Care Coordination and other EAQ Questions

Which cause may produce abnormal uterine bleeding? Select all that apply. One, some, or all responses may be correct. a. Hypothyroidism b. Failure to ovulate c. Bleeding disorders d. Unidentified pregnancy e. Use of oral contraceptives f. Benign lesions of the uterus

a, b, c, d, e, f a. Hypothyroidism b. Failure to ovulate c. Bleeding disorders d. Unidentified pregnancy e. Use of oral contraceptives f. Benign lesions of the uterus

Which statement describes a client in the stage of contemplation in the stages of change? a. Considers change within the next 6 months b. No intention of making changes within the next 6 months c. Actively engages in strategies to change behavior; this lasts up to 6 months d. Displays sustained change over time; this begins 6 months after action has started and continues indefinitely

a. Considers change within the next 6 months

Which team is responsible for providing prehospital care such as continuous cardiac monitoring, advanced airway management, and intubation in a group of clients who are severely injured from a fire? a. Paramedics b. Ancillary nursing staff c. Psychiatric crisis nurse team d. Emergency medical technicians (EMTs)

a. Paramedics

Which purpose does block and parish nursing serve in preventive and primary care services? a. Services are provided to older clients or those who are unable to leave their homes. b. Primary care is provided to a specific client population that lives in a specific community. c. Nursing services are delivered with a focus on health promotion and education as well as on chronic disease. d. Services are aimed at increasing worker productivity, decreasing absenteeism, and reducing the use of expensive medical care.

a. Services are provided to older clients or those who are unable to leave their homes.

The health care team is caring for a client who has undergone surgery for lung cancer. The client needs respiratory therapy. Which task can be safely delegated to a respiratory therapist paired with a registered nurse (RN)? a. Placing a Foley catheter b. Assessing the respirations c. Placing an intravenous (IV) catheter d. Administering patient-controlled analgesia

b. Assessing the respirations

Which statement describes a fundamental function of the clinical nurse leader (CNL)? a. Schedules staff to cover work shifts b. Evaluates care for evidence-based approaches c. Serves as a liaison between team leaders and other care providers d. Meets with unlicensed assistive personnel (UAP) to review tasks

b. Evaluates care for evidence-based approaches

Which type of trauma center would the nurse consider to be most appropriate for a client who survived an accidental fire and has multiple injuries? a. Level I b. Level II c. Level III d. Level IV

b. Level II

Which defines assessment? a. Coordinating care delivery b. Analyzing assessment data to determine diagnoses or issues c. Collecting comprehensive data pertinent to the client's health and/or situation d. Registered nurse provides consultation to influence an identified plan

c. Collecting comprehensive data pertinent to the client's health and/or situation

Which information is the nurse likely to find in the clinical implications section of an article? a. Discussions about the limitations of a study b. Summarization of the purpose of the article c. Explanation regarding the method of applying findings in a practice setting d. Information regarding the way in which the research was organized and conducted

c. Explanation regarding the method of applying findings in a practice setting

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? a. Local emergency management system b. State emergency management system c. Federal emergency management agency d. Hospital-level emergency management system

c. Federal emergency management agency

Which component of delegation is considered a "two-way process"? a. Authority b. Supervision c. Responsibility d. Accountability

c. Responsibility

A client presents to the health care facility with abdominal pain. Which question would the nurse ask the client to obtain information about concomitant symptoms? a. "Can you describe the pain?" b. "Where exactly do you feel the pain?" c. "Which activities make the pain worse?" d. "What other discomfort do you experience?"

d. "What other discomfort do you experience?"

Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development? a. Integrity versus despair b. Intimacy versus isolation c. Identity versus role confusion d. Generativity versus self-absorption and stagnation

d. Generativity versus self-absorption and stagnation

Which statement about Henderson's theory of nursing care is correct? a. Henderson's self-care deficit theory focuses on the client's self-care needs. b. Henderson's theory is based on stress and the client's reaction to the stressor. c. Henderson's concept of the environment includes the suggestion that nurses do not need to know all about the disease process, differentiating nursing from medicine. d. Henderson organized the theory into 14 basic needs of the whole person and included phenomena from the following domains of the client: physiological, psychological, sociocultural, spiritual, and developmental.

d. Henderson organized the theory into 14 basic needs of the whole person and included phenomena from the following domains of the client: physiological, psychological, sociocultural, spiritual, and developmental.

