Hesi fundamentals

Which points noted by the nursing student are accurate regarding the characteristics of middle-range theories? Select all that apply. One, some, or all responses may be correct.

-Middle-range theories provide a basis to help nurses understand how clients cope with uncertainty and the illness response. -Middle-range theories include Mishel's theory of uncertainty in illness, which focuses on a client's experiences with cancer while living with continual uncertainty. -These theories tend to focus on a specific field of nursing (such as uncertainty, incontinence, social support, quality of life, and caring) rather than reflect on a wide variety of nursing care situations.

Which basic human needs belongs to the fourth level as per Maslow's hierarchy of needs? Select all that apply. One, some, or all responses may be correct.

-Self-worth -Achievement

Which signs and symptoms are observed in the human body with a decrease in body temperature? Select all that apply. One, some, or all responses may be correct.

-Shivering -Contraction of blood vessels

How many rights of delegation are there in the nursing practice? Record your answer using a whole number. _______

5

Which statement is a characteristic of the concrete operations stage of Piaget's theory of cognitive development?

A child is able to describe a process without actually doing it.

Which of the following legal defenses is important for the nurse to develop?

Accountability

Which refers to the professional obligation of the nurse to assume responsibility for actions?

Accountability

Which is a stressor?

Any stimuli that can produce tension and cause instability within the system.

Which statement is true about Neuman's theory?

Based on stress and the client's reaction to the stressor

Which domain of the nursing intervention phase includes electrolyte and acid-base management?

Domain 2

Which nurse participates in the development of nursing policies and procedures?

Nurse educator

Which of these is a part of the health belief model?

Perception of susceptibility to an illness

A pharmacy technician arrives on the nursing unit to deliver opioids and, following hospital protocol, asks the nurse to receive the medications. The nurse is assisting a confused and unsteady client back to the client's room. How would the nurse respond to the technician?

"I can't receive them right now. Please wait a few minutes or come back."

The nurse takes the blood pressure and pulse rate of the client and asks the client to rate the level of pain on the pain scale. Which standard of practice would the nurse perform?

Assessment

Which is the correct order of Benner's levels from lowest to highest?

According to Benner, the first level is referred to as the "novice." The beginning nursing student who enters a situation with no previous experience is a novice. The second level is the "advanced beginner," who has some observational experience. The advanced beginner is able to identify meaningful aspects of nursing care. The third level is the "competent" practitioner, who has been in the same clinical position for 2 to 3 years. The fourth level is the "proficient" practitioner with more than 2 to 3 years in the same clinical position. The fifth level is the "expert" practitioner who has an intuitive grasp of an existing or potential clinical problem.

Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?

Asian Indian

Which acts are classified as intentional torts in nursing practice? Select all that apply. One, some, or all responses may be correct.

Battery Assault False imprisonment

The nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent?

Delegation

Which describes the purpose of a health care proxy or durable power of attorney for health care?

Designates a person or persons to make health care decisions on behalf of the client

The nurse working in a cardiac center is preparing to enter client data using health information technology. The nurse needs to refer to these data during subsequent follow-up client visits. Which type of record would the nurse use to enter the client's data?

Electronic medical record (EMR)

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30 and 45 degrees.

Which Quality and Safety Education for Nurses (QSEN) competency does integrating current research with clinical experience and client preference comply with?

Evidence-based practice

Which feature, according to Benner, is observed in the nurse at the "proficient" level?

Focuses on managing care rather than managing skills

Which factor is used to assess the quality of health care provided to a client?

Functional health status of the client after discharge

Which health care system focuses solely on palliative care?

Hospice

Which statement indicates that the nurse is in the advanced beginner stage of Benner?

Identifies the basic principles of nursing care through careful observation

Which are external barriers that can prevent a nursing professional from making morally correct actions? Select all that apply. One, some, or all responses may be correct.

Inadequate staffing lack of organizational support poor relationships with colleagues

According to Erikson's theory of psychosocial development, which opposing conflict is an older adult likely to face?

