NU205 Exam 1 PrepU Questions

The nurse is assessing a 27-year-old Navajo male who is being admitted for surgery. The client requests a visit from the spiritual healer. Which is the best response from the nurse?

"Do you have a preference as to which spiritual leader you would like to visit?"

Who is considered to be the founder of professional nursing?

Florence Nightingale

How is culture learned by each new generation?

Formal and informal experiences

Which is the primary goal of home health care?

Functioning within limitations

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock?

"I am very stressed now because I do not understand how things work on this unit."

A home health care nurse is working with a nurse new to home care and explaining the information to be collected on the Outcome and Assessment Information Set (OASIS). Which statement by the home health care nurse would be most appropriate?

"OASIS provides guidelines for admission and care."

When teaching a group of unlicensed assistive personnel (UAP) about race, which statement by a UAP requires intervention by the nurse?

"People with common physical features share the same culture."

Upon assessment, the client reports not belonging to an organized religion. Which assessment question would the nurse ask to assess the client's spirituality?

"Tell me about spiritual or religious beliefs that are important to you."

A nurse pays a house visit to a client who is on parenteral nutrition. The client reports missing enjoying food with the client's family. What is the most appropriate response by the nurse?

"Tell me more about how it feels to eat with your family."

A nurse is conducting a health history. The client's spouse is answering the interview questions. What question would be appropriate to ask the client before proceeding with the remainder of the interview?

"Who manages health care-related issues in your family?"

A nurse is presenting an in-service program to a group of nurses about culture and cultural diversity. When describing culture, which characteristics would the nurse include? Select all that apply.

-Culture has recognizable patterns -Culture is dynamic

A nurse is discharging a client from the hospital. Which nursing actions should occur when a client is discharged from a health care setting? Select all that apply.

-Discharge planning should begin upon admission to the facility to ensure continuity of care. -The nurse ensures that the family members are taught the knowledge and skills needed to care for the client. -Preferably, the nurse who conducts the initial nursing assessment will determine the special needs of the client being discharged.

A client is being prepared for discharge from the hospital after an exacerbation of heart failure. The client needs assessment of cardiac status, instruction in medications and diet therapy as well as exercises to increase endurance and stamina. The client also needs assistance with self-care, both in performing it now and learning how to adapt to the limitations to maintain independence. The client also lives alone with an older adult, frail spouse. In addition to the client's physician, which members of the interdisciplinary team would need to be involved? Select all that apply.

-Nurse -Physical Therapist -Occupational Therapist -Unlicensed assistive personnel -Social worker

A nurse is preparing to provide care to a client, prioritizing and organizing the care using Maslow's hierarchy of human needs. Place the following needs in the order in which the nurse would prioritize them.

1. Elimination 2. Predictable routine 3. Avoidance of loneliness 4. Respect 5. Maximizing potential

A nurse demonstrates understanding of Healthy People 2020: Understanding and Improving Health by supporting which statement?

A client's health is affected by social, economic, and political factors.

Which nursing action would be considered an ethical/legal skill?

A nurse helps a client prepare a living will.

Which is an emerging trend in health care delivery?

Active involvement of consumers

A client is having problems with insurance reimbursement. The home health care nurse discusses the client's need for home health services with the insurance company. What role is the nurse demonstrating?

Advocate

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge?

Affordable Care Act

Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

American Nurses Association (ANA)

Which is not a cognitive or sensory deficit?

Asthma

Assessment of a client during a home visit reveals the following: blindness, mild to moderate pain from arthritis, constipation, and weight loss. What would the nurse identify as the greatest threat to the client's independent functioning?

Blindness

Which statement is most accurate in discussing the difference between nursing care provided in the acute care setting and that provided in the home care setting?

Both settings focus on the holistic care of an individual.

Which nursing pioneer established the Red Cross in the United States in 1882?

Clara Barton

The nurse is caring for a group of clients. Which client should the nurse assess first?

Client who is experiencing respiratory distress after surgery

A new nurse is considering getting a job in either an acute care setting or a home care setting. Which statement about these care settings is most accurate?

Clients play a large role in helping themselves in the home care setting.

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.

Which is a key resposibility of a home health nurse?

Collaborate with other care providers.

Based on the Patient Protection and Affordable Care Act (ACA), nurses are to assume an important new role in health care. Which is an example of this new role?

Collaborating with all agencies to provide for the client's home health needs

Which action must the nurse perform on discharge of a client from an acute care facility?

Coordinating future care for the client

Nurses in various health care settings provide services to prevent the fragmentation of care that is occurring as a health care trend in today's society. What role of the nurse is most important in preventing this effect?

Coordinator of care

A client, who was recently diagnosed with diabetes, has been coming to the emergency room every day for hyperglycemia. The client reports not being able to self-administer insulin injections. What strategy would best educate the client and improve the client's ability to self-administer insulin?

Demonstrate the proper method and have the client mimic the demonstration.

A nurse has been hired to work as an occupational health nurse. In this position as a registered nurse, what will this nurse provide?

Education and safety programs in industrial settings

Which contributor to the nursing profession established two missions: sick nursing and health nursing?

Florence Nightingale

A registered nurse is providing community-based health care for a client diagnosed with early onset dementia. Which strategy is best for the nurse to employ to facilitate the family participating in the client's care?

Encourage active participation of the client and family in health care decisions.

A nurse is caring for a terminally ill client whose death is imminent. The nurse has developed a close relationship with the family. Which intervention is most appropriate?

Encourage family discussions of feelings.

