the child from injury.
Which description best fits that of serous drainage from a wound?
Clear, watery plasma
Which is the best document for the nurse to consult when making decisions about nursing practice or conduct?
Code of ethics
The nurse works with the physical therapist and the family to allow a child who is confined to a wheelchair to eat lunch outside. What nursing role does this action represent?
Collaborator
Which element is not a provision of workflow redesign in primary care?
Community education
The nurse caring for patients in an inpatient unit asks a clinical question using a PICOT format. What does C stand for in a PICOT question?
Comparison of interest
According to the World Health Organization (WHO), what is the definition of health?
Complete physical, mental, and social well-being
The nurse helps a researcher to conduct a study on human subjects. The researcher obtains approvals from an institutional review board (IRB). An IRB ensures that researchers follow ethical principles, including respecting the rights of human subjects. The nurse verifies that the subject has signed the informed consent. Which criteria regarding the informed consent will the nurse explain to the subject? Select all that apply.
Consent is voluntary. The subject understands how the researcher maintains confidentiality. The subject can withdraw from the study at any time.
The nurse is providing care to a patient who is experiencing major abdominal trauma following a car accident. The patient is losing blood quickly and needs a blood transfusion. The nurse finds out that the patient is a Jehovah's Witness and cannot have blood transfusions because of religious beliefs. The nurse notifies the patient's health care provider and receives an order to give the patient an alternative to blood products. Of what is this an example?
Consideration of patient preferences and values while providing care
Which nursing intervention is appropriate for a patient who is at risk for skin breakdown due to poor dietary intake?
Consult a dietician for nutritional assessment
Wellness models are holistic and focus on an individual's self needs. Which represent components of Substance Abuse and Mental Health Services Administration's (SAMHSA) wellness model?
Coping with life Managing finances Balancing work and home
Which type of research explores the interrelationships among variables of interest without any active intervention by the researcher?
Correlational research
Which is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors?
Creating a setting that allows flexibility and autonomy for staff
The nurse is managing wound care for a patient with a stage III pressure ulcer on the elbow. The nurse cleans the area and removes all the dead, nonviable tissue from the wound. What term is used to describe this process?
Debridement
What is the removal of devitalized tissue from a wound called?
Debridement
The nurse researcher is developing a research proposal and is in the process of selecting an instrument to measure anxiety. The nurse is in which part of the research process?
Designing the study
When the nurse collaborates with the dietary department to provide a kosher meal for a patient, which professional criterion does this action support?
Diversity
A patient who is quadriplegic complains of being cold and asks for an extra blanket. The nurse covers the patient and draws the room's curtains. Which process did the nurse follow?
Doing for
What are the various parameters that help assess the structure of the community? Select all that apply.
Economic status Water and sanitation
An indigenous population of a tribal area has a high incidence of heart attacks. The community-based nurse learns that the population suffers from high blood pressure. What nursing interventions are helpful in preventing heart attacks in this population? Select all that apply.
Educating about nutrition Monitoring blood pressure Educating about prescribed hypertensive medications
Prior to discharge, the nurse reviews prescribed medication side effects and discusses conditions with the patient that should be reported to the health care provider. Which nursing role do these actions represent?
Educator
The nurse implements several pain relieving interventions, teaches relaxation techniques, re-evaluates the patient's pain throughout the shift, and revises the plan of care as needed. Which nursing roles do these actions demonstrate?
Educator Care provider
A nurse who holds a PhD can engage in which role?
Educator Researcher Scholar
During assessment, the nurse finds that a patient with dyspnea is excessively tired. Which actions should the nurse perform to comfort the patient?
Elevate the head of the patient's bed
A patient is brought to the hospital after a motor vehicle accident. Which law makes it mandatory for the healthcare facility to provide emergency care to patients before transferring them to other hospitals?
Emergency Medical Treatment and Active Labor Act
A patient who has developed a pulmonary embolism after abdominal surgery is immediately transferred to another hospital. Which law has been broken in this case?
