WEEK 5: HEALTH DISPARITIES EAQ

A client who had previously signed a consent form for a liver biopsy reconsiders and decides not to have the procedure. What is the nurse's best initial response?

"Can you tell me your reasons for refusing the procedure?"

A woman who has just delivered an infant asks to take the placenta home with her upon discharge. What is the most appropriate response by the nurse?

"I need to check the hospital protocol for our policy on that practice."

A nurse is working with an unlicensed assistive personnel (UAP) in caring for a group of clients. Which statement by the UAP indicates a correct understanding of the UAP's role?

"I will take clients' vital signs after their procedures are over."

A client is informed that he has developed a healthcare-associated upper respiratory tract infection and asks the nurse what this means. How should the nurse reply?

"You acquired the infection after being admitted to the hospital."

The nurse is caring for a newly admitted male client with the diagnosis of bipolar disorder who has a history of hyperactivity and combativeness. Later in the evening, a commotion is heard and the new client is found beating another client. What is the legal interpretation of this situation?

Because it was known that the client was frequently combative, close observation by the nursing staff was indicated.

What is an example of private indemnity health insurance?

Blue Cross Blue Shield Association

Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of EHRs?

Center for Medicare and Medicaid Services (CMS)

A client who only speaks Spanish is being cared for at a hospital in which nursing personnel only speak English. What communication technique would be appropriate for the nurse to use when discussing healthcare decisions with the client?

Contact an interpreter provided by the hospital.

While entering data for a client in the electronic health record (EHR), the nurse uses North American Nursing Diagnosis Association (NANDA) International terminology to document which part of the nursing process?

Diagnosis

A visitor in the waiting room of the emergency department has a syncopal episode and collapses on the floor. The event is witnessed by a nurse on her way into the hospital for her shift, who provides initial care. The nurse assessed the client, maintained safety of the environment, and gave a report to the emergency department nurse, who will provide ongoing care. What should the nurse who witnessed the event do next?

Document the incident.

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

Electronic medical record (EMR)

The unit nurse manager comes to work obviously intoxicated. Which action is the staff nurse ethically obligated to take?

Have the supervisor validate the observation.

A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy. The registered nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse (LPN) to perform? Select all that apply.

Help the client ambulate when required. Monitor the client's vitals every 30 minutes. Administer adequate oral fluids to the client.

A nursing student is recalling information about hospice care. What is hospice care?

Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.

A psychiatric nurse is hired to work in the psychiatric emergency department of a large teaching hospital. While reviewing the manuals, the nurse reads, "People with mental health emergencies shall be triaged within 5 minutes of entering the emergency department." What does the nurse consider this statement to represent?

Hospital policy

Which statement accurately describes a health care policy as it relates to health care economics?

It provides overarching goals and helps in setting priorities and values for the distribution of health resources.

What should the nurse consider to be limitations of assisted living? Select all that apply.

Most residents need to pay privately. Only home care nurses can visit the clients. Average monthly fee is $3,022 for a private unit.

A pregnant client with severe abdominal pain and heavy bleeding is being prepared for a cesarean birth. What is the priority medical intervention?

Obtaining informed consent and assessing the client for drug allergies

A client whose medical expenses are covered under Medicare is hospitalized. Which component of Medicare can be claimed?

Part A

Which group benefits from Medicare?

People who are 65 years or older

A client with diabetes mellitus experiences a sudden fall in blood glucose levels while travelling 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)

The student nurse is reviewing the electronic health record for clients in a health care facility. Which action by the student nurse may inhibit clients from disclosing personal information?

Sharing clients' data with family members

What represents a significant shift in U.S. health policy in recent years?

There is a focus on better managing clients with multiple chronic conditions.

The nurse reviews various standardized terminology before entering client data in the electronic medical record. What is the purpose of this review?

To ensure that client information is meaningful to other health care professionals

The nurse is entering a client's data in the electronic health record. What action should the nurse take to minimize ambiguity and confusion?

Use consistent, codified terminology.