Chapter one quiz questions

The RN is implementing which level of intervention when administering immunizations at a pediatric clinic? a) Primary b) Holistic c) Secondary d) Tertiary

Primary Primary prevention involves strategies aimed at preventing problems. Immunizations, health teaching, safety precautions, and nutrition counseling are examples. • Secondary prevention includes the early diagnosis of health problems and prompts treatment to prevent complications. Vision screening, Pap smears, BP screening, hearing testing, scoliosis screening, and tuberculin skin testing are examples. • Tertiary prevention focuses on preventing complications of an existing disease and promoting health to the highest level. Diet teaching for patients with diabetes, inhaler teaching for patients with lung disease, and exercise programs for those who have had myocardial infarction are examples. A holistic approach to health care may be applied to all levels of interventions but is not a "level" of intervention itself

A student nurse is learning to document an initial assessment. What would the instructor tell the student that accurate documentation of this specific assessment best provides? a) A baseline for comparison with future findings b) Data on the patient's prognosis for recovery c) Information on the effectiveness of interventions d) Information on the nurse's cultural competence

a) A baseline for comparison with future findings Accurate documentation provides a baseline so that changes are noted between assessments.

What is the primary function of the health care team? a) To decide the best overall care b) To work together to obtain maximum coverage c) To guide the patient's care throughout times of crisis d) To develop an individual focus for each member

a) To decide the best overall care The health care team meets to collaborate on patients and decide the best overall care. This occurs throughout the lifespan, from the inception of life until death. The health care team is a partnership. The group includes the nurse, physician, nutritionist, social worker, physical therapist, occupational therapist, speech therapist, and/or dentist. They all work together on the same team for the benefit of the patient

A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's a) physiologic status. b) developmental history. c) level of functioning. d) holistic wellness status.

a) physiologic status. The physician performing a medical assessment focuses primarily on the client's physiologic status. Less focus may be placed on psychological, sociocultural, or spiritual well-being

A nurse recommends that a client come back once every 3 months in the coming year to have his cholesterol checked, to make sure he is maintaining a healthy level. Which type of assessment is the nurse proposing? a) Emergency b) Focused or problem-oriented c) Ongoing or partial d) Initial comprehensive

c) Ongoing or partial An ongoing or partial assessment of the client consists of data collection that occurs after the comprehensive database is established. Any problems that were initially detected in the client's body system or holistic health patterns are reassessed to determine any changes (deterioration or improvement) from the baseline data. In addition, a brief reassessment of the client's body systems and holistic health patterns is performed to detect any new problems

Although the assessment phase of the nursing process precedes the other phases, the assessment phase is a) performed only by nurses. b) linear. c) continuous. d) completed on admission.

c) continuous. Although the assessment phase of the nursing process precedes the other phases in the formal nursing process, be aware that assessment is ongoing and continuous throughout all phases of the nursing process

A nurse provides care for a client with an elevated temperature. The client is given the prescribed medication and the nurse checks the client's temperature at repeated intervals. What step of the nursing process is the nurse using to determine whether the client has achieved the outcome criteria of the treatment? a) Assessment b) Diagnosis c) Implementation d) Evaluation

d) Evaluation The evaluation stage of the nursing process involves assessing whether the outcome criteria have been met and whether the nursing care plan needs to be revised.

As a nurse becomes more proficient and comfortable in his or her role, what increases? a) Time management and confidence b) Confidence and knowledge base c) Expertise and time management d) Knowledge base and expertise

d) Knowledge base and expertise As the nurse becomes more proficient and comfortable in his or her role, the accountability does not decrease, but the knowledge base and expertise increase to foster confidence.

What is paramount in health promotion? (Select all that apply.) a) Limiting the involvements of the patient's friends and family b) Developing the nursing care plan c) Emphasizing the risks of poor health practices d) Demonstrating authority e) Working with the individual patient

e) Working with the individual patient b) Developing the nursing care plan Developing the nursing care plan and working with the individual patient are paramount in health promotion. Demonstrating authority, limiting the role of friends and family, and emphasizing negative consequences are inappropriate actions.