Fundamental -- Issue of Nursing I
A nursing student is listing the different levels of the health care services pyramid. Under which type of health care services should the nursing student include subacute care? 1 Tertiary care 2 Continuing care 3 Restorative care 4 Secondary acute care
1 (The nursing student should include subacute care under tertiary care. Subacute care is not a part of continuing care, restorative care, or secondary acute care health care services.)
A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention? 1 An infant receives rotavirus vaccination in the hospital setting. 2 An adult in the early stages of Parkinson's disease is advised to perform adequate exercise. 3 An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. 4 An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease.
1 (Primary prevention consists of all health promotion efforts and wellness education activities. An infant receiving the rotavirus vaccination is an example of primary prevention. An adult in the early stages of Parkinson's disease is advised to perform adequate exercises; this is an example of secondary prevention. An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. This is an example of tertiary prevention. An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease. This is an example of secondary prevention. )
A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do? 1 Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. 2 Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their profession. 3 Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing care. 4 Nurse Practice Acts protect individuals from losing their health insurance when changing jobs by providing portability.
1 (The Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. They help to distinguish between nursing and medical practice and establish education and licensure requirements for nurses. Standards of care reflect the knowledge and skills possessed by nurses who are active practitioners in their profession. Standards of care are legal requirements that define the minimum acceptable nursing care. The Health Insurance Portability and Accountability Act (HIPAA) protects individuals from losing their health insurance when changing jobs by providing portability.)
A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate? 1 "The United Network for Organ Sharing (UNOS) has a contract with the federal government." 2 "The United Network for Organ Sharing (UNOS) protects the donor's estate from liability for injury or damage." 3 "The United Network for Organ Sharing (UNOS) gives priority to international clients who need organs on an urgent basis." 4 "The United Network for Organ Sharing (UNOS) provides civil and criminal immunity to the hospital and the primary healthcare provider."
1 (The United Network for Organ Sharing (UNOS) has a contract with the federal government. The National Organ Transplant Act of 1984 protects the donor's estate from liability for injury or damage. The United Network for Organ Sharing gives priority to clients in their geographical area who need organs on an urgent basis. The National Organ Transplant Act of 1984 provides civil and criminal immunity to the hospital and the healthcare provider. )
A nursing student lists examples of health promotion activities that can help patients maintain or enhance their present levels of health. Which examples are accurate? Select all that apply. 1 Good nutrition 2 Regular exercise 3 Physical awareness 4 Immunization against measles 5 Education about stress management
1, 2 (Health promotion activities enable clients to enhance or maintain their current health levels. Good nutrition and regular exercise are examples of such activities. Immunization against measles is an example of an illness prevention activity. Education about stress management and physical awareness are examples of a wellness education activity. )
What does a nurse understand by the Quality and Safety Education for Nurses (QSEN) competency called informatics? 1 A nurse should ensure that the risk of harm to clients and healthcare workers is decreased by improving professional performance. 2 A nurse should use information and technology to communicate, manage knowledge, mitigate error, and support decision-making. 3 A nurse should integrate best current evidence with clinical expertise and client preferences and values to deliver quality health care. 4 A nurse should use data to monitor the outcomes of health care processes and implement improvement methods to design and test changes to improve quality of health care.
2 (According to informatics, a nurse should use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. According to the Quality and Safety Education for Nurses (QSEN) competency called safety, a nurse should ensure that the risk of harm to clients and healthcare workers is decreased by improving professional performance. The QSEN competency called evidence-based practice states that a nurse should integrate best current evidence with clinical expertise along with client preferences and values to deliver quality healthcare. The QSEN competency called quality improvement states that a nurse should use data to monitor the outcomes of healthcare processes and implement improvement methods to design and test changes to improve quality of health care.)
A nurse educates a client about the role played by an individual in taking responsibility for health and wellness and its impact. What instructions should the nurse give? Select all that apply. 1 "An individual should use passive strategies for health promotion." 2 "An individual should know that lifestyle choices affect his or her quality of life and well-being." 3 "An individual should take responsibility of health and wellness by making proper lifestyle choices." 4 "An individual should realize that illness prevention has a positive economic impact on his or her life." 5 "An individual should understand that it is enough to make positive lifestyle choices in order to prevent illness."
2, 3, 4 (A client should understand that making appropriate lifestyle choices can affect his or her quality of life and well-being. An individual should take responsibility for his or her health and wellness by making proper lifestyle choices. The client should also realize that illness prevention has a positive economic impact by decreasing health care costs. Passive health promotion strategies enable people to benefit from the activities of others. These strategies do not require the involvement of the clients. The client should understand that making positive lifestyle choices and discarding negative lifestyle choices contribute to illness prevention.)
nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing? 1 Manager 2 Advocate 3 Caregiver 4 Communicator
3 (As a caregiver, a nurse helps clients maintain and regain health, manage diseases and symptoms, and attain a maximal level of function and independence through the healing process. As a manager, the nurse coordinates the activities of members of the nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. As a client's advocate, the nurse protects the client's human and legal rights and provides assistance in asserting these rights if the need arises. As a communicator, the nurse learns about a client's strengths and weaknesses and his or her needs through effective communication.)
nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing? Incorrect1 Manager 2 Advocate Correct3 Caregiver 4 Communicator
3 (As a caregiver, a nurse helps clients maintain and regain health, manage diseases and symptoms, and attain a maximal level of function and independence through the healing process. As a manager, the nurse coordinates the activities of members of the nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. As a client's advocate, the nurse protects the client's human and legal rights and provides assistance in asserting these rights if the need arises. As a communicator, the nurse learns about a client's strengths and weaknesses and his or her needs through effective communication.)
When should a medical examiner decide whether a postmortem examination should be conducted? 1 When a client dies under normal circumstances 2 When a client dies after 48 hours of admission to the hospital 3 When a client dies within 24 hours of admission to the hospital 4 When the client gives a written consent to perform autopsy before death
3 (If a client dies within 24 hours of admission to the hospital, the medical examiner is required to decide whether a postmortem examination should be conducted. If a client dies under suspicious circumstances, the medical examiner decides whether a postmortem examination is necessary. The medical examiner does not make the decision regarding postmortem examination if the client dies after 48 hours of being admitted to the hospital. A client may give a written consent before death to perform an autopsy. Such instances are not subject to the review of the medical examiner. )
A client is placed on a stretcher and restrained with straps while being transported to the x-ray department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the client shows the strap to the nurse manager, stating, "See, the strap is worn just at the spot where it snapped." What is the nurse's accountability regarding this incident? 1 Exempt from any lawsuit because of the doctrine of respondeat superior 2 Totally responsible for the obvious negligence because of failure to report defective equipment 3 Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client 4 Exonerated, because only the hospital, as principal employer, is responsible for the quality and maintenance of equipment
3 (Using a stretcher with worn straps is negligent; this oversight does not reflect the actions of a reasonably prudent nurse. The nurse is responsible and must ascertain the adequate functioning of equipment. The hospital shares responsibility for safe, functioning equipment.)