Which nursing process involves delegation and verbal discussion with the health care team? a. Planning b. Evaluation c. Assessment d. Implementation

d. Implementation

The nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through? a. Family in later life b. Family with adolescence c. Unattached young adult d. Launching children and moving on

d. Launching children and moving on

Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee? a. Hospice care b. Extended care c. Long-term care d. Rehabilitative care

d. Rehabilitative care

The nurse is developing a teaching plan for a client with lower extremity arterial disease (LEAD). Which directions will the nurse include in the teaching plan? a. Trimming toenails so that they are short and rounded b. Checking bathwater temperature by putting the toes in first c. Using alcohol to rub hands, feet, legs, and arms at least two times a day d. Seeking professional treatment for any minor injuries to the extremities

d. Seeking professional treatment for any minor injuries to the extremities

Which action would the nurse take for a client who is having a tonic-clonic seizure? a. Elevating the head of the bed b. Restraining the client's arms and legs c. Placing a tongue blade in the client's mouth d. Taking measures to prevent injury

d. Taking measures to prevent injury

A community health care nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness? a. The children are underimmunized and at risk for childhood illnesses. b. The children are more likely to drop out of school and become unemployable. c. The children have access to health care only through the emergency department. d. The children do not have a physical shelter and may sleep outdoors or in vehicles

d. The children do not have a physical shelter and may sleep outdoors or in vehicles

Which nursing action has the highest priority when preparing to transfer an unconscious client who sustained a head injury from the emergency department to a neurological trauma unit? a. Notifying the receiving unit of the transfer b. Having the client's records ready for the transfer c. Verifying that the family has been notified of the transfer d. Validating availability of a bag-valve-mask during the transfer

d. Validating availability of a bag-valve-mask during the transfer

Which features would the emergency department (ED) nurse use from an automated tracking system for triage during mass casualty incidents (MCIs)? Select all that apply. One, some, or all responses may be correct. a. Priority upon arrival b. Clinical manifestations c. Interaction with caregivers d. Priority per process of care e. Priority according to location

a, c, d, e a. Priority upon arrival c. Interaction with caregivers d. Priority per process of care e. Priority according to location

Which statements have been correctly stated about Nightingale's theory of nursing? Select all that apply. One, some, or all responses may be correct. a. Focus of nursing is caring through the environment b. Limits nursing to the administration of medications and treatment c. Suggests that every nurse would know all about the disease process d. Oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition e. Focuses on helping the client deal with the symptoms and changes in function related to an illness

a, d, e a. Focus of nursing is caring through the environment d. Oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition e. Focuses on helping the client deal with the symptoms and changes in function related to an illness

Which client statement indicates understanding of the side effects of nitroglycerin ointment? a. "I may experience a headache." b. "Confusion is a common adverse effect." c. "A slow pulse rate in an expected side effect." d. "Increased blood pressure readings may occur initially.

a. "I may experience a headache."

Which personnel would the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster? a. Triage officer b. Community relations officer c. Medical command physician d. Hospital incident commander

c. Medical command physician

Which guideline would the nurse use when developing a plan of care for a client with an obsessive-compulsive disorder about ritualistic behavior? a. It is under conscious control. b. It is used primarily for secondary gains. c. It helps the client focus on the inability to cope with reality. d. It helps the client control the level of anxiety the client is experiencing.

d. It helps the client control the level of anxiety the client is experiencing.

Two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurses observe? a. Instruct the client to position one arm on each shoulder of the nurses. b. Direct the client to extend the legs and remain still during the procedure. c. Have both nurses shift their weight from the front leg to the back leg as they move the client up in bed. d. Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client. client.

d. Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client. client.