AH Exam 1: Chapter 1

A type of nursing which includes individualized care provided by the same nurse throughout the period of care is defined as

Primary nursing

The nurse is practicing in a community based setting. What outcomes may be achieved by the nurse's community interventions? Select all that apply

Promote wellness Reduce the spread of disease Improve the health status of the community

When functioning in the practitioner role, the nurse would be involved in which of the following? Select all that apply

Providing direct care Collaborating with other disciplines Teaching clients and families

According to Maslow, which category of needs represents the most basic on the hierarchy?

Physiologic needs

According to Maslow's hierarchy of needs, which of the following is the lowest-level need?

Physiological needs

A client is experiencing anorexia related to the adverse effects of cancer treatment. Using Maslow's hierarchy, the nurse identifies this need as reflecting which of the following?

Physiology

How should the registered nurse be responsive to the changing health care needs of society?

Place increasing emphasis on wellness, health promotion, and self-care, because the majority of Americans today suffer from chronic debilitative illness.

Which of the following is an important role for a nurse in the health care delivery system?

Participation in disease prevention and health promotion activities

After teaching nursing students about the health-illness continuum, the instructor determines that teaching was successful when the students state which of the following?

"A person can be both healthy and ill at the same time."

A student nurse observes a nurse case manager coordinating discharge for a patient diagnosed with congestive heart failure (CHF). Which of the following statements made by the patient indicates to the student that the patient understands the role of case manager?

"The nurse case manager contacted my insurance company and has arranged for the home health nurse and physical therapist to visit me as soon as I get home."

Which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s?

"The quality assurance programs focus on processes used to provide care and improving those processes"

Which of the following best reflects the rationale for evidence-based practice?

A means to ensure quality care

What is the primary focus of the nurse advocacy role in managing a clinical pathway?

A patient's progress toward desired outcomes

What are the two major issues affecting future healthcare policy in the United States?

A population that is aging and becoming more culturally diverse

Question 19: Your client, an 83-year-old female demonstrating early-stage dementia, has just had surgical repair to her fractured left hip. No family member is present at your discharge planning conference to discuss the next appropriate actions. Which members of the healthcare team will be instrumental in securing the client's placement in a rehabilitation center?

All of the above

Although nurse practice acts may vary state by state, all recognize several basic principles supporting the legal parameters for all registered nurses. Select the activity that falls under the scope of nursing practice.

Appraising and enhancing an individual's health-seeking perspective

Which of the following would be included as a goal of case management?

Appropriateness of services

A patient is experiencing social isolation. Using Maslow's hierarchy of needs, identify the level that would correspond to this need?

Belongingness and affection

Question 8: A nurse in a primary care physician's office has a 73-year-old female client who is interested in learning things she can do to maintain movement and flexibility while coping with osteoporosis. In what situation would this client still be considered healthy even though she has been diagnosed with a chronic disease?

Clients with a chronic illness can still achieve a high quality of life within the limits of the illness if they are physiologically stable and mentally healthy.

What is the first step in becoming culturally competent?

Exploring one's own cultural beliefs

While interviewing a patient, the nurse notices that the patient is wearing a medallion around his neck. The patient tells the nurse, "It's a medal that everyone in the family wears to protect against cancer." The nurse interprets the statement as most likely reflecting which of the following?

Culture

According to the Centers for Disease Control (CDC, 2006), this chronic illness has tripled in occurrence since 1980:

Diabetes

A group of students is reviewing the phenomena as the focus of nursing care and research identified by the American Nurses Association. The group demonstrates the need for additional review when they identify which of the following as a phenomenon?

Ethical actions

A nurse with 20 years experience attends a hospital required training session and learns a new method for assessing NGT placement. During the training the nurse educator provides the nurse with a bibliography of peer reviewed articles related to NGT placement. The nurse recognizes the change in procedure developed from which of the following methods?

Evidence based practice

Which of the following would be the least important reason that nurses utilize research in nursing practice?

Financial obligation

A nurse is a member of which entity within the larger healthcare environment?

Healthcare team

The National Center for Health Statistics maintains data from healthcare agencies and issues reports on a quarterly and annually basis on performance related to goals for improving the health of the U.S. population. Which initiative is targeted with improving the health of all Americans?

Healthy People 2020

The Healthy People 2020 initiative targets the improvement of health for all. In eliminating health disparities, what are the broad goals of this plan?

Increasing the quality and length of a healthy life

A nursing student is reviewing a class lecture on quality assurance (QA) and continuous quality improvement (CQI) programs. The student demonstrates understanding of the material when identifying which of the following as a component of QA?

Individual incidents of patient care

Which of the following is a strategy a nurse would likely discuss with a client as part of health promotion?

Making positive dietary changes

A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which of the following would the nurse include in presentation when describing disease patterns?

Obesity along with conditions associated with it has become a major health concern.

A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include?

Participation in decision making that is shared by all involved

Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications

Scope of practice

According to Maslow's hierarchy of human needs, which of the following is the highest level of need(s)?

Self-Actualization

The nurse is working at an institution that uses a collaborative practice model. Which of the following would most likely to be reflected at this institution?

Shared accountability for care

Which of the following is a tool often used by case managers?

Standards of care

A local college is having a career-day seminar for student nurses. Booths from various agencies and facilities have been set up. One of the students approaches the booth of a home care agency and asks the nurse there about what is required to become a home care nurse. Which of the following would the nurse incorporate into the response?

Strong clinical decision-making skills

Question 25: A 54-year-old woman on a fixed income has had an electrocardiogram (ECG) as part of her annual physical examination. Her physician notes an abnormal Q wave on an otherwise unremarkable ECG. What legislation supports this focus on disease prevention, health promotion, and management of chronic conditions?

The Patient Protection and Affordable Care Act

The nursing student over hears a patient talking with the rehabilitation nurse stating, "I plan to recover to the best of my ability after having a stroke. I know I will always have some limitations; however, I will not let the limitations slow me down." Which description of health is the patient exemplifying in this situation?

The concept of health wellness-illness continuum

A nurse is reading a journal article about the U.S. health care delivery system. When reading this article, which of the following would the nurse expect to find? Select all that apply.

View of a person's state of health as ever-changing Diverse cultural backgrounds affecting responses to health care Increased ethical issues related to technological advancements

You are a nurse employed by a community organization engaged in health promotion. In this role, you teach clients steps they can take toward achieving wellness. How would you explain "wellness" to a client?

Wellness is an ongoing and intentional effort to achieve the highest potential for total well-being.