Evolve Issues in Nursing
Action stage
In the action stage, the client notices that old habits are hindering him or her from engaging in new behaviors.
A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? Multiple selection question "A nurse's documentation is the evidence of care that a client receives." "Nurses' notes should not be given to attorneys in the event of a lawsuit." "The nurse should note down assessments and significant changes in the client's health." "In case an occurrence report is filed, nurses should enter the information the client's charts." "Nurses should always document the primary healthcare providers' responses whenever they are
"A nurse's documentation is the evidence of care that a client receives." "The nurse should note down assessments and significant changes in the client's health." "Nurses should always document the primary healthcare providers' responses whenever they are
A nursing student is listing the characteristics of various health models that are used in the healthcare setting. Which characteristics of the holistic health model are accurately described? Multiple selection question "According to this model, clients are involved in their own healing process." "According to this model, the natural healing abilities of the body are used." "According to this model, therapy is used alone or in conjunction with conventional medicine." "According to this model, each person has unique personal characteristics and experiences that affect subsequent actions." "According to this model, self-actualization is the highest expression of one's individual potential and allows for continual self-discovery."
"According to this model, clients are involved in their own healing process." "According to this model, the natural healing abilities of the body are used." "According to this model, therapy is used alone or in conjunction with conventional medicine." In the holistic health model, clients are involved in their own healing process. The natural healing abilities of the body are used in the holistic health model. Nurses use the holistic health model therapy either alone or in conjunction with conventional medicine. The health promotion model notes that each person has unique personal characteristics and experiences that affect subsequent actions. According to Maslow's Hierarchy of Needs, self-actualization is the highest expression of one's individual potential and allows for continual self-discovery.
The advanced practice registered nurse is the most independently functioning nurse. What are the specific functions of the nurse practitioner as an advanced practice registered nurse in a healthcare setting? A nurse practitioner focuses on teaching clients and family members to self-manage illnesses or disabilities. A nurse practitioner is usually a certified diabetes educator or an ostomy care nurse and sees only a specific population of clients. A nurse practitioner has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs.
A nurse practitioner has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs. (A nurse practitioner is an advanced practice registered nurse who has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs. A nurse educator focuses on the teachings of clients and their family members so that they can self-manage illnesses or disabilities. A nurse educator is usually a certified diabetes educator or an ostomy care nurse and sees only a specific population of clients.)
A nurse signs as a witness to informed consent provided by the client. What does the signature of the nurse imply? Multiple selection question That the client's signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent That the client cannot refuse treatment after its initiation That the client has received a proper explanation of procedures from the nurse
That the client has given consent voluntarily That the client appears to be competent to give consent That the client has received a proper explanation of procedures from the nurse (When a nurse signs as a witness to informed consent, the signature implies that the client's signature is authentic. The signature also implies that the client has consented to the procedure voluntarily and that the client appears to be competent enough to give consent. A client has the right to refuse treatment, even after its initiation. The nurse is not the appropriate person to provide explanations regarding procedures to obtain consent.)
In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have? Multiple choice question The nurse may be charged with libel. The nurse may be charged with slander. The nurse may be charged with malpractice. The nurse may be charged with invasion of privacy.
The nurse may be charged with libel. Written defamation of character is known as libel. The nurse may be charged with libel because he or she makes false entries in the client's medical records. Speaking falsely about another individual amounts to slander. Malpractice occurs if nursing care falls below the professional standards of care. If the nurse divulges a client's medical information to unauthorized personnel, this action is an invasion of privacy. Test-Taking Tip: Multiple-choice questions can be challenging, because students think that they will recognize the right answer when they see it or that the right answer will somehow stand out from the other choices. This is a dangerous misconception. The more carefully the question is constructed, the more each of the choices will seem like the correct response.
What does a nurse understand by the quality improvement competency, according to Quality and Safety Education (QSEN)? Multiple choice question Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality healthcare Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision making to achieve quality client care Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems The quality improvement competency states that a nurse should use data to monitor the outcomes of healthcare processes and uses improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems. According to the competency called informatics, a nurse should use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. As per the competency called evidence-based practice, a nurse should integrate best current evidence with clinical expertise and client and family preferences and values for the delivery of quality healthcare. According to the competency called teamwork and collaboration, a nurse should function effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision making to achieve quality client care.
A client is admitted with a diagnosis of premature labor. The nurse discovers that the client has been using heroin throughout her pregnancy. What is the most appropriate action for the nurse to take? Multiple choice question Notify the nurse manager of the unit. Inform no one because all client information is confidential. Inform the client's primary healthcare provider. Alert the hospital security department, because heroin is an illegal substance.
Inform the client's primary healthcare provider. The fetus of a heroin-addicted mother is at risk for serious complications such as hypoxia and meconium aspiration. It is important to notify the primary healthcare provider of the client's heroin use, because this information will influence the care of the client and newborn. This information is used only in relation to the client's care. With the client's consent, it may be shared with other social service or health agencies that become involved with the client's long-term care. The nurse manager of the unit may be notified, because it relates to the care of the client and her newborn. Client information is confidential, and only necessary staff should be privileged to such information. Hospital security would only be notified if actual illicit substances were discovered on hospital premises. STUDY TIP: The old standbys of enough sleep and adequate nutritional intake also help keep excessive stress at bay. Although nursing students learn about the body's energy needs in anatomy and physiology classes, somehow they tend to forget that glucose is necessary for brain cells to work. Skipping breakfast or lunch or surviving on junk food puts the brain at a disadvantage.
What information should the registered nurse provide when educating a nursing student about living wills? Multiple selection question Health care workers should always follow the directions of a client's living will. Living wills provide clinically specific instructions that help in dealing with unforeseen circumstances. Clients use living wills to declare any medical procedures they want or do not want when terminally ill. Living wills are written documents that direct the client's treatments in the event of a terminal illness or condition.
Living wills allow authorized individuals to make medical decisions on behalf of the client if he or she is unable to do so.Health care workers should always follow the directions of a client's living will. Clients use living wills to declare any medical procedures they want or do not want when terminally ill. Living wills are written documents that direct the client's treatments in the event of a terminal illness or condition.
What should a nurse do in order to comply with the ethic of nonmaleficence in the healthcare setting? The nurse should focus on doing no harm. The nurse should keep promises made to clients. The nurse should respect the autonomy of clients. The nurse should keep the best interests of the client in mind.
The nurse should focus on doing no harm. (To comply with the ethic of nonmaleficence, the nurse should focus on doing no harm. The healthcare ethic fidelity requires the nurse to keep promises made to the client by following through on the plan of care. To comply with the ethic of autonomy, the nurse should include the client in the decision-making process when developing a care plan. To comply with the healthcare ethic of beneficence, the nurse is required to keep the best interests of the client in mind when providing care. STUDY TIP: Focus your study time on the common health problems that nurses most frequently encounter.)