Integrity versus despair

Which statement about Orem's theory needs to be corrected?

It describes factors supporting the health of the family.

Which is true about prescriptive theory?

It focuses on medication.

A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client?

It loosens pulmonary secretions.

Which is the definition of descriptive research?

It measures the characteristics of persons, situations, or groups.

Which distinguishes research-based practice as different from evidence-based practice?

It uses knowledge based only on research studies.

Which theorist(s) suggested that the goal of nursing is to use communication to help clients reestablish a positive adaptation to their environments?

King

Which program would the nurse suggest for the 70-year-old client who needs to undergo heart surgery but cannot afford it?

Medicare

In which role does the nurse oversee the budget of a specific nursing unit or agency?

Nurse manager

Which purpose does a community health center serve in preventive and primary care services?

Outpatient clinics that provide primary care to a specific population

The nurse working in a Catholic hospital discourages clients from using contraceptives per hospital policy. Which category of ethics is the nurse following?

Organizational ethics

A client with diabetes mellitus experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any medications or a copy of a personal medical record. Which type of health information technology would be beneficial for this client?

Personal health record (PHR)

A theory contains a set of components such as concepts, definitions, assumptions, or propositions. Which do these components help explain?

Phenomenon

Which is the role of the nurse administrator in a health care setting?

Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development

Which is the primary focus of the nurse when providing evidence-based care to the client?

Problem-solving approach

With reference to the nursing process as a system, which is content?

Product and information obtained from the system

How are profits used in a for-profit health care organization?

Profits are paid out to shareholders.

Which is the goal of nursing according to Watson's theory?

Promotes health, restores the client to health, and prevents illness

Which is the purpose of respite care?

Providing short-term relief to the family caregiver

Under which type of health care services would the student nurse include sports medicine?

Restorative care

Which purpose does block and parish nursing serve in preventive and primary care services?

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

Which action by the student nurse may inhibit clients from disclosing personal information?

Sharing clients' data with family members

Which accurately describes hospice care?

System of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness

Under which type of health care services would the nursing student include subacute care?

Tertiary care

Which level of care is the nurse providing when preparing to discharge a client who is learning to walk again after a stroke to a rehabilitation center?

Tertiary care

Which statement regarding Roy's theory of nursing needs correction?

The Roy adaptation model views the environment as an adaptive system.

Which person receives the highest priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed?

The client in writing before death

Arrange the services of the Health Services Pyramid in ascending order from the base of the pyramid to the top.

The first level is population-based health care services with the goals of disease prevention, health protection, and health promotion. It provides the basis for the second level which is clinical preventive services. Achievements in these two levels of the pyramid contribute to the improvement in health care delivered by the higher levels. The third level is the primary health care services, which focuses on improved health outcomes for the entire population. It requires collaboration among health professionals, health care leaders, and community members. The fourth level is secondary health care. It includes acute medical-surgical care and diagnostic procedures. The highest level of the pyramid is tertiary health care, which includes intensive care.

Which is the rationale for performing sponge, needle, and instrument counts in the operating room?

The nurse is responsible for performing sponge and instrument counts as a part of routine surgical standards.

Which is the goal of Healthy People 2020?

To eliminate health disparities related to race, ethnicity, and socioeconomic status

Which organization has a publication that includes the objective, "Aiming to develop a system to identify clients who are lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)"?

U.S. Department of Health and Human Services (USDHHS)

Which act allows the client to donate his or her organs?

Uniform Anatomical Gift Act

Which would the nurse understand by the quality improvement competency, according to Quality and Safety Education for Nurses (QSEN)?

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

In which instances can an adult give consent for a minor's medical treatment? Select all that apply. One, some, or all responses may be correct.

-As the guardian for a ward -As the parent of an unemancipated minor -As an adult for the treatment of his or her minor brother or sister (if an emergency and parents are not present)

Which statements have been correctly stated about Nightingale's theory of nursing? Select all that apply. One, some, or all responses may be correct.

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