Emergency Medical Treatment and Active Labor Act
A homeless man enters the emergency department seeking health care. The healthcare provider indicates that the patient needs to be transferred to the city hospital for care. Which law does this action most likely violate?
Emergency Medical Treatment and Active Labor Act (EMTALA)
The nurse checks the distal circulation of a patient who has a bandage twice in an 8-hour period. Which part of the nursing process is this?
Evaluation
The nurse designs and conducts an informational health campaign and then measures the outcomes of the campaign. Which type of research practice did the nurse perform?
Evaluation
A patient is isolated for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but he knows that this is a normal response to isolation. Which is the best intervention?
Explain the reasons for isolation procedures and provide meaningful stimulation.
The nurse has been asked to secure a nasogastric tube for a patient with abdominal distention. The patient becomes anxious upon seeing the tube. Which nursing intervention would be helpful to manage this patient's anxiety?
Explaining the procedure to gain the patient's confidence
A patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The patient experiences decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the patient's toes have become pale and cold but forgets to document this because one of the nurse's other patients experienced cardiac arrest at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee. Which statements regarding a breach of duty apply to this situation? Select all that apply.
Failure to document a change in assessment data Failure to notify a health care provider about a change in the patient's condition
Which early nursing leader made significant contributions to the field of epidemiology?
Florence Nightingale
Of what is communication among family members an indication?
Functioning
Match the characteristic with the type of health insurance it describes.
Greatest freedom of provider selection - Preferred Provider Federal program for children in low-income families - SCHIP Federal program for adults managed by each state - Medicaid Health insurance system to manage cost and utilization - Managed Care
A patient is admitted to the hospital for treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. According to the caring principles, what should the nurse do? Select all that apply.
Greet the patient and gently touch the patient's shoulder. Make good eye contact and sit next to the patient. Ask the patient about any concerns and listen to complaints patiently.
On assessment, the nurse finds that the patient has bad breath. Which condition should the nurse document?
Halitosis
In a pediatric ward, one of the newborns died of sudden infant death syndrome (SIDS). Which nursing measure lowers the risk of death due to SIDS?
Having the baby sleep on his or her back
The nurse notes that the healthcare unit keeps a listing of the patient names at the front desk in easy view for healthcare providers to more efficiently locate the patient. Which does this action violate?
Health Insurance Portability and Accountability Act (HIPAA)
The nurse works in a community health center. What program might the nurse be responsible for at the community health center?
Health education
Which responses describe federal health insurance plans?
Health insurance for worst-case hardships Health insurance for very low-income individuals Health insurance for individuals over 65 years old
A patient is in the terminal stages of cancer. The nurse learns that the patient's caregiver is extremely stressed and has not been able to take time for a personal life. How can the nurse provide relief to the caregiver?
Help the caregiver set a regular time for respite.
The nursing mentor observes that a nursing student is deficient in communication skills but is good at understanding nursing theories. How should the mentor intervene with respect to this student?
Help the student build communication skills.
How does the nurse demonstrate caring to family members?
Helping the family to become active participants in care
The nurse researcher decides to complete a study to evaluate how Florence Nightingale improved patient outcomes in the Crimean War. This is an example of which type of research?
Historical
Regardless of how it is defined, nursing is described as which kind of profession?
Holistic
When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. Which model of health and illness is the nurse practicing?
Holistic
Restorative care, a slow-paced care complemented by consistent encouragement to participate in activities of daily living, can be provided in many venues. Which are venues for restorative care?
Home settings Extended care facilities Continuing care centers
The nurse is teaching a family about ways to prevent caregiver role strain. What suggestions should the nurse provide? Select all that apply.
Identify and seek help from support groups. Develop a schedule to provide groceries and meals. Set alternate schedules to help the primary caregiver.
The nurse is caring for a family with a series of health-related issues. How does the nurse evaluate the health process of the family?
Identify possible family illness stressors.
When illness occurs, different attitudes about the illness cause people to react in different ways. What do medical sociologists call this reaction to illness?
Illness behavior
A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?