A nurse has an older adult home care client who lives alone with no family nearby. On a recent visit, the nurse notices that his clothes are very loose, and he has difficulty letting the nurse leave when the visit is ending. After talking with him, the nurse learns that he has not been cooking for himself and he can't get to the grocery store easily. What service could the nurse suggest as an immediate response until a long-term plan can be formed?

Enroll the client in Meals on Wheels.

A group of nursing students is reviewing the changes that have occurred in the provision of health care services over the years. The students demonstrate understanding of the information when they identify which as a current trend?

Equal partnerships with communities are key.

The nurse confirms that the bedside commode and walker has been delivered to the client's home. Which discharge planning event defines this intervention?

Facilitation

A nurse is gathering information about a person's culture and beliefs related to health and how these beliefs influence the person. The nurse is evaluating which functional health pattern?

Health perception and health management

Which statement most accurately describes an aspect of home health care?

Home health care is provided for people of all ages in various settings.

A nurse recently hired at a community care clinic is working with a group of culturally diverse clients. How would the nurse supervisor teach and encourage the new nurse on providing culturally competent care?

It is important to include a cultural assessment when evaluating diverse clients so their cultural beliefs and practices can be included in the care plan.

The nurse is assessing a client who is unresponsive. To obtain information about the client's culture, the nurse interviews a person who has native knowledge about the client's culture. Which technique is the nurse using?

Key informant

The nurse cares for a client admitted with an exacerbation of multiple sclerosis. How would the nurse best assess the spiritual beliefs of the client to integrate those beliefs into nursing care?

Listen actively to determine what the client is saying and not saying.

The client's plan of care is created by the nurse using which guideline for nursing practice?

Nursing process

What guidelines do nurses follow to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?

Nursing process

24s Report this Question An older adult has total care of the spouse, who has debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to help the couple?

Palliative care

An older adult has total care of the spouse, who has debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to help the couple?

Palliative care

A home health nurse arrives at the home of a client--an infant who has just been discharged to home--and finds that the infant is on a ventilator and is being cared for by the parents. What should the nurse do next?

Provide teaching to the parents on how to operate the ventilator.

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning?

Providing client education

A nurse recommends palliative care for a client who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care?

Relief from physical, mental, and spiritual distress

The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstone removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important?

Speak directly to the client.

A nurse is a member of an interdisciplinary team providing home health care to a client who was discharged home after experiencing a stroke. The client has been receiving services to assist with swallowing. The nurse would collaborate with which member of the team to discuss the client's progress?

Speech therapist

Which type of data is most important to a home health nurse who is performing a comprehensive assessment for a new client recently discharged from the hospital?

Subjective data about how the client manages medications at home

The nurse is caring for a client newly diagnosed with diabetes mellitus. Which is an appropriate element of discharge planning for the nurse to use?

Teach the client about prescribed medications and how to monitor blood sugars.

A client diagnosed with lung cancer has been given a prognosis of 3 to 4 months of life. The nurse discusses hospice care with the client and family. Which aspect of the client's health status indicates that hospice care is appropriate?

The client has a life expectancy of less than 6 months

A client is receiving home health services after having a stroke and being hospitalized. After a thorough assessment of the home environment and the client, what would indicate to the nurse that there is an impairment in the client's home management?

The client's caregiver is absent whenever the nurse visits and the client is alone

One of the fastest growing venues of practice for the nurse is home health care. What is the basis for the growth in this health care setting?

The discharge home of clients who are more critically ill

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation.

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained?

The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client.

When a multidisciplinary team is involved in meeting the home care needs of a client, who is the person responsible for the coordination of the care provided?

The registered nurse

The focal point of nursing is the nurse-client interaction. What must nurses consider about themselves when assessing clients from other cultures?

Their own cultural orientation

Which is the major goal of ambulatory care facilities?

To provide care to clients capable of self-care at home

A client who is dark-skinned is brought to the emergency department with profuse bleeding from a leg laceration after a motor vehicle accident. Which area would the nurse use to assess the client's oxygenation?

Tongue

The nurse is providing care to an older adult client approaching discharge following a surgical procedure to repair a fractured hip. The client requires continued skilled nursing care and physical therapy to improve mobility. When planning care for this client, which prescription should the nurse anticipate?

Transfer to an extended care facility

Nursing students are reviewing information about the changes in the health care industry and the effects on the scope of nursing practice. The students demonstrate understanding of this information when they identify what as having significantly affected the delivery of home health care?

advances in technology

A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?

applying for a reciprocal license in the new state

Following the death of a hospice client, the nurse continues to care for the family. What is this type of care called?

bereavement care

A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of:

common and observable expressions of culture.

In most cases, the initial assessment of clients' health needs takes place during the:

first home visit

The home health nurse completes the Outcome and Assessment Information Set (OASIS) at the start of home care. This documentation:

includes assessment of core items for improving quality of care.

Which age group in the population is expanding most rapidly, resulting in changes in the delivery of health care?

older adults

Public health nursing is the branch of nursing that:

provides health care for the community.

A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of:

spiritual crisis

Which is the best example of a nurse demonstrating the role of caregiver?

starting an intravenous line in the client's arm

A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?

stereotyping

A nurse is providing care to a terminally ill client and family. The family practices Buddhism. When preparing the client and family for death, which action would be most important for the nurse to integrate into the plan of care?

supporting the belief that death is temporary and needed for rebirth

Which factor should be the primary factor in a nurse's decision whether to pray with a client?

the client's openness to being prayed for