Exam 1 Chapters 6,10,11,12 NRS230

An elderly man with dementia states to the nurse that he has to go to work, or he'll be fired. The best response by the nurse that shows understanding of the client's needs is:

"You talk about your job frequently. Tell me about it."

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

Benificence

Doing good or causing good to be done; kindly action

Which type of home healthcare agency is a local health department?

Official or public agency

Data are considered subjective if you obtain them from:

The clients verbal account

The nurse is assessing a client for the first time in the outpatient diabetic clinic. A ____________ type of health assessment would be most appropriate for this visit?

focused or problem-oriented

Autonomy

independence to make decisions based on personal care

Nonmalificence

obligation to do no harm

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply.

"I can't believe the client is giving that precious infant up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code."

A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader would be appropriate?

"I collaborate with health care teams to promote client care."

While at a clinic visit, a client asks the nurse, "I'm going to be eligible for Medicare soon. Can you help explain what this involves?" Which information would the nurse likely include in the explanation? Select all that apply.

"Part A pays for inpatient hospital costs; Part B covers most outpatient costs." "It's good to have an extra policy to supplement what might not be covered."

The nurse manager of the acute care unit has decided to implement a team nursing approach for client care. One of the staff members asks, "Will we each take care of our own clients?" What is the appropriate response by the manager?

"The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together."

A nurse's friend states, "I admire you so much. I would love to be a nurse, but I don't think I have the courage." Which response will the nurse make?

"You can work on being more courageous as you learn to be a nurse."

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem?

Allocation of scarce nursing resources

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush the teeth?

An occupational therapist

A client complains of a cough for 4 days unrelieved with position changes. The nurse interprets this as a symptom and documents this finding under ___________on the client's chart.

Assessment

During an interview, an elderly client tells the nurse that she has periodic problems in keeping her balance. The nurse asks her if she is having any dizziness or nausea when the episodes occur. which area of the symptom analysis is the nurse pursuing with this question?

Associated factors

The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first?

Asssess the need for assistance with ambulation

Which is the primary reason extended care facilities have proliferated in recent years?

Clients being discharged from the hospital while their care requirements remain beyond the scope of home care

One significant change in the health care delivery system in recent years is earlier hospital discharges. What is one result of earlier hospital discharges?

Clients with high home care needs are being discharged into the community.

A nurse is caring for a 17-year-old pregnant client who is unable to afford health care. Which action will the nurse perform to obtain assistance for this client?

Create a referral to the social work department

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying?

Democratic

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed

The nurse is working with a client's family and social worker to select a home health care agency. Which question does the nurse state should be the family's priority when interviewing potential home health agencies?

Does the agency meet uniform standards for licensing, certification, and accreditation by state agencies and/or federal programs?

A nurse manager is planning to introduce to the staff a new procedure for documenting supplies used for clients on a medical-surgical unit. Several of the staff members say to the nurse manager, "Why do we have to change the procedure? The one we're using is working just fine." Which action would be important for the nurse manager to take first?

Explain the change using simple, concise language

The goals of health care reform include which?

Focusing on cost containment with improved access and quality of services for everyone

A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a hospital unit. Which activity(ies) could this nurse normally delegate? Select all that apply.

Giving a bed bath to a client, taking routine vital signs, transferring a client to another floor

A client living alone has degenerative joint disease, hypertension, and peripheral neuropathy. The client has challenges with activities of daily living, including hygiene. Which type of care would this client benefit from most?

Home care

A hospitalized client with advanced metastatic lung cancer states, "I want to go home. I don't have much time left. I want to be with my family." Which type of care referral by the nurse is most appropriate?

Hospice

Which is the primary criterion for admission to a long-term care facility?

Inability to provide self-care

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?

Integrity

The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals in which way?

Medicare pays only the amount of money preassigned to a treatment for a diagnosis.

The nurse suspects a client has problems with short- and long-term memory. One way to assess cognitive abilities is with which assessment tools? Select all that apply.

Mini-Cog test, SLUMS,

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating?

Moral resilience

The nurse is attempting to clarify the values of an adolescent client. The nurse should identify what factor as having the greatest influence on an adolescent's value formation during this developmental stage?

Peers

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

Personal values

When doing discharge planning for an older adult client who had a stroke, what is the nursing priority?

Plan reachable goals with the client and family

The nurse is administering an influenza shot to a patient in the healthcare facility. Which level of prevention is this an example?

Primary

Public health nursing is the branch of nursing that:

Provides health care for the community.

In the introduction phase of the interview, the nurse asks why the client came into the clinic. This is known as the:

Reason for seeking healthcare

During a home visit to a client, the caregiver tells the nurse, "My spouse has been sick for so long. All this care takes so much out of me. I am physically and emotionally drained." Assessment reveals that the client's status is unchanged from previous visits. Based on the caregiver's statement, the nurse will likely make a referral for which service?

Respite care

A nurse manager best demonstrates effective leadership characteristic by which action?

Sharing a vision for the unit and enlisting support

Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status?

Staff nurses are developing innovative solutions to problems

A client continues to complain of pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse?

Tell me more about your cultural beliefs

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role?

The charge nurse is providing support for the staff nurse in new responsibilities.

The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse demonstrates various positions in which to hold the infant while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the infant again using the new techniques and is successful. Which statement in this scenario illustrates Lewin's stage of refreezing?

The new mother attempts to breastfeed the infant again using the new techniques and is successful.

Which is a characteristic of the care-based approach to bioethics?

The promotion of the dignity and respect of clients as people

The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?

The stability of the clients condition, potential for harm, and complexity of the activity.

The home care nurse is caring for a client who is receiving chemotherapy for the treatment of advanced cancer. The client wants to attend an out of town wedding, despite being seriously ill. How should the nurse best perform the role of advocate in this situation?

Work with the care team to remove barriers to the client's travel.