Implementation
Which is a focus of primary care?
Improving outcomes
When recruiting subjects to participate in a study about the effects of an exercise program on balance, the researcher provides full and complete information about the purpose of the study and gives the subjects the choice to participate or not participate in the study. Of what is this an example?
Informed consent
Which carative factor does the nurse illustrate when helping a patient find the meaning of cancer by supporting beliefs about life?
Instilling hope and faith
Which organization's definition of nursing includes the autonomous role of nurses?
International Council of Nurses (ICN)
Listening is multifaceted. Besides taking in what a patient says, what else does listening include?
Interpreting and understanding what the patient means
The nurse holds the hands of a patient when talking to the patient during rounds. Which is a likely impact of the nurse's behavior?
It enhances the self-esteem and mental health of the patient.
A nursing student performs surgical hand asepsis after assisting a registered nurse in a surgical procedure. Which action made by the nursing student needs correction?
Keeping the hands below the waist level
A patient is admitted to the hospital for treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. The nurse decides to use Swanson's theory of caring. Which processes are part of this theory? Select all that apply.
Knowing Doing for Being with
The nurse decides to use Swanson's theory of caring in clinical practice. Which caring processes are included in this theory? Select all that apply.
Knowing Doing for Being with
Who can update a patient's plan of care, but cannot initiate that plan of care?
LPN/LVN
A charge nurse in the intensive care unit (ICU) is trying to motivate other staff members to obtain certifications. Which nursing role does this action represent?
Leader
A community nurse finds that a couple is unhappy because of financial constraints. In addition, the husband performs some cultural rituals that are against the wife's cultural beliefs. The wife wants a divorce. What should a community nurse do?
Learn more about the culture of the wife and the husband and help them reach appropriate decisions.
Which process is involved in the nurse's socialization into the profession of nursing?
Learning the theory necessary for the nursing role
A nurse taking continuing education classes is an example of which professional nursing criteria?
Licensure
A group of nursing personnel plan to take an unstable and weak patient out of a tub. Which equipment is beneficial in this situation?
Lift equipment
Which action increases the risk of contamination while applying a sterile gown?
Lifting the gown upward and stepping forward near the table
Which statement is true regarding Magnet status recognition for a hospital?
Magnet is a special designation for hospitals that achieve excellence in nursing practice.
A 60-year-old patient is undergoing treatment for a brain tumor. The patient is depressed due to the diagnosis. The nurse enters the room and finds that the patient is weeping. On inquiring, the patient starts speaking about the disease and the related problems. To be a good listener, what should the nurse do? Select all that apply.
Maintain good eye contact. Give complete attention to the patient. Be silent and listen to the patient carefully.
The charge nurse is authorized to make changes in the number of staff members who work that shift, based on the number and acuity of patients on the unit. Within which nursing role is the charge nurse functioning?
Manager
Match the level of care to the health care setting. Match the health care setting with the corresponding focus of care.
Medical services in a patient's home - Home care Restoring skills for activities of daily living - Continuing care Medical and chronic disease care during rehabilitation - Rehabilitative care Long-term care based on individual need - Extended care
Which responses are accurate comparisons of Medicaid and Medicare?
Medicare is federally run, whereas Medicaid is state run. Medicaid assists low-income families, whereas Medicare assists older individuals. Medicare payments are deducted from Social Security, whereas Medicaid requires no payment.
Rising health care costs justify the need for health care reform. Which key elements of reform, based on the Institute of Medicine's (IOM's) recommendations, need to be addressed?
Medication errors Provider job satisfaction Patient-centered outcomes
A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which is a nursing-sensitive outcome that the nurses should consider measuring?
Number of patients who fall and experience subsequent injury on the evening shift
The nurse is learning about nursing malpractice. Which statements should the nurse consider as good nursing practice? Select all that apply.
Nursing notes should be maintained properly. Nursing records should be properly preserved. Institutions should maintain complete nursing records.
Which are major issues shifting the health care environment?
