Basics of Nursing Practice EAQs

A client who is a member of a health maintenance organization (HMO), visits a hospital for a regular health checkup. Which of the client's statements indicates a need for further understanding of the HMO?

"HMOs will exclude the cost of the diagnostic tests that I may have to undergo."

Which organization issued the Patient's Bill of Rights?

AHA

The nurse plans to provide a back massage to a client. What should the nurse do first in this situation?

Assess the client's preference for touch and massage.

What is the responsibility of a bereavement coordinator on a hospice care unit?

Assessing the client and the caregiver at the time of admission

Which act enacted by the United States Congress imposed new limits on home health care payments?

Balanced Budget Act (BBA)

What does "information salience," a characteristic of communication, refer to according to Anthony and Vidal?

Clarity of information Decay of information, change in client's health status, and change in client's health information are described by the term "information decay."

A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?

Counselor

The registered nurse (RN) is caring for a client who was admitted to the hospital due to severe diarrhea. The RN assigns the unlicensed assistive personnel (UAP) to check on the client hourly and perform hygiene care as needed. Which concept best explains this situation?

Delegation

What is the definition of health disparities?

Differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific populations

Which format of SOAPIER describes the client's response to the prescribed plan?

Evaluation

Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply.

Flexibility Ability to listen to others Ability to share information and ideas

Which type of documentation uses a modified list of nursing diagnoses as an index for nursing documentation instead of a problems list?

Focus charting format

Which statement is true about the nursing model "team nursing"?

Hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members

Which statement is true regarding home care services?

Home care services are cost effective.

An unconscious client with severe blood loss is admitted to an emergency unit. While preparing for the blood transfusion, the primary health-care provider finds a bracelet on the client's hand, which leads the team to forego the transfusion. Which community's religious belief is being respected and upheld?

Jehovah's Witness The client's bracelet states he is a Jehovah's Witness, and in this religion, blood transfusion is never allowed. Jews, Mennonites, and Roman Catholics have no such strict rules regarding blood transfusions.

While serving as leader, a nurse tells the group, "You should make all decisions concerning the client." Which leadership style is the nurse using?

Permissive Permissive leadership (also known as laissez-faire or free-run leadership) involves a leader avoiding responsibility and delegating all decision-making to the group. An autocratic leader makes all decisions. Situational leadership gives the manager flexibility in handling decisions. In democratic leadership, the leader and the group are equally involved in decision-making.

What is the role of a hospice volunteer on a primary hospice team?

Providing companionship to clients and caregivers A hospice aide helps with personal care and assists the client with bathing. A bereavement coordinator assesses bereaved survivors.

A nurse is caring for a client on bed rest. How can the nurse help prevent a pulmonary embolus?

Teach the client how to exercise the legs The client who is prescribed bed rest must exercise the legs; dorsiflexion of the feet prevents venous stasis and thrombus formation. Limiting fluid intake may lead to hemoconcentration and subsequent thrombus formation. An incentive spirometer improves pulmonary function but does not prevent venous stasis. Maintaining the knee gatch position at an angle is unsafe because it promotes venous stasis by compressing the popliteal space.

What does the Emergency Medical Treatment and Active Labor Act (EMTALA) of 1986 state?

The act states that the hospital should not discharge or transfer a client if an emergency condition exists.

The nurse follows the American Nurses Association (ANA) standards of nursing practice when caring for a client. Which scenario qualifies for the implementation level of care?

The nurse provides a back massage to a client who complains of restlessness due to back pain

The nurse is caring for clients who were brought to the hospital following a large-scale disaster. Which client would be suitable for the nurse to triage with a green tag?

The nurse will triage the clients according to priority for providing care. The client who is injured and is able to walk may not require immediate treatment and would be issued a green tag. The client who is severely injured and who has no chances of survival is tagged black. The client who is stable and requires retriage after observation is tagged with a yellow tag, indicating that the client is not in immediate danger. A red tag issued to the client indicates that the client requires immediate care.

A nurse takes into consideration that the key factor in accurately assessing how a client will cope with body image changes is what?

The perception of the body changes

Which statements are true regarding the multidisciplinary model of rehabilitation team functioning? Select all that apply.

The team works toward discipline-specific goals. Outcomes are the sum of each discipline's efforts.

The nurse resolves a conflict with another nurse by using accommodation. In what situations is accommodation appropriate for resolving conflict? Select all that apply.

When facing trivial issues When the other person's solutions appear better When harmonious relationships have to be preserved