Nursing shortage Care quality and safety Evidence-based practice (EBP)
A patient has just been diagnosed with hepatitis B. Which is the most appropriate nursing action to avoid invasion of privacy?
Obtain permission from the patient to inform the patient's spouse about the disease.
Which nursing intervention is contraindicated for treating corns?
Oval corn pads
It is essential to deliver quality patient care, and provider competencies ensure adequate provision of care. Which elements are competencies for all providers?
Patient-centered care Information technology Interdisciplinary teams
The nurse who works in a newborn nursery asks, 'I wonder if the moms who breastfeed their babies would be able to breastfeed more successfully if we played peaceful music while they were breastfeeding.' In this example of a PICOT question, which represents 'I'?
Peaceful music
The community health nurse is conducting a program on health and fitness awareness for medically underserved people. Who would be categorized as medically underserved?
People of a poor socioeconomic status
An 80-year-old patient demonstrates some confusion but no anxiety. The nursing assessment reveals that the patient is a fall risk because the patient continues to get out of bed without help despite frequent reminders. Which nursing intervention should be initiated to prevent falls for this patient?
Place a bed alarm device on the bed.
Quality of care and evidence can be intersected using information management or informatics. Which are examples of how this intersection occurs?
Posing a PICO(T) question using an informatics approach Applying the nursing minimum data set (NMDS) to standardize patient data Using electronic health record (EHR) data to determine the patient's risk of falls
The nurse received a hand-off report at the change of shift in the conference room from the night shift nurse. The nursing student assigned to the nurse asks to review the medical records of the patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care information for each patient on each individual patient's message board in the patient rooms. The nurse also lists the patients' medical diagnoses on the message board. Later in the day the nurse discusses the plan of care for a patient who is dying with the patient's family. Which action violates the Health Insurance Portability and Accountability Act (HIPAA)?
Posting medical information about a patient on a message board in the patient's room
Which describe nursing methods that improve quality and benefit health care delivery?
Practice to the extent of your education.
What is the priority concern when providing oral hygiene for a patient who is unconscious?
Preventing aspiration
The nurse is caring for a patient with muscle weakness. The patient is provided with skid-proof footwear. Which safety measure is implemented in this situation?
Preventing falls from slipping on floor
The nurse has conducted an immunization program for physically challenged children in a rehabilitation center. Pneumonia vaccine was administered to the children as a part of the program. Which level of prevention is this?
Primary
The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. Which level of prevention is the nurse practicing?
Primary
The nurse informs a patient who is planning to move that lead-based paint was banned for use in homes in 1978, so newer homes do not have lead in the paint. What level of care does the nurse provide through this activity?
Primary care
The nurse is caring for Robert after his emergency department visit for an opioid overdose. Which services would assist Robert during his recovery period?
Primary care clinic Nurse-managed clinic Community health center
The nurse is caring for a patient with a substance use disorder. Which describes the natural progression of care for a patient with substance use disorder?
Primary care, secondary care, rehabilitative care
Which is the most important group a nurse can join to gain support and foster growth within the profession?
Professional organization
According to Benner's Novice to Expert Model, a nurse who sees situations holistically and perceives deviations from normal is at which level of clinical nursing practice?
Proficient
An elderly patient who is on medications for hypertension and diabetes mellitus frequently skips doses due to diminishing memory. How can the nurse help this patient improve medication compliance?
Promote the use of a medication organizer.
A patient loses balance, and the nurse holds the patient to avoid a fall. Which kind of touch is this?
Protective
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The patient and family have expressed concern about the drug. What is the role of the nurse in this particular situation?
Provide information so the patient can decide whether to accept the treatment or refuse.
The nurse is teaching a family about the caregiver's responsibilities in a family. Which activities should the nurse include in the caregiver's responsibilities? Select all that apply.
Provide personal care. Monitor for complications. Improve family coping. Provide emotional support.
The current United States health care system functions more on a business model than a service model. Which factors contribute to rising health care costs?
Provider burden Health care fraud Increased health insurance premiums
The nurse is teaching a group of nursing students about the importance of a family. Which family functions are important? Select all that apply.
Providing care and protection Cooperatively meeting financial needs Socializing and nurturing relationships
Which option below is an example of the nurse participating in primary care activities?
Providing prenatal teaching on nutrition to a pregnant woman during the first trimester
A community-based nurse notices increased prevalence of pertussis infection in children. What is the preventive care service that the nurse may implement to address this problem?
Provision prescribed of effective immunizations
Nurses practice similarly across most basic patient care settings; however, one area requires additional training. Which patient care setting generally requires additional training for nursing practice?
Psychiatric care
Which type of research design would be helpful to determine the percentage of women who are diagnosed with an acute myocardial infarction between the ages of 40 and 60 years?
Quantitative research
The nurse researcher conducts a study that randomly assigns 100 patients who smoke and attend a wellness clinic into two groups. One group receives the standard smoking cessation handouts; the other group takes part in a new educational program that includes a smoking cessation support group. The nurse plans to compare the effectiveness of the standard treatment with the educational program. Which type of research study is this?
Randomized controlled trial
The nurse has performed a comprehensive assessment of adolescents in a community. What are the main objectives the nurse might attain through this assessment? Select all that apply.
Reduce incidence of smoking Promote safe sexual practices Enhance nutritional status
Which factor increases the risk of wound infection?
Reduced local tissue defenses
During an evaluation of a patient with elastic bandages, the nurse observes signs of impaired circulation in the surrounding area. What should be the nurse's priority action?
Release the bandage
Which should the nurse do first after discovering an electrical fire in a patient's room?
Remove all patients in immediate danger.
A large, blended family is in the process of converting a study into a bedroom for an adult child who is moving home following a job loss. The family is in the process of distributing household chores.When you talk to members of the family, they all think that their family can adjust to lifestyle changes. Of what is this an example?
Resiliency
The nurse is explaining family assessment to a group of nursing students. The nurse discusses the ability of a family to cope with expected and unexpected stressors. What is this ability?
Resiliency
Which activity regarding the research process should the nurse conduct to determine what has already been studied about the research problem of interest?
Review the literature.
The nurse asks the nursing assistive person (NAP) to clean a patient who has been incontinent of urine. Several minutes later the nurse passes the open door of the room and sees the NAP changing the patient's gown and linen. Which requires the nurse's immediate attention?
Room door is open to the hallway.
The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. Which level of need is the nurse addressing, according to Maslow?
Safety and security
Which disease requires contact precautions?
Scabies
The nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. Which action should the nurse take?
Search for help with language interpretation and develop an understanding of the cultural differences.
Quality improvement uses EBP and PDSA processes. Which are sequential parts of the EBP model?
Search, appraise, integrate
The nurse is delivering a lecture on 'Health and Hygiene' to a group of teenagers. One teenager says, 'I have so many pimples on my face, it makes my face look horrible. Can I ever get rid of this problem?' The nurse says, 'Pimples are a common problem in adolescents. They are often due to the inflammatory condition of some glands.' Which gland is the nurse talking about?
Sebaceous gland
A patient is considering a new health care provider. What is the difference between a FNP and a CNS?
Serve as primary care providers.
The nurse is teaching a family about achieving family goals. Which processes should the nurse teach the families to adopt? Select all that apply.
Setting goals for the family Communicating with family members Resolving conflicts among family members
A group of nurses have implemented an evidence-based practice (EBP) change and have evaluated the effectiveness of the change. What is their next step?
Share the findings with others.
The nurse needs to insert an intravenous (IV) line and measure urine output for a patient. The nurse enters the patient's room and finds the patient weeping. What should the nurse do first?
Sit down beside the patient and ask what's wrong.
The nurse is caring for a patient recovering from major orthopedic surgery. Which type of care would be appropriate for long-term recovery?
Specialized center or facility
Which type of pressure ulcer is noted to have intact skin and may include changes in skin temperature (warmth or coolness), tissue consistency (firm or soft), and/or pain?
Stage I
Which entity regulates prescriptive authority for advanced practice nurses (APRNs)?
State boards of nursing
Which position is indicated for providing perineal care to a male patient?
Supine position
The nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery and possible risks, complications, and benefits?
Surgeon
The nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, explains the procedure to the patient, and tells the patient what to expect. Just before inserting the catheter, the nurse tells the patient to relax and says that, once the catheter is in place, the patient will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. Which type of touch is this?
Task-oriented touch
Patient care services are provided based on patient need. Which of the attributes affect support for specialized patient care?
Technology Insurance coverage Socioeconomic development
A long-term care facility encourages nurses to assess patients at risk of developing pressure ulcers based on six subscales: moisture, sensory perception, activity, mobility, nutrition, and friction or shear force. What tool is the facility using for risk assessment of pressure ulcer development?
The Braden Scale
Which best describes the comparison of the EBP model and the PDSA model for quality improvement?
The EBP model is based on existing evidence; the PDSA model is not.Time
The nurse stops to help in an emergency at the scene of an accident. The injured party files a suit, and the nurse's employing institution insurance does not cover the nurse. Which would probably cover the nurse in this situation?
The Good Samaritan laws, which grant immunity from suit if there is no gross negligence
The nurse caring for a male patient observes the nursing assistive person (NAP) performing perineal care. Which observed action indicates a need for further teaching for the NAP?
The NAP did not retract the foreskin before cleansing.
The nurse wraps and ties a cloth to prevent bleeding from the site of injury for a patient who is a victim of a traffic accident. The patient is taken to the hospital and presents with signs of infection. Which action will be taken against the nurse?
The nurse will not face any action.
A patient who was admitted to the hospital receives a red-color wristband for identification purposes. What is the significance of the wristband?
The patient has allergies.
The nurse is preparing to give cardiopulmonary resuscitation (CPR) to a patient with cardiac arrest. The healthcare provider orders the nurse and code team to avoid resuscitating the patient. Which is the most appropriate reason for this?
The patient has given a Do Not Resuscitate (DNR) order.
An 8-year-old girl is brought to the emergency room with severe abdominal pain. The nurse has to get consent before medical treatment can be started. The parents of the child are divorced, and the mother has custody. The patient is accompanied by her mother, father, and elder sister, who is 19 years old. Who should sign the consent form of the patient?
The patient's mother
Which topic is best suited for quantitative research?
The percentage of cardiac illness in men between 40 and 60 years of age
Which statement differentiates APRNs from RNs?
They are approved to practice in expanded roles.
The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO?
This health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose.
Nursing practice is based on evidence. Which are not always components of evidence-based practice (EBP)?
Time
A community nurse is working towards achieving Healthy People 2020. What should be the goal?
To increase the quality of life through better health care services
The nurse is studying the Emergency Medical Treatment and Active Labor Act. What is the meaning of the term patient dumping?
Transferring a patient from a private to a public hospital without appropriate screening and stabilization
In a hospital there is an acute shortage of nurses due to retirement. What should the remaining nurses do? Select all that apply.
Use patient contact time efficiently. Utilize the patient contact time professionally.
A research study is investigating the question, 'What is the effect of the diagnosis of breast cancer on the roles of the family?' In this study the terms diagnosis of breast cancer and family roles are examples of what?
Variables
Which are used to secure an abdominal binder?
Velcro strips
While performing hygiene, which nursing action reduces skin inflammation and promotes circulation?
Washing the feet in warm water
A nurse performs hand hygiene before providing direct patient care. Which action made by the nurse may cause an infection?
Wearing rings on both hands
Wellness is gaining support for patient care. Which is not a construct of the wellness model?
Wellness is just for patients.
Which is a main factor for focusing health care on wellness?
Wellness reduces health care costs and increases longevity.
A patient is admitted to a hospital for surgery to correct urinary incontinence. About what should the nurse instruct the patient in order to avoid infections while cleaning the perineal region?
Wipe from the urinary meatus toward the rectum.
